RebelEM

NOVEMBER 6, 2024

2015 Jan;38(1):42-4. PMID: 31082090 Post Peer Reviewed By: Anand Swaminathan MD, MPH (Insta @EMSwami) The post Elbow Dislocations appeared first on REBEL EM - Emergency Medicine Blog. Anterior elbow dislocation with recurrent instability. Acta Orthop Belg. 2003 Apr;69(2):197-200. PMID: 12769023 Skelley NW, Chamberlain A. Orthopedics.

Dislocations 116

Dislocations Fractures Soft Tissue Injuries Outcomes 116

Pediatric EM Morsels

JUNE 30, 2023

link] PMID: 36553274 The post Congenital Pulmonary Airway Malformation (CPAM) appeared first on Pediatric EM Morsels. Congenital Cystic Adenomatoid Malformation (CCAM) Type II: A Rare Case of Sudden Infant Death. Dec: 9 (12): 1830.

Ultrasounds 284

Ultrasounds Pediatrics Operations EMS 284

Pediatric EM Morsels

OCTOBER 27, 2023

Britnell 2015] Broselow tape performed better than APLS method in Chinese children. Khouli 2015] In South Sudan, the Broselow system overestimated weight by 26.6% 2020) The Times & Tapes Are a-Changin’: The Latest Broselow-Luten Tape for EMS , EMS World. in malnourished children and by 16.6% and Seaver, M. Kinnear, J.

Pediatrics 271

Pediatrics Resuscitation Documentation/Coding Wellness 271

EMDocs

OCTOBER 21, 2023

We’ll keep it short, while you keep that EM brain sharp. 2015 Jul;5(3):142-50. 2015 Jan;46(1):102-7. The post EM@3AM: Basilar Artery Occlusion appeared first on emDOCs.net - Emergency Medicine Education. Available from: [link] Circle of Willis. link] January 24, 2007. Accessed April 13, 2023. Demel SL, Broderick JP.

EMS 98

EMS Stroke Outcomes Hospitals 98

Dr. Smith's ECG Blog

SEPTEMBER 11, 2024

Here is the case: Report from EMS was witnessed syncope, his son did CPR, but the patient had pulses when EMS arrived. When the patient arrived in the ED, he was still hypotensive in 70s, slowly improving with EMS fluids. The American Journal of Emergency Medicine 2015; 33(6):786-790. Hope you’re doing well!

EMS 114

EMS CPR EKG/ECG Wellness 114

Pediatric EM Morsels

JULY 21, 2023

We had just received a young child from EMS who was post-ictal with decreased mentation. 2015 Feb;100(2):207-8. The post Glasgow Coma Scale in Children appeared first on Pediatric EM Morsels. In emergency medicine, we often use illness scripts and protocols to help drive our decision-making. Less than 8, intubate! Biradar, S.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Emergency Medicine Journal

JULY 22, 2024

Background The outcomes of patients who call an ambulance but are discharged at scene reflect the safety and quality of emergency medical service (EMS) care. Methods This was a retrospective data linkage study on consecutive adult EMS patients discharged at scene by paramedics in Victoria, Australia, between 1 January 2015 and 30 June 2019.

Outcomes 98

Outcomes EMS Hospitals Research 98

RebelEM

FEBRUARY 24, 2025

Jan 2015; PMID: 25559473 Airapetian N, et al. Nov 2015; PMID: 26563768 Yartsev, Alex. Use M-mode Doppler to acquire information on IVC variability with at least three respiratory cycles. 3 Cutoff CI of 15% has a negative predictive value (NPV) of 100%. Echocardiogr.

Ultrasounds 74

Ultrasounds Shock Fluid Resuscitation Resuscitation 74

The Skeptics' Guide to EM

APRIL 13, 2024

Case: A 70-year-old woman was brought into the emergency department by EMS after her family reported she was having trouble talking. He is an assistant professor in Emergency Medicine, Neurology, and Neurosurgery at the School of Medicine at the University of Washington. hours from onset of symptoms.

Stroke 138

Stroke Documentation/Coding Emergency Department EMS 138

First 10 EM

SEPTEMBER 25, 2023

Weingart 2011, Weingart 2015) It is a brilliant concept, makes a ton of sense on paper, and anecdotally has seemed to help a number of my patients. Introduced to the world by our friend Scott Weingart, delayed sequence intubation (DSI) is often summarized as procedural sedation for the procedure of preoxygenation.

EMS 140

EMS 140

Pediatric EM Morsels

AUGUST 18, 2023

Binz 2015) Remember, dogs grow 18 times as fast an infant in the first year of life. Binz 2015) More recent lamb studies have been performed, where the growth more closely approximates a human child. Binz 2015). Oral Fluoroquinolone Prescribing to Children in the United States From 2006 to 2015. This myth is: BUSTED-ish.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

Pediatric EM Morsels

NOVEMBER 17, 2023

Epub 2015 Aug 22. The post Cuffed Endotracheal Tubes for Children: ReBaked Morsel appeared first on Pediatric EM Morsels. Cuffed versus uncuffed endotracheal tubes in children: a meta-analysis. 2016 Feb;30(1):3-11. doi: 10.1007/s00540-015-2062-4. PMID: 26296534.

Pediatrics 187

Pediatrics Emergency Department Outcomes Sepsis 187

EMDocs

JUNE 28, 2023

And listen to your EMS providers and nurses. EMS is called, and he is brought to the ED for a reported “slip and fall” with associated facial abrasions. EMS is called, and he is brought to the ED for a reported “slip and fall” with associated facial abrasions. EM requires a team! Examine the patient.

Documentation/Coding 95

Documentation/Coding EMS Stroke Patient Safety 95

RebelEM

AUGUST 30, 2023

Most common organism is Staph Aureus (36-67% of cases) ( Boody 2015 ). Executive Summary: 2015 Infectious Disease Society of America (IDSA) Clinical Practice Guidelines for the Diagnosis and Treatment of Native Vertebral Osteomyelitis in Adults. Clin Infect Dis 2015 Sept 15;61(6):859-63. Other pathogens include: E.

Infectious Diseases 100

Infectious Diseases Fractures Radiology Radiology 100

Pediatric EM Morsels

MAY 12, 2023

2015 Nov;100(11):1032-7. Epub 2015 Aug 21. 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. doi: 10.1136/archdischild-2014-307119.

Head Injuries 130

Head Injuries Fractures Pediatrics EMS 130

RebelEM

SEPTEMBER 23, 2024

Opponents of ketamine often point to the risks of spiking intracranial pressure but this concern has been widely debunked ( Cohen 2015 ). Read More REBEL EM: From Debate to Data: Emerging Insights into Induction with Ketamine vs Etomidate. Ann Emerg Med 2015; 65(1): 43-51. appeared first on REBEL EM - Emergency Medicine Blog.

EMS 77

EMS Resuscitation Outcomes Wellness 77

RebelEM

MAY 25, 2023

JAMA 2015 [7] The PROPPR Trial 680 severely injured adult trauma patients Patients randomized to Plasma, Platelets, and PRBCs in a 1:1:1 ratio vs 1:1:2 ratio No difference in overall mortality at 24 hrs BUT 1:1:1 achieved hemostasis faster and fewer experienced death due to exsanguination at 24hrs Crombie N et al. Lancet 2019. JAMA Surg 2022.

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

First 10 EM

JANUARY 29, 2024

Norii 2015, […] The post The UK-REBOA trial appeared first on First10EM. There have been some observational studies that suggested REBOA was associated with worse outcomes, but the outcomes were largely assumed to be the result of confounders.

Resuscitation 98

Resuscitation Outcomes EMS 98

RebelEM

MAY 27, 2024

Background: The REVERT Randomized Controlled Trial demonstrated the superiority of the modified valsalva maneuver (MVM) over the standard valsalva maneuver (VM) in re-establishing normal sinus rhythm (NSR) in patients with PSVT (Appelboam 2015). appeared first on REBEL EM - Emergency Medicine Blog.

Outcomes 137

Outcomes Research Operations Hospitals 137

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. 2015; 12(5):e1001825. appeared first on REBEL EM - Emergency Medicine Blog. A CXR demonstrates a right middle lobe opacity. What Your Gut Says: Give the first dose IV!

Infectious Diseases 99

Infectious Diseases Pediatrics EMS Administration 99

RebelEM

SEPTEMBER 13, 2023

2015; 372(5):418-25. PMID 18768946 Post Created By: Anand Swaminathan MD, MPH (Twitter @EMSwami ) Post Peer Reviewed By: Salim Rezaie MD (Twitter @SRRezaie) The post REBEL Core Cast 108.0 – Angioedema appeared first on REBEL EM - Emergency Medicine Blog. A randomized trial of icatibant in ACE-inhibitor-induced angioedema.

Allergic Reactions 105

Allergic Reactions Airway Management Anaphylaxis Emergency Department 105

EMDocs

FEBRUARY 22, 2024

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

EMS 98

EMS Emergency Department Hospitals 98

RebelEM

APRIL 29, 2024

In these situations, the American Heart Association (AHA) and the European Resuscitation Council (ERC) of 2015 recommend the intraosseous (IO) route after the peripheral route and before the central venous route ( 1). 2015 PMID: 25768683 8 Leidel BA. This can often lead to significant delays in proper resuscitation. Trauma 1996.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

EM Curious

JULY 22, 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 on here at Rebel EM.

Infectious Diseases 52

Infectious Diseases EMS Ultrasounds Emergency Department 52

EM Curious

APRIL 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. Listen here @ EM Crit. Emlyns Blog.

Head Injuries 52

Head Injuries EMS Pediatrics CPR 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 95

Operations Radiology Radiology Fluid Resuscitation 95

PulmCCM

APRIL 18, 2024

Although most EM and CCM trainees intubate more than that, fewer than 30 intubations per year for EM residents, and fewer than 100 total for critical care fellows over a fellowship are common benchmarks. This is highly convincing evidence that that video is better overall for first-pass intubation success.

Airway Management 98

Airway Management Operations EMS Research 98

EM Curious

AUGUST 19, 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. A must listen here at EM Crit.

Airway Management 52

Airway Management Ultrasounds EMS Emergency Department 52

RebelEM

DECEMBER 5, 2023

The Skeptics Guide to EM Should I Stay or Should I Go Related Topics: Are steroids and antihistamines really effective for anaphylaxis?: 2015 May-Jun;3(3):408-16 Ellis A, Day J. appeared first on REBEL EM - Emergency Medicine Blog. Read More: 1. A naphylaxis – Emergency Medicine Updates 2. Biphasic Anaphylactic Reactions.

Anaphylaxis 81

Anaphylaxis Allergic Reactions Emergency Department EMS 81

The Skeptics' Guide to EM

MAY 21, 2017

Case: A 45-year-old male arrives via emergency medical services (EMS) complaining that he wants to be discharged. EMS states they found him unresponsive and with paraphernalia consistent with intravenous heroin use. CanadiEM summarized the Top 5 changes to AHA 2015 Guidelines in a series of infographics (4).

Emergency Department 52

Emergency Department Administration Academics EMS 52

ALiEM

OCTOBER 30, 2024

Case A patient arrives via EMS from the bus station complaining of fever, vomiting, and back pain. Our experience: It was not long ago that we instructed our staff that: ‘COWS >8, give ’em 8 (mg of buprenorphine).’ 2015 Apr 28;313(16):1636-44. They report insufflating ‘a bundle’ of tranq dope per day.

Emergency Department 64

Emergency Department Operations Psychiatric EMS 64

Advanced Emergency Nursing from AENJ

JULY 29, 2015

National EMS Museum Biographies. Norman McSwain, Jr MD, FAC S EMS Pioneer and Advocate Norman McSwain, MD, dies in New Orleans. EMS Museum. McSwain, MD FACS Norman E. McSwain, Jr., After action report. From Landstuhl Regional Medical Center. July 8-30, 20007. Heightman, A.J., MPA, EMT P. CPR and the First Defibrillator- Drs.

CPR 40

CPR Emergency Nursing Resuscitation EMS 40

Taming the SRU

JUNE 24, 2024

MedEdPORTAL Publications; 2015. Circulation , vol. 1103–1104, [link] Cousar J, Bohanske M, Hill J. Transvenous Cardiac Pacemaker Educational Resource. Available from: [link] Siamak Moayedi, Priya Patel, Nicholas Brady, Michael Witting, Timm-Michael L.

Advances Cardiac Life Support (ACLS) 90

Advances Cardiac Life Support (ACLS) CPR Burns Resuscitation 90

PHEM Cast

DECEMBER 12, 2016

For an entertaining and insightful discussion about the impact of undertaking thoracotomy, listen to Dr John Hinds talk from SMACC 2015. Journal of the Royal Society of Medicine 2015. Joint Position Statement of Nat Assoc EMS Physicians and ACS Committee on Trauma. Highly recommended. Traumatic Cardiac Arrest. 108(1): 11-16.

Military 52

Military Resuscitation Emergency Department Documentation/Coding 52

PHEM Cast

APRIL 16, 2018

It might be better to consider traumatic cardiac arrest as a completely different disease eg LOST: Low Output State due to Trauma The 2015 European Resuscitation Council and UK Resuscitation Council Algorithms for Traumatic Cardiac Arrest: To read the whole ERC guideline on special circumstances cardiac arrest including trauma, click here.

Resuscitation 52

Resuscitation Shock Ultrasounds CPR 52

ALiEM

JULY 17, 2023

sought to identify program factors associated with unfilled post-graduate year 1 (PGY-1) emergency medicine (EM) positions in the 2023 Match [1]. Many of these findings were similar to a study of the 2022 EM Match results by Murano et al., A staggering 131 (47%) EM residency programs had unfilled PGY-1 positions among in 2023 [7].

EMS 52

EMS Burns Emergency Department Shock 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. Anatomy The Guidelines Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. British Journal of Anaesthesia (2015) 115 (6): 827-848.

Airway Management 52

Airway Management Academics Operations Resuscitation 52