REBEL EM

MAY 25, 2023

mental status, urine output, capillary refill) is more important than an actual goal PERMISSIVE HYPOTENSTION IN PTS WITH TBI Brotfain E et al. mental status, urine output, capillary refill) is more important than an actual goal PERMISSIVE HYPOTENSTION IN PTS WITH TBI Brotfain E et al. NEJM 1994. [2] Richards JE et al.

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EMDocs

MARCH 2, 2024

Answer : Pneumocephalus 1-21 Background: Pneumocephalus is defined by the presence of air within the cranial cavity. 1-3] The most common location is the frontal region, followed by the occipital and temporal regions. [4] 1-3] The most common location is the frontal region, followed by the occipital and temporal regions. [4]

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Don't Forget the Bubbles

MAY 6, 2024

With millions of journal articles published yearly, it is impossible to keep up. Our team has scoured the literature, so you don’t have to—or it might spark an interest in reading the full article. Article 1: Positive urine cultures without pyuria Wang ME, Jones VG, Kane M, et al. 2024;24(1):111-118.

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REBEL EM

MAY 27, 2024

Given that these two treatment options operate via different physiologic mechanisms, the author of this study postulates that MVM and IV adenosine could be combined synergistically to convert PSVT with better success rates than either treatment individually and with better safety profiles. Article: Xiao, L., 2010;17(1):44-49.

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Don't Forget the Bubbles

JULY 17, 2023

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. You will find the list is broken down into four sections: 1.Reviews Reviews and opinion articles Point-of-care ultrasound in pediatric nephrology. 2023 Jun 1.

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Dr. Smith's ECG Blog

JUNE 17, 2024

Pain improved to 1/10 after EMS administers 324 mg aspirin and the following EKG is obtained at triage. C Examination notable for diaphoresis, 1+ bilateral lower extremity edema, regular heart rate and rhythm, and no signs of respiratory distress with normal breath sounds. What do you think? In fact, Kosuge et al. Stein et al.

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Don't Forget the Bubbles

SEPTEMBER 16, 2023

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. You will find the list is broken down into four sections: 1.Reviews Reviews and opinion articles Forgotten Pediatrics: 8 Disturbing Windows on the Past.

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Don't Forget the Bubbles

AUGUST 4, 2024

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. The Journal of Pediatrics published an article on education interventions to reduce diagnostic errors in burned or bruised patients suspected of abuse. Pediatrics.

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EMDocs

MAY 11, 2024

CT head without contrast 1 is performed and reveals the following: Question: What is the diagnosis? Reference article, Radiopaedia.org (Accessed on 28 Aug 2023) [link] Ortiz de Mendivil A, Alcalá-Galiano A, et al. Updated November 9, 2023. Answer : Brainstem stroke specifically in the pons resulting in locked in syndrome.

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EMS E-9-1-1 ALS OR 88

Don't Forget the Bubbles

MAY 8, 2024

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. You will find the list is broken down into four sections: 1.Reviews Reviews and opinion articles Approach to simple kidney cysts in children. 2024 Apr 9.

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REBEL EM

JANUARY 25, 2024

Article: Arvig MD, Lassen AT, Gæde PH, et al. What They Did: Design: Randomized, controlled, blinded-outcome trial Sites: Three emergency departments in Denmark Duration: October 9, 2019 to May 26, 2021. The first evaluation of the patient was to be done within 1 hour of arrival to ED (Including the first POCUS). Emerg Med J.

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Don't Forget the Bubbles

DECEMBER 6, 2023

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. When you read medical articles to stay up-to-date, you may not know certain studies pique your interest more than others. Rodríguez-Gutiérrez E et al.

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EMDocs

JUNE 1, 2023

This collection of posts features recently published must-know articles. Source Article: Cooper DJ, Nichol AD, Bailey M, et al. Welcome back to the “52 in 52” series. This week we cover the POLAR RCT on hypothermia for neuroprotection in those with severe TBI. Bradycardia: 18.8% Average ventilator days (8.3 Bradycardia: 18.8%

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E-9-1-1 Emergency Medical Services Emergency Department OR 61

Don't Forget the Bubbles

NOVEMBER 29, 2023

This article is based on: Mayberry, H., Intensive Care Research , 1 (3-4), pp.60-64. Epub 2014 Sep 9. Pappal RD, Roberts BW, Mohr NM, Ablordeppey E, Wessman BT, Drewry AM, Winkler W, Yan Y, Kollef MH, Avidan MS, Fuller BM. 2013 Jan;31(1):222-6. Burgart, A.M. and Kanaris, C., W hat is the problem? Br J Anaesth.

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Dr. Smith's ECG Blog

JULY 14, 2023

Two recent interventions have proven in randomized trials to improve neurologic survival in cardiac arrest: 1) the combination of the ResQPod and the ResQPump (suction device for compression-decompression CPR -- Lancet 2011 ) and 2) Dual Sequential defibrillation. Figure-1: The initial ECG in today's case — obtained after ROSC.

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FOAMfrat

OCTOBER 20, 2023

As reported within the 6th edition Manual of Emergency Airway Management, there are cardiac arrest rates between 1% and 4%, with other complications (mostly hypoxemia and hypotension) as high as 30% in patients with first-pass success [1, pg 29; 4-10]. Why is Physiologic Optimization Important? Up to 44% per other sources [12].

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Don't Forget the Bubbles

FEBRUARY 5, 2024

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. Paediatric advocacy still has a long road ahead… You will find the list is broken down into four sections: 1.Reviews 2024 Jan 1;43(1):e11-e13. 2024 Jan 9.

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REBEL EM

MAY 8, 2023

Paper: Smith JA, Secombe P, Aromataris E. 2 additional articles were identified from reference lists. The initial screening process was performed by one reviewer, increasing the potential for the omission of relevant articles. Only 1 RCT and 1 cohort study had only mechanically ventilated patients. PMID: 34225346.

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Don't Forget the Bubbles

AUGUST 14, 2023

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. You will find the list is broken down into four sections: 1.Reviews Baldan E, et al. Garne E, et al. 2023 Jul 9:archdischild-2023-325769.

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

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. Recurrence of pneumothorax within 1 year. Pneumothorax recurrence within 1 year: 20% for aspirations, 27% for chest tubes.

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E-9-1-1 ALS Emergency Department OR 105

This Podcast Will Kill You

NOVEMBER 7, 2023

For every article about the risks of sun exposure or a guide to sunscreens, you don’t have to look far to find one about the health benefits of sunshine or a how-to for achieving the best tan. New England Journal of Medicine, 355(1), pp.51-65. Nature reviews Disease primers, 1(1), pp.1-20. Craythorne, E.

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Don't Forget the Bubbles

SEPTEMBER 13, 2023

This series of DFTB articles aims to increase awareness of the Choosing Wisely ® recommendations. Each article will take a deeper dive into each recommendation’s supporting evidence and practical implications. When considering tumours, 37 observation studies involving 2661 children found that 3% (95% CI 1-7%) had tumours.

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Don't Forget the Bubbles

NOVEMBER 22, 2023

Of these signs, mortality in children is associated with hepatomegaly and fever; meanwhile, mortality in adults is associated with hyperkalaemia, traumatic brain injury, propofol infusion rates >5mg kg -1 h -1 and ECG changes. 1998;8(6):491-9. Vanlander AV, Okun JG, de Jaeger A, Smet J, De Latter E, De Paepe B, et al.

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REBEL EM

JULY 3, 2023

Article: Rossi N et al. Investigators enrollend 660 patients in 9 years in 5 EDs; or approximately 6 patients per month; or 1 patient per /month for each ED. The inclusion of p-values in Table 1 might lead to misinterpretation or improper use of statistical significance. Am J Emerg Med.

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ACEP Now

JANUARY 14, 2024

1-3 We may be unaware of potentially dangerous drug interactions when we order and prescribe medications in the ED. Many thanks to Dr. David Juurlink and Dr. Walter Himmel for their expert contributions to the EM Cases podcast that inspired this article. 2008;178:1563-9. 2020;10(1):18964. 2018;25(9):1015-26.

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REBEL EM

SEPTEMBER 26, 2022

Article: Kumar M et al. 2020;71(1):235-246. Plt 37×10^9/L and 40×10^9/L, SOC and TEG, respectively) All patients enrolled had an upper endoscopy and verified the source of bleeding. Hepatology. Significant coagulopathy: INR > 1.8 Significant coagulopathy: INR > 1.8

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FFP E-9-1-1 ICU ALS 52

NAEMSP

APRIL 19, 2023

Article by Erin Lincoln, MD Case Scenario: You are dispatched to a 68-year-old male in cardiac arrest. Several recent papers have come out, including a double blind, randomized controlled trial of calcium in cardiac arrest, and these papers are nicely summarized in a 2014 Annals of Emergency Medicine article by Landry, Foran, and Koyfman.

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

Dr. Smith's ECG Blog

SEPTEMBER 27, 2019

. == MY Comment by K EN G RAUER, MD ( 9/27/2019 ): == As suggested by the title of this Blog post — confirmation of the diagnosis in this case was made not by ECG — but instead by chest aorta CT ! For clarity — I’ve put these first 2 tracings together in Figure-1. Figure-1: The first 2 ECGs in this case ( See text ).

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REBEL EM

DECEMBER 10, 2023

2022 Jan 1;92(1):44-48. What they did: Retrospective study performed at a level 1 trauma center of patients diagnosed with pneumothorax from 2018-2020. Despite this article being thought provoking, it is hard to discount the several prospective studies that argue the opposite on this topic. 2015 Jan;39(1):172-8.

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EMDocs

OCTOBER 30, 2023

1 The shortage in supply posed difficulties for hospitals that significantly depend on GE Healthcare as their supplier, which encompassed approximately 50% of hospitals in the United States (US). The primary aim of this article is to examine the clinical insights derived from scarcity and its consequences. 11 Table 1.

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Broome Docs

OCTOBER 31, 2022

2022 Jan;48(1):78-91. 2022 Sep;21(9):781-791. PMID: 30206143 Less is more when it comes to intravenous fluids de-Madaria E, Buxbaum JL, Maisonneuve P, et al. Wolfrum S, Roedl K, Hanebutte A, Pfeifer R, Kurowski V, Riessen R, Daubmann A, Braune S, Söffker G, Bibiza-Freiwald E, Wegscheider K, Schunkert H, Thiele H, Kluge S.

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REBEL EM

FEBRUARY 21, 2024

Reviewing every study would be tedious and, fortunately, we’ve got a great review article on the topic. Read More REBEL EM: The Ketorolac Analgesic Ceiling References Irizarry E et al. Can J Emerg Med 2007; 9(1): 30-2. Acad Emerg Med 2021; 28(11): 1228-35. PMID: 34133820 Arora S et al. PMID: 17391598 Wright JM et al.

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Paramedic Training Spot

DECEMBER 8, 2021

In this article, we will explore the intersection between the medical profession and military service. Basic Combat Training Basic Combat Training , or BCT, is approximately 10 weeks and will take place at 1 of the 4 locations available. Phase 2 lasted 8 weeks and built on the critical care skills acquired in phase 1.

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REBEL EM

MARCH 13, 2023

Article : Vianen NJ et al. What They Did: Two researchers performed a systematic review and meta-analysis following the PRISMA and CHARMS guidelines They collected articles using Embase, Medline ALL via Ovid, Web of Science Core Collection, and Google Scholar published between 1995-2020. 2008 Apr 22;178(9):1141-52. 2022 May 5.

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Advanced Life Support Life Support E-9-1-1 EMS 52

Dr. Smith's ECG Blog

JANUARY 30, 2019

The article is edited by Smith. The pattern of STE and STD reminded us of Brugada Type 1 morphology. Smith comment: 1) Brugada ECG may have ST shifts in limb leads as well as precordial leads. Patients that develop a Type 1 pattern without any precipitating or provoking factors have a risk of SCD of 0.5-0.8% per year.

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E-9-1-1 CAD STEMI OR 52

Dr. Smith's ECG Blog

FEBRUARY 28, 2020

4 important features that indicate acute right hear strain: 1. In the Marchik article, (assuming they defined it the same way, and the methods do not specify this), among patients with suspicion for PE, S1Q3T3 was found in 8.5% They found that only 11% of PE had 1 mm T-wave inversions in both lead III and lead V1, vs. 4.6%

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Dr. Smith's ECG Blog

NOVEMBER 30, 2022

mm of ST segment elevation, V2 and V3 have 1 mm of elevation, v4 has 2 mm of elevation and v5 around 1.5 In a recent article (J Electrocardiol this year, see reference below), peak trop onin I levels in takotsubo presenting with ST Elevation were median 1.02 Reference on Troponins: Xenogiannis I, Vemmou E, Nikolakopoulos I, et al.

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Emergency Department E-9-1-1 Coronary STEMI 52