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SGEM#460: Why Do I Feel Like, Somebody’s Watching Me – CHARTWatch to Predict Clinical Deterioration

The Skeptics' Guide to EM

Case: The Chief of Emergency Medicine (EM) at a large urban hospital recently approached the AI Committee at Unity Health, intrigued by the CMAJ article describing the apparent success of CHARTWatch in detecting early signs of patient deterioration. Reference: Verma et al.

ICU 277
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Putting Clinical Gestalt to Work in the Emergency Department

ACEP Now

On a busy day shift in the emergency department, our seasoned triage nurse comes to me after I finish caring for a hallway patient, “Hey, can you come see this guy in the triage room? This is the essence of emergency medicine. His vitals are fine…”. In the age of big data, more information sounds like a boon.

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Awake, and Paralysed: A Never Event

Don't Forget the Bubbles

You are the Paediatric doctor on call and receive a call for an incoming patient to the emergency department. Tragically, several attempts at resuscitation upon arrival at the emergency department were unsuccessful. Intubated, awake, and paralysed: a never event. His name is Ben. Ben was awake but paralysed.

E-9-1-1 135
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Tranq dope (fentanyl-xylazine combination): A new horizon in opioid withdrawal treatment

ALiEM

Bupe Allergy Buprenorphine induction has been the mainstay of emergency department treatment of opioid use disorder for more than a decade [11, 12]. The biggest change has been the gradual replacement of diacetylmorphine (heroin) by fentanyl and other synthetic opioids.

E-9-1-1 161
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The Kids THRIVE study: high-flow apnoeic oxygenation for intubation

Don't Forget the Bubbles

A total of eleven intensive care units (ten PICUs and one non-maternity NICU) and four emergency departments (EDs) took part in the study. Given the emergency setting, the trial used a research without prior consent model, with delayed consent-to-continue obtained from the childs legal guardian as soon as practical.

ICU 108
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SGEM#226: I Want A New Drug – One that Doesn’t Cause an Adverse Drug Event

The Skeptics' Guide to EM

Prospective Validation of Clinical Criteria to Identify Emergency Department Patients at High Risk for Adverse Drug Events. Guest Skeptic: Dr. Chris Bond is an emergency physician and clinical lecturer at the University of Calgary. [display_podcast] Date: August 16th, 2018 Reference: Hohl C et al. AEM Aug 2018.

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The 72nd Bubble wrap x Birmingham Children’s Hospital Emergency Department

Don't Forget the Bubbles

This time we have our first group of colleagues from Birmingham Children’s Hospital Emergency Department. Intranasal fentanyl and discharge from the emergency department among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. Am J Hematol.