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 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 299

Emergency Department ED ALS OR 299

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

JUNE 8, 2024

Reference: Kruse et al. WJEM December 2023 Date: May 30, 2024 Guest Skeptic: Dr. Kay Dingwell is a rural emergency physician working in Prince County, PEI with a special interest in gender-affirming care and improving the care of trans and gender-diverse patients. Reference: Kruse et al.

Emergency Department 308

Emergency Department ED ALS Paramedic 308

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 303

Emergency Department ALS OR ED 303

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. PMID: 37058727 The DEVICE trial: Prekker ME, Driver BE, Trent SA, et al. 2023 Aug 3;389(5):418-429.

ALS 67

ALS ED OR 67

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 283

Heart Attack STEMI Emergency Medical Services Coronary 283

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 226

ALS Emergency Department ED OR 226

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 62

OR ALS 62

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 62

OR ALS 62

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 266

Emergency Department Emergency Medical Services ALS ED 266

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 269

Emergency Department ALS ED OR 269

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

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

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

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

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 63

Emergency Department ALS OR ED 63

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 307

ED Emergency Department ALS OR 307

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

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 226

Life Support Advanced Life Support Emergency Department ALS 226

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

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

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

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

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 227

CPR Defibrillator First Responder Epinephrine 227

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

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

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

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

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 206

ICU ED Critical Care ALS 206

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-. Refers to the Spinal Cord Function and Reflexes, not specifically hemodynamic issues. Basics are the Best!

E-9-1-1 300

E-9-1-1 Epinephrine ALS EMS 300

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