Pediatric EM Morsels

OCTOBER 27, 2023

Rosenberg 2011, Yamamoto 2009] Not as accurate in obese children (physicians were better at estimating). 2020) The Times & Tapes Are a-Changin’: The Latest Broselow-Luten Tape for EMS , EMS World. link] The post The Broselow-Luten System appeared first on Pediatric EM Morsels. [Lubitz 1988] Very accurate for 3.5-25kg

Pediatrics 271

Pediatrics Resuscitation Documentation/Coding Wellness 271

First 10 EM

SEPTEMBER 25, 2023

Weingart 2011, Weingart 2015) It is a brilliant concept, makes a ton of sense on paper, and anecdotally has seemed to help a number of my patients. Introduced to the world by our friend Scott Weingart, delayed sequence intubation (DSI) is often summarized as procedural sedation for the procedure of preoxygenation.

EMS 140

EMS 140

Pediatric EM Morsels

JUNE 9, 2023

Gana, 2011 ] Endoscopy and other procedures Currently still debated, but reasonable to discuss additional options with your friendly Pediatric GI team. 2011 Jun;52(6):751-5. The post Acute Esophageal Variceal Bleeding in Children appeared first on Pediatric EM Morsels. Call them early! J Pediatr Gastroenterol Nutr. Hepatology.

Pediatrics 154

Pediatrics Head Injuries Airway Management Resuscitation 154

Pediatric EM Morsels

JULY 21, 2023

We had just received a young child from EMS who was post-ictal with decreased mentation. 2011 Apr;48(4):331-2. 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!

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Pediatric EM Morsels

APRIL 28, 2023

J Child Orthop 5, 465–470 (2011). J Child Orthop 5, 465–470 (2011). J Bone Joint Surg Am 62(2):205–215 The post Tibial Tubercle Avulsion Fracture appeared first on Pediatric EM Morsels. JBJS reviews 8.4 2020): e0186–e0186. & Hosalkar, H.S. link] Gregory W. Kunis, Joshua A. Berko, Jeffrey C. Shogan, et al.

Fractures 130

Fractures Pediatrics Operations Wellness 130

EMDocs

DECEMBER 6, 2024

In: Tintinalli JE, Stapczynski J, Ma O, Yealy DM, Meckler GD, Cline DM. Tintinallis Emergency Medicine: A Comprehensive Study Guide, 8e. McGraw Hill; 2016. & Rangan, C. Iron Poisoning: A Literature-Based Review of Epidemiology, Diagnosis, and Management. Pediatric Emergency Care, 27 (10), 978-985. doi: 10.1097/PEC.0b013e3182302604.

Poisoning 98

Poisoning Fluid Resuscitation Seizures Resuscitation 98

The Skeptics' Guide to EM

JANUARY 9, 2021

JAMA 2020 Guest Skeptic: Mike Carter is a former paramedic and current PA practicing in pulmonary and critical care as well as an adjunct professor of emergency medical services […] The post SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC? first appeared on The Skeptics Guide to Emergency Medicine.

EMS 52

EMS Resuscitation CPR Hyperthermia / Hypothermia 52

Ken Grauer, MD

JULY 22, 2023

The ECG in Figure-1 was obtained from an elderly man with a history of coronary disease — who contacted EMS for "burning" chest discomfort that woke him at 3am. Some amount of time passed at home — during which his chest discomfort persisted The patient was hemodynamically stable at the time he was seen by EMS, when ECG #1 was recorded.

EKG/ECG 195

EKG/ECG Burns EMS Wellness 195

RebelEM

JANUARY 24, 2024

Wallace 2011 ) If addressed early and appropriately, most patients have good self-reported long-term outcomes regardless of the treatment modality Links Orthobullets: Achilles Tendon Rupture Resources: Sheth U et al. J Bone Joint Surg Br 2011; 93(10):1362-6. PMID: 21969435 Erickson BJ. Orthop J Sports Med.

Operations 101

Operations Ultrasounds Fractures Outcomes 101

EMDocs

JANUARY 3, 2024

10 Evidence For nearly a decade, the only randomized controlled trial with insight into the effectiveness of CardioMEMS TM was the 2011 CHAMPION trial. 2011 Feb 19;377(9766):658-66. 8 The device itself is 2 x 2.5 x 15 mm (Figure 1), with bilateral nitinol loops each 10mm in diameter to facilitate securement in the pulmonary artery.

Allergic Reactions 113

Allergic Reactions Hospitals EMS Emergency Department 113

RebelEM

SEPTEMBER 23, 2024

However, it is well-established that even a single dose of etomidate can cause adrenal suppression ( Albert 2011 ). Read More REBEL EM: From Debate to Data: Emerging Insights into Induction with Ketamine vs Etomidate. appeared first on REBEL EM - Emergency Medicine Blog. References Albert SG, Ariyan S, Rather A.

EMS 77

EMS Resuscitation Outcomes Wellness 77

Pediatric EM Morsels

MAY 12, 2023

We last pondered this in 2011 Morsel , just a couple years after PECARN head injury data was published. The post Closed Head Injury – PECARN for < 3 Months: Rebaked Morsel appeared first on Pediatric EM Morsels. Epub 2009 Sep 14. Erratum in: Lancet. 2014 Jan 25;383(9914):308. PMID: 19758692.

Head Injuries 130

Head Injuries Fractures Pediatrics EMS 130

EMDocs

JUNE 13, 2024

EM, April 2011. A record that the patient acknowledged receipt of discharge instructions is a valuable defense. References : “Sign Right Here and You’re Good to Go”: A Content Analysis of Audiotaped Emergency Department Discharge Instructions. Vashi A, Rhodes K. emDOCs Podcast – C. Medscape eMedicine. Updated: Jun 7, 2023.

Documentation/Coding 98

Documentation/Coding Patient Safety Emergency Department Hospitals 98

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. 2011 Sep;15(2):211-40. N Engl J Med. Epub 2016 Jun 8.

Stroke 99

Stroke Outcomes EMS Seizures 99

RebelEM

MARCH 22, 2023

Amal Mattu’s ECG Blog has an excellent review of AVNRT vs. VT and REBEL EM reviews the sensitivity and specificity of various algorithms. Multiple studies comparing verapamil to adenosine demonstrate equal efficacy of either agent with verapamil causing more hypotension ( Delaney 2011 , Hood 1992 ) Dose: 0.07 2011; 18(3): 148-52.

EKG/ECG 52

EKG/ECG EMS Pediatrics Stroke 52

Taming the SRU

SEPTEMBER 25, 2023

This places a significant responsibility on the EM physician to diagnose and treat fractures. Specifically, EM physicians should be able to recognize fractures that will likely require operative management and facilitate close follow up, such as a Maisonneuve fracture. 2011 Jan-Feb;50(1):62-7. J Foot Ankle Surg. 2010.08.017.

Fractures 101

Fractures Operations Emergency Department EMS 101

PHEM Cast

APRIL 16, 2018

Critical Care; 2011. Anneals of EM; 2015: 297-307. 2011; 82: 1138-43. Epidemiology and aetiology of TCA in England… Resuscitation; 110 (2017): 90-94. Russell RJ et al. The role of trauma scoring in developing trauma clinical governance in the Defence Medical Services. Phil Trans R Soc. Doi: 1098/rstb.2010.0232 EMJ; 2005: 22-24.

Resuscitation 52

Resuscitation Shock Ultrasounds CPR 52

ALiEM

OCTOBER 30, 2024

Case A patient arrives via EMS from the bus station complaining of fever, vomiting, and back pain. Our experience: It was not long ago that we instructed our staff that: ‘COWS >8, give ’em 8 (mg of buprenorphine).’ 2011 Dec;6:1-4. They report insufflating ‘a bundle’ of tranq dope per day. 2023 Jan 1;53(1):140-2.

Emergency Department 64

Emergency Department Operations Psychiatric EMS 64

Dr. Smith's ECG Blog

MAY 20, 2024

He called EMS, who arrived on scene about two hours after the onset of pain to find him hypertensive at 220 systolic. Annals of Emergency Medicine 2011; Suppl 58(4): S211. Murakami MM. Diagnosis of Type I vs. Type II Myocardial Infarction in Emergency Department patients with Ischemic Symptoms (abstract 102).

EKG/ECG 126

EKG/ECG Hospitals Wellness Emergency Department 126

RebelEM

SEPTEMBER 13, 2023

PMID 18768946 Post Created By: Anand Swaminathan MD, MPH (Twitter @EMSwami ) Post Peer Reviewed By: Salim Rezaie MD (Twitter @SRRezaie) The post REBEL Core Cast 108.0 – Angioedema appeared first on REBEL EM - Emergency Medicine Blog.

Allergic Reactions 105

Allergic Reactions Airway Management Anaphylaxis Emergency Department 105

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. Journal of Leadership & Organizational Studies [Internet] 2011:18:4:449–458. Internet] 2011:41(1):41-47. Journal of Interpersonal Violence [Internet].

Leadership 98

Leadership Patient Safety Academics Research 98

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! Beckett, A., Pannell, D., Acharya, S.,

Academics 52

Academics Radiology Radiology Resuscitation 52

RebelEM

FEBRUARY 12, 2024

2011; 18(7):699-707. appeared first on REBEL EM - Emergency Medicine Blog. Radiological Imaging of Patients With Suspected Urinary Tract Stones: National Trends, Diagnoses, and Predictors. Gottlieb RH, La TC, Erturk EN, et al. CT in Detecting Urinary Tract Calculi: Influence on Patient Imaging and Clinical Outcomes Radiology.

Radiology 77

Radiology Radiology Emergency Department Ultrasounds 77

Emergency Medicine Ireland

JUNE 10, 2024

I have previously covered this on the old tasty morsels of EM series back when i was doing my EM fellowship exams. The classic EM example is the whole family who present with flu symptoms and no fever and even the dog is sick. A follow up trial in 2011 by ICU steroid guru Djilalli Annane did not find a benefit.

Poisoning 52

Poisoning EMS Burns Shock 52

PHEM Cast

DECEMBER 12, 2016

Joint Position Statement of Nat Assoc EMS Physicians and ACS Committee on Trauma. Resuscitation; 2011: 1194-1197 Guidelines for withholding or termination of resuscitation in prehospital cardiopulmonary arrest. J Am Coll Surg; 2003 (1): 106-111.

Military 52

Military Resuscitation Emergency Department Documentation/Coding 52

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). The workforce dilemma is a challenge we will face for years to come.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

SheMD

APRIL 30, 2023

Emergency Medicine (EM) physicians work a shift-work schedule, which may have implications for fertility. Additionally, infertility in female physicians is an issue for how we mentor women in their careers, for burnout and for recruiting more women into the field of EM. In the 30-34 year age group, EM physicians had 15.8%

CDC 52

CDC EMS Outcomes 52

The Skeptics' Guide to EM

SEPTEMBER 23, 2017

Case: You are the medical director of an EMS system in a large city deciding on whether to respond to all out of hospital cardiac arrests (OHCA) with ACLS capabilities, or if resources should be directed to those candidates for extracorporeal CPR. You need to recognize an arrest and activate your EMS system. JAMA 2009 * Jacobs et al.

CPR 52

CPR Academics Resuscitation Hospitals 52

The Skeptics' Guide to EM

DECEMBER 7, 2018

You are the first provider on scene with Emergency Medical Services (EMS) and start high-quality Cardiopulmonary Resuscitation (CPR). published in Resuscitation 2011. Jenn Doyle is a paramedic educator at Middlesex-London Paramedic Service. Case: A 51-year-old man experiences a cardiac arrest on the street.

Advances Cardiac Life Support (ACLS) 52

Advances Cardiac Life Support (ACLS) CPR Resuscitation Hospitals 52

EMDocs

AUGUST 3, 2023

2011 Jun;49(5):423-5. In vitro analysis of N-Acetylcysteine (NAC) interference with the International Normalized Ratio (INR). Clinical Toxicology , 60 (4), 489–492. link] Heard K, Schaeffer TH. Massive acetylcysteine overdose associated with cerebral edema and seizures. Clin Toxicol (Phila). doi: 10.3109/15563650.2011.583664. PMID: 21740141.

Poisoning 98

Poisoning Seizures Administration Pediatrics 98

RebelEM

JANUARY 29, 2024

appeared first on REBEL EM - Emergency Medicine Blog. Management of Massive and Submassive Pulmonary Embolism, Iliofemoral Deep Vein Thrombosis, and Chronic Thromboembolic Pulmonary Hypertension: A Scientific Statement from the American Heart Association. PMID: 21422387 Wan S et al.

Stroke 136

Stroke Outcomes Hospitals Administration 136

PHEM Cast

APRIL 21, 2021

Difficult prehospital endotracheal intubation – predisposing factors in a physician based EMS. 2011 Dec;82(12):1519-24. Epub 2011 Jul 2. Difficult prehospital endotracheal intubation – predisposing factors in a physician based EMS. Breckwoldt J, Klemstein S, Brunne B, Schnitzer L, Mochmann HC, Arntz HR. 2011.06.028.

Airway Management 40

Airway Management Resuscitation EMS Hospitals 40

The Skeptics' Guide to EM

JUNE 15, 2018

Dr. Ian Stiell and colleagues published an article in 2011 in Annals of EM looking at variation in recent-onset atrial fibrillation management in Canada and found a lot of variability. Rhythm control was selected in 42-85% of patients across hospitals and electricity was chosen as the primary strategy for rhythm control in 7-69%.

Emergency Department 52

Emergency Department Fluid Resuscitation Sepsis Hospitals 52

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

Dr. Smith's ECG Blog

JULY 21, 2024

The patient in today’s case is a previously healthy 40-something male who contacted EMS due to acute onset crushing chest pain. Written By Magnus Nossen — with edits by Ken Grauer and Smith. The pain was 10/10 in intensity radiating bilaterally to the shoulders and also to the left arm and neck. The below ECG was recorded.

EKG/ECG 131

EKG/ECG Shock Hospitals Sepsis 131

RebelEM

FEBRUARY 29, 2024

BMC Neurol 2011 , 11 , 110. Rezaie, MD (Twitter/X: @srrezaie ) The post The PROPHY-VAP Trial: Ceftriaxone to Prevent VAP in Patients with Acute Brain Injury appeared first on REBEL EM - Emergency Medicine Blog. DOI: 10.1086/677144 From NLM. Westendorp, W. Nederkoorn, P. Vermeij, J. Dijkgraaf, M. van de Beek, D. François, B.;

CDC 122

CDC Radiology Radiology Head Injuries 122

PHEM Cast

APRIL 10, 2016

And from our buddies at HEFT EM CAST: [link] A bit more detail covering some of the research in an easy to understand way. An amazing podcast on the subject can be found at SMART EM: SMART Testing: Back to Basics As always, any feedback, comments etc. 2011 Aug 30;18(9):934–40. St Emlyns Induction podcast on Sepsis. March 2016.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52