The Skeptics' Guide to EM

APRIL 2, 2022

Date: March 31st, 2022 Reference: Butt et al. Take-Pause: Efficacy of mindfulness-based virtual reality as an intervention in the pediatric emergency department. Date: March 31st, 2022 Reference: Butt et al. Take-Pause: Efficacy of mindfulness-based virtual reality as an intervention in the pediatric emergency department.

Emergency Department 130

Emergency Department ALS ED OR 130

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?

Emergency Department 130

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

The Skeptics' Guide to EM

SEPTEMBER 26, 2020

Date: September 22nd, 2020 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician in Calgary. Reference: Warren et al. Reference: Warren et al. Case: A 34-year-old male presents to the emergency department with burning epigastric pain after eating two hours ago. Reference: Warren et al.

Emergency Department 130

Emergency Department ALS ED OR 130

Don't Forget the Bubbles

AUGUST 30, 2023

The parents of 9-month-old Josie bring her into the Emergency Department with coryzal symptoms and difficulty breathing. A secondary analysis of a nationwide study of Emergency Department attendance in America from 2006 to 2008 found that CXRs increase the average length of stay by 27 minutes. Am J Emerg Med.

E-9-1-1 131

E-9-1-1 Emergency Department ALS OR 131

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.

Emergency Department 130

Emergency Department ALS EMS ED 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.

Emergency Department 114

Emergency Department ED ALS 114

The Skeptics' Guide to EM

MARCH 22, 2019

Date: March 20th, 2019 Guest Skeptic: Dr.Katie Walker is an emergency physician in Melbourne, Australia. Case: The emergency department is backing up. Your medical team is great, but you […] The post SGEM#250: Scribes – I Want to Break Free (from the EMR) first appeared on The Skeptics Guide to Emergency Medicine.

EMR 130

EMR Emergency Department Ambulance ED 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.

Coronary 100

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!

E-9-1-1 187

E-9-1-1 Operating Room Emergency Department ALS 187

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 97

Defibrillator Emergency Department ALS OR 97

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 122

ALS Emergency Department OR ED 122

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

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

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 110

ED Life Support Advanced Life Support CPR 110

ACEP Now

MARCH 9, 2025

As hospital boarding, increased emergency department (ED) volumes, and complexity of patients have increased, so have wait times. Some physicians now coin themselves waiting room medicine specialists as departments schedule a physician in triage or attempt to evaluate patients in whatever spaces might be available. J Emerg Med.

Emergency Department 95

Emergency Department ED ALS OR 95

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.

Frozen Plasma 104

Frozen Plasma Allergic Reaction FFP Plasma 104

Don't Forget the Bubbles

MARCH 4, 2024

We have teamed up with the team from the Emergency Department at Bristol Royal Hospital, who have used this as a springboard for their journal club. (It’s The children’s Emergency department sees approximately 50,000 presentations per year. Schlapbach LJ, Watson RS, Sorce LR, et al. Emerg Med J.

Emergency Department 78

Emergency Department Critical Care ALS OR 78

EMDocs

OCTOBER 30, 2023

Background and Context Contrast-enhanced computed tomography (CECT) is of paramount importance in the emergency department (ED) due to its indispensable role in facilitating precise diagnostic outcomes. 16 In a study conducted by Millet et al. link] Bellolio MF, Heien HC, Sangaralingham LR, et al. West J Emerg Med.

E-9-1-1 103

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

EMDocs

MAY 11, 2024

Some refer to an ischemic event in this territory with clinical findings as posterior inferior cerebellar artery syndrome. Rosh Review Website Link Further Reading: FOAMed: [link] [link] [link] [link] [link] [link] [link] References : Turi B, Smith D, Kusel K, et al. link] Sharma R, Gaillard F, Bell D, et al. Ann Emerg Med.

EMS 111

EMS E-9-1-1 ALS OR 111

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.

E-9-1-1 103

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

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

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

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 6, 2024

Article 1: Positive urine cultures without pyuria Wang ME, Jones VG, Kane M, et al. Reviewed by: Sarah Gentle and Owen Hibberd Article 2: Second attempt success in neonatal intubation Johnson MD, Tingay DG, Perkins EJ et al. National Emergency Airway Registry for Neonates (NEAR4NEOS) investigators. Acad Pediatr.

E-9-1-1 75

E-9-1-1 Emergency Department OR ALS 75

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. 9 Clinical Presentation: Mechanism of injury is typically a trauma event including a hard impact. J Emerg Med. Diagnosis includes imaging.

EMS 106

EMS E-9-1-1 Emergency Department Ambulance 106

EMDocs

FEBRUARY 22, 2024

Evaluation Ask specifically about patients’ work environment, materials involved, and if they are aware of the inciting event Consider open globe in those with high-speed mechanism of injury (i.e. Eye Emergencies. In: Tintinalli JE, Ma OJ, Yealy DM, et al., Tintinalli’s Emergency Medicine: A Comprehensive Study Guide.

ALS 98

ALS ED EMS OR 98

ACEP Now

AUGUST 22, 2023

Despite the routine nature of hyperkalemia treatment, adverse events from IV insulin are common and largely attributable to overtreatment. In fact, a consensus statement, Kidney Disease: Improving Global Outcomes on the emergency-department management of acute hyperkalemia, embraces the five-unit strategy. Am J Emerg Med.

Emergency Department 52

Emergency Department ALS OR 52

Dr. Smith's ECG Blog

FEBRUARY 6, 2024

Written by Pendell Meyers A teenager was involved in a motor vehicle collision and presented to the Emergency Department via EMS altered and potentially critically ill. He was intubated for altered mental status. Chest trauma was suspected on initial exam. Here is his initial ECG around 1330: What do you think?

ALS 114

ALS Emergency Department OR EMS 114

ACEP Now

JULY 7, 2024

1 History and physical examination have been the cornerstone of seizure diagnosis in the emergency department (ED). References Brophy GM, Bell R, Claassen J, et al. Zehtabchi S, Abdel Baki SG, Omurtag A, et al. Am J Emerg Med. Towne AR, Waterhouse EJ, Boggs JG, et al. Ann Emerg Med. Am J Emerg Med.

Emergency Department 52

Emergency Department Critical Care ALS ICU 52

REBEL EM

JANUARY 25, 2024

In many emergency departments (ED), US machines are readily available and can be used to rapidly assess and monitor patients with acute dyspnea at the bedside. Article: Arvig MD, Lassen AT, Gæde PH, et al. Emerg Med J. References: Arvig MD, Lassen AT, Gæde PH, et al. Emerg Med J. 2023;40(10):700-707.

ED 128

ED E-9-1-1 Emergency Department ALS 128

Dr. Smith's ECG Blog

SEPTEMBER 5, 2023

Jesse McLaren et al. Awareness of this history immediately ( and dramatically ) increases the likelihood than any ECG findings ( even when subtle ) may indicate an acute event. So despite the artifact — and even without any history — this initial ECG has to be interpreted as an acute event until proven otherwise.

STEMI 98

STEMI Emergency Department OR ALS 98

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 1] Hypoglycemia events may occur in patients on medications, including insulin and oral medications, to manage diabetes. were admitted.

OR 52

OR Emergency Department Emergency Medical Services Paramedic 52