The Skeptics' Guide to EM

SEPTEMBER 1, 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. A better option is to try kindness as outlined in the excellent book by Dr. Brian Goldman. Reference: Riskin A, Erez A, Foulk TA, et al. Pediatrics.

ALS 130

ALS Emergency Department OR EMS 130

REBEL EM

JANUARY 18, 2024

Paper: Varney J et al. References: Varney J et al. In an effort to administer antibiotics earlier, many studies have attempted to give antibiotics in the prehospital setting but the benefit of this intervention is unclear. Health Sci Rep 2022. to 0.97; p = 0.02 to 2.07; p = 0.91 to 12.33; p = 0.26 Health Sci Rep 2022.

ICU 132

ICU ALS EMS 132

This Podcast Will Kill You

JANUARY 2, 2024

Natalie is a New York Times bestselling author of novels for young readers, whose recently published award-winning book Hummingbird tells the story of a young girl with OI. Heartwarming, magical, and brilliant, this wonderful book is a must-read. Devogelaer, Jean-Pierre, et al. Tsimicalis, Argerie, et al. Tune in today!

E-9-1-1 52

E-9-1-1 ALS OR 52

ACEP Now

OCTOBER 29, 2024

After some fentanyl, applying traction, and “opening the book,” he improved. New York: Penguin Books. Knack SKS, Scott N, Driver BE, Pet al. Thiruganasambandamoorthy V, Kwong K, Wells GA, et al. Freund Y, Cachanado M, Aubry A, et al. Penaloza A, Verschuren F, Meyer G, et al. Urology took him for orchiopexy.

Emergency Department 59

Emergency Department ALS Emergency Medical Services OR 59

ALiEM

AUGUST 9, 2023

Distractions such as a toy, book, or phone/tablet can also help ease anxiety. 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. Use a linear high frequency probe.

E-9-1-1 246

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

EMDocs

AUGUST 8, 2023

Manual detorsion is classically described as “opening the book”. Some studies suggest the average degree of torsion is 720 degrees, so you may need to “open the book” a couple times. If no improvement or worsening pain, rotate in the opposite direction as if you are “closing the book”. Analgesia, not sedation, is necessary.

ALS 67

ALS OR Emergency Department 67

Don't Forget the Bubbles

AUGUST 7, 2023

The controversy around what is ‘normal’ in infants’ and children’s vitals was demonstrated in a 2011 systematic review by Fleming et al. and two cohort studies, one performed in Australia by O’Leary et al. and one in the US by Bonafide et al. Brennan et al. Our study supports previous work by Nijman et al.

Life Support 98

Life Support Advanced Life Support ALS Emergency Department 98

Dr. Smith's ECG Blog

AUGUST 2, 2024

118.007305) from Heitner et al. , PEARL #1: The important paper cited by Dr. Frick in his discussion above ( Heitner et al — Cardiovasc Interven 12(5), 2019 ) — highlights the fact that learning to predict the probable "culprit" artery from interpretation of the initial ECG is more than simply an academic exercise.

STEMI 109

STEMI ALS OR 109

FOAMfrat

NOVEMBER 21, 2024

PubMed , StatPearls Publishing, 5 May 2024, www.ncbi.nlm.nih.gov/books/NBK603758/. Jessica Dawkins Mills BSN, et al. EMS Tactical Paramedic Lethal Triad.” Accessed 10 Oct. Trauma Diamond of Death: Adding Calcium to the Lethal Triad.”

ICU 111

ICU Emergency Department OR Ambulance 111

The Skeptics' Guide to EM

MARCH 13, 2021

Reference: Post et al. Reference: Post et al. The guest skeptic for SGEM#201 was Dr. Chris Carpenter, who literally wrote the book on diagnostic accuracy of clinical decision instruments in the ED with Dr. Jesse Pines. Robert Edmonds is an emergency physician in the US Air Force in Ohio.

ALS 100

ALS Emergency Department ED OR 100

The Skeptics' Guide to EM

JUNE 29, 2018

[display_podcast] Date: June 20th, 2018 Reference: Fox LM et al. display_podcast] Date: June 20th, 2018 Reference: Fox LM et al. The first time was with Dr. Al Sacchetti. Al was brought back for a second time looking at using electro-acupuncture for migraine prophylaxis. Reference: Fox LM et al.

Emergency Department 100

Emergency Department ALS ED EMS 100

This Podcast Will Kill You

FEBRUARY 13, 2024

Granta Books, 2011. Ellis, Samuel, et al. These are only a sampling of the many questions we delve into in this info-packed, frustration-laden, and eye-opening episode. History Biology Foxcroft, Louise. Hot flushes, cold science: A history of the modern menopause. Monteleone, P., Mascagni, G., Giannini, A., Genazzani, A.R. Melby, M.K.,

ALS 98

ALS OR 98

EMS 12-Lead

APRIL 2, 2022

So, when I first began teaching ECGs and writing my books (in the early 1980s) — I decided to synthesize my impressions of the literature into what I felt (e.g. 4] Baranchuk, A, et al. Ken Grauer I’ll preface this by saying that IF you were to ask 10 expert cardiologists — I bet you’d get at least 5 different answers! 2] Surawicz, B.

ALS 130

ALS STEMI Coronary OR 130

FOAMfrat

AUGUST 28, 2024

2024, www.ncbi.nlm.nih.gov/books/NBK536919/. Hopkins, Erin, et al. 2022, www.ncbi.nlm.nih.gov/books/NBK507807/. National Library of Medicine , StatPearls Publishing, 8 Jan. Accessed 28 July 2024. Physiology, Acid Base Balance.” National Library of Medicine , StatPearls Publishing, 12 Sept. Accessed 28 July 2024.

Critical Care 98

Critical Care Overdose OR ALS 98

ACEP Now

AUGUST 15, 2023

11,12 As James Clear describes in his book, “Atomic Habits,” by linking a new behavior (mindful breathing) to an existing habit (hand washing) you use less cognitive energy and are more likely to successfully adopt this practice. Lu DW, et al. Chisholm CD, et al. Chisholm CD, et al. Burton A, et al. Cho H, et al.

ALS 90

ALS Emergency Department OR CPR 90

This Podcast Will Kill You

DECEMBER 19, 2023

Banerjee, Rajashree, et al. McDonald, Claire, et al. The choices seem limitless and maybe a tad overwhelming. But that’s where we come in. “Levodopa: the story so far.” ” Nature 466.7310 (2010): S6-S7. Kalia, L.V. and Lang, A.E., Parkinson’s disease. The Lancet , 386 (9996), pp.896-912. 2022): 27-37. .”

ALS 52

ALS OR 52

The Overrun Podcast

MARCH 4, 2020

The book that defines the thought process behind gestalt: [link] The HEART score for cardiac risk stratification: [link] 1st 10EM does a really great job breaking studies down for us in the FOAMed world; check them out explaining the Oliver paper: [link] Wang, et.

EMS 52

EMS ALS OR 52

FOAMfrat

OCTOBER 28, 2023

Extracorporeal life support: the ELSO red Book; p. Extracorporeal life support: the ELSO red book). You can reach me at bcress@perfusiondynamics.org Brian Cress, CCP, LP, FP-C, NRP References: Brogan T.V., MacLaren G., In: 5th edition. Extracorporeal Life Support Organization; Ann Arbor (MI): 2017.

Life Support 52

Life Support Paramedic CPR OR 52

REBEL EM

NOVEMBER 30, 2022

Perform manual detorsion after diagnosis Read More: Video: The New Testicular Torsion Traction Technique Ben-Israel T et al. PMID: 20837255 Sidler D et al. PMID: 22217895 Ban KM, Easter JS: Selected Urologic Problems; in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8.

ALS 52

ALS ED OR EMS 52

ACEP Now

JULY 6, 2023

Brian Zink captured a wonderful initial vision statement for our specialty with the title of his book, “Anyone, Anything, Anytime,” which documented the history of our specialty. Gulati M, et al. Stiell IG, et al. Stiell IG, et al. Hoffman JR, et al. Stiell IG, et al. Schonfeld D, et al. Postgrad Med.

ALS 52

ALS Emergency Department STEMI ED 52

Don't Forget the Bubbles

JANUARY 10, 2024

Maitland K, Olupot-Olupot P, Kiguli S, et al. doi:10.1056/NEJMoa1900100 Maitland K, Kiguli S, Olupot-Olupot P, et al. 12547 Calis JC, Phiri KS, Faragher EB, et al. doi:10.1056/NEJMoa072727 death stats, Carson JL, Guyatt G, Heddle NM, et al. 2016.9185 Doctor A, Cholette JM, Remy KE, et al. N Engl J Med. 2015;13:21.

E-9-1-1 78

E-9-1-1 ALS OR Critical Care 78

REBEL EM

SEPTEMBER 29, 2022

Article: de-Madaria E et al. For More on This Topic Checkout: CorePendium: Pancreatic Disease Internet Book of Critical Care: Acute Pancreatitis EMCrit: Ep333 – The State of Fluids Show with the EMCrit Core Team The Bottom Line: Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis References: de-Madaria E et al.

ICU 52

ICU ALS Critical Care Emergency Department 52

ACEP Now

SEPTEMBER 3, 2024

Most of these private equity firms are in lower-income, under-resourced places already because they come in with a promise to turn the books around. Sheffler RM, Alexander L, Fulton BD, et al. Salley et al v. Heartland-Charleston of Hanahan SC LLC et al. Bruch JD, Foot C, Singh Y, et al. Accessed August 25, 2024.

E-9-1-1 69

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

FOAMfrat

MAY 17, 2024

Extracorporeal Life Support: The Elso Red Book. As always, I welcome any feedback, questions, comments, or suggestions for future blog posts. You can reach me at bcress@foamfrat.com Brian Cress, CCP, LP, FP-C, NRP References: Brogan, Thomas V., Extracorporeal Life Support Organization, 2023. Lich, Bryan V., Mark Brown. Perfusion.Com , 2004.

Life Support 98

Life Support OR ALS EMS 98

Dr. Smith's ECG Blog

SEPTEMBER 7, 2024

Lemkes et al. I believe that I was the first to represent Wellens as a reperfusion syndrome, in my book , The ECG in Acute MI , pages 22-23 and 51, and in chapter 27 on Reperfusion and Reocclusion. If you are prepared for this, they conclude that it is acceptable to wait until the morning for intervention. Eur Heart J 2018.

STEMI 113

STEMI ACS Critical Care OR 113

EMDocs

JUNE 3, 2023

Figure 2: Open book pelvic fracture. Glick Y, Knipe H, Hacking C, et al. Coccolini F, Stahel PF, Montori G, et al. doi:10.1186/s13017-017-0117-6 Anand T, El-Qawaqzeh K, Nelson A, et al. doi:10.1186/s13049-016-0259-7 Lustosa L, Open book pelvic fracture. Incagnoli P, Puidupin A, Ausset S, et al. 2016;24:73.

ED 54

ED Operating Room ALS Frozen Plasma 54

Dr. Smith's ECG Blog

APRIL 22, 2022

Backus BE, Six AJ, Kelder JC, et al. Moumneh T, Sun BC, Baecker A, et al. Shah ASV, Anand A, Sandoval Y, et al. Patel J, Alattar F, Koneru J, et al. Gulati M, Levy P, Mukherjee D, et al. Greenslade J, Cho E, Van Hise C, et al. Int J Cardiol 2013 2. Shin YS, Ahn S, Kim YJ. Am J Med 2021 5. Lancet 2015 6.

E-9-1-1 52

E-9-1-1 STEMI ALS ED 52

Dr. Smith's ECG Blog

MARCH 11, 2016

Raitt MH, et al. There is a body of literature from the thrombolytic era showing that high ST score correlates with high mortality (see annotated bibliography below, from my book The ECG in Acute MI ). This comes from chapter 28 of my book The ECG in Acute MI ). Methods: Oliva et al. (94) Methods: Oliva et al.

ALS 52

ALS STEMI OR ED 52

FOAMfrat

JUNE 25, 2024

“High Elevation Travel & Altitude Illness | CDC Yellow Book 2024.” 2. Jensen JD, Vincent AL. Wwwnc.cdc.gov , Centers for Disease Control and Prevention, 1 May 2023, wwwnc.cdc.gov/travel/yellowbook/2024/environmental-hazards-risks/high-elevation-travel-and-altitude-illness#:~:text=HAPE%20can%20occur%20by%20itself.

OR 86

OR Coronary ALS 86

EMDocs

APRIL 22, 2024

Alerhand et al described ten individual echocardiographic findings of RV strain that suggest PE. Marino’s the ICU book, Wolters Kluwer Health, pgs 105-109, 4th ed., VUMC Emergency Medicine, “RV Strain & TAPSE” YouTube Video [link] Farcy et al. Available from: [link] Meneveau, Nicolas, et al.

ED 81

ED NARCAN ALS OR 81

Dr. Smith's ECG Blog

SEPTEMBER 17, 2023

Here is an example of isolated RV infarction, from Dr. Smith's book : Learning points: 1) OMI can be very subtle and RV infarction may manifest poorly on the standard ECG. RV infarction usually have ST-elevation or OMI findings in the right precordial leads overlying the right ventricle. This is the ECG at discharge 3 days post PCI.

STEMI 96

STEMI OR ACS ALS 96

AAEM RSA

NOVEMBER 23, 2020

3 Sheryl Sandberg’s recent book, Lean In , focused attention on the individual factors that hinder the advancement of women and has challenged women to overcome their own low expectations and self-defeating behaviors. Shollen et al. 6 Jolly et al. link] Shollen SL, Bland CJ, Finstad DA, Taylor AL. Soc Forces.

OR 52

OR E-9-1-1 ALS 52

Emergency Medicine Ireland

MAY 27, 2024

Is the IVS becoming less flattened, is the RV less distended, is the TAPSE improving etc… Echo early, echo often in my book. I am a self confessed echo phile so take that into consideration but one of my targets of treatment is going to be how the heart looks. Atrial fibrillation is something of a right of passage in the ICU.

Critical Care 52

Critical Care ICU OR ALS 52

ALiEM

OCTOBER 30, 2024

Multimodal medication options for fentanyl-xylazine withdrawal management in London et al. 2023 [book]. PMID 35774687 D’Onofrio G, Chawarski MC, O’Connor PG, et al. PMID 28194688 D’Onofrio G, O’Connor PG, Pantalon MV, et al. D’Onofrio G, Hawk KF, Perrone J, et al. PMID 36995717 London K, Li Y, Kahoud JL, et al.

E-9-1-1 161

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

FOAMfrat

JULY 1, 2023

Their recommendation, as I can tell, appears to come from two things: A paper by Levin NM et al. I also find the following information useful: Succinylcholine has an onset of approximately 45 seconds, whereas Rocuronium has an approximate onset of 60 to 90 seconds -- Depending on what book you read. Jain A, Wermuth HR, Dua A, et al.

E-9-1-1 52

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

Dr. Smith's ECG Blog

DECEMBER 29, 2015

The criteria of Armstrong et al. LVH usually has concave-upwards ST segments, but conVEX-upwards can also be seen, e.g. in these cases from Dr Smith’s book: The ECG in Acute MI : Case 22-1. One retrospective analysis by Armstrong et al. Armstrong EJ, Kulkarni AR, Bhave PD, et al. AT, Jaffa EJ, et al. Am J Cardiol.

STEMI 52

STEMI Coronary ALS CAD 52

Dr. Smith's ECG Blog

JUNE 28, 2018

de Zwaan C et al. I believe that I was the first to represent Wellens as a reperfusion syndrome, in my book , The ECG in Acute MI , pages 22-23 and 51, and in chapter 27 on Reperfusion and Reocclusion. Am Heart J. 1982 Apr;103(4 Pt 2):730-6. Am Ht J 117(3): 657-665; March 1989.

STEMI 52

STEMI Coronary OR ALS 52