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 103

ED EMS 103

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

Core EM

SEPTEMBER 24, 2024

I graduated from Harvard in 2023 with a degree in psychology and global health, and during medical school, I’ve co-directed NYU’s asylum clinic and volunteered for the suicide prevention lifeline. Annie: I developed an interest in EM while working as a scribe in the ED during college.

ED 100

ED EMS Critical Care OR 100

Dr. Smith's ECG Blog

NOVEMBER 14, 2024

I found out that the interventionalist had just finished a case and came to the ED to see about the de-activated case. He saw the ECG and ordered an ED ECG." As per Dr. Smith — I also found it difficult to understand why the admitting ED physicians cancelled the cath lab activation. Kudos to the medics." "I

ED 116

ED Coronary Paramedic OR 116

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 295

Emergency Department ED ALS OR 295

Don't Forget the Bubbles

MAY 17, 2023

2023 Apr 17. 2023 Apr 25;329(16):1386-1398. 2023 Apr 29. 2023 Apr 24. 2023 Apr 12. 2023 Apr 28. 2023 Apr 25. 2023 Apr 25. 2023 Apr 25. 2023 Apr 24. 2023 Apr 18:S0890-8567(23)00185-5. 2023 Apr 24. 2023 Apr 21. Arch Dis Child Fetal Neonatal Ed.

ALS 72

ALS ACS Emergency Department EMS 72

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 264

Emergency Department ALS ED OR 264

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 82

Epinephrine Defibrillator Coronary CPR 82

REBEL EM

JANUARY 25, 2024

In many emergency departments (ED), US machines are readily available and can be used to rapidly assess and monitor patients with acute dyspnea at the bedside. US, compared with CXR and CT, offers the absence of ionizing radiation and high reproducibility. Emerg Med J. 2023;40(10):700-707.

ED 130

ED E-9-1-1 Emergency Department ALS 130

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

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 261

Emergency Department Emergency Medical Services ALS ED 261

ALiEM

OCTOBER 25, 2024

A 64-year-old male with a history of bipolar 1 disorder, PTSD, anxiety, depression, obsessive-compulsive disorder, GERD, and HTN presented to the ED with the chief complaint of foreign body and self-injury. He reported years of sticking sewing needles into his right arm, most recently yesterday. He denied homicidal ideation. Epub 2012 Nov 30.

ED 177

ED OR 177

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

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 310

Critical Care ALS ED Emergency Department 310

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 270

Emergency Department OR ED EMS 270

ALiEM

NOVEMBER 22, 2024

Although this patient had a formal ultrasound, POCUS can be a useful tool in the ED to identify and expedite intussusception treatment. 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.

OR 169

OR ED 169

Pediatric EM Morsels

AUGUST 4, 2023

Let’s take a take a minute to review Superior Mesenteric Artery Syndrome presenting in the ED so we will be prepared when you see it! Oka, 2023) Female to male predominance with a ratio of 3:2. Oka, 2023) It has various other names but one is Cast Syndrome due to a slight increased risk with patients in hip spica casts.

E-9-1-1 246

E-9-1-1 ED OR EMS 246

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 62

Emergency Department ALS OR ED 62

REBEL EM

JULY 17, 2023

REBEL Cast Ep120: Etomidate vs Ketamine for RSI in the ED? PMID: Clinical Question: Does a single dose of ketamine or etomidate used for rapid sequence intubation (RSI) of critically adults in the ED impact the SOFA score within 3 days of hospitalization? Click here for Direct Download of the Podcast Paper: Knack SKS et al.

ED 98

ED ICU Emergency Department Overdose 98

Broome Docs

APRIL 6, 2023

2023 Jan 21. 2023 Feb;64:206.e1-206.e3. 2023 Jan 30. PMID: 36538321 Am I the only one thinking that this illicit drug additive seems like a really good antidote to the methamphetamine toxidromes that we are constantly managing in the ED? 2023 Jan 13;76(2):185-191. 2023 Feb;30(2):144-146. N Engl J Med.

Epinephrine 52

Epinephrine ED Emergency Department ALS 52

ALiEM

OCTOBER 28, 2024

A 2-year, 11-month-old female with a history of constipation was brought to the ED by her mother for abdominal pain. The patient had two episodes of unprovoked, non-bloody, non-bilious vomiting the morning prior to the ED visit. 2023 May 30. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. Wilms Tumor.

ED 161

ED OR 161

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

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. Background: Fractures of the scaphoid are the most common carpal fractures presenting to the ED.

ALS 244

ALS Emergency Department ED OR 244

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 201

ICU ED Critical Care ALS 201

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

Dr. Smith's ECG Blog

NOVEMBER 22, 2023

While in the ED, patient developed acute dyspnea while at rest, initially not associated with chest pain. The patient had no chest symptoms until he had been in the ED for many hours and had been undergoing management of his DKA. The patient was under the care of another ED physician. Another ECG was recorded: What do you think?

ED 103

ED Coronary CAD STEMI 103

ALiEM

OCTOBER 21, 2024

A 5-year-old generally healthy fully immunized boy presented to the ED with worsening left ear redness, swelling, and tenderness that his family noticed the day before presentation. His family had also recently noticed an abrasion over that ear. Eur Arch Otorhinolaryngol. 2019 Aug;276(8):2199-2203. doi: 10.1007/s00405-019-05463-z.

ED 169

ED OR 169

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 278

Heart Attack STEMI Emergency Medical Services Coronary 278

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 221

ALS Emergency Department ED OR 221

ALiEM

NOVEMBER 18, 2024

In: Mattu A and Swadron S, ed. Updated August 16, 2023. 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. References Anderson Erik, Do-Nguyen Amy. CorePendium.

Emergency Department 161

Emergency Department ALS OR ED 161