EMDocs

JULY 9, 2025

In emergency departments, determining a septic patient’s fluid responsiveness can be challenging, as both under- and over-resuscitation can lead to poor outcomes. 1 The 2022 CLASSIC and 2023 CLOVERS trials are two landmark studies that further examine approaches to fluid resuscitation in septic patients.

Emergency Department 86

Emergency Department ALS ICU Critical Care 86

EMDocs

JANUARY 8, 2025

These are very commonly encountered in the emergency department, so being able to correctly identify the rhythm is extremely important. This week, we are finishing 4 of a 4-part series tackling tachydysrhythmias. Lets dive in! When you are presented with a tachycardic ECG, we want you to focus on two major factors right away.

CAD 96

CAD EMS Emergency Department ED 96

EMDocs

NOVEMBER 14, 2024

These are very commonly encountered in the emergency department, so being able to correctly identify the rhythm is extremely important. The post ECG Pointers: A Dynamic Approach to Tachydysrhythmias Part 3 appeared first on emDOCs.net - Emergency Medicine Education. Let’s dive in! EKG Teaching Rounds.

EMS 98

EMS Emergency Department OR 98

ACEP Now

MAY 10, 2025

Recently, numerous Emergency Department (ED) groups have demonstrated the efficacy of UGNBs for pain control with a low rate of complications. Recently, numerous Emergency Department (ED) groups have demonstrated the efficacy of UGNBs for pain control with a low rate of complications. JAMA Netw Open 2024:7(11)1-2444742.

ED 87

ED Emergency Department ALS Epinephrine 87

EMDocs

JANUARY 11, 2025

Stercoral colitis in the emergency department: a review of the literature. International journal of emergency medicine, 17(1), 3. Stercoral Colitis in the Emergency Department: A Retrospective Review of Presentation, Management, and Outcomes. Annals of emergency medicine, 82(1), 3746. Stercoral Colitis.

E-9-1-1 96

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

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. Randomized controlled trials or comparative non-randomized observational studies.

Operating Room 92

Operating Room Emergency Department ICU ALS 92

EMDocs

NOVEMBER 19, 2024

Movement Disorder Emergencies. Published 2022. J Emerg Crit Care Med Vol 6 (October 30, 2022) J Emerg Crit Care Med. His roommate found an empty pill bottle on the floor next to him. Accessed October 23, 2023. Stiff and Twisted. Life In The Fast Lane. Published 2020. Accessed October 23, 2023. Hum Exp Toxicol.

Overdose 103

Overdose ALS EMS Emergency Medical Services 103

REBEL EM

DECEMBER 23, 2024

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

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? 2022 Jul;3(7):543-548. BJO-2022-0026.R1.

EMS 96

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

Don't Forget the Bubbles

NOVEMBER 18, 2024

The other important moment to always think of the heart (sorry, cardiologists, I don’t think about the heart 24/7) is when a collapsed neonate presents to your emergency department, especially if blood pressure is present. This is one of the situations where you must not forget to feel for femoral pulses. Batton, B., Kleinman, M.

OR 57

OR Critical Care Coronary Emergency Department 57

Don't Forget the Bubbles

JUNE 10, 2025

A recent study highlighted the gap in confidence surrounding paediatric assessment and management, and recommended a combined approach of targeted training and follow-up feedback from emergency departments after handover. Personalised feedback, in particular, is a powerful tool for clinical learning and reflective practice [2,3].

E-9-1-1 62

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

Don't Forget the Bubbles

JUNE 10, 2025

Despite being a key part of a child’s emergency care journey, they rarely receive feedback on their clinical management or the patient’s outcome once care is handed over in the emergency department. If you want to know how to create a similar project in your own Emergency Department, please read the article below!

Emergency Department 86

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

Don't Forget the Bubbles

OCTOBER 28, 2024

doi: 10.1136/archdischild-2024-327224 Six-year-old Rhaenyra is brought into the emergency department after being hit by a car. Take Home Points There is no agreed-upon definition for paediatric major haemorrhage, and many methods of defining it are difficult to measure in the emergency department. Am J Emerg Med.

Frozen Plasma 70

Frozen Plasma FFP Plasma ALS 70

Don't Forget the Bubbles

APRIL 28, 2025

However, a transfer to the emergency department is not required in this case. This is a time-critical emergency. Immediate Actions for Paramedics: Urgent transport to the local Emergency Department with a pre-alert to prepare the resuscitation team. 2022 Oct 21;226(Supplement_4). 2022 Dec 15;65(12):55562.

Paramedic 91

Paramedic ALS Emergency Department Ambulance 91

JEMS

JUNE 23, 2025

Department of Health and Human Services has launched audits into state-reported GEMT cost reports, citing CMS concerns about inflated or non-allowable costs. When applying the cost avoidance formula, the assumption that every patient and every emergency department encounter by that particular patient is identical is grossly inaccurate.

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. As (Narayan & Petersen, 2022)explains, SulfHb is a stable, green-pigmented molecule, which constitutes less than 1% of normal hemoglobin invivo. TRIGGER WARNING: TOPICS OF SUICIDE MAY BE HARD FOR SOME PEOPLE TO READ ABOUT. 2018, 05 21).

Epinephrine 116

Epinephrine First Responder OR CAD 116

JEMS

JULY 23, 2025

Emergency medical responders and adolescents with autism spectrum disorder. Pediatric Emergency Care , 35 (4), 273–277. Psychiatric-related emergency department visits among children with an autism spectrum disorder. Pediatric emergency care. 2022, October). Zablotsky, B., Freedman, B., & Gurney, J.

E-9-1-1 98

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. 2010;375(9716):2134-45.

E-9-1-1 57

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

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. 2022 Feb;67:134-140. J Crit Care. PMID: 34768175 Ross RC, Rosen AN, Tran KK, Smith KL, Franck AJ. 2021 Oct 13;13(10):e18742.

E-9-1-1 93

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

EMDocs

JANUARY 6, 2025

Background: Refugees on the Rise As of 2022, it was estimated that there were 35.3 Global Trends Report 2022. Published online November 14, 2022. Published online November 14, 2022. HIV Prevention and Treatment: The Evolving Role of the Emergency Department. Ann Emerg Med. Accessed May 25, 2022.

ED 74

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

JEMS

JUNE 16, 2025

And I can say that in a large percentage of my patients—I don’t know the exact percentage because it changes somewhat by day—but…we see a lot of elderly patients in the emergency department. Maybe half is a little overstating but certainly plenty of them.” They may have fallen. End of life medical orders. Advance directives.

Mobile Integrated Health 98

Mobile Integrated Health Community Paramedicine Paramedicine Paramedicine 98

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. Annals of Surgery , 265 (5), pp.889-900. Collins, Donald C. “Historic phases of appendicitis.” 1931): 179-196.

E-9-1-1 52

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

EMDocs

DECEMBER 9, 2024

Authors: Noah Kronk, MS-4 (University of Missouri-Columbia); Jessica Pelletier, DO, MHPE (APD, EM Attending Physician, University of Missouri-Columbia, USA) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case A 30-year-old female presents to the emergency department (ED) with fever, fatigue, and an extensive rash.

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 88

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

Don't Forget the Bubbles

MARCH 21, 2025

A total of eleven intensive care units (ten PICUs and one non-maternity NICU) and four emergency departments (EDs) took part in the study. Given the emergency setting, the trial used a research without prior consent model, with delayed consent-to-continue obtained from the childs legal guardian as soon as practical.

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. Communicate with Emergency Department teams: Let them know if you suspect medetomidine exposure, especially in cases of incomplete naloxone response or bradycardia.

Naloxone 124

Naloxone Overdose Mobile Integrated Health Community Paramedicine 124

ACEP Now

APRIL 8, 2025

Previous conferences have been held in Taipei, Taiwan (2024); Amsterdam, Netherlands (2023); Melbourne, Australia (2022); Dubai, UAE (2021, virtual); Seoul, South Korea (2019); Mexico City, Mexico (2018); and Cape Town, South Africa (2016). Are you worried about the boarding crisis in emergency departments in the United States?

Emergency Medical Services 52

Emergency Medical Services Critical Care Emergency Department ED 52

EMDocs

NOVEMBER 25, 2024

Vision loss carries a high degree of morbidity and is associated with higher all-cause mortality, 4 and it is our role as emergency providers to recognize potentially reversible causes of such adverse outcomes. 5 Epidemiology Onchocerciasis is endemic in 31 African countries but is also problematic in Brazil, Venezuela, and Yemen.

E-9-1-1 71

E-9-1-1 ALS Emergency Department OR 71

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. Epub 2022 Dec 6. 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. Lancet Oncol. 2023 Jan;24(1):45-53.

Emergency Department 99

Emergency Department OR 99

EMDocs

JULY 2, 2025

Tianeptine-involved emergency department visits, fatal overdoses, and substance seizures in Tennessee, 2021–2023. Online Sales of Unscheduled Pharmaceutical Agents: A Case Report of Tianeptine Use in the United States. Journal of Addiction Medicine , 11 (5), 411. link] US Food and Drug Administration. link] Quadir, M., Michaels, N.

E-9-1-1 74

E-9-1-1 Naloxone Overdose ED 74

Don't Forget the Bubbles

NOVEMBER 27, 2024

C presents to your emergency department. FIDO was designed to assess the management of young febrile infants presenting to emergency departments in the UK and Ireland , report risk factors for IBI, and apply CDAs that do not exclusively rely on PCT testing. Imagine this – a six-week-old infant with a fever of 38.3⁰C

E-9-1-1 80

E-9-1-1 Emergency Department ED Ambulance 80

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. Burrow Ink Test A burrow ink test—also known as an ink burrow test— is a decades old method used to diagnose scabies. From Del Barrio-Díaz, P.,

Emergency Department 52

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

Don't Forget the Bubbles

JUNE 3, 2025

Its a busy Friday afternoon in the emergency department. Clinicians across emergency departments are witnessing the consequences. In Queensland, the Injury Surveillance Unit reported a jump in e-scooter-related presentations from 279 cases in 2019 to 877 by 2022 , with over 800 already recorded by September 2023.

Emergency Department 67

Emergency Department ED OR 67

ACEP Now

DECEMBER 8, 2024

The Centers for Disease Control and Prevention (CDC) estimates of emergency department (ED) visits for 2022 were recently released. ED visit estimates and utilization rates for 2018 to 2022 are shown in Figure 1. Estimates of Emergency Department Visits in the United States, 2016-2022. Augustine JJ.

ED 52

ED Emergency Department Ambulance 52

JEMS

JUNE 23, 2025

Moore highlighted Connecticut’s growing problem with “boarding,” when patients who are admitted after initial care in an emergency room have to wait for beds elsewhere in the hospital for longer than four hours. “It’s getting worse,” Moore said.

Mobile Integrated Health 64

Mobile Integrated Health Emergency Department Ambulance Community Paramedicine 64

REBEL EM

APRIL 28, 2025

Clinical Scenario: A 62 year old woman with a history of HTN, ESRD on MWF dialysis presents to the Emergency Department with generalized weakness. 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 ).

ALS 84

ALS Emergency Department ICU EMS 84

The Skeptics' Guide to EM

FEBRUARY 22, 2025

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.

Critical Care 151

Critical Care ICU ALS ED 151