EMDocs

OCTOBER 9, 2023

Yoo, MD (Assistant Professor/Core Faculty, San Antonio, TX) // Reviewed by Brit Long, MD (@long_brit) Case An 18-year-old man with a history of asthma and medication noncompliance presents to the emergency department (ED) with acute onset shortness of breath. He states that he recently moved to Texas from Colorado.

ED 81

ED Life Support Advanced Life Support CPR 81

EM Literature of Note

NOVEMBER 20, 2024

This article regarding the cost of upgrading emergency departments to be “ready” for sick children has been bouncing around in the background since its publication, with some initial lay press coverage. The likelihood of imprecision is magnified as the estimates are combined.

Emergency Department 68

Emergency Department ED OR 68

REBEL EM

JANUARY 25, 2024

In many emergency departments (ED), US machines are readily available and can be used to rapidly assess and monitor patients with acute dyspnea at the bedside. Article: Arvig MD, Lassen AT, Gæde PH, et al. Emerg Med J. US, compared with CXR and CT, offers the absence of ionizing radiation and high reproducibility.

ED 130

ED E-9-1-1 Emergency Department ALS 130

EMDocs

JUNE 16, 2023

Podcast: Play in new window | Download (Duration: 13:57 — 19.2MB) Subscribe: Apple Podcasts | Google Podcasts | RSS Management of the child with mental health problems who is boarding in the ED In episode 1 of this series, we discussed differentiating organic vs psychiatric causes of agitation in children.

ED 52

ED Mental Health Services Emergency Department Emergency Medical Services 52

Core EM

JANUARY 25, 2024

GRACE-3 guidelines included emergency physicians, oto-neurologists, neuro-otologists, and patient advocates. Dizziness Background Acute dizziness represents ~1-3% of ED visits and has a disproportionately high cost, resource use, and length of stay, largely due to imaging (much of which is unnecessary). Only about 3.2-6%

EMS 246

EMS Emergency Department OR ED 246

ALiEM

FEBRUARY 5, 2024

After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Digital Impact Factor [1], the ALiEM AIR Team is proud to present the highest quality online content related to related to toxicology in the Emergency Department. More specifically, we identified 3 AIR and 5 Honorable Mentions.

Overdose 215

Overdose Critical Care EMS Emergency Department 215

ALiEM

APRIL 14, 2023

After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Social Media Index, the ALiEM AIR Team is proud to present the highest quality online content related to related to procedures in the Emergency Department. More specifically, we identified 2 AIR and 4 Honorable Mentions.

EMS 246

EMS Emergency Department ED OR 246

ALiEM

APRIL 12, 2023

Figure 1: Peripheral IV ultrasound using alcohol under transparent film dressing and topical saline flush – all without ultrasound gel Read other Tricks of the Trade articles. 20 – Local Anesthetics, Ed(s): Hugh C. emDOCs.net – Emergency Medicine Education. Accessed April 5, 2023. 2022 Jan 6;8(1):42.

Emergency Department 258

Emergency Department ALS ED 258

ALiEM

OCTOBER 14, 2023

After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Digital Impact Factor [1], the ALiEM AIR Team is proud to present the highest quality online content related to related to respiratory diseases in the Emergency Department. More specifically, we identified 3 AIR and 3 Honorable Mentions.

Critical Care 169

Critical Care EMS Emergency Department ALS 169

Don't Forget the Bubbles

NOVEMBER 29, 2023

You are the Paediatric doctor on call and receive a call for an incoming patient to the emergency department. Tragically, several attempts at resuscitation upon arrival at the emergency department were unsuccessful. This article is based on: Mayberry, H., Ann Emerg Med. His name is Ben. Burgart, A.M.

E-9-1-1 135

E-9-1-1 Emergency Department ED CPR 135

Don't Forget the Bubbles

OCTOBER 2, 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. Children often spend many hours in the emergency department (ED) before being sent home or admitted. Arch Dis Child Fetal Neonatal Ed.

ALS 52

ALS Emergency Department ED ACS 52

REBEL EM

JANUARY 23, 2023

Article: Abella BS et al. Ann Emerg Med 2020. Key Secondary Endpoints: 5 (3.9%) patients in the IV cetirizine group returned to any ED or clinic within 24 hours compared to 15 (11.1%) in the IV diphenhydramine group; P=0.04 Moreover, the FDA approved intravenous (IV) cetirizine to treat acute urticaria in 2019.

Allergic Reaction 52

Allergic Reaction ED E-9-1-1 Emergency Department 52

The Skeptics' Guide to EM

FEBRUARY 26, 2022

Case: You are in discussion with your emergency department (ED) manager about the number of patients boarding for hours to days and you are both aware that many of these patients are attending with mental health crises. This was based upon his article published in the Canadian Medical Association Journal ( CMAJ ).

ED 130

ED ALS Emergency Department OR 130

ACEP Now

NOVEMBER 8, 2024

First, research suggests a higher number of emergency department visits among individuals with ASD. About 30 percent of children with ASD need treatment in an emergency department, and this number increases to nearly 70 percent for those aged 15–18.

Emergency Department 52

Emergency Department OR ED ALS 52

FOAMfrat

NOVEMBER 21, 2024

Hypothermia Hypothermia, defined as core temperature less than 35oC (95oF) has been identified in up to 2/3 of trauma patients upon arrival to the emergency department. Coagulopathy is identified through lab work in the emergency department and is correlated in current literature with significantly worse patient outcomes.

ICU 111

ICU Emergency Department OR Ambulance 111

ACEP Now

JUNE 14, 2024

Transferring patients from one ED to another hospital is an established part of emergency medicine practice. Two years ago, an ACEP Now article covered the issue of transfer challenges resulting from early pandemic operations. emergency departments. Transfer rates are up across all types of EDs.

Emergency Department 52

Emergency Department ED Ambulance OR 52

Don't Forget the Bubbles

JANUARY 31, 2024

With millions of journal articles published yearly, it is impossible to keep up. Our team have scoured the literature, so you don’t have to… or it might spark an interest to go and have a look at the full article. Article 1: What predicts parental anxiety in the Paediatric Emergency Department?

Emergency Department 72

Emergency Department ED ALS OR 72

Don't Forget the Bubbles

MAY 31, 2023

Children presenting with diabetes and diabetic ketoacidosis to Emergency Departments during the COVID-19 pandemic in the UK and Ireland: an international retrospective observational study. During the COVID-19 pandemic , we noticed a change in the type of patients presenting to the Emergency Department. Arch Dis Child.

Emergency Department 135

Emergency Department ED OR ALS 135

EMDocs

JUNE 3, 2023

For a broader overview of pelvic trauma, please review Dr. Lupez’s 2017 article here: [link]. The nuances of fracture patterns and delineating mechanically unstable pelvic fractures from stable ones is less important to the ED. Her initial vital signs are blood pressure 76/54 mmHg, heart rate 128 bpm, temperature 37.0˚

ED 54

ED Operating Room ALS Frozen Plasma 54

Core EM

JANUARY 25, 2024

Written by: Sadakat Chowdhury MD Edited by: Mak Sarich MD, Jay Lin MD, Jonathan Kobles MD Background: Ultrasound (US) guided nerve blocks offer an applicable option for achieving analgesia in the emergency department. Door-to-block time: prioritizing acute pain management for femoral fractures in the ED. Am J Emerg Med.

Epinephrine 246

Epinephrine ED OR Emergency Department 246

ACEP Now

JULY 7, 2024

1 History and physical examination have been the cornerstone of seizure diagnosis in the emergency department (ED). 2 A study of routine EEG in the ED in 2013 found that five percent of ED patients with altered mental status had nonconvulsive seizures (of whom 75 percent were in nonconvulsive status epilepticus).

Emergency Department 52

Emergency Department Critical Care ALS ICU 52

EMDocs

JUNE 2, 2023

The articles included a prospective observational study, three retrospective observational studies, and two case reports. The fourth episode in this series will shift gears and talk about safely transporting children to the ED via prehospital services. Erratum in: West J Emerg Med. 2019 Jul;20(4):688-689. Acad Pediatr.

Emergency Department 66

Emergency Department Emergency Medical Services Overdose ED 66

Don't Forget the Bubbles

JULY 31, 2023

With millions of journal articles published yearly, it is impossible to keep up. Article 1: Does rapid diagnostic testing for Malaria work? A Diagnostic Accuracy Study to Evaluate Standard Rapid Diagnostic Test (RDT) Alone to Safely Rule Out Imported Malaria in Children Presenting to UK Emergency Departments. Probyn, M.E.,

Emergency Department 98

Emergency Department OR ED ALS 98

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said "Nothing too exciting." 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 ng/mL [IQR: 0.46, 2.35].

Emergency Department 52

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

EMDocs

JUNE 8, 2024

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. What is the diagnosis, and how do we manage it from the ED? A 32-year-old man presents to the emergency department with eye pain. 95% occupational injuries occur in males [1].

EMS 80

EMS Allergic Reaction Emergency Department ED 80

ALiEM

AUGUST 9, 2023

Child with Cough and Fever: Case Introduction A 6-year-old boy presents to the emergency department complaining of cough for 3 days and fever for the last day. Additional examples can be found in the PEM POCUS: Endotracheal Tube Confirmation article in Section 2 – Indirect Confirmation: Visualize Bilateral Lung Sliding.

E-9-1-1 246

E-9-1-1 Emergency Department ALS OR 246

REBEL EM

FEBRUARY 21, 2024

Clinical Scenario: A 34-year-old woman presents to the ED with back pain. Reviewing every study would be tedious and, fortunately, we’ve got a great review article on the topic. Schwartz and colleagues performed an ingenious trial ( Schwartz 2000 ) Enrolled 64 ED patients with acute pain. Can J Emerg Med 2007; 9(1): 30-2.

E-9-1-1 64

E-9-1-1 Emergency Department ALS ED 64

Don't Forget the Bubbles

SEPTEMBER 5, 2024

With millions of journal articles published yearly, it is impossible to keep up. Article 1: Which paediatric weight estimation method is most accurate? Am J Emerg Med. In the emergency department resuscitation room, weight is usually estimated using an age-based formula until the child is stabilised and can be safely weighed.

ED 52

ED Emergency Department OR 52

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. Arch Dis Child Fetal Neonatal Ed.

E-9-1-1 75

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

Silk City Blog

JANUARY 27, 2023

Written by Jessica DiPeri, MD This post first appeared on REBEL EM Background: Pneumothorax management is a common clinical condition in the emergency department (ED) occurring in patients of varying ages and caused by multiple etiologies, including spontaneous, traumatic, and iatrogenic pneumothorax. 153,5 (2018): 1201-1212.

Emergency Department 52

Emergency Department ALS EMS ED 52

Core EM

JULY 23, 2024

Objective: Based on current evidence, this review article aims to guide the Emergency Department (ED) in providing care for patients with blast injuries. This article may apply to a broader audience of clinicians by including data from military and civilian blast incidents. Read More Citation: Bukowski J.,

EMS 100

EMS Emergency Medical Services OR Coronary 100

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. Reviews and opinion articles Approach to simple kidney cysts in children. Arch Dis Child Fetal Neonatal Ed. Arch Dis Child Fetal Neonatal Ed.

E-9-1-1 69

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

ACEP Now

JULY 8, 2024

Recently published experiments with LLMs in the emergency department fall into a handful of primary areas of interest. In a similar vein, another study evaluated the ability of an LLM to assess “clinical acuity” in the emergency department. 2024;26(1):40-46. Williams CYK, Zack T, Miao BY, et al. JAMA Netw Open.

Emergency Department 52

Emergency Department ALS ED OR 52

Dr. Smith's ECG Blog

JUNE 17, 2024

Written by Bobby Nicholson, MD 67 year old male with history of hypertension and hyperlipidemia presented to the Emergency Department via ambulance with midsternal nonradiating chest pain and dyspnea on exertion. Pain improved to 1/10 after EMS administers 324 mg aspirin and the following EKG is obtained at triage. What do you think?

E-9-1-1 137

E-9-1-1 ACS Emergency Department Coronary 137

The Skeptics' Guide to EM

SEPTEMBER 4, 2021

AEM Sept 2021 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. AEM Sept 2021 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine.

Emergency Department 100

Emergency Department ALS OR ED 100

Pediatric EM Morsels

OCTOBER 27, 2023

Sinha 2012] It is useful in the prehospital setting , correlating well with actual weight and ED Broselow weight. x length or height (cm)] There is a great review article that lists many other weight estimation formulae. Int J Emerg Med. Use of the Broselow tape in a Mexican emergency department. J Emerg Med.

E-9-1-1 269

E-9-1-1 Emergency Medical Services Life Support ALS 269

Core EM

MARCH 7, 2024

Objective: Based on current evidence, this review article aims to guide the Emergency Department (ED) in providing care for patients with blast injuries. This article may apply to a broader audience of clinicians by including data from military and civilian blast incidents. Read More Citation: Bukowski J.,

EMS 100

EMS Emergency Medical Services OR Coronary 100