Emergency Medicine Cases

FEBRUARY 27, 2024

Hans Rosenberg on when to use gabapentinoids for pain control in the ED. Nour Khatib and Hamza Jalal on an approach to paresthesias in the ED. Katie Lin on pearls for neuroprotective intubation. Eric Wortmann on preventing burnout in emergency medicine.

EMS 256

EMS ED 256

Emergency Medicine Cases

MAY 28, 2024

Paying attention to the time-sensitive details of ED management of SAH patients can have a significant impact on their outcome. In this second part of our 2-part podcast series on subarachnoid hemorrhage with Dr. Katie Lin and Dr. What can we do in the ED to prevent rebleeding in patients with subarachnoid hemorrhage?

ED 130

ED EMS 130

Emergency Medicine Cases

DECEMBER 3, 2024

On this month's EM Quick Hits podcast: Ross Prager on TEE in cardiac arrest, Justin Morgenstern on nebulized ketamine for analgesia in the ED, Hans Rosenberg & Krishin Yadav on standardizing cellulitis management, Mathew McArther on latest studies on subcutaneous insulin protocols in DKA, Jennifer C.

130

130

Emergency Medicine Cases

APRIL 23, 2024

The post EM Quick Hits 56 – Nitroglycerin in SCAPE, REBOA, Diverticulitis Imaging, CRAO, Penicillin Allergy, Physician Personality appeared first on Emergency Medicine Cases.

EMS 267

EMS Allergic Reaction ED 267

Core EM

SEPTEMBER 24, 2024

To get a sense of how medical students feel about emergency medicine, we interviewed three students who are interested in EM: Nick, a graduating M4 pre-matched into EM residency, Charlotte, an M2 currently planning to pursue EM, and Annie, an M1 considering EM. What sparked your interest in emergency medicine?

ED 100

ED EMS Critical Care OR 100

Core EM

JANUARY 25, 2024

The SQuID Protocol (Subcutaneous Insulin in Diabetic Ketoacidosis): Impacts on ED Operational Metrics. Fidelity was examined by the frequency of required q2h glucose checks, safety by seeing how many patients required rescue dextrose for hypoglycemia, and operational impacts including ED LOS and ICU admission. Image from cited article.

EMS 246

EMS ICU ED OR 246

Core EM

JANUARY 25, 2024

Dizziness Background Acute dizziness represents ~1-3% of ED visits and has a disproportionately high cost, resource use, and length of stay, largely due to imaging (much of which is unnecessary). EM physicians should receive training in the HINTS exam, Epley, and Dix-Hallpike maneuvers. Only about 3.2-6%

EMS 246

EMS Emergency Department OR ED 246

Emergency Medicine Cases

JULY 13, 2021

The post EM Quick Hits 30 Scaphoid Fracture, Therapeutic Hypothermia, HEADS-ED, Pelvic Trauma, Kratom, Femoral Lines appeared first on Emergency Medicine Cases.

ED 130

ED EMS 130

Emergency Medicine Cases

NOVEMBER 7, 2023

The post Ep 188 Hemoptysis – ED Approach and Management appeared first on Emergency Medicine Cases. What is the role of bronchoscopy and how should it be integrated into the hemoptysis management algorithm? How does one's hemorrhage control strategy change when pulmonary embolism is the underlying diagnosis? and many more.

ED 229

ED EMS 229

EMDocs

DECEMBER 1, 2024

We’ll keep it short, while you keep that EM brain sharp. A 52-year-old male with a history of essential hypertension presents to your South Texas ED for his second visit this week complaining of indolent fever, shortness of breath, pleuritic chest pain, and a rash on his trunk and extremities. .: Infect Dis Rep.

EMS 75

EMS E-9-1-1 OR ED 75

Emergency Medicine Cases

JUNE 18, 2024

To support EM Cases, please consider a donation here: [link] The post EM Quick Hits 57 – HIV Diagnosis, Failed Paradigm of STEMI Criteria, Poisoned Patient Airway Management, Spontaneous Bacterial Peritonitis, DIY Investments appeared first on Emergency Medicine Cases.

STEMI 168

STEMI EMS Coronary ED 168

Emergency Medicine Cases

APRIL 25, 2023

The post EM Quick Hits 48 – FAST in Pediatric Trauma, Multiple Myeloma, Drowning, AKA, Global EM appeared first on Emergency Medicine Cases.

EMS 130

EMS ED 130

Dr. Smith's ECG Blog

OCTOBER 27, 2024

Here is his EMS ECG: What do you think? Cath lab was activated by EMS and transported emergent." The cath lab was deactivated by cardiologist on arrival at ED because it was "not a STEMI". He presented to the ED for evaluation chest pain. Figure-1: The initial EMS ECG in today's case. ( Pain was decreased to 2/10.

STEMI 118

STEMI ED Coronary EMS 118

Core EM

NOVEMBER 26, 2024

Population Outpatients enrolled before decisions were made on advanced imaging 3022 patients screened, 1979 enrolled Inclusion criteria: Presence of at least one AAS-compatible symptoms (thoracic/back/abdominal pain, syncope, organ perfusion deficit) lasting for up to 14 days AAS is considered a meaningful diagnostic concern Intervention History and (..)

EMS 100

EMS OR ED 100

REBEL EM

JULY 1, 2024

The AVAPS mode is as effective and safe as BPAP S/T in treating patients with hypercapnic respiratory failure in the ED.” Clinical Take Home Point: I n patients presenting to the ED with hypercapnic respiratory failure, AVAPS did lead to a faster improvement in pH and PaCO2 levels compared to BPAP S/T. AVAPS: 0.07 AVAPS: 10.20

ED 133

ED Emergency Department ALS OR 133

Emergency Medicine Cases

SEPTEMBER 15, 2020

In this month's EM Quick Hits podcast, Anand Swaminathan on postpartum hemorrhage, Justin Morgenstern on phenobarbital in pediatric status epilepticus, Michelle Klaiman on managed alcohol programs, Andrew Petrosoniak on traumatic cardiac arrest, Brit Long on cholangitis pearls and pitfalls and Bourke Tillman on ED approach to ARDS.

ED 130

ED EMS 130

Emergency Medicine Cases

MARCH 12, 2019

On this EM Quick Hits podcast we have Natalie May on Kawasaki disease clues to diagnosis, Justin Morgenstern on suturing dog bites: the evidence, Anand Swaminathan on BVM prior to laryngoscopy, Michelle Klaiman on anticraving medications for alcohol use disorder and special guest Howard Ovens on managing ED violence with compassionate care.

ED 130

ED EMS 130

EMDocs

OCTOBER 19, 2024

We’ll keep it short, while you keep that EM brain sharp. A 6-year-old girl presents to the ED with 1 day of fevers up to 104.1°F link] The post EM@3AM: Bacterial Tracheitis appeared first on emDOCs.net - Emergency Medicine Education. Labs and x-ray can be nonspecific, and definitive diagnosis is made with direct visualization.

EMS 87

EMS E-9-1-1 Epinephrine OR 87

EMDocs

JUNE 22, 2024

We’ll keep it short, while you keep that EM brain sharp. A 37-year-old G5P4 at 33 weeks presents to the ED after being brought in by ambulance. According to EMS, she was in labor at home and delivered the newborn shortly after they had loaded her into the ambulance. link] j.ajog.2016.03.012 2016.03.012 Patel, P.,

EMS 97

EMS Ambulance FFP ICU 97

EMDocs

MARCH 2, 2024

We’ll keep it short, while you keep that EM brain sharp. A 58-year-old female with a history of diabetes, hypertension, and chronic back pain presents to the ED with severe headache and nausea.  An Pediatr (Engl Ed). 2019 The post EM@3AM: Pneumocephalus appeared first on emDOCs.net - Emergency Medicine Education.

EMS 114

EMS E-9-1-1 OR ED 114

Emergency Medicine Cases

FEBRUARY 11, 2020

The current outbreak of the novel respiratory pathogen Coronavirus is an opportunity to remind ourselves of how to properly and adequately prepare for an emergency outbreak in our EDs. The post Preparation for Emergency Infectious Outbreak in your ED – Coronavirus appeared first on Emergency Medicine Cases.

ED 130

ED EMS OR 130

EMDocs

SEPTEMBER 7, 2024

We’ll keep it short, while you keep that EM brain sharp. A 70-year-old female with a past medical history of hypertension, coronary artery disease s/p 2x drug eluting stent placement one month ago, atrial fibrillation on apixaban presents to the ED with weakness and lightheadedness. Available from: [link] Guldner GT, Smith T, Magee EM.

EMS 75

EMS E-9-1-1 Operating Room OR 75

The Skeptics' Guide to EM

NOVEMBER 2, 2024

Guest Skeptic: Dr. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY. He is the Vice Chair of the Emergency Department and Program Director of the EM residency program at Nassau University Medical Center in East Meadow, NY, the safety net hospital for Nassau County. AEM Oct 2024. AEM Oct 2024.

Emergency Department 237

Emergency Department ED ALS EMS 237

EMDocs

MAY 25, 2024

We’ll keep it short, while you keep that EM brain sharp. The post EM@3AM: Sialadenitis appeared first on emDOCs.net - Emergency Medicine Education. She is breathing comfortably but seems to experience significant pain at the associated site of swelling. Available from: [link] Wilson KF, Meier JD, Ward PD. Salivary gland disorders.

EMS 81

EMS E-9-1-1 OR ED 81

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? 95% occupational injuries occur in males [1]. and John O.

EMS 81

EMS Allergic Reaction Emergency Department ED 81

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. Vital signs include BP 168/89, HR 96, T 98.3,

EMS 89

EMS E-9-1-1 ALS OR 89

Emergency Medicine Cases

JANUARY 2, 2023

Understanding why ETCO2 is recommended in cardiac arrest with Swami, practical steps to organ donation in the ED with Dr. Andrew Healy, using your hospital food court to treat paraphimosis, rectal prolapse and food bolus obstruction with Dr. Sarah Foohey, QI Corner with Dr. Tahara Bhate, 4 Medicolegal Myths with Dr. Jennifer C.

EMS 130

EMS ED 130

EMDocs

JULY 13, 2024

We’ll keep it short, while you keep that EM brain sharp. A 37-year-old G2P2 female with no other past medical history presents to the ED with a 2-day history of intermittent fever and foul-smelling vaginal discharge. The post EM@3AM: Endometritis appeared first on emDOCs.net - Emergency Medicine Education.

EMS 64

EMS E-9-1-1 Plasma OR 64

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 109

Emergency Medical Services EMS STEMI Emergency Department 109

REBEL EM

JANUARY 25, 2024

In many emergency departments (ED), US machines are readily available and can be used to rapidly assess and monitor patients with acute dyspnea at the bedside. US, compared with CXR and CT, offers the absence of ionizing radiation and high reproducibility. Emerg Med J. 2023;40(10):700-707.

ED 130

ED E-9-1-1 Emergency Department ALS 130

EMDocs

APRIL 27, 2024

We’ll keep it short, while you keep that EM brain sharp. A 68-year-old male with a history of poorly controlled diabetes presents to the ED with increasing right-sided ear and facial pain, swelling, and difficulty hearing for two weeks. He says the pain is worse at night and when he is chewing. and Staphylococcus spp.

EMS 84

EMS ED OR ALS 84

REBEL EM

MAY 15, 2023

You are working in a rural ED, and an older woman from a local assisted care facility arrives via ambulance in obvious respiratory distress. EMS is able to tell you that she is currently being treated for pneumonia. The patient is on a nonrebreather mask, and vital signs on arrival are BP 110/50 mm Hg, HR 120 bpm, RR 40/min, T 98.6°F

EMS 98

EMS Ambulance ED OR 98

EMDocs

JUNE 27, 2023

Authors: Anthony Rodriguez, MD (EM Resident Physician, Denver Health); Spencer Tomberg, MD (EM Attending Physician, Denver Health); and Matthew Folchert, MD (Orthopedic-Hand Attending Surgeon, Denver Health) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Manny Singh, MD (@MPrizzleER); Brit Long, MD (@long_brit) Case: A 35-year-old right hand dominant (..)

ED 68

ED EMS OR 68

Emergency Medicine Cases

JANUARY 12, 2021

The post Ep 151 AKI Part 2 – ED Management appeared first on Emergency Medicine Cases. When should ACEi/ARBs be held in AKI patients? When, if ever, should NSAIDs be given in AKI patients, and if so, how should the dose be modified? and many more.

ED 130

ED EMS 130

Emergency Medicine Cases

JULY 5, 2022

The post Ep 171 Posterior Stroke, EP Lead, HEAR Score, Ketamine for Suicidal Ideation, Peer Support Workers – Highlights from Calgary EM Hodsman Lecture Day appeared first on Emergency Medicine Cases.

EMS 130

EMS ED 130

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. doi:[link] The post EM@3AM: Auricular Hematoma appeared first on emDOCs.net - Emergency Medicine Education. subent.com.

EMS 82

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

Emergency Medicine Cases

MAY 21, 2019

It turns out that for all burn patients—from minor to severe—there is a lot of room for improvement in ED management, counselling and disposition. The post Ep 124 Burn and Inhalation Injuries: ED Wound Care, Resuscitation and Airway Management appeared first on Emergency Medicine Cases.

ED 130

ED EMS 130