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. I suspect, overall, these data understate the costs and overstate the return on investment.

Emergency Department 68

Emergency Department ED OR 68

Core EM

JANUARY 25, 2024

GRACE-3 Methodology: GRACE-3 team consisted of 18 members, including emergency physicians, otoneurologist, neuro-otologist, and patient advocates. These clinical syndromes have been endorsed by experts over the last 15 years or so and lend itself to a convenient breakdown of differential diagnoses: Table 1 from cited article.

EMS 246

EMS Emergency Department OR ED 246

ALiEM

NOVEMBER 3, 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 trauma in the Emergency Department. More specifically, we identified 3 AIR and 5 Honorable Mentions.

Critical Care 211

Critical Care Emergency Department EMS ALS 211

EMDocs

OCTOBER 25, 2024

1: Hypertensive Crisis Averted…New AHA Statement on Asymptomatic Hypertension Spoon Feed This article emphasizes the difference between hypertensive emergency and asymptomatic elevated blood pressure (BP); while hypertensive emergency requires prompt treatment to lower BP, treatment of asymptomatic elevated BP in acute care settings may be harmful.

Defibrillator 68

Defibrillator Emergency Department ALS OR 68

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

Don't Forget the Bubbles

OCTOBER 10, 2024

With millions of journal articles published yearly, it is impossible to keep up. This month there are several new articles but one older one that sparked the teams interest. Article 1: What are the signs and symptoms of serious illness in infants up to 6 months old? 2023 Mar 30;110(4):432-438.

ED 75

ED Emergency Department OR ALS 75

NAEMSP

OCTOBER 9, 2024

Author: Joshua Stilley, MD FACEP FAEMS This article was written in collaboration with the National Adrenal Diseases Foundation Background: Adrenal crisis occurs when the adrenal glands are unable to produce enough endogenous steroids under stress. In the emergency department, the patient was evaluated and safely discharged.

EMS 122

EMS Crisis Prevention Emergency Department BLS 122

ACEP Now

JULY 7, 2023

emergency departments (EDs), with statistics reporting more than 356,000 out-of-hospital cardiac arrests per year. emergency departments (EDs), with statistics reporting more than 356,000 out-of-hospital cardiac arrests per year. Out-of-hospital cardiac arrest is a commonly encountered entity in U.S.

Defibrillator 98

Defibrillator OR ALS Epinephrine 98

ALiEM

JULY 20, 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 infectious diseases in the Emergency Department. More specifically, we identified 1 AIR and 5 Honorable Mentions.

Emergency Department 188

Emergency Department EMS OR 188

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

The Skeptics' Guide to EM

FEBRUARY 19, 2022

Tim Graham is a Clinical Professor of emergency medicine at the University of Alberta, and Associate Chief Medical Information Officer, Edmonton Zone, of Alberta Health Services from Edmonton, Alberta. Tim approached me about an article he wrote and published in the Canadian Medical Association Journal ( CMAJ ). Reference: Graham T.

Emergency Department 130

Emergency Department ALS OR 130

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

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. His fever was 103°F this morning and he received ibuprofen. He has also had abdominal and back pain. Warm gel helps with the child’s comfort. Use a linear high frequency probe.

E-9-1-1 246

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

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 ED OR ALS 52

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., His name is Ben. While waiting, another call comes in.

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. Soll RF, Edwards EM. Pediatrics. Kemps N, et al.

ALS 52

ALS Emergency Department ED ACS 52

GEDC

MAY 29, 2024

EMED Toolkit Spotlight: Louis Stokes Cleveland VA Medical Center In this new spotlight series, GEDC highlights hospitals that have successfully implemented the National Collaboratory to Address Elder Mistreatment’s Elder Mistreatment Emergency Department (EMED) Toolkit.

Emergency Department 52

Emergency Department EMS OR 52

Core EM

JULY 23, 2024

High risk and low prevalence diseases: Blast injuries American Journal of Emergency Medicine, 2023 Background Blast injuries stem from the instantaneous transformation of a substance from solid or liquid to gas, releasing energy in the form of heat, light, pressure, and sound. Types of Injury: Primary: Injury caused by the blast wave.

EMS 100

EMS Emergency Medical Services OR Coronary 100

The Skeptics' Guide to EM

FEBRUARY 22, 2020

Maia Dorsett is an Emergency and EMS Physician at the University of Rochester Medical Center. Bringing value, balance and humanity to the emergency department: The Right Care Top 10 for emergency medicine. Emerg Med J 2019 This is an SGEM Xtra based on a recent publication by Dr. Dorsett and her team.

Emergency Department 130

Emergency Department ALS EMS OR 130

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 V1 has 0.5 mm of elevation.

Emergency Department 52

Emergency Department E-9-1-1 Coronary STEMI 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

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.

Emergency Department 98

Emergency Department OR ED ALS 98

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. Acad Pediatr. 2024;24(1):111-118.

E-9-1-1 75

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

Don't Forget the Bubbles

SEPTEMBER 13, 2023

The American Academy of Paediatrics Section on Emergency Medicine (AAP SOEM) created a list of five key recommendations for Paediatric Emergency Medicine after a structured review process and expert consensus opinion. This series of DFTB articles aims to increase awareness of the Choosing Wisely ® recommendations.

E-9-1-1 131

E-9-1-1 Emergency Department ALS OR 131

Core EM

MARCH 7, 2024

High risk and low prevalence diseases: Blast injuries American Journal of Emergency Medicine, 2023 Background Blast injuries stem from the instantaneous transformation of a substance from solid or liquid to gas, releasing energy in the form of heat, light, pressure, and sound. Types of Injury: Primary: Injury caused by the blast wave.

EMS 100

EMS Emergency Medical Services OR Coronary 100

ACEP Now

NOVEMBER 6, 2024

Native American emergency physicians make up 0.1 emergency departments, according to research published in 2020 in Annals of Emergency Medicine. Three Native American emergency physicians in Oklahoma—three of five in the state—discussed with ACEP Now their approach to health care and how their careers in medicine began.

Emergency Department 98

Emergency Department OR 98

The Skeptics' Guide to EM

FEBRUARY 26, 2022

She is Chair of the Royal College of Emergency Medicine Women in Emergency Medicine group and involved with the RCEM Public Health and Informatics groups. This was based upon his article published in the Canadian Medical Association Journal ( CMAJ ). Kirsty is also the creator of the wonderful infographics called #PaperinaPic.

ED 130

ED ALS Emergency Department OR 130

Pediatric EM Morsels

OCTOBER 27, 2023

Most emergency drugs except for amiodarone and succinylcholine are based on ideal body weight [Emergency Medical Services for Children, Luten 2007] Epinephrine, dopamine, fentanyl, ketamine based on what child should weigh. x length or height (cm)] There is a great review article that lists many other weight estimation formulae.

E-9-1-1 269

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

The Skeptics' Guide to EM

OCTOBER 20, 2018

Lauren is currently funded by an NHLBI K12 grant (1K12HL138049-01) studying the implementation of evidence-based diagnosis of pulmonary embolism in the emergency department. She presents to the emergency department with chest pain and some shortness of breath. Case: A 64-year-old woman with type-2 diabetes.

Coronary 174

Coronary Emergency Department ALS OR 174

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

ALiEM

MAY 13, 2024

Case Introduction: Child with abdominal pain Wendy is a 7-year-old girl who comes into the emergency department with redness, swelling, and pain on her left calf. Differentiate abscess from other soft tissue pathologies such as cysts and lymph nodes. There has been no drainage from the lesion. Abscess with color Doppler flow Video 3.

E-9-1-1 161

E-9-1-1 ALS Emergency Department OR 161

EMDocs

JUNE 2, 2023

The articles included a prospective observational study, three retrospective observational studies, and two case reports. I liken an anxiolytic or agitation med to taking medicine for pain – “we are not drugging you” we want to help you feel better. Holding down and giving a “shot” is traumatic. mg/kg/dose (PO/IM/IV) Midazolam – 0.25-0.5

Emergency Department 66

Emergency Department Emergency Medical Services Overdose ED 66

EMDocs

JUNE 8, 2024

A 32-year-old man presents to the emergency department with eye pain. However, it would be expected to emerge with reduced visual acuity or other visual disturbances such as diplopia. Overview of Eye Injuries in the Emergency Department.” 95% occupational injuries occur in males [1]. UpToDate , 30 Oct.

EMS 80

EMS Allergic Reaction Emergency Department ED 80

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. Am J Emerg Med. Happy Reading If you or your team want to submit a review, please contact Dr Vicki Currie at @DrVickiCurrie1 or vickijanecurrie@gmail.com.

ED 52

ED Emergency Department OR 52

FOAMcast

JANUARY 24, 2023

A small team of strangers, including an emergency medicine resident, Dr. Jason Tanner, and an emergency department technician, Angel, assembled to treat this passenger. Jason Tanner, and an emergency department technician, Angel, assembled to treat this passenger.

Defibrillator 52

Defibrillator Emergency Department 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