FOAMfrat

DECEMBER 26, 2024

IF YOU OR A LOVED ONE NEEDS HELP, CALL 988 OR SEEK CARE AT A LOCAL EMERGENCY DEPARTMENT. The bottom line, as DC Oreshan says in (Fire Engineering Staff, 2014), isthat taking 10 seconds to slow down and do a good, thorough scene size-up could save a responders life. 2014, 10 21). 2014, 04 11). 2015, 11 23).

Epinephrine 116

Epinephrine First Responder OR CAD 116

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. In the 2014 version, penetrating trauma was mentioned just oncenow, it has its own dedicated chapter. Most of the RCRs recommendations for imaging in blunt trauma remain unchanged from the 2014 guidance.

Emergency Department 99

Emergency Department OR 99

REBEL EM

NOVEMBER 11, 2024

What They Did: Investigators performed a retrospective cohort study in the Emergency Department at the University of Michigan between July 1, 2014 through December 31, 2018.

E-9-1-1 93

E-9-1-1 ICU ALS Critical Care 93

EMDocs

JANUARY 6, 2025

HIV Prevention and Treatment: The Evolving Role of the Emergency Department. Ann Emerg Med. Undernourished children presenting to an urban emergency department of a tertiary hospital in Tanzania: a prospective descriptive study. Use of Medical Interpreters in the Emergency Department.; 2017;3:17067.

ED 74

ED E-9-1-1 ALS Frozen Plasma 74

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. 2014): 105-108. Academic Press, 2018. Goyal, M.K., Kuppermann, N., Cleary, S.D., Teach, S.J. and Chamberlain, J.M.,

E-9-1-1 52

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

JEMS

JUNE 16, 2025

As it often does, the answer came down to money: according to Health Catalyst, ‘On October 1, 2014, the final payment and policy changes for hospital readmissions from CMS went live. Just weeks into the change, thousands of hospitals across the United States are feeling the financial pressures of the increased penalty.’ They may have fallen.

Mobile Integrated Health 98

Mobile Integrated Health Community Paramedicine Paramedicine Paramedicine 98

EMDocs

JULY 21, 2025

Uncommon with maximal NIPPV and high-dose nitroglycerin, but may use another vasodilator (clevidipine or nicardipine) or ACE inhibitor if SBP remains > 160 mm Hg (Raggi, Peacock 2010/2014, Ayaz, Annane). American College of Emergency Physicians Clinical Policies Subcommittee (Writing Committee) on Acute Heart Failure Syndromes.

E-9-1-1 88

E-9-1-1 ALS Emergency Department OR 88

ACEP Now

JUNE 24, 2025

For example, discharge risk stratification tools, such as the emergency department (ED) revisit algorithm or the SHOUT scoring system (see Table 1 ), provide structured approaches to identifying patient risk levels for readmission, follow-up failure, or adverse outcomes.

ED 52

ED ICU OR Emergency Department 52

EMDocs

JULY 2, 2025

Only 11 of these exposures occurred between 2000-2014. Tianeptine-involved emergency department visits, fatal overdoses, and substance seizures in Tennessee, 2021–2023. 9,10 Between 2000 and 2017, there were 218 calls to poison centers across the country for tianeptine exposures. Journal of Addiction Medicine , 11 (5), 411.

E-9-1-1 74

E-9-1-1 Naloxone Overdose ED 74

Broome Docs

DECEMBER 22, 2024

2018 Nov 22;379(21):2002-2014. Piroxicam and paracetamol in the prevention of early recurrent pain and emergency department readmission after renal colic: Randomized placebo-controlled trial. Acad Emerg Med. Lactobacillus rhamnosus GG versus Placebo for Acute Gastroenteritis in Children. N Engl J Med. 2024 Aug 19.

E-9-1-1 52

E-9-1-1 ACS Paramedic Emergency Department 52

ACEP Now

MARCH 11, 2025

Many patients with PE can be discharged directly from the emergency department (ED). 2014 ESC Guidelines on the diagnosis and management of acute pulmonary embolism. The treatment of patients with pulmonary embolism (PE) has evolved substantially over the past few decades. Konstantinides SV, Meyer G, Becattini C, et al.

ALS 52

ALS OR Emergency Department ED 52

Dr. Smith's ECG Blog

FEBRUARY 10, 2025

Acute hyperkalemia in the emergency department: a summary from a Kidney Disease: Improving Global Outcomes conference. Eur J Emerg Med 2020. Early Repolarizaton vs. Hyperkalemia Recognize subtle findings of hyperK and, if present, treat with Calcium immediately! References 1. Lindner et al. Durfey et al.

ALS 125

ALS ED ICU OR 125

REBEL EM

FEBRUARY 28, 2025

Replacement allows the nail to act as a rigid splint, reduce pain to the injured site and prevent adhesions between the eponychial fold and germinal matrix ( Patel 2014 ). Management of simple nail bed lacerations and subungal hematomas in the emergency department. Pediatr Emer Care 2014; 30: 742-8. References Patel L.

Emergency Department 50

Emergency Department ED ALS OR 50

ACEP Now

APRIL 14, 2025

5,6 From the emergency department (ED), we have the opportunity to impact individual patients and the publics health by assuming a leading role in expanding access to MOUD for patients with OUD. Australian Government: Department of Health and Aged Care. 2014 Apr 9. Federal Guidelines for Opioid Treatment Programs.

Overdose 52

Overdose Mental Health Services ED ALS 52

Dr. Smith's ECG Blog

DECEMBER 16, 2024

male who hasn't doctored in several years presented to the emergency department by ambulance for chief complaint of chest pain. Conclusion: you may take a few moments to look for dissection with your bedside ultrasound, but when it is a clear STEMI, do NOT waste time with a CT scan. Case 2 A 50-something y.o.

STEMI 108

STEMI Coronary Critical Care ED 108

REBEL EM

FEBRUARY 24, 2025

RESUS SCENARIO Picture this: you just arrived at your shift at the local emergency department. May 2014; PMID: 24495437. For more than just the correctness of terminology, the distensibility index should then be calculated. Youre barely logged in, coffee still in hand, when you get sign out on your soon-to-be newest patient.

ALS 64

ALS E-9-1-1 Critical Care OR 64

The Skeptics' Guide to EM

SEPTEMBER 10, 2017

Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non-inferiority trial. Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non-inferiority trial. [display_podcast] Date: September 7th, 2017 Reference: Cohen et al.

Emergency Department 130

Emergency Department ALS OR 130

The Skeptics' Guide to EM

OCTOBER 28, 2023

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, specifically the use of ketamine. His twitter handle is @PainFreeED.

ALS 266

ALS Emergency Department ED OR 266

The Skeptics' Guide to EM

APRIL 20, 2024

Efficacy and safety of ultrasound-guided erector spinae plane block compared to sham procedure in adult patients with rib fractures presenting to the emergency department: A randomized controlled trial. A clinical decision tool called the STUMBL score was derived and validated by Battle et al in 2014 [3].

Emergency Department 214

Emergency Department Overdose ALS ED 214

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 270

ALS Emergency Department EMS ED 270

The Skeptics' Guide to EM

NOVEMBER 11, 2023

Case: A 24-year-old manual labourer presents to the emergency department (ED) after drinking a few too many beers, having a disagreement with another beer drinker and gets knocked down. DISCLAIMER: THE VIEWS AND OPINIONS OF THIS BLOG AND PODCAST DO NOT REPRESENT THE UNITED STATES GOVERNMENT OR THE US MILITARY.

ALS 325

ALS Emergency Department ED OR 325

EMergucate

FEBRUARY 7, 2014

This week’s ECG is from a 39 yr old female who presented to the Emergency Department with vomiting, diarrhoea, and … Continue reading →

Emergency Department 100

Emergency Department EMS 100

EMergucate

FEBRUARY 15, 2014

This week’s ECG is from a middle aged male who presented to the Emergency Department with abdominal pain. His ‘routine’ … Continue reading →

Emergency Department 100

Emergency Department EMS 100

ALiEM

APRIL 12, 2023

Hynynen, 10.08 – Ultrasound Therapy, Editor(s): Anders Brahme, Comprehensive Biomedical Physics, Elsevier, 2014, Pages 153-168, ISBN 9780444536334. emDOCs.net – Emergency Medicine Education. DOI 10.1016/B978-0-444-53632-7.01010-8 LeDonne S, Sengupta D. US Probe: Ultrasound Water Bath for Distal Extremity Evaluation.

Emergency Department 258

Emergency Department ALS ED 258

EMergucate

FEBRUARY 21, 2014

Clinical conclusion and interpretation on last week’s ECG case of a middle aged male who presented to the Emergency Department with … Continue reading →

Emergency Department 100

Emergency Department EMS 100

The Skeptics' Guide to EM

JUNE 17, 2023

Intranasal fentanyl and discharge from the emergency department among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. Date: June 15, 2023 Reference: Rees CA et al. Date: June 15, 2023 Reference: Rees CA et al. Opioids are the primary therapy.

Emergency Department 185

Emergency Department ALS ED OR 185

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 90

Emergency Department ED EMR OR 90

The Skeptics' Guide to EM

JANUARY 14, 2018

Effectiveness of intravenous lidocaine versus intravenous morphine for patients with renal colic in the emergency department. Urology 2012 Guest Skeptics: Dr. Tony Seupaul is the Chairman of the Department of Emergency Medicine at the University of Arkansas. Of course we were skeptical and wanted to review the evidence.

Emergency Department 130

Emergency Department ALS ED OR 130

The Skeptics' Guide to EM

OCTOBER 10, 2020

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, specifically the use of ketamine. His twitter handle is @PainFreeED.

Emergency Department 130

Emergency Department ALS ED OR 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

SEPTEMBER 14, 2019

She is interested in social determinants of health in the emergency department and health policy. Dr. Ian Holley is also a PGY-3 resident in Emergency Medicine at Washington University School of Medicine in St. He is interested in ultrasound and international emergency medicine.

Emergency Department 130

Emergency Department ALS EMS OR 130

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. 2014 Dec;24(12):1670-751. The patient had no significant past medical history. She also endorsed three weeks of cough and congestion, and one day of muffled voice. doi: 10.1089/thy.2014.0028.

ACS 161

ACS Emergency Department ED OR 161

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). The pain is intermittent, sharp, severe, and associated with 2 episodes of nonbloody, nonbilious emesis. Dessie et al.,

E-9-1-1 177

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

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. 2014 Nov;107(11):724-7. Initially beginning on the torso and low back, the rash spread to the palms, soles, and genitalia. South Med J.

Emergency Department 161

Emergency Department OR 161

ALiEM

SEPTEMBER 11, 2023

A 29-year-old female with a past medical history of migraine headaches presented to the emergency department (ED) for several hours of bilateral eye pain, redness, and decreased visual acuity. Contact Lens Wearer Demographics and Risk Behaviors for Contact Lens-Related Eye Infections–United States, 2014.

Emergency Department 152

Emergency Department ED OR 152

The Skeptics' Guide to EM

DECEMBER 28, 2019

There was a trial published in 2014 comparing radiology department ultrasound, POCUS and CT for suspected nephrolithiasis (Smith-Bindman et al. NEJM 2014 ). The bottom line from that episode was bedside emergency department ultrasound is safe and has several advantages over CT for the diagnosis of kidney stones.

Emergency Department 100

Emergency Department ALS EMS ED 100

The Skeptics' Guide to EM

JANUARY 12, 2019

He is also one of the world’s leading researchers on pain management in the emergency department and specifically the use of ketamine. We haver reviewed papers on pain management in the emergency department for many years on the SGEM. However, these were not patients recruited from the emergency department.

Emergency Department 100

Emergency Department ALS OR 100