The Skeptics' Guide to EM

OCTOBER 19, 2024

Date: October 7, 2024 Reference: Nguyen et al. 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. Annals of EM 2024. Annals of EM 2024.

OR 250

OR Emergency Department ED ALS 250

ALiEM

OCTOBER 30, 2024

Bupe Allergy Buprenorphine induction has been the mainstay of emergency department treatment of opioid use disorder for more than a decade [11, 12]. 2024 study [16]. Emergency department-initiated buprenorphine for opioid dependence with continuation in primary care: outcomes during and after intervention.

E-9-1-1 161

E-9-1-1 Naloxone Emergency Department ALS 161

The Skeptics' Guide to EM

MAY 25, 2024

Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE-4): Alcohol use disorder and cannabinoid hyperemesis syndrome management in the emergency department. Reference: Borgundvaag et al. When we combine SGEMHOP with an SGEM Xtra I hope we get some…AMAZING knowledge translation for GRACE4.

ED 254

ED Emergency Department ICU ALS 254

Pediatric EM Morsels

MARCH 15, 2024

We encounter seizures commonly in the Emergency Department. Nicotera, 2024; Bacus, 2023 ] The laughing often described as being unmotivated or disproportionate to the emotional context. Nicotera, 2024 ] Emotional laughter can occur if seizure is in Temporal lobe. Can even become status gelasticus.

Emergency Department 260

Emergency Department OR EMS 260

ALiEM

JUNE 10, 2024

A 10-year-old boy presents to the emergency department (ED) after a high-speed motor vehicle collision. However, until now, there has been a gap in guidance for clinicians managing pediatric patients at risk for cervical spine injuries. 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 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 218

Emergency Department Overdose ALS ED 218

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 221

Emergency Medical Services Emergency Department EMS ALS 221

REBEL EM

NOVEMBER 6, 2024

Treasure Island (FL): StatPearls Publishing; 2024 Jan–. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. Elbow Dislocations in the Emergency Department: A Review of Reduction Techniques. J Emerg Med. PMID: 30247831 Cohen MS, Hastings H 2nd.

E-9-1-1 114

E-9-1-1 ACS OR Emergency Department 114

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 233

ICU Defibrillator Paramedic CPR 233

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 242

ED ALS Emergency Department OR 242

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 102

Critical Care ALS Emergency Department EMS 102

Broome Docs

SEPTEMBER 3, 2024

Early Physician Gestalt Versus Usual Screening Tools for the Prediction of Sepsis in Critically Ill Emergency Patients. Ann Emerg Med. 2024 Mar 25:S0196-0644(24)00099-4. CJEM debate series: #StillTheOne-while more challenging than ever, emergency medicine is still the best career path available for medical students.

E-9-1-1 95

E-9-1-1 Emergency Department ICU ALS 95

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 ED OR ALS 52

Broome Docs

DECEMBER 22, 2024

2024 Oct 9. 2024 Oct 31:10.1056/NEJMoa2407780. 2024 Oct 31. 2024 Nov 3;196(37):E1266. Acad Emerg Med. 2024 Nov 1. J Emerg Med. 2024 Oct;67(4):e346-e350. J Emerg Med. 2024 Oct;67(4):e346-e350. Epub 2024 May 16. doi: 10.1001/jama.2024.20424. 2024.20424. N Engl J Med.

E-9-1-1 52

E-9-1-1 ACS Paramedic Emergency Department 52

The Skeptics' Guide to EM

JUNE 15, 2024

Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage: The UK-REBOA Randomized Clinical Trial. Reference: Jansen et al.

Life Support 300

Life Support Emergency Department ALS 300

Pediatric EM Morsels

JULY 19, 2024

If bleeding, the only lab that is needed in the Emergency Department is a type and cross. 2024 Feb;177:111859. Epub 2024 Jan 10. If bleeding has completely stopped, most of these children still come into the hospital for observation so access will likely be necessary and helpful should patient have rebleed event.

E-9-1-1 290

E-9-1-1 Epinephrine Emergency Department OR 290

St. Emlyn's

OCTOBER 22, 2024

St.Emlyn's - Emergency Medicine #FOAMed This post accompanies the podcast “Simulation for Elite Team Performance,” which was recorded live at the Tactical Trauma 2024 conference in Sundsvall, Sweden.

Emergency Department 118

Emergency Department 118

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 136

Emergency Department ALS OR ED 136

EMDocs

JANUARY 11, 2025

Case study, Radiopaedia.org (Accessed on 23 Nov 2024) [link] Bae, E., Stercoral colitis in the emergency department: a review of the literature. International journal of emergency medicine, 17(1), 3. Diseases of the Colon & Rectum 67(5):p 609-612, May 2024. | Annals of emergency medicine, 82(1), 3746.

E-9-1-1 98

E-9-1-1 EMS Emergency Department OR 98

Don't Forget the Bubbles

MAY 8, 2024

2024 Apr 27. 2024 Apr 16:archdischild-2024-326876. 2024 Apr 11 Why all newborn hip screening programs have same results-a mini review. 2024 Apr 11 Why all newborn hip screening programs have same results-a mini review. 2024 Apr 9. 2024 Apr;183(4):1543-1553. 2024 Apr;183(4):1485-1497.

E-9-1-1 69

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

Pulsara

APRIL 2, 2024

Welcoming a New Health System Carolina Pines Regional Medical Center is the first in South Carolina to implement Pulsara, greatly improving collaboration between EMS partners and the emergency department, ultimately leading to better patient care and outcomes!

Emergency Department 105

Emergency Department EMS 105

ACEP Now

JANUARY 5, 2025

A young woman, 13 days post-tonsillectomy, comes into your rural emergency department (ED) coughing up blood. Accessed November 25, 2024. Clin Pract Cases Emerg Med. Clin Pract Cases Emerg Med. Emergency Medicine Cases. Accessed October 31, 2024. Ann Emerg Med. Paediatr Anaesth. Morgenstern J.

Operating Room 98

Operating Room Epinephrine ALS ED 98

EM Literature of Note

JANUARY 27, 2024

A brief post collating a few bits of my various work published across the interwebs … The Annals of Emergency Medicine Podcast continues to summarise the meatiest articles from each month, featuring a cycle of new co-hosts, as well: Apple Podcasts Google Podcasts Soundcloud Naturally, there are continuing Journal Club features, covering the (..)

Emergency Department 96

Emergency Department 96

Core EM

AUGUST 28, 2024

Perelman Center for Emergency Services in Manhattan, NYU Langone Hospital—Brooklyn , and NYU Langone Health—Cobble Hill Emergency Department at the Joseph S. and Diane H. Steinberg Ambulatory Care Center , as well as NYC Health + Hospitals/Bellevue.

Emergency Department 130

Emergency Department OR 130

Core EM

AUGUST 6, 2024

Perelman Center for Emergency Services in Manhattan, NYU Langone Hospital—Brooklyn , and NYU Langone Health—Cobble Hill Emergency Department at the Joseph S. and Diane H. Steinberg Ambulatory Care Center , as well as NYC Health + Hospitals/Bellevue.

Emergency Department 130

Emergency Department OR 130

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.

ICU 143

ICU Emergency Department ALS ED 143

EMDocs

JULY 20, 2024

Published online June 14, 2024. Published online June 14, 2024. Source Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE-4): Alcohol use disorder and cannabinoid hyperemesis syndrome management in the emergency department. Acad Emerg Med. 2024 May;31(5):425-455.

Emergency Department 98

Emergency Department ICU OR 98

Pediatric EM Morsels

JUNE 7, 2024

Lucky for us, in 2020 there were some updates made to the NIH Asthma Management Guidelines and we’re going to discuss which ones can help us in the Emergency Department! You’re probably asking yourself… is this really important for us in the Emergency Department to know? No more SABA !

Emergency Department 208

Emergency Department OR EMS 208

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 174

ALS Emergency Department OR ED 174

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 96

Defibrillator Emergency Department ED OR 96

EMDocs

OCTOBER 25, 2024

2024 Aug;81(8):e94-e106. Epub 2024 May 28. Spoon Feed This was a multi-hospital retrospective study of patients who presented to the emergency department with severe hypertension without end organ damage. Source Emergency Department Blood Pressure Treatment and Outcomes in Adults Presenting with Severe Hypertension.

Defibrillator 95

Defibrillator Emergency Department ALS OR 95

ALiEM

SEPTEMBER 30, 2024

A 23-year-old healthy male presented to the emergency department with left eye pain, soreness, and blurry vision after being hit in the left eye with a Nerf gun bullet two days prior. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. He had no prior ophthalmologic history and does not wear corrective lenses. 2001.28284.

Emergency Department 161

Emergency Department 161

GEDC

FEBRUARY 27, 2025

In fact, 60 percent of older adults admitted to hospital enter through the emergency department. Forging Aligned Partnerships Between Value Based Care Organizations & Geriatric Emergency Departments: A Toolkit for Geriatric Emergency Departments provides a comprehensive roadmap for understanding and implementing this work.

Emergency Department 52

Emergency Department Paramedic ED OR 52

EMDocs

SEPTEMBER 28, 2024

Ann Emerg Med. 2024 Aug;84(2):182-194. Epub 2024 Apr 10. Acad Emerg Med. Published online July 21, 2024. #3: Source Full-dose challenge of moderate, severe, and unknown beta-lactam allergies in the emergency department. Acad Emerg Med. 2024 Aug;31(8):777-781. Epub 2024 Mar 21.

Emergency Department 98

Emergency Department ED OR 98

Pediatric EM Morsels

AUGUST 23, 2024

Concussions are commonly encountered in the Emergency Department. We have previously discussed an approach to the question of when a patient “ can return to sport.”

Emergency Department 281

Emergency Department OR ED EMS 281

ALiEM

OCTOBER 7, 2024

A 52-year-old female with a past medical history of hypertension and prediabetes presented to the emergency department with double vision that started one day prior to arrival. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. She stated that her double vision improved when she closed one eye. Abducens Nerve Palsy.

Emergency Department 161

Emergency Department OR 161

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. We see all different flavors of upper extremity injuries.

ALS 290

ALS ACS Emergency Department ED 290