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 193

ED Emergency Department ICU ALS 193

EMDocs

JULY 20, 2024

Spoon Feed An international, multi-center RCT found that administering pantoprazole to intubated ICU patients lowered the rate of upper GI bleeding compared to placebo. Published online June 14, 2024. Published online June 14, 2024. Acad Emerg Med. 2024 May;31(5):425-455. Ann Emerg Med. Epub 2024 Mar 2.

Emergency Department 75

Emergency Department ICU OR 75

FOAMfrat

NOVEMBER 21, 2024

Today, increased mortality rates, higher transfusion requirements, and lengthened ICU stays are recognized as proximate effects of the Trauma Triad. 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.

ICU 111

ICU Emergency Department OR Ambulance 111

Core EM

OCTOBER 23, 2024

The Case A 24-year-old man with no past medical or surgical history presented to the emergency department with 5 days of progressively worsening bilateral leg cramping, paresthesias, and multiple falls. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. [link] Read More and tends to occur in men of Asian descent.

Emergency Department 130

Emergency Department Critical Care ICU Ambulance 130

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

ACEP Now

JULY 7, 2024

1 History and physical examination have been the cornerstone of seizure diagnosis in the emergency department (ED). Neurology consultation should be initiated, and the patient should be admitted to the ICU. Ann Emerg Med. Utility of electroencephalogram in the pediatric emergency department. Am J Emerg Med.

Emergency Department 52

Emergency Department Critical Care ALS ICU 52

Dr. Smith's ECG Blog

JUNE 17, 2024

Written by Bobby Nicholson, MD 67 year old male with history of hypertension and hyperlipidemia presented to the Emergency Department via ambulance with midsternal nonradiating chest pain and dyspnea on exertion. The patient was upgraded to the ICU for closer monitoring. Accessed May 28, 2024. What do you think?

E-9-1-1 137

E-9-1-1 ACS Emergency Department Coronary 137

EMDocs

JUNE 27, 2024

2024 Mar 12;14(1):5978. 2024 Jul;71(7):e31002. Epub 2024 Apr 21. 2024 Apr 5. 2024 Feb;71(2):e30781. May substitute levofloxacin if allergic to cephalosporin Anti-viral medications if indicated Oseltamivir for influenza Patients >14 days old Remdesivir for COVID Patients >28 days old and at least 7lbs (3.2

E-9-1-1 75

E-9-1-1 ICU ACS EMS 75

ACEP Now

MAY 9, 2024

It has been well over a year since the controversial publication of the Agency for Healthcare Research and Quality (AHRQ) report on diagnostic errors in the emergency department (ED). After developing encephalopathy and hypoxemic respiratory failure, the patient was transferred to the ICU. Published 2024 Jan 19.

Emergency Department 52

Emergency Department ICU ALS ACS 52

Don't Forget the Bubbles

JUNE 17, 2024

The team sits down for a hot debrief once the patient is stabilised and transferred to the ICU. Introduction: Civility Matters Healthcare environments, particularly emergency departments, are characterised by high levels of Volatility, Uncertainty, Complexity, and Ambiguity ( VUCA ). InHealthcare 2024 Jan 22 (Vol.

E-9-1-1 105

E-9-1-1 Critical Care CPR ICU 105

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

Dr. Smith's ECG Blog

JANUARY 9, 2024

She presented to the emergency department after a couple of days of chest discomfort. The pacing rate was increased without clinical improvement and the patient was transferred to the ICU for closer monitoring/treatment. She had a single chamber ICD/Pacemaker implanted several years prior due to ventricular tachycardia.

Coronary 99

Coronary ACS ED OR 99

EMDocs

APRIL 22, 2024

4 In an emergency department (ED) presentation of cardiac arrest, the diagnosis of PE is challenging without the use of CT angiography. Point-of-Care-Ultrasound (POCUS) is a bedside modality that can assist Emergency Physicians (EPs) in differentiating PE from other causes of cardiac arrest. 2014 May;145(5):950-957. Marino, P.

ED 81

ED NARCAN ALS OR 81

ACEP Now

JUNE 14, 2024

And, finally, patients with a history of COPD frequently present to the emergency department with dyspnea. Although dyspnea in this setting likely represents an AECOPD, other emergent differentials must be considered. Accessed May 19, 2024. Ann Emerg Med. Ann Emerg Med. 8 Bronchodilators Albuterol 2.5-5

ALS 52

ALS Coronary OR Emergency Department 52

REBEL EM

NOVEMBER 11, 2024

What They Did: Investigators performed a retrospective cohort study in the Emergency Department at the University of Michigan between July 1, 2014 through December 31, 2018. Imbalances Between Treatment Groups : ICU Admissions : Higher in piperacillin-tazobactam (33% vs. 30%). 2024 Jul 1;184(7):769-777. vs. 52.2%).

E-9-1-1 84

E-9-1-1 ALS ICU Critical Care 84