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Date: November 2, 2023 Reference: Coventry et al. Date: November 2, 2023 Reference: Coventry et al. DISCLAIMER: THE VIEWS AND OPINIONS OF THIS BLOG AND PODCAST DO NOT REPRESENT THE UNITED STATES GOVERNMENT OR THE US MILITARY. Reference: Coventry et al. Which clinical features best predict occult scaphoid fractures?
Date: September 18, 2024 Reference: Dillon et al. Background: We’ve discussed out-of-hospital cardiac arrest (OHCA) at least once or twice on the SGEM (see long list at end of blog). Reference: Dillon et al. Naloxone and Patient Outcomes in Out-of-Hospital Cardiac Arrests in California. JAMA Network Open.
Bogossian et al. (1) Bogossian H, Frommeyer G, Ninios I, Hasan F, Nguyen QS, Karosiene Z, Mijic D, Kloppe A, Suleiman H, Bandorski D, et al. T-waves are quite tall and possibly peaked (HyperK?), but potassium returned normal. What is the QT interval? In LBBB, the QT interval is partly prolonged by the wide QRS. Heart Rhythm [Internet].
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.
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. Approach TCP with skepticism.
8 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. 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.
Brief aside: "Early repolarization" is a frequently proclaimed and poorly understood electrocardiographic phenomenon which mostly serves to reassure clinicians that not all ST elevations are ischemic (something readers of this blog know well). It relies on an 1 mm cut point, which this blog does not favor as an approach to ECG.
8 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. Please go to the above link. Ann Emerg Med.
What they did: Prospective randomized controlled trial, unblinded, multicenter study Conducted from January 2017 to December 2022 Patients with confirmed PSVT were randomly assigned to receive MVM, IV Adenosine, or combined therapy. This absence of detail leaves the study open to bias. Evidence suggests that a weight-based dosing approach (0.1
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 (..)
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).
Studies such as those by Moise et al 14 and Ellis et al 39 have shown that the relative risk of developing an acute myocardial infarction in the territory supplied by an artery with a 70%. For more on MINOCA — See My Comment in the November 16, 2023 post in Dr. Smith's ECG Blog ).
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. Please go to the above link. Ann Emerg Med.
Read and Listen to the Other EM Match Advice Episodes Blog posts: [link] Author information Sara M. What does the Electronic Residency Application Service (ERAS) preliminary data show just far for the 2024 residency application season? Has the program signaling option been working? What should students think about in the post-interview stage?
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. There has been some controversy around oseltamivir.
Date: April 29th, 2019 Reference: Kuppermann et al. She is a blog editor for RCEM Learning. Date: April 29th, 2019 Reference: Kuppermann et al. She is a blog editor for RCEM Learning. A study by Easter et al ( Ann Emerg Med 2014 ) concluded that PECARN seemed to be the best of the three tools.
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?
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.
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.
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.
[display_podcast] Date: January 15th, 2018 Reference: Sadeghirad B, et al. She has contributed to the Academic Life in Emergency Medicine and EM PharmD blogs, […] The post SGEM#203: Let Me Clear My Sore Throat with a Corticosteroid first appeared on The Skeptics Guide to Emergency Medicine. Reference: Sadeghirad B, et al.
[display_podcast] Date: June 5th, 2017 Reference: Baharoglu et al. display_podcast] Date: June 5th, 2017 Reference: Baharoglu et al. DISCLAIMER – The views and opinions of this podcast/blog do not reflect the views and opinions of the US Air Force, the United States Government, or Langley Air Force Base. Lancet 2016.
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]
Date: January 29th, 2020 Reference: Perry et al. He also has this amazing #FOAMed blog called EM Nerd. Date: January 29th, 2020 Reference: Perry et al. He also has this amazing #FOAMed blog called EM Nerd. Reference: Perry et al. Ian Stiell from Ottawa.
As per my review of this subject ( Check out My Comment at the bottom of the page in the November 16, 2023 post in Dr. Smith's ECG Blog ) — the 3 most common Causes of ACS ( A cute C oronary S yndrome ) with a "negative" cath are: i ) Myocarditis; ii ) Takotsubo cardiomyopathy; and , iii ) MINOCA.
[display_podcast] Date: June 8th, 2018 Reference: April MD, et al. display_podcast] Date: June 8th, 2018 Reference: April MD, et al. She’s been a contributor for the Academic Life in Emergency Medicine and Emergency Medicine PharmD blogs and is a member of the ALiEMU Capsules team. Reference: April MD, et al.
He hosts a great #FOAMed blog and podcast called TOTAL EM. He hosts a great #FOAMed blog and podcast called TOTAL EM. Quantitative waveform capnography, thought to be one of the best methods, correctly confirms tube placement only two-thirds of the time in cardiac arrest ( Takeda et al , Tanigawa et al and
Paper: Jansen JO, Hudson J, Cochran C, et al. Early expeditious definitive hemorrhage control is a major focus in trauma resuscitation. Patients with torso hemorrhage present a clinical conundrum often requiring interventional radiology or surgery, both of which take time to mobilize. 2023;e2320850. 97% of patients sustained blunt trauma.
He is an ED intensivist from New York City and runs the popular EMCrit blog and podcast. He is an ED intensivist from New York City and runs the popular EMCrit blog and podcast. Date: April 10th, 2019 Guest Skeptic: Dr. Scott Weingart. Scott is attempting to bring upstairs care, downstairs one podcast at a time.
It is a free, critical appraisal blog and podcast […] The post SGEM#305: Somebody Get Me A Doctor – But Do I Need TXA by EMS for a TBI? It is a free, critical appraisal blog and podcast that try to cut down knowledge translation gaps of research to bedside clinical practice. Reference: Rowell et al. Reference: Rowell et al.
Full blog post here. 100% seems too good to be true Morello et al., Welcome to the first episode of the Broomedocs podcast for 2025. Listen in and learn! Clin Exp Allergy. 2024 Oct 9. doi: 10.1111/cea.14565. Epub ahead of print. PMID: 39383344 Profundus Trial – Can we actually exclude acute aortic syndromes with this protocol?
[display_podcast] Date: March 6th, 2018 Reference: White et al. Casey has this great blog and podcast called Broome Docs. […] The post SGEM#217: The Batman Effect on Improving Perseverance first appeared on The Skeptics Guide to Emergency Medicine. display_podcast] Date: March 6th, 2018 Reference: White et al.
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.
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. Reference: Graham T.
[display_podcast] Date: August 16th, 2018 Reference: Hohl C et al. display_podcast] Date: August 16th, 2018 Reference: Hohl C et al. Chris also has his own #FOAMed blog called Standing on the Corner Minding My Own Business ( SOCMOB ). Reference: Hohl C et al. AEM Aug 2018. AEM Aug 2018. AEM Aug 2018.
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.
The latest is Langlois-Carbonneau et al. But according to Langlois-Carbonneau et al., See > 50 cases on Dr. Smiths EGC Blog. Villarroel NA , Houghton CJ , Mader SC , Poronsky KE , Deutsch AL , Mader TJ. see reference below) Whats the gold standard for ECG interpretation: is it cardiologist interpretation? Take home 1.
[display_podcast] Date: September 2nd, 2017 Reference: Caputo et al. display_podcast] Date: September 2nd, 2017 Reference: Caputo et al. He writes an excellent blog called EM Nerd , which he describes as nihilistic ramblings. Reference: Caputo et al.
Date: November 30th, 2022 Reference: Johnson et al. Date: November 30th, 2022 Reference: Johnson et al. DISCLAIMER: THE VIEWS AND OPINIONS OF THIS BLOG AND PODCAST DO NOT REPRESENT THE UNITED STATES GOVERNMENT OR THE US MILITARY. Physical examination of patients with a FOOSH injury include palpating for snuff box tenderness.
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.
[display_podcast] Date: May 12th, 2018 Reference: Gonin P et al. display_podcast] Date: May 12th, 2018 Reference: Gonin P et al. Chris also has his own #FOAMed blog called Standing on the Corner Minding My Own Business ( SOCMOB ). Reference: Gonin P et al. Excited Delirium: A Systematic Review. AEM May 2018. AEM May 2018.
[display_podcast] Date: August 22nd, 2018 Reference: Riskin A, Erez A, Foulk TA, et al. display_podcast] Date: August 22nd, 2018 Reference: Riskin A, Erez A, Foulk TA, et al. He writes a blog called Broken Toy covering topics such as his experience with burnout, medical education and looking after each other. Pediatrics.
Date: October 2nd, 2019 Reference: Ramgopal et al. Date: October 2nd, 2019 Reference: Ramgopal et al. Changes in the Management of Children With Brief Resolved Unexplained Events (BRUEs). Pediatrics 2019 Guest Skeptic: Dr. Katie Noorbakhsh is a pediatric emergency physician at the Children’s Hospital of Pittsburgh.
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