ALiEM

JUNE 15, 2023

Goldfrank’s Toxicologic Emergencies, 11e New York, NY: McGraw-Hill; 2019 Morimoto M, Tatsumi K, Yuui K, et al. PMID 29855084 De Silva HA, Fonseka MM, Pathmeswaran A et al. In: Nelson LS, Howland M, Lewin NA, Smith SW, Goldfrank LR, Hoffman RS. Vet Med Sci. 2021 Nov;7(6):2440-2444. Lancet 2003; 361 (9373): 1935-8.

ALS 246

ALS ED OR 246

Core EM

JANUARY 25, 2024

Analgesic Onset Elimination Half Life IV Infusion Rates Side Effects and Other Information Fentanyl 1 – 2 min 2 – 4 hr 0.7 – 10 μg/kg/hr Rapid onset. Shehabi Y, Howe BD, Bellomo R, Arabi YM, et al: Early Sedation with Dexmedetomidine in Critically Ill Patients. μg/kg IV Maintenance dose: 0.5 – 15 μg/kg/hr Rapid onset. up to 1.5)

ICU 246

ICU Emergency Department Critical Care ALS 246

EMDocs

AUGUST 22, 2024

They are proficient in both the patient’s language and English, ensuring accurate and precise communication without omitting or altering critical information. They may alter information based on personal biases or concerns, potentially hindering effective communication and jeopardizing patient care. Lion KC, et al.

Emergency Department 81

Emergency Department ALS E-9-1-1 ED 81

ALiEM

APRIL 12, 2024

If the catheter appears correctly positioned on AP chest x-ray but is malfunctioning, consider obtaining additional imaging to confirm placement [11]: Lateral view chest-xray, or Chest CT (can also help characterize the pleural effusion) References Gammie JS, Banks MC, Fuhrman CR, et al. doi: [link] Broder JS, Al-Jarani B, Lanan B, Brooks K.

E-9-1-1 183

E-9-1-1 ALS Critical Care Emergency Department 183

REBEL EM

JULY 1, 2024

Paper: Goren NZ et al. References: Goren NZ et al. PMID: 34462252 Abubacker AP et al. Advocates feel that AVAPS is a more comfortable pressure support mode, which varies according to the patient’s needs (This is like PRVC for mechanical ventilation). Balkan Med J 2021. AVAPS: 0.07 AVAPS: 10.20 AVAPS: 0.07 AVAPS: 10.20

ED 133

ED Emergency Department ALS OR 133

The Skeptics' Guide to EM

JUNE 24, 2023

Date: June 16, 2023 Reference: Reed et al. Date: June 16, 2023 Reference: Reed et al. Individuals can then use that information to decide if or how much of the drug to use. Reference: Reed et al.

Overdose 187

Overdose Emergency Department ALS ED 187

ALiEM

JANUARY 5, 2024

Read and Listen to the Other EM Match Advice Episodes Blog posts: [link] Author information Sara M. Characteristics of Emergency Medicine Residency Programs With Unfilled Positions in the 2023 Match. Ann Emerg Med. 2023;82(5):598-607. doi:10.1016/j.annemergmed.2023.06.002. 2023.06.002. West J Emerg Med. 2019 Dec 9;21(1):96-101. 2019.10.44031.

EMS 177

EMS ALS OR 177

The Skeptics' Guide to EM

NOVEMBER 9, 2024

Date: October 28, 2024 Reference: Woelfle T et al. It is designed to help researchers design trials that better align with their research goals, whether they aim to inform real-world clinical practice (pragmatic) or control for as many variables as possible to test an intervention under ideal conditions (explanatory).

Emergency Department 140

Emergency Department ED ALS OR 140

The Skeptics' Guide to EM

AUGUST 24, 2024

Date: August 19, 2024 Reference: Partyka et al. Interests include information systems and digital health, research and education. Reference: Partyka et al. Serratus Anterior Plane Blocks for Early Rib Fracture Pain Management: The SABRE Randomized Clinical Trial.

Emergency Department 129

Emergency Department ALS OR ED 129

ALiEM

SEPTEMBER 25, 2024

Zubaidi A, Al-Saif F, Silverman R. Author information Garrett Yee, MD Core Faculty Kaiser Permanente Central Valley Emergency Medicine Residency Program Clinical Instructor of Emergency Medicine Kaiser Permanente Bernard J. World J Gastroenterol. 2009;15(4):407. PMID 19152443. Adult Intussusception: A Retrospective Review.

Emergency Department 141

Emergency Department ED ALS OR 141

ALiEM

NOVEMBER 18, 2024

Munawar K, Nayak G, Fatterpekar GM, et al. Author information Veda Ravishankar, MD Resident Physician Cook County Health | The post SAEM Clinical Images Series: A Rash with Cranial Nerve Deficits appeared first on ALiEM. [link] corependium/chapter/recV6PonFTQbz5R9c/Varicella-Zoster-Virus-VZV#h.q140vny9bkbo. Updated August 16, 2023.

Emergency Department 161

Emergency Department ALS OR ED 161

ALiEM

OCTOBER 11, 2023

Hassoun AER, Ujević I, Jemaa S et al. Alhatali B, Al Lawatia S, Khamis F, Kantur S, Al-Abri S, Kapil V, Thomas J, Johnson R, Hamelin EI, Coleman RM, Kazzi Z. Al-Sulaimani S, Titelbaum NV, Ward RE, Zahran TE, Chalhoub S, Kazzi Z. Chowdhury FR, Nazmul Ahasan HA, Mamunur Rashid AK, Al Mamun A, Khaliduzzaman SM.

E-9-1-1 204

E-9-1-1 ALS OR 204

ALiEM

FEBRUARY 9, 2024

References Writing Committee, Kontos MC, de Lemos JA, et al. 2022.08.750 Collet JP, Thiele H, Barbato E, et al. doi: 10.1177/2048872620935399 Badertscher P, Boeddinghaus J, Twerenbold R, et al. 118.034260 Chew DP, Lambrakis K, Blyth A, et al. 119.042891 Ashburn NP, Snavely AC, O’Neill JC, et al. Circulation.

E-9-1-1 276

E-9-1-1 ED Coronary ALS 276

ALiEM

NOVEMBER 3, 2023

Reference Lin M, Phipps M, Chan TM, et al. Digital Impact Factor: A Quality Index for Educational Blogs and Podcasts in Emergency Medicine and Critical Care. Ann Emerg Med. 2023;82(1):55-65. doi: 10.1016/j.annemergmed.2023.02.011

Critical Care 211

Critical Care EMS Emergency Department ALS 211

ALiEM

FEBRUARY 5, 2024

Reference Lin M, Phipps M, Chan TM, et al. Digital Impact Factor: A Quality Index for Educational Blogs and Podcasts in Emergency Medicine and Critical Care. Ann Emerg Med. 2023;82(1):55-65. doi: 10.1016/j.annemergmed.2023.02.011

Overdose 215

Overdose Critical Care EMS Emergency Department 215

ALiEM

NOVEMBER 29, 2023

PMID: 34529640 Ayub S, Parnia S, Poddar K, et al. PMID: 24769343 Ehrman-Dupre R, Kaigh C, Salzman M et al. PMID: 36148197 Love JS, Levine M, Aldy K, et al. PMID: 37014353 Ball NS, Knable BM, Relich TA et al. Notes from the Field: Xylazine Detection and Involvement in Drug Overdose Deaths – United States, 2019.

Naloxone 169

Naloxone Overdose ALS Epinephrine 169

Pediatric EM Morsels

MAY 24, 2024

One of the most difficult and most satisfying parts of pediatric emergency medicine is using one’s history, exam and clinical tools to make an informed decision and spare children from unnecessary pain , uncomfortable exams, painful procedures and medical imaging. Sources Adelgais KM, Kuppermann N, Kooistra J, et al. 2014.08.014.

ALS 161

ALS EMS Emergency Department OR 161

ALiEM

OCTOBER 11, 2024

Provan D, Arnold DM, Bussel JB, et al. Author information Jeffrey Cheah, MD Resident Physician Boston Medical Center | The post SAEM Clinical Images Series: A Blistery Mystery appeared first on ALiEM. 2019 Dec 10;3(23):3829-3866. doi: 10.1182/bloodadvances.2019000966. 2019000966. Erratum in: Blood Adv. 2020 Jan 28;4(2):252.

OR 152

OR ALS 152

The Skeptics' Guide to EM

DECEMBER 9, 2023

Date: November 20, 2023 Reference: Jones et al. Date: November 20, 2023 Reference: Jones et al. You pointed out we missed some details in our review and provided some additional information. Time to reflect on open-label placebos and their value for clinical practice. You were the lead author on that study.

ALS 198

ALS OR 198

ALiEM

MAY 17, 2023

References Marco CA, Courtney DM, Ling LJ, et al. Read and Listen to the Other EM Match Advice Episodes Blog posts: [link] Author information Sara M. Episode 40: Reflections on 2023 Match The Slide: How Competitive was the 2023 EM Match? How Competitive Were Other Specialties in the 2023 Match? Ann Emerg Med. 2021;78(6):726-737.

EMS 130

EMS ALS 130

Pediatric EM Morsels

JULY 5, 2024

Baumann F, Ernstberger T, Neumann C, et al. Leonard JC, Harding M, Cook LJ, et al. Leonard JC, Kuppermann N, Olsen C, et al. 2014;133(5) Mathews JD, Forsythe AV, Brady Z, et al. Nigrovic LE, Rogers AJ, Adelgais KM, et al. Slaar A, Fockens MM, Wang J, et al. Pediatr Emerg Care. 2018;34(10):677-686.

ALS 161

ALS OR ED Emergency Department 161

ALiEM

SEPTEMBER 27, 2023

Hoffman et al. Koppaka V, Thompson DC, Chen Y, et al. Author information Kylee Brooks, MD Emergency Medicine Resident Department of Emergency Medicine Carolinas Medical Center | The post ACMT Toxicology Visual Pearls: Mushroom Mishap appeared first on ALiEM. Encyclopedia of Toxicology (Third Edition), Academic Press.

ALS 169

ALS OR ED 169

ALiEM

JANUARY 29, 2024

Nedelmann, Matt et al. 2015;46:2322–2324 [link] Smith, Austin T et al. Author information Ai Xin Chen, MD Resident Physician Harbor UCLA Medical Center | The post SAEM Clinical Images Series: Retrobulbar Spot Sign appeared first on ALiEM. Ultraschall Med. 2012 Dec;33(7):E263-E267. doi: 10.1055/s-0032-1312925. Epub 2012 Sep 21.

ALS 161

ALS ED OR 161

ALiEM

JUNE 5, 2023

Read More in the Series References Klein F, et al. 0000000000000446 Hendricks KA, Wright ME, Shadomy SV, et al. Author information Alex Blackwell, MD Resident Department of Emergency Medicine Carolinas Medical Center | The post ACMT Toxicology Visual Pearl: The Black Eschar appeared first on ALiEM. Pathophysiology of anthrax.

ALS 256

ALS OR ED 256

EMS 12-Lead

MAY 15, 2024

We will be using redacted information from different cases where paramedics attempted TCP in the field. After 13 minutes of ALS resuscitation, pulses were palpated indicating a return of spontaneous circulation. Details are edited and redacted to preserve patient anonymity. Epinephrine administered intravenously.

Epinephrine 331

Epinephrine Paramedic CPR ED 331

Pediatric EM Morsels

JULY 28, 2023

However, new information tells us that the hyperinflammatory state in DKA with cerebral hypoperfusion may play a big role. PubMed] [Read by QxMD] Rosenbloom AL. PubMed] [Read by QxMD] Muir AB1, Quisling RG, Yang MC, Rosenbloom AL. Dunger D, Sperling M, Acerini C, et al. Lesson = treat early! 2013 Sep;163(3):761-6.

E-9-1-1 246

E-9-1-1 ALS OR Critical Care 246

NVFC

SEPTEMBER 24, 2024

For more information on this standard, visit the NVFC landing page. During a special election, Reid Vaughan (AL) was elected to the position of Second Vice Chair, and Joseph Maruca (MA) was elected to the Executive Committee. The NVFC’s OSHA Task Force also provided an update on the proposed Emergency Response Standard.

Emergency Response 105

Emergency Response Public Safety Firefighter ALS 105

ACEP Now

AUGUST 22, 2023

Regardless of the domain, somewhere an expert panel has convened to issue a pronouncement informing all of the ideal care of patients under their specialty umbrella, indirectly extending to their care in the emergency department. Musey PI, et al. Broder JS, et al. References Society for Academic Emergency Medicine. About SAEM.

Emergency Department 98

Emergency Department ALS ED OR 98

ALiEM

APRIL 12, 2023

Accessed April 5, 2023 Afzal S, Zahid M, Rehan ZA, et al. Author information Ivan Ivanov, DO Resident Physician Emergency Department South Brooklyn Health | The post Trick of the Trade: Gel-free ultrasound-guided peripheral IV technique appeared first on ALiEM. Accessed April 5, 2023. 2022 Jan 6;8(1):42. doi: 10.3390/gels8010042.

Emergency Department 258

Emergency Department ALS ED 258

ALiEM

OCTOBER 14, 2023

Reference Lin M, Phipps M, Chan TM, et al. Author information Chris Belcher, MD Editor, ALiEM AIR Series Assistant Professor and Assistant Program Director Department of Emergency Medicine University of Kentucky College of Medicine | Twitter | The post ALiEM AIR Series | Respiratory 2023 Module appeared first on ALiEM. Ann Emerg Med.

Critical Care 169

Critical Care EMS Emergency Department ALS 169

The Skeptics' Guide to EM

MAY 25, 2024

Reference: Borgundvaag et al. Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE-4): Alcohol use disorder and cannabinoid hyperemesis syndrome management in the emergency department. Case 1: A patient presents to the ED with nausea, vomiting and some abdominal pain complaining of alcohol withdrawal.

ED 193

ED Emergency Department ICU ALS 193

The Skeptics' Guide to EM

JANUARY 16, 2021

Date: January 5th, 2021 Reference: Shipman et al. Date: January 5th, 2021 Reference: Shipman et al. More information on the where the no topical anesthetic use on corneal abrasions come from can be found on a REBEL EM blog post.

ALS 130

ALS Emergency Department EMS ED 130

ALiEM

SEPTEMBER 29, 2023

References Goodwin RB, Beery PR 2nd, Dorbish RJ, et al. Author information Andrew Shannon, MD, MPH Ultrasound Director Associate Professor of Emergency Medicine Lakeland Regional Health | The post SAEM Clinical Images Series: Only a Flesh Wound appeared first on ALiEM. The Journal of Trauma. 2009 Nov;67(5):1046-1050.

ALS 177

ALS OR 177

EMS 12-Lead

MARCH 30, 2024

We will be using redacted information from different cases where paramedics attempted TCP in the field. The University of Maryland found that capture occurred in only 42-78% of patients, dependent on pad positioning (Moayedi et al, 2022). Details are edited and redacted to preserve patient anonymity.

CPR 312

CPR Paramedic Ambulance Defibrillator 312

ALiEM

JUNE 7, 2023

doi:10.5414/CP202630 PMID: 27285461 Sandall DW, Satkunanathan N, Keays DA, et al. doi:10.1021/bi034043e PMID: 12779345 Nielsen CK, Lewis RJ, Alewood D, et al. 2003.12.011 PMID: 15135163 Lubbers NL, Campbell TJ, Polakowski JS, et al. PMID: 16044024 Ahorukomeye P, Disotuar MM, Gajewiak J, et al. 2016;54(7):524-538.

ALS 130

ALS OR 130

The Skeptics' Guide to EM

JUNE 27, 2020

Certainly there has been a lot of information coming out on the topic and it can seem like you are drinking from a fire hose at times. The evidence informs and guides our care but it does not dictate our care. This could be considered a straw man argument because most medical practices are not parachutes ( Hayes et al CMAJ 2018 ).

ALS 130

ALS OR 130

Don't Forget the Bubbles

JANUARY 1, 2024

Musolino AM, et al. Lung ultrasound for the sick child: less harm and more information than a radiograph. Chidini G, et al. Pawlowski TW, et al. Weiss SL, et al. Hua LL, et al. Delany C, et al. Kuehn LM, et al. Woods CR, et al. Montini G, et al. Redline S, et al.

ALS 98

ALS OR ED 98