Dr. Smith's ECG Blog

NOVEMBER 30, 2022

This case was provided by Spencer Schwartz, an outstanding paramedic at Hennepin EMS who is on Hennepin EMS's specialized "P3" team, a team that receives extra training in advanced procedures such as RSI, thoracostomy, vasopressors, and prehospital ultrasound. N Engl J Med [Internet] 2013;368(21):2004–13.

EKG/ECG 52

EKG/ECG Emergency Department Ultrasounds Hospitals 52

The Skeptics' Guide to EM

JULY 9, 2022

Great emergency care takes a team from the prehospital setting, emergency department, inpatient and outpatient all working together. This committee’s findings supported the use of tPA in less than three hours ( Ingall et al 2004). They published their findings in Annals of EM 2009.

Stroke 52

Stroke Emergency Department EMS Outcomes 52

RebelEM

JANUARY 23, 2023

Noninferiority trials, covered here on REBEL EM , are helpful when the experimental treatment offers a distinct advantage over the standard treatment. Multicenter study of emergency department visits for insect sting allergies. Multicenter study of emergency department visits for food allergies. PMID: 16159637.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

PHEM Cast

APRIL 21, 2021

Emergency tracheal intubation: complications associated with repeated laryngoscope attempts. 2004 Aug;99(2):607-13, Hasegawa K et al. Association Between Repeated Intubation Attempts and Adverse Events in Emergency Departments: An Analysis of a Multicenter Prospective Observational Study. Int J Emerg Med 6, 38 (2013).

Airway Management 40

Airway Management Resuscitation EMS Hospitals 40

The Skeptics' Guide to EM

FEBRUARY 6, 2021

Annals of EM 2020. Case: A 32-year-old male patient presents to your emergency department (ED) with severe nausea, vomiting and abdominal pain. Background: Chronic marijuana use was recognized by Allen el al in 2004 to cause cyclical vomiting in patients from South Australia. Reference: Ruberto et al.

Hospitals 40

Hospitals Emergency Department Ultrasounds EMS 40

ALiEM

MARCH 7, 2024

Facts and Literature Review Bladder volume estimation Measuring bladder volume via POCUS in pediatric patients has been studied, demonstrating a benefit on Emergency Department workflow and length of stay (Table 1). Point-of-care ultrasound for the detection of hydronephrosis in emergency department patients with suspected renal colic.

Ultrasounds 70

Ultrasounds Pediatrics Radiology Radiology 70

EMDocs

APRIL 13, 2024

We’ll keep it short, while you keep that EM brain sharp. A 21-year-old man presents to the emergency department for pain and swelling in his ear beginning 3 days ago. Published online April 19, 2004. doi:[link] The post EM@3AM: Auricular Hematoma appeared first on emDOCs.net - Emergency Medicine Education.

EMS 104

EMS Emergency Department Pediatrics Wellness 104

Pediatric EM Morsels

JULY 21, 2023

In emergency medicine, we often use illness scripts and protocols to help drive our decision-making. We had just received a young child from EMS who was post-ictal with decreased mentation. Interrater reliability of Glasgow Coma Scale scores in the emergency department. Ann Emerg Med. Less than 8, intubate!

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

The Skeptics' Guide to EM

AUGUST 10, 2024

He is an assistant professor in Emergency Medicine, Neurology, and Neurosurgery at the School of Medicine at the University of Washington. Case: A 65-year-old man is brought into the emergency department (ED) by emergency medical services (EMS) after his family saw him slump over at the dinner table.

Stroke 90

Stroke Airway Management Documentation/Coding Outcomes 90

RebelEM

MAY 15, 2024

Comparison of the MASCC and CISNE scores for identifying low-risk neutropenic fever patients: analysis of data from three emergency departments of cancer centers in three continents. Epub 2011 Apr 22 Coyne CJ, Le V, Brennan JJ, Castillo EM, Shatsky RA, Ferran K, Brodine S, Vilke GM. Ann Emerg Med. Support Care Cancer.

Infectious Diseases 98

Infectious Diseases Administration Sepsis Anaphylaxis 98

Advanced Emergency Nursing from AENJ

SEPTEMBER 4, 2014

Resuscitator : Wikipedia general article Emergency Care Research Institute [ECRI] Gas-Powered Resuscitators Hazard [Health Devices Nov 1988;17(11):352-4] **Good review of concerns re Demand Valves, then and now. A., Automatic transport ventilator versus bag valve in the EMS setting: a prospective, randomized trial. Grainge, C.

Resuscitation 40

Resuscitation CPR Documentation/Coding Military 40

Northwestern EM Blog

JANUARY 24, 2022

And for most forms, EM physicians are not typically shocked by shock. 2004; 139(11):1199-1203. Emergency Medicine Clinics of North America. Revised National Estimates of Emergency Department Visits for Sepsis in the United States. However, what happens when the trusted treatment paradigm fails? Arch Surgery.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

EMDocs

FEBRUARY 12, 2024

Authors: Rachel Kelly, MD ( EM Resident Physician, Stony Brook University Hospital); Robert Nocito, MD (EM Attending Physician, Stony Brook University Hospital) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. Int J Emerg Med. Eur J Emerg Med. Emerg Med J. 140.11.1122.

Emergency Department 98

Emergency Department Resuscitation COPD Shock 98

Don't Forget the Bubbles

SEPTEMBER 18, 2023

This blog post aims to help familiarise you with some of the most common reasons for prescribing antibiotics in the paediatric emergency department. Antibiotic Use for Common Infections in Pediatric Emergency Departments: A Narrative Review. 2004 Sep 25;364(9440):1141–8. Karageorgos, S.; Hibberd, O.; The Lancet.

Emergency Department 143

Emergency Department Infectious Diseases Pediatrics Sepsis 143

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). The ROSE (Risk Stratification of syncope in the emergency department) Study.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

EMDocs

JUNE 27, 2024

Sundd P, Gladwin MT, Novelli EM. 2004 Jul;15(4):248-250. Am J Emerg Med. Intranasal fentanyl and discharge from the emergency department among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. 2020 Feb 12;10(1):2470. Annu Rev Pathol.

Pediatrics 97

Pediatrics Dehydration EMS Hospitals 97

EMDocs

JANUARY 20, 2025

Further #FOAMed: POCUS for Assessing Volume Responsiveness – Core Ultrasound Volume Assessment Using POCUS in the Emergency Department References McGee S, Abernathy WB 3rd, Simel DL. Does this dyspneic patient in the emergency department have congestive heart failure? 2004 Jan-Feb;17(1):37-43. Semin Dial.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

EB Medicine

DECEMBER 1, 2018

Jeff: In fact, a meta-analysis on vaccine effectiveness from 2004-2015 found that the pooled effectiveness against influenza B was 54%, against the H1N1 pandemic in 2009 was 61%, and against the H3N2 virus was 33%. Jeff: Of note, EMS providers should use face masks themselves and place them on patients as well.

Emergency Department 40

Emergency Department CDC Infectious Diseases EMS 40