The Skeptics' Guide to EM

NOVEMBER 30, 2024

An alumnus of Tacoma Community College's paramedic program Missy served as a paramedic for the Bremerton Fire Department for nearly 12 years and has been involved in paramedic education since 2004.

Administration 86

Administration CPR Airway Management Outcomes 86

RebelEM

JANUARY 9, 2024

Lancet 2004; 364: 1141-8. PMID: 1664833 Addo-Yobo E, et al. Oral amoxicillin versus injectable penicillin for severe pneumonia in children aged 3 to 59 months: a randomised multicentre equivalency study. PMID: 15451221 Atkinson M et al.

Infectious Diseases 96

Infectious Diseases Pediatrics EMS Administration 96

Taming the SRU

JANUARY 29, 2024

2004 Sep 21;110(12):1605-11. Epub 2004 Sep 7. 2004 Jul-Aug;32(4):429-35. Joffe HV, Kucher N, Tapson VF, Goldhaber SZ; Deep Vein Thrombosis (DVT) FREE Steering Committee. Upper-extremity deep vein thrombosis: a prospective registry of 592 patients. Circulation. Merminod T, Pellicciotta S, Bounameaux H. Blood Coagul Fibrinolysis.

Emergency Department 92

Emergency Department Fractures Hospitals Operations 92

Life in the Fast Lane

MAY 25, 2023

Lorcan Oliver and Mike Cadogan Frank Pantridge Frank Pantridge (1916-2004) was a Northern Irish cardiologist who created pre-hospital coronary care through the invention of the portable defibrillator

Hospitals 52

Hospitals Resuscitation 52

RebelEM

JULY 24, 2023

This approach has been shown to benefit patients when agents like propofol and midazolam are used. ( Russotto 2022 , Choi 2004 ). Over the last decade, airway experts have advocated for reduced induction agent dosing to lessen the risk of hypotension particularly in at risk patients. Paper: Driver BE et al.

Resuscitation 98

Resuscitation Outcomes Emergency Department EMS 98

ALiEM

APRIL 10, 2023

2004 Jan;9(1):52-6. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: [link] Lee LA. Neonatal lupus erythematosus: clinical findings and pathogenesis. J Investig Dermatol Symp Proc. doi: 10.1111/j.1087-0024.2004.00827.x. 1087-0024.2004.00827.x. PMID: 14870986.

Pediatrics 98

Pediatrics EKG/ECG Academics Wellness 98

Pediatric EM Morsels

JULY 21, 2023

Systematic review showed 85% of studies with substantial reliability with kappa statistic >0.6

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

PulmCCM

MAY 27, 2024

In hemorrhagic strokes (intracerebral hemorrhage or ICH), severely elevated blood pressure has been closely linked to hematoma expansion (Ohwaki et al Stroke 2004) , and early intensive treatment to reduce blood pressure to a target systolic BP of 140 mm Hg can reduce hematoma growth (Anderson et al Stroke 2010, INTERACT trial).

Stroke 52

Stroke Hospitals 52

EMDocs

JANUARY 29, 2024

2004 Feb;35(2):520-6. Epub 2004 Jan 15. 2004 Jun;35(6):1364-7. Epub 2004 Apr 29. Castillo J, et al. Blood pressure decrease during the acute phase of ischemic stroke is associated with brain injury and poor stroke outcome. doi: 10.1161/01.STR.0000109769.22917.B0. 0000109769.22917.B0. PMID: 14726553. doi: 10.1161/01.STR.0000128795.38283.4b.

Stroke 73

Stroke Outcomes EMS Seizures 73

Sensible Medicine

SEPTEMBER 18, 2023

The title gives away the results: Here is what they did: They took 159 patients who had severe TR and were operated on from 2004-2018. The Actual Study published in an Actual Journal: A group of surgeons from the Cleveland Clinic reported their study in The Journal of Thoracic and Cardiovascular Surgery , which has an impact factor of 6.

Operations 110

Operations Academics Shock Outcomes 110

Pediatric Education

SEPTEMBER 30, 2024

When we started writing cases in 2004 we never imagined we would be continuing for this long. Back in 2004 the National Library of Medicine had just over 700 diseases in their MedlinePlus library and we hoped to include many of them in the future. PediatricEducation.org is 20 years old. By the numbers today is the 926th case.

Pediatrics 40

Pediatrics 40

EMDocs

FEBRUARY 29, 2024

2004 May-Jun;156(3):159-62. An interesting cause of wide complex tachycardia: Ashman’s phenomenon in atrial fibrillation. J Emerg Med. 2013 Dec;45(6):835-41. Kennedy LB, Leefe W, Leslie BR. The Ashman phenomenon. J La State Med Soc. PMID: 15233390. Gouaux JL, Ashman R. Am Heart J. 1947 Sep;34(3):366-73.

EKG/ECG 81

EKG/ECG EMS Hospitals 81

The Skeptics' Guide to EM

AUGUST 10, 2024

2004) found that recombinant factor VIIa can rapidly reverse warfarin anticoagulation in cases of acute intracranial hemorrhage, but the study did not conclusively demonstrate a reduction in mortality or an improvement in functional outcomes. Reversal of Warfarin: Freeman et al.

Stroke 69

Stroke Airway Management Documentation/Coding Outcomes 69

RebelEM

MAY 29, 2023

Crit Care 2004. Multiple-Center, Randomized, Placebo-Controlled, Double-Blind Study of the Nitric Oxide Synthase Inhibitor 546C88: Effect on Survival in Patients with Septic Shock. PMID: 14707556 Richards-Belle et al. Lower Versus Higher Exposure to Vasopressor Therapy in Vasodilatory Hypotension: A Systematic Review with Meta-Analysis.

Shock 145

Shock Fluid Resuscitation Sepsis Resuscitation 145

Sensible Medicine

SEPTEMBER 8, 2024

The researchers looked at every patient that had mammograms between 2004 and 2019 and developed breast cancer. I also individualize my recommendations, provide a variety of infographics , and respect each patient’s decision. The article came out of the University of Pittsburgh and studied patients there.

Research 98

Research Hospitals 98

EMDocs

APRIL 27, 2024

Rosh Review Website Link Additional FOAM Resources: [link] [link] [link] [link] References: Rubin Grandis, J., Branstetter, B. 4th, & Yu, V. The changing face of malignant (necrotising) external otitis: clinical, radiological, and anatomic correlations. The Lancet. Infectious diseases , 4 (1), 34–39. link] Grandis, J., Branstetter, B.

EMS 84

EMS Infectious Diseases Radiology Radiology 84

Pediatric Education

MARCH 11, 2024

Since 2004, we have offered a breadth of cases that continues to be unstructured pediatric curriculum and educational resource. It has been an amazing journey that started with just one weekly case and now we have come to this newest milestone.

Pediatrics 40

Pediatrics 40

Don't Forget the Bubbles

FEBRUARY 19, 2024

A study by Chiu, Lee, and Huang (2004) found a negative correlation between the amount of time spent on gaming and academic performance. There is a complex interplay between gaming, psychological needs, and adolescent well-being. Disruption of Daily Life: Excessive gaming can significantly impact academic performance. Gentile et al.

Academics 59

Academics Leadership Research Teamwork 59

Sensible Medicine

JANUARY 6, 2025

The DES story begins in 2004 when the TAXUS-IV trial showed that a drug-eluting stent reduced angiographic restenosis vs a bare-metal stent. The story today is how the drug-eluting stent crushed its competitor the lowly bare-metal stent (BMS)—despite costing 3x more and requiring longer duration of antiplatelet therapy. But read on.

Outcomes 76

Outcomes Academics 76

SheMD

NOVEMBER 27, 2023

Flashback, 2004. We are bringing you stories of female physicians that prove you CAN do it! Dr. Sriraman joins us on the blog to discuss "mommy guilt" and how our children REALLY see us, as incredible Moms in Medicine. I introduce myself to a female neighbor who I had never met and we started chatting.

Pediatrics 98

Pediatrics Research Operations 98

RebelEM

JANUARY 29, 2024

PMID: 21422387 Wan S et al. Thrombolysis Compared with Heparin for the Initial Treatment of Pulmonary Embolism: A Meta-Analysis of the Randomized Controlled Trials. PMID: 15262836 Sharifi M et al. Pulseless Electrical Activity in Pulmonary Embolism Treated with Thrombolysis (from the “PEAPETT” Study). PMID: 27422214 Wang C et al.

Stroke 134

Stroke Outcomes Hospitals Administration 134

Critical Care Now

MAY 26, 2022

2004; 110(18):e454-8. 2004; 2: 1882-88. References Warkentin TE. Heparin-induced thrombocytopenia: diagnosis and management. Circulation. Lillo-Le Louet A, Boutouyrie P, Ahenc-Gelas M, et al. Diagnostic score for heparin-induced thrombocytopenia after cardiopulmonary bypass. J Thomb Hemost. Cuker A, Arepally GM, Chong BH, et al.

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PHEM Cast

FEBRUARY 2, 2016

2004 May 1;21(3):351– Brodie S, Hodgetts TJ, Ollerton J, McLeod J, Lambert P, Mahoney P. Life, limb and sight-saving procedures–the challenge of competence in the face of rarity. Emerg Med J. 2013 Feb 1;30(2):89–90. Ketamine in prehospital care. Emerg Med J. Tourniquet use in combat trauma: UK military experience. J R Army Med Corps.

Military 52

Military 52

The Skeptics' Guide to EM

JULY 9, 2022

This committee’s findings supported the use of tPA in less than three hours ( Ingall et al 2004). NINDS commissioned an independent committee to investigate if any of these imbalances invalidated the entire trial. What are your thoughts on this commissioned report?

Stroke 52

Stroke Emergency Department EMS Outcomes 52

Pediatric Emergency Playbook

OCTOBER 1, 2017

2004; 26(4): 163–167. Ultrasound-guided refilling of an intrathecal baclofen pump—a case report. Childs Nerv Syst. 2013; 29:347–349. Yeh RN, Nypaver MM, Deegan TJ, Ayyangar R. Baclofen Toxicity in an 8-year-old with an Intrathecal Baclofen Pump. J Emerg Med. Ventricular Assist Devices Blume ED, Naftel DC, Bastardi HJ et al.

Pediatrics 52

Pediatrics Seizures Stroke Ultrasounds 52

Don't Forget the Bubbles

AUGUST 9, 2023

2004-1231 Karmisholt J, Andersen S, Laurberg P. [link] Gharib H, Tuttle RM, Baskin HJ, Fish LH, Singer PA, McDermott MT. 2005) Subclinical thyroid dysfunction: a joint statement on management from the American Association of Clinical Endocrinologists, the American Thyroid Association, and the Endocrine Society. J Clin Endocrinol Metab.

Ultrasounds 98

Ultrasounds Pediatrics Wellness 98

EMDocs

FEBRUARY 7, 2024

One study from the National Bureau of Economic Research on nursing strikes in New York State from 1984 to 2004 found that hospital mortality increased by 19.4% 5 Quality : Results on quality impacts are mixed. and readmissions increased by 6.5% for patients admitted during the strike.

Hospitals 77

Hospitals Research Patient Safety Wellness 77

Taming the SRU

FEBRUARY 5, 2024

Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases , 22 Suppl 3 , S37–S62. Tunkel, A. Hartman, B. Kaplan, S. Kaufman, B. Scheld, W. M., & Whitley, R. Practice guidelines for the management of bacterial meningitis.

Infectious Diseases 96

Infectious Diseases Seizures Ultrasounds Sepsis 96

Dr. Smith's ECG Blog

OCTOBER 25, 2023

LYTES — All 3 of the electrolyte disturbances cited by Drs. Trostel and Meyers have been associated with QTc prolongation ( ie, hypokalemia, hypomagnesemia and hypocalcemia ).

EKG/ECG 108

EKG/ECG Seizures Hospitals Stroke 108

Maria Yang, MD

JUNE 4, 2023

Long time readers (from 2004—close to 20 years ago! I’ll say more about compulsory mental health care (also called involuntary psychiatric treatment) and involuntary medications in a separate post. thanks for spending decades with me!) will recall a physician I dubbed the Special Attending. (In

Psychiatric 59

Psychiatric Outcomes 59

EMDocs

NOVEMBER 21, 2023

2004 Nov 9;63(9):1647-55. The primary periodic paralyses: diagnosis, pathogenesis and treatment. 2006 Jan;129(Pt 1):8-17. Miller TM, Dias da Silva MR, Miller HA, et al. Correlating phenotype and genotype in the periodic paralyses. Statland JM, Barohn RJ. Muscle channelopathies: the nondystrophic myotonias and periodic paralyses.

Administration 69

Administration 69

Don't Forget the Bubbles

JANUARY 17, 2024

Closer to home, the New South Wales Poisons Information Centre (NSWPIC) reported 129 incidents involving water-absorbing beads since 2004. The vast majority were managed at home, with no adverse events reported. Again, the majority were managed at home. Most foreign bodies, even bits of Lego , will pass through without incident.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

Emergency Medicine Ireland

JUNE 21, 2021

Believe it or not there is a World Society of abdominal compartment syndrome that has been on the go since 2004 and you can become a life time member for free if you want. This is common, especially in the surgical population and does not always immediately jump to the front of our cerebral hemispheres when it should do.

Fluid Resuscitation 52

Fluid Resuscitation Resuscitation Wellness 52

Don't Forget the Bubbles

DECEMBER 13, 2023

link] [link] [link] [link] [link] [link] [link] International Journal of Epidemiology, Volume 33, Issue 4, August 2004, Pages 847–848, [link] Vademacum Metabolicum, Diagnosis and Treatment of Inborn Errors of Metabolism, J. Eur J Pediatr. 2016 Apr;175(4):573-9. doi: 10.1007/s00431-015-2676-4. Epub 2015 Dec 9. PMID: 26646145. Zschocke, G.

Dehydration 98

Dehydration CDC Hospitals Wellness 98

Don't Forget the Bubbles

JULY 17, 2023

2023 Jun 14;46:8-23 One-year survival and outcomes of infants born at 22 and 23 weeks of gestation in Sweden 2004-2007, 2014-2016 and 2017-2019. Prevalence of cerebral palsy and factors associated with cerebral palsy subtype: A population-based study in Belgium. Dhondt E, et al. Eur J Paediatr Neurol. Farooqi A, et al.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

Emergency Medicine Journal

NOVEMBER 28, 2023

Exclusion of non-english speakers in published emergency medicine research - a comparison of 2004 and 2014. J Gen Intern Med. 1996 Jan; 11 (1):39–43. Brodeur M, Herrick J, Guardioloa J, Richman P. Acta Inform Medica. 2017; 25 (2):112. Murray S, Buller AM. J Health Serv Res Policy. 2007 Oct 1; 12 (4):205–8.

Research 40

Research Burns Wellness 40

Dr. Smith's ECG Blog

JULY 21, 2024

In such cases — radiofrequency ablation of ectopic beats triggering malignant ventricular arrhythmias was needed for control of arrhythmic storm because the antiarrhythmic medications tried were ineffective ( Marrouche et al — JACC 5;43(9): 1715-20, 2004 ).

EKG/ECG 118

EKG/ECG Shock Hospitals Sepsis 118