EMDocs

APRIL 27, 2024

We’ll keep it short, while you keep that EM brain sharp. A 67-year-old man with a history of hypertension and diabetes presents to the emergency department with right ear pain for 2 weeks. New York, McGraw-Hill, 2016, Ch 242:p 1581-2. He says the pain is worse at night and when he is chewing. Al-Noury, K., & Lotfy, A.

EMS 105

EMS Infectious Diseases Radiology Radiology 105

EMDocs

NOVEMBER 4, 2023

We’ll keep it short, while you keep that EM brain sharp. aureus infections among patients in the emergency department. Skin and Soft Tissue Infections in the Emergency Department. Emerg Med Clin North Am. December 27, 2016. Managing a Cutaneous Abscess in the Emergency Department.

EMS 94

EMS Ultrasounds Emergency Department Infectious Diseases 94

EMDocs

OCTOBER 21, 2023

We’ll keep it short, while you keep that EM brain sharp. doi: 10.1136/neurintsurg-2016-012515. Epub 2016 Jul 15. Application of the ABCD2 score to identify cerebrovascular causes of dizziness in the emergency department. Neurocrit Care 24, 172–179 (2016). J Neurointerv Surg. 2017 Aug;9(8):722-726.

EMS 97

EMS Stroke Outcomes Hospitals 97

Pediatric EM Morsels

NOVEMBER 17, 2023

Differences in intubation outcomes for pediatric patients between pediatric and general Emergency Departments. Intubation practice and outcomes among pediatric emergency departments: A report from National Emergency Airway Registry for Children (NEAR4KIDS). Acad Emerg Med. 2016 Feb;30(1):3-11.

Pediatrics 187

Pediatrics Emergency Department Outcomes Sepsis 187

Pediatric EM Morsels

JULY 21, 2023

In emergency medicine, we often use illness scripts and protocols to help drive our decision-making. We had just received a young child from EMS who was post-ictal with decreased mentation. Acad Emerg Med. 2016 Aug;23(8):878-84. Epub 2016 Aug 1. Academic emergency medicine 12.9 Ann Emerg Med.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Pediatric EM Morsels

JULY 5, 2024

Emerg Radiol. 2016; Published June 20, 2016. PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study. J Spinal Disord Tech. 2015;28(7). PMID: 26165728. Cui LW, Probst MA, Hoffman JR, Mower WR.

Pediatrics 164

Pediatrics Head Injuries Dislocations Research 164

EMDocs

DECEMBER 6, 2024

Tintinallis Emergency Medicine: A Comprehensive Study Guide, 8e. McGraw Hill; 2016. Pediatric Emergency Care, 27 (10), 978-985. A partner at bedside reports recent depressed mood, abdominal pain, and vomiting yesterday. Hernandez SH, Nelson LS. In: Tintinalli JE, Stapczynski J, Ma O, Yealy DM, Meckler GD, Cline DM.

Poisoning 98

Poisoning Fluid Resuscitation Seizures Resuscitation 98

EMDocs

DECEMBER 23, 2024

Its narrow indication for stable VT means many emergency departments may not routinely stock the medication. Best Clinical Practice: Emergency Medicine Management of Stable Monomorphic Ventricular Tachycardia. J Emerg Med. Epub 2016 Oct 15. His initial EKG is the following: What do you think? 2016.09.010.

EKG/ECG 75

EKG/ECG Shock Wellness EMS 75

RebelEM

FEBRUARY 2, 2023

Background Information: Atrial fibrillation with rapid ventricular rate (RVR) is one of the many tachydysrhythmias we encounter in the Emergency Department (ED). Amiodarone versus digoxin for acute rate control of atrial fibrillation in the emergency department. Am J Emerg Med. Am J Emerg Med. 2022 Sep 7.

Emergency Department 52

Emergency Department Administration EMS Dehydration 52

RebelEM

SEPTEMBER 9, 2024

A newborn boy presents to the emergency department shortly after a home delivery. Fleisher & Ludwig’s Textbook of Pediatric Emergency Medicine. Philadelphia, PA: Wolters Kluwer; 2016:27–54. The mother had routine prenatal care and reports that he was due in 2 days. His heart rate is 80 bpm.

Resuscitation 58

Resuscitation Emergency Department Pediatrics EMS 58

Dr. Smith's ECG Blog

OCTOBER 12, 2024

A man in his 90s with a history of HTN, CKD, COPD, and OSA presented to the emergency department after being found unresponsive at home. With EMS, patient had a GCS of 3 and was saturating 60% on room air. Vital signs were within normal limits on arrival to the Emergency Department. Am J Emerg Med.

EKG/ECG 116

EKG/ECG Documentation/Coding Emergency Department COPD 116

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 74

Pediatrics Emergency Department Research Burns 74

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives Identifying means to optimise trainee retention and recruitment is an Emergency Medicine (EM) research priority. This study aimed to understand how increasingly crowded Emergency Departments (EDs) are impacting EM training in the United Kingdom. Abstract 2061 Figure 1

Emergency Department 40

Emergency Department EMS Research 40

EB Medicine

JANUARY 10, 2020

Show Notes Please click here and take our listener survey Emergency Department management of Non-St Segment Elevation Myocardial Infarction, by Drs Julianna Jung and Sharon Bord. Chest pain is the second most common complaint Over 6.4 million visits to US EDs annually include chest pain.

Emergency Department 40

Emergency Department Shock EKG/ECG Sepsis 40

RebelEM

APRIL 29, 2024

World J Emerg Surg 2023 PMID: 36918947 3. Intraosseous vascular access in adults using the EZ-IO in an emergency department. Int J Emerg Med 2009 PMID: 20157465 4. Intraosseous versus central venous catheter utilization and performance during inpatient medical emergencies. Ngo AS, Oh JJ, Chen Y, Yong D, Ong MEH.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

EMDocs

AUGUST 22, 2024

12 How do we address these disparities in the emergency department? An implementation science approach improves language access in the emergency department. Association of limited English proficiency and increased emergency department waiting room lengths of stay. Annals of Emergency Medicine.

Documentation/Coding 104

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 104

The Skeptics' Guide to EM

FEBRUARY 8, 2020

Stroke 2019 Guest Skeptic: Dr. Rory Spiegel is an EM/CC doctor who splits his time in the Emergency Department and Critical Care department. He also has this amazing #FOAMed blog called EM Nerd. He also has this amazing #FOAMed blog called EM Nerd. It is associated with nausea, vomiting and photophobia.

Emergency Department 52

Emergency Department Stroke EMS Academics 52

EMDocs

OCTOBER 30, 2023

Pillai, MBBS (@sspillai01, EM Resident Physician, University of Kentucky) and Christopher N. 2 In response to the constrained availability of contrast media, emergency medicine (EM) and radiology departments were compelled to enact modifications in their imaging techniques. West J Emerg Med. Authors: Saran S.

Radiology 99

Radiology Radiology Emergency Department Hospitals 99

Taming the SRU

NOVEMBER 27, 2023

These patients may be discharged with close outpatient follow-up, and should be instructed to return to the Emergency Department if they develop worsening and/or spreading pain and swelling, as this may be indicative of an infectious process. Tintinalli’s emergency medicine: A comprehensive study guide (Ninth edition.).

Soft Tissue Injuries 95

Soft Tissue Injuries Emergency Department EMS Fractures 95

Dr. Smith's ECG Blog

FEBRUARY 6, 2024

Written by Pendell Meyers A teenager was involved in a motor vehicle collision and presented to the Emergency Department via EMS altered and potentially critically ill. 2016, April 13). He was intubated for altered mental status. Chest trauma was suspected on initial exam. References Alborzi, Z., Zangouri, V., Ziaeian, B.,

EKG/ECG 115

EKG/ECG Wellness Fractures Emergency Department 115

ALiEM

MAY 19, 2023

A heavy alcohol drinker, who is well known to your Emergency Department, presents with altered mental status, except that he looks different this time. In our emergency department, the RTs do not spend a lot of time going around measuring cuff pressures and usually save that until the patient reaches the ICU.

Emergency Department 98

Emergency Department Ultrasounds Wellness EMS 98

Taming the SRU

JUNE 11, 2023

End-tidal carbon dioxide measured at emergency department triage outperforms standard triage vital signs in predicting in-hospital mortality and intensive care unit admission. Acad Emerg Med 2023; 10.1111/acem.14703 Enrollment period was from February 2016 to August 2018. Am J Emerg Med. Acad Emerg Med.

Hospitals 88

Hospitals Emergency Department EMS Outcomes 88

EMDocs

SEPTEMBER 25, 2023

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.” actors Associated with the Occurrence of Cardiac Arrest after Emergency Tracheal Intubation in the Emergency Department.

Emergency Department 92

Emergency Department Soft Tissue Injuries Airway Management Operations 92

The Skeptics' Guide to EM

FEBRUARY 22, 2020

Richelle Cooper is a Professor of Emergency Medicine at the UCLA Department of Emergency Medicine. Dr. Maia Dorsett is an Emergency and EMS Physician at the University of Rochester Medical Center. Richelle Cooper is a Professor of Emergency Medicine at the UCLA Department of Emergency Medicine.

Wellness 52

Wellness Emergency Department EMS 52

JournalFeed

JANUARY 17, 2022

Today, we are talking about race in EM with the authors of a recent op-ed in Annals of Emergency Medicine. We tackle some tough questions about racism and how we can be better allies as EM colleagues. 2016 Jan;99(1):117-24. Ann Emerg Med. It’s a special edition of the JournalFeed Podcast. Patient Educ Couns.

EMS 52

EMS Emergency Department 52

RebelEM

JUNE 8, 2023

If pre-made syringes are not financially feasible then the creation of these medications should be done by a dedicated emergency department pharmacist. Clinical Bottom Line: Acute hypotension must be treated emergently in order to decrease morbidity and mortality. Am J Emerg Med. Am J Emerg Med. J Med Toxicol.

Administration 98

Administration Emergency Department Outcomes Documentation/Coding 98

Don't Forget the Bubbles

JUNE 30, 2023

A recent review was conducted on Trauma Quality Improvement Program data between 2014 and 2016. Interim results presented earlier this year show that REBOA performed within the Emergency Department increased mortality. b) Emergency thoracotomy Let’s be clear: YOU will not be doing any of this. Injury 2016; 47: 797– 804.

Resuscitation 139

Resuscitation Operations Sepsis Pediatrics 139

The Skeptics' Guide to EM

JANUARY 19, 2019

Justin Morgenstern is an emergency physician and the creator of the excellent #FOAMed project called First10EM.com Case: A 33-year-old man arrives via emergency medical services (EMS) after initially being […] The post SGEM#241: Wake Me Up Before You Go, Go – Using the HOUR Rule first appeared on The Skeptics Guide to Emergency Medicine.

EMS 52

EMS CDC Emergency Department Hospitals 52

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. 2016 Sep 15;375(11):1033-43. Epub 2016 Jun 8.

Stroke 99

Stroke Outcomes EMS Seizures 99

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. While it was < 15% in 1990, by 2016 it reached 40%. I hope everybody enjoyed a fantastic conference. Jeff: Well that’s kind worrisome.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

EMDocs

JANUARY 17, 2024

When emergency medical services (EMS) arrived, she was in asystole with an empty, recently full, bottle of benzonatate 100 mg capsules. She had return of spontaneous resuscitation (ROSC) and was subsequently intubated and transported to the emergency department (ED). 2016 Dec;12 (4):416]. Am J Case Rep.

Poisoning 89

Poisoning Seizures Pediatrics EMS 89

The Skeptics' Guide to EM

AUGUST 14, 2021

Circulation 2020 Guest Skeptic: Missy Carter is a PA practicing in emergency medicine in the Seattle area and an adjunct faculty member with the Tacoma Community College paramedic program. This was the ALPS randomized control trial published in NEJM 2016. The issue of amiodarone vs lidocaine has also been covered on SGEM#162.

Shock 52

Shock CPR Hyperthermia / Hypothermia EMS 52

PHEM Cast

APRIL 10, 2016

It is obviously a huge topic and there is lots of information to cover; a couple of other recently released podcasts are available which are produced with the Emergency Medicine community in mind, but will no doubt expand your knowledge. March 2016. The impact of emergency medical services on the ED care of severe sepsis.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

ALiEM

MAY 13, 2024

Case Introduction: Child with abdominal pain Wendy is a 7-year-old girl who comes into the emergency department with redness, swelling, and pain on her left calf. J Emerg Med 2018 [6] 327 Prospective cohort study of children 6mo-18yrs comparing clinical assessment to POCUS 90.3% (83.4-94.7%) Pediatr Emerg Care.

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

The Skeptics' Guide to EM

MAY 29, 2021

Date: May 20th, 2021 Guest Skeptic: Dr. Robert Edmonds is an emergency medicine physician in the Air Force in Dayton, Ohio, and a University of Missouri-Kansas City residency alumni from 2016. Journal of Trauma and […] The post SGEM#332: Think Outside the Cardiac Box first appeared on The Skeptics Guide to Emergency Medicine.

Emergency Department 52

Emergency Department EMS Research 52

RebelEM

MARCH 8, 2023

Emergency Department Management: Emergency ophthalmology consultation. Emergency surgical management indicated if concomitant retinal tear, vitreous hemorrhage, or retinal detachment. Ophthalmology, in Marx J et al (eds): Rosens Emergency Medicine: Concepts and Practice, ed 9. >10 floaters, (+) LR 8.1-36

Stroke 52

Stroke Emergency Department Ultrasounds Outcomes 52

RebelEM

MARCH 23, 2023

The 30-day emergency department readmission rate and all-cause 30-day readmission were significantly lower only when adjusted for propensity scores. Phenobarbital Versus Lorazepam for Management of Alcohol Withdrawal Syndrome: A Retrospective Cohort Study.

Emergency Department 52

Emergency Department Burns Outcomes Hospitals 52