2021, EMS and Hyperthermia / Hypothermia

ToxCard: Second Generation Antipsychotic Overdose

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. Rigidity and hyperthermia should raise concerns for NMS. His roommate found an empty pill bottle on the floor next to him.

Poisoning

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures

Hypothermic Cardiac Arrest: Pearls and Pitfalls

EMDocs

JANUARY 16, 2024

Authors: Christian Gerhart, MD (EM Resident Physician, Washington University in St. Louis); Dr. Jessica Pelletier, DO (EM Attending Physician, Washington University in St. You receive a page for a cardiac arrest and take report from emergency medical services (EMS). Per EMS he was very cold to touch.

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia Resuscitation CPR EMS

Congenital Syphilis

Pediatric EM Morsels

AUGUST 9, 2024

We have previously discussed hypothermia presentations , GBS infections , and HSV infections. 2019, there were 1,875 and this trend has continued to increase (2,157 case in 2020; 2,855 cases in 2021). 2021 Feb 5;14(2):e240532. The post Congenital Syphilis appeared first on Pediatric EM Morsels. BMJ Case Rep.

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics

Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

MORE WEBINARS

ToxCard: Anticholinergic Plant Toxicity

EMDocs

FEBRUARY 15, 2024

3-6 Clinical Presentation: Symptoms include altered mental status, tachycardia, hyperthermia, urinary retention, mydriasis, blurred vision, dry skin, hallucinations. Anticholinergic toxicity has overlap with other toxicological causes of hyperthermia which are reviewed here: Hyperthermia in the Toxicological Setting.

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia Poisoning Seizures COPD

EM Quick Hits 35 – 10 Best Papers of 2021, Peripartum Cardiomyopathy, Crashing Asthmatic, Febrile Neutropenia, Anaphylaxis update

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

Anaphylaxis EMS Outcomes Hyperthermia / Hypothermia

SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC?

The Skeptics' Guide to EM

JANUARY 9, 2021

Date: January 5th, 2021 Reference: Grunau et al. 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?

EMS

EMS Resuscitation CPR Hyperthermia / Hypothermia

EM Quick Hits 36 – Surviving Sepsis, Angle Closure Glaucoma, Bougies, Frostbite, Hot/Altered Patient, Central Cord Syndrome

Emergency Medicine Cases

MARCH 1, 2022

The post EM Quick Hits 36 – Surviving Sepsis, Angle Closure Glaucoma, Bougies, Frostbite, Hot/Altered Patient, Central Cord Syndrome appeared first on Emergency Medicine Cases.

Sepsis

Sepsis EMS Fluid Resuscitation Hyperthermia / Hypothermia

SGEM#329: Will Corticosteroids Help if…I Will Survive a Cardiac Arrest?

The Skeptics' Guide to EM

MAY 8, 2021

Date: May 7th, 2021 Guest Skeptic: Dr. Ryan Stanton is a community emergency physician with Central Emergency Physicians in Lexington, KY. He is an EMS medical director with Lexington Fire/EMS as well as the AMR/NASCAR […] The post SGEM#329: Will Corticosteroids Help if…I Will Survive a Cardiac Arrest? Reference: Shah and Mitra.

CPR

CPR Hyperthermia / Hypothermia EMS Documentation/Coding

SGEM#340: Andale, Andale Get An IO, IO for Adult OHCA?

The Skeptics' Guide to EM

AUGUST 14, 2021

Date: August 12th, 2021 Reference: Daya et al. Date: August 12th, 2021 Reference: Daya et al. This has included the classic paper from Legend of EM Dr. Ian Stiell on BLS vs. ACLS ( SGEM#64 ), the use of mechanical CPR ( SGEM#136 ), and pre-hospital hypothermia ( SGEM#183 ).

Shock

Shock CPR Hyperthermia / Hypothermia EMS

Penetrating chest trauma

Don't Forget the Bubbles

JUNE 30, 2023

In 2021, Evans and colleagues (1) compared adolescent mortality rates in adult, children’s and mixed major trauma centres across the UK. In 2021, Kulvatunyou, Bauman and colleagues compared the insertion of traditional 28-32Fr chest tubes with 14Fr pigtail catheters for drainage of traumatic haemothorax. 2021 Jul;38(7):488-494.

Resuscitation

Resuscitation Operations Sepsis Pediatrics

First10EM Journal Club: October 2022

Broome Docs

OCTOBER 31, 2022

Epub 2021 Dec 14. PMID: 34904190 Not surprisingly, this paper has been covered by basically everyone who talks about research, so if you want to hear some other opinions, check out the SGEM , REBEL EM , or St. 2022 Jul 26:emermed-2021-211540. doi: 10.1136/emermed-2021-211540. Intensive Care Med. 2022 Jan;48(1):78-91.

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia Fluid Resuscitation Seizures Emergency Department

The EMERGE Trial: Emergency vs Delayed Catheterization in Survivors of Out-of-Hospital Cardiac Arrest

RebelEM

MARCH 30, 2023

The TOMAHAWK (Desch 2021), COACT (Abella 2019), and PEARL (Lemkes 2019) trials examined patients with OHCA without ST elevation with a shockable rhythm, and investigators found no difference in delayed versus emergency angiogram. Studies stopped early can overestimate results. Additionally, the trial had several biases. Bougouin, W.,

Hospitals

Hospitals Outcomes EKG/ECG Resuscitation

Another deadly and confusing ECG. Are you still one of the many people who will be fooled by this ECG, or do you recognize it instantly?

Dr. Smith's ECG Blog

MAY 5, 2022

Submitted and written by Destiny Folk MD , peer reviewed by Meyers, Smith, Grauer, McLaren A man in his early 30s with no significant past medical history was brought to the ED by EMS after being found unresponsive by a friend. EMS arrived and found him awake and alert. The November 27, 2021 post ( LA-RA reversal ).

EKG/ECG

EKG/ECG Fluid Resuscitation EMS Shock

EM@3AM: Hyperthermia

EMDocs

DECEMBER 16, 2023

We’ll keep it short, while you keep that EM brain sharp. A 34-year-old male is brought via EMS after collapsing during an outdoor adventure race. EMS reports the patient was conscious but altered, with slurred speech and confusion. Point of care glucose in the field was 102 mg/dL. 1 Fever is usually < 40C.

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia EMS Stroke Seizures

emDOCs Revamp – Acute Chest Syndrome

EMDocs

JUNE 27, 2024

Sundd P, Gladwin MT, Novelli EM. 2021 Sep;194(5):899-907. Epub 2021 Jul 15. smoke, high ozone levels, smog) Asthma/reactive airway disease (RAD) Diagnostic criteria 7,8 Respiratory symptoms +/- fever (at least 38.0 C or 100.4 mg/kg, max 4 mg per dose q20-30min) or hydromorphone (0.01-0.02 mg/kg, max 0.4 2020 Feb 12;10(1):2470.

Pediatrics

Pediatrics Dehydration EMS Hospitals

ToxCard: Tetanus and Strychnine – Expanding the Differential for Severe Muscle Spasm

EMDocs

NOVEMBER 6, 2024

Recovery from profound lactic acidosis, hyperthermia, and rhabdomyolysis. Published August 17, 2021. Clin Toxicol. 1970;3(2):267-273. doi:10.3109/15563657008990475 Boyd RE, Brennan PT, Deng JF, Rochester DF, Spyker DA. Strychnine poisoning. 1983;74(3):507-512. doi:10.1016/0002-9343(83)90999-3 Hardin J, Griggs R. The Lancet.

Poisoning

Poisoning Airway Management Dislocations Forensics

ED care of refugee populations from sub-Saharan Africa

EMDocs

JANUARY 6, 2025

Signs of malnutrition – which places patients at higher risk for infection – can include cachexia, muscular wasting, sunken eyes, redundant skin folds, edema, brittle skin and hair, bradycardia, hypotension, and hypothermia. 2021-0784 Long B, MacDonald A, Liang SY, et al. Published online July 1, 2021. 2024;77:7-16.

Infectious Diseases

Infectious Diseases CDC PPE Rapid Diagnostic Testing

Emergency Care Today

ToxCard: Second Generation Antipsychotic Overdose

Hypothermic Cardiac Arrest: Pearls and Pitfalls

Webinars

Trending Sources

Congenital Syphilis

Webinars

ToxCard: Anticholinergic Plant Toxicity

EM Quick Hits 35 – 10 Best Papers of 2021, Peripartum Cardiomyopathy, Crashing Asthmatic, Febrile Neutropenia, Anaphylaxis update

SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC?

EM Quick Hits 36 – Surviving Sepsis, Angle Closure Glaucoma, Bougies, Frostbite, Hot/Altered Patient, Central Cord Syndrome

SGEM#329: Will Corticosteroids Help if…I Will Survive a Cardiac Arrest?

SGEM#340: Andale, Andale Get An IO, IO for Adult OHCA?

Penetrating chest trauma

First10EM Journal Club: October 2022

The EMERGE Trial: Emergency vs Delayed Catheterization in Survivors of Out-of-Hospital Cardiac Arrest

Another deadly and confusing ECG. Are you still one of the many people who will be fooled by this ECG, or do you recognize it instantly?

EM@3AM: Hyperthermia

emDOCs Revamp – Acute Chest Syndrome

ToxCard: Tetanus and Strychnine – Expanding the Differential for Severe Muscle Spasm

ED care of refugee populations from sub-Saharan Africa

Stay Connected