The Skeptics' Guide to EM

MARCH 12, 2022

She is an emergency physician at Mount Sinai Hospital and a Clinician Scientist and the Deputy Director of the Schwartz-Reisman Emergency Medicine Institute. Case: An 18-year-old female presents to the emergency department (ED) after falling off a moving snowmobile and hitting her head on the ground.

Emergency Department 40

Emergency Department Head Injuries Pediatrics Research 40

RebelEM

JANUARY 23, 2023

Multicenter study of emergency department visits for insect sting allergies. Multicenter study of emergency department visits for food allergies. 2006) “Management of acute allergic reactions and anaphylaxis in the Emergency Department between 1993-2003,” Journal of Allergy and Clinical Immunology , 117(2).

Allergic Reactions 52

Allergic Reactions Anaphylaxis Urgent Care Emergency Department 52

ACEP Now

APRIL 2, 2024

An 18-year-old woman presented to the emergency department (ED) with symptoms of nausea, vomiting, diarrhea, and abdominal pain. Franco is an emergency medicine attending physician at St. Ackee fruit poisoning: an outbreak investigation in Haiti 2000–2001, and review of the literature. Am J Trop Med Hyg. Clin Toxicol.

Poisoning 40

Poisoning Administration Urgent Care Documentation/Coding 40

EM Updates

MARCH 24, 2021

The primary tool for emergency airway management then became the traditional laryngoscope , a device little improved since the 1940s, until the advent of video laryngoscopy in the early 2000s which changed everything.

Operations 52

Operations Airway Management EMS Wellness 52

Pediatric EM Morsels

JULY 21, 2023

2001 Apr;68(4):311-4. Interrater reliability of Glasgow Coma Scale scores in the emergency department. Ann Emerg Med. Systematic review showed 85% of studies with substantial reliability with kappa statistic >0.6 Pediatr Neurol. 2006 May;34(5):379-87. doi: 10.1016/j.pediatrneurol.2005.10.012. 2005.10.012. J Surg Res.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Dr. Smith's ECG Blog

DECEMBER 27, 2023

Written by Willy Frick A man in his 50s with a history of hypertension, dyslipidemia, type 2 diabetes mellitus, and prior inferior OMI status post DES to his proximal RCA 3 years prior presented to the emergency department at around 3 AM complaining of chest pain onset around 9 PM the evening prior. link] Stone, G. Brodie, B.

EKG/ECG 130

EKG/ECG Documentation/Coding Wellness Emergency Department 130

EMDocs

JUNE 2, 2023

You should always follow your local practice guidelines and recommendations as well as adhere to approved medications in your facility. mg/kg/dose (IM/IV) Has a FDA Black Box warning in 2001 citing concerns of QT prolongation and torsades de pointes (TdP). Document what you gave and why, as well as the impact. 5 mg PO; 0.05-0.15

Psychiatric 65

Psychiatric Pediatrics Emergency Department Administration 65

Taming the SRU

NOVEMBER 13, 2024

haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S.,

Psychiatric 88

Psychiatric Seizures Emergency Department Pediatrics 88

Taming the SRU

OCTOBER 28, 2024

Unported from wikimedia commons, File:2001 Heart Position in ThoraxN.jpg - Wikimedia Commons accessed 10/25/24 Epidemiology and etiology Pneumomediastinum is uncommon. When should I get a consultant involved in the emergency department? West J Emerg Med. left image: coronal view of structures within the mediastinum.

COPD 78

COPD Pediatrics Emergency Department Ultrasounds 78

EMDocs

FEBRUARY 12, 2024

ABG and VBG Correlation The correlation between venous and arterial blood gases is well-documented for standard differences (Table 1), and the data obtained from the VBG can be acted on as if it were an ABG (1, 3-6). While ABGs and VBGs usually correlate well, there are a few situations where this correlation is disturbed.

Emergency Department 93

Emergency Department Resuscitation COPD Shock 93

Pediatric Emergency Playbook

APRIL 1, 2017

Look for a small tip diameter (to fit in the ear canal as well as the nose) and a strong “hold” (at least a 3-lb hold). Nonfatal Choking on Food Among Children 14 Years or Younger in the United States, 2001–2009. Am J Emerg Med. Emergency department management of foreign bodies of the external ear canal in children.

Pediatrics 52

Pediatrics CPR Operations Resuscitation 52

EMDocs

NOVEMBER 25, 2024

volvulus as well as improvements in the diagnosis and treatment of this morbid disease. This article aims to create emergency clinician awareness of onchocerciasis as a potential cause of visual and dermatologic complaints and will highlight appropriate diagnosis and management strategies. 7 Approximately 14.6 Image source: 1.

Infectious Diseases 53

Infectious Diseases Emergency Department EMS Administration 53

Dr. Smith's ECG Blog

APRIL 8, 2015

True Syncope: If, on the other hand, the patient is well, had no other serious symptoms , has a normal sinus rhythm, and normal physical exam , then you need to be certain the syncope was not due to a dangerous brady- or tachydysrhythmia that could recur. The ROSE (Risk Stratification of syncope in the emergency department) Study.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

RebelEM

NOVEMBER 11, 2024

What They Did: Investigators performed a retrospective cohort study in the Emergency Department at the University of Michigan between July 1, 2014 through December 31, 2018. Learning to recognize a strong instrumental variable, as well as the inherent limitations, will likely become increasingly high yield. N Engl J Med.

Sepsis 98

Sepsis Outcomes Administration Shock 98

PEMBlog

JANUARY 16, 2025

Well dive into the clinical presentations, including acute and chronic symptoms, the dangers of sudden sniffing death, and the specific risks associated with nitrites, hydrocarbons, and nitrous oxide. Inhalant misuse reported to Americas Poison Centers, 2001-2021. Well, these are volatile substances that youre not meant to breathe in.

Pediatrics 52

Pediatrics Poisoning Wellness Burns 52

EMDocs

JANUARY 20, 2025

1,2 For hypervolemia in heart failure patients, orthopnea >2 pillows is the most reliable clinical finding, 3,4 though an increase in peripheral edema and increased weight can be useful as well. 6-8 In patients who are on long-term hemodialysis, typical non-invasive signs of volume assessment seem to be unreliable as well.

Dehydration 59

Dehydration Fluid Resuscitation Sepsis Resuscitation 59