EMDocs

AUGUST 11, 2025

References: Trinka E, C**k H, Hesdorffer D, et al. Ziai WC, Schlattman D, Llinas R, et al. Emergent EEG in the emergency department in patients with altered mental states. Abdel Baki SG, Omurtag A, Fenton AA, et al. The new wave: time to bring EEG to the emergency department. Int J Emerg Med.

ICU

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. Many prehospital clinicians report feeling anxious and lacking confidence when caring for younger patients.

Emergency Department

Don't Forget the Bubbles

APRIL 28, 2025

Communicability Marin et al. Burden of Chickenpox on the Health Service Bernal et al. The researchers used electronic health records to identify VZV complications seen in secondary care. Bernal et al. , Bozzola et al. However, a transfer to the emergency department is not required in this case.

Paramedic

REBEL EM

NOVEMBER 11, 2024

found no difference in mortality in critical care patients treated with vancomycin and piperacillin- tazobactam compared to vancomycin and cefepime or meropenem. Article: Chanderraj R, Admon AJ, He Y, et al. In 2021, Buckley et. 3 The same year, Ross et. address in the article discussed below. JAMA Intern Med. Pettigrew et.

E-9-1-1

Don't Forget the Bubbles

MARCH 21, 2025

But does it hold up in the unpredictable world of emergency paediatric intubation ? Thats exactly what Shane George et al. set out to explore in the Kids THRIVE study investigating whether NHF apnoeic oxygenation could improve intubation outcomes in critically unwell children needing emergency airway management.

ICU

JEMS

JUNE 12, 2025

The Frontline Meets the Formulary: Why It Matters Whether responding to a rural 911 call or managing critical care transports in a bustling metro, you have likely encountered patients taking one—or several—of the nation’s top-selling medications. Al Badawi, A. International Emergency Nursing, 72 , 101385. & Cash, R.

E-9-1-1

REBEL EM

AUGUST 11, 2025

🧾 Paper Williams JM, et al. Intervention With Concentrated Albumin for Undifferentiated Sepsis in the Emergency Department (ICARUS-ED): A Pilot Randomized Controlled Trial. Ann Emerg Med. Ann Emerg Med. mmHg (102–124) Standard care: 110 mmHg (100–120) Difference: +1 mmHg (95% CI: –2.7

Emergency Department

JEMS

AUGUST 7, 2025

The Economic and Clinical Infrastructure of EMS Is Under Siege These proposed reforms, if implemented, would have devastating, systemic consequences for emergency care in the United States. Medicaid is not merely a budget line, it is the engine that funds readiness, access, and critical care delivery in EMS systems.

EMS

ACEP Now

JUNE 30, 2025

2 In the emergency department (ED), ECMO has emerged as an adjunct in the resuscitation of patients from acute cardiopulmonary failure. Chao is a clinical instructor of emergency medicine and health care ethics fellow at Michigan Medicine in Ann Arbor, Mich. References Allen NG, Jesus J, Knowles H, et al.

Life Support

The Skeptics' Guide to EM

FEBRUARY 22, 2025

Reference: Agnello et al. 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. Reference: Agnello et al.

Critical Care

Dr. Smith's ECG Blog

DECEMBER 16, 2024

She had this ECG recorded: Obvious massive anterior STEMI She was quickly brought to the critical care area and the cath lab was activated. The blood pressure was 170/100 in the critical care area. She has no SOB and no prior medical history. Her initial BP was 203/124. Case 2 A 50-something y.o. 29, 2024 ).

STEMI

REBEL EM

FEBRUARY 24, 2025

The use of point-of-care ultrasonography (POCUS) to evaluate the IVC as a marker for fluid responsiveness has spread from cardiology and nephrology into critical care and emergency medicine, transforming medical practice. RESUS SCENARIO Picture this: you just arrived at your shift at the local emergency department.

ALS

EMDocs

MARCH 18, 2025

Consultation needed for definitive management: Pulmonology/critical care, IR, and cardiothoracic surgery; admission to the critical care setting (likely requires transfer). Consult pulmonology/critical care, interventional radiology, and cardiothoracic surgery, which may mean transfer. Am J Emerg Med.

E-9-1-1

EMCrit Project

JUNE 16, 2025

Sedation Posts on EMCrit EMCrit 21 – A Bad Sedation Package Leaves your Patient Trapped in a Nightmare EMCrit 115 – A New Paradigm for Post-Intubation Pain, Agitation, and Delirium (PAD) Richmond Agitation and Sedation Scale (RASS) from the amazing RebelEM Critical Care Pain Observation Tool (CPOT) Scale from Afenigus et al.

Critical Care

The Skeptics' Guide to EM

SEPTEMBER 9, 2023

Reference: Snelling et al. New England Journal of Medicine June 2023 Date: July 19, 2023 Guest Skeptic: Dr. Casey Parker is a Rural Generalist that includes in his practice emergency medicine, anesthesia, and critical care. Reference: Snelling et al. Reference: Snelling et al.

Critical Care

Core EM

JANUARY 25, 2024

Hosts: Joe Offenbacher, MD Audrey Bree Tse, MD [link] Download Leave a Comment Tags: Anticoagulation , Critical Care , Resuscitation Show Notes Coagulation Cascade: Algorithm for Anticoagulated Bleeding Patient in the ED: Indications for Anticoagulation Reversal: References: Baugh CW, Levine M, Cornutt D, et al.

Frozen Plasma

The Skeptics' Guide to EM

SEPTEMBER 2, 2023

Date: August 30, 2023 Reference: Griffey et al. She is an Assistant Professor and Director of Research in the Department of Emergency Medicine at the NYU Grossman Long Island Hospital Campus. This is the last show for […] The post SGEM#414: The SQuID Protocol first appeared on The Skeptics Guide to Emergency Medicine.

ICU

ALiEM

NOVEMBER 3, 2023

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 Emergency Department. Reference Lin M, Phipps M, Chan TM, et al. Ann Emerg Med.

Critical Care

ALiEM

FEBRUARY 5, 2024

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 Emergency Department. Reference Lin M, Phipps M, Chan TM, et al. Ann Emerg Med.

Overdose

The Skeptics' Guide to EM

FEBRUARY 8, 2020

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 Emergency Department and Critical Care department. first appeared on The Skeptics Guide to Emergency Medicine. Date: January 29th, 2020 Reference: Perry et al.

Emergency Department

Don't Forget the Bubbles

MAY 29, 2023

Emergency Medical Journal [Internet] 2022;39;52-56. Available from: [link] Dixon-Woods M, Baker R, Charles K, et al. Fnais N, Soobiah C, Chen MH, et al. Keller S, Yule S, Zagarese V, et al. Bad manners in the Emergency Department: Incivility among doctors. Available at: [link] Fehr R, Gelfand MJ, Nag M.

Critical Care

The Skeptics' Guide to EM

NOVEMBER 18, 2017

[display_podcast] Date: November 11th, 2017 Reference: Sundén-Cullberg et al. Fever in the Emergency Department Predicts Survival of Patients With Severe Sepsis and Septic Shock Admitted to the ICU. Critical Care Medicine 2017. display_podcast] Date: November 11th, 2017 Reference: Sundén-Cullberg et al.

ICU

Pediatric EM Morsels

OCTOBER 27, 2023

2010) ‘140: Does physician estimates of pediatric patient weights lead to inaccurate medication dosages’, Annals of Emergency Medicine , 56(3), p. Academic Emergency Medicine, 14: 500-501. link] Lubitz DS, Seidel JS, Chameides L, Luten RC, Zaritsky AL, Campbell FW. Ann Emerg Med. Emerg Med Australas. J Emerg Med.

E-9-1-1

The Skeptics' Guide to EM

MARCH 25, 2023

Date: March 22, 2023 Reference: Hilsden et al. Point of care biliary ultrasound in the emergency department (BUSED) predicts final surgical management decisions. Date: March 22, 2023 Reference: Hilsden et al. He is also now a fully-fledged “sonologist”. He is also now a fully-fledged “sonologist”.

ED

ALiEM

OCTOBER 14, 2023

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 Emergency Department. Reference Lin M, Phipps M, Chan TM, et al. Ann Emerg Med.

Critical Care

The Skeptics' Guide to EM

JANUARY 9, 2021

Date: January 5th, 2021 Reference: Grunau et al. JAMA 2020 Guest Skeptic: Mike Carter is a former paramedic and current PA practicing in pulmonary and critical care as well as an adjunct professor of emergency medical services […] The post SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC?

EMS

ALiEM

APRIL 12, 2024

Case A 48 year-old male with a history of hypertension and polysubstance abuse presented to the emergency department (ED) for shortness of breath and was found to have a left sided parapneumonic pleural effusion (Figure 1). doi: [link] Broder JS, Al-Jarani B, Lanan B, Brooks K. The Journal of Emergency Medicine.

E-9-1-1

The Skeptics' Guide to EM

JANUARY 15, 2022

Etomidate versus ketamine for emergency endotracheal intubation: a randomized clinical trial. Intensive Care Med 2021 Guest Skeptic: Missy Carter, former City of Bremerton Firefighter/Paramedic, currently a professor of Emergency Medical Services at Tacoma Community College’s paramedic program. Reference: Matchett, G.

Emergency Medical Services

The Skeptics' Guide to EM

FEBRUARY 25, 2023

Reference: Cashen K, Reeder RW, Ahmed T, et al. Pediatric Crit Care Med. 2022 Date: February 15, 2023 Guest Skeptic: Dr. Carlie Myers is Pediatric Critical Care Attending at Cincinnati Children’s Hospital Medical Center. Reference: Cashen K, Reeder RW, Ahmed T, et al. Pediatric Crit Care Med.

CPR

REBEL EM

MARCH 27, 2023

2 Finally the settings initiated early in a patient’s care are often carried forward unchanged into their hospital and ICU stay. Over the past few years, there has been an increase in emergency department (ED) volumes and lengths of stay. Paper: Owyang CG, et al. J Crit Care. N Engl J Med.

Emergency Department

The Skeptics' Guide to EM

FEBRUARY 24, 2018

[display_podcast] Date: February 14th, 2018 Reference: Venkatesh S et al. Guest Skeptic: Dr. Rory Spiegel (@EMNerd_) is a clinical instructor at University of Maryland, a recent graduate of Stony Brook’s Resuscitation Fellowship, and a current Critical Care fellow at University of Maryland. NEJM January 2018. NEJM January 2018.

Critical Care

The Skeptics' Guide to EM

JANUARY 25, 2020

Date: January 9th, 2020 Reference: Casey et al. Bag-Mask Ventilation during Tracheal Intubation of Critically Ill Adults. NEJM February 2019 Guest Skeptic: Andrew Merelman is a critical care paramedic and second year medical student at Rocky Vista University in Colorado. Date: January 9th, 2020 Reference: Casey et al.

EMS

The Skeptics' Guide to EM

NOVEMBER 13, 2021

Date: November 10th, 2021 Reference: Andersen, et al: Effect of Vasopressin and Methylprednisolone vs Placebo on Return of Spontaneous Circulation in Patients With In-Hospital Cardiac Arrest. Case: A code blue is called for a 71-year-old male in-patient that is boarding in the emergency department (ED). JAMA Sept 2021.

Epinephrine

Broome Docs

OCTOBER 6, 2024

Turgeon AF, Fergusson DA, Clayton L,et al. Emerg Med J. PMID: 38238065 Oral vs IV ABs… another negative trial Nielsen AB, Holm M, Lindhard MS, et al. Emergency Medicine Journal Published Online First: 12 September 2024. Trends in Anaesthesia and Critical Care. Too much ‘aint enough blood?

ALS

Pediatric EM Morsels

NOVEMBER 17, 2023

Differences in intubation outcomes for pediatric patients between pediatric and general Emergency Departments. Intubation practice and outcomes among pediatric emergency departments: A report from National Emergency Airway Registry for Children (NEAR4KIDS). Acad Emerg Med. Paediatr Anaesth. doi: 10.1111/pan.14185.

E-9-1-1

REBEL EM

FEBRUARY 2, 2023

Background Information: Atrial fibrillation with rapid ventricular rate (RVR) is one of the many tachydysrhythmias we encounter in the Emergency Department (ED). Paper: Mason JM, et al. Amiodarone versus digoxin for acute rate control of atrial fibrillation in the emergency department. Am J Emerg Med.

Emergency Department

ACEP Now

MARCH 13, 2024

Emergency departments (EDs) provide the essential service of evaluating patients with unscheduled, acute, undifferentiated, and decompensated conditions. Dr. Kluesner is an emergency physician in Iowa City, Iowa, at UnityPoint Health-Iowa Methodist Medical Center. References Morley, Claire, et al. PloS one 13.8

Emergency Department