Pediatric EM Morsels
AUGUST 18, 2023
When you read the Morsel on Perichonditis of the ear last week ( or perhaps the Plantar Puncture Morsel from many many many weeks ago ) you may have objected because of the mention that, when indicated, fluroquinolones are safe in children. Some of you may have thought to yourself “first the AAP allows tetracycline ( Rocky Mountain Spotted Fever ) and now they allow fluoroquinolones use in children… what next?!
ALiEM
AUGUST 18, 2023
A middle-aged man with a past medical history of hypertension and tobacco use disorder presented to the Emergency Department after evaluation by an ophthalmologist. He complained of ten days of a right-sided headache and three days of diplopia. He denied eye pain, pain with eye movements, photophobia, and vision loss. Physical Exam Vitals : Temp 98.4 °F (36.9 °C); BP 122/72; Pulse 90; Resp 16; SpO2 100% Neuro : Ptosis, “down and out” deviation and pupil dilation of the right eye were noted.
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Critical Care Scenarios
AUGUST 16, 2023
We explore the cutting edge practice of point-of-care ultrasound of the brain, including optic nerve sheath measurement, transcranial doppler, assessing midline shift, and more, with Aarti Sarwal, neurologist and neurointensivist, director of the neurocritical care unit at Wake Forest, and director of their neurovascular lab and ultrasound courses. Find us on Patreon here!
EMergucate
AUGUST 15, 2023
Comparison of intravenous paracetamol (acetaminophen) to intravenously or intramuscularly administered non-steroidal anti-inflammatory drugs( NSAIDs) or opioids for patients presenting with … Continue reading →
American Ambulance Association
AUGUST 15, 2023
Celebrating Ambulances this week @ NEMSM This week on Social we’re celebrating Ambulances We’re wanting to know what you think the most innovative change in ambulance design or care has […] The post National EMS Museum News appeared first on American Ambulance Association.
ALiEM
AUGUST 16, 2023
Exposure to which of the following could produce the pictured results? Carbon monoxide Lead paint Morphine Oral analgesic gel Reveal the Answer 4 – Oral analgesic gel Oral analgesic gel contains benzocaine, which is an oxidizing agent and a common cause of methemoglobinemia. The pictured cyanosis and classic “chocolate” blood are seen with this condition.
REBEL EM
AUGUST 14, 2023
Background: Could Xuebijing (XBJ) catalyze a paradigm shift in sepsis management? XBJ is an herbal compound used in China to manage various inflammatory and infectious processes in recent years, including sepsis. 2-6 It is an herbal preparation comprising a blend of five herbs: Carthami Flos, Paeoniae Radix Rubra, Angelicae Sinensis Radix, and Salviae Miltiorrhizae. 2,5,6 Professor Jinda Wang developed it based on traditional Chinese medicine principles to combat infection and inflammation. 4 XB
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
American Ambulance Association
AUGUST 14, 2023
Our hearts are broken for Maui residents and businesses impacted by this month’s unprecedented wildfires. Sadly, many EMS colleagues in the area have suffered total losses of their homes due to the […] The post Support EMS Professionals Impacted by the Maui Fires appeared first on American Ambulance Association.
ALiEM
AUGUST 14, 2023
A 64-year-old female with a history of quadriplegia and bladder rupture secondary to a motor vehicle accident two years ago, complicated by chronic indwelling suprapubic foley, presents from her skilled nursing facility with fever, oliguria, tachycardia, low blood pressure, and a change in the color of her urine. Physical Exam Vitals : T 100.4°F; HR 126; BP 105/74; RR 24 General : Pleasant but mildly confused morbidly obese female smelling strongly of urine Genitourinary : Poorly maintained indw
Don't Forget the Bubbles
AUGUST 13, 2023
Topic Febrile Seizures Author Lakshmi Shenoy Duration Up to 2 hrs Facilitator Level Senior trainee/ANP equivalent + Learner level Most useful for those experience seeing paediatric patients regularly: FY1+, band 5+ nurses Equipment Required None Outline Pre-reading Basics Case: generalized tonic-clonic seizure Generalized tonic-clonic seizure: Discussion Case: simple febrile seizure Simple febrile seizure: Discussion Advanced Case: complex febrile seizure Complex febrile seizure: Discussion Adva
EMergucate
AUGUST 15, 2023
The following chest x-ray is from an infant with increased work of breathing. What can be seen?
REBEL EM
AUGUST 16, 2023
Take Home Points REBEL Core Cast 106.0 – Nerve Block Basics Click here for Direct Download of the Podcast Resources REBEL EM: Local Anesthetic Systemic Toxicity Sono in Staten Blog: [link] Core Ultrasound: [link] POCUS Atlas: [link] Highland Ultrasound : [link] Post Created By: Billy Caputo MD Post Peer Reviewed By: Anand Swaminathan MD, MPH (Twitter @EMSwami ) The post REBEL Core Cast 106.0 – Nerve Block Basics appeared first on REBEL EM - Emergency Medicine Blog.
First 10 EM
AUGUST 14, 2023
This is a guest post by Dr. Julia Dmytryshyn. Julia completed medical school at the University of Toronto and is now a 2nd year Family Medicine resident at the University of Toronto. She is the co-creator of the popular medical education podcast series The Vulva Diaries. Her areas of interest include emergency medicine and women’s […] The post Miscarriage (Mis)management part 1: Evaluation and Diagnosis appeared first on First10EM.
ACEP Now
AUGUST 15, 2023
Emergency medicine is stressful. There are charged moments of powerful highs and lows. In one shift, you may achieve return of spontaneous circulation in a college student with a massive pulmonary embolism, who will survive neurologically intact. The next shift you may feel inadequate as you realize the antibiotics you prescribe will never be picked up by your patient.
EM Literature of Note
AUGUST 18, 2023
We do love to give out opiates in the emergency department. Kidney stone? Opiates. Broken arm? Opiates. Gunshot wound? Opiates. Sore throat? Dexamethasone. And opiates. So of course we’re here with opiates for your back pain. In this modern day, we are far, far more judicious than in times of yore, back when pharma had lobbied for pain to become the “fifth vital sign” But, nonetheless, those patients who are struggling to manage despite non-opiate analgesia frequently end up wi
EMergucate
AUGUST 14, 2023
30 year old man presented with right knee pain and swelling.
EMDocs
AUGUST 12, 2023
Authors: Jacob Kirkland, MD (EM Resident Physician, UTSW – Dallas, TX); Steve Field, DO (Assistant Professor of EM/Attending Physician, UTSW – Dallas, TX) // Reviewed by: Sophia Görgens, MD (EM Physician, Northwell, NY); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Alex Koyfman, MD (@EMHighAK) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited review of clinical basics.
University of Maryland Department of Emergency Med
AUGUST 18, 2023
Splenic injury treatment depends on the grade of injury. In general, grades 1 and 2 are non-operatively managed. Grades 4 and.
ESO
AUGUST 17, 2023
In the fast-paced world of EMS, precision, efficiency, and collaboration are paramount. To achieve these goals, EMS agencies nationwide are embracing NEMSIS (National Emergency Medical Services Information System) 3.5 compliance as a vital cornerstone of their operations. The NEMSIS 3.5 standard isn’t just a set of guidelines; it’s a transformative approach that fosters a new era of data-driven excellence in prehospital care.
ACEP Now
AUGUST 17, 2023
Philadelphia offers rich history, but it is also a food lover’s dream and a cultural cornucopia. While visiting for the ACEP Scientific Assembly, you will have the chance to attend some of the best educational sessions in emergency medicine in a city that offers unique, diverse experiences. This guide will help you take advantage of all the City of Brotherly Love has to offer.
EMDocs
AUGUST 17, 2023
Welcome back to the “52 in 52” series. This collection of posts features recently published must-know articles. Today we look at the CENSER trial. Author: Mackenzie Prendergast, DO (EM resident physician, San Antonio, TX); Brannon L Inman, MD (Critical Care Fellow, Orlando, FL) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Early Use of Norepinephrine in Septic Shock Resuscitation: A Randomized Trial AKA the CENSER Trial Clinical question: In patients with suspected
University of Maryland Department of Emergency Med
AUGUST 18, 2023
In a study looking at 80 blunt trauma patients that died within 1 hour of arrival to a trauma center who underwent a noncontrast post mortem CT.
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. She is participating in an important tournament, so she has been attempting to continue playing. However, she reports difficulty and pain with walking and feels a hard lump in the affected area.
First Responders Foundation
AUGUST 16, 2023
The First Responders Foundation is honored to be inducting Timothy J. Burke into the Ancient Society of St. Florian and St. Michael at the 7th Annual 9/11 Luncheon of Honor on September 11, 2023. Tim has been a long-time supporter of first responders and of the Foundation. Tim is the keynote speaker for this years First Responders Foundations 9/11 Luncheon of Honor where his speech is titled “A Story of a First Responder Family” Tim recently retired as the President and CEO of OPPD.
Don't Forget the Bubbles
AUGUST 16, 2023
The ABC approach to bedbugs for the first contact clinician A bed bug infestation can leave your patients feeling lousy. This 5-minute blog will give you the tools to help your patients scratch that itch for good. What are bed bugs? Bed bugs are small brown insects ( Cimex hemipterus or Cimex letularius ) that feed on human blood. It only takes a handful to infest a new location, creating a vast colony.
University of Maryland Department of Emergency Med
AUGUST 18, 2023
The authors of this paper suggest the following changes, supported by evidence, to the management of traumatic cardiac arrest: 1. &nbs.
ACEP Now
AUGUST 15, 2023
Answer: The correct answer is peritonsillar abscess (b). Peritonsillar abscess, also known as quinsy, is a deep neck space infection characterized by a collection of pus in the peritonsillar space. This infection develops as a suppurative complication of acute tonsillitis or pharyngitis. As with other deep neck space infections, peritonsillar abscesses are frequently polymicrobial in nature and consist of mouth flora.
FOAMfrat
AUGUST 14, 2023
In this episode, you get to find out all about what is new with Jared and Mike. They also answer questions about finger thoracostomy and analgesia/sedation considerations for your patients.
Don't Forget the Bubbles
AUGUST 14, 2023
Can’t get enough of Bubble Wrap? The Bubble Wrap Plus is a monthly paediatric journal club reading list from Anke Raaijmakers, working with Professor Jaan Toelen and his team at the University Hospitals in Leuven. This comprehensive list is developed from 34 journals, including major and subspecialty paediatric journals. We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research.
Dr. Smith's ECG Blog
AUGUST 14, 2023
Written by Pendell Meyers, with some edits by Smith A man in his 40s with many comorbidities presented to the ED with chest pain, hypotension, dyspnea, and hypoxemia. The bedside echo showed a large RV (Does this mean there is a pulmonary embolism as the etiology?) Here is his triage ECG: What do you think? Lots of info here. The rhythm is 2:1 atrial flutter.
ACEP Now
AUGUST 15, 2023
After almost 40 years as a physician, with a career as an emergency physician, quality-assurance reviewer, and medicolegal consultant, I have finally retired. Surprisingly, I still spend a fair amount of time searching and reading topics in UpToDate. Like many physicians, I get a lot of requests for medical advice and evaluation of medical care from friends and family.
University of Maryland Department of Emergency Med
AUGUST 15, 2023
Bystander CPR increases out-of-hospital CPR survival and direction by 911 telecommunicators increases the frequency of bystander CPR. Th.
EMCrit Project
AUGUST 17, 2023
all the lit goodness. EMCrit Project by Scott Weingart, MD FCCM.
The EMS Educator
AUGUST 16, 2023
Is this going to be on the test? Educators having been cringing at this question as long as tests have existed because of a perceived time-lapse between research-driven advances in best practice and incorporation into high stakes testing - but these days are numbered. In this episode of the EMS Educator podcast, we host EMS Education experts and members of the National Registry research team, Chris Gage (current NREMT research fellow), Dr.
ACEP Now
AUGUST 15, 2023
A 16-year-old female presents to the emergency department (ED) after being sexually assaulted by two males at a party at her friend’s house. She denies any complaints or injuries. She is asking for an exam, as well as medications to avoid pregnancy and diseases. She refuses to allow her parents or the police to be notified. What do you do? Discussion The answer to that question varies with your practice location.
University of Maryland Department of Emergency Med
AUGUST 12, 2023
In recent years, there has been an uptick in non-operative management of acute appendicitis. This study examins outcomes in older patients (>.
EMS 20/20
AUGUST 16, 2023
Spencer throws Chris for a loop by making him critique. himself(ves)? In today's VERY strange episode, two BLS responders care for a sick baby, make a last minute switch on who is doing what, while the patient's mother seems to lose faith. Check out this week's sponsor, In Case at getincase.com/EMS2020 ! Spencer throws Chris for a loop by making him critique. himself(ves)?
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