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

First 10 EM

DECEMBER 11, 2023

The BroomeDocs podcast version can be found here: [link] Our poorly managed hospitals […] The post Research Roundup (December 2023) appeared first on First10EM.

ED 106

ED EMS 106

ESO

MARCH 7, 2024

The 2023 ESO Trauma Index offers a detailed analysis of current trends and benchmarks in trauma care, setting a new standard for improvement. Antibiotics and Open Long Bone Fractures: The 2023 Index points out that 67.3% of patients with open long bone fractures receive antibiotics within the critical first 60 minutes of ED arrival.

Operating Room 105

Operating Room ICU OR ED 105

ALiEM

JULY 17, 2023

sought to identify program factors associated with unfilled post-graduate year 1 (PGY-1) emergency medicine (EM) positions in the 2023 Match [1]. as well as an analysis of the 2023 Match by Pupazan and Cook in Emergency Medicine News [3,4]. A staggering 131 (47%) EM residency programs had unfilled PGY-1 positions among in 2023 [7].

EMS 130

EMS ALS Emergency Department ED 130

The Skeptics' Guide to EM

DECEMBER 16, 2023

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. 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.

Emergency Department 299

Emergency Department ED ALS OR 299

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

JUNE 8, 2024

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. You learn they are ordering hormones online as they do not have any gender-affirming primary care.

Emergency Department 308

Emergency Department ED ALS Paramedic 308

The Skeptics' Guide to EM

DECEMBER 30, 2023

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. McG) presents to your emergency department (ED) after being found by family on the ground at her independent living facility.

Emergency Department 273

Emergency Department ED ALS OR 273

EMDocs

JANUARY 8, 2024

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association 2023 Guideline Updates for 2023 were just published. This post will focus on the key parts of the guideline that affect ED evaluation and management. 2023 Dec 18. Circulation. doi: 10.1161/CIR.0000000000001194.

Epinephrine 83

Epinephrine Defibrillator Coronary CPR 83

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

Broome Docs

OCTOBER 28, 2023

2023 Jun 14. 2023 Sep 5;120(36):e2222103120. Epub 2023 Aug 29. 2023 May 1;136(5):913-919. Epub 2023 Apr 14. 2023 Aug 3;389(5):418-429. Epub 2023 Jun 16. 2023 Sep 14;389(11):1051-1052. 2023 Aug 1;183(8):818-823. 2023 Jun 12. 2023 May 25;388(21):1956-1965. N Engl J Med.

ALS 67

ALS ED OR 67

Pediatric EM Morsels

AUGUST 23, 2024

Concussion – Presentation [ Silverberg, 2023 ] There is no definitive test to diagnose concussion in the ED. Progression through Return to Learn and Return to Sport:[ Patricios, 2023 ] Is individualized and based on the person’s symptoms Typically takes a minimum of 1 week. 2023 Aug;104(8):1343-1355.

Emergency Department 243

Emergency Department OR ED EMS 243

The Skeptics' Guide to EM

JANUARY 6, 2024

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. 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.

Emergency Department 266

Emergency Department Emergency Medical Services ALS ED 266

ACEP Now

NOVEMBER 7, 2023

ACEP President Speaks at Summit In October, ACEP President Dr. Aisha Terry spoke at the Summit on Emergency Department Sickle Cell Care, and discussed point of care tools, standardization of care processes, improving ED care and more. The post November 2023 News from the College appeared first on ACEP Now.

Emergency Department 98

Emergency Department EMS ED OR 98

The Skeptics' Guide to EM

SEPTEMBER 9, 2023

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. Case: It is a steady Saturday afternoon in your rural emergency department (ED). New England Journal of Medicine June 2023

Critical Care 315

Critical Care ALS ED Emergency Department 315

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

The Overrun Podcast

DECEMBER 22, 2023

Summary In this episode, Ed and Dan discuss several topics related to medicine and EMS in 2023. They start by reviewing a study on the use of nitroglycerin in acute pulmonary edema and congestive heart failure, highlighting its positive effects on blood pressure and oxygenation.

Paramedic 52

Paramedic EMS ED 52

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

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

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

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

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. AEM November 2023. first appeared on The Skeptics Guide to Emergency Medicine. Reference: Stopyra et al.

Heart Attack 283

Heart Attack STEMI Emergency Medical Services Coronary 283

ACEP Now

OCTOBER 3, 2023

Urge Your Legislators to Support New Bill to Combat Boarding, Support Mental Health Access from the ED The bipartisan Improving Mental Health Access from the Emergency Department Act was recently reintroduced in the House for the 118th Congress by Reps. The post October 2023 News from the College appeared first on ACEP Now.

Emergency Department 40

Emergency Department ED 40

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. cm left forearm abscess. Reference: Reed et al.

Overdose 187

Overdose Emergency Department ALS ED 187

ACEP Now

OCTOBER 31, 2023

Emergency physicians have a unique opportunity to recognize these cases and to intervene, as medically neglected children may be brought to the ED once illness becomes severe. Following appropriate medical treatment in the ED, the patient is hospitalized. Published February 9, 2023. Accessed October 11, 2023. HHS website.

ED 52

ED OR EMS 52

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

DECEMBER 2, 2023

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. Case: A 4-year-old girl presents to your emergency department (ED) with fever and nasal drainage. Reference: Shaikh N, et al.

Emergency Department 303

Emergency Department ALS OR ED 303

ALiEM

MARCH 1, 2024

A 24-year-old female with no pertinent PMHx presents to the ED with a chief complaint of eye pain. Her mom convinced her to go to the ED and she first went to an outside hospital, but was referred to come to our institution. Accessed January 2023. She had been managing her pain with ice and had not taken any OTC medications.

ED 152

ED OR 152

ALiEM

SEPTEMBER 13, 2024

A 32-year-old male with no significant past medical history presented to the emergency department (ED) from an outside hospital for further management of right eye pain and vision loss sustained after he was struck by a metal wire while at work. 2023, March 23). Consult ophthalmology emergently. American Academy of Ophthalmology.

Emergency Department 161

Emergency Department OR ED 161

ALiEM

SEPTEMBER 9, 2024

A 61-year-old female with a past medical history of hypertension, hyperlipidemia, type 2 diabetes, and normal pressure hydrocephalus s/p VP shunt (last revision nine months ago) presented to the Emergency Department (ED) for evaluation after noticing a “string” coming out of her anus today. Surg Neurol Int. doi: 10.4103/2152-7806.196930.

Emergency Department 152

Emergency Department ED OR 152

ALiEM

AUGUST 30, 2024

A 5-year-old female presented to the emergency department (ED) with a one-year history of gradually increasing anterior neck swelling. She was discharged from the ED on levothyroxine 25 mcg daily with endocrinology outpatient follow-up. The patient had no significant past medical history. 2014 Dec;24(12):1670-751. doi: 10.1089/thy.2014.0028.

ACS 161

ACS Emergency Department ED OR 161

ACEP Now

AUGUST 29, 2023

The post September 2023 News from the College appeared first on ACEP Now. Check Out This New Opioids Education Series from E-QUAL ACEP’s Emergency Quality Network (E-QUAL) is serving up some fresh educational content as part of its Opioid Initiative.

E-9-1-1 52

E-9-1-1 Naloxone Emergency Department EMS 52

ALiEM

MARCH 18, 2024

A 30-year-old female with a past medical history of Crohn’s Disease presented to the ED for evaluation of an acutely bruised right 4th finger. 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.

Emergency Department 306

Emergency Department ED OR 306

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. Opioids are the primary therapy.

Emergency Department 182

Emergency Department ALS ED OR 182

ALiEM

OCTOBER 27, 2023

A 26-year-old male with no significant past medical history presented to the ED after slipping on wet pavement and hitting his head on the ground three hours prior. He endorsed a constant, achy 7/10 headache accompanied by nausea and photophobia. He denied vomiting, dizziness, diplopia, loss of consciousness, or seizures.

OR 278

OR ED 278

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

ALiEM

MARCH 15, 2024

A 28-year-old male presented to the ED for evaluation of an injury to his right eye. Retrieved January 11, 2023, from [link] 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.

ED 161

ED OR 161