PHEM Cast

APRIL 21, 2021

Anesthesia and Analgesia, 2002; 94; S-123. Difficult prehospital endotracheal intubation – predisposing factors in a physician based EMS. Difficult prehospital endotracheal intubation – predisposing factors in a physician based EMS. Annals of Emergency Medicine 2012; Volume 60, Issue 6, Pages 749–754.e2 e2 Delson NJ et.

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Airway Management Resuscitation EMS Documentation/Coding 40

Dr. Smith's ECG Blog

OCTOBER 17, 2024

The paramedic notes called STEMI into question: “EMS disagree with monitor for STEMI callout. With both EMS and ED computer interpretations reading ‘STEMI’, the emergency physician activated the cath lab. Comparing J-point between leads noted no significant ST elevation or depression, with QRS prolongation from RBBB.”

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EKG/ECG EMS Shock Ultrasounds 73

The Skeptics' Guide to EM

JUNE 24, 2017

His background includes working as a Research Assistant with the Ottawa Hospital Research Institute, Professor at Fanshawe College and currently, Superintendent of Education for Middlesex-London EMS, in London, Ontario, Canada. By-standard CPR is started and EMS is called. They arrive quickly and take over the resuscitation.

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Hyperthermia / Hypothermia CPR Resuscitation EMS 40

The Skeptics' Guide to EM

FEBRUARY 24, 2018

He writes an excellent blog called EM Nerd , which he describes as nihilistic ramblings. The first, the Annane et al trial published in JAMA in 2002, suggested a mortality benefit in favor of the corticosteroid group in the subset of patients who were found to have relative adrenal insufficiency.

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Shock Sepsis Emergency Department Resuscitation 40

PHEM Cast

DECEMBER 1, 2017

For example, here are the locations identified as ‘2nd ICS mid clavicular line’ amongst 25 EM physicians in a 2005 EMJ paper. Be particularly careful when using the 2nd intercostal space mid-clavicular line that you are sufficiently lateral. Note – again please do not use this location! link] Jadder, U., & McAuley, D.

Academics 52

Academics Radiology Radiology Resuscitation 52

Dr. Smith's ECG Blog

NOVEMBER 15, 2013

The above principles are all well illustrated with this figure from my book, The ECG in Acute MI (2002). It shows that on a 7 day angiogram, only 58% of re-occlusions were symptomatic: Ohman EM, Califf RM, Topol EJ et al. Plan was for admission for chest pain workup. Here is another classic article. Circulation 1991;84:1454-1455.

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EKG/ECG Documentation/Coding Emergency Department Wellness 52

Pediatric Emergency Playbook

OCTOBER 1, 2015

EMS is bringing you a child with a VP shunt, port-a-cath, trached on a vent, seizing, hypotensive, and now desaturating – ETA – 3 minutes. Pediatr Surg Int (2002) 18: 50-53 DiBaise JK, Scolapio JS. Are you ready? Medicine is evolving. Before we go further, remember to assess the parent and the child as a unit.

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Pediatrics Fractures Resuscitation Burns 40

Advanced Emergency Nursing from AENJ

JULY 9, 2015

YouTube.com [Time=33’11” Presentation] EMS World. Trucs et ficelles du métier: Intubation extra-hospitalière : Intubation inverse, technique dite de «l’intubation au piolet Urgence-Pratique.com {Defunct} Archived at < [link] > Google Translation. Smally, A. Beckham, J., & Cortes, V. Weinberg, G. Lee, Daniel E.,

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Airway Management Pediatrics Resuscitation Emergency Nursing 40

EMDocs

JUNE 8, 2024

We’ll keep it short, while you keep that EM brain sharp. Bethesda (MD): National Cancer Institute (US); 2002-. The post EM@3AM: Traumatic Iritis appeared first on emDOCs.net - Emergency Medicine Education. PDQ Pediatric Treatment Editorial Board. Retinoblastoma Treatment (PDQ®): Patient Version. 2021 Oct 7. and John O.

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EMS Allergic Reactions Poisoning Emergency Department 98

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. The post EM@3AM: Hyperthermia appeared first on emDOCs.net - Emergency Medicine Education.

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Hyperthermia / Hypothermia EMS Stroke Seizures 95

Pediatric EM Morsels

JULY 28, 2023

2002 Dec;141(6):793-7. 13406 The post Cerebral Edema and Diabetic Ketoacidosis: Rebaked appeared first on Pediatric EM Morsels. The Pediatric Emergency Medicine Collaborative Research Commitee. Factors associated with adverse outcomes in children with diabetic ketoacidosis-related cerebral edema. PMID: 12461495. Pediatr Diabetes.

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Fluid Resuscitation Pediatrics Resuscitation Research 246

Pediatric EM Morsels

MARCH 17, 2023

Venomous snakebites in the United States: management review and update [published correction appears in Am Fam Physician 2002 Jul 1;66(1):30]. doi:10.1186/1757-1626-1-16 The post Snake Bites and Children appeared first on Pediatric EM Morsels. as far west as Texas Cottonmouths/Water Moccasins live in the southeastern U.S.

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CDC Poisoning Pediatrics Shock 130

RebelEM

MAY 29, 2023

Anaesth Intensive Care 2002. appeared first on REBEL EM - Emergency Medicine Blog. vs 0.5% (Range 0.4 Infusion of Methylene Blue in Human Septic Shock: A Pilot, Randomized, Controlled Study. Crit Care Med 2001. PMID: 11588440 Memis D et al. The Influence of Methylene Blue infusion on Cytokine Levels During Severe Sepsis.

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Shock Fluid Resuscitation Sepsis Resuscitation 145

RebelEM

JUNE 26, 2024

Nephrol Dial Transplant 2002; 17: 1639-42. Rezaie, MD (Twitter/X: @srrezaie ) The post REBEL Core Cast 125.0 – Hyperkalemia appeared first on REBEL EM - Emergency Medicine Blog. Definition: A serum potassium level > 5.5 rhabdomyolysis -> hydration) Remove inciting factors (i.e. Ann Emerg Med 1991; 20(11): 1229-32.

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EKG/ECG Administration Burns EMS 58

RebelEM

MAY 25, 2023

PMID: 36542395 Post Peer Reviewed By: Anand Swaminathan, MD (Twitter: @EMSwami ) The post Trauma Resuscitation Updates appeared first on REBEL EM - Emergency Medicine Blog. mental status, urine output, capillary refill) is more important than an actual goal PERMISSIVE HYPOTENSTION IN PTS WITH TBI Brotfain E et al. JAMA Surg 2022.

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Resuscitation Fluid Resuscitation Head Injuries Shock 145

EMDocs

FEBRUARY 15, 2024

2002; 6(4):28-30. link] Soulaidopoulos S, Sinakos E, Dimopoulou D, Vettas C, Cholongitas E, Garyfallos A. Anticholinergic syndrome induced by toxic plants. World J Emerg Med. 2017;8(4):297-301. Jimson weed poisoning – a case report. The Permanente Journal. NC State Extension. Atropa Belladona. Accessed April 15, 2023. 2007;37:77-84.

Hyperthermia / Hypothermia 111

Hyperthermia / Hypothermia Poisoning Seizures COPD 111

ACEP Now

MARCH 14, 2024

A 44 year-old male with unknown past medical history came by emergency medical services (EMS) to the emergency department (ED) for an electrical injury and fall from a high voltage electrical pole. Per EMS, the patient was found at the bottom of a high voltage line with diffuse burns and amputation of his left forearm. Emerg Med Pract.

Burns 52

Burns Fluid Resuscitation EKG/ECG EMS 52

ACEP Now

MAY 8, 2023

3 In this EM Cases column, I endeavour to outline the top 10 clinical pitfalls in the recognition and management of acetaminophen toxicity. Emily Austin and Margaret Thompson for their expertise on the EM Cases podcast that inspired this column. 2002 Sep;36(3):659-65. Although common, acetaminophen toxicity is no simple matter.

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Poisoning Outcomes Administration EMS 52

Dr. Smith's ECG Blog

JANUARY 30, 2019

She was ventilated by bag-valve-mask by EMS on arrival and was quickly intubated with etomidate and succinylcholine. An elderly woman presents with altered mental status; she was found by her family lying on her bed in her apartment on a hot (103 F) summer day and was last seen three hours before. Circulation, 117, 1890–1893. [3]:

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Hyperthermia / Hypothermia EKG/ECG Wellness Documentation/Coding 52

Advanced Emergency Nursing from AENJ

APRIL 8, 2014

Implementation and care directives for "EMS" mouth-to-airway. Pinching, electrocution, ravens’ beaks, and positive pressure ventilation: a brief history of neonatal resuscitation. Archives of Disease in Childhood-Fetal and Neonatal Edition, 91(5), F369-F373. Review of old methods for resuscitating babies. Tercier, J.

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Resuscitation Ambulance Services Research Military 40

EMDocs

APRIL 12, 2025

Well keep it short, while you keep that EM brain sharp. 2002 Jul;127(1):73-8. The post EM@3AM: Pediatric Aural Foreign Bodies appeared first on emDocs. A 6-year-old boy with past medical history of ADHD is brought in by his parents with a chief complaint of left sided ear pain and irritability for 12 hours. PMID: 16983246.

Pediatrics 92

Pediatrics EMS Emergency Department Wellness 92

Dr. Smith's ECG Blog

APRIL 8, 2015

in 2010 EM Clinics of North America (full text link) For an Exhaustive Review of Syncope and its full management outside the ED environment, go to the 2009 European Society of Cardiology Guidelines (full text pdf). . -- Finally, a dedicated syncope unit may improve evaluation and outcome (17). 7) Soteriades ES et al. Quinn et al.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

EMDocs

NOVEMBER 13, 2023

Authors: Mary Hamblen, DO (EM Resident Physician, TX); Justin Hacnik, MD (EM Resident Physician, TX); Katherine Spencer, MD (EM Resident Physician, TX); J.D. Ann Surg 2002, 236 (3), 386-393; discussion 393-385. Williams, J. Felker, R. Timmons, S. DOI: 10.1097/01.Sla.0000027174.01008.A0 0000027174.01008.A0 A0 From NLM. (31)

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Stroke Radiology Radiology Emergency Department 106

Broome Docs

DECEMBER 22, 2024

PARAMEDIC 3 randomized 6,000 (but they were supposed to get to 15,000) patients with out of hospital arrest from multiple EMS agencies in the UK to either an IO or IV to start. 2018 Nov 22;379(21):2002-2014. You can find more details in the full blog post. Which is better in out of hospital cardiac arrest: IV or IO? of the IV group).

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Blood Transfusions Hospitals Outcomes Emergency Department 52

Taming the SRU

JULY 24, 2024

Use pacesetting to get quick results from a highly motivated and competent team Use coaching to help an employee improve performance and develop long-term strengths Social EM Grand Rounds: Interpersonal and community violence WITH drs. Can an airway assessment score predict difficulty at intubation in the ED?

Domestic Violence 52

Domestic Violence Leadership Ultrasounds Academics 52

EMDocs

JANUARY 20, 2025

2002 Apr;109(4):566-72. ”, REBEL EM blog, January 9, 2024. Arch Dis Child. 2018 Apr;103(4):383-388. Nager AL, Wang VJ. Comparison of nasogastric and intravenous methods of rehydration in pediatric patients with acute dehydration. Pediatrics. and Rowe, B. Headache: The Journal of Head and Face Pain. Swaminathan A. Aust Prescr.

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Dehydration Fluid Resuscitation Sepsis Resuscitation 75

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

We’ve heard, or been through, tales of early EM when BNTI was the fall-back for awkward intubations before EM could claim credentialing for RSI. Ontario EMS Nasal Tracheal Intubation Video on the YouTube Channel of Ontario EMS. Should EMS Use Nasotracheal Intubation? 10 (2002), pp. Brown III, MD, Ali S.

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Airway Management Resuscitation EMS CPR 40

Pediatric EM Morsels

JUNE 21, 2024

Palmieri 2002] Ointments and Silver and Gauzes, Oh My! There are many topical burn dressing options on the market. Ointment has shorter half-life, so should be cleansed and changed every 12 hours. Ointment has shorter half-life, so should be cleansed and changed every 12 hours.

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Burns Pediatrics Hospitals Wellness 173