The Trauma Pro

MARCH 1, 2024

J Trauma 84(2):379-385, 2018. Reference: No intravenous access, no problem: Intraosseous administration of tranexamic acid is as effective as intravenous in a porcine hemorrhage model.

Military 279

Military Resuscitation Administration Hospitals 279

Pediatric EM Morsels

JUNE 16, 2023

Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment.

Soft Tissue Injuries 152

Soft Tissue Injuries Dehydration Fractures Operations 152

Pediatric EM Morsels

SEPTEMBER 22, 2023

2018 Oct;14(2):47-54. Epub 2018 Oct 31. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: [link] Ko HY. Revisit Spinal Shock: Pattern of Reflex Evolution during Spinal Shock. Korean J Neurotrauma. doi: 10.13004/kjnt.2018.14.2.47. 2018.14.2.47. PMID: 30402418; PMCID: PMC6218357.

Shock 300

Shock Pediatrics Hyperthermia / Hypothermia Dislocations 300

Ken Grauer, MD

APRIL 5, 2024

For additional examples of this phenomenon whereby automatic truncation of an EMS ECG may mistakenly result in LVH serving to mimi c ischemia — Check out My Comment at the bottom of the page of the following posts in Dr. Smith's ECG Blog — the November 29, 2023 post — June 20, 2020 — March 31, 2019 — March 29, 2019 — and t he December 27, 2018 post.

EKG/ECG 238

EKG/ECG EMS Hospitals 238

Pediatric EM Morsels

OCTOBER 6, 2023

Forster, 2021) Transmission is by Fecal-Oral route (Chiodini 2018) Incubation period 6-30 days after exposure (Chiodini 2018) Salmonella typhi produces an endotoxin although its clinical significance is not yet well understood (Gibani 2019) Two typhoid vaccines are available for those > 6 m/o and are 50-80% effective.

Pediatrics 161

Pediatrics CDC Seizures Documentation/Coding 161

Ken Grauer, MD

DECEMBER 15, 2023

The July 31, 2018 post in Dr. Smith's ECG Blog ( Please scroll down to the bottom of the page to see My Comment ). The August 22, 2020 post in Dr. Smith's ECG Blog — which illustrates another case of dynamic ST-T wave changes that resulted from a repolarization variant.

EKG/ECG 381

EKG/ECG EMS Hospitals 381

Pediatric EM Morsels

AUGUST 4, 2023

Ganss, 2018) There are additional associations with scoliosis, burn injuries, and spinal cord injuries. (Oka, Ganss, 2018) At least one case of abdominal compartment syndrome noted in the literature. (Oka, 2023) Female to male predominance with a ratio of 3:2.

Pediatrics 246

Pediatrics Burns Operations Ultrasounds 246

Pediatric EM Morsels

JULY 21, 2023

cats and dogs have their own GCS scores [Lapsley 2019, Ash 2018] Moral of the Morsel Modified can make it Merrier! 2018 Jun;128(6):1612-1620. 2018): 192–200. Fun fact for animal lovers!- Brennan PM, Murray GD, Teasdale GM. Simplifying the use of prognostic information in traumatic brain injury. J Neurosurg.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Ken Grauer, MD

APRIL 26, 2024

An example of a case in which the diagnosis of acute OMI was made purely by assessment of ST-T wave morphology in a PVC can be found HERE ( See My Comment at the bottom of this page in the October 8, 2018 post in Dr. Smith's ECG Blog ). = A cknowledgment : My appreciation for this case that is anonymously contributed. =

EKG/ECG 395

EKG/ECG Resuscitation EMS Wellness 395

Pediatric EM Morsels

JUNE 14, 2024

Tavasoli 2018, Wolf 2012) More common in adults; children comprise 20% of total cases (Pidcock 2007, Wang 2019) Bimodal age distribution (Absoud 2016) Children < 5 years Children > 10 years Symptoms evolve over 2-4 days and peak at 5-6 days (Absoud 2016) ATM may occur alone OR as part of another disorders (e.g. 28,1 (2008): 105-20.

Pediatrics 141

Pediatrics EMS Outcomes 141

Sensible Medicine

MARCH 4, 2024

In 2018, the NEJM and the Lancet published three trials that randomized tens of thousands of patients without heart disease to either low-dose aspirin or a placebo. In the absence of heart disease, based on the 2018 trials, I had recommended patients stop taking aspirin. The ARRIVE trial excluded patients taking aspirin at baseline).

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RebelEM

NOVEMBER 6, 2024

2018 Jun;54(6):849-854. Epub 2018 Apr 19. 2018 Apr 4;100(7):e46. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. PMID: 30521261 Gottlieb M, Schiebout J. Elbow Dislocations in the Emergency Department: A Review of Reduction Techniques. J Emerg Med. doi: 10.1016/j.jemermed.2018.02.011. 2018.02.011. J Am Acad Orthop Surg.

Dislocations 118

Dislocations Fractures Soft Tissue Injuries Outcomes 118

Pediatric EM Morsels

JUNE 9, 2023

Carneiro de Moura, 2018 ] Seen in 57% of cohort. Banc-Husu, 2023 ; Luoto, 2020; Carneiro de Moura, 2018 ] Basics are best (always)! Banc-Husu, 2023 ; Luoto, 2020; Carneiro de Moura, 2018 ] Basics are best (always)! 2018 Sep;67(3):371-376. Infections occurred in 30% of those with acute variceal bleeding. doi: 10.1097/MPG.0000000000002039.

Pediatrics 152

Pediatrics Head Injuries Airway Management Administration 152

Ken Grauer, MD

APRIL 18, 2023

For review — Check Out My Comment — at the bottom of the page in the following posts on Dr. Smith's ECG Blog: The June 4, 2018 post ( LA-LL reversal ). The July 29, 2018 post ( LA-RA reversal ). The November 4, 2018 post ( Leads V1,V2 misplacement ). The February 11, 2020 post ( LA-RA reversal ).

EKG/ECG 195

EKG/ECG Wellness 195

Pediatric EM Morsels

JUNE 21, 2024

Palmieri 2002, Choi 2018, Raymond 2018] A systematic review with moderate quality evidence found no difference in the rate of wound healing or epithelialization with silver sulfadiazine compared to silver impregnated foam dressing. Irie 2018] Moral of the Morsel Burns are Bad! Get the Goop!

Burns 169

Burns Pediatrics Hospitals Wellness 169

Pediatric EM Morsels

JUNE 7, 2024

2018 Jun 19;6:170. References Licari A, Brambilla I, Marseglia A, De Filippo M, Paganelli V, Marseglia GL. Difficult vs. Severe Asthma: Definition and Limits of Asthma Control in the Pediatric Population. Front Pediatr. doi: 10.3389/fped.2018.00170. 2018.00170. PMID: 29971223; PMCID: PMC6018103. Clin Med Res. 2004 Aug;2(3):155-63. 2.3.155.

Pediatrics 206

Pediatrics Emergency Department Wellness EMS 206

Pediatric EM Morsels

APRIL 5, 2024

Globally, ticks are the second most common vector to transmit illnesses after mosquitos (Parola 2018). 2018 Mar; 3(1): 8. Travel Medicine and Infectious Disease, 2018, 26, pp.1-2. There are species of ticks found on every continent and carrying a variety of vectors capable of infecting humans. John H, Jian J, RIchards AL.

CDC 161

CDC Infectious Diseases Pediatrics Wellness 161

Emergency Live

DECEMBER 19, 2023

Research conducted by Tufts University revealed that in 2018, approximately 14.1 […] The post Diabetes and Lifestyles: A Global Correlation appeared first on Emergency Live.

Research 111

Research 111

Emergency Live

FEBRUARY 29, 2024

This device, mandatory on all new models of cars and light vans since March 31, 2018, is designed to automatically send an emergency call to […] The post eCall: The Invisible Guardian of Europe's Roads appeared first on Emergency Live.

98

98

Dr. Smith's ECG Blog

JUNE 5, 2024

Uncontrolled coronary spasm may be associated with serious arrhythmias , including cardiac arrest ( Looi et al — Postgrad Med, 2012 ; Tan et al — Eur Heart J Case Rep, 2018 ; Chevalier et al — JACC, 1998 ; Rodriguez-Manero — EP Europace, 2018 ). As a result — an ICD may need to be considered in selected cases.

EKG/ECG 115

EKG/ECG Outcomes 115

Pediatric EM Morsels

JULY 7, 2023

Cunningham, 2018 ] Account for less than 1% of all knee injuries. Epub 2018 Apr 19. The PTF joint is inherently stable with good ligamentous support, especially when the knee is in extension. Cunningham NJ, Farebrother N, Miles J. Review article: Isolated proximal tibiofibular joint dislocation. Emerg Med Australas. PMID: 29671944.

Dislocations 141

Dislocations Fractures Pediatrics EMS 141

PEMBlog

OCTOBER 31, 2024

2018 Nov 22;379(21):2002-2014. N Engl J Med 2018; 379:2015-2026. Lactobacillus rhamnosus GG versus Placebo for Acute Gastroenteritis in Children. N Engl J Med. doi: 10.1056/NEJMoa1802598. PMID: 30462938; PMCID: PMC6358014. Freedman et al. Multicenter Trial of a Combination Probiotic for Children with Gastroenteritis. Parker et al.

Outcomes 105

Outcomes Pediatrics Emergency Department Research 105

Ken Grauer, MD

JUNE 6, 2023

A point may be reached in which even with valve replacement — pulmonary hypertension persists , which serves as a marker for a poor longterm prognosis ( Maeder et al — Frontiers in Cardiovasc Med 5(40):1-15, 2018 ). E CG F indings in Today's Tracing N ow M ake S ense ! ECG Blog #92 — Presents another perspective for ECG Diagnosis of LVH.

EKG/ECG 195

EKG/ECG Hospitals Wellness Resuscitation 195

Emergency Live

JUNE 22, 2023

Significant collaboration between ADAC Luftrettung and Volocopter for the development of electric vertical take-off and landing aircraft (eVTOL) for rescue services A step forward in air rescue and emergency medicine The collaboration is the result of a partnership that began in 2018, when ADAC Luftrettung, a German air rescue organisation, and Volocopter, (..)

98

98

EMCrit

JUNE 18, 2024

Part I: SUP-ICU (2018) This was a large multicenter RCT […] EMCrit Project by Josh Farkas. I would view this as the triquel following SUP-ICU and PEPTIC. In order to understand REVISE in context, let's briefly review SUP-ICU and PEPTIC trials, before discussing REVISE.

87

87

Pediatric EM Morsels

AUGUST 18, 2023

Wirth 2018) One study including 4.4 Meesters 2018) Resistance is growing (likely from inappropriate / overuse)! (Noel 2007) In a very robust, recent multicenter, randomized, double-blind controlled study Moxifloxacin was compared to a comparator drug (IV ertapenem followed by PO Augmentin) for complex intraabdominal infections.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

The Trauma Pro

OCTOBER 18, 2024

Journal of Trauma Nursing, 25 (3), 192-195, 2018. If the score is less than 6 further scrutiny is needed to determine if a consult from or transfer to trauma should be recommended. References: Nonsurgical Admissions With Traumatic Injury: Medical Patients Are Trauma Patients Too. Am Surg, 88(7), 1537-1540, 2022.

Documentation/Coding 147

Documentation/Coding Emergency Department Hospitals 147

MEDEST118

MAY 14, 2024

2018 Sep;5(3):208-209. AJR Am J Roentgenol. 2014 Feb;202(2):418-25. doi: 10.2214/AJR.13.10711. PMID: 24450686. Reid C, Fogg T, Healy G. Deformation of a humeral intraosseous catheter due to positioning for thoracostomy. Clin Exp Emerg Med. doi: 10.15441/ceem.17.243. Epub […]

Pediatrics 81

Pediatrics 81

Sensible Medicine

JUNE 17, 2024

Proponents wrote back in 2018 that longer-term safety studies are needed that specifically assess…”cerebral microemboli assessed by magnetic resonance imaging.” The bubbles seen on ultrasound imaging during PFA was enough for the proponents to write in 2018 that brain safety was an issue to be studied.

Shock 130

Shock Stroke Operations Ultrasounds 130

EM Literature of Note

SEPTEMBER 11, 2023

The population included for analysis is the Austrian Stroke Unit Registry from 2018 until 2019, an original cohort of 53,899 patients. Like MARISS, this is a retrospective dredge of patients selected by the treating clinicians to receive either intravenous thrombolysis or, in this case, dual-antiplatelet therapy with clopidogrel and aspirin.

Stroke 112

Stroke Outcomes Wellness 112

PEMBlog

DECEMBER 7, 2023

2018 Sep 01; 98 (5):283-291. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: [link] Trayes KP, Savage K, Studdiford JS. Annular Lesions: Diagnosis and Treatment. Am Fam Physician.

Infectious Diseases 125

Infectious Diseases 125

The Trauma Pro

DECEMBER 20, 2024

The most recent DOAC reversal agent, Andexxa (andexanet alfa), was approved in 2018. However, reversal agents and/or protocols were introduced, and the literature has borne out the fact that they appear to be safer than the old stand-by warfarin. Today, I will republish a post on this agent five years ago and a year after the FDA approved it.

Head Injuries 113

Head Injuries Administration Hospitals 113

Don't Forget the Bubbles

JUNE 14, 2023

Echoing Vic Brazil , in her talk from 2018, he reminds us that tribalism is still rife in our healthcare system and that we are all complicit in the othering that takes place in tea rooms and in elevators every day. Kindness is not, and should not, be a precious resource doled out sparingly to those we think deserve it.

Pediatrics 135

Pediatrics Hospitals 135

ALiEM

MARCH 18, 2024

2018 Jun 27;40:1-2. No testing is indicated, but if sent will be normal including laboratory studies and arterial dopplers of the extremity. References Ahmed Z, Elmallah A, Elnagar M, Dowdall J, Barry M, Sheehan SJ. Painful Blue Finger-Achenbach’s Syndrome: Two Case Reports. EJVES Short Rep. doi: 10.1016/j.ejvssr.2018.05.008.

Burns 122

Burns Academics Emergency Department 122

Dr. Smith's ECG Blog

JANUARY 6, 2024

In the 500+ Comments I have written on Dr. Smith's ECG Blog since becoming an Associate Editor in 2018 — I do not believe we have had a case of RA-LL lead reversal. For review — GO TO: The June 4, 2018 post ( LA-LL reversal ). The July 29, 2018 post ( LA-RA reversal ). The November 4, 2018 post ( Leads V1,V2 misplacement ).

EKG/ECG 98

EKG/ECG Wellness 98

Emergency Medicine Journal

OCTOBER 26, 2023

Methods We investigated four 18-month periods between 2005 and 2018. Over all study periods, survival at hospital discharge increased from 12% in 2005 to 25% in 2018 (p<0.001), and return of spontaneous circulation at hospital admission increased from 43% to 58% (p=0.004).

Resuscitation 75

Resuscitation Basic Life Support Hospitals CPR 75

Greater Sydney Area HEMS

FEBRUARY 20, 2024

Anesthesiology 2018; 128 : 38–43. [v] Medicine 2018; 97 : e13661. [iv] Breschan C, Graf G, Jost R et al. A retrospective analysis of the clinical effectiveness of supraclavicular, ultrasound-guided brachiocephalic vein cannulations in preterm infants. Green et al. October 2023. [vi] vi] Xia R, Sun X, Bai X et al.

Ultrasounds 98

Ultrasounds Shock Research Operations 98