The Skeptics' Guide to EM

NOVEMBER 16, 2019

Laura Melville ( @lmelville535 ) is an emergency physician in Brooklyn, New York, is a part of the New York ACEP Research Committee, ALL NYC EM, and is the NYP-Brooklyn Methodist Resident Research Director. Case: A 59-year-old woman comes is brought into your emergency department (ED) by EMS in cardiac arrest.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia EMS Research Documentation/Coding 40

ACEP Now

MAY 10, 2024

Cantor is professor of emergency medicine and pediatrics, director of the pediatric emergency department, and medical director of the Central New York Regional Poison Control Center at Upstate Medical University in Syracuse, New York. External auditory canal foreign body extraction outcomes. 2002; 23(4):473-5.

Pediatrics 52

Pediatrics Emergency Department Poisoning Outcomes 52

Taming the SRU

JANUARY 29, 2024

She was concerned that this was not improving and decided to come to the emergency department (ED). Hospital Course The patient was initiated on a therapeutic heparin drip in the emergency department with vascular surgery consultation. 2002 Feb 25;162(4):401-4. She had not had any blood clots previously.

Emergency Department 94

Emergency Department Fractures Hospitals Operations 94

PHEM Cast

APRIL 21, 2021

The Effect of Paramedic Rapid Sequence Intubation on Outcome in Patients with Severe Traumatic Brain Injury. Emergency tracheal intubation: complications associated with repeated laryngoscope attempts. Annals of Emergency Medicine 2012; Volume 60, Issue 6, Pages 749–754.e2 Anesthesia and Analgesia, 2002; 94; S-123.

Airway Management 40

Airway Management Resuscitation EMS Hospitals 40

The Skeptics' Guide to EM

FEBRUARY 24, 2018

Case: 64-year-old male presents to your emergency department with worsening abdominal pain, nausea, vomiting and anorexia for the past week. Over the course of his emergency department stay he has escalating vasopressor requirements. He writes an excellent blog called EM Nerd , which he describes as nihilistic ramblings.

Shock 40

Shock Sepsis Emergency Department Resuscitation 40

Northwestern EM Blog

JANUARY 2, 2023

While this may be surprising, there is literature that shows that catastrophic events can be associated with increased social support and reduce suicidal outcomes [4]. A pediatric emergency department in Texas looked at the resulted of their routine suicide risk screenings for patients aged 11-21. JAMA Netw Open. 2020.34261 5.

Emergency Department 52

Emergency Department Research Pediatrics CDC 52

Taming the SRU

AUGUST 30, 2023

While PCT may be more specific for bacterial infections, it is flawed by still being rather non-specific and is not validated as a stand-alone diagnostic criteria for infection in the setting of the emergency department. In 7 studies with 4164 patients, PCT with a cut-off > 0.1 ng/mL (strongly recommended against antibiotics), 0.1-0.25

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

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. Normal serum AST and ALT levels alone are not predictors of outcome. 2002 Sep;36(3):659-65. Acad Emerg Med. take acetaminophen on a weekly basis.

Poisoning 52

Poisoning Outcomes Administration EMS 52

Dr. Smith's ECG Blog

NOVEMBER 15, 2013

This was a male in his 50's with a history of hypertension and possible diabetes mellitus who presented to the emergency department with a history of squeezing chest pain, lasting 5 minutes at a time, with several episodes over the past couple of months. Also see this incredible case of the use of 12-lead ST Segment monitoring.

EKG/ECG 52

EKG/ECG Documentation/Coding Emergency Department Wellness 52

Don't Forget the Bubbles

JULY 26, 2023

Prioritise listening to the first 30 minutes which given a good overview of aetiology and treatment (53 mins) Basics of cardiac rhythm problems in the ED Palpitations are a common reason for children to present to the emergency department, the majority of these will be benign from a cardiac perspective and instead related to stress or anxiety.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

Pediatric Emergency Playbook

JANUARY 1, 2016

Accuracy of a screening instrument to identify potential child abuse in emergency departments. J Emerg Med. Factors associated with adverse outcomes in children with diabetic ketoacidosis-related cerebral edema. Factors associated with adverse outcomes in children with diabetic ketoacidosis-related cerebral edema.

Head Injuries 40

Head Injuries Pediatrics Shock Sepsis 40

Dr. Smith's ECG Blog

APRIL 8, 2015

Cardiac Syncope ("True Syncope") Independent Predictors of Adverse Outcomes condensed from multiple studies 1. These premonitory symptoms were negative predictors of adverse outcomes in EGSYS. 2) Boston syncope rule: J Emerg Med. The ROSE (Risk Stratification of syncope in the emergency department) Study.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

EMDocs

DECEMBER 16, 2023

An 18-month-old boy presents to the emergency department with loss of consciousness. Evaporative cooling is the preferred method to actively reduce body temperature in the emergency department , as it can be performed with ongoing resuscitation efforts. The American Journal of Emergency Medicine., link] Swee, duS.,

Hyperthermia / Hypothermia 96

Hyperthermia / Hypothermia EMS Stroke Seizures 96

EMDocs

NOVEMBER 13, 2023

The use of CTA (computed tomography angiography) in the emergency department (ED) has increased dramatically in the past 20 years. 2 Outcomes of patients presenting with ischemic stroke who received MRI as initial imaging modality have demonstrated similar outcomes to those with initial CTA, with Kim et al.

Stroke 105

Stroke Radiology Radiology Emergency Department 105

PulmCCM

FEBRUARY 26, 2024

Read in JAMA Covid Update: Two new drugs for mild-moderate symptoms; Fluvoxamine RCT; Covid “brain fog” Paxlovid improves outcomes for the elderly and other people at high risk for severe Covid, but the best available data suggest it doesn’t meaningfully help healthier, younger people. anytime soon.

Stroke 40

Stroke Psychiatric CDC Hospitals 40

PEMBlog

OCTOBER 31, 2024

every year, leading to emergency department visits and hospitalizations. A new study conducted by the Pediatric Emergency Care Applied Research Network (PECARN) aimed to determine whether LGG could reduce the severity of gastroenteritis in children. emergency departments. 2018 Nov 22;379(21):2002-2014.

Outcomes 105

Outcomes Pediatrics Emergency Department Research 105

EMDocs

JANUARY 20, 2025

13 While there is good data that early antibiotics for patients in septic shock reduce mortality 18-19 the role of early and aggressive volume resuscitation and its impacts on patient-centered outcomes remain unclear. Volume status Assessing volume status, especially in critically ill patients, can be challenging. Inwald et al.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

Broome Docs

DECEMBER 22, 2024

Their primary outcome was survival at 30 days, and there was no difference between the two groups (4.5% Favourable neurologic outcomes were seen in 2.7% The primary outcome here was ROSC, and there was no difference (30% with IO vs 29% with IV, RR 1.06, 95% CI 0.9-1.24). Pediatr Emerg Care. 2018 Nov 22;379(21):2002-2014.

Blood Transfusions 52

Blood Transfusions Hospitals Outcomes Emergency Department 52

Taming the SRU

JULY 24, 2024

jarrell and kimmel Violence is a social determinant of health Direct injury Vicarious trauma Cardiovascular health Psychological health Birth outcomes Risky sexual behavior Substance use Socioeconomic health The link between violence and direct injury is obvious, however there is evidence linking exposure to violence to other health consequences.

Domestic Violence 52

Domestic Violence Leadership Ultrasounds Academics 52