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

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

ACEP Now

MAY 9, 2024

When seven South Florida gluteal AFT patients died tragically in one year alone, the Florida Board of Medicine issued an emergency regulation restricting fat injection to the subcutaneous space rather than injecting into muscle. Or Helly Larson describing the first week after her Miami BBL as “absolute hell” to a Vox reporter.

Emergency Department 52

Emergency Department Operating Room Critical Care ALS 52

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

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

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

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

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

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

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

Dr. Smith's ECG Blog

MAY 13, 2024

Written by Destiny Folk, MD, Adam Engberg, MD, and Vitaliy Belyshev MD A man in his early 60s with a past medical history of hypertension, type 2 diabetes, obesity, and hyperlipidemia presented to the emergency department for evaluation of chest pain. Chest Pain – Benign Early Repol or OMI?

OR 112

OR STEMI Heart Attack Coronary 112

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 113

ICU Emergency Department ALS ED 113

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

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

ACEP Now

APRIL 5, 2024

A 68-year-old man presents to the emergency department (ED) with altered mental status and fever. Vital signs on arrival are: Temperature: 38.8 degrees Celsius Heart rate:128 Blood pressure: 74 over 48 Respiratory rate: 10 Oxygen saturation: 77 percent Physical examination was notable for lethargy and confusion.

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

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

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. Your support staff…depending on the amount of bleeding, you are about to have your hands full and may need IV access, medications, airway management, etc. Set up suction x2 in the room!

E-9-1-1 285

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

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

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 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. It’s time to learn smarter.

Defibrillator 67

Defibrillator STEMI Emergency Department OR 67

EMDocs

JUNE 29, 2024

2024 May;198:110186. Epub 2024 Mar 24. . #2: 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;184(5):474-482.

Defibrillator 69

Defibrillator Emergency Department ED OR 69

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

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

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. We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. doi: 10.1111/acem.14943.

Emergency Department 75

Emergency Department ED OR 75

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

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. We must have a community of like-minded individuals working towards shared goals.

EMS 52

EMS OR Emergency Department ED 52

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

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. While Hispanic physicians represent 6.9 While Hispanic physicians represent 6.9 JAMA Health Forum.

ALS 111

ALS Emergency Department OR ED 111

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. We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter.

Emergency Department 81

Emergency Department OR 81

EMDocs

MAY 4, 2024

1: Emergent Cath Lab Activations with “Normal” Computer ECG Interpretations Spoon Feed A significant minority of code STEMI patients have an initial normal computer ECG interpretation. Consequently, emergency physicians must remain vigilant to identify signs of OMI regardless of the initial computer ECG interpretation. Acad Emerg Med.

STEMI 78

STEMI Emergency Department OR 78

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.” It does NOT have structural brain damage visible on standard neuroimaging.

Emergency Department 243

Emergency Department OR ED EMS 243

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 59

Emergency Department OR 59

EMDocs

JUNE 1, 2024

Source PECARN prediction rules for CT imaging of children presenting to the emergency department with blunt abdominal or minor head trauma: a multicentre prospective validation study. 2024 May;8(5):339-347. 2024 Apr 11. We always work hard, but we may not have time to read through a bunch of journals. doi: 10.1097/TA.0000000000004329.

Emergency Department 64

Emergency Department OR 64

ACEP Now

JULY 7, 2024

Should emergency physicians rely on standard textbooks for diagnostic and treatment regimens? 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).

Emergency Department 52

Emergency Department Critical Care ALS ED 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. Accessed May 28, 2024. What do you think? Labs obtained and notable for an elevated troponin I to 0.10 Stein et al.

E-9-1-1 139

E-9-1-1 ACS Emergency Department ALS 139

Core EM

MARCH 1, 2024

Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Significance of the Inverted V Sign : This MRI sign is pathognomonic for subacute combined degeneration, indicating it is a distinct marker for this condition.

Emergency Department 162

Emergency Department ED OR ALS 162