The Skeptics' Guide to EM

JANUARY 20, 2024

Ellie Hill is a pediatric emergency medicine physician at Children’s National Hospital in Washington, DC and Assistant Professor of Pediatrics and Emergency Medicine at George Washington University School of Medicine and Health Sciences. Case: A 4-year-old girl comes to the emergency department complaining of pain with urination.

Pediatrics 71

Pediatrics Anaphylaxis Emergency Department Outcomes 71

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives Rib fractures account for over 15% of all trauma attendances in the Emergency Department. Our study demonstrates that ED Physicians can safely administer early SAPB and ESP to patients with multiple rib fractures within the Emergency Department.

Fractures 40

Fractures Anaphylaxis Emergency Department Ultrasounds 40

EB Medicine

SEPTEMBER 1, 2018

Jeff: Welcome back to Emplify, the podcast corollary to EB Medicine’s Emergency Medicine Practice. I’m Jeff Nusbaum, and I’m back with my co-host, Nachi Gupta and we’ll be taking you through the September 2018 issue of Emergency Medicine Practice - Emergency Department Management of North American Snake envenomations.

Emergency Department 40

Emergency Department Poisoning Anaphylaxis Allergic Reactions 40

Mind The Bleep

OCTOBER 17, 2024

I am a GP at a large practice based in a town in southwest Scotland, and I also work as a doctor in the Emergency Department in our local district general hospital. But it doesn’t stop there. Like dozens of other doctors, nurses, and paramedics across Scotland, I have the privilege of being a responder with BASICS Scotland.

Ambulance Services 52

Ambulance Services Hospitals Anaphylaxis Wellness 52

EMDocs

MAY 25, 2023

population at large Enrollment was terminated at an interim analysis due to predefined futility criteria that suggested that there was a 1% chance that carrying the trial to completion would demonstrate a most effect or least effective treatment.

Seizures 64

Seizures Administration Anaphylaxis Outcomes 64

The Skeptics' Guide to EM

JUNE 13, 2020

Case: A 63-year-old female presents to the emergency department (ED) with chest pain for the past eight hours. Low-value testing increases costs, ED length of stay and subjects patients to unnecessary ionizing radiation and risk of anaphylaxis from intravenous contrast dye (13-14). AEM June 2020. Moreover,

Anaphylaxis 52

Anaphylaxis Emergency Department Wellness EKG/ECG 52

Northwestern EM Blog

JANUARY 24, 2022

Anaphylaxis Anaphylaxis may present as hypotension alone. Thus, it may easily be confused with a different form of shock and treated with vasopressors such as norepinephrine and vasopressin, which are not first line for anaphylaxis. Revised National Estimates of Emergency Department Visits for Sepsis in the United States.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

Taming the SRU

FEBRUARY 12, 2024

HISTORY OF PRESENT ILLNESS A female in her 30s arrives to the emergency department via emergency medical services. She arrives in the emergency department agitated and unable to answer questions appropriately. The patient is agitated on a backboard with C-collar in place.

Administration 79

Administration Fractures Anaphylaxis Head Injuries 79

Taming the SRU

MAY 1, 2023

A retrospective evaluation of phenobarbital versus benzodiazepines for the treatment of alcohol withdrawal in a regional Canadian emergency department Link: [link] Bottom Line: This study in a small regional ED showed a QI project rolling out a Phenobarbital or Diazepam for Alchohol withdrawal syndrome. and NPV(50%).

Poisoning 52

Poisoning Hyperthermia / Hypothermia Emergency Department Seizures 52

The Skeptics' Guide to EM

SEPTEMBER 16, 2017

Though they are relatively safe, upper airway angioedema is one of the life-threatening adverse effects that we see frequently in the Emergency Department. Though this disorder is routinely treated with medications for anaphylaxis (i.e.

Anaphylaxis 52

Anaphylaxis Administration EMS Emergency Department 52

EM Guide Wire

NOVEMBER 2, 2020

Nebulized Mg sulfate treatment shows no significant effect on respiratory function or hospital admission High-Dose Magnesium Sulfate Infusion for Severe Asthma in the Emergency Department Efficacy Study All patients of 6–16 years old who failed to improve after 2 hours of standard therapy for asthma. 2015;169(2):186-188.

Pediatrics 52

Pediatrics Anaphylaxis Hospitals Administration 52

Taming the SRU

SEPTEMBER 1, 2023

If able, can ask patients to watch the dog for developing signs of illness Immunoglobulin Inject around the site of the bite Remainder of injection in the deltoid (SAME side as bite) Vaccine Administer opposite side of immunoglobulin administration Total of 4-doses (0, 3, 7, and 14 days) If immunocompromised, will need a total of 5 doses Snakes Venomous (..)

Sepsis 95

Sepsis Documentation/Coding Fractures Administration 95

RebelEM

AUGUST 3, 2023

Patients with a history of anaphylaxis with any drug were excluded from this trial Open-label study (i.e. randomization) as per protocol (i.e. eligibility to screened ratio) Feasibility of recruitment defined as proportion of patients consenting to participate in the study protocol from eligible patients (i.e.

Anaphylaxis 52

Anaphylaxis Allergic Reactions Outcomes Infectious Diseases 52

Taming the SRU

SEPTEMBER 16, 2024

In the era of modern medicine, blood transfusions are commonplace, especially in the emergency department. While they are a lifesaving staple of medicine, they also come with risks that emergency providers must be aware of. Journal of Blood Medicine , Volume 14, June 2023, pp. 389–398, [link] Peyrony, Olivier, et al.

Blood Transfusions 89

Blood Transfusions Anaphylaxis Emergency Department Sepsis 89

Pediatric Emergency Playbook

JUNE 1, 2016

If so, treat the cause – perhaps this is a distributive problem due to anaphylaxis. Pulmonary embolism in the pediatric emergency department. After assessing the heart rate, optimizing volume status, evaluating contractility, is the cause of the shock peripheral vasodilation? Treat with epinephrine. Pediatrics.

Shock 40

Shock Sepsis Pediatrics Ultrasounds 40

RebelEM

MAY 15, 2024

Comparison of the MASCC and CISNE scores for identifying low-risk neutropenic fever patients: analysis of data from three emergency departments of cancer centers in three continents. Application of the MASCC and CISNE Risk-Stratification Scores to Identify Low-Risk Febrile Neutropenic Patients in the Emergency Department.

Infectious Diseases 105

Infectious Diseases Administration Sepsis Anaphylaxis 105

Taming the SRU

OCTOBER 25, 2023

The specific etiologies of GI bleeds are numerous and will not be covered individually in this article, as often the exact origin is unknown at the time of Emergency Department evaluation. Instead, we will focus on areas of interest that may guide or change your management of these patients in the Emergency Department.

Blood Transfusions 98

Blood Transfusions Hospitals Stroke Anaphylaxis 98