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. since what appears to be a major causative factor ( simultaneous ingestion of 9 herbal preparations ) is no longer operative. Written by Magnus Nossen — with edits by Grauer.

Seizures 114

Seizures EKG/ECG EMS Stroke 114

EMDocs

DECEMBER 11, 2023

In addition to a posterior ECG, the ACC’s new recommendations emphasize consideration of an emergent TTE, though lack clarity in defining who should be the operator, stating “a clinician qualified in echocardiography” is necessary, without providing specific definitions. 2012 Dec;60(6):766-76. Ann Emerg Med. N Engl J Med.

EKG/ECG 119

EKG/ECG Emergency Department Academics Operations 119

RebelEM

JANUARY 25, 2023

Late findings Fever Abdominal distension (+) LR: 5.64 – 16.8 (-) LR: 0.34 – 0.43 Absent bowel sounds Peritoneal signs (i.e. rebound and guarding) Diagnostics Laboratory Tests Commonly ordered lab tests (i.e. 2.3 – 5.4) (-) LR: 0.18 (0.09 – 0.35) Ultrasound Findings Dilated loops of bowel (diameter > 2.5

Operations 52

Operations Sepsis Resuscitation Ultrasounds 52

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 10, (-) LR = 0.13 S Afr Med J.

Ultrasounds 52

Ultrasounds Pediatrics Operations EMS 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. Journal of Special Operations Medicine : a Peer Reviewed Journal for SOF Medical Professionals , 13 (4), 53–58. Note – again please do not use this location! link] Harcke, H. Branco, B.

Academics 52

Academics Radiology Radiology Resuscitation 52

PHEM Cast

JULY 6, 2017

[link] The West Midlands surgical skills course offers cadaveric training for PHEM and EM practitioners on rare life saving procedures. Cricothyrotomy performed with the Melker set or the QuickTrach kit: procedure times, learning curves and operators’ preference. Click here to go straight to their page. Frerk et al. and Gay, D.

Airway Management 52

Airway Management Academics Operations Resuscitation 52

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Farrington] Rebuilding of outdated hospitals put emergency rooms on ground level with nearby X-ray service, and, ideally, sometimes closer to the Blood Bank and the Operating Rooms. Advocacy for Trauma Care and EMS Development. Development of EM Residencies. EM begins to "Own the Airway" (emergent). EDNA->ENA.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

Northwestern EM Blog

MAY 16, 2022

Follow up CT should depend on the patient and ultrasound operator. Lastly the POCUS operators were ED physicians with training “recommended by ACEP.” Finally, a burden on us as EM clinicians is training in and awareness of clinical practice guidelines and recommendations from specialties outside of EM. Coursey, C.

Ultrasounds 52

Ultrasounds Radiology Radiology Outcomes 52

Advanced Emergency Nursing from AENJ

NOVEMBER 20, 2014

Police officers have poor hit probability, ricochets may occur, suppressive fire may be used (“keep ‘em pinned down”), or even ‘spray and pray.” 8, 2012 12:12 a.m. National Review Online December 16, 2012 4:00 PM Sincerely, Tom Trimble, RN CEN All opinions are solely those of the author. By John Fund.

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

Advanced Emergency Nursing from AENJ

JULY 9, 2015

They may be entrapped; have limited access; may be midway in an operating position that can’t be changed; may need to be sitting due to pulmonary edema, morbid obesity, aspiration prevention or for awake intubation. Video] Oct 30, 2012. Pediatric Airway: brief intro for trauma providers} [Video] May 21, 2012. Nickson, Chris.

Airway Management 40

Airway Management Pediatrics Resuscitation Emergency Nursing 40

EMDocs

NOVEMBER 16, 2024

We’ll keep it short, while you keep that EM brain sharp. 4 Pain is the most common reason for presentation in the early post operative period. 5 Highest risk of dislocation early in the post operative course due to laxity of the soft tissue after surgery. 2% of THA will have a post operative deep space infection.

EMS 94

EMS Dislocations Fractures Operations 94

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. Ultimately, definitive management is in the operating room with revision or replacement of the VP shunt. The seizure abated with rectal diazepam given by the squad. Neuroradiology. Wallace et al.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

EB Medicine

MARCH 1, 2019

Jeff: And don’t forget to get the crash details from the EMS crew before they depart! As a side note, for anyone taking oral boards in a few months, don’t forget to ask the EMS crew for the details!!! In one RCT, the FAST exam reduced the time from arrival in the ED to operative care by 64% in the setting of trauma.

Emergency Department 40

Emergency Department EKG/ECG Operations Fractures 40

RebelEM

JANUARY 24, 2024

Schedule follow up with orthopedics within 1 week for discussion of operative management vs early rehab protocols. Clin Orthop Relat Res 2012; 470(8): 2268-2273. Operative versus nonoperative treatment of acute Achilles tendon ruptures: a multicenter randomized trial using accelerated functional rehabilitation.J

Operations 90

Operations Ultrasounds Fractures Outcomes 90

EMDocs

OCTOBER 23, 2023

Author: Kristine Jeffers, MD ( EM Physician , San Antonio Uniformed Services Health Education Consortium) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. Operative complications requiring surgical intervention or hospitalization occur in about 3-6% of all hysterectomies (5).

OB/GYN 86

OB/GYN Operations EMS Ultrasounds 86

Advanced Emergency Nursing from AENJ

SEPTEMBER 4, 2014

It wrongly frightened some medical personnel as it was operated by a 50 psi wall source or from a step-down regulator from a tank (some thought the patient received wall 50 psi or 1500 psig from the tank directly to the lung. Automatic transport ventilator versus bag valve in the EMS setting: a prospective, randomized trial.

Resuscitation 40

Resuscitation CPR Documentation/Coding Military 40

EB Medicine

AUGUST 1, 2018

Nachi: Sometimes… Jeff: This month’s issue was authored by Mollie Williams, who is the EM residency program director at the Brooklyn Hospital Center. According to data from 2012, of the 130 million people reporting illicit drug use within their lifetime, 25% were children between 12 and 17 years of age. Counsel them on drug abuse also.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

EB Medicine

JANUARY 2, 2019

I know this is a HOTLY debated topic among EM Docs. Jeff: Perhaps most importantly, no history or physical alone can rule in or out an ectopic pregnancy, for that you’ll need testing and imaging or operative findings. It’s noteworthy that a 2012 Cochrane review failed to find clear superiority for one strategy over another.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

EMDocs

NOVEMBER 13, 2023

Authors: Mary Hamblen, DO (EM Resident Physician, TX); Justin Hacnik, MD (EM Resident Physician, TX); Katherine Spencer, MD (EM Resident Physician, TX); J.D. Lancet Neurol 2012, 11 (4), 307-314. J Trauma Acute Care Surg 2012, 72 (2), 330-335; discussion 336-337, quiz 539. Arch Neurol 2012, 69 (3), 346-351.

Stroke 103

Stroke Radiology Radiology Emergency Department 103

EMDocs

SEPTEMBER 9, 2023

We’ll keep it short, while you keep that EM brain sharp. Answer : Extensor tendon laceration Epidemiology: Hand extensor injuries make up >25% of orthopedic soft tissue injuries 2, 3 Common in young men in manual labor Dominant hand more likely to be injured 4 2012 study on 86 patients reported 83% men with a mean age of 34.2

EMS 97

EMS Fractures Soft Tissue Injuries Ultrasounds 97

Taming the SRU

MAY 22, 2023

As an EM physician, it is important to have an understanding of the spectrum of ankle injuries and how these are appropriately evaluated. weight-bearing status, operative vs. non-operative) If necessary/helpful to ensure adequate follow-up At time of discharge: Counsel on expected course of injury, supportive care (e.g.,

Fractures 77

Fractures Dislocations Operations Radiology 77

Pediatric EM Morsels

MARCH 7, 2025

2012 Feb;147(2):113-9. 2022.01.069 The post TXA (Tranexamic Acid) in Pediatrics appeared first on Pediatric EM Morsels. of IV form TXA [O’Neill 2020] Inexpensive ! 2011 Mar26;377(9771):1096-101, 1101.e1-2. PubMed: 21439633] Morrison JJ, Dubose JJ, Rasmussen TE, Midwinter MJ. Am J Emerg Med. 2022;55:103-110. doi:10.1016/j.ajem.2022.01.069

Pediatrics 231

Pediatrics Blood Transfusions Anaphylaxis Military 231

ACEP Now

FEBRUARY 19, 2025

Emergency medicine (EM) is a team-based specialty, where a diverse group works together to rapidly deliver acute, unscheduled patient care. Published April 25, 2012. Published April 2012. Harvard professor Amy C. 1,2 As Edmondson described, ED teams disband almost as quickly as they are assembled. References Edmondson AC.

Teamwork 51

Teamwork Clinical Decision Support Systems Administration Radiology 51

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

They also proved that only expired air resuscitation guaranteed sufficient inflation volumes; that exhaled air was a suitable resuscitating gas; and that the operator would have continuous feedback from each breath. Ontario EMS Nasal Tracheal Intubation Video on the YouTube Channel of Ontario EMS. Brown III, MD, Ali S.

Resuscitation 40

Resuscitation Airway Management EMS CPR 40