The Skeptics' Guide to EM

MARCH 22, 2019

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. Most emergency physicians use some form of electronic medical records (EMRs) when seeing patients. SGEM#159 looked at the implementation of an EMR in a tertiary care ED.

EMR 130

EMR Emergency Department Ambulance ED 130

The Skeptics' Guide to EM

NOVEMBER 24, 2018

This turned out to be a very meta event. This turned out to be a very meta event. The highest prevalence of burnout (70%) was reported by emergency physicians (Shanafelt et al 2015). One of the most common reasons cited for burnout is the electronic medical record (EMR) (Shanafelt et al 2016). got seriously ill.

EMR 130

EMR ALS Emergency Department OR 130

REBEL EM

JULY 3, 2023

Article: Rossi N et al. They utilized EMR to gather comprehensive data on patients who received IV calcium and IV diltiazem, or IV diltiazem monotherapy for the treatment of patients with AF/AFL with RVR. The study was dependent on EMR documentation which is prone to error. Am J Emerg Med.

E-9-1-1 98

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

Dr. Smith's ECG Blog

JULY 31, 2020

The article by Aslanger, Smith et al that is featured above in today’s post has just been published. The more leads with suspicious findings — the greater the concern for an acute ongoing event. Any ST elevation in inferior leads that occurs in association with mirror-image opposite ST depression in lead aVL.

STEMI 52

STEMI Coronary EMR ALS 52

Dr. Smith's ECG Blog

SEPTEMBER 18, 2024

By Smith, peer-reviewed by Interventional Cardiologist Emre Aslanger Submitted by anonymous A 53 y.o. Studies such as those by Moise et al 14 and Ellis et al 39 have shown that the relative risk of developing an acute myocardial infarction in the territory supplied by an artery with a 70%. The pain radiated to both shoulders.

Coronary 80

Coronary ACS OR EMR 80

REBEL EM

JUNE 8, 2023

Paper: Singer S, et al. 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. Am J Emerg Med. 2022 Sep 5.

Epinephrine 98

Epinephrine Emergency Department ALS Critical Care 98

NAEMSP

APRIL 19, 2023

Current AHA guidelines do not recommend routine use of calcium in cardiac arrest (Panchal, et al., Calcium acts as a vasopressor and inotropic agent (Lindqwister, et al., risk ratio >1) was 4% for ROSC, 6% for 30 day survival, and 4% for survival with a favorable neurologic outcome at 30 days (Vallentin, et al.,

E-9-1-1 52

E-9-1-1 Advanced Life Support Overdose CPR 52