EMDocs

MAY 25, 2024

We’ll keep it short, while you keep that EM brain sharp. The post EM@3AM: Sialadenitis appeared first on emDOCs.net - Emergency Medicine Education. She is breathing comfortably but seems to experience significant pain at the associated site of swelling. Neuroradiol J. 2017;30(3):205-215. The Journal of emergency medicine.

EMS 98

EMS Dehydration Operations Hospitals 98

Don't Forget the Bubbles

MARCH 10, 2025

As well as being a practice and policy priority, there have been repeated calls for research to better understand the problem. Understand the day-to-day lived experience of EM doctors to identify and explore factors influencing retention. This is something we see elsewhere in medicine as well. Emerg Med J. Epub 2021 Jun 3.

Emergency Department 105

Emergency Department Research EMS Academics 105

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

Emergency Medicine Cases

FEBRUARY 13, 2024

In order fix EM, each of us needs to understand systems issues and systems thinking, and advocate for a better system based on sound systems principles and specific solutions. In this main episode EM Cases podcast Anton is joined by Dr. Alecs Chochinov and Dr. Davie Petrie, two systems thinkers and leaders in EM. and many more.

EMS 94

EMS Operations Outcomes Wellness 94

EMDocs

JULY 13, 2024

We’ll keep it short, while you keep that EM brain sharp. The post EM@3AM: Endometritis appeared first on emDOCs.net - Emergency Medicine Education. A 37-year-old G2P2 female with no other past medical history presents to the ED with a 2-day history of intermittent fever and foul-smelling vaginal discharge. Cochrane Database Syst Rev.

OB/GYN 88

OB/GYN EMS Sepsis Fluid Resuscitation 88

Pediatric EM Morsels

OCTOBER 27, 2023

Taking care of a critically ill child can be nerve-racking to say the least, and downright petrifying for those who don’t do it frequently, even if they are well-trained and brilliant clinicians. Sinha 2012] It is useful in the prehospital setting , correlating well with actual weight and ED Broselow weight. Broselow does not.

Pediatrics 271

Pediatrics Resuscitation Documentation/Coding Wellness 271

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. and Staphylococcus spp. Reyes Suarez, L. L., & Hernandez de Leon, J.

EMS 105

EMS Infectious Diseases Radiology Radiology 105

Emergency Medicine Cases

FEBRUARY 18, 2025

In this episode, with the expertise of Dr. Samantha Martin and Dr. Jennifer Tomlin, well break down the essential clinical clues, screening questions, red flags, and subtle exam findings that can help Emergency Physicians diagnose eating disorders early and initiate treatment to decrease mortality and long term morbidity in these young patients.

Psychiatric 91

Psychiatric Emergency Department EMS Outcomes 91

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. A 41-year-old male with no significant past medical history presents with a deep hand laceration.

EMS 94

EMS Fractures Operations Ultrasounds 94

Dr. Smith's ECG Blog

JANUARY 3, 2024

Written by Pendell Meyers A woman in her 70s had acute chest pain and called EMS. On arrival, EMS recorded relatively normal vital signs and this EMS ECG: What do you think? However, saddlebacks are only true saddlebacks when there is a well-formed normal voltage S-wave. So the cath lab was not activated. Ongoing OMI.

EMS 102

EMS EKG/ECG Wellness Outcomes 102

EMDocs

JUNE 17, 2023

We’ll keep it short, while you keep that EM brain sharp. 2009-1709 The post EM@3AM: Periorbital Cellulitis appeared first on emDOCs.net - Emergency Medicine Education. An 8-year-old boy with no medical history born full term presents with left eyelid swelling for 2 days. insect bite, scratch, etc.) or nearby infection (e.g.,

EMS 96

EMS Infectious Diseases Pediatrics Emergency Department 96

EMDocs

JULY 29, 2023

We’ll keep it short, while you keep that EM brain sharp. 2021.3.51501 The post EM@3AM: Suppurative Parotitis appeared first on emDOCs.net - Emergency Medicine Education. 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. Afr J Paediatr Surg.

EMS 95

EMS Dehydration Ultrasounds Emergency Department 95

Dr. Smith's ECG Blog

SEPTEMBER 11, 2024

Hope you’re doing well! 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. You taught us well!" How excited would you have been about this case?"

EMS 113

EMS CPR EKG/ECG Wellness 113

Pediatric EM Morsels

JULY 19, 2024

DON’T forget to put on your Personal Protective Equipment as well! Have traditional, direct laryngoscopes available as well. This is worth a shot in a well appearing child that is old enough to gargle and spit. Well… sometimes it starts again. Get good light and exposure! Headlamps can also be helpful! 2024.111859.

Airway Management 290

Airway Management Pediatrics Wellness Operations 290

EMDocs

JULY 1, 2023

We’ll keep it short, while you keep that EM brain sharp. link] The post EM@3AM: Kawasaki Disease appeared first on emDOCs.net - Emergency Medicine Education. A 3-year-old male with no past medical history presents to the ED with one week of daily fevers >102°F associated with four days of rash on the trunk. UpToDate;2022.

EMS 91

EMS Infectious Diseases Pediatrics Research 91

EMDocs

NOVEMBER 19, 2024

1,2 Neuroleptic malignant syndrome (NMS) (hyperthermia, autonomic instability, rigidity, altered mental status [AMS]) can occur as well and is most often seen with clozapine but has been observed with other atypicals. His roommate found an empty pill bottle on the floor next to him. 1 Seizures may occur due to lowered seizure threshold.

Poisoning 111

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 111

ALiEM

MAY 6, 2024

It has been 3 years since the 8-week, self-guided Bridge to Emergency Medicine (EM) curriculum was launched to help graduating medical students prepare for EM residency. Launching the 2nd edition of Bridge to EM (2024) We are thrilled to announce that we launching the second edition of the curriculum.

EMS 75

EMS Wellness 75

Pediatric EM Morsels

SEPTEMBER 22, 2023

), 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. ” Children compensate for blood and volume loss very well… until they don’t. [Updated 2022 Mar 3]. Never fear. In: StatPearls [Internet].

Shock 304

Shock Pediatrics Hyperthermia / Hypothermia Dislocations 304

Pediatric EM Morsels

JUNE 7, 2024

For children at least 4 years of age who are not well controlled on ICS alone. The post ReBaked Morsel on Asthma Control – The 2020 NIH Asthma Management Guidelines appeared first on Pediatric EM Morsels. Formoterol is the LABA of choice, because you can give this more than twice per day AND it has a short onset of action!

Pediatrics 208

Pediatrics Emergency Department Wellness EMS 208

Ken Grauer, MD

APRIL 26, 2024

The ECG in Figure-1 — was obtained on the scene by EMS ( E mergency M edical S ervices ). ECG Blog #193 — Reviews the basics for predicting the " culprit " artery ( as well as reviewing why the term "STEMI" — should be replaced by "OMI" = O cclusion-based MI ).

EKG/ECG 389

EKG/ECG Resuscitation EMS Wellness 389

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. Make sure the airway is well-placed and secure, or provide one now. It may not be possible to suture and tie given space limitations, so leaving the clamps in place works just fine. The aftermath.

EMS 214

EMS Wellness 214

The Trauma Pro

SEPTEMBER 20, 2024

This is important for the well-being of the patient, the rescue crews, and the patient. Bottom line: Each trauma program and EMS agency must think through these details in advance and develop a policy for who goes to the scene and how they get there. Once on scene, the physician must ascertain that the area of the incident is safe.

Hospitals 187

Hospitals EMS Wellness 187

The Trauma Pro

AUGUST 9, 2024

He is credited with developing the original EMS programs in both Kansas, where he took his first faculty position out of residency, and in New Orleans, his home for the remainder of his life. He spent his career at the Charity Hospital there, weathering multiple political storms over the years, as well as the big one, Hurricane Katrina.

EMS 147

EMS Hospitals Wellness 147

Dr. Smith's ECG Blog

JANUARY 2, 2025

Dodd KW, Elm KD, Dodd EM, Smith SW. Clinically, it is well to remember that this variation in QTc estimation is greater at faster heart rates ( with faster heart rates being common in "sicker" patients, for whom we are most likely to need to assess the QTc ). Heart Rhythm [Internet]. 2014;11:22732277. Available from: [link] 2.

EKG/ECG 115

EKG/ECG Sepsis Wellness Documentation/Coding 115

RebelEM

MARCH 31, 2025

Wells’ , Revised Geneva ) or clinical gestalt. PMID: 39487597 REBEL EM: D-Dimer in High Risk PE: A Gamble Worth Taking? Age-Adjusted D-Dimer: Core EM: Age Adjusted D-Dimer in PE The ADJUST-PE Trial REBEL EM: PEGeD Study Is It Safe to Adjust the D-Dimer Threshold for Clinical Probability? Acad Emerg Med 2024.

EMS 45

EMS Academics Fractures Wellness 45

Emergency Medicine Cases

JULY 8, 2024

How do the Canadian and American guidelines on work up of well-appearing febrile infants compare when to it comes to indications for lumbar puncture? We answer such questions as: what are the test characteristics of the various clinical features of meningitis across various ages? and many more.

Pediatrics 113

Pediatrics EMS Wellness Seizures 113

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?" But he did well. Both were awake and alert with normal vital signs. What do you think?

EKG/ECG 124

EKG/ECG EMS Outcomes Wellness 124

Emergency Medicine Cases

OCTOBER 11, 2022

The post EM Quick Hits 43 Pediatric Cannabis Poisoning, Esophageal Perforation, Brugada, Career Transitions in EM appeared first on Emergency Medicine Cases.

Poisoning 52

Poisoning EMS Pediatrics Wellness 52

RebelEM

JULY 20, 2023

EMS radios in for a burn patient and to anticipate a difficult airway. Emergency Medicine (EM) is an amazing specialty because anything can come through the door at any moment. This same reality makes practicing EM incredibly challenging and at times downright terrifying. You can hear the tension in their voice. Make it real.

EMS 75

EMS Burns Airway Management Wellness 75

RebelEM

JANUARY 21, 2025

Wells’ , Revised Geneva ) or clinical gestalt. PMID: 39487597 Clinical Question: Can a negative D-dimer safely exclude PE in patients with high pre-test probability for PE (as determined by Wells or Revised Geneva Scores)? REBEL EM: Age Adjusted D-dimer Testing The Bottom Line: PEG-eD St. Acad Emerg Med 2024.

EMS 45

EMS Research Wellness Outcomes 45

The Skeptics' Guide to EM

SEPTEMBER 21, 2024

Chris Root is an emergency medicine and emergency medicine service (EMS) physician at the University of New Mexico, Albuquerque. Chris completed his emergency medicine residency and EMS fellowship at UNM. Your partner asks if you want to administer naloxone as well. Today’s study looks at the role of naloxone in OHCA.

Hospitals 104

Hospitals CPR EMS Outcomes 104

EMDocs

DECEMBER 23, 2024

The most recent and well-known trial is the PROCAMIO trial (1). Well, the trial was a multicenter prospective open label trial. Well, lets look at some other trials. His initial EKG is the following: What do you think? It was published in European Heart Journal in 2017. Ok, so what did the PROCAMIO trial find?

EKG/ECG 75

EKG/ECG Wellness Shock EMS 75

EMDocs

MARCH 12, 2025

When EMS brought him to you, they said that his heart rate was really fast, but it was only a 2-minute transport time and his blood pressure was OK, so they ran him to the hospital as quickly as they could. Well, does this patient have ventricular tachycardia? He was at school earlier today, felt funny, and then passed out.

EKG/ECG 65

EKG/ECG Wellness EMS Hospitals 65

Ziqitza HealthCare Ltd

JANUARY 20, 2024

In the fast-paced world of emergency medical services (EMS), the mental health of personnel is often overlooked. As the backbone of emergency response, individuals working in EMS face high-pressure situations, witnessing trauma and loss regularly. Fitness programs tailored to the demanding nature of EMS work are a central focus.

EMS 52

EMS Ambulance Services Wellness 52

Pediatric EM Morsels

JUNE 2, 2023

Our patients have varied past medical histories that require us to be well-versed in even the most uncommon disorders (or know where to look things up in a pinch)! link] The post Food Protein Induced Enterocolitis Syndrome (FPIES) appeared first on Pediatric EM Morsels. Allergy Asthma Clin Immunol 18, 54 (2022).

Dehydration 193

Dehydration Shock Pediatrics Emergency Department 193

Pediatric EM Morsels

JULY 26, 2024

These females should have imaging with either MRI or CT as well as abdominal or transvaginal ultrasound to assess for ovarian teratoma. The post Anti-NMDA Receptor Encephalitis in Children and Adolescents appeared first on Pediatric EM Morsels. The prevalence ranges from 12.5%-61% Prevalence decreases with decreasing age.

Psychiatric 271

Psychiatric Seizures Outcomes Pediatrics 271

ACEP Now

MAY 9, 2024

Jon Krohmer, MD, FACEP, who says he has “the EMS blood type,” practically had a front row seat to the growth of EMS care starting as a volunteer EMT more than 50 years ago. The evolution of EMS really mirrors the evolution of emergency physicians.” Dr. Krohmer said. So physicians need to be involved.

EMS 52

EMS Emergency Department CPR Wellness 52