EMDocs

JANUARY 6, 2025

ED Evaluation Transport to the ED from the refugee reception center takes 1 hour. Labs Laboratory workup in the ED is notable for a leukocytosis of 41,000/L, hemoglobin of 6.5 She is sent to the medical ward after three days in the ED with the diagnoses of resolving septic shock, severe malaria, and AKI.

ED 73

ED E-9-1-1 ALS Frozen Plasma 73

EMOttawa

NOVEMBER 14, 2024

Urine drug (or toxicologic) screens are a fairly standard tool used in addictions, psychiatry and the Emergency Department (ED), often employed to detect substance use in patients presenting with altered mental status, trauma, psychiatric or abnormal behaviour.

Emergency Department 84

Emergency Department ED OR 84

Broome Docs

DECEMBER 22, 2024

You can find more details in the full blog post. Piroxicam and paracetamol in the prevention of early recurrent pain and emergency department 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.

E-9-1-1 52

E-9-1-1 ACS Paramedic Emergency Department 52

Dr. Smith's ECG Blog

MAY 25, 2022

2 days prior to presentation to the ED, started having chest tightness which he thought was secondary to the persistent coughing, muscular ache type pain. Nevertheless, Sunday morning the pain became much worse so he drove himself to the emergency department. His pain is 9/10.

Coronary 52

Coronary Emergency Department ED OR 52

Dr. Smith's ECG Blog

FEBRUARY 10, 2025

normal glucose, and mild acute on chronic renal failure (Creatinine from 140 to 170 umol/L), and the following ECG, and they were sent to the ED. The patient was seen three hours later in the ED, with triage vitals showing BP 50 and BP 106/60. ED labs showed a repeat K of 6.6 Eur J Emerg Med 2020. References 1.

ALS 125

ALS ED ICU OR 125

Dr. Smith's ECG Blog

FEBRUARY 8, 2025

Written by Jesse McLaren An 80 year old with a history of CHF, ESRD on dialysis, and multiple prior cardiac stents presented to the emergency department with 3 days of intermittent chest pain and shortness of breath that resolved after nitro, which felt like prior episodes of angina.

OR 69

OR Coronary STEMI ED 69

REBEL EM

JULY 14, 2025

🤕 Case A 26-year-old woman presents to the ED after falling onto her outstretched right hand while rollerblading. Neurology Read More The post Casting Doubt: The SUSPECT Trial — Bandaging Vs. Casting for Suspected Occult Scaphoid Fracture appeared first on REBEL EM - Emergency Medicine Blog.

E-9-1-1 103

E-9-1-1 ALS OR ED 103

REBEL EM

APRIL 28, 2025

Clinical Scenario: A 62 year old woman with a history of HTN, ESRD on MWF dialysis presents to the Emergency Department with generalized weakness. Diagnostic accuracy of venous blood gas electrolytes for identifying diabetic ketoacidosis in the Emergency Department. Acad Emerg Med 2011; 10: 1105-8.

ALS 84

ALS Emergency Department ICU EMS 84

EMCrit Project

JULY 23, 2025

EMCrit Blog. Home EMCrit PulmCrit IBCC 1:1 ODR About About EMCrit PulmCrit – The Full Story EMCrit FAQ Subscribe to the Newsletter Contact Join Why Should I Become a Member? Questions Before Joining (FAQ) Join Now! NeuroEMCrit – Neurocritical Care Year in Review 2023-2024 Part 1 – Acute Ischemic Stroke. Published on July 23, 2025.

Critical Care 65

Critical Care Emergency Department OR ED 65

REBEL EM

FEBRUARY 28, 2025

Clinical Scenario: A 6-year-old boy presents to the Peds ED with an injury to their left 2nd digit. Additionally, the replaced nail often becomes dislodged after discharge from the ED necessitating revisit. Management of simple nail bed lacerations and subungal hematomas in the emergency department. References Patel L.

Emergency Department 50

Emergency Department ED ALS OR 50

EMOttawa

JUNE 19, 2025

Blunt cerebrovascular injury (BCVI) involves vessel injuries that occur from trauma mechanisms commonly seen in the emergency department: falls down stairs, motor vehicle collisions, and facial trauma. By identifying high-risk patients early, we can decrease the risk of stroke by up to 15% with the use of aspirin.

ED 100

ED Emergency Department Critical Care 100

REBEL EM

APRIL 14, 2025

Background: Accurate blood pressure (BP) measurement is essential in the emergency department (ED), where it serves as a key marker of hemodynamic stability and informs critical management decisions. Improper technique and incorrect cuff sizing can lead to falsely high or low readings, impacting patient care.

Emergency Department 109

Emergency Department ED EMS OR 109

Dr. Smith's ECG Blog

MAY 28, 2025

This was written by Mark Hellerman, Cardiology Fellow at Stony Brook: The Case: A 60 year old man with no reported medical history presents to the ED for evaluation of chest pain. The Case In this case, it is likely that the patient auto-lysed a culprit lesion prior to presentation to the ED.

Coronary 59

Coronary ED STEMI Emergency Department 59

Dr. Smith's ECG Blog

DECEMBER 16, 2024

male who hasn't doctored in several years presented to the emergency department by ambulance for chief complaint of chest pain. An ED ECG was recorded: Very Similar Mild ST elevations in leads II, III, aVF with reciprocal changes in the lateral leads, along with ST elevation in V1 raising concern for RVMI. 29, 2024 ).

STEMI 108

STEMI Coronary Critical Care ED 108

REBEL EM

FEBRUARY 24, 2025

RESUS SCENARIO Picture this: you just arrived at your shift at the local emergency department. You need not be sad regarding the lack of Swan Ganz catheters in your ED. For more than just the correctness of terminology, the distensibility index should then be calculated. So, what is in your grab bag?

ALS 64

ALS E-9-1-1 Critical Care OR 64

EMOttawa

JULY 3, 2025

Panic sets in as you make your way to the emergency department. Vision Loss in the ED appeared first on EMOttawa Blog. The numbers on your alarm clock blur into nothingness, or half of your vision seems to have vanished altogether. The doctor tells you: “This is […] The post Code Blind: Eye’m losing it!

ED 73

ED Emergency Department OR 73

REBEL EM

DECEMBER 4, 2024

PMID: 25701296 The SGEM: Shock Through the Heart (Ottawa Aggressive Atrial Fibrillation Protocol) ALiEM: Atrial Fibrillation Rate Control in the ED: Calcium Channel Blockers or Beta Blockers. ALiEM: Beta Blockers Vs. Calcium Channel Blockers for Atrial Fibrillation Rate Control: Thinking Beyond the ED. Emerg Med J 2005;22:411–4.

Emergency Department 81

Emergency Department ALS ED EMS 81

EMOttawa

APRIL 10, 2025

Antimicrobial resistance (AMR) is not a distant threatit is an evolving crisis that already affects patients in emergency departments (EDs) worldwide. appeared first on EMOttawa Blog. The World Health Organization has identified AMR as one of the top global public health threats.

Emergency Department 61

Emergency Department ED 61

EMCrit Project

JUNE 23, 2025

In fifteen years of practice in trauma and emergency medicine (Mother of God, fifteen years) Ive seen patient dignity shredded down to near nothingness, to more or less an afterthought, to an empty signifier, a catchphrase for foundation advertising. EMCrit Blog. Questions Before Joining (FAQ) Join Now! Published on June 23, 2025.

Operating Room 86

Operating Room Critical Care Emergency Department OR 86

EMOttawa

NOVEMBER 21, 2024

A common Emergency Department (ED) presentation, vaginal bleeding in pregnancy affects approximately 30% of pregnancies in the 1st trimester and 1-2% in the 2nd trimester. About half of these result in pregnancy loss.

Emergency Department 127

Emergency Department ED 127

EMOttawa

OCTOBER 24, 2024

Historically, it has been used more frequently in the ICU than in Emergency Departments, likely due to provider comfort. […] The post Is there a Precedence for Precedex in the ED? appeared first on EMOttawa Blog.

ED 131

ED ICU Critical Care Emergency Department 131

Emergency Medicine Cases

NOVEMBER 5, 2019

In this guest Waiting to Be Seen blog by Dr. Gaibrie Stephen, we discover the evidence supporting a more rigorous and professional approach to language translation services as well as some practical available options. The post WTBS 19 Does Poor Access to Language Services Leave Emergency Departments Primed for Tragedy?

Emergency Department 130

Emergency Department ED EMS 130

The Skeptics' Guide to EM

NOVEMBER 11, 2023

DISCLAIMER: THE VIEWS AND OPINIONS OF THIS BLOG AND PODCAST DO NOT REPRESENT THE UNITED STATES GOVERNMENT OR THE US MILITARY. Case: A 24-year-old manual labourer presents to the emergency department (ED) after drinking a few too many beers, having a disagreement with another beer drinker and gets knocked down.

ALS 325

ALS Emergency Department ED OR 325

Emergency Medicine Cases

JANUARY 15, 2019

We often face violence in the ED. Yet the ED is a sanctuary for care and support. Many EDs have a zero-tolerance policy for violence. In this Waiting to Be Seen blog Dr. Howard Ovens examines the issues we face in Emergency Departments as we try to make staff feel safe and ensure patients can access the care they need.

ED 130

ED Emergency Department EMS 130

Emergency Medicine Cases

SEPTEMBER 11, 2018

Jesse McLaren outlines 10 Quality Improvement (QI) opportunities for reducing missed AMIs and the lessons learned from Ontario’s Emergency Department Return Visit Quality Program in this Waiting to Be Seen blog.

ED 130

ED Emergency Department EMS 130

The Skeptics' Guide to EM

NOVEMBER 19, 2022

Intimate partner violence (IPV) in the Emergency Department (ED). 2022 Nov Guest Skeptics: Dr. Nour Khatib is an emergency physician in Toronto working in community sites Markham Stouffville Hospital and Lakeridge health. Intimate partner violence (IPV) in the Emergency Department (ED).

Emergency Department 102

Emergency Department ED OR 102

The Skeptics' Guide to EM

NOVEMBER 18, 2017

Fever in the Emergency Department 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 Emergency Department at Redcliffe Hospital in Australia. Case: You are working night shift in the emergency department.

ICU 130

ICU ED Emergency Department Critical Care 130

ALiEM

APRIL 14, 2023

After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Social Media Index, the ALiEM AIR Team is proud to present the highest quality online content related to related to procedures in the Emergency Department. More specifically, we identified 2 AIR and 4 Honorable Mentions.

EMS 246

EMS Emergency Department ED OR 246

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. Ann Emerg Med. Please go to the above link. 2023;82(1):55-65.

Overdose 215

Overdose Critical Care EMS Emergency Department 215

REBEL EM

JULY 1, 2024

Comparison of BPAP S/T and Average Volume-Assured Pressure Support Modes for Hypercapnic Respiratory Failure in the Emergency Department: A Randomized Controlled Trial. Comparison of BPAP S/T and Average Volume-Assured Pressure Support Modes for Hypercapnic Respiratory Failure in the Emergency Department: A Randomized Controlled Trial.

ED 122

ED Emergency Department ALS OR 122

REBEL EM

MAY 11, 2023

Background: The emergency department is frequently visited by patients suffering from symptomatic alcohol withdrawal, and the traditional management has been dominated by repeated doses of benzodiazepines. Return Encounters in Emergency Department Patients Treated with Phenobarbital Versus Benzodiazepines for Alcohol Withdrawal.

Emergency Department 90

Emergency Department ED EMR OR 90

EMOttawa

AUGUST 15, 2024

Assessing patients with pleural effusions in the emergency department (ED) can be challenging and unclear. This is largely due to the lack of guidelines around pleural effusions in the ED. In this post, I’ve tried to highlight some key information about an approach to patients presenting with a new pleural effusion.

ED 82

ED Emergency Department Critical Care 82

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

Critical Care 169

Critical Care Emergency Department EMS ALS 169

REBEL EM

JANUARY 25, 2024

In many emergency departments (ED), US machines are readily available and can be used to rapidly assess and monitor patients with acute dyspnea at the bedside. What They Did: Design: Randomized, controlled, blinded-outcome trial Sites: Three emergency departments in Denmark Duration: October 9, 2019 to May 26, 2021.

ED 116

ED E-9-1-1 Emergency Department ALS 116

Dr. Smith's ECG Blog

NOVEMBER 22, 2023

While in the ED, patient developed acute dyspnea while at rest, initially not associated with chest pain. The patient had no chest symptoms until he had been in the ED for many hours and had been undergoing management of his DKA. The patient was under the care of another ED physician. Another ECG was recorded: What do you think?

ED 125

ED Coronary CAD STEMI 125

The Skeptics' Guide to EM

FEBRUARY 8, 2020

Stroke 2019 Guest Skeptic: Dr. Rory Spiegel is an EM/CC doctor who splits his time in the Emergency Department and Critical Care department. He also has this amazing #FOAMed blog called EM Nerd. He also has this amazing #FOAMed blog called EM Nerd. It is associated with nausea, vomiting and photophobia.

Emergency Department 130

Emergency Department Critical Care ALS EMS 130

EMOttawa

AUGUST 22, 2024

Assessing patients with pleural effusions in the emergency department (ED) can be challenging and nuanced. This is largely due to the lack of guidelines around pleural effusions in the ED. In part one we focused on imaging, diagnosis, and management of parapneumonic effusions.

ED 69

ED Emergency Department Critical Care EMS 69