The Skeptics' Guide to EM

FEBRUARY 1, 2025

PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study. The learning didnt end because she then completed another fellowship in pediatric emergency medicine at Harbor UCLA. Lancet Child Adolesc Health.

Pediatrics 82

Pediatrics EMS Emergency Department Research 82

EMDocs

MARCH 4, 2024

Authors: Amelia Campbell, MD (EM Resident Physician, Carl R. Darnall Army Medical Center) and Alec Pawlukiewicz, MD (EM Attending Physician, Carl R. Case: A 45-year-old woman presents to the emergency department (ED) with itching to bilateral palms. How does cholestasis present? Mayo Clin Proc. 2020;95(10):2263-2279.

Emergency Department 105

Emergency Department Ultrasounds EMS Radiology 105

First 10 EM

SEPTEMBER 23, 2024

I definitely talk to people about smoking, but aside from brief counseling and occasionally prescribing nicotine replacement for […] The post Smoking cessation in the emergency department (The COSTED trial) appeared first on First10EM.

Emergency Department 96

Emergency Department EMS 96

EMDocs

JUNE 8, 2024

We’ll keep it short, while you keep that EM brain sharp. A 32-year-old man presents to the emergency department with eye pain. However, it would be expected to emerge with reduced visual acuity or other visual disturbances such as diplopia. Overview of Eye Injuries in the Emergency Department.”

EMS 98

EMS Allergic Reactions Poisoning Emergency Department 98

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. Ann Emerg Med. Erratum in: Ann Emerg Med.

Stroke 110

Stroke EMS EKG/ECG Radiology 110

EB Medicine

MARCH 12, 2025

In this episode, Sam Ashoo, MD and T.R.

Emergency Department 61

Emergency Department Ultrasounds EMS Hospitals 61

Emergency Medicine Cases

FEBRUARY 18, 2025

Eating disorders have the highest mortality rate of any psychiatric illness, yet they are frequently missed in the Emergency Department as they can be elusive. Only one in 246 patients who screen positive for an eating disorder at triage have a chief complaint suggesting it.

Psychiatric 87

Psychiatric Emergency Department EMS Outcomes 87

EMDocs

APRIL 13, 2024

We’ll keep it short, while you keep that EM brain sharp. A 21-year-old man presents to the emergency department for pain and swelling in his ear beginning 3 days ago. doi:[link] The post EM@3AM: Auricular Hematoma appeared first on emDOCs.net - Emergency Medicine Education. Cochrane Database of Systematic Reviews.

EMS 104

EMS Emergency Department Pediatrics Wellness 104

EMDocs

MARCH 30, 2024

We’ll keep it short, while you keep that EM brain sharp. Answer : Thoracic and Lumbar Spine Trauma Epidemiology: Approximately half of the vertebral injuries that are seen in the emergency department are thoracic and lumbar injuries. A 27-year-old man was brought into the emergency department via EMS after being stabbed.

EMS 105

EMS Fractures Emergency Department Dislocations 105

RebelEM

MAY 11, 2023

Background: The emergency department is frequently visited by patients suffering from symptomatic alcohol withdrawal, and the traditional management has been dominated by repeated doses of benzodiazepines. Return Encounters in Emergency Department Patients Treated with Phenobarbital Versus Benzodiazepines for Alcohol Withdrawal.

Emergency Department 95

Emergency Department Administration Hospitals Academics 95

EMDocs

APRIL 27, 2024

We’ll keep it short, while you keep that EM brain sharp. A 67-year-old man with a history of hypertension and diabetes presents to the emergency department with right ear pain for 2 weeks. link] The post EM@3AM: Malignant/Necrotizing Otitis Externa appeared first on emDOCs.net - Emergency Medicine Education.

EMS 105

EMS Infectious Diseases Radiology Radiology 105

EMDocs

SEPTEMBER 23, 2023

We’ll keep it short, while you keep that EM brain sharp. A 23-year-old man with no significant medical history presents to the emergency department for evaluation of a syncopal episode. The post EM@3AM: Brugada Syndrome appeared first on emDOCs.net - Emergency Medicine Education. Heart Rhythm. 2019;16(6):872-879.

EMS 105

EMS EKG/ECG Documentation/Coding Emergency Department 105

EMDocs

JULY 29, 2023

We’ll keep it short, while you keep that EM brain sharp. A 75-year-old male with past history of HTN, CVA, DM II presents to the emergency department with right facial swelling since last night. Clin Pract Cases Emerg Med. Other bacterial causes include anaerobic oral flora, Strep viridans, E. Afr J Paediatr Surg.

EMS 96

EMS Dehydration Ultrasounds Emergency Department 96

EMDocs

NOVEMBER 4, 2023

We’ll keep it short, while you keep that EM brain sharp. aureus infections among patients in the emergency department. Skin and Soft Tissue Infections in the Emergency Department. Emerg Med Clin North Am. Managing a Cutaneous Abscess in the Emergency Department. Ann Emerg Med.

EMS 94

EMS Ultrasounds Emergency Department Infectious Diseases 94

Pediatric EM Morsels

JUNE 7, 2024

Lucky for us, in 2020 there were some updates made to the NIH Asthma Management Guidelines and we’re going to discuss which ones can help us in the Emergency Department! You’re probably asking yourself… is this really important for us in the Emergency Department to know? No more SABA ! Clin Med Res. 2004 Aug;2(3):155-63.

Pediatrics 208

Pediatrics Emergency Department Wellness EMS 208

EMDocs

AUGUST 12, 2023

We’ll keep it short, while you keep that EM brain sharp. He presented to the emergency department because he is having numbness distal to the site of injury, as well as constant bleeding and some difficulty with flexing his finger. Emergency Medicine Residents’ Association; 2022:10-11. Roberts, James R. DOI: 10.1097/01.EEM.0000410106.40227.cc

EMS 95

EMS Fractures Operations Ultrasounds 95

Pediatric EM Morsels

APRIL 19, 2024

Trauma season is at hand and like all other pediatric emergency departments in the country, we find our ED breaking ( pun intended ) at the seams with orthopedic injuries. The post Rebaked Morsel: Pediatric Buckle and Greenstick Forearm Fractures appeared first on Pediatric EM Morsels. A prospective, randomised trial.

Fractures 290

Fractures Pediatrics Best Practices Outcomes 290

EMDocs

NOVEMBER 19, 2024

Movement Disorder Emergencies. 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. Practical guidance for the use of long-acting injectable antipsychotics in the treatment of schizophrenia. Psychol Res Behav Manag. 2022;15:3915-3929.

Poisoning 111

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 111

EMDocs

JUNE 17, 2023

We’ll keep it short, while you keep that EM brain sharp. Acute Periorbital Infections: Who Needs Emergent Imaging? 2009-1709 The post EM@3AM: Periorbital Cellulitis appeared first on emDOCs.net - Emergency Medicine Education. Parents report the swelling has progressively worsened and is greater in the upper eyelid.

EMS 96

EMS Infectious Diseases Pediatrics Emergency Department 96

Emergency Medicine Journal

DECEMBER 30, 2024

Does your emergency department (ED) feel like a constant battle? When you think about battles, you think about frontline casualties (an irony given the origins of emergency medicine (EM)) and how there must be sacrifice for the majority to succeed. Is EM the sacrifice for your hospital to succeed?

EMS 52

EMS Emergency Department Hospitals 52

EMDocs

NOVEMBER 18, 2023

We’ll keep it short, while you keep that EM brain sharp. Emergency department visits and unanticipated readmissions after liver transplantation: A retrospective observational study. David Gatz, A narrative review of the evaluation and management of liver transplant complications in the emergency department.

EMS 95

EMS Ultrasounds Emergency Department Outcomes 95

Taming the SRU

DECEMBER 11, 2023

PATIENT PRESENTATION A young woman with a past medical history of major depressive disorder presented to the emergency room via EMS for a report of intentional ingestion of an unknown substance. EMS reported that she was vomiting profusely on their arrival to the scene but during transport became increasingly lethargic.

EMS 97

EMS Psychiatric Emergency Department Poisoning 97

EMDocs

DECEMBER 2, 2023

We’ll keep it short, while you keep that EM brain sharp. 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. He has no known medical history and has never been to the doctor. Updated 2022 Jul 4].

EMS 93

EMS Operations Pediatrics Emergency Department 93

Pediatric EM Morsels

OCTOBER 27, 2023

References: Emergency Medical Services for Children- Enhancing Pediatric Safety (no date) Study Packet for the Correct Use of the BroselowTM Pediatric Emergency Tape. 2020) The Times & Tapes Are a-Changin’: The Latest Broselow-Luten Tape for EMS , EMS World. Int J Emerg Med. J Emerg Med. and Seaver, M.

Pediatrics 271

Pediatrics Resuscitation Documentation/Coding Wellness 271

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

Pediatric EM Morsels

JUNE 2, 2023

Today we are talking about a rare disease called FPIES (food protein induced enterocolitis syndrome) and how you might encounter these patients in the Pediatric Emergency Department. link] The post Food Protein Induced Enterocolitis Syndrome (FPIES) appeared first on Pediatric EM Morsels.

Dehydration 193

Dehydration Shock Pediatrics Emergency Department 193

EMDocs

OCTOBER 21, 2023

We’ll keep it short, while you keep that EM brain sharp. Application of the ABCD2 score to identify cerebrovascular causes of dizziness in the emergency department. The post EM@3AM: Basilar Artery Occlusion appeared first on emDOCs.net - Emergency Medicine Education. Arch Neurol. 2004;61(4):496–504. ResearchGate.

EMS 97

EMS Stroke Outcomes Hospitals 97

Pediatric EM Morsels

AUGUST 23, 2024

Concussions are commonly encountered in the Emergency Department. The post Return to Learn / Return to Sport after Concussion appeared first on Pediatric EM Morsels. We have previously discussed an approach to the question of when a patient “ can return to sport.” Br J Sports Med. 2023 Jun;57(11):695-711.

Seizures 281

Seizures Pediatrics Academics Emergency Department 281

Pediatric EM Morsels

MARCH 15, 2024

We encounter seizures commonly in the Emergency Department. The post Gelastic Seizures: No Laughing Matter appeared first on Pediatric EM Morsels. While they can be dramatic and devastating, we have learned to become comfortable with the wide variety that may present in children. 2017 Jun;58 Suppl 2:12-15. doi: 10.1111/epi.13753.

Seizures 260

Seizures Pediatrics Psychiatric Emergency Department 260

Emergency Medicine Cases

JUNE 26, 2023

With increasing forest fires, heat waves, floods, storms, vector-borne illnesses and heat waves, the emergency department is uniquely positioned to declare sentinel events, advocate on behalf of vulnerable populations and lead by example.

EMS 69

EMS Emergency Department Stroke 69

ACEP Now

JUNE 7, 2023

The preliminary results of the 2022 Emergency Department Benchmarking Alliance performance measures survey found a significant deterioration in patient processing due to inpatient boarding. Preliminary results of the survey are being released to help emergency physicians understand that current challenges are occurring nationwide.

Emergency Department 52

Emergency Department Documentation/Coding Operations EMS 52

ACEP Now

DECEMBER 11, 2023

The Emergency Department Benchmarking Alliance (EDBA) is a membership organization composed of high-performance emergency departments (EDs) that share a commitment to quality. EMS arrivals increased; many of those patients (35 percent) were admitted. American College of Emergency Physicians. ED boarding.

Emergency Department 52

Emergency Department Hospitals EMS Operations 52

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? So the answer to the million dollar question: how to be happy as a woman in EM?

Emergency Department 52

Emergency Department EMS Leadership Academics 52

ACEP Now

JANUARY 5, 2025

A young woman, 13 days post-tonsillectomy, comes into your rural emergency department (ED) coughing up blood. Special thanks to Dr. Kevin Wasko, guest expert on the EM Cases podcast on this topic, who inspired this column. Dr. Helman is an emergency physician at North York General Hospital in Toronto.

Airway Management 98

Airway Management Operations Resuscitation Pediatrics 98

Pediatric EM Morsels

JULY 19, 2024

If bleeding, the only lab that is needed in the Emergency Department is a type and cross. The post Post-Tonsillectomy Hemorrhage: ReBaked Morsel appeared first on Pediatric EM Morsels. CBC, coagulation panels, von Willebrand factor etc are less useful. 2024 Feb;177:111859. doi: 10.1016/j.ijporl.2024.111859. 2024.111859.

Airway Management 290

Airway Management Pediatrics Wellness Operations 290

ACEP Now

JULY 7, 2023

Last month’s article focused on ACEP’s efforts and resources to support EDs and patients with psychiatric emergencies. Emergency departments (EDs) focus on rapid initiation of medical treatment. Clinical Policy: Critical Issues in the Diagnosis and Management of the Adult Psychiatric Patient in the Emergency Department.

Emergency Department 52

Emergency Department Psychiatric Administration Best Practices 52

Kings County Downstate EM

DECEMBER 14, 2024

Conway, MD Resident Editor: Philippe Ayres, MD Guest Faculty Editor: James Willis, MD Its nearly midnight in your busy urban emergency department (ED).

Emergency Department 40

Emergency Department EMS Administration 40