The Skeptics' Guide to EM

JANUARY 19, 2019

Date: January 17th , 2019 Reference: Clemency et al. Date: January 17th , 2019 Reference: Clemency et al. He is alert and oriented times three with normal vital signs by the time he arrives in the emergency department. This teaching has been challenged by a systematic review by Willman et al 2017.

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Naloxone Overdose Emergency Medical Services Emergency Department 130

The Skeptics' Guide to EM

MAY 21, 2017

[display_podcast] Date: May 19th, 2017 Reference: Willman et al. Guest Skeptic: Dr. Richard Hamilton (@RJHamiltonMD) is Chair of the Department of Emergency Medicine at Drexel University College of Medicine. display_podcast] Date: May 19th, 2017 Reference: Willman et al. Reference: Willman et al.

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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?

EMS 130

EMS Emergency Medical Services CPR Critical Care 130

The Skeptics' Guide to EM

JANUARY 15, 2022

Etomidate versus ketamine for emergency endotracheal intubation: a randomized clinical trial. Intensive Care Med 2021 Guest Skeptic: Missy Carter, former City of Bremerton Firefighter/Paramedic, currently a professor of Emergency Medical Services at Tacoma Community College’s paramedic program. Reference: Matchett, G.

Emergency Medical Services 109

Emergency Medical Services Firefighter Critical Care Paramedic 109

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. Gummin DD, Mowry JB, Beuhler M, et al. Riboldi I, Cavaleri D, Capogrosso CA, et al. His roommate found an empty pill bottle on the floor next to him. 8 Hypersalivation can occur.

Overdose 111

Overdose EMS Emergency Medical Services ALS 111

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.

Frozen Plasma 130

Frozen Plasma FFP Emergency Medical Services Plasma 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. READ MORE [link]

Emergency Medical Services 40

Emergency Medical Services Emergency Department ED ALS 40

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

The Skeptics' Guide to EM

FEBRUARY 17, 2018

[display_podcast] Date: February 14th, 2018 Reference: Alam N et al. Guest Skeptics: Jay Loosley is the Superintendent of Education at Middlesex-London Paramedic Service. Jenn Doyle is a paramedic educator at Middlesex-London Paramedic Service. first appeared on The Skeptics Guide to Emergency Medicine.

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Ambulance Paramedic Emergency Medical Services ALS 100

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. Any physician providing direct medical oversight as a base station should also be familiar with these protocols. Prehosp Emerg Care.

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Emergency Medical Services EMS Emergency Department Ambulance 98

EMDocs

JUNE 1, 2023

Source Article: Cooper DJ, Nichol AD, Bailey M, et al. Bradycardia: 18.8% Average ventilator days (8.3 Take Aways: The data do not suggest that targeted hypothermia improves neurological function, reduces death, or reduces hospital length of stay as compared to normothermia. Bradycardia: 18.8% Average ventilator days (8.3

E-9-1-1 87

E-9-1-1 Emergency Medical Services Emergency Department OR 87

ACEP Now

OCTOBER 26, 2023

Using Maryland state law as a guide, the American College of Emergency Physicians (ACEP) and the Emergency Department Practice Management Association (EDPMA) lobbied for passage of federal protections beginning in the mid-1990s.

Emergency Medical Services 124

Emergency Medical Services Emergency Department ED ALS 124

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 110

NAEMSP

FEBRUARY 1, 2023

“Characteristics, prehospital management, and outcomes in patients assessed for hypoglycemia: repeat access to prehospital or emergency care.” ” Prehospital Emergency Care 23.3 Background: Diabetes is a common chronic medical condition. ” Prehospital Emergency Care 22.6 Rostykus, Paul, et al.

OR 52

OR Emergency Department Emergency Medical Services Paramedic 52

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.

EMS 52

EMS EMT EMT Emergency Medical Technician 52

EMDocs

JUNE 16, 2023

And now we’re here at our destination, the place we know and love, the emergency room to talk about what we should be doing for the growing volume of children with mental health problems boarding in the emergency department.

ED 52

ED Mental Health Services Emergency Department Emergency Medical Services 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. Pediatr Emerg Care.

ALS 52

ALS Emergency Department Emergency Medical Services ED 52

Don't Forget the Bubbles

MAY 29, 2023

Emergency Medical Journal [Internet] 2022;39;52-56. Available from: [link] Dixon-Woods M, Baker R, Charles K, et al. Culture and behaviour in the English National Health Service: overview of lessons from a large multimethod study. Fnais N, Soobiah C, Chen MH, et al. Keller S, Yule S, Zagarese V, et al.

Critical Care 98

Critical Care E-9-1-1 Paramedicine Paramedicine 98

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.,

EMS 100

EMS Emergency Medical Services OR Coronary 100

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

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.

E-9-1-1 92

E-9-1-1 Overdose Emergency Medical Services Life Support 92

Irish College of Paramedics

SEPTEMBER 26, 2018

The recent discussions regarding the crew composition of the proposed Helicopter Emergency Medical Services (HEMS) in Cork require comment from paramedicine. 2000, Stiell et al. 2004, Jayaraman et al. 2014), BLS (Sanghavi et al. Irish Journal of Paramedicine. link] under a CC-BY-NC 4.0 Nichol , G.,

Emergency Medical Technician 52

Emergency Medical Technician Paramedicine Paramedicine Advanced Life Support 52

FOAMfrat

DECEMBER 28, 2023

Ok, here we go… Lots of controversy over the recent article titled, “Comparing Intubation Success Between Flight Nurses and Flight Paramedics in Helicopter Emergency Medical Services”, published by the Air Medical Journal in their November/December 2023 issue. Air Medical Journal , vol. 6, 2023, pp.

Paramedic 52

Paramedic Emergency Medical Services Operating Room OR 52

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.

OR 91

OR Emergency Medical Technician CPR Emergency Medical Services 91

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 Pract. Emerg Med J. 2023 Jul 17.

Operating Room 52

Operating Room ACS Critical Care Coronary 52

ACEP Now

JULY 7, 2023

Carvey (@MATTCARVEY123) is a second-year resident through the MetroHealth and Cleveland Clinic Foundation emergency medicine residency program in Cleveland, Ohio. References Prekker ME, et al. The impact of a soiled airway on intubation success in the emergency department when using the GlideScope or the direct laryngoscope.

Emergency Medical Services 45

Emergency Medical Services ALS EMS OR 45

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). Int J Emerg Med. Eur J Emerg Med.

Emergency Department 98

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

ED 130

ED Emergency Department Emergency Medical Services ALS 130

EMDocs

DECEMBER 18, 2023

1 The rationale for the shift away from normal saline in 2021 derived from multiple trials, including the Isotonic Solutions and Major Adverse Renal Events Trial (SMART) and Saline Against Lactated Ringer’s or Plasma-Lyte in the Emergency Department (SALT ED). References Evans L, Rhodes A, Alhazzani W, et al. 2022;22:76.

E-9-1-1 93

E-9-1-1 ALS Emergency Department Plasma 93

NAEMSP

MARCH 13, 2023

An ALS crew arrives on scene to find a woman who is tachypneic, hypoxic, tachycardic, and hypotensive, with diffuse rales and rhonchi throughout her lung fields. They begin CPR en route to the emergency department where the patient’s rhythm deteriorates into asystole. Prehospital Emergency Medicine Secrets.

EMS 52

EMS Emergency Medical Services EMT EMT 52

EMDocs

JUNE 3, 2023

Glick Y, Knipe H, Hacking C, et al. Coccolini F, Stahel PF, Montori G, et al. World J Emerg Surg. doi:10.1186/s13017-017-0117-6 Anand T, El-Qawaqzeh K, Nelson A, et al. 2020.01.042 CRASH-2 trial collaborators, Shakur H, Roberts I, et al. Incagnoli P, Puidupin A, Ausset S, et al. Radiopaedia.org. 2016;24:73.

ED 66

ED Operating Room ALS Frozen Plasma 66

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.

E-9-1-1 98

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

ACEP Now

JANUARY 5, 2025

emergency departments (EDs) with asthma-related conditions. Westafer (@Lwestafer) is assistant professor in the department of emergency medicine at the UMass Chan Medical SchoolBaystate and co-host of FOAMcast. References Fauvel AD, Southerland LT, Panchal AR, et al. J Am Coll Emerg Physicians Open.

Emergency Department 104

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