Pediatric EM Morsels

AUGUST 18, 2023

Rose 2014) They are the most frequently prescribed class of medications in adults; however, in children they are the least frequently prescribed class , <2% of antibiotics. Hersh 2014) Fluoroquinolone Use in Children: Indications for use Let’s keep this simple, Pseudomonas ! The low dose range (30 mg/kg) did show sporadic lesions.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

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. PMID: 28628511.

EMS 75

EMS Burns Airway Management Wellness 75

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

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. 2014; PMID: 25066627 Li HK et al. 2014; 32(10):1195-9. appeared first on REBEL EM - Emergency Medicine Blog. A CXR demonstrates a right middle lobe opacity.

Infectious Diseases 99

Infectious Diseases Pediatrics EMS Administration 99

EMergucate

FEBRUARY 15, 2014

Interpretation of last week’s ECG case can be found here: ECG of the Week – 10th February 2014 – interpretation

EKG/ECG 40

EKG/ECG EMS 40

Pediatric EM Morsels

MAY 12, 2023

doi: 10.1136/archdischild-2014-307119. 2014 Jan 25;383(9914):308. The post Closed Head Injury – PECARN for < 3 Months: Rebaked Morsel appeared first on Pediatric EM Morsels. Burrows P, Trefan L, Houston R, Hughes J, Pearson G, Edwards RJ, Hyde P, Maconochie I, Parslow RC, Kemp AM. Arch Dis Child. Epub 2015 Aug 21.

Head Injuries 130

Head Injuries Fractures Pediatrics EMS 130

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. BMJ Quality & Safety [Internet] 2014; 23:106-115. Acad Med [Internet] 2014; 89:5:817-827. BMC Health Serv Res [Internet] 2014:14:61 (2014).

Leadership 98

Leadership Patient Safety Academics Research 98

RebelEM

FEBRUARY 24, 2025

May 2014; PMID: 24495437. 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. Ultrasound Med Biol. Sanfilippo F, et al.

Ultrasounds 74

Ultrasounds Shock Fluid Resuscitation Resuscitation 74

Emergency Medicine Cases

FEBRUARY 11, 2020

Although the mortality rate in patients with Coronavirus in this outbreak is less than 1% (which pales in comparison to Ebola or SARS), historically these types of outbreaks have occured every 5-6 years (SARS 2003, HINI 2009, Ebola 2014, Coronavirus 2020), so they are somewhat predictable and we should know how to prepare for them in our EDs.

Best Practices 52

Best Practices EMS Research PPE 52

EMDocs

NOVEMBER 1, 2023

Authors: Katey DG Osborne, MD (EM Attending Physician; Tacoma, WA), Rachel Bridwell, MD (EM Attending Physician; Tacoma, WA) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital) and Brit Long, MD (@long_brit, EM Attending Physician, San Antonio, TX) Welcome to emDOCs revamp!

Operations 93

Operations Radiology Radiology Fluid Resuscitation 93

EMergucate

JANUARY 2, 2014

This week’s case is from a 97yr old presenting with presyncope. I will endeavour to get some more clinical information … Continue reading →

EKG/ECG 40

EKG/ECG EMS 40

EMergucate

JANUARY 18, 2014

Two ECG’s this week from a 76yr old female who presented complaining of palpitations and dysponea. She has a history … Continue reading →

EKG/ECG 40

EKG/ECG EMS 40

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

EMergucate

FEBRUARY 21, 2014

This week’s ECG is from a 62 yr old male who presented complaining of palpitations for the preceding 4 hours. No significant medical history or medications. See the ECG at: ECG of the Week &#…

EKG/ECG 40

EKG/ECG EMS 40

EMergucate

MARCH 2, 2014

This ECG is from a 70 yr old patient with a history of ischaemic heart disease complicated by ischaemic cardiomyopathy … Continue reading →

EKG/ECG 40

EKG/ECG EMS 40

EMergucate

MARCH 30, 2014

This week’s ECG case is a rhythm strip from a 77yr old male. He has a history of hypertension and hypercholesterolaemia. He complained of chest pain during this ECG recording. Check out the E…

EKG/ECG 40

EKG/ECG EMS 40

EMergucate

APRIL 4, 2014

This week’s ECG is from a 14yr old female who presents following an episode of palpitations and associated dizziness. The … Continue reading →

EKG/ECG 40

EKG/ECG EMS 40

EMergucate

JUNE 6, 2014

man presents with several days of intermittent chest pain and this ECG.

EKG/ECG 40

EKG/ECG EMS 40

Dr. Smith's ECG Blog

APRIL 18, 2024

For example, the patient could have been identified at triage (or even earlier, by EMS) as having a high likelihood of OMI, so despite a non-diagnostic ECG there could have been a stat cardiology consult with bedside echo, and cath lab activation before waiting for serial troponins to rise. (THE Circulation 2014 2. link] References 1.

EKG/ECG 121

EKG/ECG Documentation/Coding Fractures Emergency Department 121

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. 2014 Apr;13(4):364-73. Epub 2014 Feb 13.

Stroke 99

Stroke Outcomes EMS Seizures 99

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

EMergucate

MARCH 2, 2014

Interpretation for our ECG case of a 62 yr old male who presented complaining of palpitations for the preceding 4 hours. … Continue reading →

EKG/ECG 40

EKG/ECG EMS 40

EMDocs

AUGUST 3, 2023

2014 Sep-Oct;52(8):856-67. Epub 2014 Aug 18. Clin Toxicol (Phila). 2015;53(10):941-949. doi:10.3109/15563650.2015.1100305 Gosselin S, Juurlink DN, Kielstein JT, Ghannoum M, Lavergne V, Nolin TD, Hoffman RS; Extrip Workgroup. Extracorporeal treatment for acetaminophen poisoning: recommendations from the EXTRIP workgroup.

Poisoning 98

Poisoning Seizures Administration Pediatrics 98

ACEP Now

AUGUST 25, 2023

The National Heart, Lung, and Blood Institute released an expert panel report in 2014 with evidence-based guidelines for management of SCD recommending timely administration of parenteral opioids for VOE.2 Evidence-based management of sickle cell disease: Expert panel report, 2014. link] Published 2014. link] Published May 2021.

Administration 97

Administration Pediatrics Emergency Department Outcomes 97

EMDocs

JANUARY 3, 2024

Published May 2014. J Invasive Cardiol. 2016;28(7):273-279. Holy Cross Health. CardioMEMS Technology. Accessed October 20, 2023 from [link]. CardioMEMS, Inc. CardioMEMS HF System. Accessed October 20, 2023 from [link]. CardioMEMS device. Case study, Radiopaedia.org. Accessed October 20, 2023 from [link].

Allergic Reactions 113

Allergic Reactions Hospitals EMS Emergency Department 113

Dr. Smith's ECG Blog

SEPTEMBER 23, 2024

When EMS found her, she was dyspneic and diaphoretic. It is not generally appreciated that that anterior lead ST elevation can sometimes be seen with acute PE ( Zhan et al — Ann Noninvasive Electrocardiol 19(6):543-551, 2014 — and — Omar HR — Eur Heart J: Acute Cardiovascu Care (5(8): 579-586, 2016 ).

EKG/ECG 128

EKG/ECG Ultrasounds Shock EMS 128

Taming the SRU

APRIL 14, 2024

EM@3AM: Hernia.” 6, June 2014, pp. 7638, 31 Jan. 269–272, [link]. Long, Brit. “EM@3AM: EmDOCs.net - Emergency Medicine Education , 15 June 2018, www.emdocs.net/em3am-hernia/#:~:text=To%20reduce%20hernia%3A%20Provide%20analgesia. Accessed 9 Apr. Murphy, Kevin P., Adult Abdominal Hernias.” American Journal of Roentgenology , vol.

Ultrasounds 93

Ultrasounds Emergency Department Pediatrics Radiology 93

RebelEM

DECEMBER 14, 2022

PMID: 24526489 ) REBEL EM: Perichondritis Post Peer Reviewed By: Salim R. Rezaie, MD (Twitter: @srrezaie ) The post REBEL Core Cast 92.0 – Perichondritis appeared first on REBEL EM - Emergency Medicine Blog. ” ENT: Ear, Nose & Throat Journal 93.2

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. 2014 Oct 28;:1–9. UK Sepsis Trust; 2014 Nov pp. March 2016. Elsevier B.V;

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

RebelEM

AUGUST 30, 2023

New York, NY: McGraw-Hill; 2014 Winters ME, Kluetz P et al. 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. Semin Arthritis Rheum.

Infectious Diseases 100

Infectious Diseases Fractures Radiology Radiology 100

ACEP Now

JUNE 14, 2024

And the Board approved a new clinical policy, “Critical Issues in the Management of Adult Patients Presenting to the ED with Seizures,” rescinding the 2014 clinical policy with same title. Open applications will be coming soon, but you can find out more and get on the interest list today at acep.org/EDap.

Sexual Assault 52

Sexual Assault Seizures Documentation/Coding EMS 52

The Skeptics' Guide to EM

DECEMBER 28, 2019

Annals of EM, JU, and JACR 2019. Annals of EM , JU, and JACR 2019. This is an SGEM Xtra and is a result of a paper that was published in three journals ( Annals of EM , Journal of Urology and Journal of the American College of Radiology ). NEJM 2014 ). Date: December 16th, 2019 Reference: Moore et al.

Radiology 40

Radiology Radiology Ultrasounds Emergency Department 40

RebelEM

SEPTEMBER 22, 2022

We have already covered issues with pulse oximetry potentially missing hypoxemia in Black patients on REBEL EM ( Link is HERE ). PMID: 36066526 For More Thoughts on This Topic Checkout: REBEL EM: Racial Bias with Pulse Oximetry? Many of these tools were not developed or validated in a racially diverse group of patients. 95% CI 0.89

EMS 52

EMS Hospitals Outcomes Wellness 52

RebelEM

JANUARY 25, 2024

2014 Aug;2(8):638-46. Epub 2014 Jul 3. appeared first on REBEL EM - Emergency Medicine Blog. Laursen CB, Sloth E, Lassen AT, Christensen Rd, Lambrechtsen J, Madsen PH, Henriksen DP, Davidsen JR, Rasmussen F. Lancet Respir Med. PMID: 24998674. Kok B, Wolthuis D, Bosch F, van der Hoeven H, Blans M.

Ultrasounds 129

Ultrasounds Outcomes COPD Hospitals 129

The Skeptics' Guide to EM

SEPTEMBER 14, 2019

million emergency department visits in the US in 2014 [1], with the most significant proportion of visits occurring in the elderly ≥75 (1,682/100,000) [1]. We have covered the CCHR on the SGEM with the EM Swami and Dr. Emily Junck back on SGEM#106. He is not on anticoagulation and there is no history of seizures.

Head Injuries 52

Head Injuries Emergency Department Seizures EMS 52

RebelEM

MARCH 9, 2023

Prerost 2014) In a patient with chronic alcohol use, hallucinations should prompt consideration of acute intoxication, alcoholic hallucinosis, or delirium tremens (DT). Hamilton 2014) Patients with alcohol intoxication have an extremely high risk of intracranial pathology, and the threshold for obtaining head imaging should be very low.

Psychiatric 52

Psychiatric Emergency Department Fractures Documentation/Coding 52