Don't Forget the Bubbles

SEPTEMBER 13, 2023

The parents of 18-month-old Susie brought her to the Emergency Department after she had a seizure at home. Each article will take a deeper dive into each recommendation’s supporting evidence and practical implications. Her parents ask you whether any blood tests or brain scans are needed What do the guidelines say?

E-9-1-1 131

E-9-1-1 Emergency Department ALS OR 131

Don't Forget the Bubbles

OCTOBER 7, 2024

This is supplied via alternating current (AC), increasing the risk of titanic contraction of skeletal muscle, leading to kids holding on to the electrical power source. Up to 5% of burns occur secondary to electrical injuries, and this rises to 27% in developing countries. Was the voltage high or low (as below)? Was there any syncope ?

ACS 80

ACS Life Support OR CPR 80

Dr. Smith's ECG Blog

MARCH 13, 2024

The patient has ACS by history, active pain, and an elevated troponin. Treating angina with morphine and continuing non-emergent management is like taking the batteries out of an actively alarming smoke detector during a house fire and going back to sleep.) Smith : at this point, the ECG becomes irrelevant.

Coronary 108

Coronary ACS Emergency Manager Emergency Management 108

Don't Forget the Bubbles

MAY 3, 2023

Every month we ask some of our friends from PERUKI (Paediatric Emergency Research in the UK and Ireland) to point out something that has caught their eye. Clinically Relevant Bottom Line: Using a bougie as a safe alternative for airway management in children when clinicians have experience. Garabon JJW, Gunz AC, Ali A, Lim R.

CPR 52

CPR Emergency Department ALS ICU 52

AAEM RSA

DECEMBER 3, 2020

20,21 Imaging may be helpful in diagnosis or surgical planning but cannot rule out NSTI and may delay definitive surgical management. Diagnosis is clinical and challenged by overlap with more superficial skin infections (i.e. cellulitis) and the need for thorough examination of the genital region.

Emergency Department 52

Emergency Department E-9-1-1 ALS EMT 52

Dr. Smith's ECG Blog

MARCH 25, 2025

In ACS, chest pain is the warning sign of ongoing ischemia. I have said before, treating angina with morphine and continuing non-emergent management is like taking the batteries out of an actively alarming smoke detector during a house fire and going back to sleep. It has some morphologic features of LVH, but not the voltage.

Defibrillator 63

Defibrillator ACS Coronary ALS 63