The Skeptics' Guide to EM

JANUARY 19, 2019

Date: January 17th , 2019 Reference: Clemency et al. Date: January 17th , 2019 Reference: Clemency et al. This teaching has been challenged by a systematic review by Willman et al 2017. We reviewed the Willman et al publication on SGEM#179 and generally agreed with the authors’ conclusions. Reference: Clemency et al.

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Naloxone Overdose Emergency Medical Services Emergency Department 130

The Skeptics' Guide to EM

JANUARY 9, 2021

Date: January 5th, 2021 Reference: Grunau et al. JAMA 2020 Guest Skeptic: Mike Carter is a former paramedic and current PA practicing in pulmonary and critical care as well as an adjunct professor of emergency medical services […] The post SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC?

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EMS Emergency Medical Services CPR Critical Care 130

Irish College of Paramedics

FEBRUARY 15, 2025

An accurate assessment maximizes CPAP's effectiveness By Kenny Navarro Arguably, airway management is one of the most important interventions provided by emergency medical service personnel. To date, there is no strong evidence demonstrating the superiority of one strategy over the other.

Emergency Medical Services 40

Emergency Medical Services Emergency Department ED ALS 40

EMDocs

NOVEMBER 19, 2024

8 GI hypomotility to the point of ileus has also been observed and is thought to be related to the anticholinergic properties of this medication. In: Nelson LS, Howland MA, Lewin NA, Smith SW, Goldfrank LR, Hoffman RS, eds. Goldfrank’s Toxicologic Emergencies, 11e. J Emerg Med. Gummin DD, Mowry JB, Beuhler M, et al.

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Overdose EMS Emergency Medical Services ALS 109

The Skeptics' Guide to EM

DECEMBER 17, 2022

Date: December 16th, 2022 Reference: Hohle et al. AEM December 2022 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Case: A […] The post SGEM386: Blood on Blood – Massive Transfusion Protocols in Older Trauma Patients first appeared on The Skeptics Guide to Emergency Medicine.

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Frozen Plasma FFP Emergency Medical Services Plasma 130

The Skeptics' Guide to EM

MAY 29, 2021

Robert Edmonds is an emergency medicine physician in the Air Force in Dayton, Ohio, and a University of Missouri-Kansas City residency alumni from 2016. Reference: Jhunjhunwala et al. Journal of Trauma and […] The post SGEM#332: Think Outside the Cardiac Box first appeared on The Skeptics Guide to Emergency Medicine.

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Emergency Medical Services ACS ALS Emergency Department 130

ACEP Now

NOVEMBER 8, 2024

Emergency medical services (EMS) scope of practice is governed by the state, but national scope of practice guidelines are available for the four different EMS provider levels. Benger JR, Kirby K, Black S, et al. Wang HE, Schmicker RH, Daya MR, et al. In: Cone DC, Brice JH, Delbridge TR, Myers B, eds.

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E-9-1-1 Emergency Medical Services Emergency Medical Technician AEMT 40

EMDocs

JUNE 9, 2023

There are protocols in place that assist highly trained Emergency Medical Service providers in assuring that agitated children are safely transported to their destination. NASEMSO: Clinical care and restraint of agitated or combative patients by emergency medical service practitioners. Prehosp Emerg Care.

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Emergency Medical Services EMS Emergency Department Ambulance 96

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.

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ED Mental Health Services Emergency Department Emergency Medical Services 52

ACEP Now

JUNE 21, 2023

10 The other study, conducted by US Acute Care Solutions (USACS), examined 1,084,085 ED encounters by 70 new three-year graduates, 39 new four-year graduates, and 476 experienced new hires in their first year of practice within a large emergency medicine group. References Nelson LS, Calderon Y, Ankel FK, et al. Ann Emerg Med.

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EMS ALS Emergency Medical Services OR 114

ACEP Now

OCTOBER 26, 2023

This amendment downcoded Medicaid reimbursements to a Level 1 visit if the patient’s final diagnosis appeared on a list of 790 diagnoses, deemed “avoidable emergencies,” for Medicaid patients. Maryland enacted the first “prudent layperson standard” (PLP) in state law in 1993 (see related timeline).

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Emergency Medical Services Emergency Department ED ALS 124

Don't Forget the Bubbles

JUNE 30, 2023

Emergency Medical Services found her apneic and pulseless. She was intubated at the scene and transported to your ED, with cardiopulmonary resuscitation (CPR) performed en route. Mazur P, Kosinski S, Podsiadlo P, et al.: Meert et al. American Thoracic Society, 2020 Mazur P, Kosinski S, Podsiadlo P, et al.:

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CPR Life Support Critical Care ALS 145

EMDocs

JANUARY 16, 2024

Louis) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case You are working in the trauma/critical care pod of your emergency department (ED). You receive a page for a cardiac arrest and take report from emergency medical services (EMS). Carsten L, et al. Ann Emerg Med.

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Defibrillator CPR Epinephrine Life Support 106

NCOAE

AUGUST 12, 2022

Today we’re taking a more serious look at language, this time highlighting the terminology used by members of the Emergency Medical Service (EMS) community. That’s because one of our areas of focus here at The National Center for Outdoor & Adventure Education (NCOAE) is emergency medicine training and education.

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EMS EMT EMT Emergency Medical Technician 52

ACEP Now

OCTOBER 11, 2024

Optimally, bystander CPR, including the administration of rescue breaths, should be initiated prior to arrival of emergency medical services. 3 Once the patient arrives in your emergency department, a rapid review of the patient’s status and results of resuscitative efforts should be performed. South Med J. J Surg Res.

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ALS Emergency Department Emergency Medical Services ED 52

Core EM

JULY 23, 2024

Objective: Based on current evidence, this review article aims to guide the Emergency Department (ED) in providing care for patients with blast injuries. American Journal of Emergency Medicine. Types of Injury: Primary: Injury caused by the blast wave. It most commonly affects gas-containing organs. Nowadly C.D., Schauer S.G.,

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EMS Emergency Medical Services OR Coronary 100

EMDocs

JANUARY 17, 2024

When emergency medical services (EMS) arrived, she was in asystole with an empty, recently full, bottle of benzonatate 100 mg capsules. She had return of spontaneous resuscitation (ROSC) and was subsequently intubated and transported to the emergency department (ED). Vet Hum Toxicol. 1986;28(6):543-4. Pediatrics.

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E-9-1-1 Overdose Emergency Medical Services Life Support 84

Core EM

MARCH 7, 2024

Objective: Based on current evidence, this review article aims to guide the Emergency Department (ED) in providing care for patients with blast injuries. American Journal of Emergency Medicine. Types of Injury: Primary: Injury caused by the blast wave. It most commonly affects gas-containing organs. Nowadly C.D., Schauer S.G.,

EMS 100

EMS Emergency Medical Services OR Coronary 100

REBEL EM

NOVEMBER 20, 2023

Paper: Jansen JO, Hudson J, Cochran C, et al. Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage: The UK-REBOA Randomized Clinical Trial [published online ahead of print, 2023 Oct 12]. References: Butler FK Jr, Holcomb JB, Shackelford SA, et al.

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OR Emergency Medical Technician CPR Emergency Medical Services 91

ACEP Now

NOVEMBER 16, 2023

The Latest Research One study was conducted by the American Board of Emergency Medicine (ABEM). Another study conducted by US Acute Care Solutions examined 1,084,085 ED encounters by 70 new three-year graduates, 39 new four-year graduates, and 476 experienced new hires in their first year of practice within a large emergency medicine group.

ALS 52

ALS EMS Emergency Medical Services OR 52

AAEM RSA

APRIL 1, 2021

Question: What is the emerging evidence and possible role regarding inclusion of components such as calcium and factor VIIa in trauma MTPs? Holcomb JB, Tilley BC, Baraniuk S, et al. Cornelius B, Ferrell E, Kilgore P, et al. 2 References Holcomb JB, Wade C, Michalek J, et al. Newgard CD, Schmicker RH, Hedges JR, et al.

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E-9-1-1 Plasma ACS ALS 52

ACEP Now

MARCH 14, 2024

A 44 year-old male with unknown past medical history came by emergency medical services (EMS) to the emergency department (ED) for an electrical injury and fall from a high voltage electrical pole. Tintinalli JE, Stapczynski J, Ma O, et al. Emerg Med J. Arnoldo BD, Purdue GF, Kowalske K, et al.

Operating Room 52

Operating Room ACS Critical Care Coronary 52

ACEP Now

JULY 7, 2023

Case A 91-year-old Russian-speaking female on dual-antiplatelet therapy presented to the ED via ambulance with a left-sided nosebleed. EMS placed her on non-rebreather at 10 L per minute due to the significant amount of bleeding through the nose, and brought her to the ED. References Prekker ME, et al. Joshi R, et al.

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Emergency Medical Services ALS EMS OR 45

EMDocs

JUNE 3, 2023

The nuances of fracture patterns and delineating mechanically unstable pelvic fractures from stable ones is less important to the ED. This is less critical in ED management of the unstable pelvic fracture, as the optimal site for identification of rectal or vaginal tears is the operating room.

ED 61

ED Operating Room ALS Frozen Plasma 61

EMDocs

DECEMBER 18, 2023

On arrival to the ED, her blood pressure is 84/36 mmHg with a heart rate of 110 beats per minute. 3,4 Prompt recognition and management of sepsis and septic shock are paramount for the ED clinician. 8,9 Recently, monocyte distribution width (MDW) has shown promise in a large meta-analysis as a useful screening tool in the ED.

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E-9-1-1 ALS Emergency Department Plasma 86

EMDocs

FEBRUARY 12, 2024

Louis); Marina Boushra, MD (EM-CCM, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case Emergency Medical Services brings in a 62-year-old male with COPD in acute on chronic hypoxemic respiratory failure (usually on 3 L nasal cannula, now on non-rebreather at 15 L/min).

Emergency Department 98

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

Don't Forget the Bubbles

JULY 17, 2023

Sethi SK, et al. Considerations for privacy and confidentiality in adolescent health care service delivery. Agostino H, et al. Rassekh SR, et al. Goulet K, et al. McClellan JM, et al. Arneitz C, et al. Van Rossem EJD, et al. Smyrnaios A, et al. Satir AN, et al. Cortés J, et al.

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E-9-1-1 ALS Emergency Department Emergency Medical Services 98

The Skeptics' Guide to EM

DECEMBER 26, 2020

Date: December 18th, 2020 Reference: Hulme et al. Mortality among patients with frequent emergency department use for alcohol-related reasons in Ontario: a population-based cohort study. CMAJ 2020 Guest Skeptic: Dr. Hasan Sheikh is an emergency and addictions physician in Toronto and a lecturer at the University of Toronto.

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ED Emergency Department Emergency Medical Services ALS 130

ACEP Now

JANUARY 5, 2025

emergency departments (EDs) with asthma-related conditions. For patients well enough to be discharged from the ED, emergency physicians generally ensure patients have access to an albuterol rescue inhaler and often prescribe a short course of steroids; however, this is not the best practice. Each year, more than 1.3

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Emergency Department Emergency Medical Services ALS ED 104

Don't Forget the Bubbles

JANUARY 6, 2025

Hughes-Davies H, Ukwatte U, Fanshawe TR, Roberts N, Turner PJ, Hayward GN, Bird C et al. This retrospective cohort study aimed to determine the association between CPR duration (from initiation pre-hospital by emergency medical services) and neurological outcomes in paediatric out-of-hospital cardiac arrest (OHCA).

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CPR Emergency Department Emergency Medical Services OR 59