The Skeptics' Guide to EM

DECEMBER 25, 2021

” Reference: Vallentin et al. JAMA 2021 This was an SGEM Journal Club and all the slides from the presentation can be downloaded using this LINK. Case: An EMS crew arrives at the home of a 68-year-old suffering from a witnessed out-of-hospital cardiac arrest (OHCA). Reference: Vallentin et al.

Epinephrine 130

Epinephrine CPR ALS Emergency Department 130

The Skeptics' Guide to EM

MAY 29, 2021

Reference: Jhunjhunwala et al. Reference: Jhunjhunwala et al. If you would like a copy of the slides from the presentation you can download them free open access at this LINK. The patient is an adult male with a gunshot wound to the chest, and they’re combative with emergency medical services (EMS).

Emergency Medical Services 130

Emergency Medical Services ACS ALS Emergency Department 130

REBEL EM

SEPTEMBER 13, 2023

Read More EMCrit: Podcast 145 – Awake Intubation Lecture from SMACC ERCast: Angioedema References: Baş M et al. PMID 25629740 Hassen GW et al. PMID 23062323 Kostis JB et al. PMID 16043683 McCormick M et al. PMID 20954277 Sinnert R et al. Zuraw et al. of people who take NSAIDs ( Nzeako 2010 ).

Frozen Plasma 105

Frozen Plasma Allergic Reaction FFP Plasma 105

REBEL EM

JUNE 26, 2024

PMID: 20855477 Wrenn K et al. PMID: 1952310 Aslam S et al. PMID: 12198216 Montague BT et al. PMID: 18235147 Mattu A et al. PMID: 18936701 Moussavi K et al. Rezaie, MD (Twitter/X: @srrezaie ) The post REBEL Core Cast 125.0 – Hyperkalemia appeared first on REBEL EM - Emergency Medicine Blog.

ALS 59

ALS OR EMS 59

REBEL EM

JANUARY 29, 2024

Click here for Direct Download of the Podcast Paper: Aykan AC et al. References: Jaff MR et al. PMID: 21422387 Wan S et al. PMID: 15262836 Sharifi M et al. PMID: 27422214 Wang C et al. PMID: 19741062 Kucher N et al. PMID: 24226805 Piazza G et al. PMID: 26315743 Tapson VF et al.

ALS 137

ALS ACS OR CPR 137

REBEL EM

JUNE 26, 2023

Click here for Direct Download of the Podcast Paper: Bouzat P et al. References: Bouzat P et al. PMID: 36942533 Innerhofer P et al. PMID: 28457980 Jehan F et al. PMID: 29664892 Zeeshan M et al. appeared first on REBEL EM - Emergency Medicine Blog. Lancet Haematol 2017. J Trauma Acute Care Surg 2018.

FFP 145

FFP Frozen Plasma ALS Plasma 145

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. J Antimicrob Chemother.

E-9-1-1 104

E-9-1-1 ALS ED OR 104

REBEL EM

DECEMBER 14, 2022

aeruginosa and antibiotics should be tailored to cover this organism REBEL Core Cast 92.0 – Perichondritis Click here for Direct Download of the Podcast Background Perichondritis may appear to be a simple cellulitis of the ear but, in fact, it represents an infection of the connective tissue of the ear. 1989): 633-637.

EMS 52

EMS ALS OR 52

REBEL EM

JULY 20, 2022

REBEL Core Cast 85.0 – Superficial Venous Thrombosis Click here for Direct Download of the Podcast Definition: The presence of a clot in a superficial vein. References: Frappe P, et al the STEPH Study Group. PMID: 12814979 Blumenberg RM, et al.: PMID: 9510288 Coon WW et al. PMID: 25903684 Guyatt GH et al.

ALS 52

ALS OR ED EMS 52

REBEL EM

FEBRUARY 8, 2023

PMID: 3652623 Wilhelmus KR et al. PMID: 4739528 Weiner et al. Link McDonald et al. Link Welder et al. Link Wilhelmus KR et al. PMID: 7997324 Chan RV et al. Link White et al. Herpes simplex epithelial and stromal keratitis: an epidemiologic update. Surv Ophthalmol 2012; 57(5):448-462.

ALS 52

ALS OR EMS ED 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. et al, Emergency Medicine Clinical Essentials ed 2. Ophthalmology, in Marx J et al (eds): Rosens Emergency Medicine: Concepts and Practice, ed 9. Bagheri 2015 ).

Emergency Department 52

Emergency Department ALS ED OR 52

REBEL EM

NOVEMBER 2, 2022

mg/dL, BUN > 30 mg/dL or Total bilirubin > 4 mg/dL) Read More Oyama LC: Disorders of the liver and biliary tract, in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. References Runyon BA et al. PMID: 3338704 Borzio M et al. PMID: 11303974 Gaetano et al.

ALS 52

ALS ED EMS OR 52

REBEL EM

OCTOBER 19, 2022

Treat moderate to severe symptoms and any EKG changes with IV calcium salts Always search for and treat the underlying cause of hypocalcemia REBEL Core Cast 88.0 – Hypocalcemia Click here for Direct Download of the Podcast Definition: A serum calcium level < 8.5 Louis, Mosby, Inc., 2014, (Ch) 125: p 1636-53. 2013, July 2).

ED 52

ED ALS OR EMS 52

REBEL EM

JULY 17, 2023

Click here for Direct Download of the Podcast Paper: Knack SKS et al. References: Knack SKS et al. appeared first on REBEL EM - Emergency Medicine Blog. It is possible that the induction agent used could play an important role on hemodynamic effects in critically ill adults.

ED 98

ED ICU Emergency Department Overdose 98

EMDocs

JUNE 9, 2023

Podcast: Play in new window | Download (Duration: 15:51 — 21.8MB) Subscribe: Apple Podcasts | Google Podcasts | RSS Safe prehospital transport of the agitated child In episode 1 of this series, we discussed differentiating organic vs psychiatric causes of agitation in children.

Emergency Medical Services 76

Emergency Medical Services EMS Emergency Department Ambulance 76

REBEL EM

AUGUST 7, 2023

REBEL Cast Ep122: Delayed vs Rapid Sequence Intubation in Agitated Trauma Patients Click here for Direct Download of the Podcast Paper: Bandyopadhyay A et al. References: Bandyopadhyay A et al. that would not be possible in an agitated/combative patient. Anesth Analg 2023.

ALS 98

ALS OR EMS 98

REBEL EM

MARCH 22, 2023

REBEL Core Cast 98.0 – AVNRT Click here for Direct Download of the Podcast Definition: A regular, narrow-complex rhythm with a ventricular rate that is typically > 160 bpm. Amal Mattu’s ECG Blog has an excellent review of AVNRT vs. VT and REBEL EM reviews the sensitivity and specificity of various algorithms. Lancet 2015.

ALS 52

ALS EMS ED OR 52

REBEL EM

MARCH 2, 2023

Click here for Direct Download of the Podcast Paper: Stewart, RAH et al. For More Thoughts on This Topic Checkout: REBEL EM: The DETO2X Trial: Do Patients with AMI Need Supplemental O2? PMID: 33653685 Amsterdam EA et al. PMID: 25260718 Ibanez B et al. appeared first on REBEL EM - Emergency Medicine Blog.

ACS 52

ACS Coronary STEMI Ambulance 52

REBEL EM

FEBRUARY 22, 2023

et al, Emergency Medicine Clinical Essentials ed 2. Eye Emergencies, in Tintinalli J et al (eds): Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, Seventh Edition New York City: McGraw-Hill 2016 (Ch) 241 Guluma K, Lee JE. Ophthalmology, in Marx J et al (eds): Rosens Emergency Medicine: Concepts and Practice, ed 9.

Emergency Department 52

Emergency Department ALS ED Coronary 52

REBEL EM

NOVEMBER 30, 2022

Perform manual detorsion after diagnosis REBEL Core Cast 91.0 – Testicular Torsion Click here for Direct Download of the Podcast Definition: Twisting of the spermatic cord leading to decreased blood flow to the testicle resulting in ischemia, infarction and potentially, tissue necrosis. PMID: 20837255 Sidler D et al. S Afr Med J.

ALS 52

ALS ED OR EMS 52

REBEL EM

OCTOBER 5, 2022

Rezaie, MD (Twitter: @srrezaie ) The post REBEL Core Cast 87.0 – Hypercalcemia appeared first on REBEL EM - Emergency Medicine Blog. mg/dL 10.5 – 12.0 Louis, Mosby, Inc., 2014, (Ch) 125: p 1636-53. Read More LITFL: QT Interval LITFL: Hypercalcemia LITFL: Hypercalcemia Post Peer Reviewed By: Salim R.

ED 52

ED ALS EMS OR 52

REBEL EM

JULY 25, 2022

Click here for Direct Download of the Podcast Paper: Russell DW et al. References: Russell DW et al. PMID: 35707974 [ Access on Read by QxMD ] Janz DR et al. appeared first on REBEL EM - Emergency Medicine Blog. to 1.13; p = 0.03). REBEL Cast Ep111: The PrePARE II Trial – Fluid Bolus Prior to Intubation?

ALS 59

ALS Critical Care ICU OR 59

REBEL EM

MARCH 23, 2023

Treatment options for alcohol withdrawal include benzodiazepines such as lorazepam, diazepam, or chlordiazepoxide, gabapentin, and phenobarbital (Buell et al.). Phenobarbital can be used as a monotherapy or in combination with benzodiazepines to treat alcohol withdrawal (Hawa et al.). Paper : Hawa F et al.

ICU 52

ICU Emergency Department ALS OR 52

REBEL EM

JUNE 5, 2023

This study investigated whether it is feasible to initiate buprenorphine/naloxone in the form of “take home” packages containing low-dose and standard-dose inductions. REBEL Cast Ep117: Low-Dose vs Standard-Dose Take Home Buprenorphine From the ED Click here for Direct Download of the Podcast Paper: Moe et. PMID 19443138.

Naloxone 98

Naloxone ED Overdose Emergency Department 98

REBEL EM

SEPTEMBER 8, 2022

REBEL Cast Ep112: The Pre-AeRATE Trial – HFNC vs NC for RSI Click here for Direct Download of the Podcast Paper: Chua MT et al. References: Chua MT et al. Pre- and Apnoeic High-Flow Oxygenation for Rapid Sequence Intubation in the Emergency Department (the Pre-AeRATE Trial): A Multicentre Randomised Controlled Trial.

ED 52

ED Emergency Department ALS OR 52

REBEL EM

JANUARY 25, 2023

PMID: 23758299 Maung AA et al. PMID: 24532357 Oyasiji T et al. Rezaie, MD (Twitter: @srrezaie ) The post REBEL Core Cast 94.0 – SBO appeared first on REBEL EM - Emergency Medicine Blog. Louis, Mosby, Inc., 2010, (Ch) 92: p 1216-1227. References Taylor MR, Lalani N. Adult small bowel obstruction. Am Surg 2010; 76:687-691.

ED 52

ED ALS OR ICU 52

EMDocs

JUNE 16, 2023

Podcast: Play in new window | Download (Duration: 13:57 — 19.2MB) Subscribe: Apple Podcasts | Google Podcasts | RSS Management of the child with mental health problems who is boarding in the ED In episode 1 of this series, we discussed differentiating organic vs psychiatric causes of agitation in children. West J Emerg Med.

ED 52

ED Mental Health Services Emergency Department Emergency Medical Services 52

Dr. Smith's ECG Blog

JUNE 2, 2023

e5 Article Download PDF Google Scholar 3 RNW Hauer, MGPJ Cox, JA Groeneweg Impact of new electrocardiographic criteria in arrhythmogenic cardiomyopathy Front Physiol, 3 (2012), p. How can the electrocardiogram assist in understanding the pathologic and functional changes of the heart in this disease? J Electrocardiol, 42 (2009), pp.

ED 79

ED OR ALS CAD 79

REBEL EM

JANUARY 24, 2024

REBEL Core Cast 116.0 – Achilles Tendon Rupture Click here for Direct Download of the Podcast Achilles Tendon Rupture Exam (www.lfaclinic.co.uk) Physical Exam May have palpable gap or deformity in region of tendon. PMID: 9519398 Kayser R et al. PMID: 16244194 Margetic P et al. PMID: 17598414 Garras DN et al.

ALS 105

ALS ED OR EMS 105

REBEL EM

FEBRUARY 7, 2024

In: Marx, J et al, ed. In: Marx, J et al, ed. Rezaie, MD (Twitter/X: @srrezaie ) The post REBEL Core Cast 117.0 – Infections of Pregnancy appeared first on REBEL EM - Emergency Medicine Blog. Most infectious processes will require admission and close observation for improvement or decompensation. Gorgas, D.

ED 105

ED ALS OR EMS 105

The Skeptics' Guide to EM

MAY 9, 2020

CAEP is the national voice of emergency medicine (EM) in Canada and provides continuing medical education, advocates on behalf of emergency physicians and their patients, supports research and strengthens the EM community. Copies of our slides can be downloaded at this link. Chloroquine / Hydroxychloroquine * Gautret et al.

ALS 100

ALS EMS OR 100

REBEL EM

JUNE 12, 2024

REBEL Core Cast 124.0 – Hyperinsulinemia Euglycemia Therapy Click here for Direct Download of the Podcast. References Gummin DD, Mowry JB, Beuhler MC, et al. Rezaie, MD (Twitter/X: @srrezaie ) The post REBEL Core Cast 124.0 – Hyperinsulinemia Euglycemia Therapy appeared first on REBEL EM - Emergency Medicine Blog.

Epinephrine 105

Epinephrine Overdose OR ALS 105

REBEL EM

MAY 15, 2024

REBEL Core Cast 122.0 – Neutropenic Fever Click here for Direct Download of the Podcast. Epub 2011 Apr 22 Coyne CJ, Le V, Brennan JJ, Castillo EM, Shatsky RA, Ferran K, Brodine S, Vilke GM. Raad, II, et al., Gorschlüter M, Mey U, Strehl J, et al. Gudiol C, Bodro M, Simonetti A, et al. 2011 Jun;153(6):773-9.

E-9-1-1 105

E-9-1-1 OR Emergency Department ALS 105

REBEL EM

DECEMBER 19, 2022

At REBEL EM, we’ve done an extensive write up that details some of the different types of DED and the electrophysiology behind it. REBEL Cast Ep113 – Defibrillation Strategies for Refractory Ventricular Fibrillation Click here for Direct Download of the Podcast Paper: Cheskes S, et al. N Engl J Med.

Defibrillator 52

Defibrillator Paramedic CPR EMS 52

REBEL EM

JULY 31, 2023

REBEL Cast Ep121: The Battle of the Blades – VL vs DL Click here for Direct Download of the Podcast Article: Prekker ME, Driver BE, Trent SA, et al. Video versus Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults [published online ahead of print, 2023 Jun 16]. N Engl J Med. 2023;10.1056/NEJMoa2301601.

Critical Care 98

Critical Care Emergency Department ICU OR 98

Don't Forget the Bubbles

AUGUST 10, 2023

Discussion (from Orthobullets, Relias media & EM News blog) What does this x-ray show? Clinical Factors affecting management choice (from EM News blog, teachmeanatomy, orthobullets) The extent and location of the amputation will determine what treatment options are most appropriate. What should you do with it? Cureus 13(8): e17068.

E-9-1-1 52

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