ALiEM

JANUARY 10, 2025

A 3-month-old male with no past medical history was brought to the emergency department for evaluation of newly asymmetric pupils. Pecha JD, Yen KG, Moisiuc A, et al. Chabicovsky M, Winkler S, Soeberdt M, et al. Pashaei-Marandi A, Assam JH, Arnold A, et al. Al-Holou SN, Lipsky SN, Wasserman BN.

ALS

ALiEM

JANUARY 13, 2025

The patient was discharged from the emergency department with tobradex ointment and ophthalmology follow-up in one week Case Discussion Take-Home Points Immediate reduction of a luxed globe is paramount. Consider topical anesthetic drops and IV analgesia and/or anxiolytics to help assist with patient discomfort and dry eye.

Emergency Department

The Skeptics' Guide to EM

JULY 5, 2025

Reference: Arnold CG, et al. Performance of individual criteria of the Pediatric Emergency Care Applied Research Network (PECARN) intraabdominal injury prediction rule. Acad Emerg Med. Sandi Angus is a Paediatric and Adult Emergency Medicine Registrar in the Shrewsbury and Telford Hospital NHS Trust.

OR

ACEP Now

JANUARY 5, 2025

A young woman, 13 days post-tonsillectomy, comes into your rural emergency department (ED) coughing up blood. He is the founder and host of the Emergency Medicine Cases podcast and website. References Grasl S, Mekhail P, Janik S, et al. Emerg Med Clin North Am. Dharmawardana N, Chandran D, Elias A, et al.

Operating Room

ACEP Now

NOVEMBER 8, 2024

First, research suggests a higher number of emergency department visits among individuals with ASD. About 30 percent of children with ASD need treatment in an emergency department, and this number increases to nearly 70 percent for those aged 15–18. Maenner MJ, Warren Z, Williams AR, et al. Cleve Clin J Med.

Emergency Department

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. It is an essential metric for estimating cardiac output without the need for invasive procedures within the emergency department. F, and SpO₂ 92% on room air.

Emergency Department

Don't Forget the Bubbles

JULY 21, 2025

They applied a three-way seal and transported him to the Emergency department. But in extreme cases, where delay would be fatal, thoracotomy may be performed in the emergency department by an experienced team. References Bradshaw CJ, Bandi AS, Muktar Z, et al. Ostermann RC, Joestl J, Lang N, et al.

Emergency Department

EMDocs

JUNE 18, 2025

14,15 This suggest VExUS may be utilized as a marker for identifying emergent hemodialysis in patient’s presenting to the emergency department. References Beaubien-Souligny W, Rola P, Haycock K, et al. doi: 10.1186/s13089-020-00163-w Bhardwaj V, Vikneswaran G, Rola P, et al. Ultrasound J. 2020;12(1):16. 2021;13:32.

E-9-1-1

REBEL EM

NOVEMBER 6, 2024

Elbow Dislocations in the Emergency Department: 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].

E-9-1-1

EMDocs

DECEMBER 23, 2024

Now lets walk through them quickly: Ho et al (4) looked at termination of VT in 15 min or hemodynamic deterioration. Gorgels et al (5) looked at procainamide vs lidocaine and again and primary outcome was VTach termination. Manz et al (6) looked at ajmaline vs lidocaine for the termination of VT. and Komura et al.,

ALS

EMDocs

JANUARY 8, 2025

These are very commonly encountered in the emergency department, so being able to correctly identify the rhythm is extremely important. Isenhour JL, Craig S, Gibbs M, et al. The post ECG Pointers: A Dynamic Approach to Tachydysrhythmias Part 4 appeared first on emDOCs.net - Emergency Medicine Education. Lets dive in!

CAD

ACEP Now

DECEMBER 7, 2024

A 28-year-old female is brought to the emergency department (ED) by police after a sexual assault. Purkey E, Davison C, MacKenzie M, et al. Experience of emergency department use among persons with a history of adverse childhood experiences. Ashworth H, Lewis-OConnor A, Grossman S, et al. Int J Emerg Med.

Mental Health Services

ACEP Now

NOVEMBER 7, 2024

About three percent of emergency department (ED) visits are due to skin and soft tissue infections, but data are lacking on the contribution of chronic wounds to this number. References Nussbaum SR, Carter MJ, Fife CE, et al. The ED case manager arranged follow up in the wound care clinic in two days.

ED

ALiEM

NOVEMBER 18, 2024

A 48-year-old male with no significant past medical history presented to the Emergency Department with a left-sided facial rash and associated burning left eye pain that started four days prior. Munawar K, Nayak G, Fatterpekar GM, et al. He also endorsed left-sided facial weakness and diplopia for the last eight days.

Emergency Department

The Skeptics' Guide to EM

JULY 26, 2025

Reference: Bourke EM, et al. PEAChY-O: Pharmacological Emergency Management of Agitation in Children and Young People: A Randomized Controlled Trial of Oral Medication. Annals of Emergency Medicine. Her parents tell you that they have been getting into arguments a lot recently.

OR

REBEL EM

DECEMBER 17, 2024

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.

ICU

The Skeptics' Guide to EM

MAY 3, 2025

Reference: Umana E, et al. Case: A 6-week-old boy is brought by his parents to your emergency department (ED) for fever. Understanding their strengths, limitations, and applicability in various healthcare systems remains a crucial aspect of evidence-based emergency medicine. Reference: Umana E, et al.

ALS

NAEMSP

JULY 15, 2025

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. Annals of Emergency Medicine.

EMS

EMDocs

DECEMBER 18, 2024

A 36-year-old male presents to the emergency department after being found down at home by his spouse. Gortney J, Raub J, Patel P, et al. Sullivan J, Sykora K, Schneiderman J, et al. Borgundvaag B, Bellolio F, Miles I, et al. Acad Emerg Med. Strayer RJ, Friedman BW, Haroz R, et al. N Engl JMed.

E-9-1-1

ACEP Now

MAY 9, 2025

In a large emergency department, intubation is a frequent enough event to generate confidence. Finally, it should be noted that EMS’s LTs were converted to ETI at the receiving emergency department 64.4 Glauser is professor of emergency medicine, Case Western Reserve University. Ann Emerg Med.

Paramedic

REBEL EM

NOVEMBER 25, 2024

Paper: von Hellmann R, Fuhr N, Maia IWA, et al. Ann Emerg Med. Included patients from out-of-hospital, emergency department, intensive care unit, and operating-room intubations. Intubation performed in all settings (out-of-hospital, emergency department, ICU, and operating room). 2024 Feb 83(2):132-144.

Operating Room

ACEP Now

MAY 10, 2025

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.

ED

ACEP Now

JUNE 17, 2025

Although finding the perfect outfit and keeping it clean, making sure remnants of breakfast aren’t present in the child’s teeth, and getting their hairstyle just right are typical stressors surrounding picture day, most parents do not think about their young student having a potential medical emergency just hours before saying “cheese.”

Emergency Department

ACEP Now

JULY 3, 2025

Acute toxic ingestions are a common reason for presentation to the emergency department (ED) and clinical scenarios range from benign accidental ingestions to large overdoses resulting in hemodynamic instability. Alshaya OA, Alhamed A, Althewaibi S, et al. Upchurch C, Blumenberg A, Brodie D, et al. J Multidiscip Healthc.

E-9-1-1

EMDocs

JANUARY 11, 2025

Stercoral colitis in the emergency department: a review of the literature. International journal of emergency medicine, 17(1), 3. Ahmad H, Jannat H, Khan U, et al. Al-Maharmeh, Q., Al Qazakzeh, A., & Anwar, A. Annals of emergency medicine, 82(1), 3746. Tran, J., & Shah, K. Stercoral Colitis.

E-9-1-1

REBEL EM

DECEMBER 23, 2024

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.

ALS

Irish College of Paramedics

FEBRUARY 15, 2025

A follow-up review conducted in 2006 found that ED personnel utilizing non-invasive positive pressure ventilation (NPPV) could decrease the relative risk of mortality by 39% while simultaneously decreasing the need for endotracheal intubation by 57% in patients with similar signs and symptoms (Collins et al., READ MORE [link]

Emergency Medical Services

ACEP Now

JANUARY 4, 2025

The photos that Dr. Clarke took from 19781980 provide a glimpse into working in an emergency department in the years the specialty was being established. for a few years working as an emergency physician. Dr. Clarke was then hired as assistant director in the emergency department (ED) at Pomona Valley Hospital, Pomona, Calif.

ED

ALiEM

JANUARY 6, 2025

The pain worsened today, prompting him to come to the emergency department for evaluation. References Papudesi, Bhavani Nagendra, et al. The patient reported a wound to his left leg that had become larger over the past 5 months. Xylazine Toxicity – Statpearls – NCBI Bookshelf, www.ncbi.nlm.nih.gov/books/NBK594271/.

NARCAN

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. Core EM.

Overdose

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. Available from: [link] Maradit Kremers H, Larson DR, Crowson CS, et al. The American Journal of Emergency Medicine. Parvizi J, Tan TL, Goswami K, et al.

EMS

ACEP Now

DECEMBER 7, 2024

How and whether to perform a catheter-based intervention is a multidisciplinary decision initiated in the emergency department, which factors in the patients clinical picture, bleeding risk, available personnel, expertise, and devices. References Silver MJ, Giri J, Duffy , et al. Shah IK, Merfeld JM, Chun J, et al.

E-9-1-1

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

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

Don't Forget the Bubbles

OCTOBER 28, 2024

Karageorgos S, Ren D, Ranaweera M, et al. doi: 10.1136/archdischild-2024-327224 Six-year-old Rhaenyra is brought into the emergency department after being hit by a car. Re ferences Al-Jeabory M, Gasecka A, Wieczorek W, Mayer-Szary J, Jaguszewski MJ, Szarpak L. Am J Emerg Med. Acad Emerg Med. 2021;49:404-405.

Frozen Plasma

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. However, a transfer to the emergency department is not required in this case. This is a time-critical emergency. investigated the complications of varicella and the burden on the NHS.

Paramedic

ACEP Now

FEBRUARY 18, 2025

She was transported to the emergency department, and the following ECG was obtained (Figure1). This article was published in Annals of Emergency Medicine , 82, Brandenberger L, Williams Silva K, Macheret F, et al.,

Emergency Medical Services