EMDocs

JULY 9, 2025

1 The 2022 CLASSIC and 2023 CLOVERS trials are two landmark studies that further examine approaches to fluid resuscitation in septic patients. References Evans L, Rhodes A, Alhazzani W, et al. link] Meyhoff TS, Hjortrup PB, Jørn Wetterslev, et al. link] Chandraratna PA, Nanna M, McKay C, et al. Crit Care Med. 2021;49(11).

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Emergency Department ALS ICU Critical Care 85

EMDocs

JANUARY 8, 2025

Isenhour JL, Craig S, Gibbs M, et al. Remember, from the ED point of view, if you are confronted with a wide complex regular tachydysrhythmia, assume VTach until proven otherwise! References Tannenbaum L, Bridwell R, Inman B. EKG Teaching Rounds. Vereckei A. Current algorithms for the diagnosis of wide QRS complex tachycardias. Academic EM.

CAD 96

CAD EMS Emergency Department ED 96

REBEL EM

DECEMBER 23, 2024

To assess the clinical impact and relevance of these concerns, Alwang et al. Target trial emulation is a methodologic framework to improve observational studies that begins by creating a hypothetical protocol for the ideal RCT, and then designing your observational protocol to emulate it as closely as possible ( Hernn 2022 ).

ALS 116

ALS ED ACS EMR 116

Pediatric EM Morsels

JULY 18, 2025

Balaraman K, Patnaik JSS, Ramani V, et al. Let’s talk further about the “White Eye” Blowout. Symptoms of a white eye orbital blowout fracture can be subtle and easily missed. Ophthalmic Plast Reconstr Surg. 1998;14(6):379-390. doi:10.1097/00002341-199811000-00001 PMID:Wrong Shortcode Contents Joshi S, Kassira W, Thaller SR.

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OR ALS EMS 144

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.

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Overdose EMS ALS Emergency Medical Services 102

EMDocs

JANUARY 11, 2025

Ahmad H, Jannat H, Khan U, et al. Al-Maharmeh, Q., Al Qazakzeh, A., & Anwar, A. International journal of emergency medicine, 17(1), 3. link] Morano, C., & Sharman, T. Stercoral Colitis. In StatPearls. StatPearls Publishing. Cureus 15(5): e39179. doi:10.7759/cureus.39179 39179 Panneerselvam, S., Carlson, J. Hussain, M.,

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E-9-1-1 EMS Emergency Department ALS 96

ACEP Now

MAY 10, 2025

1-3 This cohort study included data from the National Ultrasound-Guided Nerve Block Registry, a retrospective multicenter observational registry encompassing procedures performed in 11 EDs in the US from January 1, 2022, to December 31, 2023, of adult patients who underwent a UGNB. References Goldsmith A, Driver L, Duggan NM, et al.

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ED Emergency Department ALS Epinephrine 87

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.

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E-9-1-1 ALS OR ED 100

REBEL EM

NOVEMBER 25, 2024

2 Moreover, the American Society of Anesthesiologists’ 2022 Practice Guidelines for Management of the Difficult Airway recommend the use of adjuncts like bougies in anticipated difficult airways but stop short of endorsing their routine universal use. Paper: von Hellmann R, Fuhr N, Maia IWA, et al. PMID: 29800096 Driver BE et al.

Operating Room 92

Operating Room Emergency Department ICU ALS 92

EMDocs

NOVEMBER 16, 2024

Available from: [link] Maradit Kremers H, Larson DR, Crowson CS, et al. 2022 Jul;3(7):543-548. BJO-2022-0026.R1. Southampton (UK): National Institute for Health and Care Research; 2022 Nov. 2022 Feb;28(2):255-259. Parvizi J, Tan TL, Goswami K, et al. Statistical Brief #281. 2015;97(17):1386-1397. Hip Pelvis.

EMS 96

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

JEMS

JULY 7, 2025

Perkins ZB, Greenhalgh R, Avest E, et al. Sutori D, Erdelyi LS, Uri I, et al. Dorsett M, Allen H, Garbacz H, et al. Baker PO, Karim SR, Smith SW, et al. Perkins ZB, Greenhalgh R, Avest E, et al. Sutori D, Erdelyi LS, Uri I, et al. Prehospital Resuscitative Thoracotomy for Traumatic Cardiac Arrest.

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E-9-1-1 EMT EMT Mobile Integrated Health 98

Don't Forget the Bubbles

JUNE 10, 2025

In response to these challenges, emergency clinicians at the Bristol Royal Hospital for Children’s Emergency Department (BRHC CED) launched the SWAST Feedback Project in September 2022. Proctor A, Billing J, Lyttle M, et al. What were the results? Australasian Journal of Paramedicine [Internet]. 2018 [cited 2025 Mar 17];15(1).

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E-9-1-1 Emergency Department Paramedic Ambulance 62

Don't Forget the Bubbles

OCTOBER 28, 2024

Karageorgos S, Ren D, Ranaweera M, et al. Re ferences Al-Jeabory M, Gasecka A, Wieczorek W, Mayer-Szary J, Jaguszewski MJ, Szarpak L. 2021.02.009 George S, Wake E, Jansen M, et al. Published 2022 May 4. 0303109 Holcomb JB, Tilley BC, Baraniuk S, et al. Karageorgos S, Ren D, Ranaweera M , et al.

Frozen Plasma 70

Frozen Plasma FFP Plasma ALS 70

Don't Forget the Bubbles

JUNE 10, 2025

In response to this need, emergency clinicians at the Bristol Royal Hospital for Children’s Emergency Department (BRHC CED) launched the ‘ SWAST Feedback Projec t’ in September 2022. Proctor A, Billing J, Lyttle M, et al. Improving Paramedic Confidence with Paediatric Patients: A Scoping Review. 2018 [cited 2025 Mar 17];15(1).

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Emergency Department E-9-1-1 Ambulance Paramedic 86

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. Available from: [link] Bozzola E, Tozzi AE, Bozzola M, Krzysztofiak A, Valentini D, Grandin A, et al. 2022 Oct 21;226(Supplement_4). 2022 Dec 15;65(12):55562. 2022 Oct 7;1(3):27886.

Paramedic 91

Paramedic ALS Emergency Department Ambulance 91

JEMS

JUNE 23, 2025

CMS’ 2022 guidance to State Medicaid Directors, CIB #08-17-2022, 6 laid bare its apprehensions, particularly surrounding capital expenditures, non-Medicaid transport costs, and unsupported indirect costs. There were 155,000,000 emergency department visits in the United States in 2022, 19% arrived via EMS. 2022, August 17).

EMS 116

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

JEMS

JULY 3, 2025

Abelsson et al., Bienstock et al. (16 16 Nov 2022), “Simulation-Based Training and Its Use Amongst Practicing Paramedics and Emergency Medical Technicians: An Evidence-Based Systematic Review.” Narayanan, A., Rajithakumar, S., & & Menon, M. Talent Management and Employee Retention: An Integrative Research Framework.

EMS 116

EMS E-9-1-1 EMT EMT 116

JEMS

JULY 23, 2025

Al-Beltagi, M. 2022, October). 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. The Children’s Hospital of Philadelphia (CHoP), (2017). Autism’s clinical companions: Frequent comorbidities with ASD. Guan, J., &

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

Don't Forget the Bubbles

DECEMBER 16, 2024

A review of child deaths in England and Wales from 2019 to 2022 revealed that delayed or missed vaccinations were a contributing factor in 3% of cases. Since 2022, measles cases have risen steadily worldwide, with significant outbreaks reported in several South Asian and African countries. 2024 Ghanaie RM, Karimi A, Sadeghi H, et al.

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

This Podcast Will Kill You

DECEMBER 10, 2024

Randal, et al. Girard-Madoux, Mathilde JH, et al. 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., Diagnosis and management of acute appendicitis in adults: a review.

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

REBEL EM

NOVEMBER 11, 2024

Article: Chanderraj R, Admon AJ, He Y, et al. PMID: 38739397 Evans L, Rhodes A, Alhazzani W, et al. 2022 Feb;67:134-140. PMID: 34790489 Qian ET, Casey JD, Wright A, et al. PMID: 28856738 Pettigrew MM, Gent JF, Kong Y, Halpin AL, Pineles L, Harris AD, Johnson JK. In 2021, Buckley et. 3 The same year, Ross et.

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

EMDocs

JANUARY 6, 2025

Background: Refugees on the Rise As of 2022, it was estimated that there were 35.3 57 Adapted from: Long B, MacDonald A, Liang SY, et al. Global Trends Report 2022. link] Rother B, Pierre G, Lombardo D, et al. link] Franco JR, Cecchi G, Priotto G, et al. Biggs H, Behravesh CB, Bradley KK et al. 57 Table 2.

ED 73

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

EMDocs

DECEMBER 9, 2024

In July 2022, mpox was declared a Public Health Emergency of International Concern (PHEIC) after a clade 2 strain began spreading rapidly across 110 countries. During the 2022 clade 2 mpox outbreak, the majority of cases occurred among men who have sex with men (MSM), including individuals with multiple sexual partners and sex workers.

ED 74

ED ALS OR Emergency Department 74

EMDocs

JULY 21, 2025

2022 prospective randomized trial comparing morphine (up to 8 mg) and midazolam (up to 3 mg) stopped early for harm, with significantly fewer serious adverse events in the midazolam group (18.2% 2022 meta-analysis (6 observational studies) found higher in-hospital mortality with morphine (OR 2.39, 95% CI 1.13-5.08), Epub 2022 Apr 1.

E-9-1-1 87

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

Don't Forget the Bubbles

MARCH 21, 2025

Thats exactly what Shane George et al. George S, Williams T, Humphreys S, et al. Children under 16 undergoing emergency intubation between May 2017 and October 2022 were eligible for inclusion if consent could be obtained from their parent or legal guardian either prospectively or retrospectively. Who were the patients?

ICU 98

ICU Critical Care ED OR 98

JEMS

JUNE 13, 2025

Medetomidine was first identified in the illicit opioid supply in Maryland in 2022, and its presence has grown rapidly in cities like Philadelphia and Pittsburgh. But unlike opioids, it does not respond to naloxone—a critical limitation in prehospital care. Where Is It Showing Up? apnews.com/article/40e02b935d1c37189da4b9cd6ccd3210 4.

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Naloxone Overdose Mobile Integrated Health Community Paramedicine 124

JEMS

JULY 9, 2025

Kampden et al. Based on these concepts, Emmerlich et al. 2022 Jan;51:430. 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. Prehospital amputation: An experimental comparison of techniques. 2019.09.002.

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

EMDocs

NOVEMBER 25, 2024

Open-access image reference: By Giovanni Maki, derived from a CDC image at [link] – Basáñez M-G, Pion SDS, Churcher TS, Breitling LP, Little MP, et al. Ehrlich JR, Ramke J, Macleod D, et al. link] Vinkeles Melchers NVS, Stolk WA, Van Loon W, et al. 0009604 Taylor MJ, Awadzi K, Basáñez MG, et al. volvulus life cycle.

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E-9-1-1 ALS Emergency Department OR 70

Pediatric EM Morsels

MARCH 7, 2025

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. It is excreted by urine so careful dosing is required if used in kidney disease. of IV form TXA [O’Neill 2020] Inexpensive !

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E-9-1-1 ALS OR ED 231

Dr. Smith's ECG Blog

FEBRUARY 4, 2025

From VPS Connolly et al JACC, 1999 ) Major benefit to pacing! From VPS II Connolly et al JAMA, 2003 ) Answer: No significant reduction in syncope!! There was a randomized trial to determine whether pacemakers could benefit patients with vasovagal syncope, aptly named The North American Vasovagal Pacemaker Study (VPS).

ALS 91

ALS OR 91

First Responder Wellness

APRIL 4, 2025

Research shows that first responders have significantly higher rates of chronic stress and post-traumatic stress symptoms than the general population (Bonumwezi et al., A recent meta-analysis found about 26% of first responders screen positive for hazardous alcohol use (Irizar et al., References Bonumwezi, J. Tramutola, D.,

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First Responder Firefighter ALS Paramedic 81

First Responder Wellness

FEBRUARY 25, 2025

Given the high propensity for police officers to be exposed to such events, it is not surprising that we see a higher rate of PTSD in officers than in the general population (Lewis-Schroeder et al., One survey found that 61% of officers screened positive for symptoms of PTSD (Jetelina et al., What is PTSD? text rev.). Molsberry, R.J.,

First Responder 78

First Responder ALS Public Safety OR 78

Dr. Smith's ECG Blog

OCTOBER 7, 2022

Rallidis Et al. Or, there could be mid-ventricular Takotsubo , in which there is poor function ( and ballooning ) of the mid-LV, with good function at both the base and the apex ( See the June 24, 2014 post — and My Comment in the July 21, 2022 post regarding Takotsubo variant patterns ). A cut-off value of NT-proBNP/cTnT ratio >7.5

ACS 52

ACS Coronary CAD OR 52

ACEP Now

JUNE 17, 2025

Appelboam A, Reuben A, Mann C, et al. Issa EC, Ware PJ, Bitange P, et al. Miyawaki IA, Gomes C, Caporal S Moreira V, et al. Neiner J, Free R, Caldito G, et al. Also, many eggs are evident (short red arrows). From Del Barrio-Díaz, P., Vera-Kellet, C. J Gen Intern Med. Reprinted with permission from Springer Nature.

Emergency Department 52

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

REBEL EM

APRIL 28, 2025

A 2022 study demonstrated no significant difference in potassium levels when comparing blood gas and standard samples across 265 patients with paired blood samples ( Mahmoud 2022 ). Read More LITFL: [link] REBEL EM: [link] References Jain A et al. PMID: 20157454 Menchine M et al. PMID: 21951652 Uysal E et al.

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ALS Emergency Department ICU EMS 84

EMDocs

MARCH 4, 2025

Epub 2022 Dec 28. PMID: 2071396 Iguchi M, et al. PMID: 32524581 Tunkel AR, et al. PMID: 15494903 McGill F, et al. PMID: 26845731 van de Beek D, Cabellos C, Dzupova O, et al. PMID: 27062097 Glimker M, Johansson B, Bell M, et al. High risk and low prevalence diseases: Adult bacterial meningitis.

ALS 77

ALS ICU ED OR 77

The Skeptics' Guide to EM

FEBRUARY 22, 2025

Reference: Agnello et al. Clinical Chemistry and Laboratory Medicine 2022; 60(5):786-792 Clin Chem Lab Med. 2022 Date: February 21, 2025 Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Vice Chair of Critical Care Medicine at Mayo Clinic Arizona.

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Critical Care ICU ALS ED 151