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. Another core element of emergency department (ED) and pre-hospital care is the assessment for potential spinal injuries [1,2].

Emergency Medical Services 246

Emergency Medical Services ALS EMS Emergency Department 246

International Journal of Paramedicine

OCTOBER 8, 2024

Little is known about patients’ decisions to come to the Emergency Department (ED) via emergency medical services (EMS) versus privately owned vehicle (POV); this is problematic as trust in EMS systems impacts patient care decisions. Patients completed a multi-method survey during their ED stay.

Emergency Medical Services 52

Emergency Medical Services EMS Emergency Department ED 52

ACEP Now

FEBRUARY 18, 2025

Emergency medical services (EMS) were called to the home of a 22-year-old woman after a syncopal episode and seizure-like activity. She was transported to the emergency department, and the following ECG was obtained (Figure1).

Emergency Medical Services 52

Emergency Medical Services Emergency Department EMS ALS 52

The Skeptics' Guide to EM

JANUARY 19, 2019

He is alert and oriented times three with normal vital signs by the time he arrives in the emergency department. Clinical Question: Can the Hospital Observation Upon Reversal (HOUR) rule be used to risk stratify patients for safe discharge from the emergency department after suspected opioid overdose?

Naloxone 130

Naloxone Overdose Emergency Medical Services Emergency Department 130

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.

Emergency Medical Services 111

Emergency Medical Services EMS STEMI Emergency Department 111

The Skeptics' Guide to EM

MAY 21, 2017

He is also the host of EMToxCast and gave a talk at the Association of Academic Chairs of Emergency Medicine Annual Retreat called: Can Social Media Save Emergency Medicine ? Case: A 45-year-old male arrives via emergency medical services (EMS) complaining that he wants to be discharged. Reference: Willman et al.

Naloxone 130

Naloxone Overdose First Responder BLS 130

The Skeptics' Guide to EM

JANUARY 9, 2021

JAMA 2020 Guest Skeptic: Mike Carter is a former paramedic and current PA practicing in pulmonary and critical care as well as an adjunct professor of emergency medical services […] The post SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC? first appeared on The Skeptics Guide to Emergency Medicine.

EMS 130

EMS Emergency Medical Services CPR Critical Care 130

The Skeptics' Guide to EM

JANUARY 15, 2022

Intensive Care Med 2021 Guest Skeptic: Missy Carter, former City of Bremerton Firefighter/Paramedic, currently a professor of Emergency Medical Services at Tacoma Community College’s paramedic program.

Emergency Medical Services 109

Emergency Medical Services Firefighter Critical Care Paramedic 109

Irish College of Paramedics

FEBRUARY 15, 2025

An accurate assessment maximizes CPAP's effectiveness By Kenny Navarro Arguably, airway management is one of the most important interventions provided by emergency medical service personnel.

Emergency Medical Services 40

Emergency Medical Services Emergency Department ED ALS 40

The Skeptics' Guide to EM

DECEMBER 17, 2022

Case: A 71-year-old man is brought to your emergency department (ED) by emergency medical serviced (EMS) having fallen two steps at home. She is also the wonderful educator that creates the Paper in a Pic infographics summarizing each SGEM episode.

Frozen Plasma 130

Frozen Plasma FFP Emergency Medical Services Plasma 130

EMDocs

JUNE 9, 2023

There are protocols in place that assist highly trained Emergency Medical Service providers in assuring that agitated children are safely transported to their destination. Any physician providing direct medical oversight as a base station should also be familiar with these protocols. Prehosp Emerg Care.

Emergency Medical Services 98

Emergency Medical Services EMS Emergency Department Ambulance 98

EMDocs

NOVEMBER 19, 2024

His roommate found an empty pill bottle on the floor next to him.

Overdose 111

Overdose EMS Emergency Medical Services ALS 111

The Skeptics' Guide to EM

MAY 29, 2021

The patient is an adult male with a gunshot wound to the chest, and they’re combative with emergency medical services (EMS). Case: You receive a call on the Biocom for an incoming Type A trauma, three minutes out.

Emergency Medical Services 130

Emergency Medical Services ACS ALS Emergency Department 130

EMDocs

JUNE 2, 2023

Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the Emergency Department: Consensus Statement of the American Association for Emergency Psychiatry. Erratum in: West J Emerg Med. Pediatric Agitation in the Emergency Department: A Survey of Pediatric Emergency Care Coordinators.

Emergency Department 92

Emergency Department Emergency Medical Services Overdose ED 92

EMDocs

SEPTEMBER 15, 2023

Source Emergency Medical Services handoff of patients in cardiac arrest in the Emergency Department: A retrospective video review study of duration and details of handoff. Try this checklist! Resuscitation. 2023 Aug;189:109834. doi: 10.1016/j.resuscitation.2023.109834. 2023.109834.

Emergency Medical Services 84

Emergency Medical Services Coronary Emergency Department EMS 84

The Skeptics' Guide to EM

FEBRUARY 17, 2018

Other serious time-dependent conditions such as myocardial infarction and trauma have been improved significantly with emergency medical services (EMS). It has been reported that over half of patients with sepsis arrive to the emergency department via ambulance [1].

Ambulance 100

Ambulance Paramedic Emergency Medical Services ALS 100

EMDocs

JUNE 1, 2023

Bradycardia: 18.8% Average ventilator days (8.3 Take Aways: The data do not suggest that targeted hypothermia improves neurological function, reduces death, or reduces hospital length of stay as compared to normothermia. Bradycardia: 18.8% Average ventilator days (8.3

E-9-1-1 84

E-9-1-1 Emergency Medical Services Emergency Department OR 84

ACEP Now

OCTOBER 9, 2024

Emergency physicians have long taken pride in delivering care every day of the week, every hour of the day. ACEP’s Emergency Department Accreditation program adds a layer to that, says Marianne Gausche-Hill, MD, FACEP, FAAP, FAEM, Chair of the program’s Board of Governors.

Emergency Department 52

Emergency Department Emergency Medical Services ED OR 52

EMDocs

JULY 9, 2024

The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. Acad Pediatr.

Emergency Department 74

Emergency Department Emergency Medical Services ED EMS 74

EMDocs

MAY 26, 2023

Emerg Med Clin North Am. Structured team approach to the agitated patient in the emergency department. Emerg Med Australas. Use and avoidance of seclusion and restraint: consensus statement of the american association for emergency psychiatry project Beta seclusion and restraint workgroup. Dtsch Arztebl Int.

Emergency Medical Services 97

Emergency Medical Services Emergency Department OR ED 97

ACEP Now

OCTOBER 26, 2023

Using Maryland state law as a guide, the American College of Emergency Physicians (ACEP) and the Emergency Department Practice Management Association (EDPMA) lobbied for passage of federal protections beginning in the mid-1990s.

Emergency Medical Services 124

Emergency Medical Services Emergency Department ED ALS 124

International Journal of Paramedicine

OCTOBER 8, 2024

Background Alternative emergency medical services (EMS) disposition programs have been developed for adults with low-acuity complaints. Methods This was a planned secondary analysis of a cross-sectional study of children transported by EMS to an emergency department (ED).

Emergency Medical Technician 52

Emergency Medical Technician EMT EMT Paramedic 52

NCOAE

AUGUST 12, 2022

Today we’re taking a more serious look at language, this time highlighting the terminology used by members of the Emergency Medical Service (EMS) community. That’s because one of our areas of focus here at The National Center for Outdoor & Adventure Education (NCOAE) is emergency medicine training and education.

EMS 52

EMS EMT EMT Emergency Medical Technician 52

AAEM RSA

MAY 7, 2021

Schreyer, MD CMQ FAAE Originally published: Common Sense January/February 2021 The advent and broad availability of ridesharing services, such as Lyft and Uber, are changing the way patients access medical services, and emergency departments (EDs) are taking notice. Academic Emergency Medicine. 2019.10.013.

EMR 52

EMR Emergency Medical Services Ambulance Emergency Department 52

EMDocs

JUNE 16, 2023

And now we’re here at our destination, the place we know and love, the emergency room to talk about what we should be doing for the growing volume of children with mental health problems boarding in the emergency department.

ED 52

ED Mental Health Services Emergency Department Emergency Medical Services 52

ACEP Now

MAY 9, 2024

But since the mid 80s, we have realized that EMS is the clinical practice of emergency medicine outside of the emergency department. There are also hundreds of other emergency physicians involved in EMS as part of their practice but aren’t board certified as EMS subspecialists. So physicians need to be involved.

EMS 52

EMS Emergency Medical Services EMT EMT 52

Handtevy

FEBRUARY 27, 2024

Every year, countless young lives are impacted by the split-second decisions made in emergency departments across the United States. Only 14% of emergency departments are adequately ready to manage pediatric emergencies, a statistic that speaks volumes about the silent risks our children face. Florida Senate.

Emergency Department 52

Emergency Department Emergency Medical Services CPR ED 52

EMDocs

JANUARY 16, 2024

Louis) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case You are working in the trauma/critical care pod of your emergency department (ED). You receive a page for a cardiac arrest and take report from emergency medical services (EMS). Am J Emerg Med. 1996;40(3):483-485.

Defibrillator 109

Defibrillator CPR Epinephrine Life Support 109

Core EM

JULY 23, 2024

Objective: Based on current evidence, this review article aims to guide the Emergency Department (ED) in providing care for patients with blast injuries. While the majority of casualties from blast injuries are in war zones, there has also been a recent increase in attacks involving civilians.

EMS 100

EMS Emergency Medical Services OR Coronary 100

ACEP Now

MARCH 12, 2024

30 to discuss violence in the emergency department and encourage elected officials to pass the SAVE Act , bipartisan legislation that ACEP helped develop and strongly supports to protect physicians and health care professionals in the workplace. This is a daily situation in emergency departments across the country.”

Mental Health Services 52

Mental Health Services Emergency Department Emergency Medical Services OR 52

Handtevy

SEPTEMBER 20, 2022

Case Report: The study discusses the case of a 17-year-old female who arrived at a community emergency department (ED) following a motor vehicle collision. Initially refusing emergency medical services, she was brought to the ED via a private vehicle. Her condition rapidly deteriorated, requiring intubation.

Operating Room 52

Operating Room Emergency Medical Services ED Emergency Department 52

NAEMSP

FEBRUARY 15, 2023

Sometimes they may benefit from transport to an emergency department if it is consistent with their care plan/wishes. Effect of a Mobile Integrated Hospice Healthcare Program on Emergency Medical Services Transport to the Emergency Department. Prehosp Emerg Care. Prehosp Emerg Care.

Emergency Medical Services 52

Emergency Medical Services EMS CPR Paramedic 52

Core EM

MARCH 7, 2024

Objective: Based on current evidence, this review article aims to guide the Emergency Department (ED) in providing care for patients with blast injuries. While the majority of casualties from blast injuries are in war zones, there has also been a recent increase in attacks involving civilians.

EMS 100

EMS Emergency Medical Services OR Coronary 100

NCOAE

DECEMBER 11, 2023

A study published by Cambridge University Press examined patient outcomes over a decade during which Emergency Medical Service (EMS) systems decreased backboard use as they transitioned from SI to SMR protocols. The study included 549 patients in the SI period and 623 patients in the SMR period.

OR 52

OR Emergency Medical Technician Emergency Department Emergency Medical Services 52

EMDocs

JANUARY 17, 2024

When emergency medical services (EMS) arrived, she was in asystole with an empty, recently full, bottle of benzonatate 100 mg capsules. She had return of spontaneous resuscitation (ROSC) and was subsequently intubated and transported to the emergency department (ED).

E-9-1-1 89

E-9-1-1 Overdose Emergency Medical Services Life Support 89

Don't Forget the Bubbles

MAY 29, 2023

Bad manners in the Emergency Department: Incivility among doctors. Burnout and Workplace Incivility Among Emergency Medical Services Practitioners: A Preliminary Report , Prehospital Emergency Care [Internet] 2023 Okuyama A, Wagner C, Bijnen B. PLoS ONE [Internet]. 2018 13(3): e0194933.

Critical Care 98

Critical Care E-9-1-1 Paramedicine Paramedicine 98

FOAMfrat

DECEMBER 28, 2023

Ok, here we go… Lots of controversy over the recent article titled, “Comparing Intubation Success Between Flight Nurses and Flight Paramedics in Helicopter Emergency Medical Services”, published by the Air Medical Journal in their November/December 2023 issue. Air Medical Journal , vol. 6, 2023, pp.

Paramedic 52

Paramedic Emergency Medical Services Operating Room OR 52