The Skeptics' Guide to EM

JANUARY 15, 2022

Etomidate versus ketamine for emergency endotracheal intubation: a randomized clinical trial. 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

EMDocs

DECEMBER 18, 2023

Disposition The SSC guidelines suggest that patients with septic shock or critical illness be moved to the intensive care unit (ICU) within six hours of presentation to the ED. Restriction of Intravenous Fluid in ICU Patients with Septic Shock. The patient currently resides at a skilled nursing facility. 2020;157(2):286-292.

E-9-1-1 92

E-9-1-1 ALS Emergency Department Plasma 92

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). It is unclear how long he was down.

Defibrillator 110

Defibrillator CPR Epinephrine Life Support 110

NAEMSP

FEBRUARY 15, 2023

The patient was dying while intubated in the ICU but was awake enough to engage in discussions with providers through writing about her 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

AAEM RSA

APRIL 1, 2021

There was no difference in the secondary outcomes of time to hemostasis, ventilator-free days, ICU-free days, disposition at 30 days, incidence of primary surgical procedures, and functional status at hospital discharge (measured as Glasgow Outcome Scale-Extended Score). Ann Emerg Med. vs. 78.1%, p=0.006). 376(9734):23-32.

E-9-1-1 52

E-9-1-1 Plasma ACS ALS 52

EMDocs

FEBRUARY 12, 2024

Louis); Marina Boushra, MD (EM-CCM, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case Emergency Medical Services brings in a 62-year-old male with COPD in acute on chronic hypoxemic respiratory failure (usually on 3 L nasal cannula, now on non-rebreather at 15 L/min).

Emergency Department 98

Emergency Department E-9-1-1 ED ICU 98