EMDocs

NOVEMBER 16, 2024

9,23 Disposition: Dislocation : If successfully reduced in the emergency department may discharge with strict mobility restrictions and Orthopedic follow up. Emergency department visits following total joint arthroplasty: do revisions present a higher burden? 2013 Dec;6(4):350-6. Emerg Med J. Bone Jt Open.

EMS 96

EMS E-9-1-1 Operating Room Emergency Department 96

JEMS

JUNE 23, 2025

27-30 Ambiguity in Defining “Nonemergent” Cases In a 2013 Health Affairs study, the authors label 12.9% 23 Utilization of terminology, for example, non-emergent, is problematic because field assessment can miss subtleties that ED evaluations catch. Owning the cost of emergency medicine: Beyond 2%. Prehosp Emerg Care.

EMS 116

EMS E-9-1-1 Community Paramedicine Emergency Medical Services 116

FOAMfrat

DECEMBER 26, 2024

IF YOU OR A LOVED ONE NEEDS HELP, CALL 988 OR SEEK CARE AT A LOCAL EMERGENCY DEPARTMENT. These showed that with 22 incidents between 2011 and 2013, 43 people were harmed. TRIGGER WARNING: TOPICS OF SUICIDE MAY BE HARD FOR SOME PEOPLE TO READ ABOUT. THIS ARTICLE IS COVERING THE MEDICAL ASPECTS OF CHEMICAL SUICIDES.

Epinephrine 116

Epinephrine First Responder OR CAD 116

This Podcast Will Kill You

DECEMBER 10, 2024

Racial disparities in pain management of children with appendicitis in emergency departments. Factors associated with potentially missed diagnosis of appendicitis in the emergency department. ” World Journal of Gastroenterology: WJG 19.34 (2013): 5607. 2013): 339-354. Academic Press, 2018. Goyal, M.K.,

E-9-1-1 52

E-9-1-1 ALS Emergency Department OR 52

Don't Forget the Bubbles

DECEMBER 16, 2024

Clear history taking In the Emergency Department, healthcare professionals should prioritise thorough history-taking when assessing potential suspected cases. Epidemiol Infect. 2014;142(4):685-94 Crowcroft NS, Booy R, Harrison T et al. 2003) Severe and unrecognised: pertussis in UK infants.

E-9-1-1 57

E-9-1-1 OR ALS Emergency Department 57

Don't Forget the Bubbles

MAY 12, 2025

Its the first week of your new placement in the Emergency Department of a Paediatric Major Trauma Centre. 2013 Oct;148(10):940-6. 2013 Dec;148(12):1086. Youve just finished discharging your third case of flu that day when the red phone rings a 14-year-old child has been stabbed in the chest and is severely injured.

Emergency Department 96

Emergency Department OR 96

JEMS

JUNE 12, 2025

Patients who use emergency medical services have greater severity of illness or injury compared to those who present to the emergency department via other means: A retrospective cohort study. Canadian Journal of Emergency Medicine , 23, 828–836. Prehospital Emergency Care, 27 (5), 669–686. & Cash, R.

Mobile Integrated Health 98

Mobile Integrated Health EMS E-9-1-1 Community Paramedicine 98

JEMS

JUNE 23, 2025

Parianos is an EMT with Beauport Ambulance Service and a wellness teacher at Masconomet Regional High School, where he plays a vital role in the school’s Emergency Medical Services program. He also served in the Marine Corps from 2013 to 2017 as an armorer in the 3rd Battalion, 6th Marines and attained the rank of sergeant.

EMT 52

EMT EMT Mobile Integrated Health Community Paramedicine 52

ACEP Now

JUNE 17, 2025

As they have become a more familiar sight in the emergency department, it’s been an interesting experience to see what others carry in their fanny packs and their motivations for carrying them. 2013 Apr 15;87(8):536. Reprinted with permission from Springer Nature. Click to enlarge.) References De Caprariis PJ, Della-Latta P.

Emergency Department 52

Emergency Department E-9-1-1 ALS OR 52

REBEL EM

FEBRUARY 24, 2025

RESUS SCENARIO Picture this: you just arrived at your shift at the local emergency department. July 2013; PMID: 23774337 Cavallaro, F et al: Diagnostic accuracy of passive leg raising for prediction of fluid responsiveness in adults: systematic review and meta-analysis of clinical studies. Mar 2004; PMID: 15090949.

ALS 67

ALS E-9-1-1 Critical Care OR 67

EMDocs

MARCH 24, 2025

HIV Prevention and Treatment: The Evolving Role of the Emergency Department. Ann Emerg Med. He has been having unprotected receptive anal intercourse with two male sexual partners over the past 6 months. Spectrum of AIDS Defining Opportunistic Infections in a Series of 77 Hospitalised HIV-Infected Omani Patients. Infect Dis Rep.

E-9-1-1 80

E-9-1-1 ALS ED OR 80

REBEL EM

DECEMBER 4, 2024

Ann Emerg Med 2011; 57(1): 32-3. Managing reent-onset atrial fibrillation in the emergency department. Ann Emerg Med 2011; 57(1): 31-2. Ann Emerg Med 2015; 65(5): 532-9. Cardioversion of paroxysmal atrial fibrillation in the emergency department. Ann Emerg Med 1999; 33(4): 379-88.

Emergency Department 89

Emergency Department ALS ED EMS 89

ACEP Now

APRIL 9, 2025

When I was an inpatient pharmacy manager in 2013, my hospital was visited by the California Department of Public Health (CDPH), concerned about droperidol and ECG monitoring, or rather, lack thereof. The incidence of QT prolongation and torsades des pointes in patients receiving droperidol in an urban emergency department.

Emergency Department 52

Emergency Department ALS ED OR 52

EMDocs

MAY 31, 2025

Starting antibiotics (D) in the emergency department is not routinely recommended in the nonoperative management of small bowel obstructions. Published online May 2013:1. Utility of Emergency Department Use of Abdominal Pelvic Computed Tomography in the Management of Crohns Disease. doi:10.1097/MIB.0b013e31828a661e

E-9-1-1 74

E-9-1-1 EMS ALS Emergency Department 74

The Skeptics' Guide to EM

JANUARY 6, 2024

National Assessment of Pediatric Readiness of US Emergency Departments during the Covid-19 Pandemic. July 2023 Date: Dec 11, 2023 Guest Skeptic: Dr. Rachel Hatcliffe is a pediatric emergency medicine attending at Children’s National Hospital in Washington, DC. Are general emergency departments ready to care for children?

Emergency Department 339

Emergency Department Emergency Medical Services ALS ED 339

The Skeptics' Guide to EM

SEPTEMBER 9, 2023

Case: It is a steady Saturday afternoon in your rural emergency department (ED). This includes SGEM#19 way back in 2013 reporting a bandage wrap is a safe alternative to traditional casting for children with greenstick fractures. He has been a guest skeptic on the SGEM multiple times.

Critical Care 344

Critical Care ALS ED Emergency Department 344

REBEL EM

MAY 11, 2023

Background: The emergency department is frequently visited by patients suffering from symptomatic alcohol withdrawal, and the traditional management has been dominated by repeated doses of benzodiazepines. Return Encounters in Emergency Department Patients Treated with Phenobarbital Versus Benzodiazepines for Alcohol Withdrawal.

Emergency Department 95

Emergency Department ED EMR OR 95

The Skeptics' Guide to EM

JULY 8, 2023

Case: A 57-year-old woman with hypertension, hyperlipidemia and type-2 diabetes mellitus presents to the emergency department (ED) with fever, cough, myalgias, headache and congestion. Managing editor of EM:RAP and Associate Editor at REBEL EM. It’s flu season and you’ve already seen 15 people with the same symptoms.

ALS 269

ALS Emergency Department EMS ED 269

EMergucate

JULY 11, 2013

A 53 year old male presents to your Emergency Department following an episode of collapse and this ECG.

Emergency Department 100

Emergency Department EMS 100

EMergucate

AUGUST 9, 2013

A 83 year old patient presents to your Emergency Department complaining of lethargy, nausea, and vomiting. This is his ECG.

Emergency Department 100

Emergency Department EMS 100

The Skeptics' Guide to EM

FEBRUARY 18, 2023

Rising high-acuity emergency care services independently billed by advanced practice providers, 2013 to 2019. AEM Feb 2023 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and Assistant Professor at the University of Calgary. Date: February 17, 2023 Reference: Gettel et al.

Emergency Department 130

Emergency Department ALS ED EMS 130

EMergucate

SEPTEMBER 8, 2013

A 47 yr old female with a history of cardiac failure presents to your emergency department with an unrelated injury, … Continue reading →

Emergency Department 100

Emergency Department EMS 100

EMergucate

DECEMBER 26, 2013

Following on from last week, this 58 yr old male is brought to your Emergency Department following an out-of-hospital cardiac … Continue reading →

Emergency Department 100

Emergency Department EMS 100

ALiEM

NOVEMBER 10, 2023

A 33-year-old male presented to the emergency department with a diffuse pruritic rash that appeared several days after starting Trimethoprim/Sulfamethoxazole (TMP-SMX) for a dental infection. 2013 Apr;168(4):726-32. Epub 2013 Feb 16. Progression stopped after discontinuing TMP-SMX. Br J Dermatol. doi: 10.1111/bjd.12133.

Emergency Department 161

Emergency Department OR 161

The Skeptics' Guide to EM

AUGUST 28, 2021

Direct-access physiotherapy to help manage patients with musculoskeletal disorders in an emergency department: Results of a randomized controlled trial. Case: A forty-year-old woman presents to the emergency department […] The post SGEM#342: Should We Get Physical, Therapy for Minor Musculoskeletal Disorders in the ED?

ED 130

ED Emergency Department ALS OR 130

ACEP Now

DECEMBER 11, 2023

The Emergency Department Benchmarking Alliance (EDBA) is a membership organization composed of high-performance emergency departments (EDs) that share a commitment to quality. The time interval referred to as ED boarding time has been part of the hospital’s required data submission to CMS since 2013. ED boarding.

Emergency Department 52

Emergency Department ED EMS ALS 52

The Skeptics' Guide to EM

AUGUST 19, 2023

I responded by posting the 2013 SGEM episode on INTERACT-2 ( SGEM#73 ) which showed no statistical difference between intensive (<140 mmHg) and guideline directed (<180 mmHg). Case: A 67-year-old male presents to the emergency department obtunded with left hemiplegia. Symptoms began just prior to presentation.

EMS 186

EMS ALS Emergency Department OR 186

EMOttawa

FEBRUARY 22, 2024

Lacerations are a common presenting complaint to emergency department. In 2013, in the United States there were 7 million visits to the emergency department (ED) for lacerations making up a total of 5.2% of ED visits(1).

Emergency Department 94

Emergency Department ED OR 94

Pediatric EM Morsels

OCTOBER 27, 2023

Most emergency drugs except for amiodarone and succinylcholine are based on ideal body weight [Emergency Medical Services for Children, Luten 2007] Epinephrine, dopamine, fentanyl, ketamine based on what child should weigh. PAWPER [Wells 2013, Silvagni 2022] Takes into account body habitus. Int J Emerg Med. J Emerg Med.

E-9-1-1 274

E-9-1-1 Emergency Medical Services Life Support ALS 274

ALiEM

AUGUST 30, 2024

A 5-year-old female presented to the emergency department (ED) with a one-year history of gradually increasing anterior neck swelling. 2013 Mar;34(3):115-24; quiz 125. The patient had no significant past medical history. She also endorsed three weeks of cough and congestion, and one day of muffled voice. Pediatric neck masses.

ACS 161

ACS Emergency Department ED OR 161

ALiEM

DECEMBER 18, 2023

A 19-year-old female with a past medical history of epilepsy presented to the emergency department for evaluation of rash and fever. 2013 Jun;6(6):31-7. Two days prior to presentation she began to experience fevers with a Tmax of 103°F. The patient endorsed associated pruritus and cervical lymphadenopathy with the rash.

Emergency Department 177

Emergency Department OR 177

The Skeptics' Guide to EM

DECEMBER 15, 2018

During winter periods a typical emergency department may well see a child a day presenting with a febrile seizure There was a SRMA by Rosenbloom et al. ( Eur J Paediatr Neurol 2013) that concluded antipyretics were ineffective in reducing the recurrence of febrile seizures in children.

OR 130

OR Emergency Department ALS 130

The Skeptics' Guide to EM

MAY 14, 2022

Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. He is also one of the world’s leading researchers on pain management in the emergency department and specifically the use of ketamine. His twitter handle is @PainFreeED.

ALS 130

ALS Emergency Department ED OR 130

The Skeptics' Guide to EM

APRIL 24, 2021

Randomized Double-blind Trial Intramuscular Droperidol, Ziprasidone and Lorazepam for Acute Undifferentiated Agitation in the Emergency Department. Way back in 2013 we looked at haloperidol for agitation due to psychosis ( SGEM#45 ) and concluded that it was an effective treatment but had common side effects.

Emergency Department 100

Emergency Department ALS Ambulance ED 100

The Skeptics' Guide to EM

OCTOBER 28, 2017

That rant relied upon a Cochrane SRMA by Stevens B et al 2013 and a randomized clinical trail published in Pediatrics by Gray L et al 2015. There are certain patient populations who are at risk for in adequate pain management. The pediatric age group represents one of the populations at risk for oligoanalgesia.

ALS 130

ALS Emergency Department ED OR 130

ALiEM

MARCH 7, 2024

Facts and Literature Review Bladder volume estimation Measuring bladder volume via POCUS in pediatric patients has been studied, demonstrating a benefit on Emergency Department workflow and length of stay (Table 1). Point-of-care ultrasound for the detection of hydronephrosis in emergency department patients with suspected renal colic.

E-9-1-1 177

E-9-1-1 Emergency Department ALS ED 177

REBEL EM

SEPTEMBER 13, 2023

patients that take ACE inhibitors (but 20-30% of all angioedema presentations to the Emergency Department) 3 times more common in Black Americans ( Kostis 2005 ) 0.01 J Emerg Med 2013; 44 (4): 764-772. Optimizing Emergent Surgical Cricothyrotomy for Austere Environments. Emergency Medicine Practice.

Frozen Plasma 101

Frozen Plasma Allergic Reaction FFP Plasma 101