Emergency Medicine Cases

APRIL 23, 2024

The post EM Quick Hits 56 – Nitroglycerin in SCAPE, REBOA, Diverticulitis Imaging, CRAO, Penicillin Allergy, Physician Personality appeared first on Emergency Medicine Cases.

EMS 117

EMS Resuscitation Outcomes Allergic Reactions 117

EMDocs

JANUARY 11, 2025

Well keep it short, while you keep that EM brain sharp. A 73-year-old female is brought in by EMS for abdominal pain, vomiting, and weakness for two days. link] The post EM@3AM: Stercoral Colitis appeared first on emDOCs.net - Emergency Medicine Education. EMRA Antibiotic Guide. Stercoral Colitis. link] Yuranga Weerakkody.

EMS 85

EMS Sepsis Shock Fluid Resuscitation 85

Emergency Medicine Cases

FEBRUARY 27, 2024

Please support EM Cases with a donation [link] The post EM Quick Hits 55 – Induction Agents, Gabapentinoids, Neuroprotective Intubation, Approach to Paresthesias, Preventing Burnout appeared first on Emergency Medicine Cases. Katie Lin on pearls for neuroprotective intubation.

EMS 113

EMS 113

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 84

EMS Fluid Resuscitation Resuscitation Radiology 84

EMDocs

JANUARY 25, 2025

Well keep it short, while you keep that EM brain sharp. Available from: [link] The post EM@3AM: Leukopenia appeared first on emDOCs.net - Emergency Medicine Education. Consolidated Guidelines on the Use of Antiretroviral Drugs for Treating and Preventing HIV Infection: Recommendations for a Public Health Approach. 2nd edition.

EMS 77

EMS Infectious Diseases Allergic Reactions Fluid Resuscitation 77

Emergency Medicine Cases

DECEMBER 3, 2024

On this month's EM Quick Hits podcast: Ross Prager on TEE in cardiac arrest, Justin Morgenstern on nebulized ketamine for analgesia in the ED, Hans Rosenberg & Krishin Yadav on standardizing cellulitis management, Mathew McArther on latest studies on subcutaneous insulin protocols in DKA, Jennifer C.

Documentation/Coding 102

Documentation/Coding EMS Resuscitation 102

Emergency Medicine Cases

SEPTEMBER 10, 2024

Help Support EM Cases by Giving a Donation here: [link] The post EM Quick Hits 59 Traumatic Coronary Artery Dissection, Proper Use of Insulin, Mesenteric Ischemia, Exercise Associated Hyponatremia, AI for OMI appeared first on Emergency Medicine Cases.

EMS 107

EMS EKG/ECG 107

Emergency Medicine Cases

OCTOBER 22, 2024

Do you learn a lot from EM Cases?

Fractures 101

Fractures EMS Resuscitation 101

St. Emlyn

JANUARY 17, 2024

This is timely […] The post JC: Retention, working conditions and opportunities in EM. St.Emlyn's - Emergency Medicine #FOAMed This week we look at a paper from the EMJ that explores what are that main factors influencing retention, working conditions and opportunties in UK emergency medicine.

EMS 103

EMS Teamwork 103

Emergency Medicine Cases

JULY 30, 2024

The post EM Quick Hits 58 – HIV PEP and PrEP, PREOXI Trial, Blast Crisis, Nitrous Oxide Poisoning, Vasopressors in Trauma appeared first on Emergency Medicine Cases.

Poisoning 103

Poisoning EMS Resuscitation 103

St. Emlyn

SEPTEMBER 19, 2024

FOAMed @stemlyns The post EM is a great job. St.Emlyn's - Emergency Medicine #FOAMed A reminder of a great lecture from Cliff Reid on why emergency medicine is a great (but really challenging) job. This talk is 11 years old but is arguably still true today. After 11 years is Cliff Reid still right? appeared first on St.Emlyn's.

EMS 98

EMS 98

Emergency Medicine Cases

JANUARY 28, 2025

The post EM Quick Hits 62 Optimizing RSI Medication Timing, ED Boarding of Older Patients, Prolonged Tourniquet Use, Rural Peer Support Programs, ECG Reciprocal Changes, Nutrition Tips for Shift Workers appeared first on Emergency Medicine Cases.

EMS 94

EMS EKG/ECG Resuscitation 94

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 117

EMS CPR EKG/ECG Wellness 117

Ken Grauer, MD

AUGUST 26, 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 ). That the "culprit" artery spontaneously opened ~20 minutes later while the EMS unit was en route to the hospital ( at which time the patient's CP had resolved — and ECG #1 was obtained ).

EKG/ECG 362

EKG/ECG EMS Hospitals 362

Emergency Medicine Cases

JANUARY 23, 2024

The post EM Quick Hits 54 Button Battery Ingestion, C. difficile, ECG in Tox, Bed Bugs, Fibrinogen in Trauma, Cold Air for Croup appeared first on Emergency Medicine Cases.

EMS 114

EMS EKG/ECG Pediatrics 114

EB Medicine

JANUARY 7, 2025

Membership Details - How to join EMIC - Benefits of membership For more about the EM Innovation Collaborative. Membership Details- How to join EMIC- Benefits of membershipFor more about the EM Innovation Collaborative. Discussion on EMIC- Overview of the collaborative- Background and formation during the pandemic in late 20212.

EMS 82

EMS 82

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 233

EKG/ECG EMS Hospitals 233

The Trauma Pro

APRIL 19, 2024

Courtesy Core EM Airway control should ideally occur in the operating room. If gauze packing is not practical because of this need for additional pressure, a urinary catheter can be inserted into the wound and inflated until the bleeding stops.

Operations 263

Operations EMS 263

The Trauma Pro

AUGUST 16, 2024

This one applies to anyone who takes care of children, and is particularly important to EMS / prehospital providers and emergency physicians. And another law to end the first week! Any time I give a pediatric talk, I mention it. On occasion, medics are called to a home to treat a child in extremis, or occasionally in arrest.

Pediatrics 203

Pediatrics Sepsis EMS 203

The Trauma Pro

SEPTEMBER 10, 2024

In the 1996 study, surveys were sent out to EMS directors in North America’s 200 largest metropolitan areas. There is one old paper that is cited frequently which consisted of a survey from 1996! A search of the literature at that time only yielded two case descriptions. A total of 143 directors responded.

EMS 201

EMS Documentation/Coding 201

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. Available from: [link] The post Neurogenic Shock in Children appeared first on Pediatric EM Morsels. Never fear.

Shock 300

Shock Pediatrics Dislocations Hyperthermia / Hypothermia 300

Emergency Medicine Cases

JANUARY 7, 2025

In this Part 2 of our 2-part podcast series on How EM Experts Think with Dr. Reuben Strayer, Dr. Mike Betzner and Dr. Scott Weingart we dive deep into the nuances of practicing smarter, faster, and better in the ED. How do the master EM clinicians perform an efficient and targeted history and physical exam? and many more.

Documentation/Coding 93

Documentation/Coding EMS 93

Emergency Medicine Cases

MAY 13, 2024

Help support EM Cases by making a donation: [link] The post Ep 194 Subarachnoid Hemorrhage – Recognition, Workup and Diagnosis Deep Dive appeared first on Emergency Medicine Cases.

Stroke 114

Stroke EMS Research 114

The Trauma Pro

OCTOBER 1, 2024

What might the impact of ride services on patient transport be for both patient and EMS? And, of course, some people have used these services for transportation to the hospital instead of an ambulance ride. Ambulance rides are expensive. Depending on region, they may range from $500-$5000.

Ambulance Services 130

Ambulance Services EMS Hospitals 130

Dr. Smith's ECG Blog

NOVEMBER 29, 2023

Written by Pendell Meyers Two adult patients in their 50s called EMS for acute chest pain that started within the last hour. Both cases had an EMS ECG that was transmitted to the ED physician asking "should we activate the cath lab?" 25 minutes later, EMS called back with this new ECG: Super obvious STEMI(+) OMI.

EKG/ECG 128

EKG/ECG EMS Outcomes Wellness 128

Dr. Smith's ECG Blog

FEBRUARY 22, 2024

Written by Pendell Meyers A woman in her 30s called EMS for acute symptoms including near-syncope, nausea, diaphoresis, and abdominal pain. EMS arrived and found her to appear altered, critically ill, and hypotensive. EMS reportedly gave 4 grams of calcium (unknown whether CaCl or gluconate) and 50 mEq of sodium bicarbonate.

EKG/ECG 142

EKG/ECG EMS Shock Wellness 142

RebelEM

JUNE 29, 2023

Back on June 1 st , 2023, Swami wrote a blog post on REBEL EM titled, The CT FIRST Trial, Should We Pan-CT After ROSC? REBEL EM Blog, June 1, 2023. Back on June 1st, 2023, Swami wrote a blog post on REBEL EM titled, The CT FIRST Trial, Should We Pan-CT After ROSC? Below you will find some of the points we discussed.

CPR 142

CPR EMS Documentation/Coding Outcomes 142

Mount Sinai EM

JULY 21, 2023

Now I love ‘em and you can love ‘em too! ** GJ-tubes or J-tubes do not get replaced in the ED. As always in EM, set yourself up for success in any procedure, small or large. We get G-tube dislodgments quite often at Sinai, and they can be an easy patient encounter with a quick note and quick dispo. Tell me about the PEG tube.

EMS 181

EMS Radiology Radiology 181

Emergency Medicine Cases

NOVEMBER 12, 2024

In this EM Cases main episode podcast, we tackle the complexities of trauma airway management, including direct trauma to the airway. Please consider a donation to EM Cases to ensure ongoing Free Open Access Medical Education here: [link] The post Ep 199 Trauma Airway and Airway Trauma appeared first on Emergency Medicine Cases.

Airway Management 116

Airway Management Resuscitation EMS Head Injuries 116

Dr. Smith's ECG Blog

SEPTEMBER 12, 2024

Written by Pendell Meyers A man in his 40s called EMS for acute chest pain that awoke him from sleep, along with nausea and shortness of breath. For clarity in Figure-1 — I've labeled the 2 EMS ECGs and the baseline ECG recorded ~1 month earlier. Vitals were within normal limits except for tachypnea.

EKG/ECG 124

EKG/ECG EMS Documentation/Coding Shock 124

Emergency Medicine Cases

APRIL 2, 2024

Please support EM Cases with a donation: [link] The post Ep 193 The Crashing Asthmatic – Recognition and Management of Life Threatening Asthma appeared first on Emergency Medicine Cases. What role do blood gases play in the decision to intubate? What are the most appropriate ventilation strategies in the intubated asthma patient?

EMS 141

EMS Airway Management Resuscitation 141

Emergency Live

MAY 16, 2024

The Complexity of the American Emergency Medical Services (EMS) System In the United States, the Emergency Medical Service (EMS) system is highly diversified and decentralized, designed to respond to a wide range of medical emergencies.

EMS 98

EMS 98

Pediatric EM Morsels

APRIL 19, 2024

The post Rebaked Morsel: Pediatric Buckle and Greenstick Forearm Fractures appeared first on Pediatric EM Morsels. A prospective, randomised trial. J Bone Joint Surg Br. 2001;83:556–560.

Fractures 286

Fractures Pediatrics Best Practices Outcomes 286

Emergency Live

DECEMBER 18, 2023

Exploring the Challenges of the EMS System in the Context of Income Disparity The Economic and Personnel Crisis in EMS In the United States, medical emergencies are managed through the Emergency Medical Services (EMS) system, which faces significant economic and personal challenges.

EMS 105

EMS 105

Pediatric EM Morsels

JUNE 30, 2023

link] PMID: 36553274 The post Congenital Pulmonary Airway Malformation (CPAM) appeared first on Pediatric EM Morsels. Congenital Cystic Adenomatoid Malformation (CCAM) Type II: A Rare Case of Sudden Infant Death. Dec: 9 (12): 1830.

Ultrasounds 281

Ultrasounds Pediatrics Operations EMS 281

Emergency Medicine Cases

JULY 8, 2024

EM Cases is Free Open Access; please consider a donation to help ensure that EM Cases remains Free Open Access on our donation page [link] The post Ep 196 Pediatric Meningitis Recognition, Workup and Management appeared first on Emergency Medicine Cases. and many more.

Pediatrics 109

Pediatrics EMS Wellness Seizures 109

The Trauma Pro

SEPTEMBER 27, 2024

Then apply a bulky and compressive dressing, and get out of the way so the EMS providers can do their thing. It may not be possible to suture and tie given space limitations, so leaving the clamps in place works just fine. The aftermath. Once the patient has been extricated, double check the patient’s ABCs.

EMS 214

EMS Wellness 214