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. 2021 Sep 10;12:727962. Available at: [link].

Stroke 110

Stroke EMS EKG/ECG Radiology 110

Pediatric EM Morsels

AUGUST 4, 2023

England, 2021) The third portion of the duodenum courses between the SMA and the aorta, which can lead to external compression of the duodenum. England, 2021) In SMA syndrome the angle is decreased to < 22 o and the normal distance <8 mm. England, 2021) This condition is often attributed to rapid weight loss.

Pediatrics 246

Pediatrics Burns Operations Ultrasounds 246

Pediatric EM Morsels

JULY 19, 2024

2021 Aug;147:110807. Epub 2021 Jun 24. 2021 Aug;147:110802. Epub 2021 Jun 12. The post Post-Tonsillectomy Hemorrhage: ReBaked Morsel appeared first on Pediatric EM Morsels. Resources Konanur A, McCoy JL, Shaffer A, Kitsko D, Maguire R, Padia R. Int J Pediatr Otorhinolaryngol. doi: 10.1016/j.ijporl.2021.110807.

Pediatrics 290

Pediatrics Airway Management Wellness Operations 290

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

NOVEMBER 19, 2024

of exposures reported to poison control centers in 2021 were related to antipsychotics or sedative-hypnotics with the majority of those exposures occurring in patients 20 years of age or older. 2021 Annual Report of the National Poison Data System © (NPDS) from America’s Poison Centers: 39th Annual Report. Front Psychiatry.

Poisoning 111

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 111

EMDocs

MAY 25, 2024

We’ll keep it short, while you keep that EM brain sharp. McGraw Hill; 2021. 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. Am Fam Physician. 2014;89(11):882-888. Sialadenitis.

EMS 98

EMS Dehydration Operations Hospitals 98

EMDocs

JUNE 8, 2024

We’ll keep it short, while you keep that EM brain sharp. 2021 Oct 7. 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 98

EMS Allergic Reactions Poisoning Emergency Department 98

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. link] Trevino Gonzalez, J. Reyes Suarez, L. L., & Hernandez de Leon, J.

EMS 105

EMS Infectious Diseases Radiology Radiology 105

EMDocs

AUGUST 12, 2023

We’ll keep it short, while you keep that EM brain sharp. McGraw Hill; 2021. November 9, 2021. cc The post EM@3AM: Flexor Tendon Laceration appeared first on emDOCs.net - Emergency Medicine Education. A 41-year-old male with no significant past medical history presents with a deep hand laceration. Tendon Lacerations.

EMS 95

EMS Fractures Operations Ultrasounds 95

EMDocs

JULY 1, 2023

We’ll keep it short, while you keep that EM brain sharp. Updated January 2021. link] The post EM@3AM: Kawasaki Disease appeared first on emDOCs.net - Emergency Medicine Education. Kawasaki disease: a comprehensive review. Arch Med Sci Atheroscler Dis. 2018; 3: e41-e45. link] Clinical Practice Guidelines: Kawasaki Disease.

EMS 92

EMS Infectious Diseases Pediatrics Research 92

Pediatric EM Morsels

JUNE 2, 2023

2021 Nov 29;92(S7):e2021518. link] The post Food Protein Induced Enterocolitis Syndrome (FPIES) appeared first on Pediatric EM Morsels. Today we are talking about a rare disease called FPIES (food protein induced enterocolitis syndrome) and how you might encounter these patients in the Pediatric Emergency Department. Acta Biomed.

Dehydration 193

Dehydration Shock Pediatrics Emergency Department 193

EMDocs

NOVEMBER 4, 2023

We’ll keep it short, while you keep that EM brain sharp. McGraw Hill; 2021. doi:10.1258/0956462053888853 The post EM@3AM: Testicular/Scrotal Abscesses appeared first on emDOCs.net - Emergency Medicine Education. A 54-year-old male with a history of diabetes presents with “pain in my groin” for the past two weeks. Radiographics.

EMS 94

EMS Ultrasounds Emergency Department Infectious Diseases 94

EMDocs

NOVEMBER 18, 2023

We’ll keep it short, while you keep that EM brain sharp. McGraw Hill; 2021. x The post EM@3AM: Liver Transplant Complications appeared first on emDOCs.net - Emergency Medicine Education. Am J Transplant. 2022;22 Suppl 2:204-309. doi:10.1111/ajt.16978 Epidemiology of Liver Transplantation. Accessed April 21, 2023. Liver Transpl.

EMS 95

EMS Ultrasounds Emergency Department Outcomes 95

Pediatric EM Morsels

MAY 10, 2024

Published 2021 Feb 4. doi:10.1186/s13089-021-00205-x The post Chest Pain in Children: ReBaked Morsel appeared first on Pediatric EM Morsels. The role of point-of-care ultrasound in the diagnosis of pericardial effusion: a single academic center retrospective study. Ultrasound J. 2021;13(1):2.

EKG/ECG 271

EKG/ECG Pediatrics Ultrasounds Seizures 271

RebelEM

FEBRUARY 19, 2024

The 2021 Surviving Sepsis Campaign Guidelines suggest starting vasopressors peripherally rather than delaying infusion until a CVC is placed [2]. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021. Crit Care Med 2021. REBEL EM: Peripheral Vasopressors – Safe or Dangerous?

Administration 137

Administration Sepsis EMS Shock 137

Emergency Medicine Cases

JANUARY 18, 2022

The post EM Quick Hits 35 – 10 Best Papers of 2021, Peripartum Cardiomyopathy, Crashing Asthmatic, Febrile Neutropenia, Anaphylaxis update appeared first on Emergency Medicine Cases.

Anaphylaxis 52

Anaphylaxis EMS Outcomes Hyperthermia / Hypothermia 52

Emergency Medicine Cases

SEPTEMBER 26, 2023

I had the enormous honour of interviewing Dr. Ben McKenzie, EM physician and a PhD candidate at the University of Melbourne studying the topic of resuscitation algorithms in anaphylaxis and asthma.

Anaphylaxis 124

Anaphylaxis Resuscitation EMS 124

Pediatric EM Morsels

NOVEMBER 3, 2023

For non-complicated malaria use oral Co ART em. Travel Medicine and Infectious Disease 44 (2021) 102196. PMID: 30666615 The post Imported Malaria appeared first on Pediatric EM Morsels. falciparum parasitemia , and no other defined cause of AMS (WHO 2023). Treating malaria is an ART! Add oral Primaquine if known to have P.

Seizures 281

Seizures Pediatrics CDC Infectious Diseases 281

Pediatric EM Morsels

JULY 21, 2023

We had just received a young child from EMS who was post-ictal with decreased mentation. Gag reflex is much better predictor (45% vs 6%) [Conzelmann 2021] Positive predictive value of GCS indicating aspiration in intoxication was only 3%. BMJ Open 2021; 11: e053619. 2021 Jan 1;90(1):21-26. Less than 8, intubate!

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Pediatric EM Morsels

SEPTEMBER 20, 2024

2021 May;232:200-206.e4. Epub 2021 Jan 5. The post Hemolytic Uremic Syndrome (HUS): Rebaked Morsel appeared first on Pediatric EM Morsels. Predicting Adverse Outcomes for Shiga Toxin-Producing Escherichia coli Infections in Emergency Departments. doi: 10.1016/j.jpeds.2020.12.077. 2020.12.077. PMID: 33417918; PMCID: PMC8084908.

Pediatrics 164

Pediatrics Ultrasounds Dehydration Emergency Department 164

Pediatric EM Morsels

MAY 5, 2023

Vegan Diets in Children: Basics Vegan Diets avoid/prohibit consumption of any animal products Exclusion of meat, eggs, honey, dairy products, etc This is often adopted due to heightened concern of animal maltreatment, but also for religious reasons or health benefits Roughly 2-5% of Western nation populations follow a vegan based diet (Sutter, 2021) (..)

Pediatrics 130

Pediatrics Documentation/Coding EMS 130

Pediatric EM Morsels

JULY 26, 2024

2021 Oct 9;22(20):10911. The post Anti-NMDA Receptor Encephalitis in Children and Adolescents appeared first on Pediatric EM Morsels. search=anti+nmda+receptor+encephalitis&source=search_result&selectedTitle=1~29&usage_type=default&display_rank=1#H2973236366. Wu CY, Wu JD, Chen CC. Int J Mol Sci. 2014 Feb;13(2):135.

Psychiatric 271

Psychiatric Seizures Outcomes Pediatrics 271

The Skeptics' Guide to EM

JANUARY 7, 2021

Date: January 7th, 2021 Happy New Years to all the SGEMers. There were only four episodes that directly addressed […] The post SGEM Xtra: Happy New Year 2021 first appeared on The Skeptics Guide to Emergency Medicine. Date: January 7th, 2021 Happy New Years to all the SGEMers. I know 2020 has been a bit of a dumpster fire.

EMS 52

EMS Academics 52

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). Early Congenital Syphilis Present before 2 years of age [ Hussain, 2023 ; Foles, 2024; Fang, 2022; Morrisroe, 2021 ] Only ~33% of newborns present with symptoms at birth and can be subtle. 2021 Feb 5;14(2):e240532.

Hyperthermia / Hypothermia 154

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 154

Emergency Medicine Cases

FEBRUARY 8, 2023

If you missed The EM Cases Summit '23, no worries, we've got you covered! All the main stage talks of both the 2023 and 2021 Summits are now available for video streaming, on your own time, for a limited time only thru emcasessummit.com. Plus you get the 2023 and 2021 eBooks summarizing the talks as a bonus.

EMS 52

EMS 52

Pediatric EM Morsels

NOVEMBER 17, 2023

2021 Jun;31(6):713-719. Epub 2021 Apr 11. The post Cuffed Endotracheal Tubes for Children: ReBaked Morsel appeared first on Pediatric EM Morsels. References : To YH, Ong YG, Chong SL, Ang PH, Bte Zakaria ND, Lee KP, Pek JH. Paediatr Anaesth. doi: 10.1111/pan.14185. PMID: 33774880. 2016 Feb;30(1):3-11. Epub 2015 Aug 22.

Pediatrics 187

Pediatrics Emergency Department Outcomes Sepsis 187

Emergency Medicine Cases

JANUARY 18, 2022

A few select videos from EM Cases Summit 2021 have been made FOAMed and available here and on our youtube channel.

EMS 52

EMS 52

RebelEM

JULY 1, 2024

Balkan Med J 2021. Balkan Med J 2021. Cureus 2021. Comparison of BPAP S/T and Average Volume-Assured Pressure Support Modes for Hypercapnic Respiratory Failure in the Emergency Department: A Randomized Controlled Trial. AVAPS: 0.07 P = 0.015 PaCO2 Excretion in 1 st Hour BPAP S/T: 4.75 AVAPS: 10.20

COPD 133

COPD Emergency Department Outcomes EMS 133

Pediatric EM Morsels

MARCH 17, 2023

In the US, the venomous snakes include rattlesnakes , copperheads, cottonmouths/water moccasins , and coral snakes [ CDC, 2021 ] Rattlesnakes live all across the United State s Copperheads inhabit the eastern U.S. If you are managing a snake bite from a snake that does not typically reside in the U.S.,

CDC 130

CDC Poisoning Pediatrics Shock 130

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

Pediatric EM Morsels

JUNE 16, 2023

2021) Morel-Lavallee lesion , Orthobullets. Arch Orthop Trauma Surg 2013;133(5):635-640.23443527 The post Morel-Lavallée Lesion in Children appeared first on Pediatric EM Morsels. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. PMID: 30190632; PMCID: PMC6126206. Arch Gen Med.

Soft Tissue Injuries 154

Soft Tissue Injuries Dehydration Fractures Operations 154

ACEP Now

NOVEMBER 8, 2024

Emergency medical services (EMS) scope of practice is governed by the state, but national scope of practice guidelines are available for the four different EMS provider levels. Conclusion EGAs offer multiple benefits in managing patient airways and have found generally wide acceptance in the protocols of numerous EMS provider levels.

Airway Management 40

Airway Management EMS Hospitals Administration 40

RebelEM

NOVEMBER 15, 2023

2021): 532-544. Links Staten Island EM: Only in Staten Podcast Post Created By: Anand Swaminathan MD, MPH Post Peer Reviewed By: Salim Rezaie MD (Twitter @SRRezaie ) The post REBEL Core Cast 112.0 – Awareness During Paralysis appeared first on REBEL EM - Emergency Medicine Blog. ” Annals of emergency medicine 77.5

EMS 105

EMS Emergency Department 105

Emergency Medicine Journal

SEPTEMBER 25, 2024

Background Emergency Medical Services (EMS) studies have shown that prehospital risk stratification and triage decisions in patients with suspected non-ST-elevation acute coronary syndrome (NSTE-ACS) can be improved using clinical risk scores with point-of-care (POC) troponin. The primary end point was the hospital diagnosis of NSTE-ACS.

EMS 97

EMS EKG/ECG Operations Hospitals 97

JournalFeed

NOVEMBER 13, 2021

It’s the JournalFeed Podcast for the week of November 8-12, 2021. We cover how we can address racism in EM, dalbavancin for skin and soft tissue infection and its potential cost impact, and a pregnancy-adapted Geneva score.

EMS 52

EMS 52

Emergency Medicine Cases

MAY 10, 2022

On this month's EM Quick Hits: Christina Shenvi on ACS in older people, Nour Khatib on rural NRP, Jess McLaren on how not to get fooled by ECG computer interpretation, Brit Long on hemophilia recognition and workup, Maria Ivankovic on persistent and intractable hiccups from EM Cases Summit 2021.

Resuscitation 52

Resuscitation EMS EKG/ECG Pediatrics 52

RebelEM

SEPTEMBER 27, 2023

Mohan 2021 ) Recall that the subsequently alkalemia will shift potassium intracellular. 2021 Sep;61(3):259-264. Epub 2021 Jun 17. As a result, it is essential to replete potassium simultaneously. References Boehnert MT, Lovejoy FH Jr. A Case of Massive Diphenhydramine and Naproxen Overdose. J Emerg Med. doi: 10.1016/j.jemermed.2021.04.020.

Poisoning 105

Poisoning Seizures Administration EKG/ECG 105