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. Updated 2023 Jun 24]. doi: 10.1053/j.sult.2013.01.004.

Stroke 110

Stroke EMS EKG/ECG Radiology 110

Ken Grauer, MD

AUGUST 26, 2023

These tall T waves are associated with flattening ( straightening ) of the ST segment in the inferior leads — with slight S T elevation in leads V2-thru-V6 ( albeit not enough to qualify as a "STEMI" — Akbar et al, StatPearls, 2023 ). This point is discussed in detail in the March 24, 2023 post of Dr. Smith’s ECG Blog ).

EKG/ECG 363

EKG/ECG EMS Hospitals 363

EMDocs

NOVEMBER 19, 2024

Published 2023. Accessed October 23, 2023. Accessed October 23, 2023. Accessed October 23, 2023. Accessed October 23, 2023. Accessed October 23, 2023. 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.

Poisoning 111

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 111

Pediatric EM Morsels

AUGUST 23, 2024

Concussion – Presentation [ Silverberg, 2023 ] There is no definitive test to diagnose concussion in the ED. Progression through Return to Learn and Return to Sport:[ Patricios, 2023 ] Is individualized and based on the person’s symptoms Typically takes a minimum of 1 week. 2023 Aug;104(8):1343-1355. 2023.03.036.

Seizures 281

Seizures Pediatrics Academics Emergency Department 281

Pediatric EM Morsels

SEPTEMBER 22, 2023

To celebrate the end of trauma season ( is it ever really over? ), we here at the Ped EM Morsels Bakery have cooked up a morsel to remind you that pediatric trauma can be even more difficult than you think. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Never fear.

Shock 304

Shock Pediatrics Hyperthermia / Hypothermia Dislocations 304

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

ALiEM

JUNE 25, 2024

Podcast: Approaching your EM Sub-Internship Clerkship Mentioned Links CDEM Medical Student Curriculum Emergency Ultrasound Teaching Read and Listen to the Other EM Match Advice Episodes Blog posts: [link] Author information Sara M. What should I expect AFTER the rotation?

EMS 97

EMS Ultrasounds 97

Pediatric EM Morsels

SEPTEMBER 8, 2023

Accessed September 06, 2023. The post Summer Penile Syndrome appeared first on Pediatric EM Morsels. McGraw Hill; 2021. link] Smith GA, Sharma V, Knapp JF, Shields BJ. The summer penile syndrome: seasonal acute hypersensitivity reaction caused by chigger bites on the penis. Pediatr Emerg Care. 1998 Apr;14(2):116-8. PMID: 9583392.

Poisoning 278

Poisoning Pediatrics EMS 278

EMDocs

MAY 25, 2024

We’ll keep it short, while you keep that EM brain sharp. Ferri’s clinical advisor 2023. 01/01/2023:1391-1392.e1. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Accessed June 22, 2023. The post EM@3AM: Sialadenitis appeared first on emDOCs.net - Emergency Medicine Education. Insalaco LF.

EMS 98

EMS Dehydration Operations Hospitals 98

EMDocs

MARCH 2, 2024

We’ll keep it short, while you keep that EM brain sharp. Treasure Island (FL): StatPearls Publishing; March 20, 2023. 2023, January). The post EM@3AM: Pneumocephalus appeared first on emDOCs.net - Emergency Medicine Education. Brain Injury Medicine, Principles And Practice. Demos Medical Publishing. Dinallo S, Waseem M.

EMS 119

EMS Fractures Seizures Head Injuries 119

Pediatric EM Morsels

MARCH 15, 2024

Nicotera, 2024; Bacus, 2023 ] The laughing often described as being unmotivated or disproportionate to the emotional context. Bacus, 2023 ] Cases as young as 4 months have been described. 2023 Jun 6;23:100609. 2023 Nov 8. The post Gelastic Seizures: No Laughing Matter appeared first on Pediatric EM Morsels.

Seizures 260

Seizures Pediatrics Psychiatric Emergency Department 260

First 10 EM

DECEMBER 11, 2023

The BroomeDocs podcast version can be found here: [link] Our poorly managed hospitals […] The post Research Roundup (December 2023) appeared first on First10EM.

Research 114

Research Hospitals Pediatrics EMS 114

ALiEM

NOVEMBER 3, 2023

2023.02.011 , PMID 36967275 Author information Chris Belcher, MD Editor, ALiEM AIR Series Assistant Professor and Assistant Program Director Department of Emergency Medicine University of Kentucky College of Medicine | Twitter | The post ALiEM AIR Series | Trauma 2023 Module appeared first on ALiEM. Ann Emerg Med. 2023;82(1):55-65.

Blood Transfusions 84

Blood Transfusions EMS Emergency Department Resuscitation 84

St. Emlyn

DECEMBER 18, 2023

St.Emlyn's - Emergency Medicine #FOAMed In this bumper double edition Simon and Iain chat through all the recent content on the St Emlyn’s blog site, including a review of CRYOSTAT-2 and the DAShED study, a … November 2023 podcast St Emlyn’s Read More » The post November 2023 podcast St Emlyn’s appeared first on St.Emlyn's. (..)

EMS 108

EMS 108

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. Vital signs include BP 90/48, HR 122, T 98.3 F, RR 16, SpO2 97% on room air. J Emerg Med. 2012 Aug;43(2):e157-61.

EMS 97

EMS Fluid Resuscitation Resuscitation Radiology 97

First 10 EM

JULY 3, 2023

A few huge papers dropped in the past few weeks, including RCTs […] The post Research Roundup (July 2023) appeared first on First10EM. I think there is an interesting variety of papers this time around, from sepsis, to b t, to patient access to their own results online.

Research 108

Research Sepsis EMS 108

EMDocs

APRIL 27, 2024

We’ll keep it short, while you keep that EM brain sharp. Updated 2023 Apr 8]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. 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.

EMS 105

EMS Infectious Diseases Radiology Radiology 105

EMDocs

AUGUST 12, 2023

We’ll keep it short, while you keep that EM brain sharp. Accessed June 24, 2023. Treasure Island (FL): StatPearls Publishing; February 5, 2023. Accessed June 10, 2023. January 29, 2023) Isolated Flexor Digitorum Profundus Injuries in Flexor Zone II of the Hand: A Report of Five Cases. Accessed June 4, 2023.

EMS 95

EMS Fractures Operations Ultrasounds 95

Pediatric EM Morsels

OCTOBER 27, 2023

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

Pediatrics 271

Pediatrics Resuscitation Documentation/Coding Wellness 271

EMDocs

OCTOBER 21, 2023

We’ll keep it short, while you keep that EM brain sharp. Reference article,   Radiopaedia.org (Accessed on 15 Apr 2023) [link] Mattle HP, Arnold M, Lindsberg PJ, Schonewille WJ, Schroth G: Basilar artery occlusion. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Treasure Island (FL): StatPearls Publishing; 2023 Jan-.

EMS 97

EMS Stroke Outcomes Hospitals 97

EMDocs

JULY 29, 2023

We’ll keep it short, while you keep that EM brain sharp. Accessed March 27, 2023. Accessed on April 11, 2023. 2021.3.51501 The post EM@3AM: Suppurative Parotitis appeared first on emDOCs.net - Emergency Medicine Education. WikEM, The Global Emergency Medicine Wiki. September 9, 2020. Available at: [link].

EMS 96

EMS Dehydration Ultrasounds Emergency Department 96

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 ). For review on when despite acute OMI — the initial hs-troponin may come back normal — See the March 24, 2023 post in Dr. Smith’s ECG Blog. Figure-1: The initial ECG in today's case. (

EKG/ECG 378

EKG/ECG EMS Hospitals 378

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

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. Accessed June 23, 2023. Treasure Island (FL): StatPearls Publishing; April 3, 2023. She was walking her dog who pulled her backwards, landing on her buttocks on the pavement.

EMS 105

EMS Fractures Emergency Department Dislocations 105

ACEP Now

NOVEMBER 7, 2023

Expand Your Knowledge of the Business of EM Practice Essentials, an online, asynchronous curriculum developed by ACEP and EMRA, dives into reimbursement, contracts, operations and risk management, and other topics that may not have been covered in depth during medical school or residency. Learn more at openbook.acep.org.

Leadership 98

Leadership Administration Research Risk Management 98

EMDocs

DECEMBER 2, 2023

We’ll keep it short, while you keep that EM brain sharp. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: [link] yousef, CC BY-SA 4.0 <[link] via Wikimedia Commons The post EM@3AM: Oculomotor Nerve Palsy appeared first on emDOCs.net - Emergency Medicine Education. PMID: 8031277 Modi P, Arsiwalla T.

EMS 93

EMS Operations Pediatrics Emergency Department 93

The Skeptics' Guide to EM

NOVEMBER 25, 2023

Date: November 22, 2023 Reference: Stopyra et al. Delayed First Medical Contact to Reperfusion Time Increases Mortality in Rural EMS Patients with STEMI. AEM November 2023. Date: November 22, 2023 Reference: Stopyra et al. AEM November 2023. AEM November 2023. Reference: Stopyra et al.

EMS 139

EMS Research EKG/ECG Hospitals 139

Don't Forget the Bubbles

MAY 17, 2023

2023 Apr 17. 2023 Apr 25;329(16):1386-1398. 2023 Apr 29. 2023 Apr 24. 2023 Apr 12. 2023 Apr 28. 2023 Apr 25. 2023 Apr 25. 2023 Apr 25. 2023 Apr 24. 2023 Apr 18:S0890-8567(23)00185-5. 2023 Apr 24. 2023 Apr 21. 2023 Apr 20:fetalneonatal-2022-324835.

Pediatrics 72

Pediatrics X-Ray Interpretation Sepsis Fractures 72

ALiEM

JULY 20, 2023

Highlighted Quality Posts: Infectious Disease Site Article Author Date Label SGEM Lumbar punctures in febrile infants with positive urinalysis – it’s just overkill Dennis Ren, MD December 31, 2022 AIR EMDocs Bacterial Meningitis Mounir Contreras Cejin, MD January 28, 2023 HM ALiEM The Febrile Infant Corey Ziemba, MD, Justin Hacnik, MD and J.D.

Infectious Diseases 75

Infectious Diseases EMS Academics Emergency Department 75

ALiEM

MAY 17, 2023

The 2023 Emergency Medicine Match was an unprecedented year that took many of us in the education community by surprise. There were 132 (46%) EM residency programs with at least one unfilled PGY-1 position, and there were 554 (18.4%) overall unfilled EM positions. How Competitive Were Other Specialties in the 2023 Match?

EMS 52

EMS 52

Dr. Smith's ECG Blog

SEPTEMBER 11, 2024

Here is the case: Report from EMS was witnessed syncope, his son did CPR, but the patient had pulses when EMS arrived. When the patient arrived in the ED, he was still hypotensive in 70s, slowly improving with EMS fluids. Hope you’re doing well! How excited would you have been about this case?" No Chest Pain, but somnolent.

EMS 114

EMS CPR EKG/ECG Wellness 114

Pediatric EM Morsels

JULY 19, 2024

2023 Aug;171:111644. Epub 2023 Jul 6. The post Post-Tonsillectomy Hemorrhage: ReBaked Morsel appeared first on Pediatric EM Morsels. Shin TJ, Hasnain F, Shay EO, Ye MJ, Matt BH, Elghouche AN. Treatment of post-tonsillectomy hemorrhage with nebulized tranexamic acid: A retrospective study. Int J Pediatr Otorhinolaryngol.

Pediatrics 290

Pediatrics Airway Management Wellness Operations 290

ALiEM

JANUARY 5, 2024

Characteristics of Emergency Medicine Residency Programs With Unfilled Positions in the 2023 Match. Read and Listen to the Other EM Match Advice Episodes Blog posts: [link] Author information Sara M. Ann Emerg Med. 2023;82(5):598-607. doi:10.1016/j.annemergmed.2023.06.002. 2023.06.002. PMID: 31913827 ; PMCID: PMC6948692.

EMS 70

EMS 70

Pediatric EM Morsels

JULY 26, 2024

2023 Jul 17. UpToDate , June 2023, www.uptodate.com/contents/autoimmune-including-paraneoplastic-encephalitis-clinical-features-and-diagnosis?search=anti+nmda+receptor+encephalitis&source=search_result&selectedTitle=1~29&usage_type=default&display_rank=1#H2973236366. Neurol Neuroimmunol Neuroinflamm. doi: 10.1212/NXI.0000000000200013.

Psychiatric 271

Psychiatric Seizures Outcomes Pediatrics 271

ALiEM

OCTOBER 14, 2023

2023.02.011 , PMID 36967275 Sponsors Thank you to the Society of Academic Emergency Medicine (SAEM) and the Council of EM Residency Directors (CORD) for jointly sponsoring the AIR Series! Ann Emerg Med. 2023;82(1):55-65. doi: 10.1016/j.annemergmed.2023.02.011 We are thrilled to partner with both on shaping the future of medical education.

EMS 67

EMS Academics Emergency Department Hospitals 67

ACEP Now

FEBRUARY 18, 2025

Emergency medical services (EMS) were called to the home of a 22-year-old woman after a syncopal episode and seizure-like activity. On EMS arrival, the patient was alert, pulse was fluctuating between 40 and 130 beats/min, and manual systolic blood pressure was 60 mmHg.

EKG/ECG 52

EKG/ECG Seizures Emergency Department EMS 52

The Skeptics' Guide to EM

JANUARY 6, 2024

July 2023 Date: Dec 11, 2023 Guest Skeptic: Dr. Rachel Hatcliffe is a pediatric emergency medicine attending at Children’s National Hospital in Washington, DC. July 2023 Date: Dec 11, 2023 Guest Skeptic: Dr. Rachel Hatcliffe is a pediatric emergency medicine attending at Children’s National Hospital in Washington, DC.

Emergency Department 137

Emergency Department Pediatrics Anaphylaxis Leadership 137