EMOttawa

OCTOBER 28, 2024

Methodology: 4/5 Usefulness: 4/5 Geraghty LE, et al. Findings: 74% first pass success with video laryngoscopy and 45% with direct laryngoscopy […] The post Video versus Direct Laryngoscopy for Urgent Intubation of Newborn Infants appeared first on EMOttawa Blog. N Engl J Med. 2024 May 30;390(20):1885-1894.

ALS 56

ALS Critical Care 56

REBEL EM

NOVEMBER 21, 2024

Intravenous antibiotics and hospital admission Lumbar puncture and, if results are normal, discharge home with close outpatient follow-up Lumbar puncture, intravenous antibiotics, and hospital admission Oral antibiotics and discharge home with close outpatient follow-up References Pantell RH, Roberts KB, Adams WG, et al. Pediatrics.

ALS 59

ALS ED EMS 59

EMOttawa

JANUARY 22, 2024

5 Usefulness: 4/5 Friedman BW, et al. Findings: There was no significant difference in sustained […] The post Randomized Trial Comparing Low- vs High-Dose IV Dexamethasone for Patients With Moderate to Severe Migraine appeared first on EMOttawa Blog. Methodology: 3.5/5 2023 Oct 3;101(14):e1448-e1454.

ALS 106

ALS ED 106

EMOttawa

JANUARY 29, 2024

5 Thiele H, et al. Methods: Open label RCT with 417 patients comparing 30-day all-cause mortality between ECLS versus standard […] The post Extracorporeal Life Support in Infarct-Related Cardiogenic Shock appeared first on EMOttawa Blog. Methodology: 4/5 Usefulness: 3.5/5 N Engl J Med. 2023 Oct 5;389(14):1286-1297.

Life Support 102

Life Support ALS Critical Care 102

ALiEM

OCTOBER 14, 2023

6 blog posts met our standard of online excellence and were approved for residency training by the AIR Series Board. Reference Lin M, Phipps M, Chan TM, et al. Digital Impact Factor: A Quality Index for Educational Blogs and Podcasts in Emergency Medicine and Critical Care. Ann Emerg Med. 2023;82(1):55-65.

Critical Care 169

Critical Care EMS Emergency Department ALS 169

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. We have looked at OHCA more than a dozen times on the SGEM.

CPR 223

CPR Defibrillator First Responder Epinephrine 223

EMOttawa

JANUARY 2, 2024

Methodology: 4/5 Usefulness: 2/5 Liu L, et al. They monitored BP at baseline, during […] The post Early versus delayed antihypertensive treatment in patients with acute ischaemic stroke: multicentre, open label, randomised, controlled trial appeared first on EMOttawa Blog. 2023 Oct 9;383:e076448.

ALS 98

ALS OR Critical Care 98

Dr. Smith's ECG Blog

JUNE 5, 2024

IMPRESSION: The finding of sinus bradycardia with 1st-degree AV block + marked sinus arrhythmia + the change in PR interval from beat #5-to-beat #6 — suggests a form of vagotonic block ( See My Comment in the October 9, 2020 post in Dr. Smith's ECG Blog ). As a result — an ICD may need to be considered in selected cases.

Coronary 107

Coronary ACS ALS OR 107

ALiEM

JANUARY 5, 2024

Read and Listen to the Other EM Match Advice Episodes Blog posts: [link] Author information Sara M. Characteristics of Emergency Medicine Residency Programs With Unfilled Positions in the 2023 Match. Ann Emerg Med. 2023;82(5):598-607. doi:10.1016/j.annemergmed.2023.06.002. 2023.06.002. West J Emerg Med. 2019 Dec 9;21(1):96-101. 2019.10.44031.

EMS 177

EMS ALS OR 177

EMOttawa

MAY 31, 2024

5 Carson JL, et al. Findings: There was no significant difference in 30-day all-cause mortality […] The post Restrictive or Liberal Transfusion Strategy in Myocardial Infarction and Anemia appeared first on EMOttawa Blog. Methodology: 4/5 Usefulness: 3.5/5 N Engl J Med. 2023 Dec 28;389(26):2446-2456. doi: 10.1056/NEJMoa2307983.

OR 60

OR ALS 60

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

REBEL EM

JUNE 29, 2023

Back on June 1 st , 2023, Swami wrote a blog post on REBEL EM titled, The CT FIRST Trial, Should We Pan-CT After ROSC? REBEL EM Blog, June 1, 2023. Available at: HERE Branch KHR et al. Back on June 1st, 2023, Swami wrote a blog post on REBEL EM titled, The CT FIRST Trial, Should We Pan-CT After ROSC? Resus 2023.

CPR 145

CPR ICU EMS ALS 145

EMOttawa

MAY 20, 2024

Methodology: 3/5 Usefulness: 2/5 Fischer U, et al. Findings: Primary outcome (ischemic stroke, systemic embolism, major bleeding, vascular death) occurred in […] The post Early versus Later Anticoagulation for Stroke with Atrial Fibrillation appeared first on EMOttawa Blog. N Engl J Med. 2023 Jun 29;388(26):2411-2421.

ALS 56

ALS 56

EMOttawa

APRIL 9, 2024

Methodology: 3/5 Usefulness: 2/5 Ashburn NP, et al. Question and Methods: The authors completed preplanned subgroup analyses to determine if a 0-1 hour ultra-sensitive troponin […] The post Sensitivity Cardiac Troponin T Among Patients With Known Coronary Artery Disease appeared first on EMOttawa Blog. JAMA Cardiol.

Coronary 60

Coronary ALS 60

EMOttawa

MARCH 25, 2024

Methodology: 3/5 Usefulness: 3/5 Bandyopadhyay A, et al. They report […] The post Peri-Intubation Hypoxia After Delayed Versus Rapid Sequence Intubation in Critically Injured Patients on Arrival to Trauma Triage: A Randomized Controlled Trial appeared first on EMOttawa Blog. Anesth Analg. 2023 May 1;136(5):913-919.

ALS 56

ALS Critical Care ED 56

Dr. Smith's ECG Blog

OCTOBER 3, 2024

Not OMI with High Confidence Click here to sign up for Queen of Hearts Access We showed that the Queen of Hearts decreases false positive cath lab activations: 1) Published recently in Prehospital Emergency Care Baker PO et al. 2) To be presented at AHA conference in Chicago in 2 weeks: Sharkey SW et al. Full text ! 27 post ).

E-9-1-1 111

E-9-1-1 Coronary ALS ED 111

ALiEM

MAY 17, 2023

References Marco CA, Courtney DM, Ling LJ, et al. Read and Listen to the Other EM Match Advice Episodes Blog posts: [link] Author information Sara M. Episode 40: Reflections on 2023 Match The Slide: How Competitive was the 2023 EM Match? How Competitive Were Other Specialties in the 2023 Match? Ann Emerg Med. 2021;78(6):726-737.

EMS 130

EMS ALS 130

EMOttawa

JUNE 10, 2024

5 Montini G, et al. Findings: The primary outcome of recurrence of UTI within 30 […] The post Short Oral Antibiotic Therapy for Pediatric Febrile Urinary Tract Infections: A Randomized Trial appeared first on EMOttawa Blog. Methodology: 3.5/5 5 Usefulness: 2.5/5 Pediatrics. 2024 Jan 1;153(1):e2023062598.

ALS 60

ALS 60

EMOttawa

DECEMBER 18, 2023

Methodology: 3/5 Usefulness: 1/5 Georgiopoulos G, et al. The post Modification of the GRACE Risk Score for Risk Prediction in Patients With Acute Coronary Syndromes appeared first on EMOttawa Blog. JAMA Cardiol. Methods: Retrospective.

Coronary 52

Coronary ACS ALS 52

The Skeptics' Guide to EM

APRIL 16, 2022

Date: April 16th, 2022 Reference: Blom et al. Disclaimer: The views and opinions of this blog […] The post SGEM#365: Stop! Date: April 16th, 2022 Reference: Blom et al. Disclaimer: The views and opinions of this blog and podcast do not represent the United States Government or the US Military. Tricoci et al.

Emergency Department 100

Emergency Department ALS OR ED 100

EMS 12-Lead

MAY 15, 2024

TCP in the ROSC Patient: False Electrical Capture at 75mA Josh Kimbrell, NRP @joshkimbre Judah Kreinbrook, EMT-P @JMedic2JDoc This is the second installment of a blog series showing how transcutaneous pacing (TCP) can be difficult and how you can improve your skills. Epinephrine administered intravenously.

Epinephrine 331

Epinephrine Paramedic CPR ED 331

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

The Skeptics' Guide to EM

DECEMBER 19, 2020

Date: December 16th, 2020 Reference: Butler et al. He has a great new blog post about how […] The post SGEM#312: Oseltamivir is like Bad Medicine – for Influenza first appeared on The Skeptics Guide to Emergency Medicine. Date: December 16th, 2020 Reference: Butler et al.

ALS 145

ALS OR 145

EMOttawa

JUNE 18, 2024

5 Le Cornec C, e al. Findings: In this RCT including 251 patients, the ketamine group had […] The post Ketamine Compared With Morphine for Out-of-Hospital Analgesia for Patients With Traumatic Pain: A Randomized Clinical Trial appeared first on EMOttawa Blog. Methodology: 3/5 Usefulness: 1.5/5 JAMA Netw Open.

ALS 52

ALS 52

The Skeptics' Guide to EM

JULY 18, 2020

He has a great new blog post about increasing diversity in medicine using something called the BSAP approach and an interesting Broome Doc podcast with Dr. Casey Parker called EBM 2.0. Reference: Ebell et al. Reference: Ebell et al. Reference: Ebell et […] The post SGEM#298: What’s the Signs and the Symptoms of Pneumonia?

ALS 130

ALS Emergency Department OR 130

EMOttawa

DECEMBER 18, 2023

Haamid et al. The post PTM Journal Club Recap: Hypoglycemia and NSTEMI Care appeared first on EMOttawa Blog. At this month’s PTM Journal Club, two topics were covered; the use of intranasal (IN) glucagon for hypoglycemia and preshospital triage of chest pain patients.

ALS 56

ALS 56

REBEL EM

MAY 20, 2024

In: Tintinalli JE, Ma OJ, Yealy DM, et al., In: Tintinalli JE, Ma OJ, Yealy DM, et al., Rezaie, MD (Twitter/X: @srrezaie ) The post Rosh Review My EMCert Monthly Question appeared first on REBEL EM - Emergency Medicine Blog. [link] McGinnis HD. Nose and sinuses. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide.

ALS 59

ALS ED EMS 59

Don't Forget the Bubbles

OCTOBER 12, 2024

Hibberd O, Chylinska AA, Finn K , et al. Moyo has moderate croup and this blog post explores the evidence supporting corticosteroid use for moderate croup. Much of the evidence in this blog is a translation of a recent 2023 Cochrane review of 45 randomised control trials involving 5888 children. Why give corticosteroids?

Emergency Department 85

Emergency Department ALS OR 85

REBEL EM

MAY 25, 2023

mental status, urine output, capillary refill) is more important than an actual goal PERMISSIVE HYPOTENSTION IN PTS WITH TBI Brotfain E et al. mental status, urine output, capillary refill) is more important than an actual goal PERMISSIVE HYPOTENSTION IN PTS WITH TBI Brotfain E et al. Richards JE et al. NEJM 1994. [2]

E-9-1-1 145

E-9-1-1 Plasma ALS OR 145

EMOttawa

FEBRUARY 26, 2024

5 Usefulness: 3/5 Freund Y, et al. Methodology: 3.5/5 2023 Dec 19;330(23):2267-2274.

ICU 64

ICU ALS Critical Care 64

The Skeptics' Guide to EM

NOVEMBER 12, 2022

Date: November 10th, 2022 Reference: de-Madaria E et al. Date: November 10th, 2022 Reference: de-Madaria E et al. Salim is also the creator and founder of REBEL EM and REBEL Cast, a free, critical appraisal blog and podcast that try to cut down knowledge translation gaps of research to bedside clinical practice.

ALS 130

ALS Emergency Department OR EMS 130

EMS 12-Lead

MARCH 30, 2024

Josh Kimbrell, NRP @joshkimbre Judah Kreinbrook, EMT-P @JMedic2JDoc This is the first installment of a blog series showing how transcutaneous pacing (TCP) can be difficult, and how you can improve your skills. The University of Maryland found that capture occurred in only 42-78% of patients, dependent on pad positioning (Moayedi et al, 2022).

CPR 312

CPR Paramedic Ambulance Defibrillator 312

Dr. Smith's ECG Blog

SEPTEMBER 18, 2024

As discussed often in Dr. Smith's ECG Blog — quick determination of heart rate often provides an important clue to the etiology of certain regular SVT ( S upra V entricular T achycardia ) rhythms ( See My Comment in the July 19, 2023 post , among others ). Sinus tachycardia does not go this fast.

E-9-1-1 64

E-9-1-1 ALS OR ED 64

The Skeptics' Guide to EM

FEBRUARY 19, 2022

CMAJ 2021 TRIGGER WARNING: As a warning to those listening to the podcast or reading this blog post, there may be some things discussed that could be upsetting. If you are feeling upset by the content, then please stop listening to the podcast or reading the blog. Reference: Graham T. Physician heal thyself.

Emergency Department 130

Emergency Department ALS OR 130

Dr. Smith's ECG Blog

FEBRUARY 2, 2024

See our other blog posts of hypothermia and Osborn waves -- Massive Osborn Waves of Severe Hypothermia (23.6 Rituparna et al — as well as Chauhan and Brahma ( Int. His temperature was brought back to normal over time in the ICU. He was extubated and had normal neurologic function. He did well and was discharged.

ICU 132

ICU OR ALS ED 132

Dr. Smith's ECG Blog

SEPTEMBER 23, 2024

ECG Findings of Acute PE in Today's Case: We periodically highlight cases of acute PE ( See the June 17, 2024 post in Dr. Smith's ECG Blog — that includes links to over 25 of these cases ). Figure-1: I've labeled the initial ECG in today's case. I've excerpted the Table shown below in Figure-2 from My Comment in that June 17, 2024 post.

E-9-1-1 110

E-9-1-1 Coronary STEMI ALS 110

REBEL EM

MAY 29, 2024

EMRAP HD: Epistaxis Posterior Pack References Cassisi NJ et al. PMID: 5569677 Zeyyan E et al. PMID: 20938948 Loftus BC et al. PMID: 8170679 Viducich RA et al. Rezaie, MD (Twitter/X: @srrezaie ) The post REBEL Core Cast 123.0 – Posterior Epistaxis appeared first on REBEL EM - Emergency Medicine Blog.

ICU 105

ICU ALS ACS EMS 105