EMDocs

NOVEMBER 19, 2024

10 Table 1: Second-Generation Antipsychotics and Associated Adverse Effects Adapted from: UpToDate 8 with additional sources Micromedex 9 and Riboldi, et al 11 *SL=sublingual, IM=intramuscular, PO=oral, ODT=orally disintegrating tablets, ER=extended release, IR=immediate release. +to Gummin DD, Mowry JB, Beuhler M, et al.

Overdose 102

Overdose EMS ALS Emergency Medical Services 102

EMDocs

NOVEMBER 13, 2024

Biggins SW, Angeli P, Garcia-Tsao G, et al. Mattos AA, Wiltgen D, Jotz RF, et al. Aithal GP, Palaniyappan N, China L, et al. Angeli P, Bernardi M, Villanueva C, et al. Arvaniti V, D’Amico G, Fede G, et al. Chinnock B, Hendey GW, Minnigan H, et al. De Gottardi A, Thevenot T, Spahr L, et al. Hepatology.

E-9-1-1 100

E-9-1-1 ALS OR ED 100

EMDocs

NOVEMBER 16, 2024

Available from: [link] Maradit Kremers H, Larson DR, Crowson CS, et al. 2016 Mar 21;8(1):6253. Parvizi J, Tan TL, Goswami K, et al. 2016 Jan;30(1):10-6. Statistical Brief #281. Prevalence of Total Hip and Knee Replacement in the United States. The Journal of Bone and Joint Surgery-American Volume. 2015;97(17):1386-1397.

EMS 96

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

Don't Forget the Bubbles

APRIL 28, 2025

Communicability Marin et al. Burden of Chickenpox on the Health Service Bernal et al. Bernal et al. , Bozzola et al. Between 2012 and 2016, the World Health Organization reported a mortality rate of just 0.03 Available from: [link] Bozzola E, Tozzi AE, Bozzola M, Krzysztofiak A, Valentini D, Grandin A, et al.

Paramedic 91

Paramedic ALS Emergency Department Ambulance 91

JEMS

JULY 3, 2025

Abelsson et al., Bienstock et al. (16 Currently pursuing a Doctoral degree at Cornerstone University in Grand Rapids, Michigan, Daniel continues to enhance his expertise in the field of organizational leadership. References 1. Michigan Healthcare Workforce Index 2024 Report.” Michigan Health Council, 2025, mhc.org/index. Blau, G., &

EMS 116

EMS E-9-1-1 EMT EMT 116

JEMS

JUNE 23, 2025

2016 Dec;31(6):667-674. Epub 2016 Sep 19. Rodríguez-Lomba E, Pulido-Pérez A, Ricciardi R, Marcello PW, Kuki I, Nakane S, et al. (1 Leppin AL, Gionfriddo MR, Kessler M, et al. Prehosp Emerg Care. 2002 Oct-Dec;6(4):387-90. doi: 10.1080/10903120290937987. PMID: 12385603. Fraess-Phillips AJ. Prehosp Disaster Med.

EMS 116

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

This Podcast Will Kill You

DECEMBER 10, 2024

Randal, et al. Girard-Madoux, Mathilde JH, et al. 2016): 1-9. History Biology Ball, Chad G., “Prophylactic surgery prior to extended-duration space flight: Is the benefit worth the risk? ” Canadian journal of surgery 55.2 2012): 125. Paulson, E.K. and Pappas, T.N., Jama , 326 (22), pp.2299-2311. Bollinger, R.

E-9-1-1 52

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

JEMS

JULY 23, 2025

Al-Beltagi, M. 4 min read EMS Equipment & Gear EMS Operations Exclusives Podcasts Videos EMS EMT Louisiana Paramedic Postal Worker Killed in Multi-Vehicle AL Crash A U.S. Parental report of health conditions and health care use among children with and without autism: National survey of children’s health. Wachob, D., &

E-9-1-1 98

E-9-1-1 EMT EMT Public Safety 98

Don't Forget the Bubbles

DECEMBER 16, 2024

Despite the clear benefits, pertussis vaccination coverage during pregnancy has declined from 75% in 2016 to just 58.6% 2014;142(4):685-94 Crowcroft NS, Booy R, Harrison T et al. 2021;10:100196 Craig R, Kunkel E, Crowcroft NS, Fitzpatrick MC, de Melker H, Althouse BM, et al. 2024 Ghanaie RM, Karimi A, Sadeghi H, et al.

E-9-1-1 57

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

EMDocs

JANUARY 6, 2025

57 Adapted from: Long B, MacDonald A, Liang SY, et al. link] Rother B, Pierre G, Lombardo D, et al. International Monetary Fund; 2016. link] Franco JR, Cecchi G, Priotto G, et al. Biggs H, Behravesh CB, Bradley KK et al. Centers for Disease Control and Prevention; 2016. 57 Table 2. Malaria treatment options.

ED 73

ED E-9-1-1 ALS Frozen Plasma 73

EMDocs

JULY 21, 2025

Heidenreich PA, Bozkurt B, Aguilar D, et al. Collins S, Storrow AB, Albert NM, et al. Yancy CW, Jessup M, Bozkurt B, et al. Yancy CW, Jessup M, Bozkurt B, et al. Ponikowski P, Voors AA, Anker SD, et al. Martindale JL, Wakai A, Collins SP, et al. Sartini S, Frizzi J, Borselli M, et al. Am J Emerg Med.

E-9-1-1 87

E-9-1-1 ALS Emergency Department OR 87

ACEP Now

NOVEMBER 7, 2024

A 2016 multicenter prospective study evaluated 1,036 pediatric patients for shunt failure who received CSF shunts over a four-year period. Riva-Cambrin J, Kestle JR, Holubkov R, et al. The author found the VP shunt revision rate to be 11.9 percent (40 of 336 children). Ghritlaharey RK. Afr J Paediatr Surg. 2023;20(2):109-115.

ALS 59

ALS OR 59

JEMS

JULY 9, 2025

Kampden et al. Based on these concepts, Emmerlich et al. 2016 Sep;33(9):641-4. Epub 2016 Jun 8. Regardless, it’s important for paramedics to be familiar with situations that would necessitate a field/prehospital amputation, as well as the risks that attend such procedures. Erratum in: Am J Emerg Med. 2022 Jan;51:430.

E-9-1-1 102

E-9-1-1 EMT EMT Mobile Integrated Health 102

ACEP Now

JUNE 30, 2025

The CDC removed it from its TBI surveillance definition in 2016 to avoid overestimating this injury because of its broad nature. Peterson A, Gabella BA, Johnson J, et al. However, this code is still commonly used in administrative billing claims data, even when documentation reflects a more specific diagnosis. Injury Prevention.

Emergency Department 52

Emergency Department OR ALS 52

Pediatric EM Morsels

MARCH 7, 2025

mg/kg [Nishijima 2016] Poorly studied in renally impaired patients. PubMed: 22006852] Nishijima DK, VanBuren JM, Linakis SW, et al. 0000000000000075 Nishijima DK, Monuteaux MC, Faraoni D, et al. 2021.2.50799 Kornelsen E, Kuppermann N, Nishijima DK, et al. of IV form TXA [O’Neill 2020] Inexpensive ! Acad Emerg Med.

E-9-1-1 231

E-9-1-1 ALS OR ED 231

FOAMfrat

NOVEMBER 14, 2024

Historically, those battling addiction are treated poorly by healthcare professionals, which directly inhibits them from seeking or complying with care (Van Boekel et al., Delirium Tremens: Assessment and Management. Journal of clinical and experimental hepatology , 8 (4), 460–470. link] Gortney, J. Kokoska, L., Hannawa, M., & Argyris, A.

Paramedic 98

Paramedic EMT EMT ED 98

ACEP Now

JUNE 30, 2025

References Allen NG, Jesus J, Knowles H, et al. link] Published on July 19, 2016. doi:10.1080/15265161.2023.2202611 Childress A, Bibler T, Moore B, et al. Simon is a professor of emergency medicine at Columbia University in New York, N.Y. Extracorporeal membrane oxygenation in the ED: exciting medicine, ethical challenges.

Life Support 59

Life Support CPR ALS Critical Care 59

REBEL EM

APRIL 28, 2025

Similar results were found for 219 paired samples from ICU patients with statistically significant but clinically meaningless differences for sodium and potassium ( Triplett 2016 ). for sodium ( Uysal 2016 ). Read More LITFL: [link] REBEL EM: [link] References Jain A et al. PMID: 20157454 Menchine M et al.

ALS 84

ALS Emergency Department ICU EMS 84

EMDocs

MARCH 4, 2025

PMID: 2071396 Iguchi M, et al. PMID: 32524581 Tunkel AR, et al. PMID: 15494903 McGill F, et al. 2016 Jun;72 (6):768-769]. PMID: 26845731 van de Beek D, Cabellos C, Dzupova O, et al. PMID: 27062097 Glimker M, Johansson B, Bell M, et al. 1991;31(3):167-171. Cochrane Database Syst Rev. 2020;6(6):CD012824.

ALS 77

ALS ICU ED OR 77

The Skeptics' Guide to EM

APRIL 5, 2025

Reference: Sax DR, et al. Reference: Sax DR, et al. JAMA Pediatrics, October 2024 Population: Pediatric patients (aged 0-18 years) presenting to 21 Kaiser Permanente Northern California EDs from January 1, 2016, to December 31, 2020. Emergency Severity Index Version 4 and Triage of Pediatric Emergency Department Patients.

Emergency Department 208

Emergency Department ED ALS OR 208

ACEP Now

MAY 9, 2025

vs 5.1%; RR Feldman E, et al; 2019. vs 40.6%; p Desborough M, et al; 2017. 0.84) Barletta J, et al; 2016. 0.84) Barletta J, et al; 2016. Kapapa T, et al; 2014. Kapapa T, et al; 2014. Frontera J, et al. 2016; 24:6-46. Desborough M, et al. units; 95% CI 1.16 Neurocrit Care.

Allergic Reaction 52

Allergic Reaction ALS Plasma Epinephrine 52

Don't Forget the Bubbles

APRIL 7, 2025

link] Bornstein SR et al. link] (viewed May 2024) Cho HY, Kim JH, Kim SW, et al. 12397 El-Maouche D et al. Hietamki J, Krkinen J, Iivonen AP, et al. Korbonits M, Blair JC, Boguslawska A, et al. doi:10.1038/s41574-023-00948-8 Miller B et al. Mushtaq T et al. Pediatr Rev March 2015; 36 (3): 92103.

E-9-1-1 70

E-9-1-1 Plasma ALS OR 70

Dr. Smith's ECG Blog

DECEMBER 16, 2024

As noted above the presence of acute target organ damage in today's case ( ie, acute MI ) in association with marked sustained hypertension ( this patient's BP at times exceeding 200 mm Hg systolic and >110 mm Hg diastolic ) qualifies her as a true hypertensive emergency ( Janke et al JAHA 5(12); 2016 and Cardiology Advisor Feb.

STEMI 108

STEMI Coronary Critical Care ED 108

Don't Forget the Bubbles

FEBRUARY 24, 2025

In a prospective multi-centre study, Berger et al. Rowlands et al. Hodder et al. BMJ 2024; 385 Unpublished data from national audit on behalf of PCCS-SG Paddock CD, Sanden GN, Cherry JD, et al. 2016 Oct;74(7):ftw087. Namachivayam et al. 2007;8:207211 Garoudet et al. 2012 May 7;11(1):70 Berger et al.

ALS 57

ALS Critical Care OR Life Support 57

EMDocs

FEBRUARY 12, 2025

In 2016, about 3.05 2024.117470 Wang Y, Chen S, Bao S, et al. doi:10.3109/09553002.2013.765055 Shin JY, Yabroff KR, Keegan THM, et al. 2019.02.047 Fisher RF, Applegate KE, Berkowitz LK, et al. doi:10.1002/acm2.13526 Writing Committee Members, Hirshfeld JW Jr, Ferrari VA, et al. This figure is expected to rise to 4.17

ALS 55

ALS Mental Health Services OR 55

EMDocs

MAY 27, 2025

doi:10.1101/cshperspect.a025452 Kwiatkowski D, Hill AV, Sambou I, et al. 2008.06.014 Seydel KB, Kampondeni SD, Valim C, et al. Newton PN, Stepniewska K, Dondorp A, et al. link] Lampah DA, Yeo TW, Malloy M, et al. doi:10.4103/0972-2327.83101 Pugliese CM, Adegbite BR, Edoa JR, et al. Cold Spring Harb Perspect Med.

ED 81

ED Plasma Frozen Plasma ALS 81

EMDocs

MARCH 24, 2025

Geneva: World Health Organization; 2016. doi:10.3390/v3050586 Myburgh D, Rabie H, Slogrove AL, Edson C, Cotton MF, Dramowski A. 2020.06.081 Balkhair AA, Al-Muharrmi ZK, Ganguly S, Al-Jabri AA. doi:10.12816/0003169 Stanley K, Lora M, Merjavy S, et al. 13077 Bozzette SA, Berry SH, Duan N, et al. 2nd edition.

E-9-1-1 80

E-9-1-1 ALS ED OR 80

This Podcast Will Kill You

JUNE 16, 2025

Todd, James, et al. link] CDC NNDSS Summary Data 2016-2022. .” JAMA 257.8 1987): 1094-1095. and Ferguson, A.J., Gram-positive toxic shock syndromes. The Lancet infectious diseases, 9(5), pp.281-290. Davis, Jeffrey P., “Toxic-shock syndrome: epidemiologic features, recurrence, risk factors, and prevention.” Neumann, C.,

E-9-1-1 52

E-9-1-1 ALS OR 52

EMDocs

FEBRUARY 22, 2025

2016 Jun;13(2):87-90. Epub 2016 Jun 30. 2016 Oct;77(5):404-11. Epub 2016 Jun 2. 2016 Dec;30(6):596-604. Epub 2016 Sep 26. Callen AL, Timpone VM, Schwertner A, Zander D, Grassia F, Lennarson P, Seinfeld J, Lillehei KO, Birlea M, Thaker AA. Lee DH, Kim KT, Park JI, Park KS, Cho DC, Sung JK.

E-9-1-1 62

E-9-1-1 EMS Plasma OR 62

ACEP Now

APRIL 9, 2025

It did so with varenicline on December 16, 2016 15 and canagliflozin on August 26, 2020. Singh K, Jain A, Panchal I, et al. Cole JB, Lee SC, Martel ML, et al. Nuttall GA, Malone AM, Michels CA, et al. Martel ML, Driver BE, Miner JR, et al. Roppolo LP, Morris DW, Khan F, et al. Ann Emerg Med. Egypt Heart J.

Emergency Department 52

Emergency Department ALS ED OR 52

EMDocs

JUNE 2, 2025

Adapted from: Chavez S, Koyfman A, Gottlieb M, et al. link] Batra S, Ochani RK, Diwan MN, et al. link] Jain S, Khaiboullina S, Martynova E, et al. Velsquez GE, Aibana O, Ling EJ, et al. link] Chavez S, Koyfman A, Gottlieb M, et al. Schieffelin JS, Shaffer JG, Goba A, et al. CC0, [link] Figure 3.

E-9-1-1 98

E-9-1-1 ALS EMS OR 98

This Podcast Will Kill You

JULY 1, 2025

2016): 37034. .” Heliyon (2024). From FDA News release “HHS, FDA to phase out petroleum-based synthetic dyes in nation’s food supply” released April 22,2025 [link]. Ardila-Leal, Leidy D., “A brief history of colour, the environmental impact of synthetic dyes and removal by using laccases.” ” Scientific reports 6.1

E-9-1-1 52

E-9-1-1 ACS ALS OR 52

The Skeptics' Guide to EM

OCTOBER 21, 2023

Date: October 20, 2023 Reference: Cai et al. Date: October 20, 2023 Reference: Cai et al. Reference: Cai et al. Population: Adults attending at continuously-staffed EDs in a health network covering 15 states, 2016-19. Implementation of a Clinical Management Tool for Spinal Epidural Abscess Early Diagnosis.

Emergency Department 334

Emergency Department ALS ED OR 334

The Skeptics' Guide to EM

JANUARY 27, 2024

That 40-patient study by Ferguson et al did show a statistically significant increased likelihood of hypotension in RVMI patients who received nitrates, but to me, the study design was just plain weird. Fanaroff et al looked at the ACC/AHA guidelines from 2008-2018 [4]. I was not surprised by this information.

ALS 313

ALS Paramedic EMS OR 313

Core EM

JANUARY 25, 2024

Pfenning CL, Slovis CM: Electrolyte Disorders; in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. 2016, January 27). J Intensive Care Med 2013; 28:166. Louis, Mosby, Inc., 2014, (Ch) 125: p 1636-53. Swaminathan, A. Hypocalcemia. Regulation of calcium homeostasis.

Critical Care 247

Critical Care ED ALS OR 247

The Skeptics' Guide to EM

SEPTEMBER 2, 2023

Date: August 30, 2023 Reference: Griffey et al. Date: August 30, 2023 Reference: Griffey et al. However, over the past 20 years, there is burgeoning evidence that fast-acting subcutaneous insulin analogs could be a potential treatment option for mild to moderate severity DKA including a 2016 Cochrane SRMA [4].

ICU 273

ICU ED Critical Care ALS 273

Pediatric EM Morsels

OCTOBER 27, 2023

Bowen 2016] Moral of the Morsel: Weight Matters! link] Lubitz DS, Seidel JS, Chameides L, Luten RC, Zaritsky AL, Campbell FW. 2012.05.028 Silvagni D, Baggio L, Mazzi C, et al. doi:10.1111/1742-6723.12389 Zhu S, Zhu J, Zhou H, et al. [Khouli 2015] In South Sudan, the Broselow system overestimated weight by 26.6%

E-9-1-1 274

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