The Skeptics' Guide to EM

OCTOBER 5, 2024

Date: October 2, 2024 Reference: Paxton et al. Case: The family of a 69-year-old woman activated emergency medical services (EMS) for slurred speech that they noticed when she woke up a couple of hours before. Prehospital identification of LVO stroke remains a significant challenge for emergency medical services (EMS) [6].

Emergency Medical Services 262

Emergency Medical Services ALS EMS Paramedic 262

ACEP Now

JUNE 21, 2023

emergency medicine (EM) residency training length has been a decades-long dilemma: four vs. three years. First, is three years enough time to become an EM physician? But critical questions remain unanswered when it comes to specialization, career trajectory, and actual competence as an EM physician. 11 What should we take away?

EMS 114

EMS ALS Emergency Medical Services OR 114

The Skeptics' Guide to EM

SEPTEMBER 21, 2024

Date: September 18, 2024 Reference: Dillon et al. August 20, 2024 Guest Skeptic: Dr. Chris Root is an emergency medicine and emergency medicine service (EMS) physician at the University of New Mexico, Albuquerque. Chris completed his emergency medicine residency and EMS fellowship at UNM. Reference: Dillon et al.

Naloxone 242

Naloxone NARCAN Overdose CPR 242

High Performance EMS

AUGUST 9, 2024

Dispatching the right unit to an EMS call was much simpler when all resources had the same capabilities and a response time was the primary measure of success. The following example of a “ priority 2 ” request may search for an ALS unit capable of meeting a particular response time standard directed by evidence-based patient outcomes.

BLS 264

BLS CAD Advanced Life Support Life Support 264

EMDocs

MARCH 2, 2024

We’ll keep it short, while you keep that EM brain sharp. Bernstein AL, Cassidy J, Duchynski R, Eisenberg SS. The post EM@3AM: Pneumocephalus appeared first on emDOCs.net - Emergency Medicine Education. Kim TK, Yoon JR, Kim YS, Choi Y, Han S, Jung J, Park IS.  2022 Jun 29;22(1):252. Zasler ND, Katz DI, Zafonte RD.

EMS 114

EMS E-9-1-1 OR ED 114

EMDocs

SEPTEMBER 23, 2023

We’ll keep it short, while you keep that EM brain sharp. Rosh Review Website Link References Antzelevitch C, Brugada P, Borggrefe M, et al. Priori SG, Napolitano C, Gasparini M, et al. Chen Q, Kirsch GE, Zhang D, et al. Wilde AA, Antzelevitch C, Borggrefe M, et al. Dumaine R, Towbin JA, Brugada P, et al.

E-9-1-1 83

E-9-1-1 EMS ALS Defibrillator 83

The Skeptics' Guide to EM

NOVEMBER 25, 2023

Date: November 22, 2023 Reference: Stopyra et al. Delayed First Medical Contact to Reperfusion Time Increases Mortality in Rural EMS Patients with STEMI. Date: November 22, 2023 Reference: Stopyra et al. Delayed First Medical Contact to Reperfusion Time Increases Mortality in Rural EMS Patients with STEMI.

Heart Attack 278

Heart Attack STEMI Emergency Medical Services Coronary 278

The Skeptics' Guide to EM

NOVEMBER 2, 2024

Date: October 29, 2024 Reference: Galili et al. He is the Vice Chair of the Emergency Department and Program Director of the EM residency program at Nassau University Medical Center in East Meadow, NY, the safety net hospital for Nassau County. Reference: Galili et al. AEM Oct 2024. AEM Oct 2024.

Emergency Department 244

Emergency Department ED ALS EMS 244

EMDocs

MAY 25, 2024

We’ll keep it short, while you keep that EM brain sharp. link] Haidar H, Menon A, Al Duhirat E. The post EM@3AM: Sialadenitis appeared first on emDOCs.net - Emergency Medicine Education. She is breathing comfortably but seems to experience significant pain at the associated site of swelling. Jauch EC, Hall G, Knoop KJ.

EMS 80

EMS E-9-1-1 OR ED 80

EMDocs

JUNE 8, 2024

We’ll keep it short, while you keep that EM brain sharp. Lu, Kevin, et al. The post EM@3AM: Traumatic Iritis appeared first on emDOCs.net - Emergency Medicine Education. A 27-year-old male presents to the ED for left eye pain after being hit in the face with a spare car part while working under the hood of his car. WikEM , Oct.

EMS 81

EMS Allergic Reaction Emergency Department ED 81

EMT Training Station

FEBRUARY 11, 2024

In the realm of emergency healthcare, the terms EMS (Emergency Medical Services) and EMT (Emergency Medical Technician) are often used interchangeably, yet they represent distinct aspects of medical response and care. Though they are closely related and often work together, EMS and EMT have distinct roles, training, and responsibilities.

EMT 98

EMT EMT Emergency Medical Technician Emergency Medical Services 98

The Skeptics' Guide to EM

NOVEMBER 16, 2024

Date: October 28, 2024 Reference: Verma et al. Case: The Chief of Emergency Medicine (EM) at a large urban hospital recently approached the AI Committee at Unity Health, intrigued by the CMAJ article describing the apparent success of CHARTWatch in detecting early signs of patient deterioration. Reference: Verma et al.

ICU 142

ICU Emergency Department ALS EMS 142

EMDocs

OCTOBER 21, 2023

We’ll keep it short, while you keep that EM brain sharp. References: Gaillard F, Glick Y, Tatco V, et al. 61.4.496 Navi BB, Kamel H, Shah MP, et al. Goldmakher GV, Camargo EC, Furie KL, Singhal AB, Roccatagliata L, Halpern EF, et al. link] Nael K, Khan R, Choudhary G, Meshksar A, Villablanca P, Tay J, et al.

EMS 74

EMS ALS OR ACS 74

EMDocs

APRIL 13, 2024

We’ll keep it short, while you keep that EM brain sharp. Brickman K, Adams DZ, Akpunonu P, et al. doi:[link] The post EM@3AM: Auricular Hematoma appeared first on emDOCs.net - Emergency Medicine Education. The patient denies any loss of consciousness, neck pain, vomiting, or use of blood thinners.

EMS 82

EMS E-9-1-1 OR Emergency Department 82

EMDocs

APRIL 27, 2024

We’ll keep it short, while you keep that EM brain sharp. link] Al Aaraj MS, Kelley C. Al-Noury, K., & Lotfy, A. link] The post EM@3AM: Malignant/Necrotizing Otitis Externa appeared first on emDOCs.net - Emergency Medicine Education. He says the pain is worse at night and when he is chewing. The Lancet.

EMS 83

EMS ED OR ALS 83

Core EM

JANUARY 25, 2024

How and when to reverse anticoagulation in the bleeding EM patient. Fariborz Farsad B, Golpira R, Najafi H, et al. Fariborz Farsad B, Golpira R, Najafi H, et al. Anticoagulant Reversal Strategies in the Emergency Department Setting: Recommendations of a Multidisciplinary Expert Panel. Iran J Pharm Res. 2015;14(3):877-885.

Frozen Plasma 246

Frozen Plasma FFP Plasma Critical Care 246

EMDocs

SEPTEMBER 9, 2023

We’ll keep it short, while you keep that EM brain sharp. e1 Rosh AJ, Kwon NS, Wilburn JM, et al. 0b013e3182a0148c Zhao W, Wang G, Chen B, et al. 0000000000017823 Rosskopf AB, Martinoli C, Sconfienza LM, et al. link] Griffin M, Hindocha S, Jordan D, et al. Hanz KR, Saint-Cyr M, Semmler MJ, et al. J Ultrason.

EMS 78

EMS ED ALS Emergency Department 78

EMDocs

NOVEMBER 18, 2023

We’ll keep it short, while you keep that EM brain sharp. doi:10.1007/s00247-020-04811-0 2) Kwong AJ, Ebel NH, Kim WR, et al. Accessed May 7, 2023 5) Oh SY, Lee JM, Lee H, et al. 2021.11.006 11) Frongillo F, Lirosi MC, Nure E, et al. 17) St Michel DP, Goussous N, Orr NL, et al. Pediatr Radiol. 2021;51(2):248-256.

EMS 69

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

The Skeptics' Guide to EM

JANUARY 6, 2024

Reference: Remick KE, et al. Reference: Remick KE, et al. She is an executive lead for the EMS for Children Innovation and Improvement Center. She is the co-Principal Investigator for the EMS for Children Data Center. She is nationally known for her work as an EMS researcher and educator. JAMA Netw Open.

Emergency Department 261

Emergency Department Emergency Medical Services ALS ED 261

REBEL EM

DECEMBER 18, 2023

In: Tintinalli JE, Ma OJ, Yealy DM, et al., Rezaie, MD (Twitter/X: @srrezaie ) The post Rosh Review EM Scholar Monthly Question appeared first on REBEL EM - Emergency Medicine Blog. Rezaie, MD (Twitter/X: @srrezaie ) The post Rosh Review EM Scholar Monthly Question appeared first on REBEL EM - Emergency Medicine Blog.

EMS 59

EMS ED ALS 59

EMDocs

MARCH 30, 2024

We’ll keep it short, while you keep that EM brain sharp. A 27-year-old man was brought into the emergency department via EMS after being stabbed. doi:10.1038/s41394-020-0315-4 Tian F, Tu LY, Gu WF, et al. 060513 Itodo OA, Flueck JL, Raguindin PF, et al. Diagnosis includes imaging. Spinal Cord Ser Cases. 2020;6(1):67.

EMS 90

EMS E-9-1-1 Emergency Department Ambulance 90

The Skeptics' Guide to EM

OCTOBER 19, 2024

Date: October 7, 2024 Reference: Nguyen et al. Annals of EM 2024. Reference: Nguyen et al. Annals of EM 2024. Guest Skeptic: Dr. Brendan Freeman is an emergency medicine physician, assistant professor of emergency medicine, and medical education fellow at Staten Island University Hospital. mg/kg nebulized or 0.3

OR 193

OR Emergency Department ED ALS 193

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

ALiEM

OCTOBER 26, 2023

The Problem: Emergency Medicine (EM) in Pakistan has moved from developing to developed stage in the last decade [1]. It is an innovation that is based on a community of practice merged with the need-based assessment of a young EM residency program in a developing country. Originally developed by Marsh et al.,

EMS 161

EMS Emergency Department ALS ED 161

EMDocs

AUGUST 12, 2023

We’ll keep it short, while you keep that EM brain sharp. Çalışkan Uçkun A, Yurdakul FG, Ergani HM, et al. link] Alkandari A F, Alawadhi A, Alawadhi F A, et al. doi:10.1055/s-0032-1327007 Zhao W, Wang G, Chen B, et al. 0000000000017823 Rosskopf AB, Martinoli C, Sconfienza LM, et al. Flexor Tendon Lacerations.

EMS 69

EMS ALS Emergency Department OR 69

REBEL EM

OCTOBER 23, 2023

Follow up with the dentist in the morning Reinsert the tooth and avoid solid food Reinsert the tooth and stabilize it with a bridge Remove the tooth and repair the gingival laceration Remove the tooth and wrap it in saline-soaked gauze FOR THE RIGHT ANSWER CLICK ON THE ROSH REVIEW LOGO BELOW References Day PF, Flores MT, O’Connell AC, et al.

EMS 59

EMS ACS ALS ED 59

EMDocs

JUNE 3, 2023

We’ll keep it short, while you keep that EM brain sharp. Rosh Review Website Link Further Reading [link] [link] [link] [link] [link] References: Stanislavsky A, Baba Y, Hacking C, et al. Fogwe DT, Sandhu DS, Goyal A, et al. Lui F, Foris LA, Willner K, et al. Her symptoms have been constant over the last two weeks.

EMS 74

EMS ALS OR ED 74

The Skeptics' Guide to EM

JUNE 1, 2024

Reference: Tavender E, et al. His research focuses on the pre-hospital care of children by EMS. He is the principal investigator for EMSC State Partnership in Washington, DC and is also involved in various multi-center EMS studies with the Pediatric Emergency Care Applied Research Network (PECARN). Reference: Tavender E, et al.

Emergency Medical Services 210

Emergency Medical Services Emergency Department EMS ALS 210

EMDocs

NOVEMBER 4, 2023

We’ll keep it short, while you keep that EM brain sharp. link] =2969&sectionid=250456991 Moran GJ, Krishnadasan A, Gorwitz RJ, et al. doi:10.4103/0974-2700.96504 Talan DA, Mower WR, Krishnadasan A, et al. doi:10.1056/NEJMoa1507476 Daum RS, Miller LG, Immergluck L, et al. In: Knoop KJ, Stack LB, Storrow AB, Thurman R.

EMS 68

EMS E-9-1-1 Emergency Department ALS 68

The Skeptics' Guide to EM

APRIL 27, 2024

Reference: Tanner et al, A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation. Reference: Tanner et al, A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation. Prehospital Emergency Care.

ICU 189

ICU Defibrillator CPR Paramedic 189

The Skeptics' Guide to EM

JANUARY 13, 2024

Reference: Snyder BD, Van Dyke MR, Walker RG, et al. Chris Root is an EMS fellow in the Department of Emergency Medicine at the University of New Mexico Health […] The post SGEM#426: All the Small Things – Small Bag Ventilation Masks in Out of Hospital Cardiac Arrest first appeared on The Skeptics Guide to Emergency Medicine.

CPR 223

CPR Defibrillator First Responder Epinephrine 223

NAEMSP

FEBRUARY 8, 2023

EMS Perspectives: An OpEd Page on the History and Future of EMS Authors: David Wright, PA-C, NRP, FAEMS; Kate Randolph, PA-S; Kim King, FNP Introduction Mental health and wellness are on the forefront of everyone’s minds these days, and the past few years have been an exceptionally challenging time for healthcare workers around the world.

EMS 52

EMS Emergency Medical Services EMT EMT 52

EMDocs

DECEMBER 2, 2023

We’ll keep it short, while you keep that EM brain sharp. Available from: [link] yousef, CC BY-SA 4.0 <[link] via Wikimedia Commons The post EM@3AM: Oculomotor Nerve Palsy appeared first on emDOCs.net - Emergency Medicine Education. Complete third nerve palsy: Only presenting sign of extradural hematoma in an awake patient.

EMS 67

EMS Emergency Department OR ED 67

Dr. Smith's ECG Blog

SEPTEMBER 11, 2024

Here is the case: Report from EMS was witnessed syncope, his son did CPR, but the patient had pulses when EMS arrived. When the patient arrived in the ED, he was still hypotensive in 70s, slowly improving with EMS fluids. Hope you’re doing well! How excited would you have been about this case?" No Chest Pain, but somnolent.

EMS 106

EMS CPR ED Coronary 106

REBEL EM

AUGUST 17, 2023

In: Walls RM, Hockberger RS, Gausche-Hill M, et al., Rezaie, MD (Twitter: @srrezaie ) The post Rosh Review EM Scholar Monthly Question appeared first on REBEL EM - Emergency Medicine Blog. Rezaie, MD (Twitter: @srrezaie ) The post Rosh Review EM Scholar Monthly Question appeared first on REBEL EM - Emergency Medicine Blog.

EMS 52

EMS Emergency Department ED ALS 52

The Skeptics' Guide to EM

OCTOBER 12, 2024

Reference: Ma K et al. For example, we discussed the importance of pain management with another Peds EM superstar, Dr. Samina Ali, on an SGEM Xtra and learned that poor pain management contributes to avoiding medical care in the future and even vaccine hesitancy. Reference: Ma K et al.

Emergency Department 229

Emergency Department ED ALS OR 229

Handtevy

MAY 10, 2024

In the fast-paced world of emergency medical services (EMS), precision in pediatric medication dosing can mean the difference between life and death. The Monroe-Livingston Regional EMS (MLREMS) has spearheaded a transformative approach that ensures the safest and most effective treatment for our youngest patients during emergency situations.

EMS 52

EMS Emergency Medical Services Epinephrine ALS 52