Don't Forget the Bubbles

NOVEMBER 11, 2024

A 2024 consensus guideline on TBI management in adults recommends therapeutic hypothermia for the management of raised ICP when other treatments have failed to control ICP. Kochanek et al. explored the evidence in a 2019 systematic review, which forms part of the Brain Trauma Foundation Guidelines, as did Utsumi et al.

ALS 117

ALS Life Support Critical Care OR 117

The Skeptics' Guide to EM

OCTOBER 19, 2024

Date: October 7, 2024 Reference: Nguyen et al. Annals of EM 2024. Reference: Nguyen et al. Annals of EM 2024. Guest Skeptic: Dr. Brendan Freeman is an emergency medicine physician, assistant professor of emergency medicine, and medical education fellow at Staten Island University Hospital. mg/kg nebulized or 0.3

OR 248

OR Emergency Department ED ALS 248

The Skeptics' Guide to EM

FEBRUARY 11, 2024

Reference: McLatchie et al and DAShED investigators. Date: February 11, 2024 Guest Skeptic: Nirdosh Ashok Kumar, Emergency Medicine Specialist – Aga Khan University Hospital, Karachi, Pakistan. […] The post SGEM#430: De Do Do Do, De Dash, Dash DAShED – Diagnosing Acute Aortic Syndrome in the ED. EMJ Nov 2023. EMJ Nov 2023.

ED 327

ED Emergency Department ALS OR 327

The Skeptics' Guide to EM

JULY 6, 2024

Reference: Tjan et al. AEM June 2024 Date: July 5, 2024 Guest Skeptic: Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. Reference: Tjan et al. Conflict in emergency medicine: A systematic review.

ED 240

ED ALS Emergency Department OR 240

The Skeptics' Guide to EM

SEPTEMBER 21, 2024

Date: September 18, 2024 Reference: Dillon et al. August 20, 2024 Guest Skeptic: Dr. Chris Root is an emergency medicine and emergency medicine service (EMS) physician at the University of New Mexico, Albuquerque. Reference: Dillon et al. Naloxone and Patient Outcomes in Out-of-Hospital Cardiac Arrests in California.

Naloxone 260

Naloxone NARCAN Overdose CPR 260

The Skeptics' Guide to EM

JANUARY 13, 2024

Reference: Snyder BD, Van Dyke MR, Walker RG, et al. Reference: Snyder BD, Van Dyke MR, Walker RG, et al. Date: January 11, 2024 Guest Skeptic: Dr. Chris Root is an EMS fellow in the Department of Emergency Medicine at the University of New Mexico Health Sciences Center in Albuquerque, NM. Resuscitation 2023.

CPR 273

CPR Defibrillator First Responder Epinephrine 273

Broome Docs

OCTOBER 6, 2024

Turgeon AF, Fergusson DA, Clayton L,et al. 2024 Jun 13. 2024 May 28;41(6):342-349. PMID: 38238065 Oral vs IV ABs… another negative trial Nielsen AB, Holm M, Lindhard MS, et al. 2024 Jul 15:S2352-4642(24)00133-0. Emergency Medicine Journal Published Online First: 12 September 2024. 2024; 57:101371-.

Critical Care 102

Critical Care ALS Emergency Department EMS 102

EMOttawa

JANUARY 27, 2025

Methodology 3/5 Usefulness 3/5 Connolly SJ, et al. 2024 May 16;390(19):1745-1755. N Engl J Med. Editorial: Reversing Oral Anticoagulation in Intracerebral Hemorrhage.

ALS 96

ALS 96

ACEP Now

JANUARY 5, 2025

References Grasl S, Mekhail P, Janik S, et al. Dharmawardana N, Chandran D, Elias A, et al. Ker K, Edwards P, Perel P, et al. Arora R, Saraiya S, Niu X, et al. Accessed November 25, 2024. Dermendjieva M, Gopalsami, A, Glennon N, et al. Accessed October 31, 2024. Andreae MC, Cox RD, Shy BD, et al.

Operating Room 98

Operating Room Epinephrine ALS ED 98

The Skeptics' Guide to EM

DECEMBER 14, 2024

Reference: Sanchez-Pinto, L.N., Development and Validation of the Phoenix Criteria for Pediatric Sepsis and Septic Shock. Guest Skeptic: Prof. Damian Roland is a Consultant at the University of Leicester NHS Trust and Honorary Professor for the University of Leicesters SAPPHIRE group. Reference: Sanchez-Pinto, L.N.,

ALS 259

ALS Emergency Department ED OR 259

The Skeptics' Guide to EM

APRIL 20, 2024

AEM April 2024 Date: April 19, 2024 Guest Skeptic: Dr. Suchismita Datta. AEM April 2024 Date: April 19, 2024 Guest Skeptic: Dr. Suchismita Datta. A clinical decision tool called the STUMBL score was derived and validated by Battle et al in 2014 [3]. These risks are particularly higher in the elderly [2].

Emergency Department 215

Emergency Department Overdose ALS ED 215

The Skeptics' Guide to EM

SEPTEMBER 28, 2024

Date: September 23, 2024 Reference: Essat et al. Annals of Emergency Medicine, May 2024 Guest Skeptic: Dr. Casey Parker is a Rural Generalist from Australia who is also an ultrasounder. Reference: Essat et al. Diagnostic Accuracy of D-Dimer for Acute Aortic Syndromes: Systematic Review and Meta-Analysis.

Emergency Department 234

Emergency Department ACS Coronary ALS 234

EMOttawa

MARCH 10, 2025

5 Gibbs KW, et al. 2024 Jun 20;390(23):2165-2177. Methodology: 4/5 Usefulness: 3.5/5 N Engl J Med.

ALS 80

ALS Critical Care 80

The Skeptics' Guide to EM

JULY 27, 2024

Reference: Knack et al. A similar review by Sanders et al 2015 concludes that clinica. Early Physician Gestalt Versus Usual Screening Tools for the Prediction of Sepsis in Critically Ill Emergency Patients. In those that did compare to clinical judgement, physician judgement was superior in 29% and equivalent or mixed in 46%.

ICU 246

ICU ALS Ambulance OR 246

REBEL EM

NOVEMBER 6, 2024

Treasure Island (FL): StatPearls Publishing; 2024 Jan–. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. J Am Acad Orthop Surg. 2022 Aug 2.

E-9-1-1 107

E-9-1-1 ACS OR Emergency Department 107

The Skeptics' Guide to EM

JUNE 1, 2024

Reference: Tavender E, et al. 2024 Date: May 29, 2024 Guest Skeptic: Dr. Caleb Ward is a pediatric emergency medicine attending and Associate Professor of Pediatrics and Emergency Medicine at Children’s National Hospital and The George Washington School of Medicine and Health Sciences in Washington, DC.

Emergency Medical Services 219

Emergency Medical Services Emergency Department EMS ALS 219

ACEP Now

DECEMBER 17, 2024

link] Published October 5, 2024. Accessed December 7, 2024. Accessed December 9, 2024. link] Published April 15, 2024. Accessed 9 December 2024. link] Published August 28, 2024. Accessed December 7, 2024. Ahmed AM, Kadakia K, Ahmed A, et al. Accessed December 7, 2024. Adelman LC.

E-9-1-1 105

E-9-1-1 Emergency Department ALS OR 105

Broome Docs

DECEMBER 22, 2024

2024 Oct 9. 2024 Oct 31:10.1056/NEJMoa2407780. 2024 Oct 31. 2024 Nov 3;196(37):E1266. 2024 Nov 1. 2024 Oct;67(4):e346-e350. 2024 Oct;67(4):e346-e350. Epub 2024 May 16. Restrictive vs Liberal Transfusion Strategy in Patients With Acute Brain Injury: The TRAIN Randomized Clinical Trial.

E-9-1-1 52

E-9-1-1 ACS Paramedic Emergency Department 52

Broome Docs

SEPTEMBER 3, 2024

2024 Mar 25:S0196-0644(24)00099-4. 2024 Jun;26(6):381-385. Epub 2024 Apr 9. 2024 Jul;81:75-81. Epub 2024 Apr 23. 2024 Mar;27(1):26-29. 2024 Apr;165(4):847-857. Cook D, Deane A, Lauzier F, et al. 2024 Jul 4;391(1):9-20. Epub 2024 Jun 14. Burton C, Mooney C, Sutton L, et al.

E-9-1-1 95

E-9-1-1 Emergency Department ICU ALS 95

The Skeptics' Guide to EM

AUGUST 10, 2024

Date: July 29, 2024 Reference: Connolly SJ et al (ANNEXA-I investigators) Andexanet for Factor Xa Inhibitor–Associated Acute Intracerebral Hemorrhage. NEJM May 2024 Guest Skeptic: Dr. Vasisht Srinivasan is an Emergency Medicine physician and neurointensivist at the University of Washington and Harborview Medical Center in Seattle, WA.

Emergency Medical Services 224

Emergency Medical Services ALS Emergency Department ED 224

The Skeptics' Guide to EM

MAY 25, 2024

Reference: Borgundvaag et al. AEM May 2024 Date: May 22, 2024 Dr. Bjug Borgundvaag Guest Skeptic: Dr. Bjug Borgundvaag is the Founding Director of the Schwartz/Reisman Emergency Medicine Institute (SREMI), at Sinai Health System.

ED 252

ED Emergency Department ICU ALS 252

First 10 EM

OCTOBER 14, 2024

Turgeon AF, Fergusson DA, Clayton L,et al. Liberal or Restrictive […] The post The October 2024 Research Roundup appeared first on First10EM. The BroomeDocs podcast version can be found here: [link] Clinically but not statistically significant: what do you do?

ALS 84

ALS OR EMS 84

The Skeptics' Guide to EM

JUNE 15, 2024

Reference: Jansen et al. 2023 Date: June 10, 2024 Guest Skeptic: Dr. Rob Leeper is an intensivist, trauma surgeon, and general surgeon at Western University where he also serves as the director of the Royal College Surgical Foundations program.

Life Support 297

Life Support Emergency Department ALS 297

Broome Docs

MARCH 28, 2024

2024 Jan 22;41(2):96-102. Great evidence for button battery ingestions (if you are treating a dead pig) Chiew AL, Lin CS, Nguyen DT, Sinclair FAW, Chan BS, Solinas A. 2024 Jan 2;53(1):afad255. 2024 Jan 29:jme-2023-109651. Emerg Med J. doi: 10.1136/emermed-2023-213285. Ann Emerg Med. 2023 Sep 19:S0196-0644(23)00671-6.

E-9-1-1 96

E-9-1-1 ICU Emergency Department ALS 96

ACEP Now

JANUARY 5, 2025

References Gibbs KW, Semler MW, Driver BE, et al. Luo Z, Li Y, Li W, et al. 2024:e2415815. Knack SKS, Scott N, Driver BE, et al. Escobar GJ, Liu VX, Schuler A, et al. Gallo RJ, Shieh L, Smith M, et al. Edelson DP, Churpek MM, Carey KA, et al. Taccone FS, Bittencourt CR, Mller K, et al.

ALS 40

ALS E-9-1-1 ED Emergency Department 40

Core EM

JANUARY 25, 2024

References: Yuan TH, Kerns WP, Tomaszewski CA, et al. von Lewinski D, Bruns S, Walther S, et al. Cole JB, Corcoran JN, Engebretsen KM, et al. Holger JS, Engebretsen KM, Fritzlar SJ, et al. Kerns W, Schroeder D, Williams C, et al. Kline JA, Tomaszewski CA, Schroeder JD, et al. 2007;33(11):2019-2024.

Overdose 246

Overdose Epinephrine ALS ICU 246

ALiEM

JANUARY 5, 2024

What does the Electronic Residency Application Service (ERAS) preliminary data show just far for the 2024 residency application season? Aaron Kraut (University of Wisconsin PD) in this insightful, rapid-fire, practical episode through the lens of experienced residency program directors. Has the program signaling option been working?

EMS 177

EMS ALS OR 177

This Podcast Will Kill You

FEBRUARY 11, 2025

Thomas, Frdric, et al. A molecular phylogenetic framework for the evolution of parasitic strategies in cymothoid isopods (Crustacea). Journal of Zoological Systematics and Evolutionary Research, 46(1), pp.19-23. Carlson, Colin J., “Parasite biodiversity faces extinction and redistribution in a changing climate.” 2017): e1602422.

E-9-1-1 97

E-9-1-1 ALS OR 97

Pediatric EM Morsels

APRIL 19, 2024

Davidson JS, Brown DJ, Barnes SN, et al. West S, Andrews J, Bebbington A, et al. Symons S, Rowsell M, Bhowal B, et al. One Brace: One Visit: Treatment of Pediatric Distal Radius Buckle Fractures With a Removable Wrist Brace and No Follow-up Visit. J Pediatr Orthop. 2018;Volume 00(00):DOI:10.1097/BPO.0000000000001169. Pediatrics.

ALS 290

ALS ACS Emergency Department ED 290

Broome Docs

FEBRUARY 22, 2024

Welcome to the first episode for 2024 – and we have a range of papers covering the big life threatening issues to the tiniest pinky finger injuries and a lot in between. Should anybody be doing REBOA in 2024? Carson JL, Brooks MM, Hébert PC, et al; MINT Investigators. 2024 Feb 6:S0196-0644(24)00004-0. N Engl J Med.

Emergency Department 89

Emergency Department ALS OR ED 89

EMDocs

JANUARY 11, 2025

Case study, Radiopaedia.org (Accessed on 23 Nov 2024) [link] Bae, E., Ahmad H, Jannat H, Khan U, et al. Diseases of the Colon & Rectum 67(5):p 609-612, May 2024. | Al-Maharmeh, Q., Al Qazakzeh, A., & Anwar, A. Irving, Tx, Emergency Medicine Residents Association, 2024, p. Tran, J., & Shah, K.

E-9-1-1 97

E-9-1-1 EMS Emergency Department ALS 97

Broome Docs

JANUARY 27, 2025

2024 Nov 22;17(1):177. 2024 Nov 18:e245981. 2024 Oct 26;404(10463):1645-1656. 2024 Jun;23(6):577-587. Epub 2024 Apr 20. 2024 Oct 9. 100% seems too good to be true Morello et al., 2024 Dec 9. Garcia SI, Jacobson A, Moore GP, Frank J, Gifford W, Johnson S, Lazaro-Paulina D, Mullan A, Finch AS.

ED 101

ED OR ACS Critical Care 101

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 171

ALS Emergency Department ED OR 171

Pediatric EM Morsels

JULY 5, 2024

Baumann F, Ernstberger T, Neumann C, et al. Leonard JC, Harding M, Cook LJ, et al. 2024; Published online June 4, 2024. Leonard JC, Kuppermann N, Olsen C, et al. 2014;133(5) Mathews JD, Forsythe AV, Brady Z, et al. Nigrovic LE, Rogers AJ, Adelgais KM, et al. Slaar A, Fockens MM, Wang J, et al.

ALS 164

ALS OR ED Emergency Department 164

The Skeptics' Guide to EM

AUGUST 24, 2024

Date: August 19, 2024 Reference: Partyka et al. JAMA Surg 2024 Guest Skeptic: Dr. Sean Baldwin is an Emergency Physician practising in Sydney, Australia in both a large tertiary emergency department and a small regional emergency department. Reference: Partyka et al.

Emergency Department 134

Emergency Department ALS OR ED 134

Dr. Smith's ECG Blog

JANUARY 2, 2025

Bogossian et al. (1) Bogossian H, Frommeyer G, Ninios I, Hasan F, Nguyen QS, Karosiene Z, Mijic D, Kloppe A, Suleiman H, Bandorski D, et al. For more on Torsades de Pointes vs PMVT See My Comment in the October 18, 2023 post and the September 2, 2024 post in Dr. Smith's ECG Blog ). Heart Rhythm [Internet]. 2014;11:22732277.

Coronary 116

Coronary OR Defibrillator ALS 116

The Skeptics' Guide to EM

SEPTEMBER 14, 2024

Date: September 12, 2024 Reference: Anderson et al. AEM August 2024. A pivotal study by Raja et al. Koo et al showed that offering amoxicillin oral challenges to ICU patients with low-risk penicillin allergies. Full dose challenge of moderate, severe and unknown beta-lactam allergies in the emergency department.

ICU 141

ICU Emergency Department ALS ED 141