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., Qiu, S., & Zhang, Q.

OR 137

OR E-9-1-1 ED ALS 137

ACEP Now

APRIL 5, 2024

Disclaimer This is not an exhaustive review of airway management, but a commentary on a recent article published in Annals of Emergency Medicine. A study in the February issue of Annals conducted a meta-analysis of 18 studies and concluded that bougie use was associated with increased first-attempt intubation success. Accessed March 26, 2024.

OR 73

OR ALS Emergency Department Critical Care 73

NVFC

MARCH 12, 2024

Fire departments may need to make some changes and be more forward thinking, but as seen in the stories in this article, it can be done. However, departments that protect fewer than 2,500 people, which are almost all volunteer, have the highest percentage of firefighters over the age of 50 (34%).

OR 116

OR Firefighter NFPA EMT 116

NAEMSP

APRIL 14, 2023

Article Summary by Robert Skinner, MD Knapp, J., Methods: A review of the literature was performed using PubMed and Google scholar, reviewing articles published up to 2018. Boettiger, B. Limacher, A., Stalder, O., Schmid, A., … & Bernhard, M. Journal of Trauma and Acute Care Surgery , 87 (4), 978-989.

Paramedic 52

Paramedic EMS Critical Care OR 52

The Skeptics' Guide to EM

DECEMBER 21, 2019

This (mostly) satirical article seems to be in the same theme of the annual BMJ holiday edition. SGEM#23 : A Bump Up Ahead (Diagnosis of Appendicitis) One of my other favourite BMJ holiday edition articles has been the classic parachute trial ( Smith and Pell BMJ Dec 2003 ). Date: December 17th, 2019 Reference: Reeves and Reynolds.

OR 100

OR ALS ED 100

Emergency Medicine Education

MARCH 7, 2024

In November 2023, JAMA published an article on noninvasive airway management among patients with depressed consciousness. Link to article The watch-and-wait approach, involving close monitoring for individuals with traditional GCS scores <9 and suspected acute poisoning, demonstrated positive outcomes.

OR 40

OR 40

Dr. Smith's ECG Blog

OCTOBER 8, 2024

HYPERACUTE T-WAVES ARE EASILY RECOGNIZED BY THE QUEEN OF HEARTS HYPERACUTE T-WAVES DO NOT EVOLVE INTO ST ELEVATION -- THIS IS A MYTH Pendell and I are about to submit an article on ECG findings in total 100% LAD Occlusion (LAD OMI).

OR 108

OR STEMI ICU Coronary 108

The Skeptics' Guide to EM

JULY 6, 2024

AEM June 2024 Population: Empirical, peer-reviewed journal articles written in English about conflict in the ED context that answered one of the identified research questions. An abdominal pelvic CT scan demonstrates uncomplicated left-sided diverticulitis. Background: We have discussed agitation in the ED on the SGEM several times.

ED 203

ED ALS Emergency Department OR 203

St. Emlyn's

NOVEMBER 19, 2024

This evidence-based article helps trauma professionals make informed decisions about thoracostomy tube size, keeping patient outcomes and comfort at the forefront. However, for severe trauma or urgent settings, large-bore remains the go-to option.

OR 100

OR 100

ACEP Now

JULY 7, 2023

14 A more recent review article looked at two retrospective studies with a combined total of 66 patients who were given esmolol in the treatment of refractory VT or VF. 14 A more recent review article looked at two retrospective studies with a combined total of 66 patients who were given esmolol in the treatment of refractory VT or VF.

Defibrillator 98

Defibrillator OR ALS Epinephrine 98

Dr. Smith's ECG Blog

JULY 31, 2020

The article by Aslanger, Smith et al that is featured above in today’s post has just been published. The above-cited newly published article by Aslanger, Smith et al provides further support to the growing body of literature of why we should compel ourselves to do so. P.S.: Our September 3, 2020 post features Dr.

STEMI 52

STEMI Coronary EMR ALS 52

First 10 EM

MARCH 28, 2024

Articles, articles, articles. These articles can be digested in podcast version, if you prefer, either through the BroomeDocs site, or on YouTube. So much wonderful science to improve patient care. So little time. Do you just skip to the bottom line?

OR 102

OR EMS 102

Emergency Medicine Education

OCTOBER 12, 2023

Link to article A recent study by Savage et al., utilizing propensity score matching, revealed that children under 17 years of age diagnosed with acute sinusitis demonstrated no significant difference in the rate of treatment failure between those receiving amoxicillin and those receiving augmentin.

OR 40

OR ALS 40

EMOttawa

MAY 6, 2024

Question and Methods: This multi-centre, triple-blind, double dummy RCT in China aimed to evaluate the functional outcomes and safety of intravenous tirofiban as compared to aspirin in moderate to severe strokes […] The post Tirofiban for Stroke without Large or Medium-Sized Vessel Occlusion appeared first on EMOttawa Blog.

OR 60

OR ALS 60

Emergency Medicine Education

OCTOBER 12, 2023

In a recent article published in the British Journal of Surgery, Jain et al. conducted a multicenter superiority randomized controlled trial (RCT) involving 451 children with nail bed injuries.

OR 40

OR ALS 40

Emergency Medicine Education

AUGUST 3, 2022

They reviewed 27 trials and they found that there is a moderately strong evidence to suggest that “single-dose antihistamines provide greater vertigo relief at 2 hours than single-dose benzodiazepines” Link to article

OR 40

OR 40

First 10 EM

NOVEMBER 18, 2024

Back for another month of interesting, arcane, important, or baffling articles. As we enter the winter in the Northern hemisphere, and I have little interest in heading outside, I will probably spend more time reading, so these write ups might get longer for the next few months.

OR 58

OR Epinephrine 58

First 10 EM

OCTOBER 14, 2024

Another month, another set of articles. Some clinically relevant. Some just thought provoking. One is more than 100 years old. Yes, I look everywhere for these papers. The BroomeDocs podcast version can be found here: [link] Clinically but not statistically significant: what do you do? Turgeon AF, Fergusson DA, Clayton L,et al.

ALS 88

ALS OR EMS 88

EMDocs

AUGUST 10, 2023

This collection of posts features recently published must-know articles. Welcome back to the “52 in 52” series. Today we look at the DIRECT MT trial. Inclusion criteria: Enrolled patients over the age of 18 with acute ischemic stroke with CTA confirmed occlusion of ICA, or M1 or M2 segment of MCA Within 4.5 N Engl J Med.

OR 67

OR Critical Care ALS 67

Core EM

JANUARY 25, 2024

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. Studies have shown that patients’ descriptions of their symptoms can frequently switch between these categories every few minutes.

EMS 246

EMS Emergency Department OR ED 246

First 10 EM

JULY 15, 2024

Some big and potentially practice changing articles this month. (I I tend to read ridiculous articles in my free time, which I have had very little of, and so there are no intubation in outer space or highly philosophical papers about the language this month. Don’t worry, there is still a very bad joke.)

OR 77

OR EMS 77

First Responders Wellness Center

JULY 12, 2022

First responders escaped physical injuries during parade shooting, but plenty are hurting by Charles Keeshan and Susan Sarkauskas 7/8/2022 6:21 AM No police officers or other first responders suffered physical injuries responding to the horrific tragedy Monday at the Fourth of July parade in Highland Park. She became a psychologist in 2009.

First Responder 40

First Responder OR 40

ACEP Now

SEPTEMBER 2, 2024

I appreciate this article , and this is by no means meant to be a personal attack or discrediting the validity of the information contained in the article. I consult for a pharma company and disclose it whenever I speak or write about something related to that work.

OR 52

OR Critical Care 52

The Good, The Bad & The Ugly Paramedic

JULY 1, 2020

As paramedics, whilst we often take great offence at being called ambulance drivers, the question is, when it’s our turn to drive, what exactly is it that we are providing? Do we fully engage in shared patient care with our attending partner, or do we switch off so that we can simply drive the ambulance and take it easy?

Ambulance Driver 52

Ambulance Driver Paramedic Ambulance OR 52

The Skeptics' Guide to EM

FEBRUARY 19, 2022

Tim approached me about an article he wrote and published in the Canadian Medical Association Journal ( CMAJ ). The title of the article was “Physician, heal thyself” and was in the humanities section of the October 2021 issue. This article resonated with many people and was the 6th most read CMAJ article of 2021.

Emergency Department 130

Emergency Department ALS OR 130

The Skeptics' Guide to EM

NOVEMBER 16, 2024

Case: The Chief of Emergency Medicine (EM) at a large urban hospital recently approached the AI Committee at Unity Health, intrigued by the CMAJ article describing the apparent success of CHARTWatch in detecting early signs of patient deterioration.

ICU 142

ICU Emergency Department ALS EMS 142

ACEP Now

JUNE 18, 2024

Responsibilities include: Regularly promote ACEP Now articles via social media, including Twitter and Facebook. Generate article ideas. Author or curate 4 Resident Voice columns during the 12-month position. Solicit contributions to the Resident Voice column. Edit accepted Resident Voice columns (one column every quarter).

OR 85

OR 85

ALiEM

NOVEMBER 3, 2023

Take the AIR Trauma Module at ALiEMU Interested in taking the AIR quiz for fun or asynchronous (Individualized Interactive Instruction) credit? Please go to the above link. You will need to create a free, 1-time login account. Reference Lin M, Phipps M, Chan TM, et al.

Critical Care 211

Critical Care EMS Emergency Department ALS 211

K.S. Chew

OCTOBER 11, 2018

Predatory journals” refers to entities that prey on academicians for financial profit via article processing charges (APC) for open access articles, without

OR 40

OR 40

Emergency Medicine Education

NOVEMBER 3, 2024

A recent article in NEJM highlighted that the drug administration route—IV versus IO—matters in terms of successful resuscitation, return of spontaneous circulation (ROSC), and favorable neurological outcomes. Link to article However, this is just my opinion.

OR 40

OR 40

The Skeptics' Guide to EM

JULY 27, 2024

There is an article published in AEM, with an author list that includes the who’s who of decision rules – from Jeff Kline to Nathan Kupperman to my BFF Chris Carpenter. A randomized control trial (RCT) done in the prehospital setting enrolled 2,698 patients. It needs to change physician practice for the better.

ICU 187

ICU ALS Ambulance OR 187

ALiEM

FEBRUARY 5, 2024

Take the AIR Toxicology Module at ALiEMU Interested in taking the AIR quiz for fun or asynchronous (Individualized Interactive Instruction) credit? Please go to the above link. You will need to create a free, 1-time login account. Reference Lin M, Phipps M, Chan TM, et al.

Overdose 215

Overdose Critical Care EMS Emergency Department 215

NVFC

JUNE 4, 2024

Article: I’m Not Fine and Neither Are You – Mental Health and The Fire Service – This article by NVFC board member Dick Brown looks at why it is important to recognize when you need help, avenues for support, and his own story of dealing with PTSD.

First Responder 115

First Responder Firefighter EMS OR 115

ALiEM

APRIL 14, 2023

Highlighted Quality Posts: Procedures Site Article Author Date Label Rebel EM Intra Articular Lidocaine vs Sedation in Shoulder Reductions Nordia Matthews, MD 30 Jan 2023 AIR EM Docs Video Laryngoscopy in the ED Cameron Jones, MD 8 Aug 2022 AIR First 10 EM Lacerations: Does closure technique matter? Please go to the above link.

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

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. While rare, blast injuries carry a high rate of morbidity and mortality. Blast injuries commonly have a mixed presentation of blunt and penetrating trauma.

EMS 100

EMS Emergency Medical Services OR Coronary 100

Core EM

JANUARY 25, 2024

Image from cited article. Population This study occurred in an urban academic hospital with over 90,000 annual visits. Of these, 177 were mild-to-moderate DKA patients, defined as evidence of DKA (hyperglycemia, ketosis, and an anion gap) without severe features (HCO3 < 10 or arterial pH < 7.0).

EMS 246

EMS ICU ED OR 246