The Skeptics' Guide to EM

JUNE 6, 2020

Max is then going to Georgetown to be an attending in both EM and ICU. Case: It’s another day in your emergency department (ED). You scan through the EMR and see the blood pressure is 60/40. Six hours into your shift, you finish dispo’ing the “really quick sign-out” from the night before.

EMR 130

EMR ALS ICU Emergency Department 130

REBEL EM

MARCH 27, 2023

2 Finally the settings initiated early in a patient’s care are often carried forward unchanged into their hospital and ICU stay. Over the past few years, there has been an increase in emergency department (ED) volumes and lengths of stay. Paper: Owyang CG, et al. J Crit Care. J Crit Care.

Emergency Department 52

Emergency Department ICU Critical Care EMR 52

The Skeptics' Guide to EM

SEPTEMBER 25, 2021

Most emergency department patients meeting sepsis criteria are not diagnosed with sepsis at discharge. Guest Skeptic: Dr. Jess Monas is a Consultant in the Department of Emergency Medicine at the Mayo Clinic Hospital, Phoenix, Arizona. Date: September 20th, 2021 Reference: Litell et al.

EMR 100

EMR Emergency Department ICU ALS 100

REBEL EM

JUNE 8, 2023

The retrospective design of this study omitted assessment of ventricular dysrhythmias related to push dose pressor administration, as they were reliant on information in the EMR. If pre-made syringes are not financially feasible then the creation of these medications should be done by a dedicated emergency department pharmacist.

Epinephrine 98

Epinephrine Emergency Department ALS Critical Care 98

REBEL EM

DECEMBER 23, 2024

Reliance on a billing dataset, instead of EMR or prospective data, likely affected the quality of outcome measurement. This study only analyzed the impact of early fluid resuscitation occurring within 24 hours of admission; it is therefore difficult to generalize to patient care occurring after this first day.

ALS 128

ALS ED ACS EMR 128

Core EM

JANUARY 16, 2025

look them up in the EMR to see if theyve been intubated before, and look at the note on the difficulty and grade of view.) It is true, someone finally did an RTC on ICU level patients and found that first pass success IS better with VL than DL (Prekker 2023), but the fact remains that sometimes VL fails. Ann Emerg Med.

E-9-1-1 130

E-9-1-1 EMS ALS OR 130