EMDocs

SEPTEMBER 14, 2024

Source Use of Glucagon-Like Peptide-1-Agonists and Increased Risk of Procedural Sedation and Endotracheal Intubation in the Emergency Department. Ann Emerg Med. 2024 Aug;84(2):226-227. DOI: 10.1016/j.annemergmed.2024.03.007. 2024.03.007. PMID: 39032988. #2:

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Emergency Department Resuscitation Pediatrics EKG/ECG 90

The Skeptics' Guide to EM

APRIL 21, 2018

AEM April 2018 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine (AEM). He is also the CME editor for Academic Emergency Medicine (AEM). The EKG and laboratory tests are normal. Reference: Ohle R et al.

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Emergency Department Academics EKG/ECG Research 52

The Skeptics' Guide to EM

MAY 19, 2018

Effect of the Pulmonary Embolism Rule-Out Criteria on Subsequent Thromboembolic Events
 Among Low-Risk Emergency Department Patients: The PROPER Randomized Clinical Trial. Case: A 47-year-old woman presents to the emergency department with a 24-hour history of chest pain and shortness of breath. JAMA February 2018.

Emergency Department 52

Emergency Department Research EKG/ECG 52

Cook County EM Blog

APRIL 27, 2022

Effectiveness and safety of droperidol in a United States emergency department. Am J Emerg Med. 2019.09.007 What : Retrospective cohort study of all droperidol administrations between January 2012 and April 2018 at an academic and pediatric emergency department in the US with 77,000 annual visits.

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Administration EKG/ECG Emergency Department EMS 52

Taming the SRU

AUGUST 4, 2024

to teach you and your learner something new on shift skin adhesives WITH dr. hill Dermabond is a polymer (octyl cyanoacrylate) that can be used to repair lacerations in the Emergency Department faster than sutures, allowing the ED physician to be more efficient.

Dislocations 85

Dislocations Emergency Department Documentation/Coding Burns 85

The Skeptics' Guide to EM

JULY 2, 2022

Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. He is also the CME editor for Academic Emergency Medicine. Case: You are working a shift in your local community emergency department (ED) when a 47-year-old male presents with chest pain.

EKG/ECG 40

EKG/ECG Academics Emergency Department Hospitals 40

PHEM Cast

APRIL 10, 2016

And from our buddies at HEFT EM CAST: [link] A bit more detail covering some of the research in an easy to understand way. Think about ECG as an example, So, where the box is green, the test has given us the correct result for the patient. The impact of emergency medical services on the ED care of severe sepsis. Am J Emerg Med.

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Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

RebelEM

JULY 3, 2023

Impact of intravenous calcium with diltiazem for atrial fibrillation/flutter in the emergency department. Am J Emerg Med. What They Did: Researchers conducted a multicenter, retrospective cohort study in three community hospitals and two freestanding emergency departments.

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Administration Outcomes Documentation/Coding Emergency Department 91

The Skeptics' Guide to EM

SEPTEMBER 19, 2020

Date: September 16th, 2020 Guest Skeptics: Dr. Robert Goulden and Dr. Audrey Marcotte are Chief Residents from the Royal College of Emergency Medicine Program at McGill University. Robert’s academic interests include research and evidence-based medicine. Robert’s academic interests include research and evidence-based medicine.

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The Skeptics' Guide to EM

JANUARY 7, 2023

Acute management of atrial fibrillation in congestive heart failure with reduced ejection fraction in the emergency department. Acute management of atrial fibrillation in congestive heart failure with reduced ejection fraction in the emergency department. We just said there is so much research being published every day.

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Emergency Department Research Shock EKG/ECG 40

Dr. Smith's ECG Blog

MAY 19, 2020

She was unable to be defibrillated but was cannulated and placed on ECMO in our Emergency Department (ECLS - extracorporeal life support). A followup ECG was recorded 2 days later: No definite evidence of infarction. Smith — “ S hark F in” m orphology was noted on the initial monitoring strip, and initial 12-lead ECG.

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ACEP Now

JULY 8, 2024

Recently published experiments with LLMs in the emergency department fall into a handful of primary areas of interest. In a similar vein, another study evaluated the ability of an LLM to assess “clinical acuity” in the emergency department. J Am Coll Emerg Physicians Open. 2024;26(1):40-46. JAMA Netw Open.

Emergency Department 52

Emergency Department Operations Documentation/Coding EKG/ECG 52

Dr. Smith's ECG Blog

OCTOBER 3, 2018

The medics recorded the following initial ECG at time 0: The computer read (see below) gives no further comment beyond ventricular pacemaker. He refused to listen to the medic and was convinced that the ECG was due to hyperkalemia and that acute MI cannot be diagnosed in the presence of paced rhythm. What do you think?

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EKG/ECG Emergency Department Research Outcomes 52

ACEP Now

JULY 6, 2023

Emergency physicians have become leaders in achieving cost efficiency in health care, predominantly through implementation of new processes and research findings, enabling us to achieve significant financial savings. Outpatient treatment of emergency department patients diagnosed with venous thromboembolism. Postgrad Med.

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Head Injuries Emergency Department Research Pediatrics 52

Dr. Smith's ECG Blog

MARCH 9, 2023

Sent by anonymous, written by Pendell Meyers A man in his 50s with no prior known medical history presented to the Emergency Department with severe intermittent chest pain. Here is his triage ECG at 0343: What do you think? He denied any lightheadedness, shortness of breath, vomiting, or abdominal pain.

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EKG/ECG Outcomes Emergency Department Research 52

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%).

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Poisoning Hyperthermia / Hypothermia Seizures Emergency Department 52

PEMBlog

MARCH 27, 2024

This episode will help you better prepare for and manage children with inborn errors of metabolism in the Emergency Department. Transcript Note: This transcript was partially completed with the use of the Descript AI Welcome to PEM Currents, the Pediatric Emergency Medicine Podcast. But now I’m going to pass the mic.

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Pediatrics Seizures Emergency Department Sepsis 59

ACEP Now

AUGUST 12, 2024

Some other different features this year include: Integrated Research Forum: Get ready for an electrifying experience at ACEP’s Research Forum, emergency medicine’s premier research event! Emergency Ultrasound Management Course: (Sept. GEDA: The Dementia Friendly Emergency Department: From Vision to Reality (Sept.

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Ultrasounds Research Radiology Radiology 52

Dr. Smith's ECG Blog

DECEMBER 27, 2018

This ECG comes from Pierre Taboulet ( [link] /)( [link] ) an ECG whiz who codes a lot of ECGs for Cardiologs' Artificial Intelligence Deep Neural Network algorithm ( [link] ). I do research on Cardiologs' algorithm: Smith SW et al. This ECG is displayed on the Cardiologs platform. What an honor. What do you think?

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EKG/ECG Documentation/Coding Emergency Department Wellness 40

Taming the SRU

FEBRUARY 22, 2023

Multitasking is performing two tasks simultaneously In studies of emergency physicians, around 70% of responses to an interruption result in a task switch Multitasking accounts for only 8% of responses to interruption Multitasking is only truly possible for manual tasks (hand-washing, gathering equipment, etc.) Paske et al.

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Hospice EKG/ECG Resuscitation Seizures 40

Northwestern EM Blog

JANUARY 24, 2022

Hypocalcemia can be hinted at through history or by hints such as a prolonged QTc on an ECG. Critical Care Research and Practice. Revised National Estimates of Emergency Department Visits for Sepsis in the United States. may have greater severity of shock with increased mortality. 12) Wang H, Jones A, and Donnelly J.

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The Skeptics' Guide to EM

JULY 10, 2021

Louis and a member of their Emergency Medicine Research Core. He is […] The post SGEM#337: Amazing GRACE-1 How Sweet the Guidelines – Recurrent, Low Risk Chest Pain in the Emergency Department first appeared on The Skeptics Guide to Emergency Medicine. Louis and a member of their Emergency Medicine Research Core.

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Emergency Department Academics Research EMS 40

Emergency Medicine Journal

MAY 28, 2024

Patients commonly present to the ED with cardiac sounding chest pain 1 and a non-diagnostic ECG, yet an important proportion will be suffering from a myocardial infarction (MI) eligible for percutaneous coronary intervention.

Emergency Department 52

Emergency Department EKG/ECG Research Hospitals 52

EMDocs

JANUARY 6, 2024

His electrocardiogram (ECG) is shown below: His chest x-ray is shown below: The patient’s high sensitivity troponin I is elevated to 3,000, and his Brain-Natriuretic Peptide (BNP) is elevated to 14,000 ng/L. 15 Consider ACS in the differential for transplant patients and have a low threshold for ordering screening ECG/troponin.

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EMDocs

DECEMBER 16, 2023

A 12-lead EKG shows sinus tachycardia but is otherwise normal. An 18-month-old boy presents to the emergency department with loss of consciousness. Evaporative cooling is the preferred method to actively reduce body temperature in the emergency department , as it can be performed with ongoing resuscitation efforts.

Hyperthermia / Hypothermia 87

Hyperthermia / Hypothermia EMS Stroke Seizures 87

Dr. Smith's ECG Blog

MARCH 24, 2023

Below is the ECG. There’s minimal concave ST elevation in III which does not meet STEMI criteria, so this ECG is "STEMI negative". Use STEMI criteria to identify acute coronary occlusion: the ECG was STEMI negative 2. A repeat ECG was done on way to cath lab: "STEMI negative" again. What do you think? Stress test?

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EKG/ECG Research Emergency Department Outcomes 52

ACEP Now

DECEMBER 10, 2023

A middle-aged male with squamous cell carcinoma and extensive metastases is brought to the emergency department (ED) after being found unresponsive following a believed suicide attempt (SA) by methadone ingestion. 3 You order toxicology labs, an EKG, and a sitter to observe. CMP reveals hypokalemia.

Resuscitation 52

Resuscitation EKG/ECG Documentation/Coding Hospitals 52

Dr. Smith's ECG Blog

APRIL 8, 2015

Abnormal ECG – looks for cardiac syncope. Abnormal Electrocardiogram (ECG): Defined (San Fran syncope rule) as any new changes when compared to the last ECG or presence of non-sinus rhythm. If no previous ECG was available, ECG was classified as abnormal if any abnormality was present. orthostatic vitals b.

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Emergency Department EKG/ECG Outcomes Seizures 52

EMDocs

SEPTEMBER 16, 2024

The symphony of sounds in the Emergency Department can be overwhelming. It serves as a constant reminder of the high-stakes nature of the work being done here, where lives hang in the balance, and where the ability to navigate the chaos with skill and compassion will define your journey as an emergency physician. Intern: “Yeah.

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EKG/ECG Wellness Fractures Emergency Department 87

EMDocs

NOVEMBER 4, 2024

Pain can be associated with a friction rub on cardiac auscultation, a pericardial effusion on a bedside echocardiogram, or diffuse ST elevations on an EKG. The Treatment of Acute Pain in the Emergency Department: A White Paper Position Statement Prepared for the American Academy of Emergency Medicine. J Emerg Med.

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Emergency Department Fractures Burns EMS 105

EMDocs

JANUARY 20, 2024

ECG shows ST-segment elevation in V3-V6 only with depression in aVR. Initial vital signs include BP of 157/80, HR of 96, RR 14, SpO2 of 97% on RA, T 37.5. On exam, she is clutching her chest and is in acute distress due to pain with no other remarkable findings. Initial troponin is mildly elevated. Vital signs show T of 99.0°F

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EMS Fluid Resuscitation Shock EKG/ECG 93

Don't Forget the Bubbles

FEBRUARY 5, 2024

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. Although sedentary behaviours have been linked to decreased bone mass, there is limited research on how video gaming impacts bone health. 2024 Jan;264:113736.

Pediatrics 52

Pediatrics Research Resuscitation Psychiatric 52

RebelEM

FEBRUARY 3, 2025

While ECGs play a central role in detecting STEMI, misinterpretations often occur, leading to unnecessary catheterization or missed diagnoses. In this study, researchers developed and validated an AI model aimed at improving the diagnosis of STEMI based on 12-lead ECGs. Annals of Emergency Medicine.

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EKG/ECG Emergency Department Outcomes Hospitals 79

Taming the SRU

JANUARY 22, 2025

million emergency department (ED) visits and about 700,000 hospitalizations attributed to COPD exacerbations. [8] Identification of asthma phenotypes using cluster analysis in the Severe Asthma Research Program. 6,7] In the United States, COPD is estimated to affect about 16 million people, with many more likely undiagnosed.

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Taming the SRU

FEBRUARY 3, 2025

Work-up and Diagnosis in the Emergency Department Initial presentation of TLS typically includes generalized symptoms such as gastrointestinal distress, decreased appetite, muscle cramping, palpitations, hematuria / oliguria, and altered mental status. in females and 2.5-7.0 in males) phosphate > 4.5 mg/dl (adults) and > 6.5

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Fluid Resuscitation Seizures Dehydration Emergency Department 56