The Skeptics' Guide to EM

AUGUST 22, 2020

He is also the CME editor for Academic Emergency Medicine. He is also the CME editor for Academic Emergency Medicine. The US Federal Drug Administration (FDA) allowed for emergency development and use of rt-PCR assays, and dozens of companies released assay kits. Reference: Carpenter et al. Reference: Carpenter et al.

Emergency Department 52

Emergency Department Academics Research Administration 52

The Skeptics' Guide to EM

JANUARY 20, 2018

She has contributed to the Academic Life in Emergency Medicine and EM PharmD blogs, […] The post SGEM#203: Let Me Clear My Sore Throat with a Corticosteroid first appeared on The Skeptics Guide to Emergency Medicine. She has contributed to the Academic Life in Emergency Medicine and EM PharmD blogs, and is a part of the ALiEM Capsules Team.

Academics 52

Academics Emergency Department EMS Administration 52

ACEP Now

FEBRUARY 10, 2024

The program provides an opportunity to recognize members in all career stages and environments for significant professional contributions as well as for service to the College. Leadership Award Nominations Due March 12 ACEP’s Awards Program was developed for one reason—to recognize your leadership and excellence. Rorrie, Jr.,

Leadership 52

Leadership Academics Administration EMS 52

EMDocs

OCTOBER 30, 2023

Relative proportions of reported diagnostic indications versus clinical outcomes in a retrospective analysis of all CT imaging in 3 EDs over 1 year at an academic center. Some institutions developed a tier-based system for outpatient imaging as well which was updated in real-time. Contrast Media, Iodinated, Dose, and Administration.

Radiology 99

Radiology Radiology Emergency Department Hospitals 99

ACEP Now

AUGUST 1, 2023

This is an important opportunity for board certified emergency physicians to secure those positions today, impressing upon hospital administrations the essential benefits to the patients, the medical staff, and the hospital itself uniquely enabled by board certified emergency physicians.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

Dr. Smith's ECG Blog

SEPTEMBER 10, 2023

It radiated to both shoulders and both upper extremities, and there was shortness of breath and diaphoresis as well. Academic Emergency Medicine 27(S1): S220; May 2020. Setting – large, academic, suburban ED. He reported a normal stress test a few years ago. Abstract 556. METHODS: Study design – retrospective, observational.

EKG/ECG 77

EKG/ECG Outcomes Academics Documentation/Coding 77

Sensible Medicine

MARCH 8, 2024

He has been doing well but has noticed worsening exercise tolerance. In 2022, I gave up didactic teaching and administrative roles in our medical school, so it made sense that I would soon step away from this course. I needed to find funding to support my time if I was going to develop an academic career.

Academics 49

Academics Administration Research Wellness 49

SheMD

OCTOBER 15, 2023

Yes, I am a woman, yes I am a feminist, yes I am a physician, yes I am in academic leadership for a well-known emergency department… The yes’s are many, but what do I have to say that is so meaningful or useful that people would want to publish it? Well first of all, I didn’t do it in my 20’s, and I didn’t do it in residency.

Emergency Department 52

Emergency Department EMS Leadership Academics 52

Don't Forget the Bubbles

JANUARY 31, 2024

Academic Pediatrics 2024 24 1 51-58 What’s it about? The authors looked for common agents and their ability to reduce pain as well as any associated adverse events. Well, we want many of the same things from our analgesia – it should be speedy, safe, and efficacious. Meyer EJ, Correa ET, Monuteaux MC et al. Why does it matter?

Hospitals 72

Hospitals Ultrasounds Emergency Department Pediatrics 72

RebelEM

DECEMBER 19, 2022

trying harder and longer knowing they are enrolled in this study) Use of two different models of defibrillators may negatively impact the internal validity of this pilot study Certain baseline characteristics were not balanced, such as: prehospital intubation and Epinephrine administration.

EMS 52

EMS CPR Shock Resuscitation 52

ACEP Now

JULY 6, 2023

Now, many PID patients are treated and released after ED administration of appropriate antibiotics to eradicate possible infection by Neisseria gonorrhea and Chlamydia trachomatis , often with added treatment for anaerobic microbes. Acute pyelonephritis has become a disease for which outpatient management is often feasible and appropriate.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52

Sensible Medicine

AUGUST 4, 2024

When a university or academic medical center speaks as an institution, especially when targeting an individual voicing unpopular or contrarian views, the effect will be to intimidate and silence diverse voices, particularly those that do not enjoy tenure or other protections. It is only two pages and well worth a read.

Academics 140

Academics Administration Hospitals Wellness 140

EMDocs

MAY 25, 2023

mg/kg or 10 mg Seizures must persist for at least 5 minutes after administration of the prespecified benzodiazepines. Study included children, as well as adults. In light of these data, I will give levetiracetam due to its less severe side effects and ease of administration. mg/kg or 10 mg Intravenous lorazepam 0.1

Seizures 88

Seizures Administration Anaphylaxis Outcomes 88

ACEP Now

APRIL 14, 2025

The Substance Abuse and Mental Health Services Administration (SAMHSA) permitted all patients 14-28 days of take-home doses, allowed for prescription continuation via telehealth, and set limits of the frequency of in-person random drug testing permitted. Substance Abuse and Mental Health Services Administration. 2015 Mar 8.

Research 52

Research Infectious Diseases Hospitals Administration 52

RebelEM

FEBRUARY 29, 2024

Patient data anonymized when presented to adjudication committee to avoid detection bias Well-balanced patient characteristics between groups. Limited to academic hospitals in one country, which may call generalizability into question. Medication prepared by nurses in another unit not involved in the patients’ care.

CDC 119

CDC Radiology Radiology Head Injuries 119

Taming the SRU

FEBRUARY 24, 2024

Early recognition and prompt treatment is key. non-invasive positive pressure ventilation and IV nitroglycerin infusion have been shown to reduce morbidity (intubation rates, ICU admission) & mortality.

Leadership 95

Leadership EMS Pediatrics Stroke 95

EMDocs

SEPTEMBER 25, 2023

First described in 1970, RSI with the near-simultaneous administration of a sedative agent and NMBA has been shown to have increased first-pass success compared with intubation facilitated by a sedative alone (6,7). ” Academic Emergency Medicine 20.1 Cons: Significant respiratory depression, requiring careful monitoring.

Emergency Department 90

Emergency Department Soft Tissue Injuries Airway Management Operations 90

Dr. Smith's ECG Blog

JULY 21, 2024

Distinction of PMVT vs VFib is an academic one in this case ). In this study — Procainamide was superior to Amiodarone for terminating monomorphic VT, as well as having fewer adverse effects than Amiodarone ( Ortiz et al — Eur Heart J 1;38 (17): 1329-1335, 2017 ). Administration of Procainamide is 10-17 mg/kg at 20 mg/min.

EKG/ECG 130

EKG/ECG Shock Hospitals Sepsis 130

Don't Forget the Bubbles

JUNE 30, 2023

Well, one study in Kornelson’s systematic review and meta-analysis is interesting. But remember – although the academic debate is great fun, don’t let it delay neuro-protective measures while debating the evidence! The SHO interjects – “So the evidence isn’t clear cut. Or is there a risk TXA could cause harm?”

Head Injuries 145

Head Injuries Seizures Pediatrics Outcomes 145

Taming the SRU

MAY 3, 2023

Ultimately, on the cusp of deterioration, the patient was deemed most appropriate for transfer to a medical intensive care unit (MICU) at a large academic hospital via helicopter emergency medical services (HEMS). She was noted to have improvement in her underlying respiratory status as well and was extubated approximately three weeks later.

Wellness 52

Wellness Hospitals Shock Outcomes 52

The Skeptics' Guide to EM

APRIL 29, 2023

He is also the CME editor for Academic Emergency Medicine. He is also the CME editor for Academic Emergency Medicine. Case: You are moonlighting at the Veterans Administration emergency department (ED) and are caring for an Iraq veteran complaining of post-traumatic stress disorder (PTSD) and severe anxiety.

Psychiatric 40

Psychiatric Emergency Department Urgent Care Academics 40

Dr. Smith's ECG Blog

NOVEMBER 26, 2018

For many reasons, including these: 1) The flutter waves of atrial flutter are well known to mimic ST deviations , as well as hide true ischemic ST deviations from the reviewer. The patient did well. I limit my comments to a number of academic and semantic concepts relating to the arrhythmia in this case: What is an “SVT”?

EKG/ECG 52

EKG/ECG Wellness Administration Academics 52

PulmCCM

OCTOBER 30, 2023

If you thought administrators had a bee in their bonnet for SEP-1 before, just wait. ICUs, and a popular research focus for academics, generating a steady stream of papers. Hospital administrators put VAP on the kill list. The stakes are going up. That was the pregame. Then, in 2009, the condition disappeared completely.

Sepsis 52

Sepsis Shock Hospitals Infectious Diseases 52

The Skeptics' Guide to EM

DECEMBER 11, 2021

No statistical difference in their primary outcome for duration of time alive and free of vasopressor administration up to day 7 or the secondary outcome of 90-day mortality. Dr. Rakesh Engineer Rakesh died suddenly in 2019 and the Society of Academic Emergency Medicine (SAEM) reflected upon how best to honour him. Rakesh Engineer.

Sepsis 40

Sepsis Shock Outcomes Academics 40

EM Updates

JUNE 15, 2021

Maimonides Medical Center (MMC) is Brooklyn’s largest hospital, an academic quaternary care center with, in normal times, 711 total beds, 66 intensive care beds, and an Emergency Department that treats approximately 120,000 patients per year. On March 9, the first patient with a novel coronavirus infection was admitted to MMC.

Emergency Department 52

Emergency Department Hospitals Outcomes Wellness 52

Taming the SRU

MARCH 31, 2023

Charon, Academic Med 2012) embracing fear in emergency medicine WITH dr. arlene chung What is fear? Narratives trigger changes of many kinds in both the teller and the listener, yielding meanings that are reciprocally produced by each teller-listener dyad.”

Allergic Reactions 40

Allergic Reactions Seizures Anaphylaxis Leadership 40

Sensible Medicine

JULY 23, 2024

To my knowledge, the bioethics community has been silent as the DOJ brings suit against a whistleblower, much as the field has been silent as well-established ethical guardrails for pediatric medicine have been set aside in the “gender affirming medicine” project.

Pediatrics 145

Pediatrics Academics Administration Wellness 145

Dr. Smith's ECG Blog

APRIL 8, 2015

True Syncope: If, on the other hand, the patient is well, had no other serious symptoms , has a normal sinus rhythm, and normal physical exam , then you need to be certain the syncope was not due to a dangerous brady- or tachydysrhythmia that could recur. Academic Emergency Medicine., Vasovagal syncope is generally benign. Mukarram, M.,

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

Dr. Smith's ECG Blog

APRIL 9, 2025

ECG many months later: RBBB with well-formed Q-waves in V1-V6, also I, aVL. Now, many months later, the Queen correctly diagnoses reperfused OMI and low EF (as well as RBBB and LAFB of course) Why did I use lidocaine? Following PSM, lidocaine administration was associated with greater odds of prehospital ROSC (36.0

EKG/ECG 62

EKG/ECG Resuscitation Administration Shock 62

ALiEM

JANUARY 10, 2025

Constitutional : No distress, well appearing. In our patients case, pilocarpine administration did not result in pupillary constriction, supporting the diagnosis of drug-induced anisocoria. Physical Exam Vitals : BP 85/66; HR 143; RR 42; SpO2 100%; T 98.3F EOM intact bilaterally. No stigmata of trauma. Oral Surg Oral Med Oral Pathol.

Pediatrics 64

Pediatrics Academics Documentation/Coding Emergency Department 64

EMDocs

NOVEMBER 13, 2023

2019) argue against a minimum NIHSS score to trigger the use of CTA, instead purporting that clinical suspicion of acute ischemic stroke presenting within 24 hours of the last known well was sufficient evidence to order the study. 8 The data in Mayer et al. 9 A later assessment of the VAN score in Beume et al. positivity rate on CTA for BCVI.

Stroke 105

Stroke Radiology Radiology Emergency Department 105

Dr. Smith's ECG Blog

MARCH 14, 2025

The first ECG, taken after NTG administration and during pain relief, shows signs consistent with re-perfused lateral and posterior OMI. Despite the delayed therapy, the patient did well clinically. Academic Emergency Medicine 27(S1): S220; May 2020. ECG #2 repeat in the ED. These two ECGs look similar at first glance.

EKG/ECG 105

EKG/ECG EMS Outcomes Academics 105

Mind The Bleep

NOVEMBER 9, 2024

For those entering the foundation programme, some Academic Foundation Programmes (AFPs) offer PG Cert opportunities as part of their structure. Life as a Dermatology Registrar As a Registrar in training, you must gain experience in a range of sub-specialities as well as general and surgical dermatology. academic trainees).

Research 52

Research Leadership Academics Administration 52

Sensible Medicine

JULY 3, 2024

Well, now we have an update! I worry that academics are increasingly willing to do anything to show their partisan loyality in exchange for the hope that they will someday receive a presidential appointment. Sensible Medicine Some doctors & professors claim Biden's debate performance was due to stuttering or cold medication.

Academics 115

Academics Administration Pediatrics Wellness 115

Sensible Medicine

SEPTEMBER 29, 2024

Finally, I discuss the implications of these events for academic freedom, and specifically, the role of “ethical concerns” in suppressing publications with undesirable or inconvenient content. Suzanna is not an academic, and so she did not seek ethics approval prior to conducting the survey.

Academics 145

Academics Research Administration Outcomes 145

Sensible Medicine

MARCH 20, 2025

We administrators are here to work WITH you, not against you. We can be annoyed that some people we work with do not know our patients as well as we do and might have opinions on patient care that differ from ours. Do doctors learn our degrees, where we studied, what our specialties are, why we chose to work in healthcare?

Administration 65

Administration Hospitals Academics Wellness 65

Don't Forget the Bubbles

OCTOBER 4, 2023

A study in Pediatrics revealed that a breath of fresh air (<10°C) works well while we wait for the steroids to kick in. Association of maternal risk factors with infant maltreatment: an administrative data cohort study. Could the additional stress of the diagnosis during pregnancy have an adverse effect larger than we expected?

Pediatrics 111

Pediatrics Fractures Outcomes Research 111