ALS - Paramedicine Now

JC: AP or AL pad position for first choice shock in VF?

St. Emlyn's

OCTOBER 21, 2024

St.Emlyn's - Emergency Medicine #FOAMed Should we use AP or AL pad position first for defibrillation in VF/VT cardiac arrest. FOAMed @stemlyns The post JC: AP or AL pad position for first choice shock in VF? appeared first on St.Emlyn's.

ALS

ALS OR Defibrillator

CMS Proposed Expansion of ALS-2 to include Low-Tier O+ Whole Blood Transfusions Fails to Include Additional Funding for the Services

American Ambulance Association

JULY 11, 2024

The Centers for Medicare & Medicaid Services (CMS) has released the Calendar Year (CY) 2025 proposed rule that proposes changes to the CY 2025 definitions of ALS-2 services to include […] The post CMS Proposed Expansion of ALS-2 to include Low-Tier O+ Whole Blood Transfusions Fails to Include Additional Funding for the Services appeared first (..)

ALS

ALS Ambulance

Defining Appropriate Responses in a Tiered System

High Performance EMS

AUGUST 9, 2024

In fact, sending advanced life support (ALS) providers that are in short supply to one of these calls can leave citizens exposed when a critical request is received after that resource is committed. If available, the supervisor is added to effectively create an ALS transport ambulance.

BLS

BLS CAD Advanced Life Support Life Support

Geriatric Trauma

Core EM

JANUARY 25, 2024

Perdue &al. Caterino &al. Sterling &al. Liu &al. Gill &al. Demetriades D &al. Goode &al. Hasegawa &al. Heffernan &al. Li &al. Konda &al. 1998;45:805. Am J Emerg Med. 2010;28:151. 2001;50:116. Am J Emerg Med. 2015;33:1012-1018.

ALS

ALS ED ICU OR

Ultrasound Guided Lumbar Puncture

Core EM

JANUARY 25, 2024

A study by Duniec et al. Here are a handful of these studies and their conclusions: Nomura et al., of scans conducted and in <5 minutes in 100% of scans Ferre et al., times more attempts when adjusted for BMI Gottlieb et al., of scans conducted and in <5 minutes in 100% of scans Ferre et al., 3, 2018, pp.

ALS

ALS Critical Care OR

SGEM#415: Buckle Down for some Ultrasound to Diagnosis Distal Forearm Fractures

The Skeptics' Guide to EM

SEPTEMBER 9, 2023

Reference: Snelling et al. Reference: Snelling et al. Reference: Snelling et al. Ultrasonography or radiography for suspected pediatric distal forearm fractures. He is also a fully-fledged ultrasonographer. Ultrasonography or radiography for suspected pediatric distal forearm fractures.

Critical Care

Critical Care ALS ED Emergency Department

Updates in High dose Insulin and Euglycemia Therapy (HIET) for the treatment of Beta-adrenergic Receptor and Calcium Channel Antagonists Overdose

Core EM

JANUARY 25, 2024

References: Yuan TH, Kerns WP, Tomaszewski CA, et al. von Lewinski D, Bruns S, Walther S, et al. Cole JB, Corcoran JN, Engebretsen KM, et al. Holger JS, Engebretsen KM, Fritzlar SJ, et al. Kerns W, Schroeder D, Williams C, et al. Kline JA, Tomaszewski CA, Schroeder JD, et al. Disposition to ICU. Circulation.

Overdose

Overdose ALS Epinephrine Critical Care

Podcast 185.0: Anticoagulation Reversal

Core EM

JANUARY 25, 2024

Hosts: Joe Offenbacher, MD Audrey Bree Tse, MD [link] Download Leave a Comment Tags: Anticoagulation , Critical Care , Resuscitation Show Notes Coagulation Cascade: Algorithm for Anticoagulated Bleeding Patient in the ED: Indications for Anticoagulation Reversal: References: Baugh CW, Levine M, Cornutt D, et al. Ann Emerg Med.

Frozen Plasma

Frozen Plasma FFP Plasma Critical Care

Trick of the Trade: Ultrarapid adenosine push for SVT with a pressure bag

ALiEM

JUNE 24, 2024

Miyawaki IA, Gomes C, Caporal S Moreira V, et al. PMID 37162718 Kotruchin P, Chaiyakhan I, Kamonsri P, et al. The Single-Syringe Versus the Double-Syringe Techniques of Adenosine Administration for Supraventricular Tachycardia: A Systematic Review and Meta-Analysis. Am J Cardiovasc Drugs. 2023;23(4):341-353.

ALS

High sensitivity cardiac troponins for ED chest pain evaluation (2022 ACC pathway)

ALiEM

FEBRUARY 9, 2024

References Writing Committee, Kontos MC, de Lemos JA, et al. 2022.08.750 Collet JP, Thiele H, Barbato E, et al. doi: 10.1177/2048872620935399 Badertscher P, Boeddinghaus J, Twerenbold R, et al. 118.034260 Chew DP, Lambrakis K, Blyth A, et al. 119.042891 Ashburn NP, Snavely AC, O’Neill JC, et al. Circulation.

E-9-1-1

E-9-1-1 ED Coronary ALS

SGEM#423: Where is the Love? Microaggression in the Emergency Department

The Skeptics' Guide to EM

DECEMBER 16, 2023

Reference: Punches et al. Reference: Punches et al. Reference: Punches el al. Patient Perceptions of Microaggressions and Discrimination Towards Patients During Emergency Department Care. He is also an avid FOAM supporter/producer through various online outlets including TheSGEM. AEM Dec 2023.

Emergency Department

Emergency Department ED ALS OR

SGEM #425: Are You Ready for This? Pediatric Readiness of Emergency Departments

The Skeptics' Guide to EM

JANUARY 6, 2024

Reference: Remick KE, et al. Reference: Remick KE, et al. Reference: Remick KE, et al. National Assessment of Pediatric Readiness of US Emergency Departments during the Covid-19 Pandemic. JAMA Netw Open. Pediatric Readiness of Emergency Departments first appeared on The Skeptics Guide to Emergency Medicine. JAMA Netw Open.

Emergency Department

Emergency Department Emergency Medical Services ALS ED

SGEM#421: I Think I’d Have a Heart Attack – Maybe Not in a Rural Area?

The Skeptics' Guide to EM

NOVEMBER 25, 2023

Date: November 22, 2023 Reference: Stopyra et al. Date: November 22, 2023 Reference: Stopyra et al. Reference: Stopyra et al. Delayed First Medical Contact to Reperfusion Time Increases Mortality in Rural EMS Patients with STEMI. AEM November 2023. first appeared on The Skeptics Guide to Emergency Medicine. AEM November 2023.

Heart Attack

Heart Attack STEMI Emergency Medical Services Coronary

SGEM#419: Welcome Back – To Another Episode on Back Pain

The Skeptics' Guide to EM

OCTOBER 28, 2023

Date: October 26, 2023 Reference: Jones et al. Date: October 26, 2023 Reference: Jones et al. Opioid analgesia for acute low back pain and neck pain (the OPAL trial): a randomised placebo-controlled trial placebo-controlled trial. Many pharmacologic treatments have been tried with limited efficacy.

ALS

ALS Emergency Department ED OR

Rebaked Morsel: Pediatric Buckle and Greenstick Forearm Fractures

Pediatric EM Morsels

APRIL 19, 2024

Davidson JS, Brown DJ, Barnes SN, et al. West S, Andrews J, Bebbington A, et al. Symons S, Rowsell M, Bhowal B, et al. One Brace: One Visit: Treatment of Pediatric Distal Radius Buckle Fractures With a Removable Wrist Brace and No Follow-up Visit. J Pediatr Orthop. 2018;Volume 00(00):DOI:10.1097/BPO.0000000000001169. Pediatrics.

ALS

ALS ACS Emergency Department ED

SGEM#436: For the Longest Time – To Give TNK for an Acute Ischemic Stroke

The Skeptics' Guide to EM

APRIL 13, 2024

Reference: Albers GW et al. Reference: Albers GW et al. TIMELESS Investigators. Tenecteplase for Stroke at 4.5 to 24 Hours with Perfusion-Imaging Selection. TIMELESS Investigators. Tenecteplase for Stroke at 4.5 to 24 Hours with Perfusion-Imaging Selection.

ALS

ALS Emergency Department OR EMS

Post-Intubation Sedation and Analgesia

Core EM

JANUARY 25, 2024

Read More emDocs: Post-intubation analgesia/sedation regimens in ED: Pearls & Pitfalls PulmCrit: Internet Book of Critical Care: Sedation References Barr J, Gilles L, Puntillo K, et al: Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit. Crit Care Med.

Emergency Department

Emergency Department ICU Critical Care ALS

SGEM#418: I Ain’t Missing You – Spinal Epidural Abscess

The Skeptics' Guide to EM

OCTOBER 21, 2023

Date: October 20, 2023 Reference: Cai et al. Date: October 20, 2023 Reference: Cai et al. Reference: Cai et al. Implementation of a Clinical Management Tool for Spinal Epidural Abscess Early Diagnosis. AEM October 2023. Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals.

Emergency Department

Emergency Department ALS ED OR

Optimizing Trauma Resuscitation Education: A Year-Long In-Situ Simulation Curriculum

Core EM

MAY 29, 2024

A review by Steinemann et al. Similarly, Miller et al. Multiple studies have demonstrated the effectiveness of in-situ simulation training in trauma care. showed that ISS training led to improvements in team communication, leadership, and resource management [1]. In situ simulation-based trauma team training: A pilot study. Miller, R.

ALS

SGEM#432: SPEED, Give Me What I Need – To Diagnose Acute Aortic Dissections

The Skeptics' Guide to EM

MARCH 2, 2024

Reference: Gibbons et al. Reference: Gibbons et al. The sonographic protocol for the emergent evaluation of aortic dissections (SPEED protocol): A multicenter, prospective, observational study. AEM February 2024. AEM February 2024. Date: February 28, 2024 Guest Skeptic: Dr.

Operating Room

Operating Room Emergency Department ALS ED

SGEM#462: Spooky Scary Access – IV or IO for OHCA

The Skeptics' Guide to EM

NOVEMBER 30, 2024

Date: November 10, 2024 Reference: Couper et al. Reference: Couper et al. The Paramedic 3 Trial: A randomized clinical trial of drug route in out-of-hospital cardiac arrest. October 31, 2024 NEJM Access to the SGEM Podcast episode at this LINK.

Epinephrine

Epinephrine OR CPR Paramedic

SGEM#420: I get knocked down, but I get up again – do I have a scaphoid fracture?

The Skeptics' Guide to EM

NOVEMBER 11, 2023

Date: November 2, 2023 Reference: Coventry et al. Date: November 2, 2023 Reference: Coventry et al. One of the best systematic reviews and meta-analyses on the topic discussing the diagnostic accuracy of the history, physical examination and imaging is by Carpenter et al from AEM 2014 [1]. Reference: Coventry et al.

ALS

ALS Emergency Department ED OR

SGEM#430: De Do Do Do, De Dash, Dash DAShED – Diagnosing Acute Aortic Syndrome in the ED.

The Skeptics' Guide to EM

FEBRUARY 11, 2024

Reference: McLatchie et al and DAShED investigators. Reference: McLatchie et al and DAShED investigators. 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. EMJ Nov 2023.

ED

ED Emergency Department ALS OR

SGEM#409: Same as it Ever Was – Tamiflu for Influenza?

The Skeptics' Guide to EM

JULY 8, 2023

Date: July 6, 2023 Reference: Hanula R et al. Date: July 6, 2023 Reference: Hanula R et al. Wallach et al JAMA Intern Med 2017 , previously reported that subgroup claims are often not corroborated by subsequent studies and rarely confirmed. JAMA Int Med 2023. Managing editor of EM:RAP and Associate Editor at REBEL EM.

ALS

ALS Emergency Department EMS ED

SGEM#405: We’re Off To Never-Never Land – But Should We Use Etomidate for the Rapid Sequence Intubation?

The Skeptics' Guide to EM

JUNE 3, 2023

Date: June3, 2023 Reference: Kotani et al. Date: June3, 2023 Reference: Kotani et al. Reference: Kotani et al. Etomidate as an induction agent for endotracheal intubation in critically ill patients: A meta-analysis of randomized trials. first appeared on The Skeptics Guide to Emergency Medicine.

Critical Care

Critical Care ALS Paramedic

SGEM#455: Harmony 5000 – Prehospital Detection of Large Vessel Occlusion Strokes

The Skeptics' Guide to EM

OCTOBER 5, 2024

Date: October 2, 2024 Reference: Paxton et al. Reference: Paxton et al. Headpulse measurement can reliably identify large-vessel occlusion stroke in prehospital suspected stroke patients: Results from the EPISODE-PS-COVID study.

Emergency Medical Services

Emergency Medical Services ALS EMS Paramedic

SGEM#422: And It was all Yellow-Nasal Discharge and Antibiotics in Pediatric Sinusitis

The Skeptics' Guide to EM

DECEMBER 2, 2023

Reference: Shaikh N, et al. Reference: Shaikh N, et al. Identifying children likely to benefit from antibiotics for acute sinusitis: a randomized clinical trial. Identifying children likely to benefit from antibiotics for acute sinusitis: a randomized clinical trial.

Emergency Department

Emergency Department ALS OR ED

SGEM#453: I Can’t Go For That – No, No Narcan for Out-of-Hospital Cardiac Arrests

The Skeptics' Guide to EM

SEPTEMBER 21, 2024

Date: September 18, 2024 Reference: Dillon et al. Reference: Dillon et al. Naloxone and Patient Outcomes in Out-of-Hospital Cardiac Arrests in California. JAMA Network Open. 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

Naloxone NARCAN Overdose CPR

Podcast 186.0: Hypocalcemia

Core EM

JANUARY 25, 2024

Pfenning CL, Slovis CM: Electrolyte Disorders; in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. [link] Kelly A, Levine MA. Hypocalcemia in the critically ill patient. J Intensive Care Med 2013; 28:166. Louis, Mosby, Inc., 2014, (Ch) 125: p 1636-53. Swaminathan, A.

Critical Care

Critical Care ED ALS OR

Cerebral Edema and Diabetic Ketoacidosis: Rebaked

Pediatric EM Morsels

JULY 28, 2023

PubMed] [Read by QxMD] Rosenbloom AL. PubMed] [Read by QxMD] Muir AB1, Quisling RG, Yang MC, Rosenbloom AL. Dunger D, Sperling M, Acerini C, et al. Wolfsdorf, Ethel Codner Glaser, N, Fritsch, M, Priyambada, L, et al. Headaches can be common at initial presentation and are generally acceptable. 2013 Sep;163(3):761-6.

E-9-1-1

E-9-1-1 ALS OR Critical Care

SGEM#426: All the Small Things – Small Bag Ventilation Masks in Out of Hospital Cardiac Arrest

The Skeptics' Guide to EM

JANUARY 13, 2024

Reference: Snyder BD, Van Dyke MR, Walker RG, et al. Reference: Snyder BD, Van Dyke MR, Walker RG, et al. Association of small adult ventilation bags with return of spontaneous circulation in out of hospital cardiac arrest. Resuscitation 2023. Resuscitation 2023. Date: January 11, 2024 Guest Skeptic: Dr.

CPR

CPR Defibrillator First Responder Epinephrine

Pigtail catheter for pleural drainage: Tips to minimize complications

ALiEM

APRIL 12, 2024

If the catheter appears correctly positioned on AP chest x-ray but is malfunctioning, consider obtaining additional imaging to confirm placement [11]: Lateral view chest-xray, or Chest CT (can also help characterize the pleural effusion) References Gammie JS, Banks MC, Fuhrman CR, et al. doi: [link] Broder JS, Al-Jarani B, Lanan B, Brooks K.

E-9-1-1

E-9-1-1 ALS Critical Care Emergency Department

SGEM #456: We are Young…but we can still Understand

The Skeptics' Guide to EM

OCTOBER 12, 2024

Reference: Ma K et al. Reference: Ma K et al. A national survey of children’s experiences and needs when attending Canadian pediatric emergency departments. June 2024 Date: Oct 1, 2024 Guest Skeptic: Dr. Andrew (Andy) Tagg is an Emergency Physician with a special interest in education and lifelong learning.

Emergency Department

Emergency Department ED ALS OR

SGEM #417: Everybody’s Changing…the Reference Ranges for Pediatric Vital Signs

The Skeptics' Guide to EM

OCTOBER 14, 2023

Reference: Brennan L et al. Reference: Brennan L et al. That episode reviewed the 2011 Fleming et al systematic review for the normal ranges of HR and RR in children from birth to 18 years of age. Time to change the reference ranges of children’s physiological observations in emergency care? A prospective study.

Life Support

Life Support Advanced Life Support Emergency Department ALS

SGEM#447: Just What I Needed – Preoxygenation Prior To Intubation

The Skeptics' Guide to EM

JULY 20, 2024

Reference: Gibbs et al. Reference: Gibbs et al. 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.

ALS

ALS Emergency Department ED OR

Thrombotic Thrombocytopenic Purpura (TTP)

Core EM

JANUARY 25, 2024

Scully, 2012) Citations: Balduini CL, et al. Paydary, Koosha, et al. Sawler D, Parker A, Britto J, et al. 2020.05.045. Scully M, Hunt BJ, Benjamin S, et al. TTP relapse (new case onset that occurs 30 days after discontinuation of remission achieving interventions) occurs in approximately 1/3 of patients. Ann Hematol.

Plasma

Plasma Frozen Plasma Emergency Department FFP

ACMT Toxicology Visual Pearls: A Meal Worth Dying For

ALiEM

OCTOBER 11, 2023

Hassoun AER, Ujević I, Jemaa S et al. Alhatali B, Al Lawatia S, Khamis F, Kantur S, Al-Abri S, Kapil V, Thomas J, Johnson R, Hamelin EI, Coleman RM, Kazzi Z. Al-Sulaimani S, Titelbaum NV, Ward RE, Zahran TE, Chalhoub S, Kazzi Z. Chowdhury FR, Nazmul Ahasan HA, Mamunur Rashid AK, Al Mamun A, Khaliduzzaman SM.

E-9-1-1

E-9-1-1 ALS OR

SGEM#458: Hurt So Good –Ketamine Can Make the Hurt so Good – If used as an Adjunct to Opioids for Acute Pain in the Emergency Department

The Skeptics' Guide to EM

NOVEMBER 2, 2024

Date: October 29, 2024 Reference: Galili et al. Reference: Galili et al. Low dose ketamine as an adjunct to morphine: a randomized controlled trial among patients with and without current opioid use. AEM Oct 2024. Guest Skeptic: Dr. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY. AEM Oct 2024.

Emergency Department

Emergency Department ED ALS EMS

PEM POCUS Series: Pediatric Lung Ultrasound

ALiEM

AUGUST 9, 2023

Study N Sensitivity Specificity Comments Pereda et al., Balk et al., Tsou et al., PMID: 14722643 Pereda MA, Chavez MA, Hooper-Miele CC, et al. PMID: 25780071 Balk DS, Lee C, Schafer J, et al. PMID: 29696826 Tsou PY, Chen KP, Wang YH, et al. PMID: 31211896 Jones BP, Tay ET, Elikashvili I, et al.

E-9-1-1

E-9-1-1 Emergency Department ALS OR

SGEM#438: Bone, Bone, Bone, Tell Me What Ya Gonna Do – for IO Access Location?

The Skeptics' Guide to EM

APRIL 27, 2024

Reference: Tanner et al, A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation. Reference: Tanner et al, A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation. Prehospital Emergency Care.

ICU

ICU Defibrillator CPR Paramedic

PEM POCUS Series: Pediatric Renal and Bladder Ultrasound

ALiEM

MARCH 7, 2024

Transvere ultrasound views of the bladder: Left – Uterus identified posteriorly in girl; Right – Prostate identified posteriorly in boy (Images courtesy of Dinh et al.) Sagittal view of bladder: Left – Uterus identified posteriorly in girl; Right – Prostate identified posteriorly in boy (Images courtesy of Dinh et al.)

E-9-1-1

E-9-1-1 Emergency Department ALS ED

ACMT Toxicology Visual Pearl: The Heart Won’t Go On and On

ALiEM

JUNE 15, 2023

Goldfrank’s Toxicologic Emergencies, 11e New York, NY: McGraw-Hill; 2019 Morimoto M, Tatsumi K, Yuui K, et al. PMID 29855084 De Silva HA, Fonseka MM, Pathmeswaran A et al. In: Nelson LS, Howland M, Lewin NA, Smith SW, Goldfrank LR, Hoffman RS. Vet Med Sci. 2021 Nov;7(6):2440-2444. J Clin Lab Anal. 2018 Oct;32(8):e22583.

ALS

ALS ED OR

The Broselow-Luten System

Pediatric EM Morsels

OCTOBER 27, 2023

link] Lubitz DS, Seidel JS, Chameides L, Luten RC, Zaritsky AL, Campbell FW. 2012.05.028 Silvagni D, Baggio L, Mazzi C, et al. doi:10.1111/1742-6723.12389 Zhu S, Zhu J, Zhou H, et al. and Seaver, M. 2020) The Times & Tapes Are a-Changin’: The Latest Broselow-Luten Tape for EMS , EMS World. Rosenberg, M.S. 2010.06.187.

E-9-1-1

E-9-1-1 Emergency Medical Services Life Support ALS

SGEM #427: I Want a Treatment with a Short Course…for Pediatric Urinary Tract Infections

The Skeptics' Guide to EM

JANUARY 20, 2024

Reference: Zaoutis T, et al. Reference: Zaoutis T, et al. Reference: Zaoutis T, et al. Short-course Therapy for Urinary Tract Infections in Children: the SCOUT randomized clinical trial. JAMA Pediatr. Short-course Therapy for Urinary Tract Infections in Children: the SCOUT randomized clinical trial. JAMA Pediatr. JAMA Pediatr.

Emergency Department

Emergency Department ALS ICU OR

JC: AP or AL pad position for first choice shock in VF?

CMS Proposed Expansion of ALS-2 to include Low-Tier O+ Whole Blood Transfusions Fails to Include Additional Funding for the Services

Trending Sources

Defining Appropriate Responses in a Tiered System

Geriatric Trauma

Ultrasound Guided Lumbar Puncture

SGEM#415: Buckle Down for some Ultrasound to Diagnosis Distal Forearm Fractures

Updates in High dose Insulin and Euglycemia Therapy (HIET) for the treatment of Beta-adrenergic Receptor and Calcium Channel Antagonists Overdose

Podcast 185.0: Anticoagulation Reversal

Trick of the Trade: Ultrarapid adenosine push for SVT with a pressure bag

High sensitivity cardiac troponins for ED chest pain evaluation (2022 ACC pathway)

SGEM#423: Where is the Love? Microaggression in the Emergency Department

SGEM #425: Are You Ready for This? Pediatric Readiness of Emergency Departments

SGEM#421: I Think I’d Have a Heart Attack – Maybe Not in a Rural Area?

SGEM#419: Welcome Back – To Another Episode on Back Pain

Rebaked Morsel: Pediatric Buckle and Greenstick Forearm Fractures

SGEM#436: For the Longest Time – To Give TNK for an Acute Ischemic Stroke

Post-Intubation Sedation and Analgesia

SGEM#418: I Ain’t Missing You – Spinal Epidural Abscess

Optimizing Trauma Resuscitation Education: A Year-Long In-Situ Simulation Curriculum

SGEM#432: SPEED, Give Me What I Need – To Diagnose Acute Aortic Dissections

SGEM#462: Spooky Scary Access – IV or IO for OHCA

SGEM#420: I get knocked down, but I get up again – do I have a scaphoid fracture?

SGEM#430: De Do Do Do, De Dash, Dash DAShED – Diagnosing Acute Aortic Syndrome in the ED.

SGEM#409: Same as it Ever Was – Tamiflu for Influenza?

SGEM#405: We’re Off To Never-Never Land – But Should We Use Etomidate for the Rapid Sequence Intubation?

SGEM#455: Harmony 5000 – Prehospital Detection of Large Vessel Occlusion Strokes

SGEM#422: And It was all Yellow-Nasal Discharge and Antibiotics in Pediatric Sinusitis

SGEM#453: I Can’t Go For That – No, No Narcan for Out-of-Hospital Cardiac Arrests

Podcast 186.0: Hypocalcemia

Cerebral Edema and Diabetic Ketoacidosis: Rebaked

SGEM#426: All the Small Things – Small Bag Ventilation Masks in Out of Hospital Cardiac Arrest

Pigtail catheter for pleural drainage: Tips to minimize complications

SGEM #456: We are Young…but we can still Understand

SGEM #417: Everybody’s Changing…the Reference Ranges for Pediatric Vital Signs

SGEM#447: Just What I Needed – Preoxygenation Prior To Intubation

Thrombotic Thrombocytopenic Purpura (TTP)

ACMT Toxicology Visual Pearls: A Meal Worth Dying For

SGEM#458: Hurt So Good –Ketamine Can Make the Hurt so Good – If used as an Adjunct to Opioids for Acute Pain in the Emergency Department

PEM POCUS Series: Pediatric Lung Ultrasound

SGEM#438: Bone, Bone, Bone, Tell Me What Ya Gonna Do – for IO Access Location?

PEM POCUS Series: Pediatric Renal and Bladder Ultrasound

ACMT Toxicology Visual Pearl: The Heart Won’t Go On and On

The Broselow-Luten System

SGEM #427: I Want a Treatment with a Short Course…for Pediatric Urinary Tract Infections

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