The Skeptics' Guide to EM

OCTOBER 20, 2018

[display_podcast] Date: October 17th , 2018 Reference #1: Aycock, Westafer et al. Ann Emerg Med 2018 (CRD42017056195) Reference #2: Weisbord SD, Gallagher M, Jneid H, et al; PRESERVE Trial Group. first appeared on The Skeptics Guide to Emergency Medicine. Reference: Aycock, Westafer et al. mg/dL within 3 days.

Coronary 174

Coronary Emergency Department ALS OR 174

Broome Docs

FEBRUARY 22, 2024

PMID: 36946338 Bottom line: This is a well done RCT that demonstrates pretty convincingly that you should not bother trying to but fingernails back on after nail bed repair (and my guess is you definitely shouldn’t be removing them either). Carson JL, Brooks MM, Hébert PC, et al; MINT Investigators. N Engl J Med. 2023 Nov 11.

Emergency Department 103

Emergency Department ALS OR ED 103

Don't Forget the Bubbles

AUGUST 23, 2023

In most Emergency Departments, staff are allotted little of that scarce resource, time, to begin processing what has just occurred. Definitive emotional support is critical to our emotional and psychological well-being. The Pause Jonathon Bartels worked as an Emergency Nurse in America in 2009. Kapoor et al.

Emergency Department 98

Emergency Department ICU ALS Critical Care 98

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said "Nothing too exciting." Reference on Troponins: Xenogiannis I, Vemmou E, Nikolakopoulos I, et al. Lindahl et al. From Gue at al. Lindahl B, Baron T, Erlinge D, et al. References: 1.

Emergency Department 52

Emergency Department E-9-1-1 Coronary STEMI 52

ACEP Now

AUGUST 14, 2024

grams of IV magnesium to placebo, doses considerably higher than the two grams of magnesium often administered in the emergency department (ED). Second, the outcomes definitions rate and rhythm control at four and 24 hours are far beyond times relevant in emergency medicine in the U.S. Fromm C, Suau SJ, Cohen V, et al.

ALS 105

ALS Emergency Department ED OR 105

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 105

ALS Epinephrine Critical Care Emergency Department 105

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

ACEP Now

NOVEMBER 7, 2024

If you work in the emergency department, you’re out there in the trenches “suspecting sepsis” on a daily basis. Nearly 95 percent of the 2,511 patients included in this trial were enrolled in the emergency department, with the most common sources of infection suspected to be intra-abdominal or pulmonary. JAMA Netw Open.

Emergency Department 64

Emergency Department ALS OR 64

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 154

ALS Emergency Department OR ED 154

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

ACEP Now

NOVEMBER 8, 2024

First, research suggests a higher number of emergency department visits among individuals with ASD. About 30 percent of children with ASD need treatment in an emergency department, and this number increases to nearly 70 percent for those aged 15–18. Maenner MJ, Warren Z, Williams AR, et al. Cleve Clin J Med.

Emergency Department 52

Emergency Department OR ED ALS 52

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

ACEP Now

JULY 7, 2023

emergency departments (EDs), with statistics reporting more than 356,000 out-of-hospital cardiac arrests per year. References Tsao CW, et al. Benjamin EJ, et al. Kimblad H, et al. Adult cardiac arrest in the emergency department – A Swedish cohort study. Sakai T, et al. Kudenchuk PJ, et al.

Defibrillator 98

Defibrillator OR ALS Epinephrine 98

REBEL EM

JUNE 8, 2023

Paper: Singer S, et al. Am J Emerg Med. If pre-made syringes are not financially feasible then the creation of these medications should be done by a dedicated emergency department pharmacist. Clinical Bottom Line: Acute hypotension must be treated emergently in order to decrease morbidity and mortality. 2022 Sep 5.

Epinephrine 98

Epinephrine Emergency Department ALS Critical Care 98

ACEP Now

NOVEMBER 14, 2023

One of the most hair-raising presentations to the emergency department (ED) can be massive hemoptysis with respiratory failure. A more practical definition of massive or life-threatening hemoptysis is that which causes signs of worsening respiratory distress, hemodynamic instability, abnormal gas exchange, or airway obstruction.

E-9-1-1 52

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

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

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

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-9-1-1 104

E-9-1-1 ALS ED OR 104

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 102

STEMI Coronary ACS ED 102

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

Don't Forget the Bubbles

OCTOBER 21, 2024

Olivia, 7, has been brought to the emergency department. Her mother has brought her to the emergency department because she is worried that Olivia is doing the movements more frequently and would like a brain scan. However, these studies are not robust enough to provide definitive conclusions. What are tics?

ALS 59

ALS Emergency Department OR 59

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 Paramedic Defibrillator 130

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 85

STEMI Coronary Heart Attack ACS 85

ACEP Now

MAY 10, 2024

1 In the absence of lower UTI symptoms like dysuria, urgency, or frequency, by definition, a patient does not have a UTI and therefore does not need treatment with antibiotics. 2010.0361 Hooton TM, Scholes D, Stapleton AE, et al. doi:10.1056/NEJM200010053431402 Bonkat G, Bartoletti R, Bruyere F, et al. Dtsch Arztebl Int.

ALS 98

ALS Emergency Department OR 98

REBEL EM

AUGUST 22, 2022

Background: Traumatic lacerations presenting to the emergency department are, by definition, contaminated (ie non-sterile). Paper: Zwaans JJM et al. Emerg Med J 2022. References: Zwaans JJM et al. Emerg Med J 2022. PMID: 35882525 [ Access on Read by QxMD ] Perelman VS et al. Ann Emerg Med 2004.

Emergency Department 59

Emergency Department ALS ED EMS 59

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 89

EMS E-9-1-1 Emergency Department Ambulance 89

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

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 81

Epinephrine Allergic Reaction Emergency Department Emergency Management 81

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

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

Don't Forget the Bubbles

JULY 22, 2024

Compare this with the Panickar et al. Fortunately, Lee et al. Lee B, Turner S, Borland M, Csonka P, Grigg J, Guilbert TW, et al. This is a broad definition of “pre-school” wheeze , and whilst this addresses a large population, the aforementioned concerns of including children under two prevail. study from 200 9.

E-9-1-1 105

E-9-1-1 ALS ACS ED 105

The Skeptics' Guide to EM

DECEMBER 16, 2017

[display_podcast] Date: November 27th, 2017 Reference: Legriel et al. NEJM Dec 2016 Guest Skeptic: Dr. Neal Little is an Emergency Physician who works at Chelsea Hospital in Chelsea, Michigan. He is also a Faculty member of the Emergency Medicine and Acute Care Series 1986 to present. Reference: Legriel et al.

ALS 100

ALS ICU Emergency Department Paramedic 100

FOAMfrat

JANUARY 23, 2024

From sepsis and pneumonia to urinary tract infections and skin abscesses, antibiotics are often the first line of defense, providing a crucial bridge until a definitive diagnosis can be established. By targeting the specific bacteria responsible, antibiotics can slow the progression of the infection and improve patient outcomes (Khan et al.,

EMS 52

EMS Emergency Department ALS Ambulance 52

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 70

ALS Emergency Department ED OR 70

EMDocs

SEPTEMBER 25, 2023

Also known as Facilitated intubation (FI), the use of intubating with only a sedative was an accepted alternative intubation technique prior to those definitive studies in the late 1990s but quickly was abandoned for RSI in all emergent endotracheal intubations (ETI) (8,9). References: Heffner AC et al. Int J Emerg Med.

ED 65

ED Emergency Department ALS OR 65