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. Time to change the reference ranges of children’s physiological observations in emergency care? He has had three days of high fevers at home. A prospective study. J Paediatr Child Health.

Pediatrics 105

Pediatrics Sepsis Urgent Care Emergency Department 105

EMDocs

AUGUST 22, 2024

12 How do we address these disparities in the emergency department? Certified interpreter use can improve communication and patient outcomes. An implementation science approach improves language access in the emergency department. One cohort study in a public ED found that 84.5% 45:446-458. Taira B, et al.

Documentation/Coding 104

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

Emergency Medicine Journal

OCTOBER 23, 2024

This study aimed to analyse the advice provided in NHS 111 calls, the duration between the call and ED attendance, and the outcomes of such attendances made by children and young people (C&YP). This linked-data study examined NHS 111 calls and ED outcomes. This linked-data study examined NHS 111 calls and ED outcomes.

Emergency Department 52

Emergency Department Outcomes 52

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 Dehydration EMS 52

ALiEM

OCTOBER 30, 2024

Bupe Allergy Buprenorphine induction has been the mainstay of emergency department treatment of opioid use disorder for more than a decade [11, 12]. Emergency department-initiated buprenorphine for opioid dependence with continuation in primary care: outcomes during and after intervention. 2017 Jun;32:660-6.

Emergency Department 64

Emergency Department Operations Psychiatric Hospitals 64

The Skeptics' Guide to EM

JANUARY 18, 2025

This is the SGEM Xtra, where we bring you special episodes that highlight important topics in emergency medicine. Today, we have invited these three amazing people to discuss the relaunch of the Females in Emergency Medicine (FeminEM) initiative. Now, its 2025, and FemInEM is back with renewed energy and a clear mission.

Academics 47

Academics Emergency Department EMS Outcomes 47

EMDocs

JANUARY 25, 2025

A 45-year-old outdoor enthusiast presents to the emergency department with fever, headache, myalgias, and malaise. 0000000000000305 Kazumi Y (2023) The Epidemiology and Outcomes of Leukopenia in Different Populations and Regions. No rash is identified. An update on the diagnosis and treatment of chronic idiopathic neutropenia.

EMS 95

EMS Infectious Diseases Allergic Reactions Fluid Resuscitation 95

EB Medicine

MAY 31, 2017

This month's episode of EMplify, a podcast corollary to the Emergency Medicine Practice journal, focuses on management strategies that improve dental emergency outcomes. This podcast is based on the full-length review published in the June 2017 issue of Emergency Medicine Practice.

Outcomes 40

Outcomes Fractures Emergency Department 40

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. Wallach et al JAMA Intern Med 2017 , previously reported that subgroup claims are often not corroborated by subsequent studies and rarely confirmed.

CDC 108

CDC Hospitals EMS Emergency Department 108

EMDocs

MAY 25, 2023

Outcome: No statistically significant difference in primary outcome, which was absence of clinically apparent seizures without the need for additional anti-convulsant medications AND improving responsiveness at 60 minutes after the start of trial-drug infusion, as determined by the treating physician.

Seizures 89

Seizures Administration Anaphylaxis Outcomes 89

Dr. Smith's ECG Blog

OCTOBER 18, 2023

If you were working in a busy emergency department, would you like to be interrupted to interpret these ECGs or can these patients safely wait to be seen because of the normal computer interpretation? Acad Emerg Med. 2017 ; 24 ( 1 ): 120 - 124 2. Am J Emerg Med. Am J Emerg Med. Am J Emerg Med.

EKG/ECG 119

EKG/ECG Documentation/Coding Emergency Department Outcomes 119

EMDocs

JUNE 1, 2023

Several secondary outcomes suggest a signal toward harm with hypothermia, including incidence of pneumonia, bradycardia, and more days ventilated. Effect of Early Sustained Prophylactic Hypothermia on Neurologic Outcomes Among Patients with Severe Traumatic Brain Injury: The POLAR Randomized Clinical Trial. Bradycardia: 18.8%

Hyperthermia / Hypothermia 85

Hyperthermia / Hypothermia Outcomes Hospitals Emergency Department 85

The Skeptics' Guide to EM

SEPTEMBER 3, 2017

[display_podcast] Date: September 2nd, 2017 Reference: Caputo et al. EmergeNcy Department use of Apneic Oxygenation versus usual care during rapid sequence intubation: A randomized controlled trial (The ENDAO Trial). display_podcast] Date: September 2nd, 2017 Reference: Caputo et al. Reference: Caputo et al.

Emergency Department 52

Emergency Department Resuscitation Operations EMS 52

RebelEM

FEBRUARY 5, 2024

Sites: Investigators recruited patients at 31 French emergency departments at university and nonuniversity hospitals Duration : June 1, 2009 to March 31, 2015. Outcomes: Primary Outcome: Pulmonary expansion 24 hours after the procedure. Secondary Outcomes: Pulmonary expansion 7 days after the procedure.

Outcomes 104

Outcomes Hospitals Research Emergency Department 104

ACEP Now

JULY 7, 2023

emergency departments (EDs), with statistics reporting more than 356,000 out-of-hospital cardiac arrests per year. 2,3 In general, patients who develop cardiac arrest with an initial rhythm of VT or VF tend to have favorable outcomes compared to patients who develop cardiac arrest from either asystole or pulseless electrical activity.

Resuscitation 98

Resuscitation Shock Stroke Hospitals 98

Don't Forget the Bubbles

MARCH 4, 2024

We have teamed up with the team from the Emergency Department at Bristol Royal Hospital, who have used this as a springboard for their journal club. (It’s The children’s Emergency department sees approximately 50,000 presentations per year. Emerg Med J. Paediatr Int Child Health. 2024 Jan 11:1-7.

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

Northwestern EM Blog

APRIL 15, 2024

“Tracheostomy: Epidemiology, Indications, Timing, Technique, and Outcomes.” Tracheotomy outcomes and complications: a national perspective. Tracheotomy outcomes and complications: a national perspective. Critical care nursing clinics of North America 29 2 (2017): 251-258. Respiratory Care 59 (2014): 895 - 919.

Emergency Department 98

Emergency Department Resuscitation Pediatrics Outcomes 98

EB Medicine

APRIL 30, 2017

Hosts Jeff Nusbaum, MD, and Nachi Gupta, MD, cover all aspects of the acute management of this condition, from initial diagnosis and treatment in the emergency department to novel biomarkers and new and controversial therapies.

Outcomes 40

Outcomes Burns Best Practices Ultrasounds 40

EMDocs

JUNE 12, 2024

HypoCa is common in trauma patients and is associated with poor outcomes. We need RCTs to determine if Ca administration in trauma impacts mortality and other patient-centered outcomes. Ionised calcium levels in major trauma patients who received blood in the Emergency Department. Emerg Med J. doi:10.1097/TA.0000000000002570

Hyperthermia / Hypothermia 105

Hyperthermia / Hypothermia Resuscitation Administration Blood Transfusions 105

EMDocs

SEPTEMBER 25, 2023

Still, there are those that believe that FPS is more of a physician-centered endpoint that does not fully reflect important patient-centric outcomes (16). actors Associated with the Occurrence of Cardiac Arrest after Emergency Tracheal Intubation in the Emergency Department. Int J Emerg Med. 2017 Dec;10(1):1.

Emergency Department 92

Emergency Department Soft Tissue Injuries Airway Management Operations 92

The Skeptics' Guide to EM

JANUARY 20, 2018

BMJ 2017 Guest Skeptic: Meghan Groth is an Emergency Medicine Pharmacist at the UMass Memorial Medical Center in Worcester, Massachusetts. BMJ 2017 Guest Skeptic: Meghan Groth is an Emergency Medicine Pharmacist at the UMass Memorial Medical Center in Worcester, Massachusetts. In the US, adults accounted for 6.6

Academics 52

Academics Emergency Department EMS Administration 52

Cook County EM Blog

MAY 1, 2023

The Case: A 56-year-old male with no significant past medical history presents to the emergency department with worsening swelling, pain, and erythema of the right elbow. Patient Course: In the emergency department, the patient received lab work that was remarkable for WBC 11.8, J Emerg Med. and ESR 26. emDocs.net.

Ultrasounds 52

Ultrasounds Emergency Department Hospitals Outcomes 52

The Skeptics' Guide to EM

OCTOBER 19, 2019

The Bougie and First-Pass Success in the Emergency Department. Yes * Was the outcome accurately measured to minimize bias? Clinical Question: Does using a bougie increase first pass intubation success? Reference: Driver et al. Yes * Did the authors use an appropriate method to answer their question?

Emergency Department 52

Emergency Department Outcomes 52

The Skeptics' Guide to EM

AUGUST 28, 2021

Direct-access physiotherapy to help manage patients with musculoskeletal disorders in an emergency department: Results of a randomized controlled trial. Case: A forty-year-old woman presents to the emergency department […] The post SGEM#342: Should We Get Physical, Therapy for Minor Musculoskeletal Disorders in the ED?

Emergency Department 52

Emergency Department Research Outcomes 52

EB Medicine

SEPTEMBER 1, 2018

Jeff: Welcome back to Emplify, the podcast corollary to EB Medicine’s Emergency Medicine Practice. I’m Jeff Nusbaum, and I’m back with my co-host, Nachi Gupta and we’ll be taking you through the September 2018 issue of Emergency Medicine Practice - Emergency Department Management of North American Snake envenomations.

Emergency Department 40

Emergency Department Poisoning Anaphylaxis Allergic Reactions 40

The Skeptics' Guide to EM

SEPTEMBER 16, 2017

[display_podcast] Date: September 12th, 2017 Reference: Sinert et al. J Allergy Clin Immunol Pract 2017. Guest Skeptic: Dr. Anand Swaninathan is an Assistant Professor of Emergency Medicine at NYU/Bellevue Hospital in the Department of Emergency Medicine. J Allergy Clin Immunol Pract 2017.

Anaphylaxis 52

Anaphylaxis Administration EMS Emergency Department 52

Don't Forget the Bubbles

JUNE 30, 2023

The primary outcome measure was chest drain failure, i.e., retained haemothorax requiring a secondary interventional procedure. They stratified patients according to the ratio of FFP: PRBC received (1:1, 1:2, 1:3 and 1:3+) and performed logistic regression analyses for various outcomes. His heart rate is creeping up, now 140.

Resuscitation 139

Resuscitation Operations Sepsis Pediatrics 139

Pediatric Emergency Playbook

NOVEMBER 1, 2017

To scan or not to scan: pediatric minor head trauma in your office, clinic or emergency department. Acad Emerg Med. 2017; 24(3)382-384. Children with Arachnoid Cysts who Sustain Blunt Head Trauma: Injury Mechanisms and Outcomes. Acad Emerg Med. Headache in Traumatic Brain Injuries from Blunt Head Trauma.

Pediatrics 52

Pediatrics Emergency Department Outcomes 52

The Skeptics' Guide to EM

APRIL 28, 2018

December 2017. Case: A 72-year-old gentleman presents to your emergency department. December 2017. Case: A 72-year-old gentleman presents to your emergency department. December 2017. Outcome: * Primary Outcome: All-cause mortality at 30 days after randomization.

Hospitals 40

Hospitals Emergency Department Outcomes Shock 40

EMDocs

SEPTEMBER 7, 2023

2 Laboratory assays for DEG are not widely available and have long turn-around-times, thus have limited utility in diagnosis in the emergency department. Long-Term Renal and Neurologic Outcomes among Survivors of Diethylene Glycol Poisoning.” “Fomepizole” in Goldfrank’s Toxicologic Emergencies , 11e Eds.

Poisoning 92

Poisoning CDC Administration Emergency Department 92

The Skeptics' Guide to EM

JANUARY 7, 2018

[display_podcast] Date: December 19th, 2017 Reference: Perry J et al. CMAJ Nov 2017 Guest Skeptic: Dr. Chris Carpenter is from Washington University, Deputy Editor of Academic Emergency Medicine and faculty member of Emergency Medicine and Critical Care course.

Emergency Department 40

Emergency Department Academics Outcomes 40

The Skeptics' Guide to EM

MAY 7, 2017

[display_podcast] Date: May 1st, 2017 Reference: Poonai et al. Point-of-care ultrasound for non-angulated distal forearm fractures in children: test performance characteristics and patient-centered outcomes. Acad Emerg Med May 2017. Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia.

Fractures 40

Fractures Pediatrics Ultrasounds Academics 40

EMDocs

MAY 11, 2024

Clinical Policy: Use of Intravenous Tissue Plasminogen Activator for the Management of Acute Ischemic Stroke in the Emergency Department. Ann Emerg Med. Erratum in: Ann Emerg Med. 2017 Nov;70(5):758. Endovascular and Clinical Outcomes of Vertebrobasilar Intracranial Atherosclerosis-Related Large Vessel Occlusion.

Stroke 110

Stroke EMS EKG/ECG Radiology 110

EB Medicine

MAY 3, 2019

This month, we’re moving into uncharted territories for the podcast… we’re talking psychiatry Nachi: Specifically, we’ll be discussing Depressed and Suicidal Patients in the emergency department. Jeff: a 2017 ACEP clinical policy also recommends against routine lab testing in those with acute psychiatric complaints.

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

Taming the SRU

OCTOBER 1, 2023

This post aims to broadly cover the types of PTX, the diagnostic modalities available, and the ideal management by PTX type in the Emergency Department. As these patients are typically already at a high risk for poor health outcomes, secondary spontaneous PTX is often more serious in presentation and management more complex [11].

Fractures 96

Fractures COPD Hospitals Emergency Department 96

Broome Docs

JANUARY 30, 2023

2017 Dec 7;377(23):2240-2252. Association of Chest Pain Protocol-Discordant Discharge With Outcomes Among Emergency Department Patients With Modest Elevations of High-Sensitivity Troponin. Does wound eversion improve cosmetic outcome?: Am J Emerg Med. N Engl J Med. doi: 10.1056/NEJMoa1615066. JAMA Netw Open.

Emergency Department 52

Emergency Department Outcomes Ultrasounds Pediatrics 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. In 2017, these were performed 60%, 18%, and 3% of the time. I hope everybody enjoyed a fantastic conference.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40