REBEL EM

NOVEMBER 11, 2024

address in the article discussed below. Article: Chanderraj R, Admon AJ, He Y, et al. 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. Comorbidity Index : Higher in the cefepime group (median 2 vs. 1).

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EMDocs

JANUARY 6, 2025

ED Evaluation Transport to the ED from the refugee reception center takes 1 hour. g/dL, thrombocytopenia of 96 10 9 /L, prothrombin time (PT) of 16.1 1 By the end of 2023, 117.3 million people had been forcibly displaced, representing 1 in 69 individuals or 1.5% seconds (normal 30-40 seconds), creatinine of 3.11

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JEMS

JULY 2, 2025

One of my former colleagues published an article about tissue oxygen changes in patients immobilized for prolonged periods. References 1. Berg G, Nyberg S, Harrison P, Baumchen J, Gurss E, Hennes E. Barnhard By Roy Danks, DO It’s time to decommission the long spine board. Prehosp Emerg Care. 2010 Oct-Dec;14(4):419-24.

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Broome Docs

DECEMBER 22, 2024

2024 Oct 9. There were no differences in survival (12% with IO vs 10% with IV) or neurologically intact survival (9% vs 8%). 2024 Nov 1. 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. doi: 10.1001/jama.2024.20424.

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EMDocs

NOVEMBER 25, 2024

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. 1 Life Cycle and Pathophysiology Life Cycle Humans are the only hosts for O. 13 Figure 1. PLoS Med 3(9): e371.

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ACEP Now

JANUARY 5, 2025

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. 1 The primary outcome was the frequency of observed hypoxemia, defined as any pulse oximetry reading below 85 percent. Theodorou A, Melanis K, Bakola E, et al. 2024;332(19):1623-1633.

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Dr. Smith's ECG Blog

JUNE 10, 2025

Patient initially presented at 9 PM to a referring facility with hsTnI 13 (ref: < 34 ng/L) then 30, then 60. EKG 1 What do you think? EKG 1 interpretation: Normal sinus rhythm, heart rate 60, normal axis, Q waves in III, aVF, with STE and TWI in lead III. EKG 2 Subtle changes but overall pretty similar to EKG 1.

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Don't Forget the Bubbles

JULY 1, 2025

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. Best wishes, Anke and Jaan 1.Reviews Reviews and opinion articles Exception From Informed Consent in Pediatric Trials. 2025 Jun 9. 2025 Jun 9:e2024070309.

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EMDocs

DECEMBER 6, 2024

1 The incidence of iron overdose and iron ingestion related deaths has significantly decreased over time, likely attributable to federal regulation. 1 Commercially available formulations of iron have varying elemental components. 1 Table 1: Iron content of various preparations. 1 Obtain a single view abdominal x-ray.

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EMDocs

MARCH 24, 2025

1 Over the decades, HIV has transitioned from being a terminal illness to a manageable chronic condition for many individuals due to improved knowledge in the diagnosis and treatment of the disease globally. million (1 million1.7 million (1 million1.7 HIV-1 is more widespread and virulent, driving the global pandemic.

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Dr. Smith's ECG Blog

NOVEMBER 23, 2017

Dr. Smiths Google Scholar Profile Dr. Smith Articles on PubMed This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 Repost this one A 30-something with 8 hours of chest pain and an e. International License. Disclaimer Cases come from all over the world. Computer says. A male in his 50s with chest pain.

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Dr. Smith's ECG Blog

NOVEMBER 25, 2017

Dr. Smiths Google Scholar Profile Dr. Smith Articles on PubMed This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 Repost this one A 30-something with 8 hours of chest pain and an e. International License. Disclaimer Cases come from all over the world. Computer says. A male in his 50s with chest pain.

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Dr. Smith's ECG Blog

JANUARY 16, 2020

Dr. Smiths Google Scholar Profile Dr. Smith Articles on PubMed This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 A man in his early sixties with palpitations An elderly patient with a fall, QS-waves, and ST E. International License. Disclaimer Cases come from all over the world. And have you ever.

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Pediatric EM Morsels

OCTOBER 27, 2023

Initially tested in Johannesburg, South Africa: 1 month old to 12 years old Broselow predicted within 10% of weight in 63.6% x length or height (cm)] There is a great review article that lists many other weight estimation formulae. 2007-2902 Wells M, Coovadia A, Kramer E, Goldstein L. 2020;13(1):9. x exp[0.02

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ALiEM

AUGUST 9, 2023

Technique Positioning and Probe Figure 1: Younger children can sit in their parent’s lap and give a hug for lateral and posterior lung scanning. The patient should be in a position of comfort: supine, sitting, or in parent’s lap (Figure 1). Identify anatomical landmarks on ultrasound (Figure 3, Video 1).

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ALiEM

MAY 13, 2024

Her symptoms started 1 week ago as a scratch which progressively got more red and painful. Pediatric Soft Tissue POCUS Ultrasound Technique Figure 1. Cellulitis with cobblestoning Video 1. Abscess with irregular borders and surrounding cellulitis E. Superficial abscess with well-circumscribed borders Table 1.

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Don't Forget the Bubbles

AUGUST 30, 2023

This series of DFTB articles aims to increase awareness of the Choosing Wisely ® recommendations. Each article will take a deeper dive into each recommendation’s supporting evidence and practical implications. The parents of 9-month-old Josie bring her into the Emergency Department with coryzal symptoms and difficulty breathing.

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Don't Forget the Bubbles

SEPTEMBER 20, 2023

This series of DFTB articles aims to increase awareness of the Choosing Wisely ® recommendations. Each article will take a deeper dive into each recommendation’s supporting evidence and practical implications. 2012;161(1):44–50.e502. 2014;164(1):83-88.e2 2020;15(9):557-559. 2019;35(9):624-629.

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Broome Docs

MAY 31, 2024

Articles linked below and podcast available on your favourite player or YouTube over at the First10EM channel. 2013 Sep;24(9):1848-53. 2023 Nov 28;27(1):465. 2024 Apr 1:e240167. 2023 Sep 8;9(1):73. Articles linked below […] Do we need to intubate French drunkards in ED? Psychol Sci. Epub 2013 Jul 17.

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EMDocs

MARCH 2, 2024

Answer : Pneumocephalus 1-21 Background: Pneumocephalus is defined by the presence of air within the cranial cavity. 1-3] The most common location is the frontal region, followed by the occipital and temporal regions. [4] 1-3] The most common location is the frontal region, followed by the occipital and temporal regions. [4]

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REBEL EM

MAY 27, 2024

Given that these two treatment options operate via different physiologic mechanisms, the author of this study postulates that MVM and IV adenosine could be combined synergistically to convert PSVT with better success rates than either treatment individually and with better safety profiles. Article: Xiao, L., 2010;17(1):44-49.

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REBEL EM

JANUARY 25, 2024

Article: Arvig MD, Lassen AT, Gæde PH, et al. What They Did: Design: Randomized, controlled, blinded-outcome trial Sites: Three emergency departments in Denmark Duration: October 9, 2019 to May 26, 2021. The first evaluation of the patient was to be done within 1 hour of arrival to ED (Including the first POCUS). Emerg Med J.

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Don't Forget the Bubbles

SEPTEMBER 13, 2023

This series of DFTB articles aims to increase awareness of the Choosing Wisely ® recommendations. Each article will take a deeper dive into each recommendation’s supporting evidence and practical implications. When considering tumours, 37 observation studies involving 2661 children found that 3% (95% CI 1-7%) had tumours.

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EMDocs

MAY 11, 2024

CT head without contrast 1 is performed and reveals the following: Question: What is the diagnosis? Reference article, Radiopaedia.org (Accessed on 28 Aug 2023) [link] Ortiz de Mendivil A, Alcalá-Galiano A, et al. Updated November 9, 2023. Answer : Brainstem stroke specifically in the pons resulting in locked in syndrome.

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Dr. Smith's ECG Blog

JULY 14, 2023

Two recent interventions have proven in randomized trials to improve neurologic survival in cardiac arrest: 1) the combination of the ResQPod and the ResQPump (suction device for compression-decompression CPR -- Lancet 2011 ) and 2) Dual Sequential defibrillation. Figure-1: The initial ECG in today's case — obtained after ROSC.

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Don't Forget the Bubbles

NOVEMBER 22, 2023

Of these signs, mortality in children is associated with hepatomegaly and fever; meanwhile, mortality in adults is associated with hyperkalaemia, traumatic brain injury, propofol infusion rates >5mg kg -1 h -1 and ECG changes. 1998;8(6):491-9. Vanlander AV, Okun JG, de Jaeger A, Smet J, De Latter E, De Paepe B, et al.

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Don't Forget the Bubbles

MAY 6, 2024

With millions of journal articles published yearly, it is impossible to keep up. Our team has scoured the literature, so you don’t have to—or it might spark an interest in reading the full article. Article 1: Positive urine cultures without pyuria Wang ME, Jones VG, Kane M, et al. 2024;24(1):111-118.

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REBEL EM

FEBRUARY 5, 2024

Article: Marx T, Joly LM, Parmentier AL, et al. Sites: Investigators recruited patients at 31 French emergency departments at university and nonuniversity hospitals Duration : June 1, 2009 to March 31, 2015. Recurrence of pneumothorax within 1 year. Pneumothorax recurrence within 1 year: 20% for aspirations, 27% for chest tubes.

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REBEL EM

JULY 3, 2023

Article: Rossi N et al. Investigators enrollend 660 patients in 9 years in 5 EDs; or approximately 6 patients per month; or 1 patient per /month for each ED. The inclusion of p-values in Table 1 might lead to misinterpretation or improper use of statistical significance. Am J Emerg Med.

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EMDocs

OCTOBER 30, 2023

1 The shortage in supply posed difficulties for hospitals that significantly depend on GE Healthcare as their supplier, which encompassed approximately 50% of hospitals in the United States (US). The primary aim of this article is to examine the clinical insights derived from scarcity and its consequences. 11 Table 1.

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Dr. Smith's ECG Blog

FEBRUARY 8, 2015

Vittinghoff, E. Metoprolol and atenolol are overwhelmingly beta-1 cardioselective. Beta-1 blockade decreases inotropy and chronotropy and has no vasoconstrictive effects. The prohibition against beta blockade in cocaine toxicity, causing "unopposed alpha" stimulation, needs to be re-examined. is intuitive, and not surprising.

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Dr. Smith's ECG Blog

SEPTEMBER 27, 2019

. == MY Comment by K EN G RAUER, MD ( 9/27/2019 ): == As suggested by the title of this Blog post — confirmation of the diagnosis in this case was made not by ECG — but instead by chest aorta CT ! For clarity — I’ve put these first 2 tracings together in Figure-1. Figure-1: The first 2 ECGs in this case ( See text ).

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Don't Forget the Bubbles

MAY 8, 2024

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. You will find the list is broken down into four sections: 1.Reviews Reviews and opinion articles Approach to simple kidney cysts in children. 2024 Apr 9.

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REBEL EM

MAY 8, 2023

Paper: Smith JA, Secombe P, Aromataris E. 2 additional articles were identified from reference lists. The initial screening process was performed by one reviewer, increasing the potential for the omission of relevant articles. Only 1 RCT and 1 cohort study had only mechanically ventilated patients. PMID: 34225346.

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Dr. Smith's ECG Blog

FEBRUARY 28, 2020

4 important features that indicate acute right hear strain: 1. In the Marchik article, (assuming they defined it the same way, and the methods do not specify this), among patients with suspicion for PE, S1Q3T3 was found in 8.5% They found that only 11% of PE had 1 mm T-wave inversions in both lead III and lead V1, vs. 4.6%

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Dr. Smith's ECG Blog

DECEMBER 13, 2019

On review of systems the patient reported back pain for approximately 1 week which he was treating with NSAIDs with minimal relief. I’ve excerpted in Figure-1 , relevant paragraphs from a 2017 ESC ( European Society of Cardiology ) article on this subject by Xanthopoulos & Skoularigis ( ESC: Vol. 15-9/6/2017 ).

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Paramedic Training Spot

DECEMBER 8, 2021

In this article, we will explore the intersection between the medical profession and military service. Basic Combat Training Basic Combat Training , or BCT, is approximately 10 weeks and will take place at 1 of the 4 locations available. Phase 2 lasted 8 weeks and built on the critical care skills acquired in phase 1.

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