Core EM

JANUARY 24, 2024

The Case An elderly male with a past medical history of hypertension and diabetes presents to the emergency department with a chief complaint of diarrhea and shortness of breath. For further discussion on Hyperkalemia and the Hyperkalemic ECG, see Core EM Podcast Episode 189: Episode 189: Hyperkalemia 2.0 F, and FSG 120.

Plasma 130

Plasma Emergency Department Overdose OR 130

Pediatric EM Morsels

OCTOBER 27, 2023

Broselow-Luten System: Supportive Data Physician estimates of weight can underdose children by 49% or overdose by up to 116%. References: Emergency Medical Services for Children- Enhancing Pediatric Safety (no date) Study Packet for the Correct Use of the BroselowTM Pediatric Emergency Tape. Int J Emerg Med. J Emerg Med.

E-9-1-1 268

E-9-1-1 Emergency Medical Services Life Support ALS 268

EM Literature of Note

MARCH 2, 2023

First, and not least, the Annals of Emergency Medicine Podcast , the Ryan and Rory Show, recapping the articles from each month’s issue, available for free on your choice of streaming platforms: Apple Podcasts Google Podcasts Soundcloud Then, there’s always something to learn from ACEP Now!

Overdose 52

Overdose Emergency Department EMS 52

REBEL EM

MARCH 13, 2024

This was not a Code 3 respiratory distress, fentanyl overdose with minimal response to Narcan or even an unconscious stroke patient with the blood pressure of a giraffe. In hindsight, I was not 100% certain, but relaying on my years of training, the voice inside my head and the gnawing feeling in my cut, it felt like the right thing to do.

NARCAN 55

NARCAN Overdose Emergency Department EMS 55

EMDocs

FEBRUARY 15, 2024

8 However, it is not considered first line in treatment of anticholinergic toxicity and is not available in all emergency departments. Use of a physostigmine continuous infusion for the treatment of severe and recurrent antimuscarinic toxicity in a mixed drug overdose. Goldfrank’s Toxicologic Emergencies, 11e.

E-9-1-1 90

E-9-1-1 Overdose ED OR 90

EMDocs

JANUARY 16, 2024

Authors: Christian Gerhart, MD (EM Resident Physician, Washington University in St. Louis); Dr. Jessica Pelletier, DO (EM Attending Physician, Washington University in St. You receive a page for a cardiac arrest and take report from emergency medical services (EMS). Per EMS he was very cold to touch. N Engl J Med.

Defibrillator 84

Defibrillator CPR Epinephrine Life Support 84

EMDocs

SEPTEMBER 7, 2023

Elimination half-life data is not well established but increases in larger overdoses and as renal injury begins to occur. 2 Laboratory assays for DEG are not widely available and have long turn-around-times, thus have limited utility in diagnosis in the emergency department. Metabolism of DEG adapted from Bessenhofer, et al.

E-9-1-1 66

E-9-1-1 ALS Emergency Department Plasma 66

EMDocs

JUNE 5, 2024

Negative anion gap and elevated osmolar gap due to lithium overdose. National Academy of Clinical Biochemistry Laboratory Medicine Practice Guidelines: Recommendations for the Use of Laboratory Tests to Support Poisoned Patients Who Present to the Emergency Department. Can Med Assoc J. 2007;176(7):921-923. doi:10.1503/cmaj.061057

Overdose 78

Overdose ALS OR Emergency Department 78

EMDocs

JULY 30, 2024

3 When administered early after overdose, nicotinamide may decrease the severity of toxicity. Management: Consider consulting a regional poison control center (in the US can call 1-800-222-1222) or local medical toxicologist to discuss the diagnosis and management following PNU exposure.

Overdose 56

Overdose ED OR Emergency Department 56

NCOAE

NOVEMBER 13, 2021

What an EMT Must Learn While nearly anyone can attempt to become an EMT, in order to qualify to take and pass the National Registry of Emergency Medical Technicians certification exam, candidates must first complete an approved EMS education program. Many fire departments require that all of their firefighters also be EMTs.

EMT 52

EMT EMT Emergency Medical Technician Ambulance Driver 52

NCOAE

MARCH 8, 2021

On the other hand, you could be called in to attend to the victim of a car accident or a shooting or a heart attack, drowning, mountaineering accident, or drug overdose. For example, in North Carolina you can gain your EMT license by taking the North Carolina Office of EMS Exam or by filing for legal recognition after passing the NREMT exam.

EMT 52

EMT EMT Emergency Medical Technician AEMT 52

EMDocs

JANUARY 4, 2024

Questions: What are the clinical manifestations of bupropion overdose? How is bupropion overdose treated? How long should a patient be observed after a bupropion overdose? 1 In addition to intentional overdoses, there are multiple case studies of abuse (ingestion, insufflation, injection). hours, SR 3 hours, XL 5 hours.

Overdose 66

Overdose E-9-1-1 ALS Emergency Department 66

EMDocs

DECEMBER 16, 2023

We’ll keep it short, while you keep that EM brain sharp. A 34-year-old male is brought via EMS after collapsing during an outdoor adventure race. EMS reports the patient was conscious but altered, with slurred speech and confusion. An 18-month-old boy presents to the emergency department with loss of consciousness.

EMS 68

EMS Heatstroke Emergency Department OR 68

ACEP Now

MAY 8, 2023

1,2 With such enormous popularity it is no surprise that each year there are 56,000 emergency department (ED) visits, 2,600 hospitalizations, and 500 deaths in the U.S. 3 In this EM Cases column, I endeavour to outline the top 10 clinical pitfalls in the recognition and management of acetaminophen toxicity. for death.

Overdose 52

Overdose ALS OR EMS 52

Pediatric EM Morsels

SEPTEMBER 1, 2023

One such vital aspect of pediatric emergency medicine is the appreciation of how psychosocial history impacts a patient’s life and care. As previously mentioned by Dr. Richardson , adolescents use the Emergency Department as their Primary Care resource often. This is particularly true for vulnerable adolescents.

ED 161

ED Emergency Department Overdose ALS 161

NAEMSP

APRIL 19, 2023

Calcium is also frequently used in the treatment of hyperkalemia, calcium channel blocker overdose, hypermagnesemia, and hypocalcemia and may be more likely to be used when one of these diagnoses is the suspected cause of cardiac arrest. Turkish Journal of Emergency Medicine, 22 , 67-74. References: 1. Ramazan, K., S., & Basar, C.

E-9-1-1 52

E-9-1-1 Advanced Life Support Overdose CPR 52

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 66

Emergency Department Emergency Medical Services Overdose ED 66

Handtevy

AUGUST 25, 2022

The primary focus of the study was to understand the characteristics of pediatric patients who received ketamine during EMS transports and to assess the effectiveness, dosing deviations, and potential adverse outcomes. Indications: The most common EMS impressions were related to injuries (62.7%) and behavior disorders (21.8%).

Overdose 52

Overdose EMS Emergency Department Ambulance 52

The Skeptics' Guide to EM

MAY 21, 2017

Do heroin overdose patients require observation after receiving naloxone? Guest Skeptic: Dr. Richard Hamilton (@RJHamiltonMD) is Chair of the Department of Emergency Medicine at Drexel University College of Medicine. Do heroin overdose patients require observation after receiving naloxone? Clinical Toxicology 2017.

Naloxone 130

Naloxone Overdose First Responder Emergency Department 130

REBEL EM

JULY 17, 2023

Background: Standard rapid sequence intubation (RSI) in the emergency department involves administration of an induction agent and a neuroblocking agent in quick succession. appeared first on REBEL EM - Emergency Medicine Blog. Range 5 to 9) Etomidate: 7.0 Range 5 to 9) Diff -0.2; 95% CI -1.4

ED 97

ED ICU Emergency Department Overdose 97

REBEL EM

DECEMBER 19, 2022

At REBEL EM, we’ve done an extensive write up that details some of the different types of DED and the electrophysiology behind it. Within the United States, due to paramedic shortages, this dual-medic setup does not exist in many EMS systems. This was in addition to a phenomenally fast EMS response time.

Defibrillator 52

Defibrillator Paramedic CPR EMS 52