The Skeptics' Guide to EM

JANUARY 14, 2018

[display_podcast] Date: January 9th, 2018 Reference: Soleimanpour H et al. Effectiveness of intravenous lidocaine versus intravenous morphine for patients with renal colic in the emergency department. Dr. Rachel Littlefield is a PGY2 in Emergency Medicine at the University of […] The post SGEM#202: Lidocaine for Renal Colic?

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Emergency Department ALS ED OR 130

The Skeptics' Guide to EM

JULY 27, 2019

Date: July 22nd, 2019 Reference: Yadav et al. A Multifaceted Intervention Improves Prescribing for Acute Respiratory Infection for Adults and Children in Emergency Department and Urgent Care Settings. AEM July 2019 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and clinical lecturer in Calgary.

Emergency Department 130

Emergency Department ED ALS 130

Broome Docs

DECEMBER 9, 2023

Roussel M, Teissandier D, Yordanov Y, et al. Overnight Stay in the Emergency Department and Mortality in Older Patients. Metronidazole-associated Neurologic Events: A Nested Case-control Study. Risk of Radiation Exposure to Emergency Department Personnel From Portable Radiographs. J Emerg Med.

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Emergency Department ED ALS 120

The Skeptics' Guide to EM

JANUARY 20, 2018

[display_podcast] Date: January 15th, 2018 Reference: Sadeghirad B, et al. BMJ 2017 Guest Skeptic: Meghan Groth is an Emergency Medicine Pharmacist at the UMass Memorial Medical Center in Worcester, Massachusetts. display_podcast] Date: January 15th, 2018 Reference: Sadeghirad B, et al. Reference: Sadeghirad B, et al.

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Emergency Department ALS EMS ED 130

The Skeptics' Guide to EM

OCTOBER 3, 2020

Date: October 2nd, 2020 Guest Skeptic: Dr.Barbra Backus is an emergency physician at the Emergency Department of the Erasmus University Medical Center in Rotterdam, the Netherlands. Reference: Claiborne Johnston S et al. Reference: Claiborne Johnston S et al.

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Emergency Department ALS OR 100

The Skeptics' Guide to EM

NOVEMBER 24, 2018

[display_podcast] Date: November 24th, 2018 As you may know, I was invited to give a keynote address on burnout at the Australasia College of Emergency Medicine 2018 Annual Scientific Meeting (#ACEM18) in Perth, Australia. This turned out to be a very meta event. This turned out to be a very meta event. got seriously ill.

EMR 130

EMR ALS Emergency Department OR 130

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. The Pause Jonathon Bartels worked as an Emergency Nurse in America in 2009. After the death of a young person in the Emergency Department, he initiated ‘ The Pause.’ Kapoor et al.

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Emergency Department ICU ALS Critical Care 98

The Skeptics' Guide to EM

OCTOBER 14, 2019

Effects of tranexamic acid on death, disability, vascular occlusive events and other morbidities in patients with acute traumatic brain injury (CRASH-3): a randomised, placebo-controlled trial. first appeared on The Skeptics Guide to Emergency Medicine. Zehtabchi et al published a SRMA of TXA for traumatic brain injuries (TBI).

Emergency Department 130

Emergency Department EMS ALS OR 130

The Skeptics' Guide to EM

JULY 2, 2022

Date: June 30th, 2022 Reference: McGinnis et al. Major adverse cardiac event rates in moderate-risk patients: Does prior coronary disease matter? Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Reference: McGinnis et al.

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Coronary Heart Attack ACS CAD 100

The Skeptics' Guide to EM

JUNE 14, 2017

Date: June 14th, 2017 I had the pleasure of presenting at the Intra America Emergency Medicine Conference (#IAEMC17) held in Costa Rica last month. Thank you to Dr. Manrique Umana for inviting me and the conference organizers for putting on such an amazing and educational event. A number of examples of the KT problem were provided.

Coronary 130

Coronary Emergency Department ALS 130

Pediatric EM Morsels

NOVEMBER 17, 2023

Cuffed Endotracheal Tubes show no difference in immediate post-extubation adverse events (i.e Differences in intubation outcomes for pediatric patients between pediatric and general Emergency Departments. Acad Emerg Med. – Cuffed Endotracheal Tubes offer multiple advantages over uncuffed ETTs. Risk was Overstated!

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E-9-1-1 Operating Room Emergency Department ALS 183

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 118

ALS Emergency Department OR ED 118

ACEP Now

NOVEMBER 13, 2023

Physicians, nurses, and staff in emergency departments (EDs) across the country have encountered workplace violence for years. 1,2 In a 2018 study by ACEP, nearly half of emergency physicians polled reported a physical assault while at work. J Emerg Nurs. Roppolo LP, Morris DW, Khan F, et al. J Emerg Nurs.

Emergency Department 52

Emergency Department Emergency Response ED ALS 52

Pediatric EM Morsels

JULY 21, 2023

Acad Emerg Med. Holmes, James F et al. Academic emergency medicine 12.9 Interrater reliability of Glasgow Coma Scale scores in the emergency department. Ann Emerg Med. Conzelmann M, Hoidis A, Bruckner T , et al. Journal of veterinary emergency and critical care (San Antonio, Tex. J Surg Res.

Critical Care 246

Critical Care ALS Life Support OR 246

The Skeptics' Guide to EM

SEPTEMBER 1, 2018

[display_podcast] Date: August 22nd, 2018 Reference: Riskin A, Erez A, Foulk TA, et al. February 2017 Guest Skeptic: Dr. Simon McCormick is an Emergency Medicine Consultant from Northern Ireland who works in Rotherham Hospital in Yorkshire, England. display_podcast] Date: August 22nd, 2018 Reference: Riskin A, Erez A, Foulk TA, et al.

ALS 130

ALS Emergency Department OR EMS 130

ALiEM

OCTOBER 26, 2023

The Learners The target learners were EM residents and physicians practicing in the emergency department. In order to avoid connectivity issues with Wifi, the event administrators broadcasted from an ethernet-connected computer. Originally developed by Marsh et al., Read more publications from the series. 2022;38(6):1717.

EMS 161

EMS Emergency Department ALS ED 161

REBEL EM

JUNE 8, 2023

Paper: Singer S, et al. Am J Emerg Med. From a safety standpoint this is a great thing, but also could be the reason we see such few adverse events Discussion: There is a recent “push” to utilize “Push dose pressors” as the correction of acute hypotension in a variety of clinical scenarios. 2022 Sep 5.

Epinephrine 98

Epinephrine Emergency Department ALS Critical Care 98

The Skeptics' Guide to EM

JUNE 12, 2021

Dennis Ren is a paediatric emergency medicine fellow at Children’s National Hospital in Washington, DC. Reference: McLaren SH, et al. Dennis Ren is a paediatric emergency medicine fellow at Children’s National Hospital in Washington, DC. Reference: McLaren SH, et al. Reference: McLaren SH, et al.

Emergency Department 100

Emergency Department ALS ED OR 100

NAEMSP

OCTOBER 9, 2024

In the emergency department, a lack of awareness about Addison’s disease led to delayed steroid administration. In the emergency department, the patient was evaluated and safely discharged. These cases highlight the impact of adrenal insufficiency on patients, especially during encounters with emergency care systems.

EMS 122

EMS Crisis Prevention Emergency Department BLS 122

The Skeptics' Guide to EM

SEPTEMBER 19, 2020

Reference: Roberts et al. Effects of a high-dose 24-h infusion of tranexamic acid on death and thromboembolic events in patients with acute gastrointestinal bleeding (HALT-IT): an international randomised, double-blind, placebo-controlled trial. Audrey’s academic interests include trauma and resuscitation.

Epinephrine 130

Epinephrine Emergency Department EMS ALS 130

ACEP Now

DECEMBER 6, 2024

Attention was turned to the consideration of severe coronary vasospasm as the inciting event for cardiopulmonary arrest and the nidus for refractory ventricular fibrillation. No existing algorithm or literature guides the validity of a NTG strategy for vasospastic cardiac arrest in the emergency department. (Click to enlarge.)

Coronary 98

Coronary Life Support ALS Emergency Department 98

REBEL EM

SEPTEMBER 13, 2023

patients that take ACE inhibitors (but 20-30% of all angioedema presentations to the Emergency Department) 3 times more common in Black Americans ( Kostis 2005 ) 0.01 Read More EMCrit: Podcast 145 – Awake Intubation Lecture from SMACC ERCast: Angioedema References: Baş M et al. PMID 25629740 Hassen GW et al.

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Frozen Plasma Allergic Reaction FFP Plasma 104

Don't Forget the Bubbles

JULY 17, 2023

Sethi SK, et al. 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. Al Dhaheri FA, et al. Rivacoba MC, et al. Feldman PM, et al.

E-9-1-1 98

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

EMDocs

OCTOBER 25, 2024

Spoon Feed This was a multi-hospital retrospective study of patients who presented to the emergency department with severe hypertension without end organ damage. The authors found that the 1 year rate of major adverse cardiovascular events (MACE) was 15.5%. West J Emerg Med. 2024;25(5):680-689. #3:

Defibrillator 69

Defibrillator Emergency Department ALS OR 69

REBEL EM

FEBRUARY 5, 2024

Article: Marx T, Joly LM, Parmentier AL, et al. Sites: Investigators recruited patients at 31 French emergency departments at university and nonuniversity hospitals Duration : June 1, 2009 to March 31, 2015. Adverse events at 24 hours and 7 days, including major and minor complications. Am J Respir Crit Care Med.

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E-9-1-1 ALS Emergency Department OR 103

Core EM

JULY 23, 2024

Because most radiation injuries are not immediately life-threatening, patients with isolated radiation injuries will not require immediate attention in mass casualty events. 2021, [link] Shen, J, et al. Chapter: Radiation Injury and Emergency Medicine.” 2020, [link] Shen, J, et al. IntechOpen, IntechOpen, 21 Dec.

ALS 130

ALS OR Emergency Department ED 130

Core EM

MARCH 12, 2024

Because most radiation injuries are not immediately life-threatening, patients with isolated radiation injuries will not require immediate attention in mass casualty events. 2021, [link] Shen, J, et al. Chapter: Radiation Injury and Emergency Medicine.” 2020, [link] Shen, J, et al. IntechOpen, IntechOpen, 21 Dec.

ALS 130

ALS OR Emergency Department ED 130

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. Whilst the incidence of adverse events was low in this meta-analysis, this reflects adverse event reporting in RCTs rather than reality. Future of Pre-School Wheeze Whilst Lee et al.

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E-9-1-1 ALS ACS ED 105

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. One large observational study found a 35-fold higher increase in events leading to death or brain damage in ED intubations. What is the next step in a CICO event? Anaesthesia. 2018;73(1):93-111.

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Emergency Department ED ALS OR 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." Takotsubo is a sudden event, not one with crescendo angina. Reference on Troponins: Xenogiannis I, Vemmou E, Nikolakopoulos I, et al. Lindahl et al.

Emergency Department 52

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

EMDocs

DECEMBER 23, 2024

Major adverse cardiac events 40 minutes after giving the antiarrhythmic. The following table shows their results, take a look: Note that procainamide leads with less adverse cardiac events. Procainamide therapy was associated with less major cardiac adverse events and a higher proportion of tachycardia termination within 40 min.

ALS 64

ALS OR STEMI EMS 64

Don't Forget the Bubbles

JANUARY 17, 2024

After Meshram et al, 2020 When Orbeez are exposed to water, the water molecules diffuse into the polymer network through osmosis. Curious Ken is brought into your emergency department. Image adapted from Mullens et al., The vast majority were managed at home, with no adverse events reported. After Darracq et al.,

E-9-1-1 111

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

EMDocs

OCTOBER 9, 2023

Yoo, MD (Assistant Professor/Core Faculty, San Antonio, TX) // Reviewed by Brit Long, MD (@long_brit) Case An 18-year-old man with a history of asthma and medication noncompliance presents to the emergency department (ED) with acute onset shortness of breath. References 1) Liu D, Ahmet A, Ward L, et al. Which one do you select?

ED 82

ED Life Support Advanced Life Support CPR 82

ACEP Now

APRIL 5, 2024

A 68-year-old man presents to the emergency department (ED) with altered mental status and fever. References von Hellmann R, Fuhr N, et al. Ann Emerg Med.2024;83(2):132-144. Koh LK, Kong CE, et al. Driver BE, Prekker ME, et al. Waldron O, Sena R, et al. Brown CA 3rd, Bair AE, et al.

OR 73

OR ALS Emergency Department Critical Care 73

Don't Forget the Bubbles

MAY 8, 2024

Dell KM, et al. Eisen S et al. Fielder AR, et al. Bm MV, et al. Toepfner N, et al. Toniutti M, et al. Meoli M, et al. Ashton JJ, et al. Ding G et al. Tanti DC, et al. Ahlqvist VH, et al. Chiang HL, et al. Wong J, et al. Fuller S et al. Koenis MM et al.

E-9-1-1 69

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

ACEP Now

JANUARY 14, 2024

Many common presentations to the emergency department (ED) are related to drug interactions that are commonly missed and largely preventable. References Hohl CM, Robitaille C, Lord V, et al. Emergency physician recognition of adverse drug-related events in elder patients presenting to an emergency department.

E-9-1-1 52

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

REBEL EM

OCTOBER 5, 2023

Paper: Dequin P, Meziani F, Quenot J, et al. Adverse Events During the first 28 days after randomization, 169 serious adverse events occurred in 151 of 795 patients (19.0%). 70 events in the hydrocortisone group. 99 events in the placebo group. Current Events In a recent study by Meduri et al.

Critical Care 94

Critical Care ICU E-9-1-1 ALS 94