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 204

Emergency Department Overdose ALS ED 204

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 127

Emergency Department ALS OR ED 127

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 Emergency Department Plasma OR 152

The Skeptics' Guide to EM

FEBRUARY 11, 2024

Diagnosis of Acute Aortic Syndrome in the Emergency Department (DAShED) study: an observational cohort study of people attending the emergency department with symptoms consistent with acute aortic syndrome. first appeared on The Skeptics Guide to Emergency Medicine. EMJ Nov 2023. EMJ Nov 2023.

ED 307

ED Emergency Department ALS OR 307

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 258

Emergency Department OR EMS 258

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

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

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. Reference: Albers GW et al. TIMELESS Investigators. Tenecteplase for Stroke at 4.5 Reference: Albers GW et al.

Emergency Department 295

Emergency Department ALS OR EMS 295

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 207

Emergency Medical Services Emergency Department EMS ALS 207

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 234

ALS Emergency Department ED OR 234

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 109

ICU Emergency Department ALS ED 109

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 199

ED Emergency Department ICU ALS 199

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 101

Emergency Department 101

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

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

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 210

ED ALS Emergency Department OR 210

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 92

Emergency Department EMS 92

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 75

Emergency Department ICU OR 75

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 195

ICU Defibrillator CPR Paramedic 195

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

EMDocs

SEPTEMBER 14, 2024

Source Use of Glucagon-Like Peptide-1-Agonists and Increased Risk of Procedural Sedation and Endotracheal Intubation in the Emergency Department. Ann Emerg Med. 2024 Aug;84(2):226-227. Ann Emerg Med. 2024 Jul 25:S0196-0644(24)00327-5. 2024 Jul 1;154(1):e2023064364. DOI: 10.1016/j.annemergmed.2024.03.007.

Defibrillator 67

Defibrillator STEMI Emergency Department OR 67

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

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-9-1-1 285

E-9-1-1 Epinephrine OR Emergency Department 285

EMDocs

JUNE 15, 2024

Source Noninvasive Ventilation for Preoxygenation during Emergency Intubation. 2024 Jun 13. #2: Source 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. 2024 Apr 1;7(4):e247373.

ICU 75

ICU Emergency Department ED OR 75

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 232

Life Support Emergency Department ALS 232

The Skeptics' Guide to EM

FEBRUARY 24, 2024

Journal of Consumer Psychology 2023, Date: February 23, 2024 Guest Skeptic: Ethan Milne is a Marketing PhD student at the Ivey Business School (Western University). Journal of Consumer Psychology 2023, Date: February 23, 2024 Guest Skeptic: Ethan Milne is a Marketing PhD student at the Ivey Business School (Western University).

Emergency Department 171

Emergency Department OR 171

EMDocs

MAY 18, 2024

Ann Emerg Med. 2024 Apr;83(4):351-359. Post-Vaccination Fever in Infants Spoon Feed Serious bacterial infections were exceedingly rare in this study of recently immunized infants 6-12 weeks presenting to the emergency department with a fever. Am J Emerg Med. 2024 Mar 24;80:138-142. Ann Emerg Med.

Emergency Department 52

Emergency Department OR 52

EMDocs

AUGUST 3, 2024

Source Serious outcomes among emergency department patients with presyncope: A systematic review. Acad Emerg Med. 2024 Jun 9. Ann Emerg Med. 2024 Jun 18:S0196-0644(24)00277-4. doi: 10.1111/acem.14943. Online ahead of print. PMID: 38853536 #2: Why So Much UFH for Acute PE? doi: 10.1016/j.annemergmed.2024.05.009.

Emergency Department 75

Emergency Department ED OR 75

Pulsara

MARCH 13, 2024

March 13, 2024 — Pulsara, a leading communication and logistics platform that unites healthcare teams across organizations, announced the implementation of Pulsara at Carolina Pines Regional Medical Center (CPRMC) , introducing a powerful advancement in patient care coordination in South Carolina. BOZEMAN, Mont.,

Emergency Department 101

Emergency Department EMS 101

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

MARCH 23, 2024

2024 Feb 17. #2: Management of high-risk pulmonary embolism in the emergency department: A narrative review. Am J Emerg Med. Published online February 3, 2024. Published online January 25, 2024. Induction Agents Compared Spoon Feed A Bayesian meta-analysis found an 83.2% doi:10.1016/j.ajem.2024.01.039

Emergency Department 81

Emergency Department OR 81

ACEP Now

SEPTEMBER 5, 2024

While some issues are handled locally, many issues cannot be solved in our emergency department or hospital. As a community “pit doctor,” I believe I have a good understanding of the needs of emergency physicians. The post 2024 ACEP Elections Preview: Meet the Board of Directors Candidates appeared first on ACEP Now.

EMS 52

EMS OR Emergency Department ED 52

ACEP Now

AUGUST 13, 2024

Dr. Kendall is the chief of clinician engagement at US Acute Care Solutions and has 15 years of emergency department leadership experience. Accessed July 15, 2024. Accessed July 15, 2024. Accessed July 15, 2024. Published March 25, 2024. Accessed July 15, 2024. Accessed July 15, 2024.

ALS 111

ALS Emergency Department OR ED 111

EMDocs

MAY 4, 2024

Consequently, emergency physicians must remain vigilant to identify signs of OMI regardless of the initial computer ECG interpretation. Source Emergency department Code STEMI patients with initial electrocardiogram labeled “normal” by computer interpretation: A 7-year retrospective review. Acad Emerg Med.

STEMI 78

STEMI Emergency Department OR 78

The Skeptics' Guide to EM

APRIL 6, 2024

2023 Date: March 29, 2024 Guest Skeptic: Dr. Michael Cosimini is a pediatrician in Portland Oregon. 2023 Date: March 29, 2024 Guest Skeptic: Dr. Michael Cosimini is a pediatrician in Portland Oregon. Case: A 4-month-old twin girl is brought by her parents to the emergency department (ED) for respiratory distress.

ALS 127

ALS Emergency Department ED 127

ACEP Now

SEPTEMBER 10, 2024

Imagine a 9-week pregnant patient who comes to the emergency department with vaginal bleeding and abdominal cramping. EMTALA mandates that any patient who comes to an emergency department experiencing an emergency medical condition must be treated and stabilized, which may involve an abortion.

Emergency Department 52

Emergency Department OR 52