The Skeptics' Guide to EM

DECEMBER 21, 2019

This (mostly) satirical article seems to be in the same theme of the annual BMJ holiday edition. SGEM#23 : A Bump Up Ahead (Diagnosis of Appendicitis) One of my other favourite BMJ holiday edition articles has been the classic parachute trial ( Smith and Pell BMJ Dec 2003 ). Laupacis A et al NEJM 1988 ).

OR 100

OR ALS ED 100

First 10 EM

OCTOBER 14, 2024

Another month, another set of articles. Turgeon AF, Fergusson DA, Clayton L,et al. Some clinically relevant. Some just thought provoking. One is more than 100 years old. Yes, I look everywhere for these papers. The BroomeDocs podcast version can be found here: [link] Clinically but not statistically significant: what do you do?

ALS 88

ALS OR EMS 88

The Skeptics' Guide to EM

JULY 27, 2024

Reference: Knack et al. There is an article published in AEM, with an author list that includes the who’s who of decision rules – from Jeff Kline to Nathan Kupperman to my BFF Chris Carpenter. A similar review by Sanders et al 2015 concludes that clinica. It needs to change physician practice for the better.

ICU 187

ICU ALS Ambulance OR 187

EMOttawa

MAY 6, 2024

Methodology: 4/5 Usefulness: 3/5 Zi W, et al. N Engl J Med. 2023 Jun 1;388(22):2025-2036. Editorial: Expanding Treatment for Acute Ischemic Stroke beyond Revascularization.

OR 60

OR ALS 60

Emergency Medicine Education

OCTOBER 12, 2023

A recent study by Savage et al., Link to article utilizing propensity score matching, revealed that children under 17 years of age diagnosed with acute sinusitis demonstrated no significant difference in the rate of treatment failure between those receiving amoxicillin and those receiving augmentin.

OR 40

OR ALS 40

Emergency Medicine Education

OCTOBER 12, 2023

In a recent article published in the British Journal of Surgery, Jain et al. conducted a multicenter superiority randomized controlled trial (RCT) involving 451 children with nail bed injuries.

OR 40

OR ALS 40

ALiEM

NOVEMBER 3, 2023

Reference Lin M, Phipps M, Chan TM, et al. Take the AIR Trauma Module at ALiEMU Interested in taking the AIR quiz for fun or asynchronous (Individualized Interactive Instruction) credit? Please go to the above link. You will need to create a free, 1-time login account. Ann Emerg Med. 2023;82(1):55-65. doi: 10.1016/j.annemergmed.2023.02.011

Critical Care 211

Critical Care Emergency Department EMS ALS 211

ALiEM

FEBRUARY 5, 2024

Reference Lin M, Phipps M, Chan TM, et al. Take the AIR Toxicology Module at ALiEMU Interested in taking the AIR quiz for fun or asynchronous (Individualized Interactive Instruction) credit? Please go to the above link. You will need to create a free, 1-time login account. Ann Emerg Med. 2023;82(1):55-65. doi: 10.1016/j.annemergmed.2023.02.011

Overdose 215

Overdose Critical Care EMS Emergency Department 215

Don't Forget the Bubbles

NOVEMBER 6, 2024

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. Reviews and opinion articles The importance of gut microbiome in the perinatal period. Catassi G, et al. Marciano L, et al. Rao CK, et al.

ALS 59

ALS ED OR EMS 59

Dr. Smith's ECG Blog

JULY 31, 2020

The article by Aslanger, Smith et al that is featured above in today’s post has just been published. The above-cited newly published article by Aslanger, Smith et al provides further support to the growing body of literature of why we should compel ourselves to do so.

STEMI 52

STEMI Coronary EMR ALS 52

REBEL EM

MAY 29, 2024

EMRAP HD: Epistaxis Posterior Pack References Cassisi NJ et al. PMID: 5569677 Zeyyan E et al. Take Home Points: Posterior epistaxis is a rare, life-threatning presentation. The key is in identifying and rapidly gaining control with a posterior pack or foley catheter. Laryngoscope 1971; 81(8): 1261-6.

ICU 105

ICU ALS ACS EMS 105

ALiEM

OCTOBER 30, 2023

This Journal of Graduate Medical Education article “Choosing When to Advise, Coach, or Mentor” [PDF] provides a succinct review [3]. After spending her first year acclimating to the new department and achieving board certification, Dr. Garcia finds herself at a bit of a crossroad. But what can Dr. Garcia – or you – do?

E-9-1-1 161

E-9-1-1 ALS OR 161

EMDocs

AUGUST 10, 2023

This collection of posts features recently published must-know articles. Reference: Yang P, Zhang Y, Zhang L, et al. Welcome back to the “52 in 52” series. Today we look at the DIRECT MT trial. 1.40) No statistically significant difference in secondary outcomes No significant difference in safety outcomes Death 18% vs. 19%, RR 0.94 (0.68-1.30)

OR 67

OR Critical Care ALS 67

Don't Forget the Bubbles

OCTOBER 2, 2024

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. Reviews and opinion articles Cooling for Hypoxic Ischemic Encephalopathy: From Evidence to Practice. Pecenka C, et al. Winkler AE, et al. Pediatrics.

ALS 52

ALS Emergency Department ED ACS 52

ALiEM

AUGUST 9, 2023

For additional examples, see the PEM POCUS Endotracheal Intubation Confirmation article , specifically in Section 2 – Indirect Confirmation: Visualize Bilateral Lung Sliding. When there is lung pathology, the consolidation or fluid allows for direct visualization of the pathology with lung POCUS and replaces the air artifacts.

E-9-1-1 246

E-9-1-1 Emergency Department ALS OR 246

ALiEM

OCTOBER 14, 2023

Reference Lin M, Phipps M, Chan TM, et al. Take the AIR Respiratory Module at ALiEMU Interested in taking the AIR quiz for fun or asynchronous (Individualized Interactive Instruction) credit? Please go to the above link. You will need to create a free, 1-time login account. Ann Emerg Med. 2023;82(1):55-65. doi: 10.1016/j.annemergmed.2023.02.011

Critical Care 169

Critical Care EMS Emergency Department ALS 169

The Skeptics' Guide to EM

FEBRUARY 19, 2022

Tim approached me about an article he wrote and published in the Canadian Medical Association Journal ( CMAJ ). The title of the article was “Physician, heal thyself” and was in the humanities section of the October 2021 issue. This article resonated with many people and was the 6th most read CMAJ article of 2021.

Emergency Department 130

Emergency Department ALS OR 130

Don't Forget the Bubbles

JANUARY 1, 2024

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. Reviews and opinion articles Use of POCUS for the assessment of dehydration in pediatric patients-a narrative review. Musolino AM, et al. Chidini G, et al.

ALS 98

ALS OR ED 98

EMDocs

OCTOBER 25, 2024

Spoon Feed Anterior-posterior (AP) – compared to standard anterolateral (AL) defibrillator pad placement – was associated with higher rates of ROSC among patients with out-of-hospital-cardiac-arrest (OHCA), but no difference in survival to discharge or functional survival at discharge was observed. It’s time to learn smarter.

Defibrillator 68

Defibrillator Emergency Department ALS OR 68

Don't Forget the Bubbles

JUNE 14, 2023

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. Reviews and opinion articles Diuretics in pediatrics. Lava SAG, et al. Hsiao W, et al. Mullaly R, et al. Puoti MG, et al. Eur J Pediatr.

ALS 119

ALS ACS ED OR 119

EMOttawa

JUNE 24, 2024

5 Usefulness: 2/5 Nasr Isfahani M, et al. Methodology: 3.5/5 BMC Emerg Med. 2024 Jan 25;24(1):15. Question and Methods: This triple blinded RCT of 158 patients with isolated closed limb fractures assessed pain scores at 1-hour following the administration of intravenous acetaminophen, acetaminophen plus ibuprofen, or morphine.

OR 52

OR ALS 52

Don't Forget the Bubbles

AUGUST 4, 2024

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. The Journal of Pediatrics published an article on education interventions to reduce diagnostic errors in burned or bruised patients suspected of abuse. Pediatrics.

E-9-1-1 52

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

The Skeptics' Guide to EM

MAY 1, 2021

Reference: Donaldson et al. Review article: Why is there still a debate regarding the safety and efficacy of intravenous thrombolysis in the […] The post SGEM Xtra: The NNT is Mellow Yellow for tPA in Acute Ischemic Stroke first appeared on The Skeptics Guide to Emergency Medicine. Reference: Donaldson et al.

ALS 130

ALS OR 130

REBEL EM

NOVEMBER 30, 2023

Article: Vaeli Zadeh A, Wong A, Crawford AC, Collado E, Larned JM. The authors didn’t report the level of agreement regarding article selection, making it unclear how consistent the selection process was. Uchel et al’s contribution (21% weight) indicates that ≥30cc/kg IVF is linked to 2.5 2.89, p = 0.01.

E-9-1-1 122

E-9-1-1 ALS ACS ICU 122

Don't Forget the Bubbles

SEPTEMBER 16, 2023

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. Reviews and opinion articles Forgotten Pediatrics: 8 Disturbing Windows on the Past. Cruz AT, et al. Singh A, et al. Meoli M, et al. Pediatrics.

E-9-1-1 75

E-9-1-1 ALS OR ED 75

Don't Forget the Bubbles

MAY 8, 2024

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. Reviews and opinion articles Approach to simple kidney cysts in children. Dell KM, et al. Eisen S et al. Fielder AR, et al. Bm MV, et al.

E-9-1-1 69

E-9-1-1 ALS Emergency Department Epinephrine 69

Don't Forget the Bubbles

JULY 17, 2023

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. Reviews and opinion articles Point-of-care ultrasound in pediatric nephrology. Sethi SK, et al. Agostino H, et al. Rassekh SR, et al. 2023 Jun 1.

E-9-1-1 98

E-9-1-1 ALS Emergency Department Emergency Medical Services 98

Don't Forget the Bubbles

MAY 17, 2023

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. Reviews and opinion articles New therapies for spinal muscular atrophy: where we stand and what is next. Antonaci L, et al. Tritos NA, et al.

ALS 72

ALS ACS Emergency Department EMS 72

EMDocs

MAY 11, 2024

A) Basilar artery stroke B) Cavernous sinus syndrome C) Lateral medullary infarction D) Multiple sclerosis Answer: C Vertigo , or the internal sensation of motion when no motion exists, is often classified as either peripheral or central depending on the origin of the pathology. loss of pain and temperature sensation).

EMS 88

EMS E-9-1-1 ALS OR 88

The Skeptics' Guide to EM

MAY 6, 2023

Date: April 25, 2023 Reference: Walsh et al. Date: April 25, 2023 Reference: Walsh et al. This brings us to the 2022 article called Revisiting “Excited Delirium”: Does the Diagnosis Reflect and Promote Racial Bias? Revisiting “Excited Delirium”: Does the Diagnosis Reflect and Promote Racial Bias?

Emergency Medical Services 101

Emergency Medical Services Paramedic ALS EMS 101

The Skeptics' Guide to EM

FEBRUARY 26, 2022

Date: February 21st 2022 Reference: Kim et al. Date: February 21st 2022 Reference: Kim et al. This was based upon his article published in the Canadian Medical Association Journal ( CMAJ ). Reference: Kim et al. AEM February 2022. AEM February 2022. AEM February 2022.

ED 130

ED ALS Emergency Department OR 130

Core EM

JULY 23, 2024

Objective: Based on current evidence, this review article aims to guide the Emergency Department (ED) in providing care for patients with blast injuries. While rare, blast injuries carry a high rate of morbidity and mortality. Blast injuries commonly have a mixed presentation of blunt and penetrating trauma.

EMS 100

EMS Emergency Medical Services OR Coronary 100

Don't Forget the Bubbles

MAY 6, 2024

With millions of journal articles published yearly, it is impossible to keep up. Our team has scoured the literature, so you don’t have to—or it might spark an interest in reading the full article. Article 1: Positive urine cultures without pyuria Wang ME, Jones VG, Kane M, et al. Acad Pediatr. 2024;24(1):111-118.

E-9-1-1 75

E-9-1-1 Emergency Department OR ALS 75

Pediatric EM Morsels

OCTOBER 27, 2023

x length or height (cm)] There is a great review article that lists many other weight estimation formulae. link] Lubitz DS, Seidel JS, Chameides L, Luten RC, Zaritsky AL, Campbell FW. Reduces dosing errors during resus, up to 33.88%. Recommended by ATLS and PALS. Krug 2007] What If the Child is Obese or Emaciated? x exp[0.02

E-9-1-1 269

E-9-1-1 Emergency Medical Services Life Support ALS 269

Don't Forget the Bubbles

OCTOBER 10, 2024

With millions of journal articles published yearly, it is impossible to keep up. This month there are several new articles but one older one that sparked the teams interest. Article 1: What are the signs and symptoms of serious illness in infants up to 6 months old? 2023 Mar 30;110(4):432-438.

ED 75

ED Emergency Department OR ALS 75

ALiEM

MAY 13, 2024

Scan the entirety of the affected area in 2 planes. Be aware of the patient’s comfort throughout the examination. A water bath may be helpful to visualize lesions in extremities such as the hands or feet. The probe sits just below the water’s surface and does not need to contact the skin. It may also aid in identifying nearby vasculature.

E-9-1-1 161

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

Don't Forget the Bubbles

JANUARY 31, 2024

With millions of journal articles published yearly, it is impossible to keep up. Our team have scoured the literature, so you don’t have to… or it might spark an interest to go and have a look at the full article. Article 1: What predicts parental anxiety in the Paediatric Emergency Department? Martin, S.R.,

Emergency Department 72

Emergency Department ED ALS OR 72