Don't Forget the Bubbles

MAY 8, 2024

Dell KM, et al. 2024 Apr 27. Eisen S et al. 2024 Apr 16:archdischild-2024-326876. Fielder AR, et al. Arch Dis Child Fetal Neonatal Ed. 2024 Apr 11 Why all newborn hip screening programs have same results-a mini review. Arch Dis Child Fetal Neonatal Ed. Bm MV, et al. 2024 Apr 9.

E-9-1-1 69

E-9-1-1 ALS Emergency Department Epinephrine 69

The Skeptics' Guide to EM

OCTOBER 19, 2024

Date: October 7, 2024 Reference: Nguyen et al. Annals of EM 2024. Case: You’re working your usual day shift in the emergency department (ED) from 9 am to 5 pm on a Tuesday. In recent years, ketamine has gained popularity in the ED, particularly for treating acute pain. Reference: Nguyen et al.

OR 193

OR Emergency Department ED ALS 193

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

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. Background: We have discussed agitation in the ED on the SGEM several times. Reference: Tjan et al.

ED 203

ED ALS Emergency Department OR 203

Don't Forget the Bubbles

AUGUST 4, 2024

Brewster RCL, et al. 2024 Jul 9:e2023064794. 2024 Jul 8. 2024 Jul 21. 2024 Jul 22;29(4):255-269. 2024 Jul 29. Strunk T, et al. 2024 Jul 20;404(10449):277-293. 2024 Jul 20;404(10449):277-293. 2024 Jul 11. Pinon A, et al. 2024 Jul 11. Vassilopoulou E, et al.

E-9-1-1 52

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

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. It is described as a ripping sensation that radiates to his back.

Operating Room 301

Operating Room Emergency Department ALS ED 301

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 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

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

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

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

Dr. Smith's ECG Blog

OCTOBER 27, 2024

The cath lab was deactivated by cardiologist on arrival at ED because it was "not a STEMI". He presented to the ED for evaluation chest pain. It was in his central and left chest, radiated to his left arm, and he experienced some cold sweats and nausea prompting him to call 911 and he was brought to ED via ambulance. Lupu et al.

STEMI 116

STEMI ED Coronary EMS 116

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

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. Case: A 70-year-old man presents to the emergency department (ED) with an exacerbation of COPD. Reference: Gibbs et al.

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

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

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

SEPTEMBER 14, 2024

Date: September 12, 2024 Reference: Anderson et al. AEM August 2024. Case: It’s another day, another dollar in the emergency department (ED). You wonder if she could have an allergy challenge dose of ceftriaxone in the ED. A pivotal study by Raja et al.

ICU 136

ICU Emergency Department ALS ED 136

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. Case: You are doing great things and helping many patients during your shift in the emergency department (ED) when you hear a trauma alert being called overheard.

Emergency Department 207

Emergency Department Overdose ALS ED 207

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

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

NOVEMBER 9, 2024

Date: October 28, 2024 Reference: Woelfle T et al. J Clin Epi Sept 2024. In addition to finding ways to use technology in emergency department (ED) care, she is interested in how health systems work and how patients move through the healthcare system. It has recently been boosted by adding Dr.

Emergency Department 140

Emergency Department ED ALS OR 140

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

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. 2024 Jul 29;8(1):e002737.

ED 75

ED Emergency Department OR ALS 75

The Skeptics' Guide to EM

JULY 27, 2024

Reference: Knack et al. They were randomized to ceftriaxone 2gm intravenous (IV) in the ambulance or usual cares (fluids and supplementary oxygen) until arrive to the ED. A similar review by Sanders et al 2015 concludes that clinica. A randomized control trial (RCT) done in the prehospital setting enrolled 2,698 patients.

ICU 187

ICU ALS Ambulance OR 187

Pediatric EM Morsels

JULY 5, 2024

Using this decision rule would have cut down on ED CT C-spine ordering by >50% in this derivation cohort. I am hopeful it will also improve the flow in the ED.” While plain films for C-spine injury had previously fallen out of routine ED practice, we now have more evidence to support their use in intermediate risk patients.

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

Don't Forget the Bubbles

JULY 22, 2024

Pre-school wheezers remain a poorly understood cohort of children despite seeing them every day in paediatric EDs. However, there was no difference in LOS (83 minutes for placebo vs 79 minutes for prednisolone) in participants who were discharged straight from the ED ( 32% ). Compare this with the Panickar et al.

E-9-1-1 105

E-9-1-1 ALS ACS ED 105

Pediatric EM Morsels

APRIL 19, 2024

Trauma season is at hand and like all other pediatric emergency departments in the country, we find our ED breaking ( pun intended ) at the seams with orthopedic injuries. Davidson JS, Brown DJ, Barnes SN, et al. West S, Andrews J, Bebbington A, et al. Symons S, Rowsell M, Bhowal B, et al. J Pediatr Orthop. Pediatrics.

ALS 286

ALS ACS Emergency Department ED 286

Don't Forget the Bubbles

SEPTEMBER 30, 2024

In the UK, as in most developed countries, more patients are presenting to Emergency Departments (EDs) with minor illnesses or injuries. Simpson et al. Patients who Did Not Wait are a feature of most EDs worldwide. A 2011-2012 Australian study by Blake et al. of those children later returned to the ED.

Emergency Department 89

Emergency Department ALS ED OR 89

ALiEM

NOVEMBER 18, 2024

In: Mattu A and Swadron S, ed. Accessed January 11, 2024. Munawar K, Nayak G, Fatterpekar GM, et al. References Anderson Erik, Do-Nguyen Amy. Varicella-Zoster Virus (VZV). CorePendium. Burbank, CA: CorePendium, LLC. link] corependium/chapter/recV6PonFTQbz5R9c/Varicella-Zoster-Virus-VZV#h.q140vny9bkbo. Updated August 16, 2023.

Emergency Department 161

Emergency Department ALS OR ED 161

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. Inside Higher Ed. Published March 22, 2024.

ALS 111

ALS Emergency Department OR ED 111

ACEP Now

JULY 11, 2024

The United States Preventive Services Task Force (USPSTF) recommends screening for problem drinking in the primary setting, but we know that patients who present to the ED are twice as likely to engage in dangerous drinking, so arguably the ED is an important venue for screening as well. link] Published 2024. 2020:8;279.

Emergency Department 98

Emergency Department ALS ED OR 98

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

The Skeptics' Guide to EM

MAY 11, 2024

Reference: Jain A, et al. March 2023 Date: May 7, 2024 Guest Skeptic: Dr. Brian Lee is a pediatric emergency medicine attending at the Children’s Hospital of Philadelphia and Assistant Professor of Pediatrics at the Perelman School of Medicine at the University of Pennsylvania. Reference: Jain A, et al.

ALS 154

ALS Emergency Department OR ED 154

Dr. Smith's ECG Blog

SEPTEMBER 18, 2024

male presents to the ED at 6:45 AM with left sided chest dull pressure that woke him up from sleep at 3am. He arrived to the ED at around 6:45am, and stated the pain has persisted. Here is his ED ECG at triage: Obvious high lateral OMI that does not quite meet STEMI criteria. The pain radiated to both shoulders.

Coronary 115

Coronary ACS OR EMR 115

FOAMfrat

NOVEMBER 21, 2024

upon ED arrival incur mortality rates of up to 3-5x that of patients without coagulopathy. One study out of Taiwan observed mortality rates of 100% when patients met all three trauma triad criteria and had a systolic blood pressure <60mmHg upon arrival to the ED. Jessica Dawkins Mills BSN, et al. normal value is between 0.8

ICU 111

ICU Emergency Department OR Ambulance 111