EMDocs

SEPTEMBER 23, 2023

We’ll keep it short, while you keep that EM brain sharp. 2012 May;9(5):752-9. The post EM@3AM: Brugada Syndrome appeared first on emDOCs.net - Emergency Medicine Education. A 36-year-old female presents to the ED after experiencing an episode of sudden syncope. Heart Rhythm. Mazzanti A, Tenuta E, Marino M, et al. Heart Rhythm.

EMS 102

EMS EKG/ECG Documentation/Coding Emergency Department 102

Pediatric EM Morsels

JUNE 16, 2023

Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment.

Soft Tissue Injuries 154

Soft Tissue Injuries Dehydration Fractures Operations 154

Pediatric EM Morsels

JUNE 14, 2024

Tavasoli 2018, Wolf 2012) More common in adults; children comprise 20% of total cases (Pidcock 2007, Wang 2019) Bimodal age distribution (Absoud 2016) Children < 5 years Children > 10 years Symptoms evolve over 2-4 days and peak at 5-6 days (Absoud 2016) ATM may occur alone OR as part of another disorders (e.g. 27,11 (2012): 1426-36.

Pediatrics 143

Pediatrics EMS Outcomes 143

Pediatric EM Morsels

JULY 19, 2024

Since the original morsel ( way back in 2012 ), the literature has shown that there are a few extra ingredients that we can add to our morsel recipe when we care for children with post-tonsillectomy hemorrhage. The post Post-Tonsillectomy Hemorrhage: ReBaked Morsel appeared first on Pediatric EM Morsels. 2024 Feb;177:111859.

Pediatrics 290

Pediatrics Airway Management Wellness Operations 290

EMDocs

DECEMBER 6, 2024

Published 2012 Jul 1. 2012 Aug;39(8):719-24. Arch Pediatr Adolesc Med. 2005 Jun;159(6):557-60. doi: 10.1001/archpedi.159.6.557. PMID: 15939855. McDermid JM, Lnnerdal B. 2012;3(4):532-533. doi:10.3945/an.112.002261. 112.002261. Anderson GJ, Wang F. Essential but toxic: controlling the flux of iron in the body. doi: 10.1111/j.1440-1681.2011.05661.x.

Poisoning 94

Poisoning Fluid Resuscitation Seizures Resuscitation 94

The Trauma Pro

MARCH 8, 2024

Should EMS utilize a standardized handoff at the arrival of trauma patients versus the current process without a standardized handoff to help reduce clinical complications, handoff errors, medical errors, and preventable adverse events? We instituted a trauma team EMS timeout process in 2012, which persists to this day.

EMS 113

EMS Wellness 113

RebelEM

JULY 20, 2023

EMS radios in for a burn patient and to anticipate a difficult airway. Emergency Medicine (EM) is an amazing specialty because anything can come through the door at any moment. This same reality makes practicing EM incredibly challenging and at times downright terrifying. You can hear the tension in their voice. Acad Emerg Med.

EMS 74

EMS Burns Airway Management Wellness 74

RebelEM

SEPTEMBER 13, 2023

Both conditions can range in severity from benign to life threatening (Wilkerson 2012). 2012; 14(11). Hereditary Angioedema (presents in childhood) and Acquired C1 Inhibitor Deficiency (adulthood) Both involve abnormalities in the level or function of the C1 inhibitor. J Allergy Clin Immune Tract 2017; 5(5): 1402-9. EBMedicine.net.

Allergic Reactions 101

Allergic Reactions Airway Management Anaphylaxis Emergency Department 101

RebelEM

FEBRUARY 24, 2025

Oct 2012; PMID: 23043910 Kumar A, et al. Feb 2023; PMID: 36835888 Peer Reviewed By: Mark Ramzy, DO (X: @ MRamzyDO ), Marco Propersi, DO (X: @Marco_Propersi ) The post IVC Distensibility Index vs Collapsibility Index: Using the Correct Index appeared first on REBEL EM - Emergency Medicine Blog.

Ultrasounds 74

Ultrasounds Shock Fluid Resuscitation Resuscitation 74

SheMD

OCTOBER 15, 2023

I write today because I wanted to share some of my perspectives on how to 1) be happy as a woman in EM and 2) how to “make it” as a woman in EM. So the answer to the million dollar question: how to be happy as a woman in EM? The Inequalities Facing Women in EM When I name these I get really angry.

Emergency Department 52

Emergency Department EMS Leadership Academics 52

RebelEM

MAY 25, 2023

Shock 2012. 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.

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

EM Curious

JULY 29, 2015

The idea of the FOAMed review is to give you a digestible selection of reliable content from the online EM/CC world that you can fit into your busy weekly schedule. Over a year's span we will be sure to include topics from all core EM content areas.even the ones that may not be the coolest. Read the post from EM Nerd here.

Sepsis 52

Sepsis EMS Emergency Department Ultrasounds 52

RebelEM

NOVEMBER 2, 2022

grams/kg on day 3 of treatment Patients with a single episode of SBP should be considered for antibiotic prophylaxis (with norfloxacin, ciprofloxacin or TMP/SMX) ( Runyon 2012 ) Take Home Points SBP is a difficult diagnosis to make because presentations are variable. Management of Adult Patients with Ascites Due to Cirrhosis: Update 2012.

EMS 52

EMS Administration Hospitals 52

PHEM Cast

APRIL 16, 2018

2012; 73: 102-10. Critical Care; 2012. Anneals of EM; 2015: 297-307. Ultrasound during TCA: Cureton et al. The heart of the matter: utility of ultrasound of cardiac activity during traumatic arrest. The outcomes from different resuscitative interventions in a haemorrhagic shock model in porcine model: From: Watts et al.

Resuscitation 52

Resuscitation Shock Ultrasounds CPR 52

EMDocs

AUGUST 17, 2023

Welcome back to the “52 in 52” series. This collection of posts features recently published must-know articles. Today we look at the CENSER trial. vs 48.4% (OR 3.4, 5.53) Takeaways: Positive trial => there was a statistically significant rate of shock control attained with the treatment arm.

Sepsis 86

Sepsis Shock Resuscitation Fluid Resuscitation 86

RebelEM

APRIL 29, 2024

2012 PMID: 21893125. Rezaie, MD (Twitter/X: @srrezaie ) The post Don’t Forget About the IO in the Critically Ill Patient appeared first on REBEL EM - Emergency Medicine Blog. Comparison of intraosseous versus central venous vascular access in adults under resuscitation in the emergency department with inaccessible peripheral veins.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

Dr. Smith's ECG Blog

SEPTEMBER 2, 2024

Her husband called EMS when the patient experienced new onset seizures accompanied by micturition. The ECG below was recorded by EMS. Written by Magnus Nossen — with edits by Grauer. The patient in today’s case is a 30-something female. She has no known previous medical history. What is your assessment? mEq/L for K+ and 1.76

Seizures 114

Seizures EKG/ECG EMS Stroke 114

RebelEM

DECEMBER 14, 2022

.” Surgery (Oxford) 30.11 (2012): 590-596. PMID: 24526489 ) REBEL EM: Perichondritis Post Peer Reviewed By: Salim R. .” PMID: 24526489 ) REBEL EM: Perichondritis Post Peer Reviewed By: Salim R. PMID: 27057069 ) Caruso, Andria M., Macario Camacho Jr, and Scott Brietzke.

EMS 52

EMS 52

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. 2012 Jan;30(1):51–6. 2012 Dec 15;186(12):1264–71. March 2016.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

EMDocs

AUGUST 22, 2024

Rockville: Agency for Healthcare Research and Quality. Lion KC, et al. Evaluation of a quality improvement intervention to increase use of telephonic interpretation. Pediatrics. 135:e709-e716. Regenstein M, et al. Improving the quality of language services delivery: findings from a hospital quality improvement initiative. J Healthc Qual.

Documentation/Coding 100

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 100

RebelEM

NOVEMBER 30, 2022

Pediatric Emer Care 2012; 28: 80-6. Rezaie, MD (Twitter: @srrezaie ) The post REBEL Core Cast 91.0 – Testicular Torsion appeared first on REBEL EM - Emergency Medicine Blog. Epidemiology: Most common cause of acute scrotal pain in prepubertal boys Torsion present in 3.2% OR = 58.8 (Ben-Israel S Afr Med J. 1997;87(12) 1696-8.

Ultrasounds 52

Ultrasounds Pediatrics Operations EMS 52

The Skeptics' Guide to EM

MARCH 6, 2021

Managing editor of EM:RAP and Associate Editor at REBEL EM. Managing editor of EM:RAP and Associate Editor at REBEL EM. The episode included the Dundee protocol for adult epistaxis management from 2012. Some of these RCTs looking at TXA for epistaxis have also been reviewed on REBEL EM and other FOAMed sites.

EMS 52

EMS Emergency Department Outcomes 52

EMDocs

JANUARY 17, 2024

When emergency medical services (EMS) arrived, she was in asystole with an empty, recently full, bottle of benzonatate 100 mg capsules. 5) From 2012 to 2019, pediatric benzonatate prescribing soared by 62%. (9) Bishop-Freeman SC, Shonsey EM, Friederich LW, Beuhler MC, Winecker RE. Cardiac Arrest Due to Benzonatate Overdose.

Poisoning 81

Poisoning Seizures Pediatrics EMS 81

ALiEM

MAY 19, 2023

Esophageal Balloon Tamponade Devices – Linton-Nachlas, Sengstaken-Blakemore, Minnesota Tubes (image courtesy of Dr. Mark Ramzy at REBEL EM) What are esophageal balloon tamponade devices? 2012 Feb;33(1):46-54. Deranged Physiology. Published July 13, 2015. Accessed April 6, 2023. García-Pagán JC, Reverter E, Abraldes JG, Bosch J.

Emergency Department 98

Emergency Department Ultrasounds Wellness EMS 98

The Skeptics' Guide to EM

DECEMBER 17, 2022

Case: A 71-year-old man is brought to your emergency department (ED) by emergency medical serviced (EMS) having fallen two steps at home. EMS have already splinted an obvious mid-shaft femoral fracture, but he continues to be tachycardic and hypotensive. years ( 2 ).

Blood Transfusions 52

Blood Transfusions Fractures EMS Emergency Department 52

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] Inaba, K., McClure, K.,

Academics 52

Academics Radiology Radiology Resuscitation 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

JUNE 1, 2012

This was a middle aged female with a h/o CAD who presented to the ED by EMS sudden onset of central chest pressure 45 min prior to ED arrival with associated diaphoresis and SOB.  There is LVH and there are ST-T abnormalities (large inferior T-waves and ST elevation, with reciprocal findings in aVL).

EKG/ECG 52

EKG/ECG EMS Wellness 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). JAMA 2012 and Cournoyer et al. Jenn Doyle is a paramedic educator at Middlesex-London Paramedic Service. Case: A 51-year-old man experiences a cardiac arrest on the street. He is unsuccessfully shocked.

Advances Cardiac Life Support (ACLS) 52

Advances Cardiac Life Support (ACLS) CPR Resuscitation Hospitals 52

The Skeptics' Guide to EM

FEBRUARY 26, 2019

Hoffman has published a graphic re-analysis of NINDS ( Annals EM 2009 ) and Sayer et al responded in print ( Annals EM 2010 ). Hoffman and Cooper provided commentary on some of the limitations of IST-3 ( EMA 2012 ). The other major trial that we discussed was the IST-3 study which was covered on SGEM#29.

Stroke 52

Stroke EMS Research Outcomes 52

The Skeptics' Guide to EM

JANUARY 7, 2021

There were only four episodes that directly addressed COVID19: * SGEM Xtra: Mask4All Debate * SGEM#229: Learning to Test for COVID19 * SGEM Xtra: CAEP National Grand Rounds – COVID19 Treatments * SGEM#309 : That’s All Joe Asks of You – Wear a Mask There have been many other FOAMed resources ( REBEL EM , First10EM , EM Cases , St.

EMS 52

EMS Academics 52

Cook County EM Blog

APRIL 27, 2022

2019.09.007 What : Retrospective cohort study of all droperidol administrations between January 2012 and April 2018 at an academic and pediatric emergency department in the US with 77,000 annual visits. Cook County EM Residency | PGY3 @GarrettPrince8 Carlos Mikell, M.D. Am J Emerg Med. 2020;38(7):1310-1314. doi:10.1016/j.ajem.2019.09.007

Administration 52

Administration EKG/ECG Emergency Department EMS 52

EMDocs

DECEMBER 11, 2023

2012 Dec;60(6):766-76. As we all know, a critical concern for emergency physicians is identifying patients with heart tissue-threatening ischemia that could benefit from percutaneous catheterization via stent deployment by an interventional cardiologist. Ann Emerg Med. A new ECG sign of proximal LAD occlusion. N Engl J Med.

EKG/ECG 119

EKG/ECG Emergency Department Academics Operations 119

EMDocs

MAY 26, 2023

2012 Jan;109(3):27-32. 2012 Feb;13(1):35-40. 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. Deaths due to physical restraint. Dtsch Arztebl Int. PMC3272587.

Pediatrics 94

Pediatrics Emergency Department Psychiatric Documentation/Coding 94

RebelEM

AUGUST 30, 2023

New Delhi: JP Brothers Medical Ltd; 2012 Della-Guistina, D. PMID: 20237348 Post Created By: Anand Swaminathan MD, MPH (Twitter @EMSwami ) Post Peer Reviewed By: Salim Rezaie MD (Twitter @SRRezaie) The post REBEL Core Cast 107.0 – Vertebral Osteomyelitis appeared first on REBEL EM - Emergency Medicine Blog. J Spinal Disord Tech.

Infectious Diseases 88

Infectious Diseases Fractures Radiology Radiology 88

The Skeptics' Guide to EM

APRIL 8, 2023

John Brown PhD is a Professor of Health Services Research in Ireland who has been studying rural healthcare issues since 2012. Louella Vaugh is an internist practising as a hospitalist physician at an academic centre in London, UK with a special interest in smaller, rural and remote healthcare. Her main job is working for a think tank.

Stroke 56

Stroke Emergency Department COPD Academics 56

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 Business Ethics [Internet] 2012:109:3:275–287. Journal of Interpersonal Violence [Internet]. 2021:36:1–2, NP448–NP473 Available at.

Leadership 98

Leadership Patient Safety Academics Research 98