2021, Emergency Department and ICU

ABG Versus VBG in the Emergency Department

EMDocs

FEBRUARY 12, 2024

In this situation, an ABG should be obtained periodically for correlation, though this is more relevant for the intensive care unit (ICU) setting than in routine ED care (5, 9). Correlation and agreement between arterial and venous blood gas analysis in patients with hypotension-an emergency department-based cross-sectional study.

Emergency Department

Emergency Department E-9-1-1 ED ICU

Post-Intubation Sedation and Analgesia

Core EM

JANUARY 25, 2024

The reality of ever increasing ED volumes and longer boarding times to the ICU makes it imperative for emergency physicians to learn how to manage these critical patients. It was found that patients exposed to deep sedation in the ED had an independent higher incidence of continued deep sedation on ICU day one ( Fuller, 2019 ).

Emergency Department

Emergency Department ICU Critical Care ALS

Brazilian Butt Lift Procedure Can Result in Emergency Department Visits

ACEP Now

MAY 9, 2024

The procedure has soared in popularity as beauty standards have shifted and cosmetic surgery has become increasingly transparent on social media platforms, with reported cases in the United States increasing from 614 in 2002 to 61,387 by 2021, a nearly 10,000 percent increase. Aesthetic Plastic Surgery National Databank Statistics 2020–2021.

Emergency Department

Emergency Department Operating Room Critical Care ALS

Ethical Issues in Interhospital Transfers of Emergency Department Patients

ACEP Now

MARCH 13, 2024

Emergency departments (EDs) provide the essential service of evaluating patients with unscheduled, acute, undifferentiated, and decompensated conditions. Dr. Kluesner is an emergency physician in Iowa City, Iowa, at UnityPoint Health-Iowa Methodist Medical Center. Academic Emergency Medicine 22.2 Published online 2021:26.

Emergency Department

Emergency Department ED ALS OR

Journal Feed Weekly Wrap-Up

EMDocs

JUNE 15, 2024

. #1: PREOXI RCT – Preoxygenation with Noninvasive Ventilation vs. Non-rebreather Mask Spoon Feed Noninvasive ventilation (NIV) was superior to a standard non-rebreather (NRB) oxygen mask for preoxygenation of critically ill ED or ICU patients requiring intubation, with a NNT of 11 to prevent 1 episode of hypoxemia <85%. 2024 Jun 13. #2:

ICU

ICU Emergency Department ED OR

SGEM#346: Sepsis – You Were Always on My Mind

The Skeptics' Guide to EM

SEPTEMBER 25, 2021

Date: September 20th, 2021 Reference: Litell et al. Most emergency department patients meeting sepsis criteria are not diagnosed with sepsis at discharge. Guest Skeptic: Dr. Jess Monas is a Consultant in the Department of Emergency Medicine at the Mayo Clinic Hospital, Phoenix, Arizona.

Emergency Department

Emergency Department EMR ICU ALS

Trick of Trade: Inflating the Esophageal Balloon of a Blakemore/Minnesota Tube without a Manometer

ALiEM

MAY 19, 2023

A heavy alcohol drinker, who is well known to your Emergency Department, presents with altered mental status, except that he looks different this time. In our emergency department, the RTs do not spend a lot of time going around measuring cuff pressures and usually save that until the patient reaches the ICU.

E-9-1-1

E-9-1-1 Emergency Department ICU OR

SGEM#324: Blow Away, Blow Away, Blow Away – Spirometry for Discharging Older Patients with Rib Fractures

The Skeptics' Guide to EM

MARCH 27, 2021

Date: March 17th, 2021 Guest Skeptic: Dr. Emil Ejersbo Iversen is an emergency medicine resident at the University Hospital of Zealand, Denmark. He currently serves as Vice-Chair of the Danish Society for Emergency Medicine and Chair of the Young Doctors in Emergency Medicine in Denmark. J Trauma Acute Care Surg.

ICU

ICU ALS Emergency Department ED

REBEL Cast Ep115 – Phenobarbital vs Lorazepam in Alcohol Withdrawal

REBEL EM

MARCH 23, 2023

The 30-day emergency department readmission rate and all-cause 30-day readmission were significantly lower only when adjusted for propensity scores. Although CIWA has subjective components, when a patient has a CIWA in the 20s ICU transfer should be considered. Paper : Hawa F et al.

ICU

ICU Emergency Department ALS OR

First10EM Journal Club: October 2022

Broome Docs

OCTOBER 31, 2022

Ketamine vs etomidate in ICU intubation ? Etomidate versus ketamine for emergency endotracheal intubation: a randomized clinical trial. Etomidate versus ketamine for emergency endotracheal intubation: a randomized clinical trial. Epub 2021 Dec 14. Emerg Med J. 2022 Jul 26:emermed-2021-211540.

E-9-1-1

E-9-1-1 Defibrillator ICU Critical Care

emDOCs Revamp – Acute Chest Syndrome

EMDocs

JUNE 27, 2024

2021 Sep;194(5):899-907. Epub 2021 Jul 15. Intranasal fentanyl and discharge from the emergency department among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. Br J Haematol. Am J Hematol. 2023 Apr;98(4):620-627. Epub 2023 Feb 6.

E-9-1-1

E-9-1-1 ICU ACS EMS

Hypothermic Cardiac Arrest: Pearls and Pitfalls

EMDocs

JANUARY 16, 2024

Louis) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case You are working in the trauma/critical care pod of your emergency department (ED). You receive a page for a cardiac arrest and take report from emergency medical services (EMS). Am J Emerg Med. Accidental Hypothermia: 2021 Update.

Defibrillator

Defibrillator CPR Epinephrine Life Support

Palliative and Hospice Care in the Prehospital Setting

NAEMSP

FEBRUARY 15, 2023

Sometimes they may benefit from transport to an emergency department if it is consistent with their care plan/wishes. The patient was dying while intubated in the ICU but was awake enough to engage in discussions with providers through writing about her wishes. Prehosp Emerg Care. Epub 2021 Mar 30. Epub 2021 Dec 1.

Emergency Medical Services

Emergency Medical Services EMS CPR Paramedic

ToxCard: Crotalid Envenomation Part 1: Management of the Crotalid Envenomation

EMDocs

AUGUST 15, 2023

Published online April 2021. link] The post ToxCard: Crotalid Envenomation Part 1: Management of the Crotalid Envenomation appeared first on emDOCs.net - Emergency Medicine Education. His father confirmed the snake was a copperhead. link] Antivenom administration North American Crotalinae snakebites – UpToDate.

Emergency Department

Emergency Department OR EMS ED

Emergency (ED placement) Transvenous Pacer appears to be working perfectly. What might go wrong?

Dr. Smith's ECG Blog

OCTOBER 19, 2022

A transvenous pacer was placed in the Emergency Department by the emergency physicians. and the 2021 YouTube Review by ICU Advantage on "Temporary Pacemakers: Modes and Basic Settings". A patient had 3rd degree AV block in the ED.

ED

ED ICU OR Emergency Department

POCUS findings of hemodynamically unstable PE with cardiac arrest

EMDocs

APRIL 22, 2024

4 In an emergency department (ED) presentation of cardiac arrest, the diagnosis of PE is challenging without the use of CT angiography. Point-of-Care-Ultrasound (POCUS) is a bedside modality that can assist Emergency Physicians (EPs) in differentiating PE from other causes of cardiac arrest. 2021 Apr;40(2):100852.

ED

ED NARCAN ALS OR

SGEM#356: Drugs are Gonna Knock You Out – Etomidate vs. Ketamine for Emergency Endotracheal Intubation

The Skeptics' Guide to EM

JANUARY 15, 2022

Etomidate versus ketamine for emergency endotracheal intubation: a randomized clinical trial. Intensive Care Med 2021 Guest Skeptic: Missy Carter, former City of Bremerton Firefighter/Paramedic, currently a professor of Emergency Medical Services at Tacoma Community College’s paramedic program. Reference: Matchett, G.

Emergency Medical Services

Emergency Medical Services Firefighter Critical Care Paramedic

Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

SEPTEMBER 25, 2023

Despite the risk of hypotension and bradycardia, propofol has been shown in the ICU setting to be a safe and effective monotherapy intubation agent for hemodynamically unstable patients (19). actors Associated with the Occurrence of Cardiac Arrest after Emergency Tracheal Intubation in the Emergency Department.

ED

ED Emergency Department ALS OR

Penetrating chest trauma

Don't Forget the Bubbles

JUNE 30, 2023

In 2021, Evans and colleagues (1) compared adolescent mortality rates in adult, children’s and mixed major trauma centres across the UK. In 2021, Kulvatunyou, Bauman and colleagues compared the insertion of traditional 28-32Fr chest tubes with 14Fr pigtail catheters for drainage of traumatic haemothorax. Is he going to be OK?

E-9-1-1

E-9-1-1 FFP Plasma Emergency Department

Less is More. Again: Speed of IV Fluid Administration in Pancreatitis (WATERFALL Trial)

REBEL EM

SEPTEMBER 29, 2022

Background: Standard emergency department management of acute pancreatitis has focused on aggressive hydration, analgesia and investigation for an underlying reversible cause (eg gallstones). Ann Surg 2021. Recent evidence has challenged the routine use of aggressive hydration as unnecessary.

ICU

ICU ALS Critical Care Emergency Department

Etomidate Vs. Ketamine: A Systematic Review and Meta-Analysis

REBEL EM

NOVEMBER 3, 2022

What They Did: Performed a search of the following databases: Pubmed, Embase, Cochrane, and ClinicalTrials.gov up to and including June 1, 2021. Included studies assessed patients in the emergency department and prehospital setting, which limits the external validity to other treatment areas such as the ICU.

ALS

ALS ICU ED Emergency Department

The EvK Trial: Ketamine vs Etomidate for Rapid Sequence Intubation

REBEL EM

AUGUST 29, 2022

Duration of mechanical ventilation, ICU, and percentage of vasopressor use were not significantly different. Etomidate versus ketamine for emergency endotracheal intubation: a randomized clinical trial. Epub 2021 Dec 14. Acad Emerg Med. Intensive Care Med. 2022 Jan;48(1):78-91.Epub PMID: 34904190. Epub 2009 Jul 1.

MICU

MICU ICU OR Emergency Department

Sepsis Updates Relevant to the Emergency Physician

EMDocs

DECEMBER 18, 2023

The most recent surviving sepsis campaign (SSC) guidelines were released in 2021, which provided 93 recommendations for evidence-based sepsis management. 1 Since 2021, attempts to identify a single screening tool with optimal sensitivity and specificity to predict which patients will develop sepsis or septic shock have been ongoing.

E-9-1-1

E-9-1-1 ALS Emergency Department Plasma

The 77th Bubble Wrap x Chelsea and Westminster Paediatric ED

Don't Forget the Bubbles

JANUARY 4, 2024

We have teamed up with the team from Chelsea and Westminster Paediatric Emergency Department to give you 5 reviews of recent studies. This retrospective, observational study used data from the UK Trauma Audit & Research Network (TARN) between 2012 and 2021. in 2021 across all age groups. in 2012 to 5.3%

ED

ED ICU ALS OR

Paramedicine Now

ABG Versus VBG in the Emergency Department

Post-Intubation Sedation and Analgesia

Trending Sources

Brazilian Butt Lift Procedure Can Result in Emergency Department Visits

Ethical Issues in Interhospital Transfers of Emergency Department Patients

Journal Feed Weekly Wrap-Up

SGEM#346: Sepsis – You Were Always on My Mind

Trick of Trade: Inflating the Esophageal Balloon of a Blakemore/Minnesota Tube without a Manometer

SGEM#324: Blow Away, Blow Away, Blow Away – Spirometry for Discharging Older Patients with Rib Fractures

REBEL Cast Ep115 – Phenobarbital vs Lorazepam in Alcohol Withdrawal

First10EM Journal Club: October 2022

emDOCs Revamp – Acute Chest Syndrome

Hypothermic Cardiac Arrest: Pearls and Pitfalls

Palliative and Hospice Care in the Prehospital Setting

ToxCard: Crotalid Envenomation Part 1: Management of the Crotalid Envenomation

Emergency (ED placement) Transvenous Pacer appears to be working perfectly. What might go wrong?

POCUS findings of hemodynamically unstable PE with cardiac arrest

SGEM#356: Drugs are Gonna Knock You Out – Etomidate vs. Ketamine for Emergency Endotracheal Intubation

Beyond Ketamine: When to use Facilitated Intubation in the ED

Penetrating chest trauma

Less is More. Again: Speed of IV Fluid Administration in Pancreatitis (WATERFALL Trial)

Etomidate Vs. Ketamine: A Systematic Review and Meta-Analysis

The EvK Trial: Ketamine vs Etomidate for Rapid Sequence Intubation

Sepsis Updates Relevant to the Emergency Physician

The 77th Bubble Wrap x Chelsea and Westminster Paediatric ED

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