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Date: October 28, 2024 Reference: Verma et al. Case: The Chief of Emergency Medicine (EM) at a large urban hospital recently approached the AI Committee at Unity Health, intrigued by the CMAJ article describing the apparent success of CHARTWatch in detecting early signs of patient deterioration. Reference: Verma et al.
Fluid responsiveness should always be interpreted in the context of a patient’s fluid tolerance, however, evaluation of this is beyond the scope of the current article. Consider reviewing the EMDocs article on the VEXUS exam for further information on the ultrasound guided evaluation of fluid tolerance. Zhai S, Wang H, Sun L, et al.
Long and Koyfman (3) wrote up an excellent review article looking at multiple trials trying to figure out what medication would be best (if any) for the treatment of stable monomorphic ventricular tachycardia. Now lets walk through them quickly: Ho et al (4) looked at termination of VT in 15 min or hemodynamic deterioration.
Commentary on an article by Marc Schnetzke, MD, et al.: “Determination of Elbow Laxity in a Sequential Soft-Tissue Injury Model. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. PMID: 28846302 O’Driscoll SW. How Do Elbows Dislocate?: A Cadaveric Study” J Bone Joint Surg Am.
9 As Stowers points out in his article debunking neurodiversity myths: Consider that some individuals are auditory learners, while others prefer visual methods. Maenner MJ, Warren Z, Williams AR, et al. 12 Each person has their unique approach to learning and understanding, and we adapt and use techniques that suit us best.
Garcia et al. Link to article How much epinephrine is enough? published a retrospective study in AJEM discussing cumulative epinephrine dosage in cardiac arrest.
From the articles cited above, a theme begins to emerge: Early placement of the airway, along with first-pass success, are important considerations. References Dyson K, Bray JE, Smith K, et al. Wang HE, Schmicker RH, Daya MR, et al. Benger JR, Kirby K, Black S, et al. Benger JR, Lazaroo MJ, Crout M, et al.
Paper: von Hellmann R, Fuhr N, Maia IWA, et al. Results: Article selection: 3915 studies identified. 134 full-text articles were assessed for eligibility. They utilized an experienced research librarian which increases the likelihood of finding all relevant articles. References: Driver BE, Prekker ME, Klein LR, et al.
Methodology: 4/5 Usefulness: 2/5 McMullan JT, et al. Ann Emerg Med. 2024 Oct;84(4):363-373. doi: 10.1016/j.annemergmed.2024.04.018. 2024.04.018. Question and Methods: This out of hospital, placebo-controlled, blinded, parallel group RCT compared reduction in pain scores between Fentanyl + IN Placebo and Fentanyl with IN Ketamine.
Available from: [link] Maradit Kremers H, Larson DR, Crowson CS, et al. Current Guideline for Diagnosis of Periprosthetic Joint Infection: A Review Article. Parvizi J, Tan TL, Goswami K, et al. 18,19 Most of the remainder were close reduced by orthopedic surgeons. 18 Fracture dislocations often managed operatively. Zalikha, A.K.
The project launched in September 2022, and since then, the project group members have responded to over 380 requests for clinical case feedback [data reviewed as of the time of writing this article, April 2025]. We have also created a ‘how-to’ guide article on the development of this project – check it out here.
If you want to know how to create a similar project in your own Emergency Department, please read the article below! Proctor A, Billing J, Lyttle M, et al. Feedback is collected after each session, and both facilitators and attendees receive continuing professional development (CPD) certification. 2018 [cited 2025 Mar 17];15(1).
This article was published in Annals of Emergency Medicine , 82, Brandenberger L, Williams Silva K, Macheret F, et al., On EMS arrival, the patient was alert, pulse was fluctuating between 40 and 130 beats/min, and manual systolic blood pressure was 60 mmHg.
6 Review of the Literature This research examines eleven articles obtained through Cornerstone University’s Miller Library and Google Scholar. Abelsson et al., Bienstock et al. (16 Australasian Emergency Care, Journal Article. Narayanan, A., Rajithakumar, S., & & Menon, M. Stoneley, A., & & Picker, T.
Like all commentary preceding this, whether from individuals or organizations, this article reflects my personal perspective on the matter. Nikolla DA, Zocchi MS, Pines JM, et al. Beeson MS, Barton MA, Reisdorff EJ, et al. J Grad Med Educ. 2025;17(2):248-253. Am J Emerg Med. 2023;69:100-107.
When writing this article in 2025, it is safe to say the vast majority of EMS Providers are aware of and have interacted with–knowingly or not, we’ll get to that later—patients with Autism Spectrum Disorders. At the beginning of the article, I mentioned “whether you know it or not” as a caveat to that statement; What did I mean by that?
This article will explore the factors behind the increase in measles and pertussis cases, healthcare professionals’ role in reversing these trends, and strategies to help reduce spread. 2014;142(4):685-94 Crowcroft NS, Booy R, Harrison T et al. 2024 Ghanaie RM, Karimi A, Sadeghi H, et al. Epidemiol Infect. Pediatrics.
address in the article discussed below. Article: Chanderraj R, Admon AJ, He Y, et al. PMID: 38739397 Evans L, Rhodes A, Alhazzani W, et al. 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.
This article is intended to empower American emergency clinicians with confidence to care for a growing patient population that we may be unfamiliar with treating. This article will focus on ED considerations for the adolescent/adult refugee patient from sub-Saharan Africa. 57 Adapted from: Long B, MacDonald A, Liang SY, et al.
Manufacturer recommendations and several other PubMed articles state it is okay to perform CPR. After reading this awesome paper, we should feel more at ease treating these patients (PMID: 30202496; AHA (Peberdy et al., These people can direct resuscitation efforts based on the information you provide them (i.e. 2017); PMID: 31914051).
Table adapted from: Long B, Liang SY, Carius BM, et al. Although these approaches offer alternative pathways, each comes with unique advantages and limitations, which are beyond the scope of this article. References Karagoz A, Tombuloglu H, Alsaeed M, et al. link] Rivers C, Watson C, Phelan AL. Mpox rash mimics.
MPA, CEMSO, NRP The recent JEMS article by John K. 1,3 In Nudell et al. 3 Australia’s Paramedic Practitioner Model Is Being Misrepresented The article references the Australian Paramedic Practitioner model as a successful blueprint for EMS evolution. As Nudell et al. 3 The answer isn’t outsourcing; it’s investing within.
MPA, CEMSO, NRP The recent JEMS article by John K. 1,3 In Nudell et al. 3 Australia’s Paramedic Practitioner Model Is Being Misrepresented The article references the Australian Paramedic Practitioner model as a successful blueprint for EMS evolution. As Nudell et al. 3 The answer isn’t outsourcing; it’s investing within.
Author’s Note: Special thanks to Michael Lynch, MD, FACMT, for his expert review and thoughtful feedback on this article. apnews.com/article/40e02b935d1c37189da4b9cd6ccd3210 4. The priority remains: restore breathing, protect the airway, and be prepared for complex withdrawal. References 1. de Andrade Horn, P., Berida, T. Bouchard, J.
This article aims to create emergency clinician awareness of onchocerciasis as a potential cause of visual and dermatologic complaints and will highlight appropriate diagnosis and management strategies. Ehrlich JR, Ramke J, Macleod D, et al. link] Vinkeles Melchers NVS, Stolk WA, Van Loon W, et al. volvulus life cycle.
In their article for the Harvard Business Review, Knight recommends this approach : Pause and breathe. Available from: [link] Desai V, Hernandez Conte A, Nguyen VT et al. Govindraj R, Binda DD, Harris AC et al. You might feel defensive, embarrassed, or misunderstood. Take a moment before you react. February 2021. MedEdPORTAL.
So, in the meantime, heres a host of articles of more than just passing interest from the past year, not already covered in ACEP Now. References Gibbs KW, Semler MW, Driver BE, et al. Luo Z, Li Y, Li W, et al. Knack SKS, Scott N, Driver BE, et al. Escobar GJ, Liu VX, Schuler A, et al. Wang Y, Maeda T, You S, et al.
Co-culprit is a 85% bifurcating lesion of the large LADD1 related to above LAD lesion This is an important article by Widimsky et al. Therefore, an angiogram was done next day: Culprit is 99% stenosis in the mid LAD near previous stent.
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!! If you wish to read more about this, check out the references section at the bottom, especially the articles by Lee and Pillai. What did they find? A stunning result.
3,4,5 In this article, we identify unique questions associated with using ECMO as a life-sustaining intervention, consider how this technology complicates the current medicolegal definition of death, and describe concerns about the feasibility of rapid expansion of ECMO implementation. References Allen NG, Jesus J, Knowles H, et al.
PMID: 39141836 Justin has a long series of articles looking at the science behind laceration repair , and I think the simplest answer is: nothing you do matters. N Engl J Med. 2024 Oct 31:10.1056/NEJMoa2407780. doi: 10.1056/NEJMoa2407780. Epub ahead of print. Pediatr Emerg Care. 2024 Aug 15. doi: 10.1097/PEC.0000000000003244.
We proved this in this article. Rallidis Et al. Smith comment : Acute posterior infarction most often does NOT have increased R-waves or early RS transition and this common belief is an obstacle to the diagnosis of acute posterior OMI. A cut-off value of NT-proBNP/cTnT ratio >7.5 had a sensitivity of 97.3%, a specificity of 95.4%
Transient STEMI was studied by Lemkes et al. Lemkes JS, Janssens GN, van der Hoeven NW, et al. Available from: [link] Lemkes et al. According to a circulation review article , South Asians are at a higher rate of ASCVD, higher burden with higher. Eur Heart J [Internet] 2019;40(3):283–91. Do not Wait!!
Gawronski O, Parshuram C, Cecchetti C, Tiozzo E, Ciofi degli Atti ML, Dall’Oglio I, et al. It is not possible to determine this aspect fully based on reading the research article. Qualitative study exploring factors influencing escalation of care of deteriorating children in a children’s hospital. BMJ Paediatrics Open.
We suggest that this list can help you discover relevant or interesting articles for your local journal club or keep you up to date on the latest paediatric research. In a study by Chong et al., Reviews and opinion articles Exception From Informed Consent in Pediatric Trials. Malone JR, et al. Chong YY, et al.
65 y old male, hypt, IHD, smoker, central chest pain, was in pulm oedema Killip III Great recent article relevant to this: Kosuge M, Ebina T, Hibi K, et al. An early and simple predictor of severe left main and/or three-vessel disease in patients with non-ST-segment elevation acute coronary syndrome. Am J Cardiol;107(4):495-500.
Methodology: 4/5 Usefulness: 3/5 Cohen A, et al. J Orthop Traumatol. 2025 Mar 5;26(1):14. doi: 10.1186/s10195-025-00822-5. Question and Methods: Authors tested if bandaging was noninferior to casting for suspected scaphoid fractures by conducting a multicenter RCT with 180 adult patients.
In a prospective multi-centre study, Berger et al. Rowlands et al. However, detailed discussion of these considerations falls outside the scope of this article. Hodder et al. BMJ 2024; 385 Unpublished data from national audit on behalf of PCCS-SG Paddock CD, Sanden GN, Cherry JD, et al. Namachivayam et al.
Lets walk through this picture together (reprinted from Tannenbaum, et al, EKG teaching Rounds. Take a look at the picture below for a visual representation of this concept (reprinted from Tannenbaum, et al, EKG teaching Rounds. As many of you know, the hallmark of WPW on an ECG is a delta wave , as seen in the above ECG. Can you tell?
This article provides a practical guide to managing HIV/AIDS in the ED, equipping ED physicians with the knowledge needed to deliver optimal care to these patients. 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.
We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. Reviews and opinion articles Pediatric migraine care: bridging gaps, overcoming barriers, and advancing solutions. Özge A, et al. Schoch JJ, et al.
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