ACEP Now

OCTOBER 13, 2023

“We want important community leaders to be aware that we are highly concerned about this announcement and the dire impacts that this could have on our community and our patients,” said on a post by Texas A&M/Spohn EM on X. “We

Patient Safety 132

Patient Safety Emergency Department Administration EMS 132

Pediatric EM Morsels

MAY 24, 2024

Evaluation of unintentional injury and trauma is one of the hallmarks of the EM and PEM physician. Low Risk Inta-Adbominal Trauma: Just Light ‘Em Up? 2007 Nov 22;357:2277-2284. The post Low Risk Intra-Abdominal Trauma: Rebaked Morsel appeared first on Pediatric EM Morsels. 2014;165:1230-1235. doi:10.1016/j.jpeds.2014.08.014.

Pediatrics 164

Pediatrics Blood Transfusions EMS Fractures 164

RebelEM

DECEMBER 5, 2023

up to 23% ( Lieberman 2005 , Rohacek 2014 , Tole 2007 , Grunau 2014 ). While the evidence is not strong, those who have been undertreated, experienced delays in treatment, or required multiple injections of epinephrine are more prone to experience a recurrence of symptoms ( Ellis 2007 , Liu 2020 ). Read More: 1.

Anaphylaxis 81

Anaphylaxis Allergic Reactions Emergency Department EMS 81

Pediatric EM Morsels

JULY 21, 2023

We had just received a young child from EMS who was post-ictal with decreased mentation. The post Glasgow Coma Scale in Children appeared first on Pediatric EM Morsels. In emergency medicine, we often use illness scripts and protocols to help drive our decision-making. Less than 8, intubate! 2018): 192–200.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

RebelEM

JANUARY 9, 2024

You decide she is stable to be discharged home on levofloxacin (See REBEL EM for antibiotic coverage in CAP ) but consider giving her a first dose intravenously. Thorax 2007; 62(12): 1102-6. appeared first on REBEL EM - Emergency Medicine Blog. A CXR demonstrates a right middle lobe opacity. PMID: 17567657 Rae N et al.

Infectious Diseases 99

Infectious Diseases Pediatrics EMS Administration 99

Pediatric EM Morsels

AUGUST 18, 2023

Noel 2007) In a very robust, recent multicenter, randomized, double-blind controlled study Moxifloxacin was compared to a comparator drug (IV ertapenem followed by PO Augmentin) for complex intraabdominal infections. PMID: 29356761 The post Fluoroquinolone Use In Children appeared first on Pediatric EM Morsels. Pediatric Infect Dis J.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

RebelEM

MARCH 6, 2024

2007 Nov;30(11):1445-59. Rezaie, MD (Twitter/X: @srrezaie ) The post REBEL Core Cast 119.0 – Sleep Hygiene appeared first on REBEL EM - Emergency Medicine Blog. Morgenthaler TI et al; Standards of Practice Committee of the American Academy of Sleep Medicine. An American Academy of Sleep Medicine report. Erratum in: Sleep.

Leadership 103

Leadership Hospitals EMS 103

RebelEM

FEBRUARY 21, 2024

A 2007 review of the literature concluded that there was no difference in analgesia between IM ketorolac and PO ibuprofen ( Arora 2007 ). Read More REBEL EM: The Ketorolac Analgesic Ceiling References Irizarry E et al. Can J Emerg Med 2007; 9(1): 30-2. Bonus Pearls: IM injection of ketorolac causes significant pain.

Administration 63

Administration Emergency Department EMS Research 63

RebelEM

JANUARY 24, 2024

2007; 31:279-284. Rezaie, MD (Twitter/X: @srrezaie ) The post REBEL Core Cast 116.0 – Achilles Tendon Rupture appeared first on REBEL EM - Emergency Medicine Blog. Br J Sports Med. 2005; 39(11): 838-42. PMID: 16244194 Margetic P et al. Comparison of ultrasonographic and intraoperative findings in Achilles tendon rupture.

Operations 101

Operations Ultrasounds Fractures Outcomes 101

Dr. Smith's ECG Blog

SEPTEMBER 23, 2024

When EMS found her, she was dyspneic and diaphoretic. Written by Willy Frick with edits by Ken Grauer A woman in her 70s with a history of hypertension presented with acute onset shortness of breath. She was out walking her dog when she developed sudden dizziness and light-headedness. Her ECG is shown below: What do you think?

EKG/ECG 128

EKG/ECG Ultrasounds Shock EMS 128

ACEP Now

OCTOBER 3, 2023

This document is an update of guidelines first published in 2000, and then updated in 2007. This guideline revision is particularly timely as EMS systems have shown their abilities to dramatically improve survival and neurologic outcome after cardiac arrest, STEMI, acute stroke, and other time-sensitive conditions. 2019;154(7):e191152.

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98

Dr. Smith's ECG Blog

OCTOBER 23, 2023

Edited by Bracey, Meyers, Grauer, and Smith A 50-something-year-old female with a history of an unknown personality disorder and alcohol use disorder arrived via EMS following cardiac arrest with return of spontaneous circulation. 2007 Oct;30(10):1267-72. The described rhythm was an irregular, wide complex rhythm. doi: 10.1111/j.1540-8159.2007.00849.x.

EKG/ECG 131

EKG/ECG Documentation/Coding Psychiatric EMS 131

RebelEM

AUGUST 28, 2023

A 2007 review of the literature concluded that there was no difference in analgesia between IM ketorolac and PO ibuprofen ( Arora 2007 ). Read More REBEL EM: The Ketorolac Analgesic Ceiling References Irizarry E et al. Can J Emerg Med 2007; 9(1): 30-2. appeared first on REBEL EM - Emergency Medicine Blog.

Administration 52

Administration Emergency Department EMS Research 52

The Skeptics' Guide to EM

MAY 21, 2017

Case: A 45-year-old male arrives via emergency medical services (EMS) complaining that he wants to be discharged. EMS states they found him unresponsive and with paraphernalia consistent with intravenous heroin use. Background: Heroin use has been increasing in the USA since 2007 (1).

Emergency Department 52

Emergency Department Administration Academics EMS 52

Critical Care Now

APRIL 5, 2022

Reading Time: 5 minutes Simon Taxel NRP, BA Simon is a paramedic, crew chief, and public safety diver with the Pittsburgh Bureau of EMS. The Excellence in Prehospital Injury (EPIC) Study The EPIC TBI study ran from 2007 to 2019 and involved an EMS and public health partnership in Arizona.

Airway Management 52

Airway Management EMS CDC Pediatrics 52

EMDocs

JANUARY 29, 2024

Authors: Sameer Desai, MD (EM Attending Physician, University of Kentucky); Omar Abbas Ahmed Malik, MBBS (Patients’ Aid Foundation, Jinnah Postgraduate Medical Center) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University School of Medicine in St. 2007 Jul 18;2007(3):CD000277. 1998 Apr;50(4):876-83.

Stroke 99

Stroke Outcomes EMS Seizures 99

ACEP Now

AUGUST 1, 2023

Factoring such, an order to transfer the patient immediately by ground or air EMS is the only actual support per se these non-physicians receive. Quillen College of Medicine (2003) Response The workforce study shook the foundation of emergency medicine (EM).

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

RebelEM

MARCH 9, 2023

Wernicke’s Encephalopathy (WE) : WE is present in over 12% of patients with alcohol use disorder (AUD) (Donnino 2007) and is misdiagnosed in up to 80% of patients (Sechi 2007), and carries a mortality rate of 10-17%. 2007 Dec;50(6):715-21. Epub 2007 Aug 3. 2007 May;6(5):442-55. Work up appropriately.

Psychiatric 52

Psychiatric Emergency Department Fractures Documentation/Coding 52

The Skeptics' Guide to EM

DECEMBER 8, 2017

He is the founder and creator of REBEL EM and REBEL Cast. ACEP has guidelines with the American Pain Society from 2007 on the use of opioids. Guest Skeptic: Dr. Salim Rezaie is a faculty physician at Greater San Antonio Emergency Physicians (GSEP) in San Antonio, Texas.

Emergency Department 52

Emergency Department Fractures EMS 52

PulmCCM

JUNE 10, 2024

Lecuyer et al (“The ICU Trial”, Crit Care Med 2007 ) In a prospective cohort study at one hospital in Paris, 188 cancer patients who developed critical illness midway through their treatment course were admitted to the ICU, with a reappraisal of the intensity of care on day 5. 2007 Dec 1;335(7630):1132. Epub 2007 Nov 1.

COPD 45

COPD Outcomes Hospitals EMS 45

Don't Forget the Bubbles

MAY 29, 2023

Workplace Incivility Among Nationally Certified EMS Professionals and Associations with Workforce-Reducing Factors and Organizational Culture, Prehospital Emergency Care. Internet] 2007; 505:1181–1197. Journal of Interpersonal Violence [Internet]. 2021:36:1–2, NP448–NP473 Available at. Available at: [link] Porath CL, Erez A.

Leadership 98

Leadership Patient Safety Academics Research 98

Emergency Medicine Ireland

NOVEMBER 30, 2020

There is a surprisingly good evidence basis for this intervention with three trials all published within a few years of each other in what seemed to be a skull removing replay of any of the Football European Championships of recent years.

Stroke 40

Stroke Outcomes EMS 40

RebelEM

MARCH 13, 2023

Does the inclusion of patients pronounced dead on scene and the presence of a physician-based EMS organization affect the pooled mortality rate and survival with favorable neurologic outcomes for prehospital TCA? Subcategory data on EMS system type is still extremely variable, given the range of included EMS systems and regions.

Basic Life Support 52

Basic Life Support EMS Outcomes Resuscitation 52

EMDocs

SEPTEMBER 25, 2023

Personal take: While discussing this approach with many EM physicians whom we respect, one recurring critique was “We fought so hard to get the right to use paralytics in the ED, why would you want to go backwards.” 2007): 748. We don’t want to go backwards! PMID: 33308912 Neilipovitz, David T., and Edward T. Wallace C, McGuire B.

Emergency Department 92

Emergency Department Soft Tissue Injuries Airway Management Operations 92

ACEP Now

SEPTEMBER 13, 2023

Years before, he’d started his EM career as medical director of the ER at Memphis’ public hospital and Memphis Fire EMS. 1 “I remarked that EM was not even a specialty then, and suggested it might be an opportune time for an updated IOM report that examined the achievements and challenges of emergency care in the U.S.,”

EMS 45

EMS Research Military Academics 45

RebelEM

DECEMBER 1, 2022

Regardless of the cause, a thoracostomy is often required for treatment (Currie 2007 ). 2007 Nov;83(985):722]. Rezaie, MD ( Twitter: @srrezaie ) The post Pigtail Catheter vs Large Bore Chest Tube for Pneumothorax appeared first on REBEL EM - Emergency Medicine Blog. World J Surg. 2018;42(1):107-113. Postgrad Med J. 2007.056978.

Outcomes 52

Outcomes Hospitals Research Critical Access 52

Taming the SRU

SEPTEMBER 8, 2023

NAC: Jiang SX, Hussaini T, Yoshida EM. doi: 10.1055/s-2007-1007253. “Acute Liver Failure: Evidence-Based Evaluation and Management.” emDOCs.Net - Emergency Medicine Education, 26 Nov. 2018, www.emdocs.net/acute-liver-failure-evidence-based-evaluation-and-management/. Saudi J Gastroenterol. 2022 Mar-Apr;28(2):85-91. Semin Liver Dis.

Radiology 59

Radiology Radiology Ultrasounds EMS 59

EMDocs

MAY 26, 2023

2007 Oct;14(5):265-8. Summary All right, so that’s it for this episode – hopefully you learned a bit more about how to safely deescalate an agitated child, and how we can keep them and ourselves as providers safe in a stressful environment. West J Emerg Med. 2012 Feb;13(1):35-40. PMC3298214. Eur J Emerg Med. PMID: 17823561.

Pediatrics 98

Pediatrics Psychiatric Emergency Department Documentation/Coding 98

EMDocs

JANUARY 4, 2024

Epub 2007 Sep 4. Use of lipid emulsion in the resuscitation of a patient with prolonged cardiovascular collapse after overdose of bupropion and lamotrigine. Ann Emerg Med. 2008 Apr;51(4):412-5, 415.e1. doi: 10.1016/j.annemergmed.2007.06.004. 2007.06.004. PMID: 17766009.

Seizures 92

Seizures EKG/ECG Poisoning Shock 92

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] Wax, D. B., & Leibowitz, A.

Academics 52

Academics Radiology Radiology Resuscitation 52

Northwestern EM Blog

SEPTEMBER 12, 2022

In most events, hospitals have communication with EMS personnel that are on scene allowing them to have some sort of estimation of the scale of the event and type of disaster encountered. This can be gauged by the type of disaster encountered and with assistance from EMS personnel at the scene. EMS Mass Casualty Management.”

Mass Casualty Incidents 52

Mass Casualty Incidents EMS Hospitals Hazardous Materials 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. Gastroenterol Clin N Am 36 (2007) 123-144l Feinberg A et al. January 17, 2007. Anesthesiology 2007; 106:164–77 Marks JH. Are you ready? Medicine is evolving. Hydrocephalus.

Pediatrics 40

Pediatrics Fractures Resuscitation Burns 40

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. 2007 Jul-Aug;28(4):418-26. In this case, cetirizine may be advantageous as it may have a more favorable side effect profile than diphenhydramine. Allergy Asthma Proc. PMID: 17883909.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

EMDocs

AUGUST 22, 2024

April 2007. Karliner L, Jacobs E, et al. Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature. Johnson L, Mirus I, et al. Language accommodation: best practices for working with interpreters. SAEM Pulse. May-June 2023. Johnson L, Mirus I, et al.

Documentation/Coding 104

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 104

Taming the SRU

MARCH 14, 2023

Case 2 19 year old seizure A 19-year-old male is brought into your emergency department via EMS for witnessed seizure-like activity. VP Shunt - Courtesy of Cancer Research UK via wikimedia - CC-4.0 - [link] Case courtesy of Paul Simkin, Radiopaedia.org, rID: 30453 Case courtesy of Dr Ruslan Asadov, Radiopaedia.org, rID: 8401. Neurosurg Focus.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

EMDocs

JUNE 16, 2023

Children’s Mental Health Emergency Department Visits: 2007-2016. Prolonged emergency department length of stay for US pediatric mental health visits (2005-2015). Pediatrics. 2021;147(5):e2020030692. doi: 10.1542/peds.2020-030692 2020-030692 Lo CB, Bridge JA, Shi J, Ludwig L, Stanley RM. Pediatrics. 2020 Jun;145(6):e20191536.

Psychiatric 52

Psychiatric Pediatrics Emergency Department Best Practices 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. Circ Res, 85(9), 803-809. [6]:

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia EKG/ECG Wellness Documentation/Coding 52