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

FOAMfrat

SEPTEMBER 24, 2024

It’s probably safe to assume that your patient has a traumatic brain injury, so at what point in your treatment pathway do you reach for an antiepileptic drug (AED)? Are you carrying antiepileptics on your truck or aircraft? To give an AED or not to give an AED, that is the question. (Bet Bet you thought you left Shakespeare in high school).

OR 106

OR ALS 106

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

FEBRUARY 11, 2023

Date: February 7, 2023 Reference: Cheskes et al. Date: February 7, 2023 Reference: Cheskes et al. Reference: Cheskes et al. Defibrillation Strategies for Refractory Ventricular Fibrillation. first appeared on The Skeptics Guide to Emergency Medicine.

Defibrillator 139

Defibrillator Medical Transportation OR CPR 139

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. However, in the interest of antibiotic stewardship.

Emergency Department 297

Emergency Department ALS OR ED 297

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

ACEP Now

APRIL 5, 2024

References von Hellmann R, Fuhr N, et al. Koh LK, Kong CE, et al. A study in the February issue of Annals conducted a meta-analysis of 18 studies and concluded that bougie use was associated with increased first-attempt intubation success. Some important limitations of this analysis should be recognized. Ann Emerg Med.2024;83(2):132-144.

OR 73

OR ALS Emergency Department Critical Care 73

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

REBEL EM

MAY 27, 2024

mg/kg) or starting at 12 mg might be more effective for certain populations (Deck 2023, Cabalag 2010). What they did: Prospective randomized controlled trial, unblinded, multicenter study Conducted from January 2017 to December 2022 Patients with confirmed PSVT were randomly assigned to receive MVM, IV Adenosine, or combined therapy.

OR 137

OR E-9-1-1 ED ALS 137

EMOttawa

MAY 31, 2024

5 Carson JL, et al. 2023 Dec 28;389(26):2446-2456. Methodology: 4/5 Usefulness: 3.5/5 N Engl J Med. doi: 10.1056/NEJMoa2307983. Findings: There was no significant difference in 30-day all-cause mortality […] The post Restrictive or Liberal Transfusion Strategy in Myocardial Infarction and Anemia appeared first on EMOttawa Blog.

OR 60

OR ALS 60

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

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

EMOttawa

MAY 6, 2024

Methodology: 4/5 Usefulness: 3/5 Zi W, et al. 2023 Jun 1;388(22):2025-2036. N Engl J Med. Editorial: Expanding Treatment for Acute Ischemic Stroke beyond Revascularization.

OR 60

OR ALS 60

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

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

EMDocs

SEPTEMBER 27, 2023

In today’s post, we’ll highlight the most important aspects of each topic. What’s the issue? Multiple changes to Medicare are being enacted or proposed this fall. Below we discuss three that will likely have the greatest impact on emergency medicine physicians and our patients. References American Medical Association. Burleson (2014).

Emergency Department 62

Emergency Department ALS OR ED 62

Pediatric EM Morsels

NOVEMBER 15, 2024

Have you ever had that feeling of falling that rapidly wakes you from sleep? While it’s unlikely that you were having Benign Epilepsy with CentroTemporal Spikes (BECTS) seizures or a benign Rolandic seizure, that tenuous state between sleeping and waking is a time when some odd neurologic things can happen, including BECTS.

ALS 152

ALS OR EMS 152

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

ALiEM

FEBRUARY 5, 2024

Reference Lin M, Phipps M, Chan TM, et al. Take the AIR Toxicology Module at ALiEMU Interested in taking the AIR quiz for fun or asynchronous (Individualized Interactive Instruction) credit? Please go to the above link. You will need to create a free, 1-time login account. Alex Rogers MD, J.D. Ann Emerg Med. 2023;82(1):55-65.

Overdose 215

Overdose Critical Care EMS Emergency Department 215

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

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

ACEP Now

JULY 7, 2023

References Tsao CW, et al. Benjamin EJ, et al. Kimblad H, et al. Out-of-hospital cardiac arrest is a commonly encountered entity in U.S. emergency departments (EDs), with statistics reporting more than 356,000 out-of-hospital cardiac arrests per year. amiodarone or lidocaine). Circulation. 2022;145(8):e153-e639. Circulation.

Defibrillator 98

Defibrillator OR ALS Epinephrine 98

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

Don't Forget the Bubbles

OCTOBER 2, 2024

Kochanek et al… Kochanek PM, Tasker RC, Carney N, Totten AM, Adelson PD, Selden NR, et al. There was also a meta-analysis on this topic in the adult population by Schwimmbeck et al [6] in 2021. 2023 [cited 2024 Apr 10]. Pediatric Critical Care Medicine. What Other Research Is There On The Topic?

OR 49

OR Critical Care ALS Emergency Department 49

Dr. Smith's ECG Blog

SEPTEMBER 18, 2024

Studies such as those by Moise et al 14 and Ellis et al 39 have shown that the relative risk of developing an acute myocardial infarction in the territory supplied by an artery with a 70%. For more on MINOCA — See My Comment in the November 16, 2023 post in Dr. Smith's ECG Blog ).

Coronary 115

Coronary ACS OR EMR 115

ALiEM

OCTOBER 11, 2024

Provan D, Arnold DM, Bussel JB, et al. 2019000812 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. She reported no recent trauma or history of similar lesions in the past. INR : 1.05

OR 152

OR ALS 152

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

Dr. Smith's ECG Blog

DECEMBER 27, 2023

The original term " benign early repolarization" has fallen out of favor since the seminal paper by Haïssaguerre et al. link] == MY Comment , by K EN G RAUER, MD ( 12/26/ 2023 ): == Interesting case by Dr. Frick — with superb illustration by him of cardiac cath findings! The link is quite modest, increasing the chance of VF from 3.4

E-9-1-1 116

E-9-1-1 OR Coronary ACS 116

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. may be an appealing mantra, however it is impracticable to achieve with the medical literature. All bleeding stops.

ALS 52

ALS Critical Care Emergency Department OR 52

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. Thanks for appraising OPAL and for engaging with me about it.

ALS 198

ALS OR 198

ALiEM

JANUARY 5, 2024

Characteristics of Emergency Medicine Residency Programs With Unfilled Positions in the 2023 Match. Characteristics of Emergency Medicine Residency Programs With Unfilled Positions in the 2023 Match. Have there been any surprises or changes during interview season? What should students think about in the post-interview stage?

EMS 177

EMS ALS OR 177

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

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

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

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

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