REBEL EM

APRIL 29, 2024

A study by Lee et al ( 7) compared femoral CVC placement to IO and demonstrated a first-pass success pass rate with IO of 90.3% Labs can be drawn from an IO to help with rapid diagnosis in emergencies. References: 1 Astasio-Picado Á et al. World J Emerg Surg 2023 PMID: 36918947 3. Int J Emerg Med 2009 PMID: 20157465 4.

ALS 104

ALS Epinephrine Critical Care Emergency Department 104

Broome Docs

JUNE 20, 2023

There are a lot of ideas to keep your brain up to date with the latest evidence in Emergency medicine. Here we go… Liu S, Yao C, Xie J, et al. Bramante CT, Buse JB, Liebovitz DM, et al. Intravenous Haloperidol Has a Limited Role in the Modern Emergency Department. Ann Emerg Med. Ann Emerg Med.

Emergency Department 132

Emergency Department ALS 132

The Skeptics' Guide to EM

MAY 12, 2018

[display_podcast] Date: May 12th, 2018 Reference: Gonin P et al. Guest Skeptic: Dr. Chris Bond is an emergency physician and clinical lecturer at the University of Calgary. He is currently the host of CAEP Casts, which highlights educational innovations from emergency medicine residency programs across Canada. AEM May 2018.

Emergency Department 130

Emergency Department ALS OR 130

Don't Forget the Bubbles

OCTOBER 4, 2023

Formentin C, et al. Jørgensen RM, et al. Harris J, et al. Bhatia S, et al. Vivarelli M, et al. Morello W, et al. McGowan EC, et al. Hirata K, et al. Shaikh N, et al. Determining the Best Definition for a Positive Urine Culture in Young Children. Wald ER, et al. 2023 Sep 13.

E-9-1-1 111

E-9-1-1 ALS Emergency Department OR 111

ACEP Now

MAY 9, 2024

It has been well over a year since the controversial publication of the Agency for Healthcare Research and Quality (AHRQ) report on diagnostic errors in the emergency department (ED). The diagnostic error was therefore classified as relating to the delays associated with testing and its effect on subsequent definitive management.

Emergency Department 52

Emergency Department ICU ALS ACS 52

The Skeptics' Guide to EM

NOVEMBER 1, 2022

Date: October 27th, 2022 Reference: Hayashi et al. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called First10EM.com Case: A 19-year-old man presents to the emergency […] The post SGEM#381: Put Your Hand on My Shoulder and Reduce It first appeared on The Skeptics Guide to Emergency Medicine.

ALS 152

ALS Emergency Department OR ED 152

Don't Forget the Bubbles

MAY 31, 2023

Children presenting with diabetes and diabetic ketoacidosis to Emergency Departments during the COVID-19 pandemic in the UK and Ireland: an international retrospective observational study. During the COVID-19 pandemic , we noticed a change in the type of patients presenting to the Emergency Department. Birkebaek et al.,

Emergency Department 135

Emergency Department ED OR ALS 135

REBEL EM

MARCH 8, 2023

REBEL Core Cast 97.0 – Acute Vision Loss II Click here for Direct Download of the Podcast Definition: Decrease of visual acuity due to a non-traumatic cause. Emergency Department Management: Emergency ophthalmology consultation. Transient vision loss defined as vision loss <24 hours. Bagheri 2015 ).

Emergency Department 52

Emergency Department ALS ED OR 52

Dr. Smith's ECG Blog

AUGUST 9, 2024

Written by Colin Jenkins and Nhu-Nguyen Le with edits by Willy Frick and by Smith A 46-year-old male presented to the emergency department with 2 days of heavy substernal chest pain and nausea. Bigger et al. Annals of Emergency Medicine , 31 (1), 3–11. Sadowski ZP, Alexander JH, Skrabucha B, et al. Leave it alone.

STEMI 88

STEMI Coronary Heart Attack ACS 88

The Skeptics' Guide to EM

SEPTEMBER 30, 2017

[display_podcast] Date: September 26th, 2017 Reference: Kaufman, et al. display_podcast] Date: September 26th, 2017 Reference: Kaufman, et al. Case: You are working the afternoon shift in the paediatric emergency department. Your shift is almost over and the department finally seems to be under control.

Emergency Department 130

Emergency Department ALS OR 130

Dr. Smith's ECG Blog

JANUARY 27, 2024

, tells us that we physicians do not need to even look at this ECG until the patient is placed in a room because the computer says it is normal: Validity of Computer-interpreted “Normal” and “Otherwise Normal” ECG in Emergency Department Triage Patients I reviewed this article for a different journal and recommended rejection and it was rejected.

STEMI 105

STEMI Coronary ACS ED 105

The Skeptics' Guide to EM

FEBRUARY 15, 2020

Date: February 11th, 2020 Reference: Yeh et al. Case: A 32-year-old woman with no previous medical history calls you while a passenger on a […] The post SGEM#284: Might as Well Jump, but We would Recommend a Parachute first appeared on The Skeptics Guide to Emergency Medicine. Date: February 11th, 2020 Reference: Yeh et al.

ALS 130

ALS Emergency Department OR 130

REBEL EM

AUGUST 30, 2023

REBEL Core Cast 107.0 – Vertebral Osteomyelitis Click here for Direct Download of the Podcast Definition Inflammation of the vertebrae due to a pyogenic, fungal or mycobacterial organism. Graphics Image 1: [link] Image 2: [link] References Berbari EF, Kanj SS, et al. PMID: 26316526 Boody B, et al. Back Pain Emergencies.

E-9-1-1 103

E-9-1-1 ALS ED OR 103

The Skeptics' Guide to EM

MARCH 2, 2019

Date: February 26th, 2019 Reference: Benger et al. JAMA 2018 Guest Skeptic: Missy Carter, former City of Bremerton Firefighter/Paramedic, currently a physician assistant practicing in emergency medicine in the Seattle area and an adjunct faculty […] The post SGEM#247: Supraglottic Airways Gonna Save You for an OHCA?

CPR 130

CPR Firefighter Defibrillator Epinephrine 130

ACEP Now

MARCH 14, 2024

A 24-year-old male with history of quadriplegia and traumatic brain injury presents to the emergency department with hemorrhage in his oral cavity and blood from his tracheostomy tube. Tracheo-innominate fistula (TIF) is an unusual and frequently lethal complication of such definitive airway placement. 2013:1960-62. J Vasc Surg.

E-9-1-1 52

E-9-1-1 ALS Operating Room OR 52

EMDocs

MARCH 30, 2024

Answer : Thoracic and Lumbar Spine Trauma Epidemiology: Approximately half of the vertebral injuries that are seen in the emergency department are thoracic and lumbar injuries. A 27-year-old man was brought into the emergency department via EMS after being stabbed. J Emerg Med. and 100%, respectively. 2020;6(1):67.

EMS 90

EMS E-9-1-1 Emergency Department Ambulance 90

EMDocs

AUGUST 12, 2023

He presented to the emergency department because he is having numbness distal to the site of injury, as well as constant bleeding and some difficulty with flexing his finger. Çalışkan Uçkun A, Yurdakul FG, Ergani HM, et al. link] Alkandari A F, Alawadhi A, Alawadhi F A, et al. Flexor Tendon Lacerations. In: StatPearls.

EMS 69

EMS ALS Emergency Department OR 69

ACEP Now

JANUARY 9, 2024

A 3-year-old male was brought to the emergency department (ED) by his mother, who reported the sudden onset of a rash (hives) covering his entire body, with no rash on his palms and soles. The next day, the patient’s mother was called to come to the emergency department with the patient due to abnormal labs.

E-9-1-1 52

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

REBEL EM

FEBRUARY 22, 2023

Open angle Closed angle Definitions Increased resistance to aqueous outflow through the trabecular meshwork. et al, Emergency Medicine Clinical Essentials ed 2. Ophthalmology, in Marx J et al (eds): Rosens Emergency Medicine: Concepts and Practice, ed 9. Transient vision loss defined as vision loss <24 hours.

Emergency Department 52

Emergency Department ALS ED Coronary 52

REBEL EM

DECEMBER 5, 2023

This varied incidence can be due to inconsistent definitions or inclusion of mild reactions. Incidence of clinically important biphasic reactions in emergency department patients with allergic reactions or anaphylaxis. Annals of Emergency Medicine 2014 Jun;63(6):736-44 Lee S, Bellolio F, Hess E, Erwin P, Murad M, Campbell R.

Epinephrine 80

Epinephrine Allergic Reaction Emergency Department Emergency Manager 80

The Skeptics' Guide to EM

FEBRUARY 2, 2018

[display_podcast] Date: January 31st, 2018 Reference: Frohlich LC, et al. Guest Skeptic: Dr. Melissa Langhan is an Associate Professor of Pediatric Emergency Medicine at Yale University in New Haven, CT. display_podcast] Date: January 31st, 2018 Reference: Frohlich LC, et al. Reference: Frohlich LC, et al. AEM Dec 2017.

Operating Room 100

Operating Room Emergency Department ALS ED 100

EMDocs

DECEMBER 4, 2023

Johnson, MD ( Community EM, Salina Regional Health Center) // Reviewed by: Joshua Lowe, MD (EM Attending Physician, USAF); Marina Boushra, MD (Cleveland Clinic Foundation, EM-CCM); Brit Long, MD (@long_brit) Case A 40-year-old woman presents to a rural emergency department (ED) with left leg pain and swelling for the past 5 days.

ALS 71

ALS Emergency Department ED OR 71

ACEP Now

OCTOBER 10, 2023

A 76-year-old female presents to the emergency department obtunded with left hemiplegia. External Validity: It is unclear if this data applies to patient you see in your emergency department. There is no definitive evidence to inform our management. Thank you to Dr. References Anderson CS, Heeley E, Huang Y et al.

ALS 52

ALS Critical Care Emergency Department OR 52

ACEP Now

JULY 6, 2023

Emergency physicians have earned the right to “re-brand” ourselves as indispensable, money-saving change agents in the health care enterprise. Of course, the bill for any episode of emergency department (ED) care can be substantial, exceeding the billed charges for equivalent care provided in some primary care offices.

ALS 52

ALS Emergency Department STEMI ED 52

EMDocs

NOVEMBER 18, 2023

doi:10.1007/s00247-020-04811-0 2) Kwong AJ, Ebel NH, Kim WR, et al. Accessed May 7, 2023 5) Oh SY, Lee JM, Lee H, et al. Emergency department visits and unanticipated readmissions after liver transplantation: A retrospective observational study. 2021.11.006 11) Frongillo F, Lirosi MC, Nure E, et al. Am J Emerg Med.

EMS 69

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

Dr. Smith's ECG Blog

FEBRUARY 6, 2024

Written by Pendell Meyers A teenager was involved in a motor vehicle collision and presented to the Emergency Department via EMS altered and potentially critically ill. A Child with Blunt Trauma -- See how the ECG can be definite for myocardial contusion, but subtle, and what happens if you miss it.

ALS 110

ALS Emergency Department OR EMS 110

ACEP Now

MAY 10, 2024

A 59-year-old man presents to your community emergency department (ED) with chest pain that is radiating to his back. 2,3 There are clinical decision tools available, but the American College of Emergency Physicians does not recommend the routine use of these tools in suspected cases of AoD. Acad Emerg Med. Eur Heart J.

ALS 52

ALS OR Emergency Department ED 52

ACEP Now

NOVEMBER 16, 2023

8 Following initial stabilization, unstable patients should be admitted to the intensive care unit for definitive management. Jeong N, Kim KS, Jung YS, et al. Am J Emerg Med. The emergency medicine evaluation and management of the patient with cirrhosis. Am J Emerg Med. Roberts I, Shakur-Still H, Afolabi A, et al.

Frozen Plasma 52

Frozen Plasma FFP ALS Plasma 52

Don't Forget the Bubbles

JANUARY 10, 2024

Let’s take the humble blood transfusion – used in emergency departments across the globe and playing a key role in critical care. A definitive trial was needed to help establish the best transfusion practices to prevent child mortality in LMICs. Maitland K, Olupot-Olupot P, Kiguli S, et al. N Engl J Med. Br J Haematol.

E-9-1-1 78

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

Don't Forget the Bubbles

MAY 6, 2024

Article 1: Positive urine cultures without pyuria Wang ME, Jones VG, Kane M, et al. Reviewed by: Sarah Gentle and Owen Hibberd Article 2: Second attempt success in neonatal intubation Johnson MD, Tingay DG, Perkins EJ et al. National Emergency Airway Registry for Neonates (NEAR4NEOS) investigators. Acad Pediatr.

E-9-1-1 75

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

Don't Forget the Bubbles

MAY 24, 2023

Airway complications are also more likely to occur in the emergency department (ED) than in the operating theatre. Remember that FONA is only a temporary airway to assist oxygenation while someone is trying to secure a definitive airway. References Ambardekar AP, Rosero EB, Bhoja R, et al. Simul Healthc. doi:10.1097/SIH.0000000000000362

Emergency Department 98

Emergency Department ED ALS OR 98

EMDocs

JULY 17, 2023

Signs and symptoms of peritonitis, hypotension, tachycardia out of proportion to pain, or fever should raise suspicion for perforation, which is a surgical emergency. Evaluation Imaging A definitive diagnosis of LBO requires imaging, most often a computed tomography (CT) scan with intravenous (IV) contrast. World J Emerg Surg.

E-9-1-1 77

E-9-1-1 ED ALS Operating Room 77

Don't Forget the Bubbles

AUGUST 28, 2023

A biopsy is often ultimately required for a definitive diagnosis. Five-year-old Ginny presents to the Emergency Department with a syncopal episode. 0000000000000294 Carter BW, Benveniste MF, Madan R, et al. Some basic knowledge of the structures within each compartment can be helpful when considering differentials.

Emergency Management 96

Emergency Management Emergency Manager E-9-1-1 Critical Care 96

EMDocs

JULY 3, 2023

Louis); Alex Koyfman, MD (@EMHighAK); Marina Boushra, MD (EM-CCM Attending, Cleveland Clinic Foundation) Case A 62-year-old male with past medical history of hypertension (HTN), hyperlipidemia (HLD), and prior cerebrovascular accident (CVA) presents to the emergency department (ED) via ambulance. Avest E, Taylor S, Wilson M, et al.

ED 85

ED E-9-1-1 ALS OR 85

REBEL EM

JULY 3, 2023

Article: Rossi N et al. Impact of intravenous calcium with diltiazem for atrial fibrillation/flutter in the emergency department. Am J Emerg Med. What They Did: Researchers conducted a multicenter, retrospective cohort study in three community hospitals and two freestanding emergency departments.

E-9-1-1 98

E-9-1-1 EMR Emergency Department ED 98

Dr. Smith's ECG Blog

MARCH 9, 2023

Sent by anonymous, written by Pendell Meyers A man in his 50s with no prior known medical history presented to the Emergency Department with severe intermittent chest pain. Karwowski et al showed that only 64% of 4581 STEMIs had TIMI 0 flow on angiogram. [25] 25] Stone et al found that 72% have TIMI 0 or 1 flow. [26]

E-9-1-1 52

E-9-1-1 STEMI Coronary ALS 52

EMDocs

JULY 30, 2024

As no definitive testing could be performed on the material ingested, it could not be confirmed whether the patient’s symptoms were related to a PNU exposure or new onset diabetes, however, PNU exposure was highly suspected. doi: 10.1056/NEJM198001103020202 Buonvicino D, Mazzola F, Zamporlini F, et al. A clinical study of 12 cases.

Overdose 56

Overdose ED Emergency Department OR 56