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 95

Documentation/Coding EMS Resuscitation 95

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 107

EMS 107

EMDocs

OCTOBER 19, 2024

We’ll keep it short, while you keep that EM brain sharp. link] The post EM@3AM: Bacterial Tracheitis appeared first on emDOCs.net - Emergency Medicine Education. A 3-year-old male with no previous past medical history, born full term, and unvaccinated presents after 6 days of cough, fever, myalgias, and rhinorrhea. 1983;137(8):764.

EMS 88

EMS Pediatrics Sepsis Airway Management 88

Ken Grauer, MD

DECEMBER 1, 2023

For full discussion of this case — See ECG Blog #351 — == The ECG in Figure-1 — was obtained from a previously healthy older man who contacted EMS ( E mergency M edical S ervices ) because of "chest tightness" that began ~1 hour earlier. Given this history: QUESTIONS: How would YOU interpret the ECG in Figure-1 ?

EKG/ECG 418

EKG/ECG EMS Wellness 418

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 101

EMS EKG/ECG 101

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 100

EMS 100

Emergency Medicine Cases

OCTOBER 22, 2024

Do you learn a lot from EM Cases?

Fractures 95

Fractures EMS Resuscitation 95

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 96

Poisoning EMS Resuscitation 96

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 108

EMS EKG/ECG Pediatrics 108

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 363

EKG/ECG EMS Hospitals 363

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 111

EMS CPR EKG/ECG Wellness 111

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 238

EKG/ECG EMS Hospitals 238

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

Emergency Medicine Cases

DECEMBER 23, 2024

In this Global EM post we provide examples of Global EM partnerships and tools for developing these partnerships to foster global solidarity in improving emergency medicine as a specialty and help EM societies not only strengthen their systems but also enhance global health outcomes.

EMS 52

EMS Outcomes 52

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 Hyperthermia / Hypothermia Dislocations 300

Pediatric EM Morsels

SEPTEMBER 8, 2023

The post Summer Penile Syndrome appeared first on Pediatric EM Morsels. The summer penile syndrome: seasonal acute hypersensitivity reaction caused by chigger bites on the penis. Pediatr Emerg Care. 1998 Apr;14(2):116-8. PMID: 9583392.

Poisoning 275

Poisoning Pediatrics EMS 275

Ken Grauer, MD

DECEMBER 15, 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 ). Figure-1: The initial ECG in today's case. ( To improve visualization — I've digitized the original ECG using PMcardio ). Figure-2: Comparison between the 2 ECGs recorded in today's case.

EKG/ECG 381

EKG/ECG EMS Hospitals 381

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

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 145

CPR EMS Documentation/Coding Outcomes 145

Pediatric EM Morsels

OCTOBER 27, 2023

2020) The Times & Tapes Are a-Changin’: The Latest Broselow-Luten Tape for EMS , EMS World. link] The post The Broselow-Luten System appeared first on Pediatric EM Morsels. Available at: [link] (Accessed: 26 October 2023). and Seaver, M. Available at: [link] (Accessed: 27 October 2023). Rosenberg, M.S. Kinnear, J.

Pediatrics 269

Pediatrics Resuscitation Documentation/Coding Wellness 269

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 139

EKG/ECG EMS Shock Wellness 139

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 107

Stroke EMS Research 107

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

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 122

EKG/ECG EMS Outcomes Wellness 122

Pediatric EM Morsels

MARCH 29, 2024

link] The post Rebaked: Inborn Errors of Metabolism presenting in the ED appeared first on Pediatric EM Morsels. Inborn Errors of Metabolism: Becoming Ready for Rare. Samantha A. Schrier Vergano. Pediatr Rev (2022) 43 (7): 371–383.

Dehydration 294

Dehydration Pediatrics Sepsis EMS 294

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 121

EKG/ECG EMS Documentation/Coding Shock 121

RebelEM

FEBRUARY 19, 2024

PMID: 34599691 For More Thoughts on This Topic Checkout: REBEL EM: The Safety and Efficacy of Push Dose Vasopressors in Critically Ill Adults REBEL EM: Are Peripheral Vasopressors Causing Too Many Complications? REBEL EM: Peripheral Vasopressors – Safe or Dangerous? Crit Care Med 2021.

Administration 137

Administration Sepsis EMS Shock 137

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 109

Airway Management Resuscitation EMS Head Injuries 109

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

RebelEM

JULY 5, 2023

REBEL Core Cast 104.0 – Subtle ECGs in Acute Coronary Occlusion Click here for Direct Download of the Podcast Modified Sgarbossa Criteria deWinters ECG Wellens’ Syndrome STEMI Criteria (Taming of the SRU) Resources REBEL EM: Modified Sgarbossa Criteria: Ready for Primetime?

EKG/ECG 143

EKG/ECG Sepsis EMS 143

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 139

EMS Airway Management Resuscitation 139

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

Ken Grauer, MD

APRIL 26, 2024

The ECG in Figure-1 — was obtained on the scene by EMS ( E mergency M edical S ervices ). The patient was a man in his 90s, who ~1 hour earlier, noted the onset of severe CP ( C hest P ain ). He was hemodynamically stable — but clearly distressed with a sense of “impending doom” at the time ECG #1 was recorded.

EKG/ECG 395

EKG/ECG Resuscitation EMS Wellness 395

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

Pediatric EM Morsels

MAY 24, 2024

Evaluation of unintentional injury and trauma is one of the hallmarks of the EM and PEM physician. Low Risk Inta-Adbominal Trauma: Just Light ‘Em Up? The post Low Risk Intra-Abdominal Trauma: Rebaked Morsel appeared first on Pediatric EM Morsels. J Am Coll Surg. 2017;224:449-460. doi:10.1016/j.jamcollsurg.2016.12.041.

Pediatrics 161

Pediatrics Blood Transfusions EMS Fractures 161