Broome Docs

OCTOBER 6, 2024

2024 Jun 13. Emerg Med J. 2024 May 28;41(6):342-349. 2024 Jul 15:S2352-4642(24)00133-0. PMID: 39025092 Is early CT actually 100% sensitivity for SAH (Of course not) Roberts et al, Subarachnoid haemorrhage in the emergency department (SHED): a prospective, observational, multicentre cohort study.

Critical Care 112

Critical Care ALS Emergency Department EMS 112

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. CMAJ September 2024 Population: Patients admitted to the General Internal Medicine (GIM) unit of an academic medical center

ICU 154

ICU Emergency Department ALS EMS 154

Broome Docs

NOVEMBER 17, 2024

2024 Aug;201:110266. Epub 2024 Jun 9. PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study. 2024 Jul;8(7):482-490. Epub 2024 Jun 4. 2024 May-Jun;22(3):230-232. Ann Emerg Med.

Epinephrine 62

Epinephrine Emergency Department Critical Care ICU 62

The Skeptics' Guide to EM

MARCH 2, 2024

The sonographic protocol for the emergent evaluation of aortic dissections (SPEED protocol): A multicenter, prospective, observational study. 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.

Operating Room 301

Operating Room Emergency Department ALS ED 301

Don't Forget the Bubbles

OCTOBER 2, 2024

Children often spend many hours in the emergency department (ED) before being sent home or admitted. In this issue of Pediatrics , Leyenaar and colleagues reported on a trial to compare the effectiveness of direct admission to bypass their emergency departments. 2024 Sep 1;154(3):e2024066681. 2024 Sep 30.

ALS 52

ALS Emergency Department ED ACS 52

The Skeptics' Guide to EM

NOVEMBER 23, 2024

Date: November 13, 2024 Reference: Lee WH, et al. Academic Emergency Medicine. Dec 2024 Guest Skeptic: Dr. Dennis Ren is a pediatric emergency medicine physician at Children’s National Hospital in Washington, DC. Case: A 10-year-old boy presents to the community emergency department (ED) with abdominal pain.

ED 145

ED Emergency Department ALS OR 145

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. Diagnostic Accuracy of D-Dimer for Acute Aortic Syndromes: Systematic Review and Meta-Analysis. Reference: Essat et al.

Emergency Department 201

Emergency Department ACS Coronary ALS 201

The Skeptics' Guide to EM

APRIL 20, 2024

Efficacy and safety of ultrasound-guided erector spinae plane block compared to sham procedure in adult patients with rib fractures presenting to the emergency department: A randomized controlled trial. AEM April 2024 Date: April 19, 2024 Guest Skeptic: Dr. Suchismita Datta.

Emergency Department 207

Emergency Department Overdose ALS ED 207

The Skeptics' Guide to EM

JULY 6, 2024

Conflict in emergency medicine: A systematic review. 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. Conflict in emergency medicine: A systematic review.

ED 203

ED ALS Emergency Department OR 203

Don't Forget the Bubbles

MAY 8, 2024

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.

E-9-1-1 69

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

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? MRIs may be warranted in a small subset of patients, but those MRIs do not need to occur in an emergency department.

Emergency Department 103

Emergency Department ALS OR ED 103

CanadiEM

MARCH 12, 2024

Welcome back to the 2024 CJEM year! In this issue, we collaborated with the CJEM team to present “Hypotension and respiratory events related to electrical cardioversion for atrial fibrillation or atrial flutter in the emergency department” in a visual abstract format​1​.

Emergency Department 52

Emergency Department OR ED 52

The Skeptics' Guide to EM

JUNE 1, 2024

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.

Emergency Medical Services 210

Emergency Medical Services Emergency Department EMS ALS 210

ACEP Now

MAY 9, 2024

Complications of Gluteal AFT The pale, prone patient with multiple surgical drains and a constrictive faja has become a common site in the Jackson Memorial Hospital Emergency Department. Nearly half of all post-AFT patients presenting to our emergency departments required admission and six percent required ICU admission.

Emergency Department 52

Emergency Department Operating Room Critical Care ALS 52

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

ALiEM

JUNE 10, 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.

Emergency Department 317

Emergency Department ED OR 317

The Skeptics' Guide to EM

APRIL 13, 2024

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.

Emergency Department 287

Emergency Department ALS OR EMS 287

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

Broome Docs

MARCH 28, 2024

Emerg Med J. 2024 Jan 22;41(2):96-102. A non-inferiority randomized controlled trial comparing nebulized ketamine to intravenous morphine for older adults in the emergency department with acute musculoskeletal pain. 2024 Jan 2;53(1):afad255. 2024 Jan 29:jme-2023-109651. doi: 10.1136/emermed-2023-213285.

E-9-1-1 107

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

Pediatric EM Morsels

AUGUST 9, 2024

Neonates presenting to the Emergency Department often cause a lot of uncertainty. Let’s review how Congenital Syphilis may present to our Emergency Departments: Congenital Syphilis : Basics Occurs when the spirochete Treponema pallidum is transmitted from mother to fetus. Is this scalp swelling normal?

E-9-1-1 152

E-9-1-1 Plasma Emergency Department OR 152

Don't Forget the Bubbles

AUGUST 4, 2024

Several case-based variables (older age, mechanism of injury given, location of injury) were associated with diagnostic error, and these variables can be used to close specific skill gaps for clinicians in an emergency department setting to avoid further harm. 2024 Jul 9:e2023064794. 2024 Jul 8. 2024 Jul 21.

E-9-1-1 52

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

The Skeptics' Guide to EM

SEPTEMBER 14, 2024

Date: September 12, 2024 Reference: Anderson et al. Full dose challenge of moderate, severe and unknown beta-lactam allergies in the emergency department. AEM August 2024. Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. A pivotal study by Raja et al.

ICU 136

ICU Emergency Department ALS ED 136

The Skeptics' Guide to EM

NOVEMBER 9, 2024

Date: October 28, 2024 Reference: Woelfle T et al. J Clin Epi Sept 2024. Guest Skeptic: Dr. Laura Walker is an Associate Professor of Emergency Medicine and the vice chair for digital emergency medicine at the Mayo Clinic. Previously, she has been an ED medical director, quality chair, and regional hospital director.

Emergency Department 140

Emergency Department ED ALS OR 140

The Skeptics' Guide to EM

JULY 20, 2024

Noninvasive Ventilation for Preoxygenation during Emergency Intubation (The PREOXI trial). 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. NEJM June 2024. Reference: Gibbs et al. Reference: Gibbs et al.

ALS 227

ALS Emergency Department ED OR 227

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

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. examined 977,907 first-time ED presentations by children aged 0-15 across thirteen acute hospital trusts (between April 2014 and March 2017), trying to figure out how many were non-urgent.

Emergency Department 89

Emergency Department ALS ED OR 89

Don't Forget the Bubbles

FEBRUARY 5, 2024

2024 Jan 8. 2024 Jan 1;43(1):e11-e13. 2024 Jan 12:archdischild-2023-326225. 2024 Jan 23:archdischild-2023-325984. 2024 Jan 9. 2024 Jan 8:e2023063654. 2024 Jan 8:e2023063801. 2024 Jan 6. 2024 Jan 2. 2024 Jan 1;153(1):e2022060119. 2024 Jan 1;153(1):e2023063039. Eur J Pediatr.

E-9-1-1 52

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

EMDocs

SEPTEMBER 28, 2024

Ann Emerg Med. 2024 Aug;84(2):182-194. Epub 2024 Apr 10. Spoon Feed This was a single center retrospective study at a tertiary pediatric ED of patients with suspected pediatric appendicitis. Acad Emerg Med. Published online July 21, 2024. #3: Acad Emerg Med. 2024 Aug;31(8):777-781. 2024.02.005.

Emergency Department 77

Emergency Department ED OR 77

The Skeptics' Guide to EM

APRIL 27, 2024

Prehospital Emergency Care. 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. Prehospital Emergency Care. February 2024. Prehospital Emergency Care. February 2024.

ICU 189

ICU Defibrillator CPR Paramedic 189

ACEP Now

NOVEMBER 8, 2024

First, research suggests a higher number of emergency department visits among individuals with ASD. About 30 percent of children with ASD need treatment in an emergency department, and this number increases to nearly 70 percent for those aged 15–18. Accessed October 17, 2024. Accessed October 17, 2024.

Emergency Department 52

Emergency Department OR ED ALS 52

EM Literature of Note

SEPTEMBER 13, 2024

These are each awful, of course, in their own way from a patient- and parent-oriented standpoint, but they’re also quite awful at the population level, overburdening limited pediatric and emergency department resources. “Nirsevimab and Acute Bronchiolitis Episodes in Pediatric Emergency Departments” [link] Tweet

Emergency Department 85

Emergency Department ED 85

EMDocs

JUNE 29, 2024

2024 May;198:110186. Epub 2024 Mar 24. Source Comparison of Nebulized Ketamine to Intravenous Subdissociative Dose Ketamine for Treating Acute Painful Conditions in the Emergency Department: A Prospective, Randomized, Double-Blind, Double-Dummy Controlled Trial. Ann Emerg Med. 2024 May 1:S0196-0644(24)00171-9.

Defibrillator 69

Defibrillator Emergency Department ED OR 69

EMDocs

JUNE 15, 2024

Non-rebreather Mask Spoon Feed Noninvasive ventilation (NIV) was superior to a standard non-rebreather (NRB) oxygen mask for preoxygenation of critically ill ED or ICU patients requiring intubation, with a NNT of 11 to prevent 1 episode of hypoxemia <85%. Source Noninvasive Ventilation for Preoxygenation during Emergency Intubation.

ICU 75

ICU Emergency Department ED OR 75

ALiEM

NOVEMBER 18, 2024

A 48-year-old male with no significant past medical history presented to the Emergency Department with a left-sided facial rash and associated burning left eye pain that started four days prior. In: Mattu A and Swadron S, ed. Accessed January 11, 2024. References Anderson Erik, Do-Nguyen Amy. Varicella-Zoster Virus (VZV).

Emergency Department 161

Emergency Department ALS OR ED 161

FOAMfrat

NOVEMBER 21, 2024

Hypothermia Hypothermia, defined as core temperature less than 35oC (95oF) has been identified in up to 2/3 of trauma patients upon arrival to the emergency department. Coagulopathy is identified through lab work in the emergency department and is correlated in current literature with significantly worse patient outcomes.

ICU 111

ICU Emergency Department OR Ambulance 111

ACEP Now

JULY 11, 2024

2 Although the opiate epidemic is certainly worthy of attention, it accounts for only about half of the number of deaths annually and only around a quarter of the number of emergency department visits annually relative to alcohol use. 1 Problem drinking is a big problem.

Emergency Department 98

Emergency Department ALS ED OR 98

The Skeptics' Guide to EM

FEBRUARY 3, 2024

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. Case: You’re working the morning shift in the emergency department (ED) when you encounter a 3-year-old boy and his family.

ALS 165

ALS Emergency Department OR ED 165