The Skeptics' Guide to EM

OCTOBER 21, 2023

Date: October 20, 2023 Reference: Cai et al. AEM October 2023. Case: You are in your group meeting and have heard about a case at a nearby emergency department (ED) where the […] The post SGEM#418: I Ain’t Missing You – Spinal Epidural Abscess first appeared on The Skeptics Guide to Emergency Medicine. AEM October 2023.

Emergency Department 269

Emergency Department ALS ED OR 269

The Skeptics' Guide to EM

MARCH 25, 2023

Date: March 22, 2023 Reference: Hilsden et al. 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. 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

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 315

Critical Care ALS ED Emergency Department 315

The Skeptics' Guide to EM

DECEMBER 30, 2023

Reference: Roussel et al. Overnight stay in the emergency department and mortality in older patients, JAMA Intern Med 2023 Date: December 18, 2023 Guest Skeptic: Dr. Chris Carpenter, Vice Chair of Emergency Medicine at Mayo Clinic. Reference: Roussel et al. Case: An 85-year-old patient (Ms.

Emergency Department 273

Emergency Department ED ALS OR 273

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. Case: After your shift in the emergency department (ED) one day, the medical director pulls you aside.

Emergency Department 266

Emergency Department Emergency Medical Services ALS ED 266

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

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. His twitter handle is @PainFreeED.

ALS 226

ALS Emergency Department ED OR 226

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. We looked at 101 STEMI patients from two rural EDs. Reference: Stopyra et al. AEM November 2023.

Heart Attack 283

Heart Attack STEMI Emergency Medical Services Coronary 283

Broome Docs

OCTOBER 28, 2023

x PATCH-Trauma Investigators and the ANZICS Clinical Trials Group; Gruen RL, Mitra B, et al. 2023 Jun 14. 2023 Sep 5;120(36):e2222103120. Epub 2023 Aug 29. 2023 May 1;136(5):913-919. Epub 2023 Apr 14. Epub 2023 Apr 14. PMID: 37058727 The DEVICE trial: Prekker ME, Driver BE, Trent SA, et al.

ALS 67

ALS ED OR 67

Don't Forget the Bubbles

OCTOBER 10, 2024

This time the team from Bristol Royal Children’s Hospital ED tell us what is new in the world of paediatric literature… Led by Dr John Coveney a Paediatric Emergency Medicine Trainee in Bristol who has revived The Journal Club at Bristol Royal Children’s Hospital ED on a monthly basis. 2023 Mar 30;110(4):432-438.

ED 75

ED Emergency Department OR ALS 75

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. He is currently involved with clinical trials of vaccines and antibiotics.

Emergency Department 303

Emergency Department ALS OR ED 303

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

SEPTEMBER 2, 2023

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

ICU 206

ICU ED Critical Care ALS 206

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. Case: A 5-year-old boy presents to the emergency department (ED) with his parents for fever and fatigue.

Life Support 226

Life Support Advanced Life Support Emergency Department ALS 226

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 242

ALS Emergency Department EMS ED 242

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

ACEP Now

SEPTEMBER 28, 2023

It is important to monitor key issues, including annual emergency department (ED) visits, geographic distribution of physicians, and the equilibrium between new entrants and retirees in the workforce. This report provides information on the 2023 job search for the most recent residency graduates. NRMP 2023 match data: results and data.

Emergency Department 98

Emergency Department ALS ED OR 98

EMDocs

SEPTEMBER 27, 2023

It includes a number of expensive medications that patients in the ED are commonly prescribed such as Xarelto, Eliquis, and insulin. The post Policy Playbook: Fall 2023 Updates appeared first on emDOCs.net - Emergency Medicine Education. References American Medical Association. ” from [link] Seidenwurm, D. Burleson (2014).

Emergency Department 63

Emergency Department ALS OR ED 63

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.

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Emergency Department ALS ED OR 182

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 199

Emergency Medical Services ALS EMS Emergency Department 199

The Skeptics' Guide to EM

FEBRUARY 18, 2023

Date: February 17, 2023 Reference: Gettel et al. AEM Feb 2023 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and Assistant Professor at the University of Calgary. Date: February 17, 2023 Reference: Gettel et al. The SGEM has done two previous podcasts on APPs in the ED.

Emergency Department 130

Emergency Department ALS ED EMS 130

REBEL EM

JUNE 5, 2023

These statistics make the ED a crucial treatment initiation point to prevent further morbidity and mortality from opioid overdoses. The benefit of accessibility, availability, and safety of buprenorphine compared to methadone makes it a viable option for opioid use disorder treatment initiation in the ED. PMID 33392580.

Naloxone 98

Naloxone ED Overdose Emergency Department 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. Case: You are working at the community emergency department (ED) when you receive a call from the local Emergency Medicine Service (EMS) team that they are bringing a 2-year-old boy who had a cardiac arrest at home.

CPR 130

CPR ALS Emergency Department EMS 130

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

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 Epinephrine ALS 169

The Skeptics' Guide to EM

JUNE 22, 2024

Reference: Peters MJ, et al. December 2023 Guest Skeptic: Dr. Anireddy Reddy is a pediatric intensive care attending physician in the Department of Anesthesiology and Critical Care Medicine at Children’s Hospital of Philadelphia. Your ED team quickly intubates her and places her on a ventilator. Reference: Peters MJ, et al.

Critical Care 133

Critical Care ICU ALS Emergency Department 133

ACEP Now

NOVEMBER 15, 2023

It is important to monitor key issues, including annual emergency department (ED) visits, geographic distribution of physicians, and the equilibrium between new entrants and retirees in the workforce. This report provides information on the 2023 job search for the most recent residency graduates. Click to enlarge. Click to enlarge.

Emergency Department 52

Emergency Department ALS ED OR 52

Pediatric EM Morsels

SEPTEMBER 22, 2023

Tenenbein M, Macias CG, Sharieff GQ, et al, eds. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Tenenbein M, Macias CG, Sharieff GQ, et al, eds. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. In: Strange and Schafermeyer’s: Pediatric Emergency Medicine. 5 th Edition. Neurogenic Shock.

E-9-1-1 300

E-9-1-1 Epinephrine ALS EMS 300

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

APRIL 22, 2023

Date: April 20, 2023 Reference: Franklin D, et al. JAMA 2023 Guest Skeptic: Dr. Michael Falk is a Pediatric Emergency Medicine attending at Mount Sinai Medical Center […] The post SGEM #401: Hey Ho! Date: April 20, 2023 Reference: Franklin D, et al. Reference: Franklin D, et al.

ICU 130

ICU Emergency Department ALS ED 130

The Skeptics' Guide to EM

APRIL 29, 2023

Date: April 26, 2023 Reference: Han et al. AEM April 2023 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. Date: April 26, 2023 Reference: Han et al. AEM April 2023 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. Reference: Han et al.

Emergency Department 100

Emergency Department ED ALS OR 100

EMOttawa

JANUARY 22, 2024

5 Usefulness: 4/5 Friedman BW, et al. 2023 Oct 3;101(14):e1448-e1454. Question and Methods: This double-blinded RCT of 209 patients presenting to the ED with moderate to severe migraines compared high- to low- dose dexamethasone (16 mg vs 4 mg) on sustained headache relief 48 hours post discharge. Methodology: 3.5/5

ALS 109

ALS ED 109

The Skeptics' Guide to EM

APRIL 8, 2023

Date: April 4th, 2023 Reference: Vaughan and Browne. 2023 Apr Guest Skeptics: Dr. Louella Vaugh is an internist practising as a hospitalist physician at an academic centre in London, UK with a special interest in smaller, rural and remote healthcare. Date: April 4th, 2023 Reference: Vaughan and Browne. BMJ Qual Saf.

Emergency Department 139

Emergency Department ED Ambulance ALS 139

ALiEM

NOVEMBER 22, 2023

Pagel, Mark (ed.). “Evolution of Dietary Specialization and Chemical Defense in Poison Frogs (Dendrobatidae): A Comparative Analysis” The American Naturalist. Retrieved 2023-06-13. Retrieved 2023-06-13. Accessed 13 June 2023. Tarvin RD, Borghese CM, Sachs W, et al. Retrieved 2023-06-13.

ALS 284

ALS ED OR 284

ALiEM

NOVEMBER 1, 2023

In: Nelson LS, Goldfrank LR et al (eds): Goldfrank’s Toxicologic Emergencies. 2023 May 22. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. 2023 Jun 26. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. McGraw-Hill Education; 2019 Madiwale T, Liebelt E. Iron: not a benign therapeutic drug.

E-9-1-1 161

E-9-1-1 ALS OR ED 161

The Skeptics' Guide to EM

APRIL 6, 2024

Reference: Drysdale SB et al. 2023 Date: March 29, 2024 Guest Skeptic: Dr. Michael Cosimini is a pediatrician in Portland Oregon. Reference: Drysdale SB et al. 2023 Date: March 29, 2024 Guest Skeptic: Dr. Michael Cosimini is a pediatrician in Portland Oregon. N Engl J Med. N Engl J Med.

ALS 129

ALS Emergency Department ED 129

Don't Forget the Bubbles

OCTOBER 2, 2024

Children often spend many hours in the emergency department (ED) before being sent home or admitted. The average waiting time for the first assessment was only a few minutes shorter when going through the ED. Still, treatment initiation was significantly faster (up to one hour) than admission through the ED. Pecenka C, et al.

ALS 52

ALS Emergency Department ED ACS 52