The Skeptics' Guide to EM

SEPTEMBER 14, 2019

He is not on anticoagulation and there is no history of seizures. 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.

Head Injuries 52

Head Injuries Emergency Department Seizures EMS 52

RebelEM

OCTOBER 5, 2022

2014, (Ch) 125: p 1636-53. Rezaie, MD (Twitter: @srrezaie ) The post REBEL Core Cast 87.0 – Hypercalcemia appeared first on REBEL EM - Emergency Medicine Blog. mg/dL 10.5 – 12.0 Louis, Mosby, Inc., Read More LITFL: QT Interval LITFL: Hypercalcemia LITFL: Hypercalcemia Post Peer Reviewed By: Salim R.

Dehydration 52

Dehydration Psychiatric Administration EKG/ECG 52

EMDocs

DECEMBER 18, 2024

Upon EMS arrival the male is noted to be anxious and tremulous with a GCS of 14. A 36-year-old male presents to the emergency department after being found down at home by his spouse. Per the mans wife, the patient is a heavy drinker often consuming two to three pints of vodka daily.

Seizures 105

Seizures Hyperthermia / Hypothermia Emergency Department EMS 105

EMDocs

JUNE 22, 2024

We’ll keep it short, while you keep that EM brain sharp. According to EMS, she was in labor at home and delivered the newborn shortly after they had loaded her into the ambulance. Epub 2014 Jun 30. A 37-year-old G5P4 at 33 weeks presents to the ED after being brought in by ambulance. J Matern Fetal Neonatal Med. PMID: 24974876.

EMS 111

EMS Resuscitation Blood Transfusions Seizures 111

EMDocs

DECEMBER 19, 2023

Philadelphia: Elsevier Saunders; 2014:805-807. 2020, September 26) EM@3AM: Marine Animal Bites and Stings. Rosen’s Emergency Medicine: Concepts and Clinical Practice (2 Volumes). Dustin Taliaferro, Dustin, Cynthia Santos, MD, Alex Koyfman, MD, and Brit Long. link] Blohm E, Brush D. Marine Envenomations.

Poisoning 106

Poisoning Seizures Anaphylaxis Burns 106

EMDocs

SEPTEMBER 25, 2023

Contraindicated seizures or porphyria. Personal take: While discussing this approach with many EM physicians whom we respect, one recurring critique was “We fought so hard to get the right to use paralytics in the ED, why would you want to go backwards.” PLoS One 2014; 9(11): e112779. Epub 2014 Feb 17. PMID: 24536033.

Emergency Department 91

Emergency Department Soft Tissue Injuries Airway Management Operations 91

PEMBlog

MARCH 27, 2024

It is not the job or the expectation of the EM provider. They include neurologic dysfunction, which is one of the most common that includes things like developmental delay, regression, AKA loss of developmental milestones, hypotonia, encephalopathy, or seizures. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Pediatr Rev.

Pediatrics 59

Pediatrics Seizures Emergency Department Sepsis 59

ACEP Now

MARCH 11, 2025

A survey that looked at 637 residency programs including pediatric, family, and internal medicine in 2014 found that only 42 programs offered formal training in eating disorders. A special thanks to Dr. Samantha Martin and Dr. Jennifer Tomlin for their expertise in the EM Cases podcast that inspired this column.

Emergency Department 83

Emergency Department Psychiatric Dehydration Pediatrics 83

EMDocs

NOVEMBER 4, 2024

Bhana, MD (EM Resident Physician, University of Massachusetts/UMass Chan Medical School); Clarence Kong, MD (Pain Fellow, Eastern Virginia Medical School – Virginia Health Sciences at Old Dominion University); Mani Hashemi, MD (EM Attending, HCA Florida Mercy Hospital); S.M. 2017.04.011 Witt CE, Bulger EM. Authors: Nikhil B.

Emergency Department 106

Emergency Department Fractures Burns EMS 106

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. J Neurosurg 2014, 121 (1), 24-31. CTA of the Brain is a Reasonable Option to Consider to Help Rule out Subarachnoid Hemorrhage in Select Patients ; AAEM, 2014.

Stroke 105

Stroke Radiology Radiology Emergency Department 105

EMDocs

JUNE 14, 2023

Used for treatment of acutely symptomatic anxiety, muscle fasciculations, and seizures. Iran Red Crescent Med J 16: e5072, 2014. 1, 2 Symmetric sensorimotor axonopathy: leg cramping to extremity weakness and paralysis. 1, 2 Sensory > Motor neurons with predilection for long axons. Section 15: Toxicology: 1301-1303. CorePendium.

PPE 95

PPE Poisoning Seizures Emergency Department 95

EMDocs

JUNE 7, 2023

Used for treatment of acutely symptomatic anxiety, muscle fasciculations, and seizures. Case Follow-up: The patient required benzodiazepine administration for seizure management and subsequent intubation for airway protection. Iran Red Crescent Med J 16: e5072, 2014. 7, 9 Often have absence of excessive cholinergic stimulation.

Poisoning 98

Poisoning Airway Management Seizures PPE 98

EMDocs

JULY 19, 2023

Further, organic mercury readily crosses the placenta where it acts as a teratogen leading to a wide range of birth defects including developmental delay, blindness, seizures, and limb malformation. 2014 Jun 2;22(1):46. Symptoms include tremor, personality changes , emotional lability, gait disturbance , paresthesias, and ataxia.

Poisoning 91

Poisoning Fluid Resuscitation Administration Seizures 91

EMDocs

NOVEMBER 2, 2024

We’ll keep it short, while you keep that EM brain sharp. bladder incontinence) – 17% Headache – 10% Lighting pains – 10% Often described as sudden, rapidly spreading and disappearing [13] Dizziness – 10% Hearing loss – 10% Seizures – 7% Signs: Hyporeflexia – 50% Sensory impairment (e.g., Symptoms: Personality change (i.e.,

EMS 115

EMS Infectious Diseases CDC Research 115

EMDocs

JANUARY 6, 2025

She presents with a seven-day history of fever, fatigue, and myalgias associated with decreased oral intake and an episode of seizure-like activity three hours prior to arrival. Additionally, there is no family history of seizure disorders. A review of systems is notable for nausea and vomiting but no diarrhea. Qual Health Res.

Infectious Diseases 75

Infectious Diseases CDC PPE Rapid Diagnostic Testing 75