The Skeptics' Guide to EM

OCTOBER 28, 2023

. * Acetaminophen ( Williams et al Lancet 2014) * Muscle relaxants ( Friedman et al JAMA 2015) * NSAIDs ( Machado et al Ann Rheum Dis 2017) * Steroids ( Balakrishnamoorthy et al Emerg Med J 2014) * Benzodiazepines ( Friedman et al Ann Emerg Med 2017) Many non-pharmacologic therapies have also been tried with limited efficacy.

ALS 266

ALS Emergency Department ED OR 266

Pediatric EM Morsels

JUNE 2, 2023

2017 Jun 27;10:197-207. Michelet M, Schluckebier D, Petit LM, Caubet JC. Food protein-induced enterocolitis syndrome – a review of the literature with focus on clinical management. J Asthma Allergy. doi: 10.2147/JAA.S100379. PMID: 28721077; PMCID: PMC5499953.

Emergency Department 196

Emergency Department ALS EMS OR 196

Paramedics Unlimited

MARCH 28, 2017

At Paramedics Unlimited we’ve had our three RT130 Arduous Pack Tests and Physical Assessment classes in preparation for Wildland Season 2017. We are ready for fire season 2017. Our paramedics and EMT’s have learned so much, they are highly motivated and skilled, incredibly fit, and work together to build a strong team.

Paramedic 52

Paramedic 52

ALiEM

JANUARY 10, 2025

Published 2017 Apr 12. Am J Emerg Med. 2019;37(6):1217.e3-1217.e4. Pejic R, Klaric B. Transient anisocoria in a patient treated with nebulized ipratropium bromide. Am J Ophthalmol Case Rep. 2017;7:11-13. Thiele EA, Riviello JJ. Scopolamine patchinduced unilateral mydriasis. Pediatrics. 1995;96(3 Pt 1):525. Rodor F, Cottin C, Jouglard J.

ALS 161

ALS Emergency Department OR EMS 161

Pediatric EM Morsels

OCTOBER 27, 2023

Shah 2017] In Turkey, it has a “reliable correlation.” Gültekingil-Keser 2017] Broselow out-performed age-based formulas (Theron, APLS, and Shann) in New Zealand, estimating within 10% of actual weight 73% of the time. 2017), Evaluation of the accuracy of common weight estimation formulae in a Zambian paediatric surgical population.

E-9-1-1 274

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

REBEL EM

DECEMBER 17, 2024

A large observational study of > 2000 patients found an association with fever at presentation and ICU survival for patients with severe sepsis or septic shock ( Sunden-Culberg 2017 ). Crit Care Med 2017; 45(4): 591-9. This may suggest a protective mechanism for fever. PMID: 22366046 Sunden-Culberg J et al.

ICU 74

ICU ALS Emergency Department EMS 74

This Podcast Will Kill You

FEBRUARY 11, 2025

2017): e1602422. Journal of Zoological Systematics and Evolutionary Research, 46(1), pp.19-23. Carlson, Colin J., “Parasite biodiversity faces extinction and redistribution in a changing climate.” ” Science advances 3.9 and Okamura, B., “Conservation implications of parasite co-reintroduction.” 2015): 602-604.

E-9-1-1 97

E-9-1-1 ALS OR 97

ALiEM

APRIL 12, 2023

DOI 10.1016/B978-0-444-53632-7.01010-8 LeDonne S, Sengupta D. US Probe: Ultrasound Water Bath for Distal Extremity Evaluation. Alerhand S, Singh M, editors. emDOCs.net – Emergency Medicine Education.

Emergency Department 258

Emergency Department ALS ED 258

The Skeptics' Guide to EM

JULY 8, 2023

Wallach et al JAMA Intern Med 2017 , previously reported that subgroup claims are often not corroborated by subsequent studies and rarely confirmed. A subgroup analysis of the Lancet RCT showed that older, sicker patients with comorbidities and longer previous symptom duration recovered 2–3 days sooner.

ALS 269

ALS Emergency Department EMS ED 269

The Skeptics' Guide to EM

OCTOBER 28, 2017

[display_podcast] Date: October 24th, 2017 Reference: Harrison et al. Pediatrics 2017 Guest Skeptic: Dr. Anthony Crocco is a Pediatric Emergency Physician and is the Medical Director & Division Head of the Division of Pediatric Emergency at McMaster’s Children’s Hospital. Anthony is also the creator of SketchyEBM.

ALS 130

ALS Emergency Department ED OR 130

The Skeptics' Guide to EM

SEPTEMBER 10, 2017

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

Emergency Department 130

Emergency Department ALS OR 130

The Skeptics' Guide to EM

DECEMBER 8, 2017

[display_podcast] Date: November 28th, 2017 Reference: Motov S et al. display_podcast] Date: November 28th, 2017 Reference: Motov S et al. Guest Skeptic: Dr. Salim Rezaie is a faculty physician at Greater San Antonio Emergency Physicians (GSEP) in San Antonio, Texas. .

Emergency Department 130

Emergency Department ALS OR ED 130

The Skeptics' Guide to EM

DECEMBER 29, 2017

[display_podcast] Date: December 28th, 2017 This is a special year end episode of the SGEM. It is time to reflect upon 2017 while at the same time look forward to 2018. display_podcast] Date: December 28th, 2017 This is a special year end episode of the SGEM. It has been an incredible year for a number of reasons.

130

130

Core EM

JANUARY 25, 2024

Joaquín Valle Alonso, Ganapathiram Lakshmanan, Yasser Saleem, Use of POCUS Ultrasound in sepsis, bedside diagnosis of necrotizing fasciitis, QJM: An International Journal of Medicine , Volume 110, Issue 10, October 2017, Pages 687–688. Magalhães L, Martins SR, Nogué R. The Ultrasound Journal. 2020;12(1).

E-9-1-1 246

E-9-1-1 Emergency Department OR 246

The Skeptics' Guide to EM

JULY 16, 2017

[display_podcast] Date: July 11th, 2017 Reference: Bookman K et al. AEM July 2017. display_podcast] Date: July 11th, 2017 Reference: Bookman K et al. AEM July 2017. AEM July 2017. Reference: Bookman K et al.

Emergency Department 130

Emergency Department ALS EMS 130

The Skeptics' Guide to EM

SEPTEMBER 16, 2017

[display_podcast] Date: September 12th, 2017 Reference: Sinert et al. J Allergy Clin Immunol Pract 2017. display_podcast] Date: September 12th, 2017 Reference: Sinert et al. J Allergy Clin Immunol Pract 2017. J Allergy Clin Immunol Pract 2017. Reference: Sinert et al.

Epinephrine 130

Epinephrine ALS Emergency Department EMS 130

The Skeptics' Guide to EM

SEPTEMBER 23, 2017

[display_podcast] Date: September 19th, 2017 Reference: Cournoyer et al. September 2017. display_podcast] Date: September 19th, 2017 Reference: Cournoyer et al. September 2017. Prehospital advanced cardiac life support for out-of-hospital cardiac arrest: a cohort study. Academic Emergency Medicine.

Advanced Life Support 130

Advanced Life Support Life Support CPR Defibrillator 130

The Skeptics' Guide to EM

NOVEMBER 18, 2017

[display_podcast] Date: November 11th, 2017 Reference: Sundén-Cullberg et al. Critical Care Medicine 2017. display_podcast] Date: November 11th, 2017 Reference: Sundén-Cullberg et al. Critical Care Medicine 2017.

ICU 130

ICU ED Emergency Department Critical Care 130

ALiEM

JUNE 15, 2023

Elsevier; 2017. Convallatoxin, the primary cardiac glycoside in lily of the valley (Convallaria majalis), induces tissue factor expression in endothelial cells. Vet Med Sci. 2021 Nov;7(6):2440-2444. PMID 34469053 Graeme KA. Toxic plant ingestions. Auerbach’s wilderness medicine, 7e. Nelson LS, Shih RD, Balick MJ. In: Individual plants.

ALS 246

ALS ED OR 246

JEMS

JUNE 11, 2025

This approach has led to a steady influx of quality applicants from across 40 states, with Memphis hiring over 800 people since 2017 under their revamped program. The goal is attracting the right individuals who align with the department’s mission to provide exceptional community service.

Mobile Integrated Health 98

Mobile Integrated Health Community Paramedicine EMT EMT 98

First Responders Foundation

NOVEMBER 25, 2024

JAVELAN was founded in 2017, as an independent non-profit organization to support the placement and training of service dogs for military Veterans and continues that mission today as a program of the First Responders Foundation. JAVELAN offers lifetime support for the recipient of the dog.

First Responder 90

First Responder Public Safety Firefighter OR 90

EMDocs

DECEMBER 23, 2024

It was published in European Heart Journal in 2017. 2017 May 1;38(17):1329-1335. 2017 Apr;52(4):484-492. Lets do a quick literature review to look at some famous (and not so famous) trials comparing these drugs head-to-head. The most recent and well-known trial is the PROCAMIO trial (1). Great question. Eur Heart J. J Emerg Med.

ALS 74

ALS OR STEMI Emergency Department 74

The Skeptics' Guide to EM

JANUARY 20, 2018

BMJ 2017 Guest Skeptic: Meghan Groth is an Emergency Medicine Pharmacist at the UMass Memorial Medical Center in Worcester, Massachusetts. BMJ 2017 Guest Skeptic: Meghan Groth is an Emergency Medicine Pharmacist at the UMass Memorial Medical Center in Worcester, Massachusetts. Reference: Sadeghirad B, et al.

Emergency Department 130

Emergency Department ALS ED EMS 130

The Skeptics' Guide to EM

MAY 14, 2022

These include: acetaminophen ( Williams et al Lancet 2014), steroids ( Balakrishnamoorthy et al Emerg Med J 2014) and benzodiazepines ( Friedman et al Ann Emerg Med 2017). Unfortunately, none of these other treatment modalities has high-quality evidence supporting their use.

ALS 130

ALS Emergency Department ED OR 130

The Skeptics' Guide to EM

SEPTEMBER 1, 2018

February 2017 Guest Skeptic: Dr. Simon McCormick is an Emergency Medicine Consultant from Northern Ireland who works in Rotherham Hospital in Yorkshire, England. February 2017 Guest Skeptic: Dr. Simon McCormick is an Emergency Medicine Consultant from Northern Ireland who works in Rotherham Hospital in Yorkshire, England. Pediatrics.

ALS 130

ALS Emergency Department OR ED 130

Critical Care Scenarios

DECEMBER 9, 2019

2017 Dec 7;377(23):2253-2265. 2017 Dec 7;377(23):2253-2265.* 2017 May;99(5):341-346. * 2017 Nov;43(11):1585-1593* Weng TC, Chen CC, Toh HS, Tang HJ. A troubling case of a painful finger. Resources References Stevens DL, Bryant AE. Necrotizing Soft-Tissue Infections. N Engl J Med. Necrotizing Soft-Tissue Infections.

ALS 100

ALS 100

This Podcast Will Kill You

DECEMBER 10, 2024

BioMed research international , 2017 (1), p.9784565. 2017): 39-57. .” British medical journal 2.5007 (1956): 1458. Harnoss, J.C., Zelienka, I., Grummich, K., Mueller-Lantzsch, C., Harnoss, J.M., Buechler, M.W. and Diener, M.K., Annals of Surgery , 265 (5), pp.889-900. Helbling, R., Conficconi, E., Wyttenbach, M., Benetti, C.,

E-9-1-1 52

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

FOAMfrat

JANUARY 21, 2025

Supraglottic airway devices are associated with asphyxial physiology after prolonged CPR in patients with refractory Out-of-Hospital cardiac arrest presenting for extracorporeal cardiopulmonary resuscitation. Resuscitation , 186 , 109769. link] Gyory, R. Buchle, S. Rodgers, D., & Lubin, J. link] Hoffman, D. Figueroa, A.,

CPR 98

CPR OR 98

The Skeptics' Guide to EM

MAY 28, 2017

[display_podcast] Date: May 24th, 2017 Reference: Georgiou et al. Pediatrics 2017. display_podcast] Date: May 24th, 2017 Reference: Georgiou et al. Pediatrics 2017. Pediatrics 2017. Efficacy and Safety of Nonoperative Treatment for Acute Appendicitis: A Meta-analysis. Reference: Georgiou et al.

ALS 100

ALS Emergency Department EMS OR 100

The Skeptics' Guide to EM

NOVEMBER 25, 2017

[display_podcast] Date: November 24th, 2017 Reference: Roldan et al. AEM November 2017 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the Director of Simulation Education at Markham Stouffville Hospital in Ontario. display_podcast] Date: November 24th, 2017 Reference: Roldan et al. AEM November 2017.

Emergency Department 100

Emergency Department ALS EMS OR 100

ALiEM

SEPTEMBER 1, 2023

2017 Mar;78(3 Suppl 2):S28-S31. Treatment includes not only drainage and systemic antibiotic therapy, but also emergent surgical intervention if complicated by necrotizing fasciitis. References Chen CE, Shih YC. Monomicrobial Klebsiella pneumoniae Necrotizing Fasciitis With Liver Abscess: A Case Report and Literature Review. Ann Plast Surg.

161

161

The Skeptics' Guide to EM

DECEMBER 30, 2018

Last year we named 2017 the year of FeminEM and celebrated 15 amazing women in emergency medicine. Last year we named 2017 the year of FeminEM and celebrated 15 amazing women in emergency medicine. Date: December 30th, 2018 Happy New Years to all the SGEMers out there in the #FOAMed world.

Emergency Department 130

Emergency Department EMS OR 130

The Skeptics' Guide to EM

MAY 7, 2017

[display_podcast] Date: May 1st, 2017 Reference: Poonai et al. Acad Emerg Med May 2017. display_podcast] Date: May 1st, 2017 Reference: Poonai et al. Acad Emerg Med May 2017. Point-of-care ultrasound for non-angulated distal forearm fractures in children: test performance characteristics and patient-centered outcomes.

Emergency Department 100

Emergency Department ALS OR 100

Core EM

OCTOBER 16, 2024

2017 Jul 1;9(1):4-8. L., & Arora, S. Blood product transfusions and reactions. Hematology/Oncology Clinics of North America , 31 (6), 1159–1170. link] Pollard R, Boraski M, Block JG. Hypotensive Transfusion Reaction Treated With Vasopressin in a Patient Taking an Angiotensin-Converting Enzyme Inhibitor: A Case Report. A A Case Rep.

Allergic Reaction 188

Allergic Reaction Plasma ED Epinephrine 188

The Skeptics' Guide to EM

JULY 2, 2017

[display_podcast] Date: June 21st, 2017 Reference: Konstantinides et al. JACC March 2017 Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals Trust (North West England). display_podcast] Date: June 21st, 2017 Reference: Konstantinides et al.

ALS 100

ALS Emergency Department OR 100

The Skeptics' Guide to EM

OCTOBER 27, 2017

[display_podcast] Date: October 20th, 2017 Dr. Jen Gunter is a gynaecologist from Canada who practices in San Francisco. display_podcast] Date: October 20th, 2017 Dr. Jen Gunter is a gynaecologist from Canada who practices in San Francisco. She writes a blog discussing women’s health issues and debunking pseudoscience.

OR 100

OR 100

The Skeptics' Guide to EM

AUGUST 19, 2023

In 2017, the SGEM reviewed the ATACH-2 trial ( SGEM#172 ) which showed similar results. 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). It emphasized that GUIDElines are not GODlines.

EMS 186

EMS ALS Emergency Department OR 186