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

EMDocs

AUGUST 13, 2024

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.

ED 85

ED OR 85

The Skeptics' Guide to EM

MARCH 2, 2024

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.

Operating Room 306

Operating Room Emergency Department ALS ED 306

Broome Docs

APRIL 30, 2024

Join Justin and I for a sold 80 minutes of nerdy evidence-based ED care. 2024 Mar 18:e240762. 2024 Apr 1;52(4):521-530. 2024 Apr 4;390(13):1186-1195. Join Justin and I for a sold 80 minutes of nerdy evidence-based ED care. Another month and another batch of fascinating papers from the Morgenstern vaults.

Operating Room 70

Operating Room Critical Care ED OR 70

The Skeptics' Guide to EM

JUNE 8, 2024

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.

Emergency Department 312

Emergency Department ED ALS Paramedic 312

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. Reference: Albers GW et al.

Emergency Department 295

Emergency Department ALS OR EMS 295

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? 2024 Feb 6:S0196-0644(24)00004-0. There is something for everyone in here! 2023 Mar 30;110(4):432-438. 2023 Nov 11.

Emergency Department 103

Emergency Department ALS OR ED 103

Pediatric EM Morsels

AUGUST 9, 2024

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. Neonates presenting to the Emergency Department often cause a lot of uncertainty. Is this scalp swelling normal?

E-9-1-1 152

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

ACEP Now

JANUARY 13, 2024

The Centers for Medicare and Medicaid Services (CMS) released the 2024 Medicare Physician Fee Schedule Final rule on November 2. If we apply the revised 2024 final conversion factor of $32.7442 the ED E/M codes payments should look like Figure 1. Click to enlarge.

Critical Care 52

Critical Care ED OR 52

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

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. Cochrane Database Syst Rev.

Emergency Medical Services 207

Emergency Medical Services Emergency Department EMS ALS 207

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. Emergency Physicians frequently encounter ED patients with self-reported penicillin allergies.

ICU 113

ICU Emergency Department ALS ED 113

Don't Forget the Bubbles

JANUARY 1, 2024

Arch Dis Child Fetal Neonatal Ed. 2024 Jan 1;43(1):74-83. This comprehensive list is developed from 34 journals, including major and subspecialty paediatric journals. We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research.

ALS 98

ALS OR ED 98

ACEP Now

APRIL 5, 2024

A 68-year-old man presents to the emergency department (ED) with altered mental status and fever. The study found a mean increase in time to intubation of 13 seconds in the ED setting. Vital signs on arrival are: Temperature: 38.8 He has an absent gag reflex. There was no analysis of operator experience or expertise.

OR 73

OR ALS Emergency Department Critical Care 73

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 183

Emergency Medical Services ALS Emergency Department ED 183

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

ACEP Now

JANUARY 30, 2024

Live and in person for the first time in three years, the PEM Assembly is part of this year’s ACEP Accelerate, where you can fuel your future with four different, professional, enhancing tracks, including the ED Director’s Academy and the Reimbursement and Coding Conferences. Look for “Qual-ED” in your preferred podcast platform.

ED 52

ED EMS OR 52

The Skeptics' Guide to EM

JULY 20, 2024

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.

ALS 234

ALS Emergency Department ED OR 234

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. Interests include information systems and digital health, research and education.

Emergency Department 127

Emergency Department ALS OR ED 127

ESO

APRIL 19, 2024

From April 2-5, ESO brought the hospital industry’s top thought leaders and data analysts together at Wave 2024 to share what trends they’re forecasting for the medical field along with how they’re enacting change within their own organization through the power of data-driven insights. ESO has resources to keep you informed.

EMS 105

EMS Paramedic Critical Care STEMI 105

Pediatric EM Morsels

JULY 26, 2024

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–.

Plasma 265

Plasma OR ED Critical Care 265

The Skeptics' Guide to EM

APRIL 27, 2024

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.

ICU 195

ICU Defibrillator CPR Paramedic 195

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 204

Emergency Department Overdose ALS ED 204

The Skeptics' Guide to EM

JULY 27, 2024

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.

ICU 192

ICU ALS Ambulance OR 192

ESO

APRIL 19, 2024

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.

MIH 105

MIH EMS Firefighter Paramedic 105

CanadiEM

MARCH 12, 2024

Welcome back to the 2024 CJEM year! These patients are often treated with beta- or calcium-channel blockers, both at home and in the ED. Electrical cardioversion (ECV) is extremely common in the emergency department for paroxysmal atrial rhythms.

Emergency Department 52

Emergency Department OR ED 52

ACEP Now

SEPTEMBER 5, 2024

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.

EMS 52

EMS OR Emergency Department ED 52

EMDocs

JUNE 15, 2024

1: PREOXI RCT – Preoxygenation with Noninvasive Ventilation vs. 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%. 2024 Jun 13. #2:

ICU 75

ICU Emergency Department ED OR 75

Pediatric EM Morsels

AUGUST 23, 2024

Concussion – Presentation [ Silverberg, 2023 ] There is no definitive test to diagnose concussion in the ED. It does NOT have structural brain damage visible on standard neuroimaging. In the research setting, abnormalities can be found via functional, blood flow, or metabolic imaging.

Emergency Department 243

Emergency Department OR ED EMS 243

ACEP Now

AUGUST 13, 2024

Accessed July 15, 2024. Accessed July 15, 2024. Accessed July 15, 2024. Published March 25, 2024. Accessed July 15, 2024. Accessed July 15, 2024. While Hispanic physicians represent 6.9 While Hispanic physicians represent 6.9 Cooper LA, Saha S, van Ryn M. JAMA Health Forum. 2022;3(8):e223250. Murphy, MD.

ALS 111

ALS Emergency Department OR ED 111

EMDocs

JUNE 29, 2024

2024 May;198:110186. Epub 2024 Mar 24. 2024 May 1:S0196-0644(24)00171-9. 2024 May 1;184(5):474-482. 2024 May 20;: PMID: 38436976. We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. 1: Re-DOSE VF… DSED for Shock-Refractory VF? Resuscitation. 2024.110186.

Defibrillator 69

Defibrillator Emergency Department ED OR 69

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 163

ALS Emergency Department OR ED 163

EMDocs

AUGUST 3, 2024

He Was Right Spoon Feed This systematic review found that approximately 4%-27% of patients presenting to the ED with presyncope experienced serious outcomes within a 30-day period. 2024 Jun 9. 2024 Jun 18:S0196-0644(24)00277-4. Originally published at JournalFeed , a site that provides daily or weekly literature updates.

Emergency Department 75

Emergency Department ED OR 75

Core EM

MARCH 1, 2024

Mumenthaler M , Mattle H , Taub E , ed. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Once symptoms start to improve, the frequency of injections can be reduced to once a week. References Neurology.

Emergency Department 162

Emergency Department ED OR ALS 162

EMDocs

SEPTEMBER 7, 2024

A 70-year-old female with a past medical history of hypertension, coronary artery disease s/p 2x drug eluting stent placement one month ago, atrial fibrillation on apixaban presents to the ED with weakness and lightheadedness. A 25-year-old man presents to the ED via EMS after he sustained a gunshot wound to the left flank.

EMS 75

EMS E-9-1-1 Operating Room OR 75

Don't Forget the Bubbles

JUNE 19, 2024

A 2024 Cochrane systematic review compared available clinical decision rules (CDRs) (NEXUS, Canadian C-Spine Rule, PECARN retrospective criteria, NICE guidelines CG56 and CG176, Leonard de novo model, and PEDSPINE) for the evaluation of potential cervical spine injury following blunt trauma in children. 2024 Jun 3:S2352-4642(24)00104-4.

CPR 121

CPR Operating Room OR Emergency Department 121

ACEP Now

JULY 7, 2024

1 History and physical examination have been the cornerstone of seizure diagnosis in the emergency department (ED). 1 History and physical examination have been the cornerstone of seizure diagnosis in the emergency department (ED). Should emergency physicians rely on standard textbooks for diagnostic and treatment regimens?

Emergency Department 52

Emergency Department Critical Care ALS ED 52