REBEL EM

DECEMBER 23, 2024

The heterogeneity of treatment effects was also assessed among different hemoglobin SS genotypes, levels of care, volumes of fluid resuscitation, and diagnosis of acute kidney dysfunction on admission. Outcomes: Primary and secondary outcomes were objective and patient-centered but not optimally measured.

ALS 116

ALS ED ACS EMR 116

EMCrit Project

JULY 19, 2025

EMCrit Blog. Get CME hours Get the On Deeper Reflection Podcast Support the show Write it off on your taxes or get reimbursed by your department Join Now! 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? As a member, you can.

Critical Care 69

Critical Care Emergency Department ED OR 69

FOAMfrat

DECEMBER 31, 2024

Essentially, to put this blog to rest You will treat the patient the same as any other patient. A Basic Approach to the LVAD Patient in the Emergency Department. Ventricular Assist Device (VAD): This device specifically supports the ventricles; it can be left, right, or both. So does this mean we cannot obtain a blood pressure?

CPR 65

CPR Defibrillator Emergency Department Emergency Transportation 65

REBEL EM

NOVEMBER 11, 2024

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. 2 Vancomycin, in combination with either piperacillin-tazobactam or cefepime, is commonly used for empiric treatment in these cases. In 2021, Buckley et.

E-9-1-1 93

E-9-1-1 ICU ALS Critical Care 93

EMDocs

JANUARY 6, 2025

History of Present Illness The collateral history indicates that her symptoms began one week into her journey, but medical care was inaccessible at the time. The family reports no history of food allergies, insect bites, or contact with sick individuals. The patient did not receive pre-travel prophylaxis for malaria, hepatitis A, or yellow fever.

ED 73

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

Broome Docs

DECEMBER 22, 2024

You can find more details in the full blog post. You can find more details in the full blog post. Pediatr Emerg Care. Piroxicam and paracetamol in the prevention of early recurrent pain and emergency department readmission after renal colic: Randomized placebo-controlled trial. Acad Emerg Med. N Engl J Med.

E-9-1-1 52

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

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

Dr. Smith's ECG Blog

DECEMBER 20, 2024

The following ECG was obtained in the emergency department during active chest pain. Written by Willy Frick with edits by Ken Grauer An older man with a history of non-ischemic HFrEF s/p CRT and mild coronary artery disease presented with chest pain. He said he had had three episodes of chest pain that day while urinating.

Defibrillator 107

Defibrillator Coronary ALS Emergency Department 107

Dr. Smith's ECG Blog

MAY 25, 2022

Nevertheless, Sunday morning the pain became much worse so he drove himself to the emergency department. It is worse and "sharp" with inspiration, but a constant dullness. He states for the past few weeks he has had cough and cold symptoms, productive of thick phlegm and some occasional chest pain with coughing. His pain is 9/10.

Coronary 52

Coronary Emergency Department ED OR 52

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. NSTEMI or reperfused OMI? So which was the culprit?

OR 69

OR Coronary STEMI ED 69

Dr. Smith's ECG Blog

FEBRUARY 10, 2025

Acute hyperkalemia in the emergency department: a summary from a Kidney Disease: Improving Global Outcomes conference. Eur J Emerg Med 2020. As I emphasized in My Comment in the February 27, 2023 post in Dr. Smith's ECG Blog some patients may develop everything except QRS widening. Hyperkalemia requires calcium if >6.5

ALS 125

ALS ED ICU OR 125

REBEL EM

JULY 14, 2025

Cast: The SUSPECT Trial tested whether simple bandaging could safely replace casting in patients with suspected occult scaphoid fractures. 📊 Noninferior Outcomes: At 3 months, functional outcomes (QDASH) were noninferior with bandaging; ROM was better at 2 weeks, and no difference in serious events or nonunion was observed.

E-9-1-1 103

E-9-1-1 ALS OR ED 103

Dr. Smith's ECG Blog

MAY 28, 2025

At the time of evaluation in the emergency department 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.

Coronary 59

Coronary ED STEMI Emergency Department 59

REBEL EM

FEBRUARY 28, 2025

Management of simple nail bed lacerations and subungal hematomas in the emergency department. appeared first on REBEL EM - Emergency Medicine Blog. Replacement allows the nail to act as a rigid splint, reduce pain to the injured site and prevent adhesions between the eponychial fold and germinal matrix ( Patel 2014 ).

Emergency Department 50

Emergency Department ED ALS OR 50

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. Read more The post Size Matters: The Impact of Cuff Size on Blood Pressure appeared first on REBEL EM - Emergency Medicine Blog.

Emergency Department 109

Emergency Department ED EMS OR 109

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. 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. Denies SOB. Interesting!)

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. For more than just the correctness of terminology, the distensibility index should then be calculated. Youre barely logged in, coffee still in hand, when you get sign out on your soon-to-be newest patient. Ultrasound Med Biol. Crit Care Med.

ALS 64

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

REBEL EM

MAY 27, 2025

Over 1 million blunt trauma patients visit US emergency departments each year for possible c-spine injuries. Joseph's University Medical Center, Paterson, NJ Meet The Team Your Deep-Dive Starts Here MDCalc Wars: NEXUS Criteria Vs Canadian C-Spine Rules Over 1 million blunt trauma patients visit US emergency departments.

Emergency Department 99

Emergency Department EMS OR 99

Don't Forget the Bubbles

DECEMBER 31, 2024

We mainly focus on Pediatric Emergency Medicine (PEM), but we also welcome Bubble Wraps covering General Paediatrics or PICU topics. Additionally, being up-to-date with the month’s most recent and exciting articles is a great way to bring out your inner genius when speaking to colleagues in the Emergency Department or on the wards.

Emergency Department 57

Emergency Department OR 57

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

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. Ann Emerg Med 2011; 57(1): 32-3. Managing reent-onset atrial fibrillation in the emergency department.

Emergency Department 81

Emergency Department ALS ED EMS 81

REBEL EM

JUNE 16, 2025

Toxicology Read More MDCalc Wars: NEXUS Criteria Vs Canadian C-Spine Rules Over 1 million blunt trauma patients visit US emergency departments. Hypoxia) appeared first on REBEL EM - Emergency Medicine Blog. Hypoxia: Know the Difference Hypoxemia = Low oxygen in the blood. Hypoxia = Low oxygen at the tissue level.

Overdose 117

Overdose Emergency Department OR EMS 117

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. Questions Before Joining (FAQ) Join Now! I dont think its us, or at least it isnt all us.

Operating Room 85

Operating Room Critical Care Emergency Department OR 85

Emergency Medicine Cases

APRIL 2, 2024

In this ECG Cases blog, Jesse McLaren and Rajiv Thavanathan explore how ECG and POCUS complement each other for patients presenting to the emergency department with shortness of breath or chest pain. The post ECG Cases 49 – ECG and POCUS for Dyspnea and Chest Pain appeared first on Emergency Medicine Cases.

Emergency Department 338

Emergency Department OR STEMI EMS 338

Dr. Smith's ECG Blog

APRIL 24, 2023

Presented to the emergency department with hyperglycemia, hypertension, general body aches, and concern that skin is dry and peeling. Differential diagnoses include hyperglycemia, DKA, and ACS. The patient denies chest pain or SOB First EKG Old EKG 1 year prior EKG 2 at 1.5

ACS 52

ACS Emergency Department OR 52

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

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

Critical Care 211

Critical Care Emergency Department EMS ALS 211

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

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

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

Dr. Smith's ECG Blog

DECEMBER 27, 2023

Written by Willy Frick A man in his 50s with a history of hypertension, dyslipidemia, type 2 diabetes mellitus, and prior inferior OMI status post DES to his proximal RCA 3 years prior presented to the emergency department at around 3 AM complaining of chest pain onset around 9 PM the evening prior.

E-9-1-1 137

E-9-1-1 OR Coronary ACS 137

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

Dr. Smith's ECG Blog

MARCH 28, 2024

male with pertinent past medical history including Atrial fibrillation, atrial flutter, cardiomyopathy, Pulmonary Embolism, and hypertension presented to the Emergency Department via ambulance for respiratory distress and tachycardia. Patient is on rivaroxaben, carvedilol, and dofetilide (to suppress atrial fib -- rhythm control).

OR 135

OR Emergency Department ED EMS 135

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

Critical Care 169

Critical Care Emergency Department EMS ALS 169

ALiEM

JULY 20, 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 infectious diseases in the Emergency Department. More specifically, we identified 1 AIR and 5 Honorable Mentions.

Emergency Department 188

Emergency Department EMS OR 188

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

The Skeptics' Guide to EM

JUNE 9, 2018

Aromatherapy Versus Oral Ondansetron for Antiemetic Therapy Among Adult Emergency Department Patients: A Randomized Controlled Trial. Ann Emerg Med 2018 Guest Skeptic: Meghan Groth is a pharmacist who has been practicing in emergency medicine for the past six years. We covered that paper on the SGEM in Episode #144.

Emergency Department 130

Emergency Department ALS OR 130