The Skeptics' Guide to EM

DECEMBER 21, 2024

Date: December 15, 2024 Guest Skeptics: Dr. Chris Carpenter, Vice Chair of Emergency Medicine at Mayo Clinic. Today, were sleighing through the holiday season with a special episode filled with statistical cheer, a dash of skepticism, and a hint of eggnog-flavoured nerdiness. This is an SGEM Xtra like the one we did on What I Learned from Top Gun. Its fun to mix it up and not do a structured critical appraisal of a recent publication and have a more philosophical chat.

OR 236

OR 236

Emergency Medicine Cases

DECEMBER 3, 2024

In this month's ECG Cases Jesse McLaren takes us through 6 cases highlighting important mirror concepts in ECG interpretation including: which leads are reciprocal to each other, how to identify which is the main ST/T change and which is the mirror, reciprocal changes highlighting subtle inferior, lateral and posterior OMI, ST elevation in aVR as a mirror to widespread ST depression and more.

STEMI 226

STEMI EMS 226

ALiEM

DECEMBER 9, 2024

A 25-year-old female with no pertinent past medical history presented to an emergency department in Massachusetts with four days of generalized malaise, myalgias, congestion, low-grade fever, and a rash behind her left knee. The patient denied cough, shortness of breath, chest pain, abdominal pain, nausea, vomiting, and diarrhea. She lives with three roommates, none of whom were sick, and she denied any other known sick contacts.

Emergency Department 152

Emergency Department ACS EMS OR 152

Don't Forget the Bubbles

DECEMBER 31, 2024

The Childrens Emergency Department is a busy, challenging, and dynamic environment. The skills needed to deliver the best possible outcomes for children and young people are multifaceted and constantly evolving. They involve a mixture of clinical, communication, and leadership traits. Having recently moved from a leadership position within the Childrens Emergency Department to a more system-based role involving children of all ages, its apparent to me how transferable my experiences on the shop

Emergency Department 140

Emergency Department OR 140

FOAMfrat

DECEMBER 26, 2024

TRIGGER WARNING: TOPICS OF SUICIDE MAY BE HARD FOR SOME PEOPLE TO READ ABOUT. THIS ARTICLE IS COVERING THE MEDICAL ASPECTS OF CHEMICAL SUICIDES. IF YOU OR A LOVED ONE NEEDS HELP, CALL 988 OR SEEK CARE AT A LOCAL EMERGENCY DEPARTMENT. REMEMBER, IF YOU ARE TREATING A SUICIDE ATTEMPT SURVIVOR, DO NOT PASS JUDGMENT. WE, AS EMS PROFESSIONALS, SHALL PROVIDE COMPASSIONATE, APPROPRIATE CARE TO ALL PATIENTS.

Epinephrine 116

Epinephrine OR First Responder Emergency Management 116

American Ambulance Association

DECEMBER 30, 2024

Dear Fellow American Ambulance Association Members, Working on your behalf, first on the AAA board, then as president, has been the capstone of my 45-year EMS career. Both the past […] The post Thank You & Farewell from AAA President Randy Strozyk appeared first on American Ambulance Association.

Ambulance 130

Ambulance EMS 130

The Skeptics' Guide to EM

DECEMBER 14, 2024

Reference: Sanchez-Pinto, L.N., et al. Development and Validation of the Phoenix Criteria for Pediatric Sepsis and Septic Shock. JAMA 2024. Guest Skeptic: Prof. Damian Roland is a Consultant at the University of Leicester NHS Trust and Honorary Professor for the University of Leicesters SAPPHIRE group. He specializes in Paediatric Emergency Medicine and is a passionate believer and advocate of FOAMed.

ALS 198

ALS Emergency Department ED OR 198

ALiEM

DECEMBER 3, 2024

A 26-year-old male with a past medical history of eczema presented to the Emergency Department with a rash for two days. The patient stated he first noticed a rash on his right arm that rapidly spread to his face, chest, and left arm. He reported having similar rashes before but never to this extent. The patient stated he was given Bactrim and amoxicillin about one month ago for another rash, though he was unsure of the diagnosis.

Emergency Department 152

Emergency Department OR 152

EMergucate

DECEMBER 29, 2024

PH = 7.39, that is within the normal range. pCO2 = 30 mmHg, that is slightly low. This patient might have respiratory alkalosis. Next, we should look at the compensation for respiratory acidosis.

130

130

EMCrit Project

DECEMBER 1, 2024

John Holcomb, author of the PROPPR trial, on massive transfusion in 2024 EMCrit Project by Scott Weingart, MD FCCM.

128

128

American Ambulance Association

DECEMBER 23, 2024

On Saturday, December 21, the American Relief Act of 2025 (H.R. 10545) became law and thereby averted a partial federal government shutdown. Of critical importance to ground ambulance service organizations, […] The post Congress Extends Medicare Ambulance Add-On Payments appeared first on American Ambulance Association.

Ambulance 130

Ambulance 130

The Skeptics' Guide to EM

DECEMBER 28, 2024

Date: December 26, 2024 Reference: Steinhauser S et al. Emergency department staff compassion is associated with lower fear of enacted stigma among patients with opioid use disorder. AEM December 2024 Guest Skeptic:Dr. Suchismita Datta. She is anAssistant Professor and Director of Research in theDepartment of Emergency Medicine at the NYU Grossman Long Island Hospital Campus.

Emergency Department 185

Emergency Department Overdose ED ALS 185

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. Tang on documenting differential diagnoses medicolegal tips.

EMS 255

EMS ED 255

ALiEM

DECEMBER 20, 2024

A 3-year-old male with a history of severe atopic dermatitis presented for facial rash and hand pain. Mom had been applying Aquaphor and Vaseline several times a day. On the day of presentation, he woke up with a new rash over his face and hands which prompted the ED visit. He is up to date on childhood immunizations and is not prescribed any oral medications.

Emergency Department 161

Emergency Department ED OR 161

EMergucate

DECEMBER 22, 2024

The following knee x-rays are from an adult who has knee pain & swelling after a twisting injury to the … Continue reading →

EMS 130

EMS 130

SSCOR

DECEMBER 26, 2024

Hypercapnia, also known as hypercarbia or carbon dioxide toxicity, causes dangerous levels of CO2 in the blood. In most cases, it signals a respiratory problem such as poor lung function, but it can also happen among deep divers, particularly when they do not breathe adequately, or have contaminated oxygen supplies.

OR 105

OR 105

American Ambulance Association

DECEMBER 20, 2024

This content is for AAA members only. Please either Log In or Join! The post Submit Comments: EMS Compact Draft Rules appeared first on American Ambulance Association.

EMS 130

EMS Ambulance OR 130

St. Emlyn's

DECEMBER 23, 2024

St.Emlyn's - Emergency Medicine #FOAMed David Purkarthofer reviews the highlights from the fantastic EuSEM conference held in Copenhagen earlier this year. #FOAMed @stemlyns The post EuSEM 2024 in review appeared first on St.Emlyn's.

106

106

REBEL EM

DECEMBER 23, 2024

Background: Sickle cell disease (SCD) affects an estimated 300,000 infants born worldwide each year and has a total estimated prevalence of 100,000 in the United States alone ( Piel 2017 ). Within this population, over 90% of healthcare encounters are due to painful vaso-occlusive episodes (VOE) ( Kidwell 2021 ). VOE is often complicated by hypovolemia, making fluid administration a common intervention ( Lovett 2017 ).

ALS 105

ALS ED ACS EMR 105

ALiEM

DECEMBER 16, 2024

A 12-year-old male with a history of autism spectrum disorder and chronic sinusitis presented for forehead swelling. His mother reported that she noticed progressive forehead swelling for about one month. She had followed up with the patients pediatrician and ENT and was given oral cephalexin and fluticasone nasal spray which did not make any changes in his symptoms.

OR 130

OR EMS 130

EMergucate

DECEMBER 15, 2024

The following elbow x-ray is from an adolescent who has pain & swelling in the elbow after a fall on outstretched hand. What can be seen?

EMS 130

EMS 130

EMOttawa

DECEMBER 18, 2024

Methodology: 4/5 Usefulness: 2/5 McMullan JT, et al. Ann Emerg Med. 2024 Oct;84(4):363-373. doi: 10.1016/j.annemergmed.2024.04.018. Question and Methods: This out of hospital, placebo-controlled, blinded, parallel group RCT compared reduction in pain scores between Fentanyl + IN Placebo and Fentanyl with IN Ketamine. Findings: There was no significant difference in reduction of pain scores or adverse […] The post Out-of-Hospital Intranasal Ketamine as an Adjunct to Fentanyl for the Treatme

ALS 112

ALS OR 112

American Ambulance Association

DECEMBER 19, 2024

Share your insights with fellow EMS leaders surrounded by the charm and excitement of Lexingtons iconic hospitality featuring world-class dining, bourbon, and horseracing. Speaker proposal deadline extended to January 31! The post Speak at Annual 2025 in Lexington! appeared first on American Ambulance Association.

Ambulance 130

Ambulance EMS 130

The Bottom Line

DECEMBER 11, 2024

Whats new in the Critical Care literature monthly updates

Critical Care 109

Critical Care 109

SSCOR

DECEMBER 21, 2024

While the mortality rate of aspiration pneumonia depends on complications of the disease, the 30-day mortality rate hovers around 21%, with a higher rate of 29.7% in hospital-associated aspiration pneumonia. For uncomplicated pneumonia, the mortality rate is still high around 5%.

105

105

ALiEM

DECEMBER 13, 2024

An 87-year-old female with a history of hypertension, hyperlipidemia, chronic kidney disease stage IIIB, type 2 diabetes mellitus, and schizophrenia presented for evaluation due to sudden visual loss in her right eye, which began 12 hours before she arrived at the emergency department. She has experienced a sudden loss of vision in her right eye for more than six hours.

Emergency Department 130

Emergency Department OR ED 130

EMergucate

DECEMBER 10, 2024

A 23yr presents following a syncope, he denies chest pain. The following ECG is taken: What does this ECG demonstrate?

EMS 130

EMS 130

The Skeptics' Guide to EM

DECEMBER 7, 2024

109

109

American Ambulance Association

DECEMBER 19, 2024

On Tuesday, Congressional Leaders released a FY 2025 Continuing Resolution (CR) to fund the Federal Government through March 14, 2025. A two-year extension through December 31, 2026 of the temporary […] The post Ambulance Medicare Add-On Extension Update appeared first on American Ambulance Association.

Ambulance 130

Ambulance 130

Pediatric EM Morsels

DECEMBER 20, 2024

Its been a BIG year for Mycoplasma! If your EDs have been anything like ours, youve been seeing more patients with Mycoplasma Pneumonia than you expected. Many kids are presenting to the ED for failure of outpatient antibiotic therapy of community acquired pneumonia, only to find out thats because they werent on the right meds! Let’s debrief on this atypical bug.

ED 161

ED OR EMS 161

The Bottom Line

DECEMBER 11, 2024

Whats new in the Critical Care literature monthly updates

Critical Care 106

Critical Care 106

ESO

DECEMBER 19, 2024

2024 has been a transformative year for ESO, marked by groundbreaking product advancements, achievements by the incredible customers we serve, and impactful data and research initiatives. Our mission to improve health and safety through the power of data has guided everything we do to support first responders and healthcare providers. Earlier in the year, we released the 2024 ESO EMS, Fire Service, and Hospital Trend Reports , which forecasted the trends ESO experts believed would shape each ind

Epinephrine 103

Epinephrine Firefighter First Responder Public Safety 103

EMergucate

DECEMBER 10, 2024

PH = 6.782, that is severe acidaemia. HCO3 = 2.5 mmol/L, that is extremely low. So we have metabolic acidosis.

130

130

ACEP Now

DECEMBER 17, 2024

Medical training is a difficult task. As residents and fellows, we move wherever the Match sends us, endure grueling hours, and sacrifice time with loved onesall in pursuit of becoming the best doctors we can be and delivering excellent patient care. But we should not have to sacrifice our own well-being in the process. In Washington, D.C., more than 450 residents and fellows employed by George Washington University (GW) spent the past 15 months fighting for our first contract.

E-9-1-1 105

E-9-1-1 Emergency Department ALS OR 105

American Ambulance Association

DECEMBER 19, 2024

This content is for AAA members only. Please either Log In or Join! The post GADCS Year 1 & Year 2 Cohort Analysis Released appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR 130

Core Ultrasound

DECEMBER 30, 2024

In part two of this series on using ultrasound during cardiac arrest, we dive into advanced strategies to further optimize your resuscitation care. Building on the foundation from part one, this video focuses on actionable tips to take your ultrasound skills to the next level during cardiac arrest scenarios. Cardiac Arrest Part 1 RUSH exam Courses The post Cardiac Arrest Update 2024 (Part 2) first appeared on Core Ultrasound.

100

100

EMDocs

DECEMBER 18, 2024

Authors: Kyler Osborne (EM-3 Resident Physician; Tacoma, WA); Katey DG Osborne, MD (EM Attending Physician; Tacoma, WA); Rachel Bridwell, MD (EM Attending Physician; Charlotte, NC) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital) and Brit Long, MD (@long_brit, EM Attending Physician) Welcome to emDOCs revamp!

E-9-1-1 79

E-9-1-1 Emergency Department ICU ED 79