EMDocs

MARCH 9, 2025

Well keep it short, while you keep that EM brain sharp. doi:10.1007/s00247-010-1557-2 The post EM@3AM: Pediatric Osteomyelitis appeared first on emDocs. A 2-year-old female with a past medical history of failure to thrive presents to the ED with her mother for evaluation of right arm pain. Ther Clin Risk Manag. 2023;19:1039-1049.

Pediatrics 52

Pediatrics EMS Infectious Diseases Fractures 52

ACEP Now

MARCH 21, 2025

ACEP, the Emergency Medicine Residents Association, and the Council of EM Residency Directors has scheduled a meeting with the EM Match Task Force to discuss the results and offer a joint statement about what these results mean for the specialty. The post Match Results Amplify Enthusiasm for EM appeared first on ACEP Now.

EMS 52

EMS 52

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

EMDocs

JUNE 22, 2024

We’ll keep it short, while you keep that EM brain sharp. According to EMS, she was in labor at home and delivered the newborn shortly after they had loaded her into the ambulance. The post EM@3AM: Amniotic Fluid Embolism appeared first on emDOCs.net - Emergency Medicine Education. link] j.ajog.2016.03.012

EMS 111

EMS Resuscitation Blood Transfusions Seizures 111

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. Vital signs include BP 168/89, HR 96, T 98.3,

Stroke 111

Stroke EMS EKG/ECG Radiology 111

Ken Grauer, MD

MARCH 1, 2024

Regarding the 2 ECGs in Figure-1 : ECG #1 is the initial tracing obtained at the scene by the EMS ( E mergency M edical S ystems ) team — in association with an alert but markedly hypotensive patient. ECG #2 was recorded a short while after ECG #1 by the EMS team — but before any treatment other than ASA was given.

EKG/ECG 496

EKG/ECG EMS Wellness 496

Emergency Medicine Cases

NOVEMBER 12, 2024

Sara Alavian describes some of the challenges of providing palliative care in low-income/low resource settings and offers some simple solutions in this Global EM column. The post Global EM 6 Palliative Care in Low-Resource Settings: Challenges and Solutions appeared first on Emergency Medicine Cases.

EMS 52

EMS 52

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 110

EMS Pediatrics Sepsis Airway Management 110

EMDocs

MARCH 2, 2024

We’ll keep it short, while you keep that EM brain sharp. The post EM@3AM: Pneumocephalus appeared first on emDOCs.net - Emergency Medicine Education. A 58-year-old female with a history of diabetes, hypertension, and chronic back pain presents to the ED with severe headache and nausea. article in Spanish)  Neurocirugía. 

EMS 119

EMS Fractures Seizures Head Injuries 119

Emergency Medicine Cases

NOVEMBER 28, 2023

On this month's EM Quick Hits podcast: Anand Swaminathan on update to ED management of postpartum hemorrhage, Nour Khatib on serotonin syndrome and its mimics, Katie Lin on an approach to recognition and management of severe TBI and brain herniation syndromes, Hans Rosenberg on the ED management of ulcerative colitis, Heather Cary on pediatric c-spine (..)

EMS 121

EMS Pediatrics Resuscitation 121

Emergency Medicine Cases

JANUARY 2, 2024

Based on a blend of number of listens, feedback from listeners, website visits and personal faves, EM Cases Best of 2023 Top 10. The post EM Cases Best of 2023 Top 10 appeared first on Emergency Medicine Cases.

EMS 114

EMS Poisoning Shock 114

EMDocs

APRIL 13, 2024

We’ll keep it short, while you keep that EM brain sharp. doi:[link] The post EM@3AM: Auricular Hematoma appeared first on emDOCs.net - Emergency Medicine Education. A 24-year-old male presents to the ED from a mixed marital arts competition after being struck on the side of the right head by a fist earlier today.

EMS 105

EMS Emergency Department Pediatrics Wellness 105

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 98

EMS Fluid Resuscitation Resuscitation Radiology 98

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

APRIL 27, 2024

We’ll keep it short, while you keep that EM brain sharp. link] The post EM@3AM: Malignant/Necrotizing Otitis Externa appeared first on emDOCs.net - Emergency Medicine Education. He says the pain is worse at night and when he is chewing. Reyes Suarez, L. L., & Hernandez de Leon, J. Malignant otitis externa: An updated review.

EMS 105

EMS Infectious Diseases Radiology Radiology 105

EMDocs

DECEMBER 18, 2024

Upon EMS arrival the male is noted to be anxious and tremulous with a GCS of 14. A 36-year-old male presents to the emergency department after being found down at home by his spouse. Per the mans wife, the patient is a heavy drinker often consuming two to three pints of vodka daily.

Seizures 105

Seizures Hyperthermia / Hypothermia Emergency Department EMS 105

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 112

EMS Teamwork 112

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 413

EKG/ECG EMS Wellness 413

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

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 110

EMS 110

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

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

Pediatric EM Morsels

DECEMBER 20, 2024

The post Mycoplasma Pneumonia in Children appeared first on Pediatric EM Morsels. Mycoplasma Pneumoniae Infection in Children. UpToDate , 1 Nov. 2024, www.uptodate.com/contents/mycoplasma-pneumoniae-infection-in-children.

CDC 164

CDC Seizures Pediatrics EMS 164

The Skeptics' Guide to EM

FEBRUARY 1, 2025

Tabitha Cheng is a Southern California native and board-certified emergency medicine physician and completed an EMS fellowship as well. Case: An 8-year-old girl is brought in by EMS after a car accident. When EMS arrived on the scene, they found both parents unconscious and the girl appeared slightly dazed and confused.

Pediatrics 82

Pediatrics EMS Emergency Department Research 82

EMDocs

JANUARY 1, 2025

EM@3AM: Retroperitoneal Hematoma Iosif Davidov covers retroperitoneal bleeding in this EM@3AM. We have more exciting posts and changes that will improve your practice of EM! Pain Management of Common Chief Complaints in the ED This post from Nikhil B. Bhana, Clarence Kong, Mani Hashemi, and S.M. Stay tuned for 2025!

Sepsis 75

Sepsis EMS EKG/ECG Hospitals 75

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 361

EKG/ECG EMS Hospitals 361

Don't Forget the Bubbles

MARCH 10, 2025

Understand the day-to-day lived experience of EM doctors to identify and explore factors influencing retention. Portfolio careers The good news for Dont Forget the Bubbles readers is that a bit of Paediatric EM is a retention strategy for emergency physicians. Emerg Med J. 2021 Sep;38(9):663-672. doi: 10.1136/emermed-2020-210450.

Emergency Department 105

Emergency Department Research EMS Academics 105

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 114

EMS CPR EKG/ECG Wellness 114

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

EMDocs

NOVEMBER 19, 2024

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. Published 2019. Accessed October 23, 2023.

Poisoning 111

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 111

The Skeptics' Guide to EM

NOVEMBER 16, 2024

Case: The Chief of Emergency Medicine (EM) at a large urban hospital recently approached the AI Committee at Unity Health, intrigued by the CMAJ article describing the apparent success of CHARTWatch in detecting early signs of patient deterioration. Background: There are many ways to define artificial intelligence.

Emergency Department 110

Emergency Department Administration Outcomes Patient Safety 110

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

EB Medicine

JANUARY 25, 2025

Eckler, MD discuss the January 2025 Emergency Medicine Practice article, Alkali Exposure: An Evidence-Based Approach to Diagnosis and Treatment Patient Demographics and Case Scenarios: Types of patients prone to alkali exposure Causes and scenarios leading to alkali exposure (e.g.,

Poisoning 78

Poisoning EKG/ECG Airway Management Resuscitation 78

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

Emergency Medicine Cases

FEBRUARY 18, 2025

Please consider a donation to EM Cases to ensure continued Free Open Access Medical Education here: [link] The post Ep 202 Eating Disorders: Common, Commonly Missed, Mismanaged and Misunderstood appeared first on Emergency Medicine Cases.

Psychiatric 87

Psychiatric Emergency Department EMS Outcomes 87