EMDocs

MAY 11, 2024

We’ll keep it short, while you keep that EM brain sharp. A 74-year-old female with a past medical history of hypertension, diabetes, recent basilar artery stent placement with a 20 pack-year smoking history presents to the ED via EMS for altered mental status and episodes of apnea. 2018 Apr 26;378(17):1573-1582. Ann Emerg Med.

Stroke 107

Stroke EMS EKG/ECG Radiology 107

Ken Grauer, MD

DECEMBER 15, 2023

ECG #2 was actually done first, at the time the EMS unit arrived on the scene ( at which time the patient was having severe chest pain ). The July 31, 2018 post in Dr. Smith's ECG Blog ( Please scroll down to the bottom of the page to see My Comment ). Figure-1: The initial ECG in today's case. (

EKG/ECG 378

EKG/ECG EMS Hospitals 378

EMDocs

MAY 25, 2024

We’ll keep it short, while you keep that EM brain sharp. Published 2018 Nov 15. The post EM@3AM: Sialadenitis appeared first on emDOCs.net - Emergency Medicine Education. She is breathing comfortably but seems to experience significant pain at the associated site of swelling. J Clin Imaging Sci. doi:10.4103/jcis.JCIS_45_18.

EMS 96

EMS Dehydration Operations Hospitals 96

Pediatric EM Morsels

MARCH 1, 2024

Lung abscess is a rare subset of these (< 1% of admitted cases of pneumonia ( Wojsyk-Banaszak, 2018 ) Lung abscess = collection of fluid within a thick-walled localized area of necrotic lung parenchyma. 2018 May;24(5):376-382. Epub 2018 Feb 15. 2018 Jun;34(6):447-449. J Infect Chemother. doi: 10.1016/j.jiac.2017.12.020.

Ultrasounds 173

Ultrasounds Pediatrics Operations Hospitals 173

ACEP Now

JUNE 21, 2023

emergency medicine (EM) residency training length has been a decades-long dilemma: four vs. three years. First, is three years enough time to become an EM physician? But critical questions remain unanswered when it comes to specialization, career trajectory, and actual competence as an EM physician. 11 What should we take away?

EMS 114

EMS Academics Telemedicine Operations 114

EMDocs

APRIL 27, 2024

We’ll keep it short, while you keep that EM brain sharp. link] The post EM@3AM: Malignant/Necrotizing Otitis Externa appeared first on emDOCs.net - Emergency Medicine Education. He says the pain is worse at night and when he is chewing. European journal of nuclear medicine , 24 (11), 1429–1432. link] Carlton, D. E., & Smouha, E.

EMS 102

EMS Infectious Diseases Radiology Radiology 102

EMDocs

MARCH 30, 2024

We’ll keep it short, while you keep that EM brain sharp. A 27-year-old man was brought into the emergency department via EMS after being stabbed. Published 2018 Jan 25. doi:10.4103/sni.sni_359_17 The post EM@3AM: Thoracic and Lumbar Spine Trauma appeared first on emDOCs.net - Emergency Medicine Education. Jpn J Radiol.

EMS 104

EMS Fractures Emergency Department Dislocations 104

EMDocs

JUNE 3, 2023

We’ll keep it short, while you keep that EM brain sharp. Updated March 14, 2018. 2018 Jun;24(3):309-316. 29.8.1550 The post EM@3AM: Cerebellar Stroke appeared first on emDOCs.net - Emergency Medicine Education. Her symptoms have been constant over the last two weeks. 1997; 28 (12): 2400–2404. Siriraj Stroke Center.

Stroke 93

Stroke EMS Pediatrics EKG/ECG 93

Ken Grauer, MD

APRIL 26, 2024

The ECG in Figure-1 — was obtained on the scene by EMS ( E mergency M edical S ervices ). 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 ). =

EKG/ECG 392

EKG/ECG Resuscitation EMS Wellness 392

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 154

Soft Tissue Injuries Dehydration Fractures Operations 154

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. PMID: 31451453 The post Superior Mesenteric Artery Syndrome (SMA Syndrome) in Children appeared first on Pediatric EM Morsels.

Pediatrics 246

Pediatrics Burns Operations Ultrasounds 246

EMDocs

JULY 1, 2023

We’ll keep it short, while you keep that EM brain sharp. 2018; 3: e41-e45. link] The post EM@3AM: Kawasaki Disease appeared first on emDOCs.net - Emergency Medicine Education. Kawasaki disease: epidemiology and etiology. In: Post TW, ed. UpToDate;2022. Accessed December 31, 2022. link] Ramphul, K., Arch Med Sci Atheroscler Dis.

EMS 84

EMS Infectious Diseases Pediatrics Research 84

Pediatric EM Morsels

JUNE 7, 2024

2018 Jun 19;6:170. The post ReBaked Morsel on Asthma Control – The 2020 NIH Asthma Management Guidelines appeared first on Pediatric EM Morsels. 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.

Pediatrics 208

Pediatrics Emergency Department Wellness EMS 208

Pediatric EM Morsels

JULY 21, 2023

We had just received a young child from EMS who was post-ictal with decreased mentation. 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. Less than 8, intubate! Fun fact for animal lovers!- J Neurosurg.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

EMDocs

NOVEMBER 18, 2023

We’ll keep it short, while you keep that EM brain sharp. Published 2018 Mar 6. x The post EM@3AM: Liver Transplant Complications appeared first on emDOCs.net - Emergency Medicine Education. Accessed May 7, 2023 5) Oh SY, Lee JM, Lee H, et al. 2018;8(1):4084. doi:10.1038/s41598-018-22404-8 6) Vilarinho S, Lifton RP.

EMS 89

EMS Ultrasounds Emergency Department Outcomes 89

Emergency Medicine Cases

MAY 22, 2018

The post Ep 110 Airway Pitfalls – Live from EMU 2018 appeared first on Emergency Medicine Cases. It is challenging to integrate all this new information into a seamless flow when faced with a challenging airway situation.

Airway Management 52

Airway Management Resuscitation EMS 52

Pediatric EM Morsels

OCTOBER 27, 2023

2020) The Times & Tapes Are a-Changin’: The Latest Broselow-Luten Tape for EMS , EMS World. Epub 2018 Oct 18. link] The post The Broselow-Luten System appeared first on Pediatric EM Morsels. Available at: [link] (Accessed: 26 October 2023). and Seaver, M. Available at: [link] (Accessed: 27 October 2023). Kinnear, J.

Pediatrics 271

Pediatrics Resuscitation Documentation/Coding Wellness 271

ACEP Now

JANUARY 5, 2025

Special thanks to Dr. Kevin Wasko, guest expert on the EM Cases podcast on this topic, who inspired this column. Published August 6, 2018. Dr. Helman is an emergency physician at North York General Hospital in Toronto. Anesthetic management of the pediatric bleeding tonsil. Paediatr Anaesth. 2010;20(11):982-986. Morgenstern J.

Airway Management 98

Airway Management Operations Resuscitation Pediatrics 98

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 143

Pediatrics EMS Outcomes 143

Emergency Medicine Ireland

DECEMBER 3, 2020

As an EM trainee doing intensive care I will confess that I struggle to work up the enthusiasm to cover a nutrition guideline. As an EM trainee doing intensive care I will confess that I struggle to work up the enthusiasm to cover a nutrition guideline. Epub 2018 Sep 29. With my deepest apologies to all the. doi: 10.1016/j.clnu.2018.08.037.

Burns 52

Burns Sepsis EMS Wellness 52

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 154

Pediatrics Head Injuries Airway Management Administration 154

Dr. Smith's ECG Blog

NOVEMBER 29, 2023

Written by Pendell Meyers Two adult patients in their 50s called EMS for acute chest pain that started within the last hour. Both cases had an EMS ECG that was transmitted to the ED physician asking "should we activate the cath lab?" 25 minutes later, EMS called back with this new ECG: Super obvious STEMI(+) OMI.

EKG/ECG 127

EKG/ECG EMS Outcomes Wellness 127

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 134

Stroke Documentation/Coding Emergency Department EMS 134

Pediatric EM Morsels

JULY 7, 2023

Cunningham, 2018 ] Account for less than 1% of all knee injuries. Epub 2018 Apr 19. The post Proximal Tibiofibular Joint Dislocation in Children appeared first on Pediatric EM Morsels. The PTF joint is inherently stable with good ligamentous support, especially when the knee is in extension. Emerg Med Australas. PMID: 29671944.

Dislocations 143

Dislocations Fractures Pediatrics EMS 143

Emergency Medicine Cases

FEBRUARY 27, 2018

The post Ep 107 Blunt Ocular Trauma Live from The EM Cases Course appeared first on Emergency Medicine Cases.

EMS 52

EMS 52

Emergency Medicine Cases

JULY 16, 2019

The post EM Quick Hits 6 Blunt Cardiac Trauma, Atrial Fibrillation Anticoagulation, Hydromorphone vs Morphine, Myasthenia Gravis, Venous Access appeared first on Emergency Medicine Cases.

EMS 52

EMS 52

Pediatric EM Morsels

NOVEMBER 17, 2023

2018 Mar;28(3):210-217. The post Cuffed Endotracheal Tubes for Children: ReBaked Morsel appeared first on Pediatric EM Morsels. PMID: 8021785. de Wit M, Peelen LM, van Wolfswinkel L, de Graaff JC. Paediatr Anaesth. doi: 10.1111/pan.13340. PMID: 29436138. Kim JH, Ahn JH, Chae YJ. Pediatric Application of Cuffed Endotracheal Tube.

Pediatrics 187

Pediatrics Emergency Department Outcomes Sepsis 187

Mount Sinai EM

JANUARY 11, 2023

In NYC, we very rarely encounter injured patients with a helmet on and that’s probably because they were never wearing one to begin with, the patient removed it, or EMS removed it. McGraw Hill; 2018. What should I know about helmets? Helmets come in different flavors and sizes and are used for different activities (e.g. Helmet Removal.

EMS 130

EMS 130

Pediatric EM Morsels

AUGUST 18, 2023

Wirth 2018) One study including 4.4 Meesters 2018) Resistance is growing (likely from inappropriate / overuse)! PMID: 29356761 The post Fluoroquinolone Use In Children appeared first on Pediatric EM Morsels. 451 pediatric patients were included. The incidence of MAEs was comparable between the treatment arms. 41(2):121-122.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

Pediatric EM Morsels

AUGUST 9, 2024

Foles, 2024 ] In the US, from 2013-2018, cases increased from 362 to 1,306. The post Congenital Syphilis appeared first on Pediatric EM Morsels. Worldwide, congenital syphilis complicates about 1 million pregnancies / year. Hussain, 2023 ] Leads to >300,000 perinatal deaths / year globally. A case of congenital syphilis.

Hyperthermia / Hypothermia 154

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 154

Dr. Smith's ECG Blog

OCTOBER 10, 2024

EMS arrived and recorded vital signs within normal limits and the following ECG during active pain: EMS1 @ 0157: What do you think? During EMS transport, the pain suddenly resolved. MY Thoughts on ECG #1: In a patient with severe, new-onset CP — the initial EMS ECG is obviously abnormal and suggestive of acute OMI.

EKG/ECG 109

EKG/ECG EMS 109

The Trauma Pro

AUGUST 22, 2023

The EMS report indicates that your incoming patient is in shock. Injury 49(1): 15-19, 2018 Well folks, that’s it for the MTP series! It’s more on the massive transfusion protocol (MTP). I’ll continue today with MTP activation triggers. What criteria should trigger your massive transfusion protocol?

Shock 100

Shock Wellness EMS 100

RebelEM

FEBRUARY 24, 2025

J Invest Surg Sept 2018; PMID: 28952826 Robb J. Feb 2023; PMID: 36835888 Peer Reviewed By: Mark Ramzy, DO (X: @ MRamzyDO ), Marco Propersi, DO (X: @Marco_Propersi ) The post IVC Distensibility Index vs Collapsibility Index: Using the Correct Index appeared first on REBEL EM - Emergency Medicine Blog. Intensive Crit Care Nurs.

Ultrasounds 74

Ultrasounds Shock Fluid Resuscitation Resuscitation 74

RebelEM

JANUARY 18, 2024

appeared first on REBEL EM - Emergency Medicine Blog. Any of the outcomes could be statistically significant by chance alone as mortality was not the primary outcome in all the included studies Too few studies included in the meta-analysis (4 trials total) to draw any definitive conclusions.

Sepsis 130

Sepsis Hospitals Administration Outcomes 130

The Skeptics' Guide to EM

SEPTEMBER 29, 2018

[display_podcast] Date: September 21st, 2018 Reference: Kawano et al. Annals of EM May 2018 Guest Skeptic: Andrew Merelman is a critical care paramedic and first year medical student at Rocky Vista University in Colorado. display_podcast] Date: September 21st, 2018 Reference: Kawano et al.

Basic Life Support 52

Basic Life Support Airway Management CPR Resuscitation 52

RebelEM

DECEMBER 5, 2023

At the time of discharge, thorough education and the availability of IM epinephrine for the patient is paramount to allow for prompt treatment of an unlikely biphasic reaction ( Pourmand 2018 , Shaker 2020 ). The Skeptics Guide to EM Should I Stay or Should I Go Related Topics: Are steroids and antihistamines really effective for anaphylaxis?:

Anaphylaxis 80

Anaphylaxis Allergic Reactions Emergency Department EMS 80

EMDocs

DECEMBER 11, 2023

Fourth Universal Definition of Myocardial Infarction (2018). 2018 Oct 30;72(18):2231-2264. Available: [link] (2018) Meyers HP, Bracey A, Lee D, Lichtenheld A, Li WJ, Singer DD, Kane JA, Dodd KW, Meyers KE, Thode HC, Shroff GR, Singer AJ, Smith SW. J Am Coll Cardiol. Meyers, S.D. Weingart, S.W. The OMI manifesto.

EKG/ECG 119

EKG/ECG Emergency Department Academics Operations 119