ALiEM

JANUARY 8, 2024

A 49-year-old female with a past medical history of recurrent diverticulitis initially presented with one month of shortness of breath and a minor nonproductive cough for which she was started on doxycycline by her primary care provider. She then developed a rash on her chest, upper back, and face. Antibiotics were switched to amoxicillin and azithromycin.

ED 152

ED OR 152

Don't Forget the Bubbles

JANUARY 8, 2024

For paediatric ED doctors who come from a paediatric training background, dealing with agitated adolescents can be stressful. There is so much more to managing the agitated adolescent than just drugs, but sometimes sedation is necessary. As we are not used to sedating children in this way, choosing drugs and doses can be difficult. In paediatric emergency care, addressing the challenge of adolescent agitation is a complex and evolving task.

Emergency Department 105

Emergency Department OR ED 105

First 10 EM

JANUARY 8, 2024

This is a guest post by Dr Casey Parker MBBS DCH FRACGP DDU DipRGA. I am a rural generalist with postgraduate training in primary care, paediatrics, anaesthesia and diagnostic sonology. My practice includes emergency and inpatient care in Broome Hospital in the remote Kimberley region of Western Australia. I also work in a large tertiary […] The post On the Ethical Detention of Patients in the Emergency Department appeared first on First10EM.

Emergency Department 104

Emergency Department 104

EMDocs

JANUARY 8, 2024

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association 2023 Guideline Updates for 2023 were just published. This post will focus on the key parts of the guideline that affect ED evaluation and management. Major Updates Avoid routine use of calcium in patients with cardiac arrest. Calcium is associated with harm but is still necessary in certain situations (hyperkalemia, calcium channel blocker overdose) (Level 3 recommendation: no benefit).

Epinephrine 82

Epinephrine Defibrillator Coronary CPR 82

First Responders Foundation

JANUARY 8, 2024

Did you know that first responders face significantly higher risks for mental health issues compared to the general population? The brave individuals who serve as firefighters, police officers, emergency medical technicians (EMTs), and paramedics are often the first to encounter challenging and traumatic situations. While they play a crucial role in safeguarding our communities, their mental well-being is an area that urgently needs attention.

First Responder 52

First Responder Emergency Medical Technician Firefighter EMT 52

Core EM

JANUARY 8, 2024

Diagnostic Accuracy of Unenhanced Computed Tomography for Evaluation of Acute Abdominal Pain in the Emergency Department. JAMA Network, 2023 Background Computed tomography of the abdomen and pelvis (CT AP) is the most common diagnostic imaging test to evaluate abdominal pain in the ED. Intravenous (IV) and oral contrast improve diagnostic accuracy of CT AP.

Emergency Department 100

Emergency Department EMS ED ALS 100

Dr. Smith's ECG Blog

JANUARY 8, 2024

I was reviewing ECGs for a study, and came across this one, and was able to get all the clinical information: What do you think? The Queen diagnosed "OMI with high confidence" due to the ST Elevation in V1-V3. Smith interpretation: This is highly likely to be due to extreme right heart strain and is nearly diagnostic of pulmonary embolism. Let me tell you about her hospitalization, discharged 1 day prior, but it was at another hospital (I wish I had the ECG from that hospitalization): The patien

Coronary 74

Coronary STEMI EMS OR 74