Don't Forget the Bubbles

AUGUST 23, 2023

This simple intervention aims to acknowledge the tragic and unexpected event humanely and respectfully. The Pause creates an opportunity for loved ones and healthcare workers to respectfully honour the patient and the significant event they have been involved in before moving on to the next task ahead. Kapoor et al. 23 (2), pp.

Emergency Department 98

Emergency Department ICU ALS Critical Care 98

The Skeptics' Guide to EM

DECEMBER 7, 2019

Date: October 2nd, 2019 Reference: Ramgopal et al. Changes in the Management of Children With Brief Resolved Unexplained Events (BRUEs). Date: October 2nd, 2019 Reference: Ramgopal et al. Changes in the Management of Children With Brief Resolved Unexplained Events (BRUEs).

CPR 130

CPR ALS OR 130

NAEMSP

JUNE 18, 2024

Article Summary by Sarah Fabiano, MD, FACEP, FAAEM Sobieraj DM, Martinez BK, Miao B, et al. There is insufficient evidence for the adverse events. Opioids may cause more adverse events—dizziness, but not enough strength regarding hypotension or respiratory depression. Opioids may cause more adverse events and drowsiness.

ALS 52

ALS OR 52

The Skeptics' Guide to EM

OCTOBER 3, 2020

Reference: Claiborne Johnston S et al. Reference: Claiborne Johnston S et al. Aspirin has been used to prevent a subsequent stroke in patients who suffered an acute ischemic stroke (AIS) or transient ischemic attack (TIA), which occur in approximately 5-10% of patients in the first few months after their primary event.

Emergency Department 100

Emergency Department ALS OR 100

EMDocs

FEBRUARY 7, 2024

GLP-1 agonists are also associated with improved ejection fraction, coronary blood flow, and cardiac output while reducing the risk of cardiovascular events, infarction size, and all-cause mortality. Adverse events are common in those using GLP-1 agonists, but the vast majority of these are minor. Take for example semaglutide.

Allergic Reaction 75

Allergic Reaction ALS CAD OR 75

Pediatric EM Morsels

AUGUST 18, 2023

Myth #1: Musculoskeletal Adverse Events (MAE) This concern is likely the most common reason fluoroquinolones are rarely used in children. Musculoskeletal Adverse Events include: Articular cartilage damage causing arthralgias or arthritis , Tendonitis , and Tendon rupture. Which is a risk of 1 event for 62.5 Binz 2015).

E-9-1-1 130

E-9-1-1 OR ACS ALS 130

ACEP Now

JANUARY 14, 2024

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. Hohl CM, Zed PJ, Brubacher JR, et al. Classen D, Pestotnik S, Evans S, et al. Adverse drug events in hospitalized patients. Acad Emerg Med.

E-9-1-1 52

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

The Skeptics' Guide to EM

NOVEMBER 1, 2022

Date: October 27th, 2022 Reference: Hayashi et al. Date: October 27th, 2022 Reference: Hayashi et al. Although minor adverse events, such as brief apnea or hypoxia, are common, significant adverse events are very rare, and the benefits are clear (Bellolio 2016).

ALS 152

ALS Emergency Department OR ED 152

REBEL EM

MAY 29, 2024

EMRAP HD: Epistaxis Posterior Pack References Cassisi NJ et al. PMID: 5569677 Zeyyan E et al. PMID: 20938948 Loftus BC et al. PMID: 8170679 Viducich RA et al. Traditional teaching is that these patients are at risk for life-threatening bradydysrhythmias and should go to the ICU Literature here is non-existent.

ICU 99

ICU ALS ACS EMS 99

The Skeptics' Guide to EM

APRIL 2, 2022

Date: March 31st, 2022 Reference: Butt et al. Date: March 31st, 2022 Reference: Butt et al. Children represent one group of patients that are less likely to receive adequate analgesia ( Brown et al , Selbst and Clark ). Reference: Butt et al.

Emergency Department 130

Emergency Department ALS ED OR 130

Don't Forget the Bubbles

OCTOBER 4, 2023

Formentin C, et al. Jørgensen RM, et al. Harris J, et al. Bhatia S, et al. Vivarelli M, et al. Morello W, et al. McGowan EC, et al. Hirata K, et al. Shaikh N, et al. Wald ER, et al. Poddighe D, et al. Greenhow TL, et al. Amer R, et al. Gleason JL, et al.

E-9-1-1 111

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

Don't Forget the Bubbles

NOVEMBER 22, 2023

A systematic review examined 69 articles (mostly cohort studies and clinical trials) looking at the common adverse events (not just PRIS) following the use of propofol in children and neonates. Vanlander AV, Okun JG, de Jaeger A, Smet J, De Latter E, De Paepe B, et al. References Bray RJ. Propofol infusion syndrome in children.

E-9-1-1 126

E-9-1-1 Critical Care Operating Room ALS 126

Pediatric EM Morsels

SEPTEMBER 22, 2023

Pathophysiology Primary injury happens at the time of the traumatic event or shortly after in the high cervical to mid-thoracic spine. Tenenbein M, Macias CG, Sharieff GQ, et al, eds. Tenenbein M, Macias CG, Sharieff GQ, et al, eds. Main symptoms include hypotension and bradycardia. References Coleman-Satterfield, TT.

E-9-1-1 300

E-9-1-1 Epinephrine ALS EMS 300

The Skeptics' Guide to EM

OCTOBER 10, 2020

Reference: Friedman et al. Reference: Friedman et al. million visits each year in the USA ( Friedman et al Spine 2010 ). However, their use is associated with increased adverse events. These include: acetaminophen ( Williams et al Lancet 2014), muscle relaxants ( Friedman et al JAMA 2015), NSAIDs ( Machado et al

Emergency Department 130

Emergency Department ALS ED OR 130

REBEL EM

MARCH 6, 2024

Melatonin Farahmand S, et al. Morgenthaler TI et al; Standards of Practice Committee of the American Academy of Sleep Medicine. Driving Sleepy Barger LK, Cade BE, Ayas NT, et al. Green W, Gao X, Li K, et al. The Association of Sleep Hygiene and Drowsiness with Adverse Driving Events in Emergency Medicine Residents.

ALS 98

ALS OR EMS 98

The Skeptics' Guide to EM

JUNE 12, 2022

Date: June 12th, 2022 Reference: Finfer et al. Date: June 12th, 2022 Reference: Finfer et al. Two large, cluster-randomized trials ( SMART and SALT-ED ) showed a small benefit to the use of balanced crystalloids in preventing a composite outcome of Major Adverse Kidney Events within 30 days (aka MAKE-30).

ICU 132

ICU Plasma Critical Care ALS 132

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

Don't Forget the Bubbles

SEPTEMBER 2, 2024

Neonatal Bubble Wrap from Brian Dunn Seidler AL, Aberoumand M, Hunter KE, Barba A, Libesman S, Williams JG, Shrestha N, Aagerup J, Sotiropoulos JX, Montgomery AA, Gyte GM. Effect of early vs late inguinal hernia repair on serious adverse event rates in preterm infants: a randomized clinical trial. 2024 Mar 26;331(12):1035-44.

ALS 105

ALS EMS OR 105

The Skeptics' Guide to EM

MAY 19, 2018

[display_podcast] Date: May 16, 2018 Reference: Freund et al. Effect of the Pulmonary Embolism Rule-Out Criteria on Subsequent Thromboembolic Events
 Among Low-Risk Emergency Department Patients: The PROPER Randomized Clinical Trial. display_podcast] Date: May 16, 2018 Reference: Freund et al. Reference: Freund et al.

Emergency Department 130

Emergency Department ALS Coronary OR 130

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. 2020, [link] Shen, J, et al. Patients should be triaged based on the severity of acute traumatic injuries and medical symptoms.

ALS 130

ALS OR Emergency Department 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

Don't Forget the Bubbles

FEBRUARY 5, 2024

Anagnostou A, et al. Rodgers O, et al. Schoeffl I, et al. Garfinkle J, et al. Peprah P, et al. Pehlivanturk Kizilkan M, et al. Pigdon L, et al. Yildirim I, et al. DaFonte TM, et al. Teague WJ, et al. Arnett AB, et al. de Visme S, et al. de Visme S, et al.

E-9-1-1 52

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

ACEP Now

MARCH 6, 2024

Empiric PCC infusion was associated only with increased pro-thrombotic events without corresponding witnessed benefits. 4 Repeated trials have not shown alteplase to have any signal of better outcomes, nor tenecteplase to have an association with increased adverse events. Bouzat P, Charbit J, Abback PS, et al. N Engl J Med.

ALS 52

ALS Critical Care Emergency Department OR 52

EMDocs

NOVEMBER 7, 2023

The DIABLO trial: Daniels L, Ünlü Ç, de Korte N, et al; Dutch Diverticular Disease (3D) Collaborative Study Group. Randomized vs. 12%), adverse events (48.5 van Dijk ST, Daniels L, Ünlü Ç, et al; Dutch Diverticular Disease (3D) Collaborative Study Group. The STAND trial: Jaung R, Nisbet S, Gosselink MP, et al. Antibiotics

ACPE 88

ACPE ALS OR ED 88

The Skeptics' Guide to EM

OCTOBER 31, 2018

[display_podcast] Date: October 30th , 2018 Reference: Raskob GE et al. display_podcast] Date: October 30th , 2018 Reference: Raskob GE et al. In non-cancer patients, new oral anticoagulants (NOACs) like rivaroxaban have been shown to be effective in treatment without increasing bleeding events. Reference: Raskob GE et al.

ALS 130

ALS EMS OR 130

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. It has a high rate of first-attempt failure and carries the risk of severe procedure-related adverse events.

E-9-1-1 75

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

EMDocs

OCTOBER 9, 2023

12 Weight gain (up to 70%), development of cataracts (up to 15%), fractures (up to 12%), and neuropsychiatric events (up to 10%) are the most common adverse events. Consider the other complications of systemic steroids: weight gain, cataracts, fractures, and neuropsychiatric events. 6) Wyckoff MH, Greif R, Morley PT, et al.

ED 82

ED Life Support Advanced Life Support CPR 82

EMDocs

JUNE 22, 2024

The absence of preeclampsia symptoms prior to the acute event makes eclampsia less likely. Eclampsia (B) is characterized by the onset of seizures in a woman with preeclampsia (hypertension and proteinuria), but it typically does not present with the sudden onset of respiratory distress and profound hypotension described here. link] j.ajog.2016.03.012

EMS 96

EMS Ambulance FFP ICU 96

ALiEM

OCTOBER 26, 2023

In order to avoid connectivity issues with Wifi, the event administrators broadcasted from an ethernet-connected computer. Originally developed by Marsh et al., Deploying our security teams, a robust registration system, and the waiting room function in Zoom were important strategies for avoiding disturbances to the event.

EMS 161

EMS Emergency Department ALS ED 161

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. Zehtabchi et al published a SRMA of TXA for traumatic brain injuries (TBI). Date: October 14th, 2019 Reference: CRASH-3 Trial Collaborators.

Emergency Department 130

Emergency Department EMS ALS OR 130

REBEL EM

OCTOBER 30, 2023

Paper: Davenport R et al. References: Davenport R et al. Fibrinogen products may also be needed to stabilize clots and stem bleeding. The optimal approach to fibrinogen administration in massive hemorrhage protocols is unknown. Cryoprecipitate Group: 25.3% OR 0.96; 95% CI 0.75 to 1.23; p = 0.74 vs 10%; OR 1.74; 95% CI 1.20

FFP 120

FFP ALS OR EMS 120

ACEP Now

JULY 7, 2024

References Brophy GM, Bell R, Claassen J, et al. Zehtabchi S, Abdel Baki SG, Omurtag A, et al. Towne AR, Waterhouse EJ, Boggs JG, et al. Huff JS, Melnick ER, Tomaszewski CA, et al. Gunawardena S, Chikkannaiah M, Stolfi A, et al. Paliwal P, Wakerley BR, Yeo LLL, et al. Prud‘hon S, Amiel H, Zanin A, et al.

Emergency Department 52

Emergency Department Critical Care ALS ED 52

ACEP Now

APRIL 5, 2024

References von Hellmann R, Fuhr N, et al. 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. Techniques, success, and adverse events of emergency department adult intubations [published correction appears in Ann Emerg Med. Ann Emerg Med.2024;83(2):132-144.

OR 73

OR ALS Emergency Department Critical Care 73

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. Locked-in syndrome.

EMS 89

EMS E-9-1-1 ALS OR 89

ALiEM

AUGUST 16, 2023

PMID 7073040 Moore TJ, Walsh CS, Cohen MR. Reported adverse event cases of methemoglobinemia associated with benzocaine products. Nelson, et al., Nelson, et al., Read More in the Series References Curry S. Methemoglobinemia. Ann Emerg Med. 1982;11(4):214-221. doi:10.1016/s0196-0644(82)80502-7. Arch Intern Med. 164.11.1192.

E-9-1-1 130

E-9-1-1 ALS OR 130

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. Image adapted from Mullens et al., The vast majority were managed at home, with no adverse events reported. After Darracq et al., A recent literature review by Caré et al. Zamora et al.,

E-9-1-1 111

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

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. 2020, [link] Shen, J, et al. Patients should be triaged based on the severity of acute traumatic injuries and medical symptoms.

ALS 130

ALS OR Emergency Department ED 130