Don't Forget the Bubbles

MARCH 10, 2025

doi: 10.1136/emermed-2020-210450. Understand the day-to-day lived experience of EM doctors to identify and explore factors influencing retention. Portfolio careers The good news for Dont Forget the Bubbles readers is that a bit of Paediatric EM is a retention strategy for emergency physicians. Emerg Med J. Epub 2021 Jun 3.

Emergency Department 104

Emergency Department Research EMS Academics 104

EMDocs

OCTOBER 19, 2024

We’ll keep it short, while you keep that EM brain sharp. Published 2020. link] The post EM@3AM: Bacterial Tracheitis appeared first on emDOCs.net - Emergency Medicine Education. His mother states that he appeared improved until today when he developed high-pitched inspiratory noises and appeared overall unwell. Published 2023.

EMS 106

EMS Pediatrics Sepsis Airway Management 106

EMDocs

SEPTEMBER 7, 2024

We’ll keep it short, while you keep that EM brain sharp. A 25-year-old man presents to the ED via EMS after he sustained a gunshot wound to the left flank. Available from: [link] Guldner GT, Smith T, Magee EM. 2020 May;13(5):545-555. Epub 2020 Mar 3. 2020 Jun;13(6):i. F, RR 16, SpO2 97% on room air.

EMS 93

EMS Fluid Resuscitation Resuscitation Radiology 93

Ken Grauer, MD

APRIL 5, 2024

KEY Point: In the United States, there is a limit to the amount of voltage that prehospital ECGs in most EMS ( E mergency M edical ) S ystems are able to display. Once aware of this automatic truncation of ECG amplitudes that is used in most EMS systems in the United States — it becomes EASY to spot ( as shown below in Figure-2 ).

EKG/ECG 236

EKG/ECG EMS Hospitals 236

Pediatric EM Morsels

OCTOBER 27, 2023

DeBoer 2020] Now seen as industry standard in pediatric emergency care. K 2020] In Mexican children, the Broselow differed from actual weight by <10% in 46-64% of patients. 2020) The Times & Tapes Are a-Changin’: The Latest Broselow-Luten Tape for EMS , EMS World. Published 2020 Feb 12. 2020;13(1):9.

Pediatrics 271

Pediatrics Resuscitation Documentation/Coding Wellness 271

EMDocs

MAY 25, 2024

We’ll keep it short, while you keep that EM brain sharp. Cham: Springer International Publishing; 2020:387-395. 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. Neuroradiol J.

EMS 96

EMS Dehydration Operations Hospitals 96

EMDocs

JUNE 8, 2024

We’ll keep it short, while you keep that EM brain sharp. McGraw Hill, 2020. The post EM@3AM: Traumatic Iritis appeared first on emDOCs.net - Emergency Medicine Education. A 27-year-old male presents to the ED for left eye pain after being hit in the face with a spare car part while working under the hood of his car. and John O.

EMS 96

EMS Allergic Reactions Poisoning Emergency Department 96

EMDocs

APRIL 27, 2024

We’ll keep it short, while you keep that EM brain sharp. Otology & Neurotology 41(8):p 1004-1011, September 2020. | 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. DOI: 10.1097/MAO.0000000000002723

EMS 102

EMS Infectious Diseases Radiology Radiology 102

Emergency Medicine Cases

DECEMBER 30, 2020

It goes without saying that 2020 presented many challenges for the worldwide EM community. As we enter 2021 I thought it important to reflect on what we did well in 2020, what made us proud to be EM docs, so that we keep this perspective and keep on growing as a community going forward. And this is what they said….

EMS 52

EMS Wellness 52

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 2020 Jul 29. doi:10.4103/sni.sni_359_17 The post EM@3AM: Thoracic and Lumbar Spine Trauma appeared first on emDOCs.net - Emergency Medicine Education. 2020;6(1):67.

EMS 104

EMS Fractures Emergency Department Dislocations 104

Pediatric EM Morsels

NOVEMBER 3, 2023

falciparum accounts for >70% of cases of imported malaria , primarily seen in those returning from travel in Sub-Saharan Africa (Mischlinger 2020) Other species include P. For non-complicated malaria use oral Co ART em. 2020 Mar 11;33(2):e00104-19. vivax , P. malariae , and the less common P. knowlesi and P. vivax and P.

Seizures 281

Seizures Pediatrics CDC Infectious Diseases 281

Ken Grauer, MD

AUGUST 26, 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 ). That the "culprit" artery spontaneously opened ~20 minutes later while the EMS unit was en route to the hospital ( at which time the patient's CP had resolved — and ECG #1 was obtained ).

EKG/ECG 363

EKG/ECG EMS Hospitals 363

Pediatric EM Morsels

JULY 19, 2024

2020 Sep;38(9):1943. Epub 2020 Jan 29. The post Post-Tonsillectomy Hemorrhage: ReBaked Morsel appeared first on Pediatric EM Morsels. Epub 2022 Aug 6. PMID: 35988367. Nebulized tranexamic acid for post-tonsillectomy hemorrhage in children: a promising game changer. Am J Emerg Med. doi: 10.1016/j.ajem.2020.01.042. 2020.01.042.

Airway Management 290

Airway Management Pediatrics Wellness Operations 290

EMDocs

NOVEMBER 19, 2024

Published 2020. His roommate found an empty pill bottle on the floor next to him. The bottle contained 100 mg quetiapine tablets, and 50 tablets were unaccounted for. Practical guidance for the use of long-acting injectable antipsychotics in the treatment of schizophrenia. Psychol Res Behav Manag. 2022;15:3915-3929. Published 2019.

Poisoning 108

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 108

Ken Grauer, MD

APRIL 26, 2024

The ECG in Figure-1 — was obtained on the scene by EMS ( E mergency M edical S ervices ). Recognizing hyperacute T waves — patterns of leads — an OMI ( though not a STEMI ) — See My Comment at the bottom of the page in the November 8, 2020 post on Dr. Smith's ECG Blog.

EKG/ECG 392

EKG/ECG Resuscitation EMS Wellness 392

EMDocs

JULY 29, 2023

We’ll keep it short, while you keep that EM brain sharp. September 9, 2020. 2021.3.51501 The post EM@3AM: Suppurative Parotitis appeared first on emDOCs.net - Emergency Medicine Education. A 75-year-old male with past history of HTN, CVA, DM II presents to the emergency department with right facial swelling since last night.

EMS 90

EMS Dehydration Ultrasounds Emergency Department 90

EMDocs

NOVEMBER 18, 2023

We’ll keep it short, while you keep that EM brain sharp. OPTN/SRTR 2020 Annual Data Report: Liver. x The post EM@3AM: Liver Transplant Complications appeared first on emDOCs.net - Emergency Medicine Education. Pediatr Radiol. 2021;51(2):248-256. doi:10.1007/s00247-020-04811-0 2) Kwong AJ, Ebel NH, Kim WR, et al. Liver Transpl.

EMS 89

EMS Ultrasounds Emergency Department Outcomes 89

Pediatric EM Morsels

MAY 10, 2024

Pediatr Rev September 2020; 41 (9): 469–480. doi:10.1186/s13089-021-00205-x The post Chest Pain in Children: ReBaked Morsel appeared first on Pediatric EM Morsels. link] Hanson MG, Chan B. The role of point-of-care ultrasound in the diagnosis of pericardial effusion: a single academic center retrospective study. Ultrasound J.

EKG/ECG 271

EKG/ECG Pediatrics Ultrasounds Seizures 271

EMDocs

NOVEMBER 4, 2023

We’ll keep it short, while you keep that EM brain sharp. doi:10.1186/1757-1626-1-165 Hackett B, Sletten Z, Bridwell R E (July 03, 2020) Testicular Abscess and Ischemia Secondary to Epididymo-orchitis. A 54-year-old male with a history of diabetes presents with “pain in my groin” for the past two weeks. 2008;1(1):165. Cambridge Univ Pr.

EMS 87

EMS Ultrasounds Emergency Department Infectious Diseases 87

Pediatric EM Morsels

JUNE 9, 2023

Luoto, 2020 ] Increase resistance can be related to pre-hepatic , intra-hepatic , or post-hepatic etiologies. Luoto, 2020 ] Increase resistance can be related to pre-hepatic , intra-hepatic , or post-hepatic etiologies. Banc-Husu, 2023 ; Luoto, 2020; Carneiro de Moura, 2018 ] Basics are best (always)! 2020 May;70(5):628-634.

Pediatrics 154

Pediatrics Head Injuries Airway Management Administration 154

Pediatric EM Morsels

AUGUST 11, 2023

This is the 601st Ped EM Morsel ! 2020 Oct 24;12(10):e11141. The post Perichondritis of the Ear in Children appeared first on Pediatric EM Morsels. Having authored 575 ( well, now 576 ) of them, I am often quite convinced that there are no new topics to discuss. Can Fam Physician. 2022 Sep;68(9):661-663. doi: 10.46747/cfp.6809661.

Burns 130

Burns Pediatrics EMS Outcomes 130

Pediatric EM Morsels

JULY 26, 2024

2020 Feb;75:55-62. The post Anti-NMDA Receptor Encephalitis in Children and Adolescents appeared first on Pediatric EM Morsels. Anti-N-methyl-D-aspartate receptor encephalitis with accompanying ovarian teratoma in female patients from East China: Clinical features, treatment, and prognostic outcomes. doi: 10.1016/j.seizure.2019.12.016.

Seizures 271

Seizures Psychiatric Outcomes Pediatrics 271

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

Pediatric EM Morsels

JULY 21, 2023

We had just received a young child from EMS who was post-ictal with decreased mentation. Orso 2020] One pediatric study in this systematic review, and the intubated patients had worse outcome than non-intubated Early airway protection = lower rates of complications (in TRAUMA), but this is not always true with medical patients.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

RebelEM

DECEMBER 18, 2023

McGraw Hill; 2020:(Ch) 90. Rezaie, MD (Twitter/X: @srrezaie ) The post Rosh Review EM Scholar Monthly Question appeared first on REBEL EM - Emergency Medicine Blog. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide. link] Szeto CC, Li PKT. Peritoneal dialysis–associated peritonitis. Clin J Am Soc Nephrol.

EMS 58

EMS Ultrasounds 58

Pediatric EM Morsels

APRIL 7, 2023

American Society of Hematology 2020 guidelines for sickle cell disease: prevention, diagnosis, and treatment of cerebrovascular disease in children and adults. 2020 Apr 28;4(8):1554-1588. The post Sickle Cell Disease and Stroke appeared first on Pediatric EM Morsels. doi: 10.1182/bloodadvances.2019001142. 2019001142.

Stroke 130

Stroke Pediatrics Seizures Sepsis 130

Pediatric EM Morsels

AUGUST 9, 2024

2019, there were 1,875 and this trend has continued to increase (2,157 case in 2020; 2,855 cases in 2021). doi: 10.1136/bcr-2020-240532. The post Congenital Syphilis appeared first on Pediatric EM Morsels. Rates of congenital syphilis are increasing. Foles, 2024 ] In the US, from 2013-2018, cases increased from 362 to 1,306.

Hyperthermia / Hypothermia 154

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 154

Dr. Smith's ECG Blog

MAY 3, 2024

For clarity in Figure-2 — I illustrate this delineation point for ECG #1 ( ie, the 1st EMS ECG ) — whereby everything to the right of the vertical RED lines that I've drawn in ECG #1 represents either marked ST elevation ( in leads I,aVL and aVR ) — or marked ST depression ( in leads II,III,aVF; V1,V2,V3; V5,V6 ).

Shock 128

Shock EKG/ECG Hospitals EMS 128

JournalFeed

OCTOBER 24, 2020

It’s the JournalFeed Podcast for the week of Oct 19-23, 2020. We cover hands-on defibrillation, new info on fluoroquinolones and aortic dissection risk, diagnosing intussusception, EMS benzodiazepine use for status epilepticus, and how to spot elder abuse.

Elder Abuse 52

Elder Abuse EMS 52

The Skeptics' Guide to EM

JANUARY 9, 2021

JAMA 2020 Guest Skeptic: Mike Carter is a former paramedic and current PA practicing in pulmonary and critical care as well as an adjunct professor of emergency medical services […] The post SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC? first appeared on The Skeptics Guide to Emergency Medicine.

EMS 52

EMS Resuscitation CPR Hyperthermia / Hypothermia 52

JournalFeed

MAY 2, 2020

Here is the JournalFeed Podcast for the week of April 27 - May 1, 2020. We cover a COVID-19 capacity calculator, CPR for COVID-19 patients, new ways of learning EM, a penicillin allergy decision rule, and 10 ways to improve physician-nurse communication.

CPR 52

CPR EMS 52

The Skeptics' Guide to EM

OCTOBER 17, 2020

Date: October 14th, 2020 Guest Skeptic: Dr.Salim Rezaie is a community emergency physician at Greater San Antonio Emergency Physicians (GSEP), where he is the director of clinical education. Salim is probably better known as the creator and founder of the wonderful knowledge translation project called REBEL EM. Reference: Rowell et al.

EMS 52

EMS Head Injuries Outcomes Hospitals 52

RebelEM

APRIL 17, 2023

An extensive systematic review with more than 30,000 patients found no difference in the odds of treatment failure for patients with PTA managed with medical intervention alone or surgically (Forner 2020). 2020 Nov;163(5):915-922. Epub 2020 Jun 2. 2020, August 18). appeared first on REBEL EM - Emergency Medicine Blog.

Ultrasounds 129

Ultrasounds Radiology Radiology Operations 129

Emergency Medicine Cases

APRIL 21, 2020

The post EM Quick Hits 17 Adrenal Crisis, Strep Throat, Posterior MI, DKA Just the Facts, Ovarian Torsion Imaging, HINTS Exam, Canadian CT Head Rule appeared first on Emergency Medicine Cases.

EMS 52

EMS EKG/ECG Head Injuries Resuscitation 52

The Skeptics' Guide to EM

JULY 29, 2023

Emergency Medical Services (EMS) is called and on arrival the patient is walking but has obvious facial trauma and is complaining of some neck pain. As an EMS crew member, you are tasked with deciding what method of spinal motion restriction to use. He has a brief loss of consciousness (LOC) and then awakens and is ambulatory on scene.

Head Injuries 95

Head Injuries EMS Research Emergency Department 95

Dr. Smith's ECG Blog

NOVEMBER 14, 2023

For examples of this phenomenon — See My Comment in the February 14, 2018 — July 21, 2020 — and December 22, 2022 posts in Dr. Smith's ECG Blog ). For examples of such exceptions — See My Comment in the January 9, 2019 — August 22, 2020 — and June 30, 2023 posts in Dr. Smith's ECG Blog ). EMS arrived — and recorded 2 ECGs.

EKG/ECG 118

EKG/ECG EMS Stroke Outcomes 118

RebelEM

DECEMBER 5, 2023

While the evidence is not strong, those who have been undertreated, experienced delays in treatment, or required multiple injections of epinephrine are more prone to experience a recurrence of symptoms ( Ellis 2007 , Liu 2020 ). Updated Anaphylaxis Guidelines (2020) References Lieberman P. Read More: 1. Biphasic Anaphylactic Reactions.

Anaphylaxis 80

Anaphylaxis Allergic Reactions Emergency Department EMS 80