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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.
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.
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.
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.
WJEM December 2023 Date: May 30, 2024 Guest Skeptic: Dr. Kay Dingwell is a rural emergency physician working in Prince County, PEI with a special interest in gender-affirming care and improving the care of trans and gender-diverse patients. You learn they are ordering hormones online as they do not have any gender-affirming primary care.
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 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
Our experience: Traditionally, ED physicians do not like ordering urine drug screens (UDS). In our study, we used COWS alone in the ED, which does utilize restlessness, anxiety, and tachycardia as part of the formula, as the sole evaluation tool for tranq dope withdrawal. Some patients require re-dosing in the ED. 2024.10.006].
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.
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.
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.
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 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.
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.
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.
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.
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.
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.
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.
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.
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.
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–.
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.
2024 Apr 27. 2024 Apr 16:archdischild-2024-326876. 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. 2024 Apr 11 Why all newborn hip screening programs have same results-a mini review. 2024 Apr 9.
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.,
They've created a new protocol that allows them to bypass the ED and take qualified patients directly to definitive care. Teams in Arkansas are finding new ways to improve outcomes for pediatric behavioral health patients.
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.
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.
After reviewing over 12 million EMS incidents that took place in 2023 , the 2024 ESO EMS Index highlights two critical areas that demand attention: Early CPR and Opioid Use Disorder (OUD). One of the biggest findings in the 2024 ESO EMS Index regarding bystander CPR rates is that they vary by background. Want to learn more?
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. Interests include information systems and digital health, research and education.
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.
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. We see all different flavors of upper extremity injuries. The minority of parents would have wanted clinic follow up (6%) and reimaging (14%).
Creation of an accurate database of emergency physicians living and working within a state, as well as a network of each states’ EM groups and ED medical directors would help chapter leaders disseminate relevant information, strengthen advocacy efforts, and plan regional solutions summits to focus on unique challenges.
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