The Skeptics' Guide to EM

MAY 6, 2023

Date: April 25, 2023 Reference: Walsh et al. WJEM 2023 Guest Skeptic: Dr. Brooks Walsh is a former paramedic, and is currently an emergency physician in the Bridgeport Hospital, Yale-New Haven Health in Connecticut. Date: April 25, 2023 Reference: Walsh et al. This is an SGEM Xtra episode.

Emergency Medical Services 101

Emergency Medical Services Paramedic ALS EMS 101

Handtevy

MAY 10, 2024

In the fast-paced world of emergency medical services (EMS), precision in pediatric medication dosing can mean the difference between life and death. Study Results Highlight: Midazolam for Seizure : Error-free dosing in the last quarter of 2023!

EMS 52

EMS Emergency Medical Services Epinephrine ALS 52

ACEP Now

JUNE 21, 2023

For example, an emergency medical services scholarly track may not provide trainees with equal qualifications to a fellowship. For example, applicant interest in EM significantly declined after the EM workforce report was published resulting in a final count of 132 unfilled programs in 2023. Ann Emerg Med.

EMS 114

EMS ALS Emergency Medical Services OR 114

ACEP Now

OCTOBER 11, 2024

Optimally, bystander CPR, including the administration of rescue breaths, should be initiated prior to arrival of emergency medical services. 3 Once the patient arrives in your emergency department, a rapid review of the patient’s status and results of resuscitative efforts should be performed. 2023 Jun 14;49(1):74.

ALS 52

ALS Emergency Department Emergency Medical Services ED 52

ACEP Now

OCTOBER 26, 2023

As such, on July 20, 2020, VACEP, MSV, and VHHA sued Virgnia DMAS, the Medicaid Program Director, Cheryl Roberts, and CMS in Virginia Hospital & Healthcare Association, et al., In April 2023, US senior federal court judge Henry Hudson decided in favor of the plaintiffs and struck down the Downcoding Provision.

Emergency Medical Services 124

Emergency Medical Services Emergency Department ED ALS 124

ACEP Now

OCTOBER 3, 2023

In April 2023, the third edition of the Brain Trauma Foundation’s evidence-based guidelines for the prehospital management of traumatic brain injury (TBI) was published in Prehospital Emergency Care. McGovern distinguished chair in emergency medicine. References Lulla A, et al. Prehosp Emerg Care. J Safety Res.

Emergency Medical Services 98

Emergency Medical Services EMS OR Overdose 98

EMDocs

JANUARY 16, 2024

Louis) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case You are working in the trauma/critical care pod of your emergency department (ED). You receive a page for a cardiac arrest and take report from emergency medical services (EMS). Carsten L, et al. Ann Emerg Med. 2010.11.037.

Defibrillator 85

Defibrillator CPR Epinephrine Life Support 85

Don't Forget the Bubbles

JUNE 30, 2023

Emergency Medical Services found her apneic and pulseless. Mazur P, Kosinski S, Podsiadlo P, et al.: Meert et al. NEPTUNE 2023 was inaugural UK PEM trauma conference, hosted by Nottingham University Hospitals Trust, one of the largest major trauma centres in the UK. Meert et al. Moler, Frank W.,

CPR 145

CPR Life Support Critical Care ALS 145

ACEP Now

NOVEMBER 16, 2023

For example, an emergency medical services scholarly track may not provide trainees with equal qualifications to a fellowship. Pines is the chief of clinical innovation at US Acute Care Solutions and a professor of emergency medicine at Drexel University in Philadelphia. References Nelson LS, Calderon Y, Ankel FK, et al.

ALS 52

ALS EMS Emergency Medical Services OR 52

Core EM

JULY 23, 2024

High risk and low prevalence diseases: Blast injuries American Journal of Emergency Medicine, 2023 Background Blast injuries stem from the instantaneous transformation of a substance from solid or liquid to gas, releasing energy in the form of heat, light, pressure, and sound. American Journal of Emergency Medicine. Nowadly C.D.,

EMS 100

EMS Emergency Medical Services OR Coronary 100

ACEP Now

MARCH 14, 2024

A 44 year-old male with unknown past medical history came by emergency medical services (EMS) to the emergency department (ED) for an electrical injury and fall from a high voltage electrical pole. 2023 Jul 17. Treasure Island (FL): StatPearls Publishing; 2023 Jan– PMID: 28846317. Emerg Med J.

Operating Room 52

Operating Room ACS Critical Care Coronary 52

Don't Forget the Bubbles

MAY 29, 2023

Emergency Medical Journal [Internet] 2022;39;52-56. Available from: [link] Dixon-Woods M, Baker R, Charles K, et al. Culture and behaviour in the English National Health Service: overview of lessons from a large multimethod study. Fnais N, Soobiah C, Chen MH, et al. Academic Medicine [Internet] 2023: 98:2:255-263.

Critical Care 98

Critical Care E-9-1-1 Paramedicine Paramedicine 98

Core EM

MARCH 7, 2024

High risk and low prevalence diseases: Blast injuries American Journal of Emergency Medicine, 2023 Background Blast injuries stem from the instantaneous transformation of a substance from solid or liquid to gas, releasing energy in the form of heat, light, pressure, and sound. American Journal of Emergency Medicine. Nowadly C.D.,

EMS 100

EMS Emergency Medical Services OR Coronary 100

Don't Forget the Bubbles

JULY 17, 2023

Sethi SK, et al. 2023 Jun;38(6):1733-1751. Considerations for privacy and confidentiality in adolescent health care service delivery. 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.

E-9-1-1 98

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

EMDocs

FEBRUARY 12, 2024

Louis); Marina Boushra, MD (EM-CCM, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case Emergency Medical Services brings in a 62-year-old male with COPD in acute on chronic hypoxemic respiratory failure (usually on 3 L nasal cannula, now on non-rebreather at 15 L/min). Int J Emerg Med. 2023 Mar 10;16(1):18.

Emergency Department 94

Emergency Department E-9-1-1 ED ICU 94

FOAMfrat

DECEMBER 28, 2023

Ok, here we go… Lots of controversy over the recent article titled, “Comparing Intubation Success Between Flight Nurses and Flight Paramedics in Helicopter Emergency Medical Services”, published by the Air Medical Journal in their November/December 2023 issue. Air Medical Journal , vol. 6, 2023, pp.

Paramedic 52

Paramedic Emergency Medical Services Operating Room OR 52

EMDocs

JUNE 3, 2023

Glick Y, Knipe H, Hacking C, et al. Accessed on April 15, 2023. Accessed April 15, 2023. Coccolini F, Stahel PF, Montori G, et al. World J Emerg Surg. doi:10.1186/s13017-017-0117-6 Anand T, El-Qawaqzeh K, Nelson A, et al. Accessed April 29, 2023. Published April 17, 2023. Radiopaedia.org.

ED 54

ED Operating Room ALS Frozen Plasma 54

NAEMSP

MARCH 13, 2023

An ALS crew arrives on scene to find a woman who is tachypneic, hypoxic, tachycardic, and hypotensive, with diffuse rales and rhonchi throughout her lung fields. The EMS Agenda 2050 describes six guiding principles to its “people-centered vision for the future of emergency medical services.” Prehosp Emerg Care.

EMS 52

EMS Emergency Medical Services EMT EMT 52

EMDocs

JUNE 9, 2023

There are protocols in place that assist highly trained Emergency Medical Service providers in assuring that agitated children are safely transported to their destination. NASEMSO: Clinical care and restraint of agitated or combative patients by emergency medical service practitioners. Prehosp Emerg Care.

Emergency Medical Services 77

Emergency Medical Services EMS Emergency Department Ambulance 77

REBEL EM

NOVEMBER 20, 2023

Paper: Jansen JO, Hudson J, Cochran C, et al. Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage: The UK-REBOA Randomized Clinical Trial [published online ahead of print, 2023 Oct 12]. 2023;e2320850. J Spec Oper Med. 2018;18(4):37-55.

OR 91

OR Emergency Medical Technician CPR Emergency Medical Services 91

EMDocs

JUNE 16, 2023

Zima; Follow-up After Pediatric Mental Health Emergency Visits. Pediatrics March 2023; 151 (3): e2022057383. Boarding of Mentally Ill Patients in Emergency Departments: American Psychiatric Association Resource Document. West J Emerg Med. Cushing AM, Liberman DB, Pham PK, et al. Coker, Gretchen J. 10.1542/peds.2022-057383

ED 52

ED Mental Health Services Emergency Department Emergency Medical Services 52

EMDocs

DECEMBER 18, 2023

References Evans L, Rhodes A, Alhazzani W, et al. Piccioni A, Saviano A, Cicchinelli S, et al. Proadrenomedullin in Sepsis and Septic Shock: A Role in the Emergency Department. Fleischmann C, Scherag A, Adhikari NK, et al. Rhee C, Dantes R, Epstein L, et al. Wang C, Xu R, Yuerong Z, et al. 2021;47:1181–1247.

E-9-1-1 65

E-9-1-1 ALS Emergency Department Plasma 65