International Journal of Paramedicine

APRIL 3, 2024

Background : Emergency Department (ED) overcrowding limits patient care in the prehospital and hospital system. A program was implemented to decrease the time to patient handoff from EMS arrival to ED staff, also known as the delivery interval and total turnaround interval.

Emergency Department 52

Emergency Department Ambulance Paramedic ED 52

EMOttawa

AUGUST 22, 2024

Assessing patients with pleural effusions in the emergency department (ED) can be challenging and nuanced. This is largely due to the lack of guidelines around pleural effusions in the ED. In part one we focused on imaging, diagnosis, and management of parapneumonic effusions.

ED 62

ED Emergency Department Critical Care EMS 62

The Skeptics' Guide to EM

MARCH 2, 2024

The sonographic protocol for the emergent evaluation of aortic dissections (SPEED protocol): A multicenter, prospective, observational study. Date: February 28, 2024 Guest Skeptic: Dr. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY. AEM February 2024.

Operating Room 306

Operating Room Emergency Department ALS ED 306

ACEP Now

OCTOBER 9, 2023

emergencies, patient’s request). However, actual increases in available services in emergency departments based on prior state-level requirements have been mixed. Reevaluation of the effect of mandatory interpreter legislation on use of professional interpreters for ED patients with language barriers. Annals of EM.

Emergency Department 64

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

The Skeptics' Guide to EM

JUNE 1, 2024

His research focuses on the pre-hospital care of children by EMS. He is the principal investigator for EMSC State Partnership in Washington, DC and is also involved in various multi-center EMS studies with the Pediatric Emergency Care Applied Research Network (PECARN). EMS placed him in a C-collar and brought him to you.

Emergency Medical Services 207

Emergency Medical Services Emergency Department EMS ALS 207

EMDocs

JUNE 8, 2024

We’ll keep it short, while you keep that EM brain sharp. 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? Overview of Eye Injuries in the Emergency Department.”

EMS 81

EMS Allergic Reaction Emergency Department ED 81

The Skeptics' Guide to EM

JULY 10, 2021

He is […] The post SGEM#337: Amazing GRACE-1 How Sweet the Guidelines – Recurrent, Low Risk Chest Pain in the Emergency Department first appeared on The Skeptics Guide to Emergency Medicine. Date: July 1st, 2021 Guest Skeptic #1: Dr. Chris Carpenter is Professor of Emergency Medicine at Washington University in St.

Emergency Department 100

Emergency Department ACPE EMS ALS 100

Pulsara

JANUARY 25, 2024

With a new protocol and Pulsara, Metropolitan Emergency Medical Services can now transport eligible pediatric behavioral health patients directly to behavioral health facilities—resulting in a 44% decrease of pediatric behavioral health patients transported to the ED. Download the case study or read on to learn more!

Emergency Medical Services 104

Emergency Medical Services EMS STEMI Emergency Department 104

Emergency Medicine Cases

NOVEMBER 5, 2019

If a lack of translation can have tragic consequences, the obligation of an ED to set a new and better standard of care for communicating with patients is now painfully clear. The post WTBS 19 Does Poor Access to Language Services Leave Emergency Departments Primed for Tragedy? appeared first on Emergency Medicine Cases.

Emergency Department 130

Emergency Department ED EMS 130

Core EM

JANUARY 25, 2024

How and when to reverse anticoagulation in the bleeding EM patient. Anticoagulant Reversal Strategies in the Emergency Department Setting: Recommendations of a Multidisciplinary Expert Panel. Ann Emerg Med. 2020;76(4):470-485. doi:10.1016/j.annemergmed.2019.09.001 2019.09.001 Eikelboom JW, Quinlan DJ, van Ryn J, Weitz JI.

Frozen Plasma 246

Frozen Plasma FFP Plasma Critical Care 246

The Skeptics' Guide to EM

DECEMBER 8, 2017

A Prospective Randomized, Double-Dummy Trial Comparing Intravenous Push Dose of Low Dose Ketamine to Short Infusion of Low Dose Ketamine for Treatment of Moderate to Severe Pain in the Emergency Department. Guest Skeptic: Dr. Salim Rezaie is a faculty physician at Greater San Antonio Emergency Physicians (GSEP) in San Antonio, Texas.

Emergency Department 130

Emergency Department ALS OR EMS 130

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

EMDocs

MAY 11, 2024

We’ll keep it short, while you keep that EM brain sharp. A 74-year-old female with a past medical history of hypertension, diabetes, recent basilar artery stent placement with a 20 pack-year smoking history presents to the ED via EMS for altered mental status and episodes of apnea. Ann Emerg Med. Available at: [link].

EMS 89

EMS E-9-1-1 ALS OR 89

ALiEM

OCTOBER 26, 2023

The Problem: Emergency Medicine (EM) in Pakistan has moved from developing to developed stage in the last decade [1]. It is an innovation that is based on a community of practice merged with the need-based assessment of a young EM residency program in a developing country. Read more publications from the series. 2022;38(6):1717.

EMS 161

EMS Emergency Department ALS ED 161

REBEL EM

JUNE 5, 2023

One study from a county in Massachusetts found that of all nonfatal opioid doses seen in the emergency department from 2011-2015, 1 in 20 patients subsequently died within one year of initial visit with 66% of these deaths being directly related to an opioid overdose (4). PMID 33392580.

Naloxone 95

Naloxone ED Overdose Emergency Department 95

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

AUGUST 17, 2023

A 24-year-old woman presents to the emergency department with persistent severe pain in her right thigh following a direct blow during a soccer match 2 weeks ago. Rosen’s Emergency Medicine: Concepts and Clinical Practice. Post TW, ed. In: Walls RM, Hockberger RS, Gausche-Hill M, et al., Elsevier; 2023:(Ch) 47.

EMS 52

EMS Emergency Department ED ALS 52

REBEL EM

SEPTEMBER 9, 2024

A newborn boy presents to the emergency department shortly after a home delivery. Post TW, ed. In: Shaw KN, Bachur RG, eds. Fleisher & Ludwig’s Textbook of Pediatric Emergency Medicine. The mother had routine prenatal care and reports that he was due in 2 days. His heart rate is 80 bpm. UpToDate Inc.

Emergency Department 55

Emergency Department ED EMS 55

EMDocs

APRIL 13, 2024

We’ll keep it short, while you keep that EM brain sharp. A 24-year-old male presents to the ED from a mixed marital arts competition after being struck on the side of the right head by a fist earlier today. A 21-year-old man presents to the emergency department for pain and swelling in his ear beginning 3 days ago.

EMS 82

EMS E-9-1-1 OR Emergency Department 82

The Skeptics' Guide to EM

AUGUST 10, 2024

Case: A 65-year-old man is brought into the emergency department (ED) by emergency medical services (EMS) after his family saw him slump over at the dinner table. When he arrives at your ED, the family tells you he was doing fine until dinner.

Emergency Medical Services 183

Emergency Medical Services ALS Emergency Department ED 183

The Skeptics' Guide to EM

FEBRUARY 18, 2023

Chris Bond is an emergency medicine physician and Assistant Professor at the University of Calgary. Case: You are an administrator responsible for staffing emergency departments (EDs) in a health care system comprising both urban and rural locales. The SGEM has done two previous podcasts on APPs in the ED.

Emergency Department 130

Emergency Department ALS ED EMS 130

EMDocs

SEPTEMBER 9, 2023

We’ll keep it short, while you keep that EM brain sharp. He presents to the ED with profound difficulty extending his middle and ring finger. A 35-year-old right handed male with no significant past medical history presents with a deep hand laceration. The patient states they suffered a cut with a box cutter at a construction site.

EMS 78

EMS ED ALS Emergency Department 78

The Skeptics' Guide to EM

APRIL 13, 2024

He is an assistant professor in Emergency Medicine, Neurology, and Neurosurgery at the School of Medicine at the University of Washington. Case: A 70-year-old woman was brought into the emergency department by EMS after her family reported she was having trouble talking.

Emergency Department 295

Emergency Department ALS OR EMS 295

Emergency Medicine Cases

JANUARY 15, 2019

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. 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.

ED 130

ED Emergency Department EMS 130

EMDocs

NOVEMBER 18, 2023

We’ll keep it short, while you keep that EM brain sharp. A 32-year-old female with a history of hypertension and autoimmune hepatitis status post liver transplant 6 weeks prior on tacrolimus and mycophenolate presents to the ED with abdominal discomfort. What are the complications of liver transplant that we see in the ED?

EMS 69

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

EMDocs

NOVEMBER 4, 2023

We’ll keep it short, while you keep that EM brain sharp. He came to the ED because he now has a fever, chills, and nausea along with his testicular pain. The Atlas of Emergency Medicine, 5e. aureus infections among patients in the emergency department. Skin and Soft Tissue Infections in the Emergency Department.

EMS 68

EMS E-9-1-1 Emergency Department ALS 68

EMDocs

JULY 3, 2023

Authors: Mikalah Ward, MD (EM Resident Physician, University of Kentucky); Susan Owens, MD (EM Attending Physician, University of Kentucky) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. His last known normal was 5 hours prior to ED presentation. Glasgow coma scale (GCS) is 12.

ED 85

ED E-9-1-1 ALS OR 85

ACEP Now

MAY 9, 2024

Jon Krohmer, MD, FACEP, who says he has “the EMS blood type,” practically had a front row seat to the growth of EMS care starting as a volunteer EMT more than 50 years ago. The evolution of EMS really mirrors the evolution of emergency physicians.” Dr. Krohmer said. So physicians need to be involved.

EMS 52

EMS Emergency Medical Services EMT EMT 52

The Skeptics' Guide to EM

APRIL 27, 2024

She is also the local director of the difficult airway EMS course at Washington State. Case: EMS arrives with a 58-year-old woman who suffered an out-of-hospital cardiac arrest (OOHCA). When emergency department (ED) staff roll her to remove her clothing her humeral intraosseous (IO) is dislodged. February 2024.

ICU 195

ICU Defibrillator CPR Paramedic 195

EMDocs

JULY 17, 2023

and is poorly tolerated by patients with obstruction, it should not be a routine part of the ED evaluation for LBO unless it is critical for another diagnosis on the differential. Am J Emerg Med. Bowel Perforation: ED Presentations, evaluation and management. He reports distension and the sensation of fullness. Adv Cancer Res.

E-9-1-1 77

E-9-1-1 ED ALS Operating Room 77

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. 2023;82(1):55-65. doi: 10.1016/j.annemergmed.2023.02.011

Critical Care 169

Critical Care EMS Emergency Department ALS 169

EMDocs

AUGUST 12, 2023

We’ll keep it short, while you keep that EM brain sharp. He presented to the emergency department because he is having numbness distal to the site of injury, as well as constant bleeding and some difficulty with flexing his finger. The Atlas of Emergency Medicine, 5e. Emergency Medicine Residents’ Association; 2022:10-11.

EMS 69

EMS ALS Emergency Department OR 69

EMDocs

DECEMBER 2, 2023

We’ll keep it short, while you keep that EM brain sharp. A 50-year-old female with no past medical history presents to the ED with a diffuse, constant headache onset a few weeks. The patient describes droopiness of the left eye and double vision associated with specific directional movements of the eye. Updated 2022 Jul 4].

EMS 67

EMS Emergency Department OR ED 67

EMDocs

JULY 29, 2023

We’ll keep it short, while you keep that EM brain sharp. A 75-year-old male with past history of HTN, CVA, DM II presents to the emergency department with right facial swelling since last night. In: CCCOnline, eds. Clin Pract Cases Emerg Med. Other bacterial causes include anaerobic oral flora, Strep viridans, E.

E-9-1-1 71

E-9-1-1 EMS Emergency Department OR 71

ALiEM

JANUARY 12, 2024

A 42-year old Bengali man with a history of hyperlipidemia presented to the Emergency Department with facial swelling, diffuse rash, renal insufficiency and proteinuria after receiving his COVID-19 vaccine (Moderna) booster dose. He was advised to go to the Emergency Department.

Emergency Department 130

Emergency Department EMS ED 130

The Skeptics' Guide to EM

JULY 29, 2023

Emergency Medical Services (EMS) is called and on arrival the patient is walking but has obvious facial trauma and is complaining of some neck pain. As an EMS crew member, you are tasked with deciding what method of spinal motion restriction to use. He has midline neck tenderness but no limb numbness or paresthesia.

Emergency Medical Services 204

Emergency Medical Services ALS EMS Emergency Department 204

EMDocs

DECEMBER 6, 2023

Authors: Rachel Bridwell, MD (EM Attending Physician; Tacoma, WA); Alec Pawlukiewicz, MD (EM Attending Physician; Killeen, TX) // Reviewed by: Brit Long, MD (EM Attending Physician, San Antonio, TX) Even prior to COVID-19’s strain on emergency departments (ED), boarding has been a longstanding issue.

Emergency Department 70

Emergency Department ED EMS OR 70