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.

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E-9-1-1 Emergency Department ICU OR 245

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 100

ICU ALS Emergency Department ED 100

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 52

ICU Emergency Department ALS OR 52

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.

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E-9-1-1 Defibrillator ICU Critical Care 52

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.

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E-9-1-1 ICU ACS EMS 75

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.

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Defibrillator CPR Epinephrine Life Support 84

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 52

Emergency Medical Services EMS CPR Paramedic 52

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.

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ED Emergency Department ALS OR 65

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?

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E-9-1-1 FFP Plasma Emergency Department 139

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.

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Emergency Department E-9-1-1 ED ICU 94

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.

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ICU ALS Critical Care Emergency Department 52

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.

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ALS ICU ED Emergency Department 52

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.

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MICU ICU OR Emergency Department 52

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.

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ED ICU OR Emergency Department 52

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.

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ED NARCAN ALS OR 81

ALiEM

OCTOBER 30, 2024

Bupe Allergy Buprenorphine induction has been the mainstay of emergency department treatment of opioid use disorder for more than a decade [11, 12]. 2021 Aug 1;94:103086. Emergency department-initiated buprenorphine for opioid dependence with continuation in primary care: outcomes during and after intervention.

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E-9-1-1 Naloxone Emergency Department ALS 161

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.

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E-9-1-1 ALS Emergency Department Plasma 65

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%

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ED ICU ALS OR 129

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.

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Emergency Department OR EMS ED 81

REBEL EM

NOVEMBER 11, 2024

In 2021, Buckley et. What They Did: Investigators performed a retrospective cohort study in the Emergency Department at the University of Michigan between July 1, 2014 through December 31, 2018. Imbalances Between Treatment Groups : ICU Admissions : Higher in piperacillin-tazobactam (33% vs. 30%). vs. 52.2%).

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E-9-1-1 ALS ICU Critical Care 84