EMergucate

JANUARY 3, 2023

ECG of the Week 28th December 2022 – Interpretation The patient is in a sinus rhythm with bradycardia (rate ~50) … Continue reading →

130

130

Pediatric EM Morsels

NOVEMBER 3, 2023

More specifically they have seen this trend continue to rise in the era of post-COVID travel (Choy 2022). Another change is the CDC approved the use of IV artesunate for malaria treatment in the US in May 2022. WHO 2022) In a previous PEM morsel, we mentioned Sickle Cell Trait is only protective against P. falciparum.

ALS 278

ALS Critical Care EMS OR 278

Emergency Medicine Cases

JANUARY 2, 2023

Based on a blend of number of listens, feedback from listeners, website visits and my personal faves, here is EM Cases Top 10 of 2022. The post Top 10 of 2022 – EM Cases Podcasts & Blogs Highlights of the Year appeared first on Emergency Medicine Cases.

EMS 130

EMS 130

ALiEM

APRIL 14, 2023

Highlighted Quality Posts: Procedures Site Article Author Date Label Rebel EM Intra Articular Lidocaine vs Sedation in Shoulder Reductions Nordia Matthews, MD 30 Jan 2023 AIR EM Docs Video Laryngoscopy in the ED Cameron Jones, MD 8 Aug 2022 AIR First 10 EM Lacerations: Does closure technique matter?

EMS 246

EMS Emergency Department ED OR 246

Core EM

JANUARY 25, 2024

Accessed April 29, 2022. Retrieved April 29, 2022, from [link] Vantour L, Goltzman D. Prevalence and clinical implications of hypocalcemia in acutely ill patients in a medical intensive care setting. Am J Med 1988; 84:209. Goltzman, D. Diagnostic approach to hypocalcemia. UpToDate; Jul 17, 2020. link] Kelly A, Levine MA. Hypocalcemia.

Critical Care 246

Critical Care ED ALS OR 246

Core EM

JANUARY 25, 2024

Accessed March 9, 2022. link] Accessed February 28, 2022. Treasure Island (FL): StatPearls Publishing; 2022 Jan. Necrotizing fasciitis. Necrotizing Fasciitis. link] Published October 28, 2019. Diagnosis of necrotizing fasciitis with bedside ultrasound: The staff exam. The western journal of emergency medicine. Read More

E-9-1-1 246

E-9-1-1 Emergency Department OR 246

ALiEM

JUNE 5, 2023

Updated 2022 Jul 26]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Updated 2022 Aug 8]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. PMID: 23569822 ; PMCID: PMC3614207. Simonsen KA, Chatterjee K. In: StatPearls [Internet]. Chambers J, Yarrarapu SNS, Mathai JK. Anthrax Infection.

ALS 256

ALS OR ED 256

EMergucate

NOVEMBER 8, 2022

A 60 year old man, who speaks little English, is triaged as a category 2 for left sided chest pain after being brought to hospital by ambulance. He has a history of the following: CMML under survei…

Ambulance 130

Ambulance EMS 130

EMergucate

NOVEMBER 15, 2022

The following ECG was obtained from an independent 78 year old woman at 11pm who complained of left sided shooting jaw ache that had commenced earlier that morning. She is adamant she has no chest …

EMS 130

EMS 130

EMergucate

NOVEMBER 21, 2022

The following ECG was printed when the ST segment alarm on the cardiac monitor started alarming: It is after hours … Continue reading →

130

130

EMergucate

NOVEMBER 28, 2022

A 52 year old woman is triaged as a category 2 after complaining of chest tightness on the background of having previous cardiac history. She thinks she may have had stenting to her coronaries but …

Coronary 130

Coronary 130

EMergucate

DECEMBER 5, 2022

Paramedics ring through to say that they are 10 minutes away with a 65 year old man who has a heart rate of approximately 170 with a thready pulse and a systolic blood pressure of 90. This is the f…

Paramedic 130

Paramedic EMS 130

EMergucate

DECEMBER 13, 2022

The following ECG was obtained in a 38 year old Indigenous man with a history of ischaemic cardiomyopathy at a regional hospital. He did not have a history of left bundle branch block previously.

130

130

EMergucate

DECEMBER 20, 2022

This ECG was obtained from a 22 year old man who had taken a polypharmacy overdose 24 hours ago. He had suffered a bradycardic / asystolic arrest and is currently in the intensive care unit.

Overdose 130

Overdose EMS 130

EMergucate

DECEMBER 27, 2022

This is one of the serial ECGs on a 66 year old man who presented to ED following post-coital exertion. He has a history of multiple myeloma diagnosed 5 years ago and receives 4 weekly cycles of Ca…

ED 130

ED 130

Pediatric EM Morsels

OCTOBER 27, 2023

PAWPER [Wells 2013, Silvagni 2022] Takes into account body habitus. Zhu 2022] In Nepalese children, the Broselow correlated well at lower weights, but accuracy decreased at higher weights >18 kg. [K Published 2022 Sep 15. Published 2022 Aug 16. There are other systems that account for body habitus. Broselow does not.

E-9-1-1 269

E-9-1-1 Emergency Medical Services Life Support ALS 269

Pediatric EM Morsels

JULY 21, 2023

Jain 2022] Now used for critically ill trauma and medical patients in >75 countries. Jain 2022] Now used for critically ill trauma and medical patients in >75 countries. Jain 2022] Glasgow Coma Scale in Children – How do you perform it correctly?

Critical Care 246

Critical Care ALS Life Support OR 246

Pediatric EM Morsels

JULY 19, 2024

2022 Sep-Oct;43(5):103582. Epub 2022 Aug 6. 2022 Mar 4;14(3):e22857. Spencer R, Newby M, Hickman W, Williams N, Kellermeyer B. Efficacy of tranexamic acid (TXA) for post-tonsillectomy hemorrhage. Am J Otolaryngol. doi: 10.1016/j.amjoto.2022.103582. 2022.103582. PMID: 35988367. Am J Emerg Med. 2020 Sep;38(9):1943. 2020.01.042.

E-9-1-1 286

E-9-1-1 Epinephrine Emergency Department OR 286

Pediatric EM Morsels

MARCH 1, 2024

Wojsyk-Banaszak, 2018 ) Mainstay of initial therapeutic management is: ( Wojsyk-Banaszak, 2018 ; Fernando, 2022 ) Prolonged course of IV antibiotics Chest physiotherapy Patients managed with medical strategies (compared to surgical) had lower complication rates and shorter hospitalizations. 2022 Jul;92(7-8):1850-1855. Epub 2022 Jun 9.

EMS 169

EMS Critical Care OR 169

ALiEM

JULY 20, 2023

Highlighted Quality Posts: Infectious Disease Site Article Author Date Label SGEM Lumbar punctures in febrile infants with positive urinalysis – it’s just overkill Dennis Ren, MD December 31, 2022 AIR EMDocs Bacterial Meningitis Mounir Contreras Cejin, MD January 28, 2023 HM ALiEM The Febrile Infant Corey Ziemba, MD, Justin Hacnik, MD and J.D.

Emergency Department 188

Emergency Department EMS OR 188

Pediatric EM Morsels

JUNE 30, 2023

PMID: 28050458 Salerno M, Sessa F, Cocimano G, Roccuzzo S, Esposito M, Pomara C. Congenital Cystic Adenomatoid Malformation (CCAM) Type II: A Rare Case of Sudden Infant Death. Dec: 9 (12): 1830. link] PMID: 36553274 The post Congenital Pulmonary Airway Malformation (CPAM) appeared first on Pediatric EM Morsels.

E-9-1-1 281

E-9-1-1 ED EMS OR 281

ALiEM

FEBRUARY 5, 2024

Cambron DO Jun 1, 2023 AIR EM Docs N-acetylcysteine for Acetaminophen Toxicity Eric Sabatini Regueira, MD and Ann-Jeannette Geib, MD Aug 3, 2023 HM EM Docs Methylene blue Quinton Nannet, MD and Christine Murphy, MD Dec 27, 2022 HM EM Docs Acute organophosphate toxicity Daniel Escobar, MD and Ann-Jeannette Geib, MD Jun 7, 2023 HM Core EM Updates in (..)

Overdose 215

Overdose Critical Care EMS Emergency Department 215

Core EM

JANUARY 25, 2024

source: “Thrombotic Thrombocytopenic Purpura (TTP)”, 2022 , National Heart, Lung, and Blood Institute. 2022 Feb 19;11(4):1103. Figure 1: From “Thrombotic Thrombocytopenic Purpura (TTP)”, 2022 , National Heart, Lung, and Blood Institute. An example of petechiae and purpura frequently seen with thrombocytopenic disorders.

Plasma 246

Plasma Frozen Plasma Emergency Department FFP 246

Core EM

JANUARY 25, 2024

Published February 4, 2022. Accessed September 29, 2022, [link] [6] Pepe J, Ausman C, Madhani NB. 2022, Accessed September 29, 2022, [link] [8] Luftig J, Dreyfuss A, Mantuani D, Howell K, White A, Nagdev A. 2022, Accessed September 29, 2022, [link] [8] Luftig J, Dreyfuss A, Mantuani D, Howell K, White A, Nagdev A.

Epinephrine 246

Epinephrine ED Emergency Department OR 246

ALiEM

NOVEMBER 17, 2023

Accessed January 5, 2022. Accessed January 5, 2022. Overview of vulvovaginal conditions in the prepubertal child. Uptodate.com. link] Published 2021. Evaluation of vulvovaginal bleeding in children and adolescents. Uptodate.com. link] Published 2021.

Emergency Department 250

Emergency Department OR 250

ALiEM

OCTOBER 11, 2023

2022 Feb 8;14(2):123. Treasure Island (FL): StatPearls Publishing; August 8, 2022. 2022 Feb;60(2):262-266. 2022 Nov 8;19(22):146-8. Treasure Island (FL): StatPearls Publishing; November 3, 2022. Toxins (Basel). PMID: 35202150 Lee CH, Ruben PC. Channels (Austin). 2008;2(6):407-412. doi:10.4161/chan.2.6.7429.

E-9-1-1 204

E-9-1-1 ALS OR 204

ALiEM

MARCH 11, 2024

In July 2022, a 32-year-old male with a past medical history of HIV (on antiretroviral therapy, CD4 390, viral load undetectable) presented to the emergency department with constitutional symptoms and a rash for 4-5 days. Epub 2022 Jul 27. The 2022 outbreak and the pathobiology of the monkeypox virus. 2022 Jul;131:102855.

Emergency Department 141

Emergency Department ALS OR 141

ALiEM

OCTOBER 14, 2023

Reference Lin M, Phipps M, Chan TM, et al.

Critical Care 169

Critical Care EMS Emergency Department ALS 169

Pediatric EM Morsels

JUNE 2, 2023

Allergy Asthma Clin Immunol 18, 54 (2022). Food protein-induced enterocolitis syndrome in a tertiary pediatric center: safety of guideline-conforming food challenges. link] The post Food Protein Induced Enterocolitis Syndrome (FPIES) appeared first on Pediatric EM Morsels.

Emergency Department 189

Emergency Department ALS EMS OR 189

Pediatric EM Morsels

APRIL 5, 2024

CDC 2022) Testing for many of these illnessess can take time during the acute phase as many are ELISA or PCR tests. CDC 2022) Divided into Soft tick relapsing fever and Hard tick relapsing fever , depending on what type of ticks carry the Borrelia sp (CDC 2022) There is also a louse which carries a Borrelia sp.

E-9-1-1 161

E-9-1-1 ALS OR EMS 161

Pediatric EM Morsels

SEPTEMBER 22, 2023

Updated 2022 Feb 10]. Updated 2022 Mar 3]. Tenenbein M, Macias CG, Sharieff GQ, et al, eds. In: Strange and Schafermeyer’s: Pediatric Emergency Medicine. 5 th Edition. McGraw Hill Education; 2019:104-109 Dave S, DAHLSTROM JJ. Neurogenic Shock. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-.

E-9-1-1 300

E-9-1-1 Epinephrine ALS EMS 300

ALiEM

OCTOBER 4, 2023

Epub 2022 Dec 30. May 24, 2022. The post was peer reviewed on behalf of ACMT by Drs. Vikhyat Bebarta, Bryan Judge, and Louise Kao. Read More in the Series References Loscalzo J, Fauci A, Kasper D, Hauser S, Longo D, Jameson JL. Chemical terrorism. Romano JA Jr, Newmark J. Harrison’s Principles of Internal Medicine, 21e.

Plasma 195

Plasma OR ED 195

ALiEM

FEBRUARY 20, 2024

2022 Jun;56:394.e1-394.e4. Epub 2022 Mar 9. McCabe DJ, Walsh RD, Georgakakos PK, Radke JB, Wilson BZ. Flecainide poisoning and prolongation of elimination due to alkalinization. Am J Emerg Med. doi: 10.1016/j.ajem.2022.03.006. 2022.03.006. PMID: 35287973. Devin R, Devin R, Garrett P, Anstey C.

Life Support 183

Life Support Overdose ED 183

The Skeptics' Guide to EM

DECEMBER 21, 2024

The inspiration for the SGEM Xtra episode is the BMJ 2022 holiday article called "The 12 Days of Christmas, the Statistician Gave to Me,". Its fun to mix it up and not do a structured critical appraisal of a recent publication and have a more philosophical chat.

OR 239

OR 239

The Skeptics' Guide to EM

SEPTEMBER 9, 2023

In 2022 Mobasseri et al published a review of 9 such diagnostic studies and concluded that from an orthopedic perspective that the accuracy was not acceptable, the lack of a randomized controlled trial meant that there was not enough data to support the use of ultrasound over X-ray as an initial diagnostic test [7].

Critical Care 304

Critical Care ALS ED Emergency Department 304

The Skeptics' Guide to EM

JANUARY 6, 2024

Background: Back in August of 2022, we announced the start of #SGEMPeds for SGEM Season 11. As a seasoned clinician, she wants your opinion and asks you, “How prepared do you think we are in handling sick children?” and “Do you have any thoughts about how we can improve?”

Emergency Department 257

Emergency Department Emergency Medical Services ALS ED 257

EMS 12-Lead

MARCH 30, 2024

The University of Maryland found that capture occurred in only 42-78% of patients, dependent on pad positioning (Moayedi et al, 2022). As this case shows, electrical capture isn't always possible at lower currents, especially with pads placed in a standard anterolateral "defibrillation" position.

CPR 312

CPR Paramedic Ambulance Defibrillator 312