Emergency Medicine Cases

AUGUST 22, 2023

Podcast CAMP 2023 tickets are on sale now through podcastcamp.org. The post Podcast CAMP 2023 Tickets on Sale Now appeared first on Emergency Medicine Cases. Podcast CAMP the only online comprehensive course dedicated to medical education podcast production – by podcasters – for podcasters.

OR 130

OR 130

ALiEM

NOVEMBER 15, 2023

Accessed August 20, 2023. Accessed August 20, 2023. The amount of hydrogen cyanide in each kernel varies and ranges from 540 to 2,000 mg/kg [2]. The lethal dose range reported for cyanide in humans is 0.56-1.5 Grinding or chewing the kernel increases toxicity [4]. grams (50 mL) Pediatrics: 250-412 mg/kg (1-1.65 McGraw Hill; 2019.

OR 169

OR ED 169

Don't Forget the Bubbles

JUNE 14, 2023

2023 May;182(5):2077-2088. 2023 Jun;59(6):786-793. 2023 May 13. 2023 May 12:fetalneonatal-2022-324935. 2023 May 10. 2023 May;38(5):1411-1425. 2023 May;182(5):1965-1976. 2023 May;38(5):1449-1458. 2023 May;182(5):2027-2039. 2023 May 1;151(5):e2022058846. 2023 May 4;28(2):102-106.

ALS 119

ALS ACS ED OR 119

EMDocs

NOVEMBER 6, 2023

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association 2023 Guideline for managing cardiac arrest or life-threatening toxicity due to poisoning was recently released. This post will focus on the key parts of the guideline that affect ED evaluation and management. COR Harm, LOE B-R.

Naloxone 93

Naloxone OR Overdose BLS 93

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% The full 2023 ESO Trauma Index can be downloaded here.

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

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. Major Updates Avoid routine use of calcium in patients with cardiac arrest.

Epinephrine 82

Epinephrine Defibrillator Coronary CPR 82

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

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

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. You will find the list is broken down into four sections: 1.Reviews Antonaci L, et al.

ALS 72

ALS ACS Emergency Department EMS 72

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. Now highlights the scholastic component!

Emergency Department 270

Emergency Department OR ED EMS 270

EMDocs

DECEMBER 31, 2023

Without further ado, here is our list of top posts from 2023 based on viewership from you, the readers: Neurogenic Shock: Definition, Identification, and Management in the ED We start off the list with a clinical post from Kira Brayan and Jenny Beck-Esmay on diagnosing and managing neurogenic shock! To the authors, amazing work this year!

ED 73

ED EMS OR 73

ALiEM

NOVEMBER 22, 2024

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. Case Question: What is the treatment for intussusception? Air or hydrostatic enemas have a 70-85% success rate in current literature.

OR 169

OR ED 169

Dr. Smith's ECG Blog

OCTOBER 21, 2023

Here is a subsequent rhythm strip: This confirms sinus rhythm == MY Comment , by K EN G RAUER, MD ( 10/21 /2023 ): == It is often challenging to review the charts of complex cases when you lack a detailed sequential account of events that transpired. The heart rate gradually slowed with supportive care. Is this sinus tachycardia or VT?

OR 136

OR 136

Dr. Smith's ECG Blog

DECEMBER 27, 2023

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! mV in 2 or more contiguous leads (excluding V1-V3) The QRS duration should be < 120 ms This definition is not perfect. Circulation, 104(6), 636–641.

E-9-1-1 117

E-9-1-1 OR Coronary ACS 117

The Skeptics' Guide to EM

FEBRUARY 11, 2023

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

Defibrillator 139

Defibrillator Medical Transportation OR CPR 139

ACEP Now

APRIL 5, 2024

2023: online ahead of print. Published December 19, 2023. 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. percent with use of a bougie and 83.0

OR 73

OR ALS Emergency Department Critical Care 73

ALiEM

FEBRUARY 28, 2024

September 18, 2023. Example: Mason J. Trismus from Ludwig angina. Accessed February 20, 2024. Clinical photograph for: Ludwig Angina. CorePendium. For Media Without an Associated Publication: This type of citation may be helpful if the image is used in multiple places within a publication, or if it is not tied to a particular publication.

OR 130

OR ED 130

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

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

NVFC

MARCH 12, 2024

The State Firefighters’ & Fire Marshals’ Association of Texas (SFFMA), a professional association for the fire service in Texas, conducted a 2023 survey and gathered social media feedback on this topic. This is compared to 897,750 in 1984, the first year the NFPA began tracking this number.

OR 116

OR Firefighter NFPA EMT 116

ACEP Now

NOVEMBER 7, 2023

The post November 2023 News from the College appeared first on ACEP Now. Developed for physicians, by physicians, this tool is free for ACEP and EMRA members and is sure to impact your practice every day. Learn more at acep.org/PracticeEssentials. He practices clinically at Grady Memorial Hospital in Atlanta.

Emergency Department 98

Emergency Department EMS ED OR 98

Dr. Smith's ECG Blog

NOVEMBER 17, 2024

As per My Comment in the June 30, 2023 post ( in which I review the 9 Criteria derived over the years by Drs. Since the patient has active pain, that is less likely. In any case, I would call this diagnostic of inferior OMI and it requires cath lab activation. Is this: 1) inferior OMI with benign T-wave inversion in precordial leads?

OR 91

OR 91

EMOttawa

MAY 31, 2024

2023 Dec 28;389(26):2446-2456. Methodology: 4/5 Usefulness: 3.5/5 5 Carson JL, et al. N Engl J Med. doi: 10.1056/NEJMoa2307983. Questions and methods: This multicenter, open-label, RCT of 3604 patients with MI with anemia compared 30-day all-cause mortality and recurrent nonfatal MI between liberal vs restrictive transfusion thresholds.

OR 60

OR ALS 60

FirstNet Authority

MARCH 7, 2024

Follow us on Twitter , Facebook , Instagram , and LinkedIn for the latest FirstNet Authority updates. For information on FirstNet products and services or to access your subscriber account, visit FirstNet.com.

Public Safety 113

Public Safety First Responder OR 113

EMOttawa

MAY 6, 2024

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

OR 60

OR ALS 60

First 10 EM

APRIL 10, 2023

Apparently this paper was entirely fictional (or perhaps the […] The post Research Roundup (April 2023) appeared first on First10EM. Obviously the study was satire, and did an excellent job in making us laugh, but most satire studies (like those in the Christmas edition of the BMJ) are real studies.

OR 52

OR EMS 52

Pediatric EM Morsels

JANUARY 19, 2024

CDC 2023] In 2021, there were over 2800 cases of congenital syphilis, tripled from 2017. CDC 2023] Pseudoparalysis of Parrot – Presentation and Exam Infant presents with lack of movement of one or both upper extremities, and will cry with palpation. [Kocher 1996, Pereira 2017] Syphilis is on the rise in the US.

Plasma 269

Plasma OR EMS ED 269

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. Reference: Shaikh N, et al. Identifying children likely to benefit from antibiotics for acute sinusitis: a randomized clinical trial.

Emergency Department 297

Emergency Department ALS OR ED 297

Pediatric EM Morsels

AUGUST 4, 2023

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. (Oka, 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

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. New England Journal of Medicine June 2023 Reference: Snelling et al. He is also a fully-fledged ultrasonographer.

Critical Care 310

Critical Care ALS ED Emergency Department 310

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

ACEP Now

AUGUST 29, 2023

The Fall 2023 market is up about 20 percent from last year but still lags behind the 2019 market by 32 percent! The post 2023–2024 Emergency Physician Compensation Report appeared first on ACEP Now. The Southeast region’s numbers. Click to enlarge.) Of note, 32 percent of openings are in rural, low volume/acuity facilities.

OR 52

OR 52

ALiEM

OCTOBER 28, 2024

2023 May 30. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. The patient had been tolerating oral intake well, passing adequate urine, having normal bowel movements, and behaving at baseline. No associated fever, diarrhea, bloody stool, dysuria, hematuria, or weight loss. HEENT : Normocephalic and atraumatic. Wilms Tumor.

ED 161

ED OR 161

ALiEM

NOVEMBER 18, 2024

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. He also endorsed left-sided facial weakness and diplopia for the last eight days. 2020;68:71-89.

Emergency Department 161

Emergency Department ALS OR ED 161

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 Click to enlarge. Click to enlarge. Warranted Concerns? Ann Emerg Med.

Emergency Department 52

Emergency Department ALS ED OR 52

REBEL EM

NOVEMBER 20, 2023

Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage: The UK-REBOA Randomized Clinical Trial [published online ahead of print, 2023 Oct 12]. 2023;e2320850. Early expeditious definitive hemorrhage control is a major focus in trauma resuscitation.

OR 91

OR Emergency Medical Technician CPR Emergency Medical Services 91