The Skeptics' Guide to EM

JUNE 2, 2018

[display_podcast] Date: May 26th, 2018 This is a SGEM Xtra book review. I had the honour of meeting and interviewing Dr. Brian Goldman at the Canadian Association of Emergency Physician (CAEP) annual scientific assembly in Calgary. Dr. Goldman is an Emergency Medicine physician who works at Mount Sinai hospital in Toronto.

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The Skeptics' Guide to EM

DECEMBER 30, 2018

Goldman is an Emergency Medicine physician who works at Mount Sinai hospital in Toronto. He is the host of the CBC radio show White Coat Black Art and the author of the bestselling books The Night Shift and the Secret Language of Doctors. She is an emergency department nurse from the London Health Science Centre in London, Ontario.

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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. Distractions such as a toy, book, or phone/tablet can also help ease anxiety. His fever was 103°F this morning and he received ibuprofen.

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FOAMfrat

MAY 19, 2024

While transporting to the emergency department, the patient’s mother informed me that PDCD affects less than 1 in 50,000 individuals and is more common in males than females. Upon arrival in the pediatric emergency department, the patient was conscious and alert to her normal mental status, which included being nonverbal.

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ACEP Now

AUGUST 12, 2024

Several books have been written on this topic with great names like Ornitherapy , Zen Birds , and Keep Looking Up. 6-8 Hopefully you are following my reasoning that since emergency physicians can benefit from mindfulness practices, and birding is one form of mindfulness, that therefore emergency physicians can benefit from birding.

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The Skeptics' Guide to EM

SEPTEMBER 1, 2018

Case: You are working in the emergency department (ED) and have just been involved in a difficult case in the resuscitation room. During the resuscitation, a relative of the patient you have been treating named Rudy makes a derogatory/rude comment about Emergency Medicine (EM) staff.

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The Skeptics' Guide to EM

JUNE 29, 2018

Battlefield acupuncture to treat low back pain in the emergency department. Am J EM 2018 Guest Skeptics: Dr. Robert Edmonds is an emergency physician in the US Air Force in Virginia. Battlefield acupuncture to treat low back pain in the emergency department. million visits per year in the US [1].

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REBEL EM

MARCH 13, 2024

Annie Duke, a former World Series of Poker champion, details s ome of the psychology of decision making in the high-risk gambling in her book, Thinking in Bets. How sure are you? Think back to the last time someone asked you a difficult question regarding a patient on shift. How sure were you about your decision?

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EMDocs

AUGUST 8, 2023

However, patients remain concerned about losing a testicle, and there is high medicolegal risk. Pain can be intermittent. 84-90% have testicular pain. May start within a few hours of a minor trauma or wake them from sleep. Abdominal/flank pain – 20% ONLY have this complaint (check this testicles in a male patient with abdominal/flank pain).

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The Skeptics' Guide to EM

MARCH 13, 2021

Date: March 11th, 2021 Guest Skeptic: Dr. Robert Edmonds is an emergency physician in the US Air Force in Ohio. Lancet 2021 Case: You’re […] The post SGEM#322: TXA for SAH – Won’t Stop Me Now first appeared on The Skeptics Guide to Emergency Medicine. Reference: Post et al. Reference: Post et al.

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ACEP Now

FEBRUARY 11, 2024

And while the team-physician role allows him to stay connected to his collegiate athletic memories, it’s the life in the theater where he finds “huge parallels” to working in the emergency department. “It It may surprise some, but all emergency physicians have some actor in them,” he explained. “No Listening To?

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ACEP Now

JUNE 14, 2024

Nick Vasquez, MD, FACEP, gets to see the impact of social determinants of health every day in the emergency department. He said emergency physicians often care for those who did not develop agency, and it’s led them to believe the world has power and they do not. Like most in our specialty, he wants to help solve problems.

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ACEP Now

AUGUST 15, 2023

The next shift you may feel inadequate as you realize the antibiotics you prescribe will never be picked up by your patient. You may alleviate pain and anxiety for a dying great-grandfather and his family or listen to an underserved veteran recount their service and struggles. 6 What’s Your Pre-Shift Ritual? That’s okay.

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Don't Forget the Bubbles

AUGUST 7, 2023

This prospective cohort study included patients between 0-16 years old, who presented to one of four NHS hospital sites in Greater Manchester (a large metropolitan area in the North of England), consisting of an Urgent Care Centre and three Emergency Departments. What did previous studies show? and one in the US by Bonafide et al.

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The Good, The Bad & The Ugly Paramedic

DECEMBER 31, 2020

In most medical-based experiences, every patient prepares themselves to enter the patient care domain, whereas, unique to emergency services, we have to enter theirs. Each advises him to go to the emergency department because he's feeling worse as time passes and has begun to vomit. Will they be able to take the pain away?

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ACEP Now

AUGUST 12, 2024

ACEP also requires all exhibiting employers to have completed a profile in the ACEP Open Book encouraging greater transparency of group structure and policies. Emergency Ultrasound Management Course: (Sept. GEDA: The Dementia Friendly Emergency Department: From Vision to Reality (Sept. 28: 8 a.m.–5:30 28: 8 a.m.–5

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ACEP Now

JULY 6, 2023

Emergency physicians have earned the right to “re-brand” ourselves as indispensable, money-saving change agents in the health care enterprise. Of course, the bill for any episode of emergency department (ED) care can be substantial, exceeding the billed charges for equivalent care provided in some primary care offices.

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FOAMfrat

JULY 1, 2023

titled "The Association of Rocuronium Dosing and First-Attempt Intubation Success in Adult Emergency Department Patients" revealed that first-attempt intubation success was the highest when more than 1.4 Their recommendation, as I can tell, appears to come from two things: A paper by Levin NM et al. mg/kg of Rocuronium was used [4].

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REBEL EM

SEPTEMBER 29, 2022

Background: Standard emergency department management of acute pancreatitis has focused on aggressive hydration, analgesia and investigation for an underlying reversible cause (eg gallstones). Recent evidence has challenged the routine use of aggressive hydration as unnecessary. Article: de-Madaria E et al.

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ACEP Now

SEPTEMBER 3, 2024

13 Cost cutting may also include, as in the case of Hahnemann, postponing maintenance on existing equipment, decreasing inventory or cost of supplies, and shuttering departments. Of that total, 120 million dollars were new loans taken out against the assets of the hospitals with interest rates around 10 percent.

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EMDocs

JULY 26, 2023

Mother states that the rash started as flat spots but then became raised bumps. Edward Jenner injected a young boy with material from one of these cowpox lesions, and the child did not develop smallpox after being exposed, marking the beginning of the vaccination era. 6,7 The use of smallpox a bioweapon remains a concern.

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The Good, The Bad & The Ugly Paramedic

SEPTEMBER 30, 2021

Equitable Emergency Access: Rhetoric or reality? Emergency Medicine Australasia, 17 (4) 392-396. The lived experiences of patients and ambulance ramping in a regional Australian emergency department: An interpretive phenomenology study. Australasian Emergency Nursing Journal, 18 (4) 182-189. DOI: 10.1111/j.1742-6723.2005.00763.x

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Don't Forget the Bubbles

JANUARY 10, 2024

Let’s take the humble blood transfusion – used in emergency departments across the globe and playing a key role in critical care. Transfusion Decisions in Severe Anaemia Reducing child mortality remains high on the global health agenda. 8% die in hospital, with a further 12% dying in the six months following discharge.

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ALiEM

OCTOBER 30, 2024

Bupe Allergy Buprenorphine induction has been the mainstay of emergency department treatment of opioid use disorder for more than a decade [11, 12]. The biggest change has been the gradual replacement of diacetylmorphine (heroin) by fentanyl and other synthetic opioids.

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Dr. Smith's ECG Blog

APRIL 22, 2022

A prospective validation of the HEART score for chest pain patients at the emergency department. External validation of the emergency department assessment of chest pain score accelerated diagnostic pathway (EDACS-ADP). Specifying the level is more accurate, evidence-based and safe 3. Backus BE, Six AJ, Kelder JC, et al.

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EMDocs

APRIL 22, 2024

4 In an emergency department (ED) presentation of cardiac arrest, the diagnosis of PE is challenging without the use of CT angiography. Point-of-Care-Ultrasound (POCUS) is a bedside modality that can assist Emergency Physicians (EPs) in differentiating PE from other causes of cardiac arrest.

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EMDocs

JUNE 3, 2023

In fact, the World Society of Emergency Surgery (WSES) classification assigns grades I-III depending on their Young-Burgess classification, but any patient hemodynamically unstable from their pelvic fracture is automatically WSES grade IV regardless of their fracture pattern. Figure 2: Open book pelvic fracture.

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FOAMfrat

SEPTEMBER 19, 2024

The patient, bystanders, and emergency personnel should avoid approaching or handling the snake. Background and Epidemiology In the United States, roughly 9,000 snake bites are reported annually, with approximately 3,000 being attributed to venomous species and less than 10 resulting in death. 's robust healthcare infrastructure.

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The Skeptics' Guide to EM

MAY 5, 2018

As the senior doctor in the emergency department you wonder, how can you keep their spirits up and maintain the momentum – we need to maximize perseverance and limit distraction from the tedium. Background: Working in the emergency department is very tough. There are comic book super heroes that are physicians.

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The Skeptics' Guide to EM

FEBRUARY 29, 2020

Randomised control trial of adult therapeutic colouring for the management of significant anxiety in the Emergency Department. AEM February 2020 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Reference: Rajendran et al.

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ACEP Now

JANUARY 13, 2024

In the 1990s, Dr. Damon Tweedy recounted in his book, “A Black Man in a White Coat,” several racist experiences he had during medical training. I have read his account several times now, and, as a white woman, I struggle with how to write about it. Why Is It a Struggle for Me to Know How to Feel or What to Do with It? Racism lives among us.

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Paramedic Training Spot

DECEMBER 21, 2021

Emergency Medical Technicians Think back to a medical emergency you’ve had or witnessed in the past. There were likely police officers, firefighters , bystanders, and a host of other personnel working to resolve the emergency. What is an Emergency Medical Technician? Is this field for me?” or “would I be any good this?”

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AAEM RSA

AUGUST 20, 2020

1 The new measure has particular implications for the flow of operations in emergency departments across Florida, as the requirements are a potential source of confusion, additional legal jeopardy, and increased bureaucratic workload. References Book L, Stewart L. 3 Each person assessing the patient, student or doctor.

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