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 343

ALS Emergency Department EMS OR 343

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

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

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

The Skeptics' Guide to EM

MARCH 2, 2024

AEM February 2024. Date: February 28, 2024 Guest Skeptic: Dr. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY. AEM February 2024. Date: February 28, 2024 Guest Skeptic: Dr. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY.

Operating Room 329

Operating Room Emergency Department ALS ED 329

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-9-1-1 107

E-9-1-1 ACS OR Emergency Department 107

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

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

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

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 103

EMS E-9-1-1 OR ED 103

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

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 133

STEMI OR 133

Pediatric EM Morsels

JANUARY 19, 2024

[CDC 2023] In 2021, there were over 2800 cases of congenital syphilis, tripled from 2017. CDC 2023] Pseudoparalysis of Parrot – Presentation and Exam Infant presents with lack of movement of one or both upper extremities, and will cry with palpation. However , the musculoskeletal complaints may be the first presenting symptom !

Plasma 271

Plasma OR EMS ED 271

The Skeptics' Guide to EM

JULY 20, 2024

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. Noninvasive Ventilation for Preoxygenation during Emergency Intubation (The PREOXI trial). However, oxygen masks have limitations.

ALS 303

ALS Emergency Department ED OR 303

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

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

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

The Skeptics' Guide to EM

OCTOBER 5, 2024

Date: October 2, 2024 Reference: Paxton et al. AEM Sept 2024 Guest Skeptic: Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the UMass Chan Medical School – Baystate. The son reported she seemed fine yesterday evening when they went to dinner, perhaps more tired than usual. Reference: Paxton et al.

Emergency Medical Services 288

Emergency Medical Services ALS EMS Paramedic 288

Dr. Smith's ECG Blog

MAY 13, 2024

Chest Pain – Benign Early Repol or OMI? 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. QOH could have improved recognition of OMI in this case.

OR 120

OR STEMI Heart Attack Coronary 120

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

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 102

OR 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 240

ED ALS Emergency Department OR 240

The Skeptics' Guide to EM

SEPTEMBER 28, 2024

Date: September 23, 2024 Reference: Essat et al. Annals of Emergency Medicine, May 2024 Guest Skeptic: Dr. Casey Parker is a Rural Generalist from Australia who is also an ultrasounder. Diagnostic Accuracy of D-Dimer for Acute Aortic Syndromes: Systematic Review and Meta-Analysis. Her pain seems to have settled.

Emergency Department 234

Emergency Department ACS Coronary ALS 234

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 231

ICU Defibrillator Paramedic CPR 231

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

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

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

Pediatric EM Morsels

AUGUST 2, 2024

Balanitis and Balanoposthitis – Basics Terminology [Assim 2022, Dynamedex 2024, Perkins 2024] Balanitis – Inflammation of the glans penis Posthitis – Inflammation of the foreskin (prepuce) Balanoposthitis – Inflammation of both (ouch!) It’s even more distressing when the skin problem affects the penis.

Allergic Reaction 154

Allergic Reaction OR EMS 154

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 260

Naloxone NARCAN Overdose CPR 260

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

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 134

OR E-9-1-1 ED ALS 134

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

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 327

ED Emergency Department ALS OR 327

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 89

OR EMS 89

ACEP Now

DECEMBER 17, 2024

link] Published October 5, 2024. Accessed December 7, 2024. Accessed December 9, 2024. link] Published April 15, 2024. Accessed 9 December 2024. link] Published August 28, 2024. Accessed December 7, 2024. Accessed December 7, 2024. This victory is about more than just numbers. Adelman LC.

E-9-1-1 105

E-9-1-1 Emergency Department ALS OR 105

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 246

ICU ALS Ambulance OR 246

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 219

Emergency Medical Services Emergency Department EMS ALS 219