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 to 24 Hours with Perfusion-Imaging Selection.

ALS 345

ALS Emergency Department OR EMS 345

REBEL EM

NOVEMBER 6, 2024

Elbow Dislocation Definition: Disarticulation of the proximal radius & ulna bones from the humerus Epidemiology: Incidence Second most common joint dislocation (after shoulder) in adults Most commonly dislocated joint in children Accounts for 10-25% of all injuries to the elbow ( Cohen 1998 ) Posterolateral is the most common type of dislocation (..)

E-9-1-1 115

E-9-1-1 ACS OR Emergency Department 115

Pediatric EM Morsels

MARCH 15, 2024

Nicotera, 2024; Bacus, 2023 ] The laughing often described as being unmotivated or disproportionate to the emotional context. 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.

Emergency Department 260

Emergency Department OR EMS 260

American Ambulance Association

MAY 13, 2024

The post 2024 Medicare Reference Manual E-Book Released appeared first on American Ambulance Association. This content is for AAA members only. Please either Log In or Join!

Ambulance 130

Ambulance OR 130

ALiEM

OCTOBER 30, 2024

The biggest change has been the gradual replacement of diacetylmorphine (heroin) by fentanyl and other synthetic opioids. Along the same time, a veterinary sedative, xylazine , became popular in Puerto Rico in individuals who used injection drugs [3]. We treat with wound care and reserve surgical management only for limbs that are no longer viable.

E-9-1-1 161

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

ALiEM

AUGUST 19, 2024

Sara Krzyzaniak, EM Match Advice Podcast Host and Stanford University PD, discusses key changes in the 2024 MyERAS (Electronic Residency Application Service) application that all EM applicants should know about. Podcast 45: Key 2024 MyERAS updates Highlights Hometown preferences are now limited to 3 (no longer 5).

EMS 152

EMS OR 152

Core Ultrasound

APRIL 16, 2024

We identify the presence of kidney stones using ultrasound with a pretest suspicion of kidney stones then identifying the presence or absence of hydronephrosis.

OR 190

OR 190

American Ambulance Association

NOVEMBER 29, 2023

The post CMS Announces 2024 Ambulance Inflation Factor appeared first on American Ambulance Association. This content is for AAA members only. Please either Log In or Join!

Ambulance 130

Ambulance OR 130

EMDocs

DECEMBER 1, 2024

typhi infection if treatment is refractory to supportive measures or conventional community-acquired pneumonia antibiotics Treat with atypical bacterial coverage (doxycycline, azithromycin, chloramphenicol, or fluoroquinolones) A 32-year-old woman presents to the ED with a fever and rash after returning from a trip to Southeast Asia. .:

EMS 105

EMS E-9-1-1 OR ED 105

AAAM

MARCH 6, 2025

By: Valentina Graci, PhD – Chair of the Education Program Subcommittee 2024 was a strong year for our AAAM webinar series. The post Looking Back at AAAM’s 2024 Webinars appeared first on Association for the Advancement of Automotive Medicine.

OR 52

OR 52

American Ambulance Association

DECEMBER 5, 2023

The post AAA Releases 2024 Medicare Rate Calculator appeared first on American Ambulance Association. This content is for AAA members only. Please either Log In or Join!

Ambulance 130

Ambulance OR 130

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. It included both medical and paramedical care within these groups.

Emergency Department 360

Emergency Department ED ALS Paramedic 360

Dr. Smith's ECG Blog

NOVEMBER 27, 2024

3) We do not show the upward concavity measurement technique here. == MY Comment , by K EN G RAUER, MD ( 11/27 /2024 ): == For optimally time-efficient identification of acute OMI in the absence of frank ST elevation — it's essential to get good at recognizing hyperacute T waves. "A A picture is worth 1,000 words".

STEMI 132

STEMI OR 132

Broome Docs

DECEMBER 22, 2024

2024 Oct 9. 2024 Oct 31:10.1056/NEJMoa2407780. 2024 Oct 31. This month we cover a few out-of-hospital arrest trials. More PECARN goodness and we answer the question: are ants better doctors than human doctors? There is a bunch more – so have a listen or watch us on Youtube feed below. doi: 10.1001/jama.2024.20424.

E-9-1-1 52

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

First 10 EM

MARCH 28, 2024

High dose nitro for SCAPE Siddiqua N, Mathew R, Sahu AK, Jamshed N, Bhaskararayuni […] The post Research Roundup (April 2024) appeared first on First10EM. Do you just skip to the bottom line? These articles can be digested in podcast version, if you prefer, either through the BroomeDocs site, or on YouTube.

OR 115

OR EMS 115

American Ambulance Association

JULY 20, 2023

The post CMS Releases Advance Copy of CY 2024 Physician Fee Schedule Proposed Rule appeared first on American Ambulance Association. This content is for AAA members only. Please either Log In or Join!

Ambulance 130

Ambulance OR 130

First 10 EM

JUNE 3, 2024

Obviously, GCS 8 doesn’t mean intubate Freund Y, Viglino D, Cachanado M, Cassard C, Montassier E, Douay B, Guenezan J, Le Borgne P, Yordanov Y, Severin A, Roussel M, Daniel M, Marteau […] The post Research Roundup (June 2024) appeared first on First10EM. As always, podcast version on BroomeDocs or YouTube.

OR 101

OR EMS 101

Pediatric EM Morsels

JULY 19, 2024

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. Get a hold of ENT early as OR management and/or admission are common. Set up suction x2 in the room! Headlamps can also be helpful!

E-9-1-1 290

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

Broome Docs

OCTOBER 6, 2024

2024 Jun 13. 2024 May 28;41(6):342-349. 2024 Jul 15:S2352-4642(24)00133-0. Emergency Medicine Journal Published Online First: 12 September 2024. doi: 10.1136/emermed-2024-214068 MagA: Making Airways Great Again? 2024; 57:101371-. Too much ‘aint enough blood? Turgeon AF, Fergusson DA, Clayton L,et al.

Critical Care 102

Critical Care ALS Emergency Department EMS 102

The Skeptics' Guide to EM

JULY 6, 2024

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. Reference: Tjan et al. Conflict in emergency medicine: A systematic review. Reference: Tjan et al.

ED 242

ED ALS Emergency Department OR 242

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. February 2024. Prehospital Emergency Care. Prehospital Emergency Care. Prehospital Emergency Care. tibial & 2.3%

ICU 233

ICU Defibrillator Paramedic CPR 233

Emergency Medicine Cases

JULY 30, 2024

The post Compassionate Care to Improve Patient Outcomes and Your Career from EMU 2024 appeared first on Emergency Medicine Cases. As a profession, we suck at compassion as it is trained out of us through medical school and beyond. Compassion in not simply innate; like any behaviour, it can be learned through deliberate practice.

OR 130

OR EMS 130

ALiEM

FEBRUARY 28, 2024

Accessed February 20, 2024. February 2024. Accessed February 20, 2024. Updated February 2024. Accessed February 20, 2024. Accessed February 20, 2024. Accessed February 20, 2024. Zipper Removal for Skin Entrapment. CorePendium. Podcasts and Other Audio Last Name First Initial. Podcast Title.

OR 130

OR ED 130

ALiEM

JUNE 10, 2024

PECARN Cervical Spine Injury Prediction Rule On June 4, 2024, Lancet published “PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study.” High Risk (>12.1% sensitivity and 99.9% High Risk (>12.1% sensitivity and 99.9%

Emergency Department 317

Emergency Department ED OR 317

First 10 EM

JULY 15, 2024

BiPAP for […] The post Research Roundup (July 2024) appeared first on First10EM. (I tend to read ridiculous articles in my free time, which I have had very little of, and so there are no intubation in outer space or highly philosophical papers about the language this month. Don’t worry, there is still a very bad joke.)

OR 96

OR EMS 96

REBEL EM

MAY 27, 2024

Given that these two treatment options operate via different physiologic mechanisms, the author of this study postulates that MVM and IV adenosine could be combined synergistically to convert PSVT with better success rates than either treatment individually and with better safety profiles. Article: Xiao, L., Qiu, S., & Zhang, Q.

OR 137

OR E-9-1-1 ED ALS 137

The Skeptics' Guide to EM

SEPTEMBER 21, 2024

Date: September 18, 2024 Reference: Dillon et al. August 20, 2024 Guest Skeptic: Dr. Chris Root is an emergency medicine and emergency medicine service (EMS) physician at the University of New Mexico, Albuquerque. Naloxone and Patient Outcomes in Out-of-Hospital Cardiac Arrests in California. JAMA Network Open.

Naloxone 262

Naloxone NARCAN Overdose CPR 262

Broome Docs

JANUARY 27, 2025

2024 Nov 22;17(1):177. 2024 Nov 18:e245981. 2024 Oct 26;404(10463):1645-1656. 2024 Jun;23(6):577-587. Epub 2024 Apr 20. 2024 Oct 9. Welcome to the first episode of the Broomedocs podcast for 2025. Listen in and learn! Airway, breathing, cellphone: a new vital sign? Int J Emerg Med. JAMA Intern Med.

ED 101

ED OR ACS Critical Care 101

First 10 EM

OCTOBER 14, 2024

Liberal or Restrictive […] The post The October 2024 Research Roundup appeared first on First10EM. The BroomeDocs podcast version can be found here: [link] Clinically but not statistically significant: what do you do? Turgeon AF, Fergusson DA, Clayton L,et al.

ALS 96

ALS OR EMS 96

The Skeptics' Guide to EM

FEBRUARY 11, 2024

Date: February 11, 2024 Guest Skeptic: Nirdosh Ashok Kumar, Emergency Medicine Specialist – Aga Khan University Hospital, Karachi, Pakistan. […] The post SGEM#430: De Do Do Do, De Dash, Dash DAShED – Diagnosing Acute Aortic Syndrome in the ED. EMJ Nov 2023. first appeared on The Skeptics Guide to Emergency Medicine. EMJ Nov 2023.

ED 330

ED Emergency Department ALS OR 330

Broome Docs

SEPTEMBER 3, 2024

2024 Mar 25:S0196-0644(24)00099-4. 2024 Jun;26(6):381-385. Epub 2024 Apr 9. 2024 Jul;81:75-81. Epub 2024 Apr 23. 2024 Mar;27(1):26-29. 2024 Apr;165(4):847-857. 2024 Jul 4;391(1):9-20. Epub 2024 Jun 14. 2024 Jun 15;403(10444):2619-2629. 2024 Jul 24. Ann Emerg Med.

E-9-1-1 95

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

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 248

ICU ALS Ambulance OR 248

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 221

Emergency Medical Services Emergency Department EMS ALS 221

The Skeptics' Guide to EM

JANUARY 13, 2024

Date: January 11, 2024 Guest Skeptic: Dr. Chris Root is an EMS fellow in the Department of Emergency Medicine at the University of New Mexico Health […] The post SGEM#426: All the Small Things – Small Bag Ventilation Masks in Out of Hospital Cardiac Arrest first appeared on The Skeptics Guide to Emergency Medicine. Resuscitation 2023.

CPR 274

CPR Defibrillator First Responder Epinephrine 274

The Skeptics' Guide to EM

AUGUST 31, 2024

Date: August 30, 2024 Guest Skeptic: Dr. Mel Herbert is a famous Emergency Medicine Physician, award-winning educator, entrepreneur and philanthropist. Mel founded both EM:RAP which creates and distributes Emergency Medicine education in over 160 countries. He also started a non-profit company called EM:RAP GO.

OR 319

OR 319

ESO

DECEMBER 19, 2024

2024 has been a transformative year for ESO, marked by groundbreaking product advancements, achievements by the incredible customers we serve, and impactful data and research initiatives. Our mission to improve health and safety through the power of data has guided everything we do to support first responders and healthcare providers.

Epinephrine 103

Epinephrine Firefighter First Responder Public Safety 103

Dr. Smith's ECG Blog

OCTOBER 15, 2024

Click here to sign up for Queen of Hearts Access. == MY Comment , by K EN G RAUER, MD ( 10/8 /2024 ): == Outstanding step-by-step review by Dr. Smith of this "Tale of 2 Patients Who May Need the Cath Lab". A prehospital EKG was also available for Patient 2 : This EKG looks like the South Africa Flag Sign, indicating high lateral OMI.

OR 115

OR STEMI Coronary ED 115