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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. CMAJ September 2024 Population: Patients admitted to the General Internal Medicine (GIM) unit of an academic medical center
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. to 29.1%, and ED mortality at 14.9%. [21] EMJ Nov 2023. EMJ Nov 2023.
Let’s consider Inborn Errors of Metabolism Presenting in the ED : Inborn Errors of Metabolism: Basics Common Presentations, Uncommon Kiddos For the child with lethargy, vomiting, acidosis, hypoglycemia , organomegaly, or cardiopulmonary arrest remember to consider Inborn Errors of Metabolism (IEM) on your DDx. Samantha A.
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. Case 1: A patient presents to the ED with nausea, vomiting and some abdominal pain complaining of alcohol withdrawal.
Symptoms started approximately seven hours prior to arrival and progressive, severe pain eventually prompted her visit to the ED. This happened once 10 years ago, requiring reduction in the ED. Available at: [link] (Accessed: 04 January 2024). Available at: [link] (Accessed: 04 January 2024). References Kelly, E.W.
For example a pt in the ED with sepsis, and a collapsible IVC, dry lungs and no peripheral edema is more likely to benefit from fluid than be harmed Take that same pt, with the same US and physical exam findings and make it 72-hrs later in the ICU after 6-10 L. For this we use clinical judgement, US findings, PE findings.
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. When she arrives in your ED, her family tells you she was last seen normal about 12 hours ago. Reference: Albers GW 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. AEM February 2024. Date: February 28, 2024 Guest Skeptic: Dr. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY.
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. Reference: Tjan et al.
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. Annals of EM 2024. mg/kg, 1 mg/kg, and 1.5
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. NEJM June 2024. Reference: Gibbs et al. Reference: Gibbs et al.
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. The protocol used the ADD score, a POCUS echo protocol and D-dimer to try and exclude AAS in the ED. Airway, breathing, cellphone: a new vital sign? Int J Emerg Med.
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. Diagnostic Accuracy of D-Dimer for Acute Aortic Syndromes: Systematic Review and Meta-Analysis. Reference: Essat et al.
A 52-year-old male with a history of essential hypertension presents to your South Texas ED for his second visit this week complaining of indolent fever, shortness of breath, pleuritic chest pain, and a rash on his trunk and extremities. Accessed August 19, 2024. Accessed August 19, 2024. Accessed August 19, 2024.
A 10-year-old boy presents to the emergency department (ED) after a high-speed motor vehicle collision. The study enrolled 22,430 children, aged 0–17 years, presenting with blunt trauma across 18 PECARN-affiliated ED in the US. Case Scenario: What would you do? He complains of neck pain and is reluctant to move his head.
February 2024. Date: April 25, 2024 Guest Skeptic: Missy Carter is a PA working in an ICU in the Tacoma area and an adjunct faculty member with the Tacoma Community College paramedic program. February 2024. When emergency department (ED) staff roll her to remove her clothing her humeral intraosseous (IO) is dislodged.
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.
2024 Mar 25:S0196-0644(24)00099-4. 2024 Jun;26(6):381-385. Epub 2024 Apr 9. PMID: 38592662 Bottom line: Would you be happy if you kid follow-ed your footsteps into emergency medicine? 2024 Jul;81:75-81. Epub 2024 Apr 23. 2024 Mar;27(1):26-29. 2024 Apr;165(4):847-857. 2024 Jul 4;391(1):9-20.
2024 Jun 13. 2024 May 28;41(6):342-349. 2024 Jul 15:S2352-4642(24)00133-0. Emergency Medicine Journal Published Online First: 12 September 2024. doi: 10.1136/emermed-2024-214068 MagA: Making Airways Great Again? 2024; 57:101371-. Too much ‘aint enough blood? Turgeon AF, Fergusson DA, Clayton L,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. Reference: Tavender E, et al. Cochrane Database Syst Rev.
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. Naloxone and Patient Outcomes in Out-of-Hospital Cardiac Arrests in California. JAMA Network Open.
A young woman, 13 days post-tonsillectomy, comes into your rural emergency department (ED) coughing up blood. Managing post-tonsillectomy hemorrhage in the ED can be challenging, especially in rural or resource-limited settings. Accessed November 25, 2024. Hemoptysis ED approach and management. Accessed October 31, 2024.
Now, let’s discuss another complication of “The Great Mimicker” which may throw us for a loop in the ED – Pseudoparalysis of Parrot : Pseudoparalysis of Parrot – Basics First described by Jules Marie Parrot in 1871. Cited in: Journals@Ovid Full Text at [link] Accessed January 19, 2024. Accessed January 16, 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.
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.
Dr. Damian Roland Case: A 3-year-old boy arrives at the emergency department (ED) with a high fever, rapid breathing, and lethargy. Reference: Sanchez-Pinto, L.N., Development and Validation of the Phoenix Criteria for Pediatric Sepsis and Septic Shock. Guest Skeptic: Prof. Damian is also part of theDont Forget the Bubbles Team.
2024 has been a transformative year for ESO, marked by groundbreaking product advancements, achievements by the incredible customers we serve, and impactful data and research initiatives. Our mission to improve health and safety through the power of data has guided everything we do to support first responders and healthcare providers.
On arrival to ED her vital signs are as follows: BP 80/50 RR 22 Sat… The following ECG is from a 30-year-old female who presents with acute severe chest pain and collapse. She is 5 days post-partum.
January Recap With four trade shows — NAEMSP, Florida Fire Conference, Arrowhead EMS Conference, and the MHCA Statewide Symposium — under our belts, January 2024 was our busiest January since 2019! Pictured: Brandon Means, Kate Leatherby, and Tim Hakamaki set up the booth at NAEMSP. Download the case study here.
Ann Emerg Med 2024 Date: July 25, 2024 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called www.First10EM.com Case: Your hospital is running Morbidity and Mortality (M&M) rounds after a few recent cases in which the diagnosis of sepsis was identified late, and antibiotics were delayed.
Welcome to the June edition of the Journal Club for 2024. Do we need to intubate French drunkards in ED? 2024 Apr 1:e240167. Welcome to the June edition of the Journal Club for 2024. Articles linked below and podcast available on your favourite player or YouTube over at the First10EM channel. JAMA Pediatr.
2024 Jan 22;41(2):96-102. 2024 Jan 2;53(1):afad255. 2024 Jan 29:jme-2023-109651. High dose nitro for SCAPE Siddiqua N, Mathew R, Sahu AK, Jamshed N, Bhaskararayuni J, Aggarwal P, Kumar A, Khan MA. High-dose versus low-dose intravenous nitroglycerine for sympathetic crashing acute pulmonary edema: a randomised controlled trial.
It is commonly missed during the first few ED visits. Keep a high index of suspicion for anti-NMDAr encephalitis in children and adolescents who have had multiple ED visits for new and worsening psych/behavioral concerns, seizures, and/or movement disorders over several months. Treasure Island (FL): StatPearls Publishing; 2024 Jan–.
On arrival to ED she has no chest … The following ECG is from a 60 year old lady with chest pain and dyspnoea a few hours after finishing a triathlon. At the scene she was hypothermic at 32 degrees.
HTN was the primary diagnosis in over 1 million ED visits in 2023, and rates of HTN emergencies have increased over the past 20 years. From 2006-2013, HTN emergencies occurred in approximately 2 of every 1000 adult ED visits. In the ED setting, they recommend avoiding intensifying HTN medications. 2024 Aug;81(8):e94-e106.
The PREOXI trial compared oxygen mask pre-oxygenation versus noninvasive positive-pressure ventilation (NIPPV) in patients requiring intubation in emergency departments (EDs) and intensive care units. 2 This was not an ED trial but was performed in stable patients on the inpatient wards. 2024:e2415815. Ann Emerg Med.
Effective Communication Strategies to Aid in the ED When working with neurodivergent patients, emergency physicians can use the following communication strategies to create a positive and respectful experience: Active Listening: Take the time to listen to the patient’s concerns and needs. Accessed October 17, 2024. Cleveland Clinic.
Foles, 2024 ] Early = symptoms appear within the first 2 years of life (usually within first 3 months) Late = symptoms appear after 2 years of age. Foles, 2024 ] In the US, from 2013-2018, cases increased from 362 to 1,306. Congenital Syphilis may still occur in patients presenting to your ED! From asymptomatic to stillbirth.
A 75-year-old woman who is bedridden after a stroke presents to the ED from a nursing facility with abdominal pain and constipation. Therefore, discharging the patient on lactulose (C) would not be recommended without additional treatment in the ED. Case study, Radiopaedia.org (Accessed on 23 Nov 2024) [link] Bae, E.,
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? 2024 Feb 6:S0196-0644(24)00004-0. There is something for everyone in here! Ann Emerg Med. 2024.01.004.
From April 2-5, the top fire services and EMS industry thought leaders and data analysts gathered at Wave 2024 to share what trends they’re forecasting for both fields and how they’re enacting change within their own organizations through the power of data-driven insights. It’s four days of thought leadership, networking, and learning.
If someone comes to the ED three times, then admit them. If he comes to the ED three times, I admit him. The post Tuesdays with Dr. Greg Henry: A Final Farewell (1946-2024) appeared first on ACEP Now. You can call be a bad father. Neither of which were true. ) But dont you ever call me a bad doctor; now Im offended.
Accessed February 20, 2024. February 2024. Accessed February 20, 2024. Updated February 2024. Accessed February 20, 2024. Accessed February 20, 2024. Accessed February 20, 2024. References Iverson C, ed. Zipper Removal for Skin Entrapment. CorePendium. Podcast Title. Episode Title. Publication.
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. Emergency Physicians frequently encounter ED patients with self-reported penicillin allergies.
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