REBEL EM

MARCH 27, 2023

Over the past few years, there has been an increase in emergency department (ED) volumes and lengths of stay. The effect of emergency department crowding on lung-protective ventilation utilization for critically ill patients. Paper: Owyang CG, et al. J Crit Care. N Engl J Med. 2000 May 4; PMID: 10793162 Harvey CE, et al.

Emergency Department 52

Emergency Department ICU Critical Care EMR 52

Emergency Medicine Cases

JUNE 26, 2023

With increasing forest fires, heat waves, floods, storms, vector-borne illnesses and heat waves, the emergency department is uniquely positioned to declare sentinel events, advocate on behalf of vulnerable populations and lead by example.

EMS 164

EMS Emergency Department 164

EMOttawa

NOVEMBER 14, 2024

Urine drug (or toxicologic) screens are a fairly standard tool used in addictions, psychiatry and the Emergency Department (ED), often employed to detect substance use in patients presenting with altered mental status, trauma, psychiatric or abnormal behaviour.

Emergency Department 71

Emergency Department ED OR 71

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. Ann Emerg Med. Please go to the above link. 2023;82(1):55-65.

Overdose 215

Overdose Critical Care EMS Emergency Department 215

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. Ann Emerg Med. Reference Lin M, Phipps M, Chan TM, et al. 2023;82(1):55-65.

Critical Care 211

Critical Care EMS Emergency Department ALS 211

REBEL EM

FEBRUARY 2, 2023

Background Information: Atrial fibrillation with rapid ventricular rate (RVR) is one of the many tachydysrhythmias we encounter in the Emergency Department (ED). Amiodarone versus digoxin for acute rate control of atrial fibrillation in the emergency department. Am J Emerg Med. Am J Emerg Med. 2022 Sep 7.

Emergency Department 52

Emergency Department ALS Critical Care ED 52

EMOttawa

FEBRUARY 22, 2024

Lacerations are a common presenting complaint to emergency department. In 2013, in the United States there were 7 million visits to the emergency department (ED) for lacerations making up a total of 5.2% of ED visits(1).

Emergency Department 89

Emergency Department ED OR 89

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. Ann Emerg Med. Reference Lin M, Phipps M, Chan TM, et al.

Critical Care 169

Critical Care EMS Emergency Department ALS 169

EMOttawa

AUGUST 15, 2024

Assessing patients with pleural effusions in the emergency department (ED) can be challenging and unclear. This is not all-encompassing, […] The post By the Hammer of Thora: Pleural Effusions in the ED (part 1) appeared first on EMOttawa Blog.

ED 71

ED Emergency Department Critical Care 71

Don't Forget the Bubbles

OCTOBER 12, 2024

doi: 10.1136/archdischild-2023-326773 Two-year-old Moyo is brought to the emergency department because her parents were concerned about noisy breathing. Most children can be discharged from the emergency department after a dose of corticosteroids and an appropriate safety net. Published Online First: 15 April 2024.

Emergency Department 85

Emergency Department ALS OR 85

EMOttawa

AUGUST 22, 2024

Assessing patients with pleural effusions in the emergency department (ED) can be challenging and nuanced. In this second part, we will look at malignant and CHF-related effusions, […] The post By the Hammer of Thora: Pleural Effusions in the ED (Part 2) appeared first on EMOttawa Blog.

ED 60

ED Emergency Department Critical Care EMS 60

Emergency Medicine Cases

NOVEMBER 22, 2022

Navpreet Sahsi describes the challenges of building an Emergency Department in Bangladesh and how the experience has shaped his outlook on Emergency Medicine practice in North America on EM Cases' first Global EM blog.

EMS 100

EMS Emergency Department 100

St. Emlyn's

NOVEMBER 19, 2024

St.Emlyn's - Emergency Medicine #FOAMed All the best from the blog from August 2024, in our easy to digest podcast. The post September 2024 Round-Up – Patient Experience in the ED, Dirty Adrenaline, and More! appeared first on St.Emlyn's.

ED 64

ED Emergency Department 64

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

REBEL EM

SEPTEMBER 9, 2024

A newborn boy presents to the emergency department shortly after a home delivery. Rezaie, MD (Twitter/X: @srrezaie ) The post Rosh Review My EMCert Monthly Question appeared first on REBEL EM - Emergency Medicine Blog. The mother had routine prenatal care and reports that he was due in 2 days. His heart rate is 80 bpm.

Emergency Department 59

Emergency Department ED EMS 59

REBEL EM

APRIL 3, 2024

Monica Saxena is a practicing emergency physician and assistant professor at Stanford University School of Medicine. Her research focuses on reproductive justice and women’s health in the emergency department setting. REBEL Cast – EMTALA + Reproductive Health Click here for Direct Download of the Podcast.

Emergency Department 129

Emergency Department EMS 129

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

The Skeptics' Guide to EM

NOVEMBER 11, 2023

DISCLAIMER: THE VIEWS AND OPINIONS OF THIS BLOG AND PODCAST DO NOT REPRESENT THE UNITED STATES GOVERNMENT OR THE US MILITARY. Case: A 24-year-old manual labourer presents to the emergency department (ED) after drinking a few too many beers, having a disagreement with another beer drinker and gets knocked down.

ALS 244

ALS Emergency Department ED OR 244

The Skeptics' Guide to EM

APRIL 10, 2021

He is a GP by training but works in Emergency Department, Anaesthesia, Internal Medicine and Paediatrics. He has a wonderful #FOAMed blog and podcast called Broomedocs and also work […] The post SGEM#326: The SALSA Study: Hypertonic Saline to Treat Hyponatremia first appeared on The Skeptics Guide to Emergency Medicine.

Emergency Department 130

Emergency Department Coronary ED 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." For review of ECG findings expected with Takotsubo Cardiomyopathy — Please see My Comment at the bottom of the page in the March 25, 2020 post in Dr. Smith's ECG Blog ).

Emergency Department 52

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

Emergency Medicine Cases

SEPTEMBER 11, 2018

Jesse McLaren outlines 10 Quality Improvement (QI) opportunities for reducing missed AMIs and the lessons learned from Ontario’s Emergency Department Return Visit Quality Program in this Waiting to Be Seen blog.

ED 130

ED Emergency Department EMS 130

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. It is intended for clinicians providing care to emergency patients, so they get the best care, based on the best evidence.

Emergency Department 130

Emergency Department ALS OR 130

REBEL EM

MARCH 11, 2024

A 42-year-old man presents to the emergency department after a motor vehicle collision. Rezaie, MD (Twitter/X: @srrezaie ) The post Rosh Review MyEMCert Question appeared first on REBEL EM - Emergency Medicine Blog. He has no medical problems. He sustained a crush injury to his left leg and a prolonged extraction time.

Emergency Department 59

Emergency Department ED ALS EMS 59

Emergency Medicine Cases

JANUARY 15, 2019

In this Waiting to Be Seen blog Dr. Howard Ovens examines the issues we face in Emergency Departments as we try to make staff feel safe and ensure patients can access the care they need. We often face violence in the ED. Yet the ED is a sanctuary for care and support. Many EDs have a zero-tolerance policy for violence.

ED 130

ED Emergency Department EMS 130

REBEL EM

NOVEMBER 15, 2023

“The ED-AWARENESS study: A prospective, observational cohort study of awareness with paralysis in mechanically ventilated patients admitted from the emergency department.” ” Annals of emergency medicine 77.5 References Pappal, Ryan D., 2021): 532-544.

Emergency Department 105

Emergency Department ED EMS ALS 105

The Skeptics' Guide to EM

OCTOBER 31, 2020

Date: October 29th, 2020 Guest Skeptic: Martha Roberts is a critical and emergency care, triple-certified nurse practitioner currently living and working in Sacramento, California. She writes a blog […] The post SGEM#307: Buff up the lido for the local anesthetic first appeared on The Skeptics Guide to Emergency Medicine.

Epinephrine 130

Epinephrine Emergency Department EMS ALS 130

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 blog, like the paper cited, is dedicated to him. Ann Emerg Med. His name is Ben.

E-9-1-1 135

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

The Skeptics' Guide to EM

JUNE 9, 2018

Aromatherapy Versus Oral Ondansetron for Antiemetic Therapy Among Adult Emergency Department Patients: A Randomized Controlled Trial. Ann Emerg Med 2018 Guest Skeptic: Meghan Groth is a pharmacist who has been practicing in emergency medicine for the past six years. We covered that paper on the SGEM in Episode #144.

Emergency Department 130

Emergency Department ALS OR 130

The Skeptics' Guide to EM

DECEMBER 10, 2022

DISCLAIMER: THE VIEWS AND OPINIONS OF THIS BLOG AND PODCAST DO NOT REPRESENT THE UNITED STATES GOVERNMENT OR THE US MILITARY. Case: A 32-year-old male construction worker presents to the emergency department (ED) after falling on his right dominant hand. He asks if surgery would be a better option?

Emergency Department 130

Emergency Department ALS ED OR 130

The Skeptics' Guide to EM

APRIL 16, 2022

Disclaimer: The views and opinions of this blog […] The post SGEM#365: Stop! It’s Not Always Hammer Time first appeared on The Skeptics Guide to Emergency Medicine. Disclaimer: The views and opinions of this blog and podcast do not represent the United States Government or the US Military.

Emergency Department 100

Emergency Department ALS OR ED 100

REBEL EM

JULY 1, 2024

Comparison of BPAP S/T and Average Volume-Assured Pressure Support Modes for Hypercapnic Respiratory Failure in the Emergency Department: A Randomized Controlled Trial. Comparison of BPAP S/T and Average Volume-Assured Pressure Support Modes for Hypercapnic Respiratory Failure in the Emergency Department: A Randomized Controlled Trial.

ED 133

ED Emergency Department ALS OR 133

The Skeptics' Guide to EM

SEPTEMBER 3, 2017

EmergeNcy Department use of Apneic Oxygenation versus usual care during rapid sequence intubation: A randomized controlled trial (The ENDAO Trial). EmergeNcy Department use of Apneic Oxygenation versus usual care during rapid sequence intubation: A randomized controlled trial (The ENDAO Trial). Reference: Caputo et al.

Emergency Department 130

Emergency Department Operating Room Critical Care ALS 130

Dr. Smith's ECG Blog

OCTOBER 24, 2024

She was brought to an Emergency Department for evaluation. She then had several more syncopal episodes the next day, and returned to a different Emergency Department. For "My Take" regarding optimal use of computerized ECG Reports — Check out my ECG Podcast #3 in the July 24, 2024 post in Dr. Smith's ECG Blog ).

Emergency Department 91

Emergency Department OR EMS ED 91

Emergency Medicine Cases

DECEMBER 20, 2016

In this month’s guest blog Dr. Amy Cheng, the Emergency Department Director of Quality Improvement at St. Do they meet a real need for information to guide self-improvement or just scratch our competitive itches? What do we know about the best way to provide feedback?

Emergency Department 130

Emergency Department OR 130

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-9-1-1 136

E-9-1-1 ACS Emergency Department Coronary 136

The Skeptics' Guide to EM

NOVEMBER 18, 2017

Fever in the Emergency Department Predicts Survival of Patients With Severe Sepsis and Septic Shock Admitted to the ICU. Guest Skeptic: Jesse Spurr works as a Nurse Educator in the Emergency Department at Redcliffe Hospital in Australia. Case: You are working night shift in the emergency department.

ICU 130

ICU ED Emergency Department Critical Care 130

Dr. Smith's ECG Blog

OCTOBER 20, 2024

The patient was rushed to the nearest emergency department (non-PCI facility) for stabilization. On arrival in the emergency department, invasive blood pressure was 35/15mmHg and the patient was in profound cardiogenic shock with severe confusion secondary to brain hypoperfusion.

Coronary 125

Coronary ACS Emergency Department Defibrillator 125