Don't Forget the Bubbles

MAY 17, 2023

Antonaci L, et al. 2023 Apr 17. Tritos NA, et al. 2023 Apr 25;329(16):1386-1398. Levi M, et al. 2023 Apr 29. Fishbein MH, et al. 2023 Apr 24. Cetinkaya PG, et al. 2023 Apr 12. Niu T, et al. 2023 Apr 28. Verkuijl SJ, et al. 2023 Apr 25. Varni JW, et al.

ALS 72

ALS ACS Emergency Department EMS 72

ALiEM

JULY 17, 2023

The Study In an Annals of Emergency Medicine paper , Preiksaitis et al. sought to identify program factors associated with unfilled post-graduate year 1 (PGY-1) emergency medicine (EM) positions in the 2023 Match [1]. Many of these findings were similar to a study of the 2022 EM Match results by Murano et al.,

EMS 130

EMS ALS Emergency Department ED 130

The Skeptics' Guide to EM

DECEMBER 16, 2023

Reference: Punches et al. AEM Dec 2023 Date: December 14, 2023 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. Reference: Punches et al. Reference: Punches el al. AEM Dec 2023.

Emergency Department 295

Emergency Department ED ALS OR 295

The Skeptics' Guide to EM

SEPTEMBER 9, 2023

Reference: Snelling et al. New England Journal of Medicine June 2023 Date: July 19, 2023 Guest Skeptic: Dr. Casey Parker is a Rural Generalist that includes in his practice emergency medicine, anesthesia, and critical care. Reference: Snelling et al. Reference: Snelling et al.

Critical Care 310

Critical Care ALS ED Emergency Department 310

The Skeptics' Guide to EM

NOVEMBER 25, 2023

Date: November 22, 2023 Reference: Stopyra et al. AEM November 2023. Date: November 22, 2023 Reference: Stopyra et al. AEM November 2023. Reference: Stopyra et al. AEM November 2023. Delayed First Medical Contact to Reperfusion Time Increases Mortality in Rural EMS Patients with STEMI.

Heart Attack 278

Heart Attack STEMI Emergency Medical Services Coronary 278

The Skeptics' Guide to EM

JANUARY 6, 2024

Reference: Remick KE, et al. July 2023 Date: Dec 11, 2023 Guest Skeptic: Dr. Rachel Hatcliffe is a pediatric emergency medicine attending at Children’s National Hospital in Washington, DC. Reference: Remick KE, et al. Reference: Remick KE, et al. July 2023 * Population: ED leadership across the United States.

Emergency Department 261

Emergency Department Emergency Medical Services ALS ED 261

The Skeptics' Guide to EM

OCTOBER 21, 2023

Date: October 20, 2023 Reference: Cai et al. AEM October 2023. Date: October 20, 2023 Reference: Cai et al. AEM October 2023. Reference: Cai et al. AEM October 2023. Implementation of a Clinical Management Tool for Spinal Epidural Abscess Early Diagnosis.

Emergency Department 264

Emergency Department ALS ED OR 264

The Skeptics' Guide to EM

NOVEMBER 11, 2023

Date: November 2, 2023 Reference: Coventry et al. Aug 2023 Guest Skeptic: Dr. Matt Schmitz is an Orthopaedic Surgeon who sub-specializes in adolescent sports and hip preservation. Date: November 2, 2023 Reference: Coventry et al. Reference: Coventry et al. Emerg Med J. Emerg Med J. Emerg Med J.

ALS 244

ALS Emergency Department ED OR 244

The Skeptics' Guide to EM

OCTOBER 28, 2023

Date: October 26, 2023 Reference: Jones et al. Lancet July 2023 Guest Skeptic: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. Date: October 26, 2023 Reference: Jones et al.

ALS 221

ALS Emergency Department ED OR 221

EMDocs

SEPTEMBER 27, 2023

The post Policy Playbook: Fall 2023 Updates appeared first on emDOCs.net - Emergency Medicine Education. With the ability of the federal government to negotiate Medicare prescription drug prices, more of our patients will hopefully be able to afford these life-saving medications. References American Medical Association. Burleson (2014).

Emergency Department 63

Emergency Department ALS OR ED 63

ACEP Now

SEPTEMBER 28, 2023

This report provides information on the 2023 job search for the most recent residency graduates. This report is from the most recent survey administered in February 2023. Have you been offered employment as an emergency physician for this coming year (2023)?* NRMP 2023 match data: results and data. N/A 286 12.8

Emergency Department 98

Emergency Department ALS ED OR 98

The Skeptics' Guide to EM

DECEMBER 2, 2023

Reference: Shaikh N, et al. JAMA July 2023 Date: October 17, 2023 Guest Skeptic: Dr. Alasdair Munro is a clinical research fellow specializing in pediatric infectious disease at the University of Southampton. Reference: Shaikh N, et al.

Emergency Department 297

Emergency Department ALS OR ED 297

The Skeptics' Guide to EM

JUNE 3, 2023

Date: June3, 2023 Reference: Kotani et al. Journal of Critical Care April 2023 Guest Skeptic: Dr. Amber Gombash is an emergency physician in Concord, NC. Date: June3, 2023 Reference: Kotani et al. Journal of Critical Care April 2023 Guest Skeptic: Dr. Amber Gombash is an emergency physician in Concord, NC.

Critical Care 247

Critical Care ALS Paramedic 247

ACEP Now

MARCH 6, 2024

The Sisyphean task remains to try to keep up—and, in that vein—here is a light round of the emergency medicine literature from 2023. Bouzat P, Charbit J, Abback PS, et al. Davenport R, Curry N, Fox EE, et al. Wang Y, Li S, Pan Y, et al. Chen HS, Cui Y, Zhou ZH, et al. Sarraj A, Hassan AE, Abraham MG, et al.

ALS 52

ALS Critical Care Emergency Department OR 52

The Skeptics' Guide to EM

JULY 8, 2023

Date: July 6, 2023 Reference: Hanula R et al. JAMA Int Med 2023. Date: July 6, 2023 Reference: Hanula R et al. JAMA Int Med 2023. Wallach et al JAMA Intern Med 2017 , previously reported that subgroup claims are often not corroborated by subsequent studies and rarely confirmed.

ALS 237

ALS Emergency Department EMS ED 237

The Skeptics' Guide to EM

OCTOBER 14, 2023

Reference: Brennan L et al. March 2023 Date: July 12th, 2023 Guest Skeptic: Dr. Vicki Currie is a paediatric emergency medicine registrar in the West Midlands in the United Kingdom. Reference: Brennan L et al. Time to change the reference ranges of children’s physiological observations in emergency care?

Life Support 221

Life Support Advanced Life Support Emergency Department ALS 221

The Skeptics' Guide to EM

JANUARY 20, 2024

Reference: Zaoutis T, et al. Reference: Zaoutis T, et al. Reference: Zaoutis T, et al. Short-course Therapy for Urinary Tract Infections in Children: the SCOUT randomized clinical trial. JAMA Pediatr. Short-course Therapy for Urinary Tract Infections in Children: the SCOUT randomized clinical trial. JAMA Pediatr. JAMA Pediatr.

Emergency Department 179

Emergency Department ALS ICU OR 179

The Skeptics' Guide to EM

FEBRUARY 11, 2024

Reference: McLatchie et al and DAShED investigators. EMJ Nov 2023. Reference: McLatchie et al and DAShED investigators. EMJ Nov 2023. 20] A retrospective observational study from Canadian researcher, Dr. Robert Ohle was published in CJEM in 2023. first appeared on The Skeptics Guide to Emergency Medicine.

ED 303

ED Emergency Department ALS OR 303

The Skeptics' Guide to EM

JULY 29, 2023

Date: July 21, 2023 Reference: McDonald et al. AEM July 2023 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. Date: July 21, 2023 Reference: McDonald et al. Reference: McDonald et al.

Emergency Medical Services 193

Emergency Medical Services ALS EMS Emergency Department 193

ACEP Now

NOVEMBER 15, 2023

This report provides information on the 2023 job search for the most recent residency graduates. This report is from the most recent survey administered in February 2023. percent of 2023 graduates have over $300,000 in educational debt compared to 32.1 References Marco CA, Courtney DM, Ling LJ, et al. Click to enlarge.

Emergency Department 52

Emergency Department ALS ED OR 52

ALiEM

NOVEMBER 18, 2024

Updated August 16, 2023. Munawar K, Nayak G, Fatterpekar GM, et al. 2020.06.029 Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. Accessed January 11, 2024. Clinical Imaging.

Emergency Department 161

Emergency Department ALS OR ED 161

ALiEM

FEBRUARY 5, 2024

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

Overdose 215

Overdose Critical Care EMS Emergency Department 215

ALiEM

JANUARY 5, 2024

Characteristics of Emergency Medicine Residency Programs With Unfilled Positions in the 2023 Match. Ann Emerg Med. 2023;82(5):598-607. doi:10.1016/j.annemergmed.2023.06.002. 2023.06.002. PMID 37436344 Jewell C, David T, Kraut A, Hess J, Westergaard M, Schnapp BH.

EMS 177

EMS ALS OR 177

Broome Docs

APRIL 6, 2023

Casey The CLOVERS trial: National Heart, Lung, and Blood Institute Prevention and Early Treatment of Acute Lung Injury Clinical Trials Network; Shapiro NI, Douglas IS, Brower RG, et al. 2023 Jan 21. 2023 Feb;64:206.e1-206.e3. 2023 Jan 30. 2023 Jan 13;76(2):185-191. 2023 Feb;30(2):144-146. N Engl J Med.

Epinephrine 52

Epinephrine ED Emergency Department ALS 52

ALiEM

NOVEMBER 29, 2023

Published May 2023. PMID: 34529640 Ayub S, Parnia S, Poddar K, et al. Published 2023 Mar 29. 2023 Jun 15;388(24):2209-2212. Epub 2023 Apr 26. PMID: 24769343 Ehrman-Dupre R, Kaigh C, Salzman M et al. Published 2023 June 30. PMID: 36148197 Love JS, Levine M, Aldy K, et al. 2023;15(3):e36864.

Naloxone 169

Naloxone Overdose ALS Epinephrine 169

Pediatric EM Morsels

NOVEMBER 3, 2023

This allowed US hospitals to stock the drug to ensure quick treatment of suspected severe cases, rather than having to ship it from the CDC under the prior expanded-access protocol (Thomas 2023). falciparum parasitemia , and no other defined cause of AMS (WHO 2023). falciparum parasitemia , and no other defined cause of AMS (WHO 2023).

ALS 278

ALS Critical Care EMS OR 278

Don't Forget the Bubbles

JANUARY 1, 2024

Data from the Nurse-Family Partnership program involving 60,171 families were analysed across four cohorts, including pre-pandemic and three pandemic cohorts (from July 2022 to October 2023). Musolino AM, et al. 2023 Dec 22. Chidini G, et al. 2023 Dec 21. 2023 Dec 19. Pawlowski TW, et al. Pediatrics.

ALS 98

ALS OR ED 98

The Skeptics' Guide to EM

JUNE 24, 2023

Date: June 16, 2023 Reference: Reed et al. AEM June 2023 Guest Skeptic: Dr. Lauren Westafer is an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. Date: June 16, 2023 Reference: Reed et al. Reference: Reed et al.

Overdose 187

Overdose Emergency Department ALS ED 187

The Skeptics' Guide to EM

FEBRUARY 3, 2024

Reference: Curry SD, et al. March 2023 Date: January 30, 2024 Guest Skeptic: Dr. Alexandra (Ali) Espinel is an Associate professor of pediatrics and otolaryngology at Children’s National Hospital and George Washington University. Reference: Curry SD, et al. Reference: Curry SD, et al. Laryngoscope. Laryngoscope.

ALS 165

ALS Emergency Department OR ED 165

The Skeptics' Guide to EM

JANUARY 13, 2024

Reference: Snyder BD, Van Dyke MR, Walker RG, et al. Resuscitation 2023. Reference: Snyder BD, Van Dyke MR, Walker RG, et al. Resuscitation 2023. Association of small adult ventilation bags with return of spontaneous circulation in out of hospital cardiac arrest.

CPR 223

CPR Defibrillator First Responder Epinephrine 223

The Skeptics' Guide to EM

JUNE 17, 2023

Date: June 15, 2023 Reference: Rees CA et al. Date: June 15, 2023 Reference: Rees CA et al. American Journal of Hematology Jan 2023 Guest Skeptic: Dr. Amy Drendel is a pediatric emergency medicine physician and physician scientist at Children’s Wisconsin. Reference: Rees CA et al.

Emergency Department 182

Emergency Department ALS ED OR 182

The Skeptics' Guide to EM

DECEMBER 9, 2023

Date: November 20, 2023 Reference: Jones et al. PAIN October 2023 Guest Skeptic: Dr. Caitlin Jones is a Postdoctoral Research Associate at Sydney University’s institute for Musculoskeletal Health. Date: November 20, 2023 Reference: Jones et al.

ALS 198

ALS OR 198

Don't Forget the Bubbles

JULY 17, 2023

Sethi SK, et al. 2023 Jun;38(6):1733-1751. Agostino H, et al. 2023 May 16;28(3):172-183. Rassekh SR, et al. 2023 Jun 6;28(4):205-251. Goulet K, et al. 2023 Jun 6;28(4):252-266. McClellan JM, et al. 2023 Jun 1;177(6):559-560. Arneitz C, et al. 2023 Jun;182(6):2785-2792.

E-9-1-1 98

E-9-1-1 ALS Emergency Department Emergency Medical Services 98

The Skeptics' Guide to EM

MAY 20, 2023

Date: May 10, 2023 Reference: Harhay MO, et al. Date: May 10, 2023 Reference: Harhay MO, et al. Original trial: Moler FW, Silverstein FS, Holubkov R, et al. Reference: Harhay MO, et al. A bayesian interpretation of a pediatric cardiac arrest trial (THAPCA-OH). NEJM Evidence. NEJM Evidence. N Engl J Med.

CPR 130

CPR ALS Emergency Department EMS 130

The Skeptics' Guide to EM

SEPTEMBER 2, 2023

Date: August 30, 2023 Reference: Griffey et al. AEM August 2023 Guest Skeptic: Dr. Suchismita Datta. Date: August 30, 2023 Reference: Griffey et al. AEM August 2023 Guest Skeptic: Dr. Suchismita Datta. The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics.

ICU 201

ICU ED Critical Care ALS 201

Broome Docs

JANUARY 30, 2023

Vedantham S, Goldhaber SZ, Julian JA, et al; ATTRACT Trial Investigators. N Engl J Med. 2022 Nov 6. doi: 10.1056/NEJMoa2207304. Epub ahead of print. PMID: 3634215 You can read the full critical appraisal here. Pharmacomechanical Catheter-Directed Thrombolysis for Deep-Vein Thrombosis. N Engl J Med. 2017 Dec 7;377(23):2240-2252.

E-9-1-1 52

E-9-1-1 Emergency Department Defibrillator ALS 52

The Skeptics' Guide to EM

MARCH 11, 2023

Date: March 8, 2023 Reference: Smida et al. Date: March 8, 2023 Reference: Smida et al. Prehospital Emergency Care 2023 Guest Skeptic: Dr. Chris Root is a third-year resident physician in the Department of Emergency Medicine at the University of New Mexico Health Sciences Center in Albuquerque, NM.

CPR 130

CPR Defibrillator BLS Paramedic 130