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 104

Seizures Hyperthermia / Hypothermia Emergency Department EMS 104

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 87

Psychiatric Emergency Department EMS Outcomes 87

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 96

EMS Dehydration Operations Hospitals 96

EMDocs

APRIL 13, 2024

We’ll keep it short, while you keep that EM brain sharp. If the hematoma is not drained it can cause disruption of blood supply to the cartilage and subsequent necrosis, as well as an increase in risk of infection. doi:[link] The post EM@3AM: Auricular Hematoma appeared first on emDOCs.net - Emergency Medicine Education.

EMS 101

EMS Emergency Department Pediatrics Wellness 101

EMDocs

JUNE 8, 2024

We’ll keep it short, while you keep that EM brain sharp. Post septal (retrobulbar) is higher risk to vision and requires CT imaging to diagnose as well as thorough exam to check for proptosis, afferent pupillary defect, increased intraocular pressure [7]. Orbital hemorrhage: preseptal is less dangerous and more obvious on exam.

EMS 96

EMS Allergic Reactions Poisoning Emergency Department 96

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 89

EMS Operations Outcomes Wellness 89

EMDocs

SEPTEMBER 23, 2023

We’ll keep it short, while you keep that EM brain sharp. Physical exam reveals a well-appearing female in no acute distress. The post EM@3AM: Brugada Syndrome appeared first on emDOCs.net - Emergency Medicine Education. A 36-year-old female presents to the ED after experiencing an episode of sudden syncope. Heart Rhythm.

EMS 102

EMS EKG/ECG Documentation/Coding Emergency Department 102

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 103

EMS EKG/ECG Wellness Outcomes 103

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 115

EMS CPR EKG/ECG Wellness 115

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

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 91

EMS Infectious Diseases Pediatrics Emergency Department 91

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 90

EMS Dehydration Ultrasounds Emergency Department 90

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 65

Pediatrics EMS Emergency Department Research 65

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

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 84

EMS Infectious Diseases Pediatrics Research 84

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 Dislocations Hyperthermia / Hypothermia 304

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 144

CPR EMS Documentation/Coding Outcomes 144

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

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 117

EKG/ECG Sepsis Wellness Documentation/Coding 117

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

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 141

EKG/ECG EMS Shock Wellness 141

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 127

EKG/ECG EMS Outcomes Wellness 127

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 61

EKG/ECG Wellness EMS Hospitals 61

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 177

Hospitals EMS Wellness 177

EMDocs

DECEMBER 11, 2024

The next day she sees her PCP who sends her back to the ED at Hospital C by EMS for possible appendicitis. A patients first attack may not occur until well into his or her 30s. Another 10 days later she is seen at Hospital C , treated a third time for low sodium and discharged, this time with hydromorphone.

Hospitals 92

Hospitals Patient Safety EMS Wellness 92

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

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

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 109

Pediatrics EMS Wellness Seizures 109

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 103

Hospitals CPR EMS Outcomes 103

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 Shock Wellness EMS 75

The Skeptics' Guide to EM

JULY 2, 2023

He is the Creator and founder of REBEL EM, a free, critical appraisal blog that tries to cut down knowledge translation gaps of […] The post SGEM#408: Hey, I, Oh I’m Still Alive – Is it due to TXA? His Glasgow Coma Scale (GCS) score is 13 with obvious head trauma as well. Prehospital Tranexamic Acid for Severe Trauma.

EMS 140

EMS Outcomes Hospitals Research 140

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

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 122

EKG/ECG EMS Documentation/Coding Shock 122