Broome Docs

JUNE 20, 2023

So we are planning to take this show on th eraod and do some live sessions later in 2023. 2023 May 1:e230780. 2023 May 1;246:109853. Epub 2023 Mar 24. 2023 Jun 8:S1473-3099(23)00299-2. 2023 Mar 21. 2023 Apr 13;388(15):1365-1375. Here we go… Liu S, Yao C, Xie J, et al. JAMA Intern Med.

Emergency Department 132

Emergency Department ALS 132

The Skeptics' Guide to EM

OCTOBER 21, 2023

Date: October 20, 2023 Reference: Cai et al. AEM October 2023. Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Date: October 20, 2023 Reference: Cai et al. AEM October 2023. AEM October 2023. Reference: Cai et al.

Emergency Department 259

Emergency Department ALS ED OR 259

Broome Docs

DECEMBER 9, 2023

Overnight Stay in the Emergency Department and Mortality in Older Patients. 2023 Nov 6. 2023 Nov 6. 2023 Oct 12. Choosing wisely for kids From the American Academy of Pediatrics and the Canadian Association of Emergency Physicians, we have the Choosing Wisely recommendations for pediatric emergency medicine.

Emergency Department 120

Emergency Department ALS ED 120

ALiEM

MARCH 18, 2024

Shortly after that, the finger turned purple, so she came to the Emergency Department for evaluation. 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. Cleve Clin J Med.

Emergency Department 306

Emergency Department ED OR 306

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). Reference: Snelling et al.

Critical Care 305

Critical Care ALS ED Emergency Department 305

ALiEM

NOVEMBER 17, 2023

A 4-year-old female with no significant past medical history is brought to the Emergency Department by her grandmother for concern for two days of progressive vaginal bleeding. It often presents to the emergency department with complaints of vaginal bleeding, difficulty urinating, or dysuria. link] Published 2021.

Emergency Department 250

Emergency Department OR 250

Pediatric EM Morsels

AUGUST 23, 2024

Concussions are commonly encountered in the Emergency Department. Concussion – Presentation [ Silverberg, 2023 ] There is no definitive test to diagnose concussion in the ED. Return to Learn Strategy [ Patricios, 2023 ] Step 1: Relative Rest (24-48hrs) Minimize reading and screen use. Driving restrictions.

Emergency Department 270

Emergency Department OR ED EMS 270

The Skeptics' Guide to EM

JUNE 24, 2023

Date: June 16, 2023 Reference: Reed et al. Pilot Testing Fentanyl Test Strip Distribution in an Emergency Department Setting: Experiences, Lessons Learned, and Suggestions from Staff. She is the cofounder of […] The post SGEM#407: Here We Go Test Strips for Fentanyl first appeared on The Skeptics Guide to Emergency Medicine.

Overdose 187

Overdose Emergency Department ALS ED 187

Pediatric EM Morsels

MARCH 15, 2024

We encounter seizures commonly in the Emergency Department. Nicotera, 2024; Bacus, 2023 ] The laughing often described as being unmotivated or disproportionate to the emotional context. Bacus, 2023 ] Cases as young as 4 months have been described. 2023 Jun 6;23:100609. 2023 Nov 8. Epilepsy Behav Rep.

Emergency Department 258

Emergency Department OR EMS 258

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 217

ALS Emergency Department ED OR 217

ALiEM

FEBRUARY 5, 2024

After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Digital Impact Factor [1], the ALiEM AIR Team is proud to present the highest quality online content related to related to toxicology in the Emergency Department. More specifically, we identified 3 AIR and 5 Honorable Mentions.

Overdose 215

Overdose Critical Care EMS Emergency Department 215

The Skeptics' Guide to EM

OCTOBER 14, 2023

Time to change the reference ranges of children’s physiological observations in emergency care? 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. A prospective study. J Paediatr Child Health.

Life Support 217

Life Support Advanced Life Support Emergency Department ALS 217

The Skeptics' Guide to EM

JUNE 17, 2023

Date: June 15, 2023 Reference: Rees CA et al. Intranasal fentanyl and discharge from the emergency department among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. Date: June 15, 2023 Reference: Rees CA et al. Reference: Rees CA et al.

Emergency Department 182

Emergency Department ALS ED OR 182

EMDocs

MARCH 4, 2024

Darnall Army Medical Center) // Reviewed by: Joshua Lowe, MD (EM Attending Physician, USAF); Marina Boushra (EM-CCM, Cleveland Clinic Foundation); Brit Long, (@long_brit) Disclaimer: The views expressed in this post are those of the authors and do not reflect the official policy or position of the Department of the Army, DoD, or the US Government.

Emergency Department 87

Emergency Department E-9-1-1 ALS OR 87

ALiEM

JUNE 1, 2023

Are you using phenobarbital instead of benzodiazepines as the first-line monotherapy for patients in alcohol withdrawal in the Emergency Department (ED)? The Journal of Emergency Medicine. Management of Alcohol Withdrawal in the Emergency Department: Current Perspectives. Open Access Emerg Med. 2012.07.056.

Emergency Department 246

Emergency Department ICU ED OR 246

The Skeptics' Guide to EM

NOVEMBER 11, 2023

Date: November 2, 2023 Reference: Coventry et al. Emerg Med J. Aug 2023 Guest Skeptic: Dr. Matt Schmitz is an Orthopaedic Surgeon who sub-specializes in adolescent sports and hip preservation. first appeared on The Skeptics Guide to Emergency Medicine. Date: November 2, 2023 Reference: Coventry et al. Emerg Med J.

ALS 240

ALS Emergency Department ED OR 240

The Skeptics' Guide to EM

JANUARY 20, 2024

Aug 2023 Date: October 30, 2023 Guest Skeptic: Dr. Ellie Hill is a pediatric emergency medicine physician at Children’s National Hospital in Washington, DC and Assistant Professor of Pediatrics and Emergency Medicine at George Washington University School of Medicine and Health Sciences. Reference: Zaoutis T, et al.

Emergency Department 179

Emergency Department ALS ICU OR 179

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]. as well as an analysis of the 2023 Match by Pupazan and Cook in Emergency Medicine News [3,4].

EMS 130

EMS ALS Emergency Department ED 130

ALiEM

APRIL 12, 2023

Accessed April 5, 2023. Accessed April 5, 2023 Afzal S, Zahid M, Rehan ZA, et al. emDOCs.net – Emergency Medicine Education. References Cleaning and Disinfecting FUJIFILM SonoSite Products User Guide [PDF]. Disinfectants and Cleaning Solutions for Ultrasound Systems and Transducers [PDF]. Alerhand S, Singh M, editors.

Emergency Department 258

Emergency Department ALS ED 258

The Skeptics' Guide to EM

JULY 8, 2023

Date: July 6, 2023 Reference: Hanula R et al. JAMA Int Med 2023. Guest Skeptic: Dr. Anand Swaminathan is an Assistant Professor of Emergency Medicine at Staten Island University Hospital. first appeared on The Skeptics Guide to Emergency Medicine. Date: July 6, 2023 Reference: Hanula R et al. JAMA Int Med 2023.

ALS 233

ALS Emergency Department EMS ED 233

ALiEM

OCTOBER 23, 2023

A 32-year-old man with a history of traumatic globe rupture from a stab wound two months ago, status post repair, presented to the emergency department for worsening right eye pain and green malodorous drainage for the past three days. Indian J Otolaryngol Head Neck Surg. 2022;74(Suppl 2):1334-1343.

Emergency Department 278

Emergency Department OR 278

Core EM

JANUARY 8, 2024

Diagnostic Accuracy of Unenhanced Computed Tomography for Evaluation of Acute Abdominal Pain in the Emergency Department. JAMA Network, 2023 Background Computed tomography of the abdomen and pelvis (CT AP) is the most common diagnostic imaging test to evaluate abdominal pain in the ED. Read More Shaish H, Ream J, Huang C, et al.

Emergency Department 100

Emergency Department EMS ED ALS 100

ALiEM

MAY 19, 2023

A heavy alcohol drinker, who is well known to your Emergency Department, presents with altered mental status, except that he looks different this time. In our emergency department, the RTs do not spend a lot of time going around measuring cuff pressures and usually save that until the patient reaches the ICU.

E-9-1-1 245

E-9-1-1 Emergency Department ICU OR 245

ALiEM

APRIL 14, 2023

After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Social Media Index, the ALiEM AIR Team is proud to present the highest quality online content related to related to procedures in the Emergency Department. More specifically, we identified 2 AIR and 4 Honorable Mentions.

EMS 246

EMS Emergency Department ED OR 246

ALiEM

AUGUST 26, 2024

A 27-year-old male with no past medical history presents to the Emergency Department with right eye pain. Iridodialysis Traumatic iridodialysis is an uncommon ocular emergency with very distinct findings that we can encounter in the Emergency Department. link] doi.org/10.1016/j.mehy.2018.11.013

Emergency Department 177

Emergency Department OR 177

ALiEM

DECEMBER 9, 2024

A 25-year-old female with no pertinent past medical history presented to an emergency department in Massachusetts with four days of generalized malaise, myalgias, congestion, low-grade fever, and a rash behind her left knee. The patient denied cough, shortness of breath, chest pain, abdominal pain, nausea, vomiting, and diarrhea.

Emergency Department 152

Emergency Department ACS EMS OR 152

ALiEM

DECEMBER 3, 2024

A 26-year-old male with a past medical history of eczema presented to the Emergency Department with a rash for two days. Updated 2023 Jul 31]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. The patient stated he first noticed a rash on his right arm that rapidly spread to his face, chest, and left arm.

Emergency Department 152

Emergency Department 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. Consult ophthalmology emergently. 2023, March 23). Eye (Lond).

Emergency Department 161

Emergency Department OR ED 161

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. Patterns of change in prehospital spinal motion restriction: a retrospective database review.

Emergency Medical Services 188

Emergency Medical Services ALS EMS Emergency Department 188

Pediatric EM Morsels

OCTOBER 27, 2023

References: Emergency Medical Services for Children- Enhancing Pediatric Safety (no date) Study Packet for the Correct Use of the BroselowTM Pediatric Emergency Tape. Available at: [link] (Accessed: 26 October 2023). Available at: [link] (Accessed: 27 October 2023). Int J Emerg Med. J Emerg Med. Resusc Plus.

E-9-1-1 269

E-9-1-1 Emergency Medical Services Life Support ALS 269

ACEP Now

NOVEMBER 7, 2023

And in our comment letter responding to the FTC and Department of Justice’s proposed updates to health care merger guidelines, ACEP urged the agencies to finalize these changes that would bring more scrutiny to health care mergers and slow down consolidation. The post November 2023 News from the College appeared first on ACEP Now.

Emergency Department 98

Emergency Department EMS ED OR 98

Core EM

JULY 23, 2024

It’s a common emergency department presentation, often linked with acute medical or psychiatric emergencies. ACEP 2023 Guidelines : Recommend droperidol with midazolam or an atypical antipsychotic for severe agitation. Lorazepam : Onset in 30-60 minutes, peak effect in 2 hours, duration 6-8 hours. •

Emergency Department 233

Emergency Department OR 233

The Skeptics' Guide to EM

FEBRUARY 24, 2024

Journal of Consumer Psychology 2023, Date: February 23, 2024 Guest Skeptic: Ethan Milne is a Marketing PhD student at the Ivey Business School (Western University). Journal of Consumer Psychology 2023, Date: February 23, 2024 Guest Skeptic: Ethan Milne is a Marketing PhD student at the Ivey Business School (Western University).

Emergency Department 174

Emergency Department OR 174

ACEP Now

SEPTEMBER 28, 2023

In August 2021, an article published in the Annals of Emergency Medicine projected a surplus of more than 7,800 emergency physicians in 2030 based on multiple scenarios, including patterns of supply and demand for emergency physicians at that time. This report is from the most recent survey administered in February 2023.

Emergency Department 98

Emergency Department ALS ED OR 98

The Skeptics' Guide to EM

SEPTEMBER 2, 2023

Date: August 30, 2023 Reference: Griffey et al. AEM August 2023 Guest Skeptic: Dr. Suchismita Datta. She is an Assistant Professor and Director of Research in the Department of Emergency Medicine at the NYU Grossman Long Island Hospital Campus. Date: August 30, 2023 Reference: Griffey et al.

ICU 196

ICU ED Critical Care ALS 196

The Skeptics' Guide to EM

APRIL 8, 2023

Date: April 4th, 2023 Reference: Vaughan and Browne. Reconfiguring emergency and acute services: time to pause and reflect. 2023 Apr Guest Skeptics: Dr. Louella Vaugh is an internist practising as a hospitalist physician at an academic centre in London, UK with a special interest in smaller, rural and remote healthcare.

Emergency Department 139

Emergency Department ED Ambulance ALS 139

ALiEM

SEPTEMBER 20, 2024

A 50-year-old male with insulin-dependent Type 2 Diabetes presented to the emergency department with three days of pain and swelling on the right side of his neck. He endorsed progression of his symptoms, reporting that he was now having fevers, myalgias, and intermittent difficulty swallowing solid foods. J Clin Microbiol.

Emergency Department 177

Emergency Department OR 177