2022 and ED - Paramedicine Now

High sensitivity cardiac troponins for ED chest pain evaluation (2022 ACC pathway)

ALiEM

FEBRUARY 9, 2024

The 2022 American College of Cardiology (ACC) pathway provides timely guidance [1]. Encourage your ED to set up an algorithm that you can follow based on your laboratory’s assay. Low-risk patients do not routinely require stress testing in the ED. We help you translate this to your clinical practice, by illustrating with a case.

E-9-1-1

E-9-1-1 ED Coronary ALS

Rebaked: Inborn Errors of Metabolism presenting in the ED

Pediatric EM Morsels

MARCH 29, 2024

Let’s consider Inborn Errors of Metabolism Presenting in the ED : Inborn Errors of Metabolism: Basics Common Presentations, Uncommon Kiddos For the child with lethargy, vomiting, acidosis, hypoglycemia , organomegaly, or cardiopulmonary arrest remember to consider Inborn Errors of Metabolism (IEM) on your DDx. Pediatrics. Samantha A.

ED

ED Plasma OR EMS

ED Management of Minor Thermal Burns

Core EM

JANUARY 25, 2024

Br Med J (Clin Res Ed). Br Med J (Clin Res Ed). Updated 2022 May 30]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. EM Cases – Burn and Inhalation Injuries: Ed Wound Care, Resuscitation and Airway Management.” Management of Local Burn Wounds in the Ed.” Tintinalli, et al. doi: 10.1136/bmj.295.6591.181.

ED

ED E-9-1-1 First Aid OR

TXA (Tranexamic Acid) in Pediatrics

Pediatric EM Morsels

MARCH 7, 2025

TXA has been mentioned previously on PEM Morsels in the following contexts: Post Tonsillectomy Hemorrhage , Hemophilia in the ED , Von Willebrand Disease , Epistaxis in Children , Hereditary Angioedema , Hemoptysis in Children , Hyphema , and even in Neonatal Subgaleal Hemorrhage. of IV form TXA [O’Neill 2020] Inexpensive !

E-9-1-1

E-9-1-1 ALS OR EMS

Podcast 186.0: Hypocalcemia

Core EM

JANUARY 25, 2024

A quick primer on hypocalcemia in the ED. Accessed April 29, 2022. Pfenning CL, Slovis CM: Electrolyte Disorders; in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. Retrieved April 29, 2022, from [link] Vantour L, Goltzman D. UpToDate; Jul 17, 2020.

Critical Care

Critical Care ED ALS OR

SGEM #425: Are You Ready for This? Pediatric Readiness of Emergency Departments

The Skeptics' Guide to EM

JANUARY 6, 2024

Case: After your shift in the emergency department (ED) one day, the medical director pulls you aside. Background: Back in August of 2022, we announced the start of #SGEMPeds for SGEM Season 11. July 2023 * Population: ED leadership across the United States. She is nationally known for her work as an EMS researcher and educator.

Emergency Department

Emergency Department Emergency Medical Services ALS ED

SGEM#415: Buckle Down for some Ultrasound to Diagnosis Distal Forearm Fractures

The Skeptics' Guide to EM

SEPTEMBER 9, 2023

Casey currently splits his time between Broome, a small rural hospital in the remote Kimberley region of Western Australia, and a large tertiary ED in sunny Perth. Case: It is a steady Saturday afternoon in your rural emergency department (ED). He has been a guest skeptic on the SGEM multiple times.

Critical Care

Critical Care ALS ED Emergency Department

ALiEM AIR Series | Procedures Module

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

EMS Emergency Department ED OR

SGEM#398: Another Ab Gets BUSED – POCUS in the ED for Biliary Disease

The Skeptics' Guide to EM

MARCH 25, 2023

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. Casey […] The post SGEM#398: Another Ab Gets BUSED – POCUS in the ED for Biliary Disease first appeared on The Skeptics Guide to Emergency Medicine.

ED

ED Critical Care Emergency Department ALS

Congenital Pulmonary Airway Malformation (CPAM)

Pediatric EM Morsels

JUNE 30, 2023

I’m sure you can recall at least several parents who bring their children into the ED for concern of recurrent pneumonias. Often the parents focus on a possible underlying immunodeficiency. Fortunately, most commonly these pneumonias are due to viral infections, and we can often offer reassurances to the parent. Dec: 9 (12): 1830.

E-9-1-1

E-9-1-1 ED EMS OR

Systemic Steroids: An ED Focused Overview

EMDocs

OCTOBER 9, 2023

Yoo, MD (Assistant Professor/Core Faculty, San Antonio, TX) // Reviewed by Brit Long, MD (@long_brit) Case An 18-year-old man with a history of asthma and medication noncompliance presents to the emergency department (ED) with acute onset shortness of breath. He states that he recently moved to Texas from Colorado. Which one do you select?

ED

ED Life Support Advanced Life Support CPR

Contrast Media Shortage of 2022 – Lessons Learned

EMDocs

OCTOBER 30, 2023

” – Musings of an American ED resident in July 2022 when US healthcare was affected simultaneously by supply chain issues from GE Healthcare (contrast media) and Abbott Laboratories (Similac baby formula). 3 A study of CT use trends in the ED has shown increasing use of CTs by almost 60% from 2005 to 2013.

E-9-1-1

E-9-1-1 Emergency Department ALS CCT

ECG of the Week 2nd Nov 2022

EMergucate

NOVEMBER 1, 2022

A 55 year old male presents to ED feeling unwell. Below is the patients ECG: Describe and Interpret the ECG

ED

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

EMergucate

AUGUST 31, 2022

A 81 year old male presents to a regional ED with chest pain for the last 4 hours. Below is … Continue reading →

ED

ECG of the Week 21 September 2022 – Answer

EMergucate

SEPTEMBER 21, 2022

A 70 year old male presents to ED complaining of shortness of breath. The patient has a history of pulmonary … Continue reading →

ED

EMergucate

FEBRUARY 16, 2022

He presents to ED complaining of increasing shortness of breath and leg swelling. The following ECG is from a 52 year old male with a history of bipolar mood disorder and cardiomyopathy. The patie…

ED

ECG of the Week 20th April 2022 Answer

EMergucate

APRIL 20, 2022

He presents to ED complaining of increasing shortness of breath and leg swelling. The following ECG is from a 52 year old male with a history of bipolar mood disorder and cardiomyopathy. The patie…

ED

ED EMS

ECG of the Week 25th May 2022 Answer

EMergucate

MAY 25, 2022

A 79 year old male presents to ED after a syncope. The patient has had diarrhoea and vomiting over the past week. He has a background of hypertension, atrial fibrillation and CCF. Below is the pati…

ED

ED EMS

ECG of the Week 14 September 2022 Answer

EMergucate

SEPTEMBER 14, 2022

A 64 year old male presents to ED after multiple seizure episodes that day. It was reported that the patient would have 20 seconds of seizure activity and then make a full recovering. The patient h…

ED

ECG of the week 7th September 2022 – Answer

EMergucate

SEPTEMBER 7, 2022

A 85 year old female presents to ED. She has been complaining of nausea and lethargy over the past week. Her GP has recently started her on new medication for her heart. On blood results her UECs …

ED

ECG of the Week 5th October 2022 Answer

EMergucate

OCTOBER 11, 2022

A 17 year old female presents to ED complaining of chest pain and SOB on a background of ILI symptoms for the last 2 days. Vitals: HR 138 BP 110/70 Temp 37.7 Below is the patients ECG:

ED

Serial PoCUS for ED Patients with Acute Dyspnea: Is More Actually Better?

REBEL EM

JANUARY 25, 2024

In many emergency departments (ED), US machines are readily available and can be used to rapidly assess and monitor patients with acute dyspnea at the bedside. US, compared with CXR and CT, offers the absence of ionizing radiation and high reproducibility. Emerg Med J. 2023;40(10):700-707.

ED

ED E-9-1-1 Emergency Department ALS

Ultrasound Guided Lower Extremity Nerve Blocks

Core EM

JANUARY 25, 2024

1 2 3 4 This article will focus on three lower extremity (LE) nerve blocks commonly used for acute lower extremity pain in the ED. Door-to-block time: prioritizing acute pain management for femoral fractures in the ED. Published February 4, 2022. Accessed September 29, 2022, [link] [6] Pepe J, Ausman C, Madhani NB.

Epinephrine

Epinephrine ED Emergency Department OR

SGEM#383: Tommy Can You Hear Me – Deaf and Hard-of-Hearing (DHH) Patients in the ED

The Skeptics' Guide to EM

NOVEMBER 26, 2022

Date: November 26th, 2022 Reference: James et al. AEM November 2022 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. Date: November 26th, 2022 Reference: James et al. AEM November 2022 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. Reference: James et al.

ED

ED Emergency Department ALS

Neurogenic Shock in Children

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

E-9-1-1 Epinephrine ALS EMS

High sensitivity cardiac troponins for ED chest pain evaluation (2022 ACC pathway)

Rebaked: Inborn Errors of Metabolism presenting in the ED

Trending Sources

ED Management of Minor Thermal Burns

TXA (Tranexamic Acid) in Pediatrics

Podcast 186.0: Hypocalcemia

SGEM #425: Are You Ready for This? Pediatric Readiness of Emergency Departments

SGEM#415: Buckle Down for some Ultrasound to Diagnosis Distal Forearm Fractures

ALiEM AIR Series | Procedures Module

SGEM#398: Another Ab Gets BUSED – POCUS in the ED for Biliary Disease

Congenital Pulmonary Airway Malformation (CPAM)

Systemic Steroids: An ED Focused Overview

Contrast Media Shortage of 2022 – Lessons Learned

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Serial PoCUS for ED Patients with Acute Dyspnea: Is More Actually Better?

Ultrasound Guided Lower Extremity Nerve Blocks

SGEM#383: Tommy Can You Hear Me – Deaf and Hard-of-Hearing (DHH) Patients in the ED

Neurogenic Shock in Children

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