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In emergencydepartments, determining a septic patient’s fluid responsiveness can be challenging, as both under- and over-resuscitation can lead to poor outcomes. It is an essential metric for estimating cardiac output without the need for invasive procedures within the emergencydepartment. F, and SpO₂ 92% on room air.
Elbow Dislocations in the EmergencyDepartment: A Review of Reduction Techniques. J Emerg Med. Commentary on an article by Marc Schnetzke, MD, et al.: “Determination of Elbow Laxity in a Sequential Soft-Tissue Injury Model. Anatomy, Shoulder and Upper Limb, Radial Nerve. 2023 Nov 5. In: StatPearls [Internet].
The Bottom Line: HEAT Trial Acetaminophen for Fever in critically Ill Patients with Suspected Infection The SGEM: SGEM #146 The Heat is On IV Acetaminophen for Fever in the ICU References Young, P et al. PMID: 26436473 Schortgen F et al. PMID: 22366046 Sunden-Culberg J et al. NEJM 2015; 373(23): 2215-24.
Hershey Medical Center Editors : Alex Blau, DO; Michael DeFilippo, DO, Assistant Professor of EM & EMS, WashU School of Medicine Clinical Case The day after a snowstorm you are working for a rural, advanced life support (ALS) agency and you are called to a 62-year-old gentleman with chest pain. A recent study by Palladino et.
Paper: von Hellmann R, Fuhr N, Maia IWA, et al. Ann Emerg Med. Included patients from out-of-hospital, emergencydepartment, intensive care unit, and operating-room intubations. Intubation performed in all settings (out-of-hospital, emergencydepartment, ICU, and operating room). 2024 Feb 83(2):132-144.
A Simplified Protocol for Intralipid Administration in the ED Ultrasound-guided nerve blocks (UGNBs) are becoming more common in emergency medicine practice. These techniques allow the modern emergency physician to deliver targeted pain control in conjunction with using lower doses of other analgesics. Newberry MA, et al.
To assess the clinical impact and relevance of these concerns, Alwang et al. PMID: 28423290 Kidwell K, Albo C, Pope M, et al. PMID: 24066745 Self WH, Semler MW, Wanderer JP, et al. PMID: 29485926 Semler MW, Self WH, Wanderer JP, et al. PMID: 29485925 Self WH, Evans CS, Jenkins CA, et al. Sickle Cell Disease.
Essentially, to put this blog to rest You will treat the patient the same as any other patient. After reading this awesome paper, we should feel more at ease treating these patients (PMID: 30202496; AHA (Peberdy et al., A Basic Approach to the LVAD Patient in the EmergencyDepartment. 2017); PMID: 31914051). Christian T.
Article: Chanderraj R, Admon AJ, He Y, et al. What They Did: Investigators performed a retrospective cohort study in the EmergencyDepartment at the University of Michigan between July 1, 2014 through December 31, 2018. PMID: 38739397 Evans L, Rhodes A, Alhazzani W, et al. In 2021, Buckley et. 3 The same year, Ross et.
57 Adapted from: Long B, MacDonald A, Liang SY, et al. Malaria: A focused review for the emergency medicine clinician. The American Journal of Emergency Medicine. World Bank Blogs. link] Rother B, Pierre G, Lombardo D, et al. link] Franco JR, Cecchi G, Priotto G, et al. Emerg Infect Dis. 57 Table 2.
You can find more details in the full blog post. Piroxicam and paracetamol in the prevention of early recurrent pain and emergencydepartment readmission after renal colic: Randomized placebo-controlled trial. Acad Emerg Med. PMID: 38959879 This might be the best paper we have ever discussed on the blog/podcast.
The following ECG was obtained in the emergencydepartment during active chest pain. It should not be surprising that his symptoms were associated with micturition, as atrial tachyarrhythmias are known to produce polyuria ( Kinney et al. Kaye et al. Canepa-Anson et al. ECG 1 What do you think?
Lindner et al. Acute hyperkalemia in the emergencydepartment: a summary from a Kidney Disease: Improving Global Outcomes conference. Eur J Emerg Med 2020. Durfey et al. West J Emerg Med 2017. Farkas et al. References 1. Did the patient also have hypocalcemia?
Clinical Scenario: A 62 year old woman with a history of HTN, ESRD on MWF dialysis presents to the EmergencyDepartment with generalized weakness. Read More LITFL: [link] REBEL EM: [link] References Jain A et al. Int J Emerge Med 2009; 2: 117-20. PMID: 20157454 Menchine M et al. Acad Emerg Med 2011; 10: 1105-8.
7 🧾 Paper Cohen A, Reijman M, Kraan GA, et al. Emerg Med J. PMID: 18656779 Dean BJF, Riley N, Little C, et al. PMID: 26582616 Cohen A, Reijman M, Kraan GA, et al. About 1 in 10 patients will have an occult fracture, and roughly 1 in 10 scaphoid fractures result in nonunion. J Orthop Traumatol. 2025;26(1):14.
Management of simple nail bed lacerations and subungal hematomas in the emergencydepartment. PMID: 25275357 Jain A et al. appeared first on REBEL EM - Emergency Medicine Blog. Additional Resources EMRAP UC Max: The Nail Bed Injury First10EM: The NINJA Trial: Do you replace the fingernail after nail bed repair?
At the time of evaluation in the emergencydepartment he is pain free at which time the following ECG is obtained: The above tracing and clinical vignette were sent to Dr. Smith who responded with the following: “It looks like a reperfused, inferior and lateral OMI. Souce: McEvoy, John W.,
male who hasn't doctored in several years presented to the emergencydepartment by ambulance for chief complaint of chest pain. We have often made the point in Dr. Smith's ECG Blog that in general it is not common to see tachycardia with an uncomplicated MI. Case 2 A 50-something y.o. 29, 2024 ).
RESUS SCENARIO Picture this: you just arrived at your shift at the local emergencydepartment. Jan 2015; PMID: 25559473 Airapetian N, et al. Di Nicol P, et al. Mar 2023; PMID: 36983218 Feissel M, et al. Sep 2004; PMID: 15045170 Luecke T, et al “PEEP and cardiac output.” Rudski LG, et al.
Methodology: 4/5 Usefulness: 2/5 Lee CM, et al. Acad Emerg Med. Question and Methods: This is a systematic review and meta-analysis comparing the safety and efficacy of phenobarbital to benzodiazepines for the treatment of alcohol withdrawal in the emergencydepartment. 2024 May;31(5):515-524.
MD Calc: CHA2DS2-VASc for Atrial Fibrillation Stroke Risk References Yealy D, Kosowsky JM: Dysrhythmias, in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. Managing reent-onset atrial fibrillation in the emergencydepartment. Ann Emerg Med 2011; 57(1): 31-2.
Date: November 2, 2023 Reference: Coventry et al. Emerg Med J. first appeared on The Skeptics Guide to Emergency Medicine. Date: November 2, 2023 Reference: Coventry et al. Emerg Med J. DISCLAIMER: THE VIEWS AND OPINIONS OF THIS BLOG AND PODCAST DO NOT REPRESENT THE UNITED STATES GOVERNMENT OR THE US MILITARY.
After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Digital Impact Factor [1], the ALiEM AIR Team is proud to present the highest quality online content related to related to trauma in the EmergencyDepartment. Reference Lin M, Phipps M, Chan TM, et al. Ann Emerg Med.
After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Digital Impact Factor [1], the ALiEM AIR Team is proud to present the highest quality online content related to related to toxicology in the EmergencyDepartment. Reference Lin M, Phipps M, Chan TM, et al. Ann Emerg Med.
Date: January 29th, 2020 Reference: Perry et al. Stroke 2019 Guest Skeptic: Dr. Rory Spiegel is an EM/CC doctor who splits his time in the EmergencyDepartment and Critical Care department. He also has this amazing #FOAMed blog called EM Nerd. Date: January 29th, 2020 Reference: Perry et al.
After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Digital Impact Factor [1], the ALiEM AIR Team is proud to present the highest quality online content related to related to respiratory diseases in the EmergencyDepartment. Reference Lin M, Phipps M, Chan TM, et al. Ann Emerg Med.
[display_podcast] Date: June 8th, 2018 Reference: April MD, et al. Aromatherapy Versus Oral Ondansetron for Antiemetic Therapy Among Adult EmergencyDepartment Patients: A Randomized Controlled Trial. display_podcast] Date: June 8th, 2018 Reference: April MD, et al.
Background: The emergencydepartment is frequently visited by patients suffering from symptomatic alcohol withdrawal, and the traditional management has been dominated by repeated doses of benzodiazepines. 5 Paper: Lebin J et al. 5 Paper: Lebin J et al. J Med Toxicol 2022. DOI: 10.1016/j.ajem.2012.12.029
[display_podcast] Date: January 15th, 2018 Reference: Sadeghirad B, et al. BMJ 2017 Guest Skeptic: Meghan Groth is an Emergency Medicine Pharmacist at the UMass Memorial Medical Center in Worcester, Massachusetts. display_podcast] Date: January 15th, 2018 Reference: Sadeghirad B, et al. Reference: Sadeghirad B, et al.
[display_podcast] Date: November 11th, 2017 Reference: Sundén-Cullberg et al. Fever in the EmergencyDepartment Predicts Survival of Patients With Severe Sepsis and Septic Shock Admitted to the ICU. Guest Skeptic: Jesse Spurr works as a Nurse Educator in the EmergencyDepartment at Redcliffe Hospital in Australia.
[display_podcast] Date: March 6th, 2018 Reference: White et al. He has particular interests in Emergency Care, Aboriginal Health, Paediatrics, Trauma and Women’s Anaesthesia. display_podcast] Date: March 6th, 2018 Reference: White et al. Casey has this great blog and podcast called Broome Docs. Reference: White et al.
Date: July 13th, 2020 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the excellent #FOAMed project called First10EM.com. He has a great new blog post about increasing diversity in medicine using something called the BSAP approach and an interesting Broome Doc podcast with Dr. Casey Parker called EBM 2.0.
[display_podcast] Date: September 26th, 2017 Reference: Kaufman, et al. display_podcast] Date: September 26th, 2017 Reference: Kaufman, et al. Emlyn’s blog and podcast since 2012. Case: You are working the afternoon shift in the paediatric emergencydepartment. BMJ April 17. BMJ April 17.
Date: April 29th, 2019 Reference: Kuppermann et al. NEJM June 2018 Guest Skeptic: Dr. Nikki Abela is a final year trainee in Emergency Medicine and Paediatric Emergency Medicine in Liverpool, UK from sunny Malta. She is a blog editor for RCEM Learning. Date: April 29th, 2019 Reference: Kuppermann et al.
Date: October 29th, 2020 Guest Skeptic: Martha Roberts is a critical and emergency care, triple-certified nurse practitioner currently living and working in Sacramento, California. She writes a blog […] The post SGEM#307: Buff up the lido for the local anesthetic first appeared on The Skeptics Guide to Emergency Medicine.
Date: November 30th, 2022 Reference: Johnson et al. Date: November 30th, 2022 Reference: Johnson et al. DISCLAIMER: THE VIEWS AND OPINIONS OF THIS BLOG AND PODCAST DO NOT REPRESENT THE UNITED STATES GOVERNMENT OR THE US MILITARY. He’s got a big job coming up in a couple of months and can’t work with a cast.
Tim Graham is a Clinical Professor of emergency medicine at the University of Alberta, and Associate Chief Medical Information Officer, Edmonton Zone, of Alberta Health Services from Edmonton, Alberta. It is intended for clinicians providing care to emergency patients, so they get the best care, based on the best evidence.
Date: April 16th, 2022 Reference: Blom et al. Disclaimer: The views and opinions of this blog […] The post SGEM#365: Stop! Date: April 16th, 2022 Reference: Blom et al. Disclaimer: The views and opinions of this blog and podcast do not represent the United States Government or the US Military. Tricoci et al.
Date: January 5th, 2021 Reference: Shipman et al. Glaucomflecken” on Twitter and […] The post SGEM#315: Comfortably Numb with Topical Tetracaine for Corneal Abrasions first appeared on The Skeptics Guide to Emergency Medicine. Date: January 5th, 2021 Reference: Shipman et al.
Date: November 10th, 2022 Reference: de-Madaria E et al. Rezaie completed his medical school training at Texas A&M Health Science Center and continued his medical education with a combined Emergency Medicine/Internal Medicine residency at East Carolina University. Date: November 10th, 2022 Reference: de-Madaria E et al.
[display_podcast] Date: August 22nd, 2018 Reference: Riskin A, Erez A, Foulk TA, et al. February 2017 Guest Skeptic: Dr. Simon McCormick is an Emergency Medicine Consultant from Northern Ireland who works in Rotherham Hospital in Yorkshire, England. display_podcast] Date: August 22nd, 2018 Reference: Riskin A, Erez A, Foulk TA, et al.
[display_podcast] Date: May 1st, 2017 Reference: Poonai et al. Acad Emerg Med May 2017. Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. display_podcast] Date: May 1st, 2017 Reference: Poonai et al. Acad Emerg Med May 2017. Guest Skeptic: Dr. . *
Over the past few years, there has been an increase in emergencydepartment (ED) volumes and lengths of stay. Paper: Owyang CG, et al. The effect of emergencydepartment crowding on lung-protective ventilation utilization for critically ill patients. REFERENCES: Acute Respiratory Distress Syndrome Network et al.
[display_podcast] Date: February 14th, 2018 Reference: Venkatesh S et al. display_podcast] Date: February 14th, 2018 Reference: Venkatesh S et al. He writes an excellent blog called EM Nerd , which he describes as nihilistic ramblings. He writes an excellent blog called EM Nerd , which he describes as nihilistic ramblings.
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