The Skeptics' Guide to EM

SEPTEMBER 9, 2023

Reference: Snelling et al. Reference: Snelling et al. Reference: Snelling et al. Ultrasonography or radiography for suspected pediatric distal forearm fractures. He is also a fully-fledged ultrasonographer. Ultrasonography or radiography for suspected pediatric distal forearm fractures.

Critical Care 316

Critical Care ALS ED Emergency Department 316

Core EM

JANUARY 25, 2024

source: “Thrombotic Thrombocytopenic Purpura (TTP)”, 2022 , National Heart, Lung, and Blood Institute. Scully, 2012) Citations: Balduini CL, et al. 2022 Feb 19;11(4):1103. Paydary, Koosha, et al. Sawler D, Parker A, Britto J, et al. 2020.05.045. Scully M, Hunt BJ, Benjamin S, et al. Ann Hematol.

Plasma 246

Plasma Frozen Plasma Emergency Department FFP 246

ALiEM

NOVEMBER 29, 2023

PMID: 34529640 Ayub S, Parnia S, Poddar K, et al. PMID: 24769343 Ehrman-Dupre R, Kaigh C, Salzman M et al. Journal of Addiction Medicine 16(5):p 595-598, 9/10 2022. Published 2022 Aug 19. PMID: 36148197 Love JS, Levine M, Aldy K, et al. PMID: 37014353 Ball NS, Knable BM, Relich TA et al. Forensic Sci Int.

Naloxone 169

Naloxone Overdose ALS Epinephrine 169

The Skeptics' Guide to EM

JANUARY 6, 2024

Reference: Remick KE, et al. Reference: Remick KE, et al. Background: Back in August of 2022, we announced the start of #SGEMPeds for SGEM Season 11. Reference: Remick KE, et al. National Assessment of Pediatric Readiness of US Emergency Departments during the Covid-19 Pandemic. JAMA Netw Open. JAMA Netw Open.

Emergency Department 268

Emergency Department Emergency Medical Services ALS ED 268

The Skeptics' Guide to EM

AUGUST 10, 2024

Date: July 29, 2024 Reference: Connolly SJ et al (ANNEXA-I investigators) Andexanet for Factor Xa Inhibitor–Associated Acute Intracerebral Hemorrhage. Reversal of Warfarin: Freeman et al. The 2022 AHA/ASA guidelines give several recommendations on blood pressure lowering and coagulopathy reversal along with an algorithm.

Emergency Medical Services 183

Emergency Medical Services ALS Emergency Department ED 183

ALiEM

OCTOBER 14, 2023

Reference Lin M, Phipps M, Chan TM, et al. Digital Impact Factor: A Quality Index for Educational Blogs and Podcasts in Emergency Medicine and Critical Care.

Critical Care 169

Critical Care EMS Emergency Department ALS 169

The Skeptics' Guide to EM

MAY 14, 2022

Date: May 13th, 2022 Reference: Abril et al. J Emerg Med 2022 Guest Skeptic: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. Date: May 13th, 2022 Reference: Abril et al. The Relative Efficacy of Seven Skeletal Muscle Relaxants.

ALS 130

ALS Emergency Department ED OR 130

ALiEM

FEBRUARY 5, 2024

Reference Lin M, Phipps M, Chan TM, et al. Digital Impact Factor: A Quality Index for Educational Blogs and Podcasts in Emergency Medicine and Critical Care. Ann Emerg Med. 2023;82(1):55-65. doi: 10.1016/j.annemergmed.2023.02.011

Overdose 215

Overdose Critical Care EMS Emergency Department 215

The Skeptics' Guide to EM

NOVEMBER 12, 2022

Date: November 10th, 2022 Reference: de-Madaria E et al. Date: November 10th, 2022 Reference: de-Madaria E et al. Reference: de-Madaria E et al. Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis (WATERFALL). Guest Skeptic: Dr. Salim R. Guest Skeptic: Dr. Salim R.

ALS 130

ALS Emergency Department OR EMS 130

The Skeptics' Guide to EM

FEBRUARY 11, 2023

Date: February 7, 2023 Reference: Cheskes et al. Date: February 7, 2023 Reference: Cheskes et al. Reference: Cheskes et al. NEJM 2022 * Population: Ontario patients who were at least 18 years of age and had an OHCA and refractory ventricular fibrillation. Defibrillation Strategies for Refractory Ventricular Fibrillation.

Defibrillator 139

Defibrillator Medical Transportation OR CPR 139

The Skeptics' Guide to EM

JANUARY 28, 2023

Date: January 22, 2022 Reference: Samuels-Kalow M et al. Date: January 22, 2022 Reference: Samuels-Kalow M et al. The ruling of the US Supreme Court on June 24, 2022 in Dobbs v Jackson Women’s Health Organization overturned Roe v Wade and allowed individual US states to determine their own restrictions on abortion.

ALS 130

ALS OR 130

The Skeptics' Guide to EM

OCTOBER 22, 2022

Date: October 18th, 2022 Reference: Moore et al. Resuscitation 2022 Guest Skeptic: Clay Odell is a Paramedic, Firefighter, and registered nurse (RN). Date: October 18th, 2022 Reference: Moore et al. Resuscitation 2022 Guest Skeptic: Clay Odell is a Paramedic, Firefighter, and registered nurse (RN).

CPR 130

CPR Defibrillator Epinephrine Firefighter 130

The Skeptics' Guide to EM

APRIL 2, 2022

Date: March 31st, 2022 Reference: Butt et al. AEM March 2022 Guest Skeptic: Dr. Lauren Westafer is an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. Date: March 31st, 2022 Reference: Butt et al. Reference: Butt et al.

Emergency Department 130

Emergency Department ALS ED OR 130

Core EM

JANUARY 25, 2024

Read More emDocs: Post-intubation analgesia/sedation regimens in ED: Pearls & Pitfalls PulmCrit: Internet Book of Critical Care: Sedation References Barr J, Gilles L, Puntillo K, et al: Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit. 2022 Feb 10;4(2):e0633.

Emergency Department 246

Emergency Department ICU Critical Care ALS 246

The Skeptics' Guide to EM

DECEMBER 10, 2022

Date: November 30th, 2022 Reference: Johnson et al. Date: November 30th, 2022 Reference: Johnson et al. Bone Joint J 2022 Guest Skeptic: Dr.Matt Schmitz is an Orthopaedic Surgeon specializing in Adolescent Sports Medicine and Young Adult Hip Preservation.

Emergency Department 130

Emergency Department ALS ED OR 130

The Skeptics' Guide to EM

JULY 30, 2022

Date: July 28th, 2022 Reference: Brower et al. AEM July 2022 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Date: July 28th, 2022 Reference: Brower et al. Reference: Brower et al.

ALS 130

ALS ED Emergency Department EMS 130

The Skeptics' Guide to EM

JULY 23, 2022

Date: July 22nd, 2022 Reference: Perry et al. Date: July 22nd, 2022 Reference: Perry et al. The Lancet 2022 Guest Skeptic: Dr. Tessa Davis is a Paediatric Emergency Consultant at the Royal London Hospital, Senior Lecturer at Queen Mary University of London, Co-founder of Don’t Forget The Bubbles ( DFTB ).

ALS 130

ALS Emergency Department ED OR 130

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

The Skeptics' Guide to EM

JUNE 12, 2022

Date: June 12th, 2022 Reference: Finfer et al. Date: June 12th, 2022 Reference: Finfer et al. Reference: Finfer et al. Balanced Multielectrolyte Solution versus Saline in Critically Ill Adults. Balanced Multielectrolyte Solution versus Saline in Critically Ill Adults.

ICU 132

ICU Plasma Critical Care ALS 132

The Skeptics' Guide to EM

JANUARY 14, 2023

Date: January 13, 2023 Reference: Razi et al. AJEM 2022 Guest Skeptic: Dr. Kevan Sternberg is a urologist/endourologist. Date: January 13, 2023 Reference: Razi et al. AJEM 2022 Guest Skeptic: Dr. Kevan Sternberg is a urologist/endourologist. Reference: Razi et al.

ALS 130

ALS Emergency Department ED OR 130

Broome Docs

DECEMBER 9, 2023

Roussel M, Teissandier D, Yordanov Y, et al. 2022 Nov;63(5):645-650. Epub 2022 Oct 12. PMID: 36755492 Freeman JJ, Asfaw SH, Vatsaas CJ, et al. 2022 Oct 25;7(1):e000886. doi: 10.1136/tsaco-2022-000886. PMID: 37548984 van Maanen R, Martens ESL, Takada T, et al. JAMA Intern Med. 2023 Nov 6. J Emerg Med.

Emergency Department 120

Emergency Department ALS ED 120

The Skeptics' Guide to EM

OCTOBER 8, 2022

Date: September 15, 2022 Reference: Ramnarayan P et al. JAMA July 2022 Guest Skeptic: Dr. Spyridon Karageorgos is a Pediatric Resident at Aghia Sophia […] The post SGEM #379 Heigh Ho High Flow versus CPAP in Acutely Ill Children first appeared on The Skeptics Guide to Emergency Medicine. In 2018, Ramnarayan et al.

Critical Care 130

Critical Care ALS Emergency Department ED 130

ALiEM

MAY 17, 2023

References Marco CA, Courtney DM, Ling LJ, et al. 2022 Sep;80(3):260-271. 2022 Sep;80(3):260-271. Epub 2022 Jun 16. The Emergency Medicine Physician Workforce: Projections for 2030. Ann Emerg Med. 2021;78(6):726-737. doi: 10.1016/j.annemergmed.2021.05.029 Ann Emerg Med. doi: 10.1016/j.annemergmed.2022.04.031. 2022.04.031.

EMS 130

EMS ALS 130

The Skeptics' Guide to EM

FEBRUARY 5, 2022

Date: February 7th, 2022 Reference: Williams et al. JAMA Pediatrics 2022 Guest Skeptic: Dr. Dennis Ren is a pediatric emergency medicine fellow at Children’s National Hospital in Washington, DC. Date: February 7th, 2022 Reference: Williams et al. Reference: Williams et al.

Emergency Department 130

Emergency Department ALS ED OR 130

The Skeptics' Guide to EM

JULY 9, 2022

Date: July 1st, 2022 Guest Skeptic: Dr. Ravi Garg is a Neurologist in the Department of Neurology, Division of Neurocritical Care at Loyola University Chicago. 2022 Jun 15;22(1):172. 2022 Jun 15;22(1):172. This committee’s findings supported the use of tPA in less than three hours ( Ingall et al 2004).

ALS 130

ALS Emergency Department Paramedic EMS 130

Pediatric EM Morsels

JULY 28, 2023

PubMed] [Read by QxMD] Rosenbloom AL. PubMed] [Read by QxMD] Muir AB1, Quisling RG, Yang MC, Rosenbloom AL. Dunger D, Sperling M, Acerini C, et al. Wolfsdorf, Ethel Codner Glaser, N, Fritsch, M, Priyambada, L, et al. 2022; 23( 7): 835- 856. GCS score is not sensitive enough. 2013 Sep;163(3):761-6. PMID: 23499379.

E-9-1-1 245

E-9-1-1 ALS OR Critical Care 245

Dr. Smith's ECG Blog

MAY 27, 2024

Inferior hyperacute T waves, which have been added to the 2022 ACC consensus on chest pain as a “STEMI equivalent”[3] 3. Nikus et al. Kontos et al. J Am Coll Cardiol 2022 4. Bischof et al. Meyers et al. Meyers et al. Herman et al. But STEMI criteria is only 43% sensitive for OMI.[1]

STEMI 122

STEMI Coronary ALS Emergency Department 122

The Skeptics' Guide to EM

AUGUST 27, 2022

Date: August 23rd, 2022 Reference: Schoenfeld et al. AEM August 2022 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. Date: August 23rd, 2022 Reference: Schoenfeld et al. Reference: Schoenfeld et al.

Emergency Department 100

Emergency Department Naloxone Overdose ED 100

Pediatric EM Morsels

SEPTEMBER 22, 2023

Tenenbein M, Macias CG, Sharieff GQ, et al, eds. Updated 2022 Feb 10]. Tenenbein M, Macias CG, Sharieff GQ, et al, eds. Updated 2022 Mar 3]. They may even need atropine and/or pacing for persistent bradycardia. References Coleman-Satterfield, TT. In: Strange and Schafermeyer’s: Pediatric Emergency Medicine. 5 th Edition.

E-9-1-1 300

E-9-1-1 Epinephrine ALS EMS 300

Broome Docs

JUNE 20, 2023

Here we go… Liu S, Yao C, Xie J, et al. Bramante CT, Buse JB, Liebovitz DM, et al. 2022 Aug;48(8):1009-1023. Epub 2022 May 13. PMID: 35723686 Pacheco LD, Clifton RG, Saade GR, et al; Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal–Fetal Medicine Units Network.

Emergency Department 132

Emergency Department ALS 132

ALiEM

NOVEMBER 3, 2023

Reference Lin M, Phipps M, Chan TM, et al. Digital Impact Factor: A Quality Index for Educational Blogs and Podcasts in Emergency Medicine and Critical Care. Ann Emerg Med. 2023;82(1):55-65. doi: 10.1016/j.annemergmed.2023.02.011

Critical Care 211

Critical Care EMS Emergency Department ALS 211

The Skeptics' Guide to EM

AUGUST 20, 2022

Date: August 18th, 2022 Reference: Munn et al. Date: August 18th, 2022 Reference: Munn et al. Fragility Index Meta-Analysis of Randomized Controlled Trials Shows Highly Robust Evidential Strength for Benefit of The post SGEM Xtra: Are tPA Stroke Trials Really Fragile?

Critical Care 130

Critical Care ALS EMS OR 130

The Skeptics' Guide to EM

MARCH 25, 2023

Date: March 22, 2023 Reference: Hilsden et al. Trauma Surg Acute Care Open 2022 Guest Skeptic: Dr. Casey Parker is a Rural Generalist that includes in his practice emergency medicine, anesthesia, and critical care. Date: March 22, 2023 Reference: Hilsden et al. He is also now a fully-fledged “sonologist”.

ED 130

ED Critical Care Emergency Department ALS 130

The Skeptics' Guide to EM

NOVEMBER 1, 2022

Date: October 27th, 2022 Reference: Hayashi et al. Date: October 27th, 2022 Reference: Hayashi et al. Comparative efficacy of sedation or analgesia methods for reduction of anterior shoulder dislocation: A systematic review and network meta-analysis.

ALS 152

ALS Emergency Department OR ED 152

Pediatric EM Morsels

MARCH 17, 2023

Ahmed 2008, Meyers 2022) Of course, treat any other systemic symptoms (like respiratory failure, hypotension) as you typically would. If you are managing a snake bite from a snake that does not typically reside in the U.S., please utilize other resources and local Toxicology experts for help with management protocols.

Frozen Plasma 130

Frozen Plasma First Aid Plasma OR 130

ALiEM

JULY 17, 2023

The Study In an Annals of Emergency Medicine paper , Preiksaitis et al. Many of these findings were similar to a study of the 2022 EM Match results by Murano et al., Many of these findings were similar to a study of the 2022 EM Match results by Murano et al., 2022 Main Residency Match: Results and Data.

EMS 130

EMS ALS Emergency Department ED 130

The Skeptics' Guide to EM

JULY 2, 2022

Date: June 30th, 2022 Reference: McGinnis et al. AEM June 2022. Date: June 30th, 2022 Reference: McGinnis et al. AEM June 2022. Reference: McGinnis et al. AEM June 2022. Major adverse cardiac event rates in moderate-risk patients: Does prior coronary disease matter?

Coronary 100

Coronary Heart Attack ACS CAD 100