Don't Forget the Bubbles

JANUARY 1, 2024

Musolino AM, et al. Chidini G, et al. Pawlowski TW, et al. Weiss SL, et al. Hua LL, et al. Delany C, et al. Kuehn LM, et al. Woods CR, et al. Montini G, et al. Redline S, et al. Hazkani I, et al. Yildirim I, et al. Hennefield L, et al. Lock JD, et al.

ALS 98

ALS OR ED 98

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 103

Emergency Department ALS OR ED 103

The Skeptics' Guide to EM

NOVEMBER 2, 2024

Date: October 29, 2024 Reference: Galili et al. AEM Oct 2024. Reference: Galili et al. AEM Oct 2024. Low dose ketamine as an adjunct to morphine: a randomized controlled trial among patients with and without current opioid use.

Emergency Department 244

Emergency Department ED ALS EMS 244

The Skeptics' Guide to EM

OCTOBER 5, 2024

Date: October 2, 2024 Reference: Paxton et al. AEM Sept 2024 Guest Skeptic: Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the UMass Chan Medical School – Baystate. Reference: Paxton et al.

Emergency Medical Services 262

Emergency Medical Services ALS EMS Paramedic 262

Don't Forget the Bubbles

FEBRUARY 5, 2024

2024 Jan 8. 2024 Jan 1;43(1):e11-e13. Anagnostou A, et al. 2024 Jan 12:archdischild-2023-326225. Rodgers O, et al. 2024 Jan 23:archdischild-2023-325984. Schoeffl I, et al. 2024 Jan 9. Garfinkle J, et al. 2024 Jan 8:e2023063654. 2024 Jan 8:e2023063801. Peprah P, et al.

E-9-1-1 52

E-9-1-1 ALS ED Emergency Department 52

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-9-1-1 107

E-9-1-1 ICU Emergency Department ALS 107

The Skeptics' Guide to EM

OCTOBER 12, 2024

Reference: Ma K et al. June 2024 Date: Oct 1, 2024 Guest Skeptic: Dr. Andrew (Andy) Tagg is an Emergency Physician with a special interest in education and lifelong learning. Reference: Ma K et al. A national survey of children’s experiences and needs when attending Canadian pediatric emergency departments.

Emergency Department 229

Emergency Department ED ALS OR 229

The Skeptics' Guide to EM

APRIL 13, 2024

Reference: Albers GW et al. NEJM Feb 2024 Date: April 12, 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. Reference: Albers GW et al. TIMELESS Investigators. Tenecteplase for Stroke at 4.5

Emergency Department 287

Emergency Department ALS OR EMS 287

The Skeptics' Guide to EM

NOVEMBER 16, 2024

Date: October 28, 2024 Reference: Verma et al. CMAJ September 2024 Guest Skeptic: Michael Page is currently the Director of Artificial Intelligence (AI) Commercialization at Unity Health Toronto. Reference: Verma et al. Clinical evaluation of a machine learning–based early warning system for patient deterioration.

ICU 142

ICU Emergency Department ALS EMS 142

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 193

OR Emergency Department ED ALS 193

Pediatric EM Morsels

NOVEMBER 15, 2024

Available at: [link] (Accessed: 14 November 2024). Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Tsai ML, Wang CC, Wang AY, et al. 2024.03.015 Steinruecke M, Gillespie C, Ahmed N, et al. References : Hernandez, A., Holmes, G.L. and Fisher, R. Edited by E. Amrutkar CV, Riel-Romero RM. Rolandic Epilepsy Seizure.

ALS 152

ALS OR EMS 152

The Skeptics' Guide to EM

MARCH 2, 2024

Reference: Gibbons et al. AEM February 2024. Date: February 28, 2024 Guest Skeptic: Dr. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY. Reference: Gibbons et al. AEM February 2024.

Operating Room 301

Operating Room Emergency Department ALS ED 301

The Skeptics' Guide to EM

JULY 20, 2024

Reference: Gibbs et al. NEJM June 2024. Date: July 17, 2024 Guest Skeptic: Dr. Aine Yore is an Emergency Physician, practicing in the Seattle, Washington area for over twenty years. Reference: Gibbs et al. NEJM June 2024. Noninvasive Ventilation for Preoxygenation during Emergency Intubation (The PREOXI trial).

ALS 227

ALS Emergency Department ED OR 227

Don't Forget the Bubbles

NOVEMBER 6, 2024

Catassi G, et al. 2024 Dec;183(12):5085-5101. Marciano L, et al. 2024 Oct 1;154(4):e2024066142 A Review of Hyperventilation Activation in Diagnosis and Management of Childhood Absence Epilepsy. Rao CK, et al. 2024 Oct;39(11-12):425-432. Hale L, et al. 2024 Oct 1;178(10):963-964 2.Original

ALS 59

ALS ED OR EMS 59

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 242

Naloxone NARCAN Overdose CPR 242

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 201

Emergency Department ACS Coronary ALS 201

The Skeptics' Guide to EM

APRIL 27, 2024

Reference: Tanner et al, A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation. February 2024. Reference: Tanner et al, A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation.

ICU 189

ICU Defibrillator CPR Paramedic 189

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 207

Emergency Department Overdose ALS ED 207

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 203

ED ALS Emergency Department OR 203

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 210

Emergency Medical Services Emergency Department EMS ALS 210

The Bottom Line

NOVEMBER 22, 2024

Long-term effects of flexible visitation in the intensive care unit on family members’ mental health: 12-month results from a randomized clinical trial JMB de Souza et al. Intensive Care Med (2024); 50:1614–1621.

ICU 65

ICU ALS 65

Pediatric EM Morsels

JUNE 21, 2024

Liu 2024] A silver-based dressing has been shown to have longer healing times as compared to antibiotic ointment when compared head-to-head. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: [link] Liu H, Li D, Yuan H, et al. 2024; 40 (5): 390-394. Updated 2023 May 29]. In: StatPearls [Internet].

ALS 169

ALS OR EMS 169

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 129

Emergency Department ALS OR ED 129

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

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 176

Emergency Medical Services ALS Emergency Department ED 176

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 303

ED Emergency Department ALS OR 303

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 223

CPR Defibrillator First Responder Epinephrine 223

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 136

ICU Emergency Department ALS ED 136

EMOttawa

OCTOBER 7, 2024

5d Gaudreau-Simard M, et al. 2024 Feb 22;16(1):15. Methodology: 2.5/5 5 Usefulness: 3.5/5d Ultrasound J. doi: 10.1186/s13089-023-00352-3. Question and Methods: The authors aimed to determine the test characteristics of point-of-care ultrasonography (POCUS) for detecting hydronephrosis in acute kidney injury.

ALS 106

ALS 106

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 187

ICU ALS Ambulance OR 187

The Skeptics' Guide to EM

NOVEMBER 9, 2024

Date: October 28, 2024 Reference: Woelfle T et al. J Clin Epi Sept 2024. Benchmarking Human–AI collaboration for common evidence appraisal tools. Guest Skeptic: Dr. Laura Walker is an Associate Professor of Emergency Medicine and the vice chair for digital emergency medicine at the Mayo Clinic.

Emergency Department 140

Emergency Department ED ALS OR 140

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 161

ALS OR ED Emergency Department 161

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 165

ALS Emergency Department OR ED 165

Pediatric EM Morsels

APRIL 5, 2024

CDC 2024) Generally, most ticks require >24 hours of attachment for there to be a risk of transfer of the infectious agent. Other Rickettsial Disease of concern from non-tick vectors (CDC Yellow Book 2024) Murine Typhus Causative Agent: Rickettsia typhi and the principal vector is the Asiatic rat flea. John H, Jian J, RIchards AL.

E-9-1-1 161

E-9-1-1 ALS OR EMS 161

EMDocs

OCTOBER 25, 2024

2024 Aug;81(8):e94-e106. Epub 2024 May 28. 2024 Sep 3;7(9):e2431673. Source The Management of Elevated Blood Pressure in the Acute Care Setting: A Scientific Statement From the American Heart Association. Hypertension. doi: 10.1161/HYP.0000000000000238. 0000000000000238. PMID: 38804130. #2: West J Emerg Med. JAMA Netw Open.

Defibrillator 68

Defibrillator Emergency Department ALS OR 68

EMOttawa

MAY 13, 2024

Methodology: 4/5 Usefulness: 3/5 von Hellmann R, et al. 2024 Feb;83(2):132-144. Ann Emerg Med. Question and Methods: Systematic review of 18 studies (12 RCT) of adult patients comparing bougie use vs standard of care in tracheal intubations to evaluate first-attempt success.

ALS 108

ALS ED 108

ACEP Now

AUGUST 13, 2024

Accessed July 15, 2024. Accessed July 15, 2024. Accessed July 15, 2024. McGregor B, Belton A, Henry TL, et al. Published March 25, 2024. Accessed July 15, 2024. Accessed July 15, 2024. Nguyen, A, Siman, N, Barry, M, Cleland, C, et al. Published March 22, 2024. Accessed July 15, 2024.

ALS 111

ALS Emergency Department OR ED 111