The Skeptics' Guide to EM

OCTOBER 28, 2023

Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. He is also one of the world’s leading researchers on pain management in the emergency department, specifically the use of ketamine. His twitter handle is @PainFreeED.

Emergency Department 107

Emergency Department Research 107

The Skeptics' Guide to EM

APRIL 20, 2024

Efficacy and safety of ultrasound-guided erector spinae plane block compared to sham procedure in adult patients with rib fractures presenting to the emergency department: A randomized controlled trial. A clinical decision tool called the STUMBL score was derived and validated by Battle et al in 2014 [3].

Fractures 87

Fractures Ultrasounds Emergency Department CDC 87

Northwestern EM Blog

MARCH 1, 2025

While a randomized control trial should be done to evaluate the effect of early proning in a controlled environment, these studies suggest that we should consider using this in our Emergency Department for patients who present with hypoxia and concern for mild to moderate ARDS without urgent need for intubation. 2013; Mi et.

Emergency Department 52

Emergency Department Fractures EKG/ECG Wellness 52

The Skeptics' Guide to EM

JULY 8, 2023

Case: A 57-year-old woman with hypertension, hyperlipidemia and type-2 diabetes mellitus presents to the emergency department (ED) with fever, cough, myalgias, headache and congestion. Managing editor of EM:RAP and Associate Editor at REBEL EM. It’s flu season and you’ve already seen 15 people with the same symptoms.

CDC 108

CDC Hospitals EMS Emergency Department 108

RebelEM

DECEMBER 5, 2023

up to 23% ( Lieberman 2005 , Rohacek 2014 , Tole 2007 , Grunau 2014 ). Since half of biphasic reactions occur within the first 6-12 hrs ( Lee 2014 ) physicians often choose an observation time of 4-6 hrs. Biphasic anaphylactic reactions: occurrence and mortality Allergy 2014 Jun;69(6):791-7 Tole JW, Lieberman P.

Anaphylaxis 81

Anaphylaxis Allergic Reactions Emergency Department EMS 81

The Skeptics' Guide to EM

NOVEMBER 11, 2023

Case: A 24-year-old manual labourer presents to the emergency department (ED) after drinking a few too many beers, having a disagreement with another beer drinker and gets knocked down. DISCLAIMER: THE VIEWS AND OPINIONS OF THIS BLOG AND PODCAST DO NOT REPRESENT THE UNITED STATES GOVERNMENT OR THE US MILITARY.

Fractures 131

Fractures Military Radiology Radiology 131

ACEP Now

AUGUST 25, 2023

Intranasal Fentanyl for Sickle Cell Vaso-Occlusive Pain Case A 15-year-old female with sickle cell disease (SCD) presents to your emergency department (ED) with a vaso-occlusive pain episode (VOE) of her legs and back. Evidence-based management of sickle cell disease: Expert panel report, 2014. link] Published 2014.

Administration 97

Administration Pediatrics Emergency Department Outcomes 97

The Skeptics' Guide to EM

OCTOBER 14, 2023

Case: A 5-year-old boy presents to the emergency department (ED) with his parents for fever and fatigue. Background: We have looked at pediatric vital signs on the SGEM back in 2014 with PedEM superhero Dr. Anthony Crocco ( SGEM#98 ). He has had three days of high fevers at home. It seems awfully high. Does he have sepsis?”

Pediatrics 105

Pediatrics Sepsis Urgent Care Emergency Department 105

Don't Forget the Bubbles

AUGUST 23, 2023

In most Emergency Departments, staff are allotted little of that scarce resource, time, to begin processing what has just occurred. The Pause Jonathon Bartels worked as an Emergency Nurse in America in 2009. After the death of a young person in the Emergency Department, he initiated ‘ The Pause.’ & Liska, H.

Emergency Department 98

Emergency Department Resuscitation Documentation/Coding Best Practices 98

ACEP Now

AUGUST 14, 2024

This recommendation is a departure from the 2014 guideline iteration that only recommended against CCBs in patients with decompensated heart failure. grams of IV magnesium to placebo, doses considerably higher than the two grams of magnesium often administered in the emergency department (ED). J Emerg Med. Circulation.

Emergency Department 105

Emergency Department Outcomes Research Wellness 105

Don't Forget the Bubbles

SEPTEMBER 30, 2024

In the UK, as in most developed countries, more patients are presenting to Emergency Departments (EDs) with minor illnesses or injuries. examined 977,907 first-time ED presentations by children aged 0-15 across thirteen acute hospital trusts (between April 2014 and March 2017), trying to figure out how many were non-urgent.

Emergency Department 89

Emergency Department Research Pediatrics Hospitals 89

EB Medicine

JUNE 1, 2018

Join hosts Jeff Nusbaum, MD, and Nachi Gupta, MD on this episode of EMplify as they take you through the June 2018 issue of Emergency Medicine Practice: Managing Shoulder Injuries in the Emergency Department Fracture, Dislocation, and Overuse. 2014(5):CD007121. 2014(5):CD007121. Cochrane Database Syst Rev.

Dislocations 40

Dislocations Emergency Department Fractures Research 40

Taming the SRU

DECEMBER 11, 2023

1,2] Patients at risk for suicide often interact with emergency medical care. Suicide-related behavior (SRB) accounts for 1% of all Emergency Department (ED) visits; additionally, greater than 8% of patients visiting emergency departments are likely experiencing suicidal ideation at the time of the encounter.[3-5]

EMS 97

EMS Psychiatric Emergency Department Poisoning 97

EMergucate

FEBRUARY 7, 2014

This week’s ECG is from a 39 yr old female who presented to the Emergency Department with vomiting, diarrhoea, and … Continue reading →

EKG/ECG 40

EKG/ECG Emergency Department EMS 40

EMergucate

FEBRUARY 15, 2014

This week’s ECG is from a middle aged male who presented to the Emergency Department with abdominal pain. His ‘routine’ … Continue reading →

EKG/ECG 40

EKG/ECG Emergency Department EMS 40

ACEP Now

MARCH 11, 2025

Many patients with PE can be discharged directly from the emergency department (ED). 2014 ESC Guidelines on the diagnosis and management of acute pulmonary embolism. The treatment of patients with pulmonary embolism (PE) has evolved substantially over the past few decades. Konstantinides SV, Meyer G, Becattini C, et al.

Hospitals 52

Hospitals Administration Outcomes Stroke 52

EMergucate

FEBRUARY 21, 2014

Clinical conclusion and interpretation on last week’s ECG case of a middle aged male who presented to the Emergency Department with … Continue reading →

EKG/ECG 40

EKG/ECG Emergency Department EMS 40

EMDocs

AUGUST 22, 2023

Capnography in the Emergency Department: A Review of Uses, Waveforms, and Limitations. J Emerg Med. Capnography for the nonintubated patient in the emergency setting. Ann Emerg Med. Predictive value of capnography for suspected diabetic ketoacidosis in the emergency department. West J Emerg Med.

Emergency Department 95

Emergency Department Blood Transfusions Resuscitation Sepsis 95

ALiEM

APRIL 12, 2023

Hynynen, 10.08 – Ultrasound Therapy, Editor(s): Anders Brahme, Comprehensive Biomedical Physics, Elsevier, 2014, Pages 153-168, ISBN 9780444536334. emDOCs.net – Emergency Medicine Education. DOI 10.1016/B978-0-444-53632-7.01010-8 LeDonne S, Sengupta D. US Probe: Ultrasound Water Bath for Distal Extremity Evaluation.

Ultrasounds 103

Ultrasounds Emergency Department Resuscitation Wellness 103

The Skeptics' Guide to EM

JUNE 17, 2023

Intranasal fentanyl and discharge from the emergency department among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. Date: June 15, 2023 Reference: Rees CA et al. Date: June 15, 2023 Reference: Rees CA et al. Opioids are the primary therapy.

Emergency Department 74

Emergency Department Pediatrics Head Injuries Administration 74

Intensive Blog

FEBRUARY 14, 2025

A 34-year-old patient presents to the emergency department with a suspected recreational drug overdose and is intubated for a low Glasgow Coma Scale (GCS). There is no past medical history of note. On day 3, the patient is de-sedated, extubated, and subsequently assaults the bedside nurse. (3

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Psychiatric Forensics PPE 52

Don't Forget the Bubbles

SEPTEMBER 27, 2023

The parents of two-year-old, previously healthy, Jamie bring him to the Emergency Department with coryzal symptoms, wheezing and difficulty breathing. Respiratory viral panel testing did not reduce antibiotic use in the emergency department. 2014 Sep;134(3):555-62. SpO2 is 88%. Pediatrics. J Clin Virol. Pediatrics.

Emergency Department 84

Emergency Department Pediatrics Point-of-Care Testing Hospitals 84

EMDocs

JULY 9, 2024

The emergency department takes care of some of the highest risk patients with the worst access to health care and social services Over the past 20 years, many researchers have created and validated social needs screeners Some examples: iHELP, WE CARE, SEEK, USDA 2-item food insecurity questionnaire Does screening make a difference?

Pediatrics 75

Pediatrics Emergency Department Research Burns 75

RebelEM

FEBRUARY 24, 2025

RESUS SCENARIO Picture this: you just arrived at your shift at the local emergency department. May 2014; PMID: 24495437. For more than just the correctness of terminology, the distensibility index should then be calculated. Youre barely logged in, coffee still in hand, when you get sign out on your soon-to-be newest patient.

Ultrasounds 75

Ultrasounds Shock Fluid Resuscitation Resuscitation 75

Taming the SRU

APRIL 14, 2024

This revealed that ultrasound can improve the ability to reduce an incarcerated inguinal hernia and may decrease the rate of emergency surgery. (1) 1) Table 1 - Study Protocol Table 2 - Results Conclusion Hernias are often encountered in the emergency department as an acute or non-acute finding. 6, June 2014, pp.

Ultrasounds 93

Ultrasounds Emergency Department Pediatrics Radiology 93

Don't Forget the Bubbles

MAY 29, 2023

BMJ Quality & Safety [Internet] 2014; 23:106-115. Acad Med [Internet] 2014; 89:5:817-827. Bad manners in the Emergency Department: Incivility among doctors. BMC Health Serv Res [Internet] 2014:14:61 (2014). PLoS ONE [Internet] 2014 9(8): e104720. Available at: [link] Fehr R, Gelfand MJ, Nag M.

Leadership 98

Leadership Patient Safety Academics Research 98

Taming the SRU

JULY 2, 2023

End-Tidal CO2 monitoring has a variety of uses in the Emergency Department. Capnography in the emergency department: a review of uses, waveforms, and limitations." The Journal of emergency medicine 53.6 Clinical policy: procedural sedation and analgesia in the emergency department." 2014): 247-258.

Emergency Department 88

Emergency Department Pediatrics CPR Administration 88

ACEP Now

JULY 7, 2023

CASE A 30-year-old woman presents to the emergency department with left arm pain from a chronic wound. Opioid overdoses involving xylazine in emergency department patients: a multicenter study. US Department of Justice, Drug Enforcement Administration. She reports fevers up to 103 degrees Fahrenheit. 2014;240:1-8.

Forensics 98

Forensics Airway Management Emergency Department Administration 98

Dr. Smith's ECG Blog

APRIL 18, 2024

Written by Jesse McLaren A 70 year old with prior MIs and stents to LAD and RCA presented to the emergency department with 2 weeks of increasing exertional chest pain radiating to the left arm, associated with nausea. 2014 AHA/ACC guideline for the management of patients with non-ST elevation acute coronary syndromes.

EKG/ECG 121

EKG/ECG Documentation/Coding Fractures Emergency Department 121

RebelEM

JANUARY 25, 2024

In many emergency departments (ED), US machines are readily available and can be used to rapidly assess and monitor patients with acute dyspnea at the bedside. What They Did: Design: Randomized, controlled, blinded-outcome trial Sites: Three emergency departments in Denmark Duration: October 9, 2019 to May 26, 2021.

Ultrasounds 129

Ultrasounds Outcomes COPD Hospitals 129

Pediatric Emergency Playbook

APRIL 1, 2018

Pediatric Hypertensive Emergencies. 2014; 16:456. Pediatric Hypertension in the Emergency Department. Ann Emerg Med. Blood pressure measurements on children in the emergency department. Emergency Medicine Australasia. Open Access Emergency Medicine. References Baracco R et al.

Pediatrics 52

Pediatrics Emergency Department 52

EB Medicine

JULY 8, 2019

This month, we are sticking in the abdomen for another round of evidence-based medicine, focusing on Emergency Department Management of Patients With Complications of Bariatric Surgery. Jeff: A 2014 study even showed an up to 80% reduction in the likelihood of developing DM2 postoperatively at the 7-year mark. Am J Emerg Med.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

EMDocs

SEPTEMBER 25, 2023

actors Associated with the Occurrence of Cardiac Arrest after Emergency Tracheal Intubation in the Emergency Department. PLoS One 2014; 9(11): e112779. Okubo M, Gibo K, Hagiwara Y, Nakayama Y, Hasegawa K; Japanese Emergency Medicine Network Investigators. Int J Emerg Med. J Emerg Med. 2020.10.042. .

Emergency Department 93

Emergency Department Soft Tissue Injuries Airway Management Operations 93

Pediatric Emergency Playbook

NOVEMBER 1, 2017

Ann Emerg Med. 2014; 63(6):657-665. To scan or not to scan: pediatric minor head trauma in your office, clinic or emergency department. 2014; 168(9):837-843. Acad Emerg Med. Association of Traumatic Brain Injuries with Vomiting in Children with Blunt Head Trauma. Dayan PS et al. Pediatrics. 2012;29(8):40-47.

Pediatrics 52

Pediatrics Emergency Department Outcomes 52

Don't Forget the Bubbles

NOVEMBER 20, 2023

Neck lumps are a common presenting complaint to the paediatric emergency department with many aetiologies, sometimes resulting in a diagnostic conundrum. December 2014 Soldes O, Yunger J, Hirschl R. Thorough history taking and detailed examination can aid in diagnosis. Cervical Lymphadenopathy. April 2021 Russell F, Lowe D.

Pediatrics 124

Pediatrics Documentation/Coding Emergency Department Ultrasounds 124

Taming the SRU

AUGUST 27, 2024

The following are bullous skin disorders with indications for urgent/emergent intervention, and more likely to present to an Emergency Department. What can you do from the Emergency Department if suspected? What can you do from the Emergency Department if suspected? Crit Care Med 2014; 42:118.

Emergency Department 83

Emergency Department Dehydration Burns Sepsis 83

PHEM Cast

JANUARY 4, 2017

In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. 2014; 36: 853-857. BMJ Quality & Safety. 2013; 22: 468-477. Boet S, Bould MD, Layat Burn C, Reeves S. Twelve tips for a successful interprofessional team-based high-fidelity simulation educational session.

Teamwork 52

Teamwork Burns Emergency Department Resuscitation 52