ESO

DECEMBER 18, 2024

A pproximately 65% of these p atients were male , with 63% documented as White non-Hispanic followed by 24% as Black or African American and non-Hispanic. In 2023, EMS clinicians responded to 236,000 calls for suspected opioid overdoses, representing nearly 2% of all EMS calls nationwide.

CPR 52

CPR Naloxone Overdose Defibrillator 52

JEMS

JUNE 25, 2025

Our work involves some of the most high-stress situations in medicine,” said Dr. Ed Rodenkirch, Medical Director of GundersenAIR. The First in Flight GundersenAIR has adopted Hinckley Medical’s OneDose system, strengthening support for flight workflows and improving overall system operations.

Mobile Integrated Health 98

Mobile Integrated Health EMS Community Paramedicine Ambulance 98

Don't Forget the Bubbles

DECEMBER 16, 2024

This leads to delay or misdiagnosis in the ED, which may lead to missed measles cases. Manual for the laboratory diagnosis of measles and rubella infection Geneva: WHO Documents Production Services, 2007 Available from: [link] [Accessed 4 Oct 2024] Government of the United Kingdom. European Centre for Disease Prevention and Control.

E-9-1-1 57

E-9-1-1 OR ALS Emergency Department 57

REBEL EM

NOVEMBER 11, 2024

They analyzed the electronic health records of patients presenting to the ED who met modified Center for Disease Control and Prevention (CDC) sepsis surveillance criteria and received empiric treatment with either vancomycin/piperacillin-tazobactam or vancomycin/cefepime.

E-9-1-1 93

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

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

EMDocs

DECEMBER 9, 2024

Authors: Noah Kronk, MS-4 (University of Missouri-Columbia); Jessica Pelletier, DO, MHPE (APD, EM Attending Physician, University of Missouri-Columbia, USA) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case A 30-year-old female presents to the emergency department (ED) with fever, fatigue, and an extensive rash.

ED 74

ED ALS OR Emergency Department 74

ESO

APRIL 28, 2025

What could you achieve if you had a patient’s prearrival care information in hand when they arrived at the emergency department (ED)? Repeated medical care because of duplicate records costs over $1,700 per ED visit , while denied claims from patient misidentification cost the average hospital $2.5

EMS 104

EMS Emergency Department STEMI ED 104

Emergency Medicine Cases

JANUARY 7, 2025

In this Part 2 of our 2-part podcast series on How EM Experts Think with Dr. Reuben Strayer, Dr. Mike Betzner and Dr. Scott Weingart we dive deep into the nuances of practicing smarter, faster, and better in the ED. We answer questions like: How should we employ hypothetico-deductive reasoning in our daily practice of Emergency Medicine?

EMS 262

EMS ED OR 262

JEMS

JUNE 12, 2025

With thousands of medications in use, it would be impractical to incorporate every potential prescription into protocol documents. Adapted from J. 2010 , 87 , 1348. Since beginning my EMS career in 1993, the U.S. Food and Drug Administration has approved over 3,000 new medications, averaging over 110 new drugs yearly.

Mobile Integrated Health 98

Mobile Integrated Health E-9-1-1 EMS EMT 98

EMDocs

JULY 21, 2025

ACEP level C recommendation that while there is no specific timing for diuretic therapy, physicians can consider earlier administration of diuretics in ED patients with HF (ACEP). In ED population, diuretics have not demonstrated clear benefit in mortality. Erratum in: Ann Emerg Med. 2023 Mar;81(3):383. doi: 10.1016/j.annemergmed.2023.01.040.

E-9-1-1 87

E-9-1-1 ALS Emergency Department OR 87

Dr. Smith's ECG Blog

AUGUST 30, 2015

Here is his ED ECG: Day 1, "Hampir Stroke," temp 39 degrees : What do you see? What makes this particularly interesting is the documentation of the change in morphology as the fever resolves. His elder brother died 5 years ago, at the age of 38 years of similar “Hampir Stroke” symptoms. This is Classic Type I Brugada Morphology.

STEMI 52

STEMI Coronary ED OR 52

NAEMSP

MAY 21, 2025

that EMS providers are excellent at recognizing and documenting external signs of abuse, but they rarely document nonspecific signs such as seizures and vomiting (3). Documentation of Child Maltreatment by Emergency Medical Services in a National Database. In: Cone DC, Brice JH, Delbridge TR, Myers JB, eds.

Emergency Medical Services 52

Emergency Medical Services First Responder ALS EMS 52

EMDocs

JULY 2, 2025

What are the important considerations for management in the ED? Increasing Awareness: In areas where tianeptine is not approved, online availability has led to increasing reports of recreational use, dependence, and overdose presentations to EDs. Questions: What is tianeptine? Only 11 of these exposures occurred between 2000-2014.

E-9-1-1 74

E-9-1-1 Naloxone Overdose ED 74

Dr. Smith's ECG Blog

JUNE 10, 2025

At time of cardiology evaluation, patient was chest pain free, according to documentation. . __ Cardiology recommended urgent TTE (not stat -- i.e., not emergent), serial EKG and troponin, and urgent catheterization in the AM. The decision and timing to send a patient to cath lab can depend on the convenience. The rhythm is sinus.

STEMI 70

STEMI E-9-1-1 CAD ALS 70

EMDocs

JULY 23, 2025

Author: Chuck Pilcher, MD FACEP (Editor, Med Mal Insights) // Reviewers: Alex Koyfman, MD (@EMHighAK) and Brit Long, MD (@long_brit) Here’s another case from Medical Malpractice Insights – Learning from Lawsuits , a monthly email newsletter for ED physicians. The attorney sends the case to an ED physician expert for review.

ICU 76

ICU ED Ambulance OR 76

ACEP Now

APRIL 30, 2025

Fletcher said the researchers were pleasantly surprised by the 82 percent response rate but disappointed to find that one in 13 EDs are without full-time attending coverage. If an emergency physician isnt providing care when a patient presents to the ED with chest pain, what kind of care can they possibly receive? emergency department.

ED 52

ED Emergency Department EMS OR 52

Don't Forget the Bubbles

JUNE 3, 2025

On the Sunshine Coast , one hospital alone recorded 118 e-scooter-related ED presentations in 12 months , with over half involving patients under 18. Thats approximately 1% of all paediatric ED presentations, with a disproportionate spike among 14 and 15-year-olds, where e-scooter trauma made up around 1 in every 30 visits.

Emergency Department 67

Emergency Department ED OR 67

ACEP Now

MARCH 10, 2025

1,2 Approximately 2 percent of emergency department (ED) patients in the United States leave prior to evaluation or AMA. Some erroneously believe that merely documenting a patient leaving AMA, using an AMA form, is sufficient to meet legal and ethical standards. 7,8 Click to enlarge. References Simon JR. Accessed January 7, 2025.

Emergency Department 52

Emergency Department ALS OR ED 52

ACEP Now

APRIL 14, 2025

Although its probably not planned and a bad day in somebodys life, we want people to choose to come to UAB like they would choose to go to their favorite restaurant, said Laine McDonald, MD, UAB ED Medical Director and Clinical Associate Professor. An upcoming expansion will add 30 beds to the UAB ED.

Emergency Department 52

Emergency Department Heart Attack ED OR 52

EMCrit Project

JUNE 16, 2025

Intubated patients in the ED should have soft, wrist restraints places without the need for arduous, high-risk documentation or sitters Intubation Checklist EMCrit 176 – Updated EMCrit Rapid Sequence Intubation Checklist Awareness during Paralysis EMCrit 331 – Awareness after Resus RSI and ICU Paralysis – It is Unacceptable!!!

Critical Care 110

Critical Care ICU ED Emergency Department 110

ACEP Now

APRIL 9, 2025

.” 1 A study by van Zwieten in 2004 found that 49 percent of deaths attributed to droperidol required dosages 50 mg, magnitudes greater than typical dosages used in the emergency department (ED). ACEP member poll: ED violence. Yet, ondansetron lacks a boxed warning for QT prolongation. References S. Food and Drug Administration.

Emergency Department 52

Emergency Department ALS ED OR 52

EMCrit Project

JUNE 23, 2025

The 88 year old with dementia warehoused in the ED for days — 3 or 4 or 5 — while services battle over who might be bothered to look after them. Most medical documentation is polluted with it, for want of using the persons actual name. Questions Before Joining (FAQ) Join Now! Their cat.

Operating Room 86

Operating Room Critical Care Emergency Department OR 86

EMDocs

FEBRUARY 28, 2024

Here’s another case from Medical Malpractice Insights – Learning from Lawsuits , a monthly email newsletter for ED physicians. Chuck Pilcher, MD, FACEP Editor, Medical Malpractice Insights Editor, Med Mal Insights Excellent documentation supports standard of care, avoids lawsuit Vertebral artery CVA leaves patient disabled.

Medical Transportation 97

Medical Transportation ED EMS ALS 97

EMDocs

SEPTEMBER 30, 2024

Today’s video evaluates inhaled corticosteroids (ICS) for asthma in the ED setting. EBM Updates: Inhaled Corticosteroids for Asthma in the ED Background : Asthma is a common ED issue, with patient presentations ranging from needing a medication refill to severe exacerbation in respiratory failure.

ED 98

ED Emergency Department OR 98

The Skeptics' Guide to EM

JULY 27, 2024

They were randomized to ceftriaxone 2gm intravenous (IV) in the ambulance or usual cares (fluids and supplementary oxygen) until arrive to the ED. That document tells us “Before widespread implementation, CDRs should be compared to clinical judgement.” [3]

ICU 245

ICU ALS Ambulance OR 245

Core EM

OCTOBER 16, 2024

Annie: I developed an interest in EM while working as a scribe in the ED during college. In addition to what Charlotte and Nick said, I can envision myself staying calm in the stressful situations that come up in the ED. Nick: Triaging your time and priorities as an ED doc on shift is so challenging.

ED 100

ED Critical Care EMS OR 100

Core EM

SEPTEMBER 24, 2024

Annie: I developed an interest in EM while working as a scribe in the ED during college. In addition to what Charlotte and Nick said, I can envision myself staying calm in the stressful situations that come up in the ED. Nick: Triaging your time and priorities as an ED doc on shift is so challenging.

ED 100

ED Critical Care EMS OR 100

The Skeptics' Guide to EM

MAY 2, 2020

This is Bob’s eleventh visit […] The post SGEM#291: Who’s Gonna Drive you to…the ED – with Lights & Sirens? July 2019 Guest Skeptic: Dr. Robert Edmonds is an emergency physician in the US Air Force in Virginia. first appeared on The Skeptics Guide to Emergency Medicine. Date: April 24th, 2020 Reference: Watanabe et al.

ED 100

ED Ambulance Medical Transportation EMS 100

The Skeptics' Guide to EM

SEPTEMBER 14, 2024

Case: It’s another day, another dollar in the emergency department (ED). You wonder if she could have an allergy challenge dose of ceftriaxone in the ED. These “allergies” are often poorly documented and could potentially be more accurately described as intolerance [1]. AEM August 2024. A pivotal study by Raja et al.

ICU 140

ICU Emergency Department ALS ED 140

The Skeptics' Guide to EM

MARCH 22, 2019

The EMR tasks we undertake are expanding rapidly, far beyond simply documenting history and physical examination and every implementation slows us down. Research by Hill et al (1) demonstrated that an ED shift can have 4,000 clicks. SGEM#159 looked at the implementation of an EMR in a tertiary care ED.

EMR 130

EMR Emergency Department Ambulance ED 130

The Skeptics' Guide to EM

OCTOBER 1, 2022

That includes an episode on steroids to prevent bounce back visits to the ED ( SGEM#28 ), ketorolac for acute treatment ( SGEM#66 ), acupuncture for prophylaxis ( SGEM#211 ) and a calcitonin gene-related peptide antagonist ( SGEM#279 ). Patients with migraines often present to the ED looking for pain relief. Reference: Hartford et al.

Emergency Department 130

Emergency Department ALS ED OR 130

The Skeptics' Guide to EM

NOVEMBER 21, 2020

Case: You are the medical director of a medium sized urban emergency department (ED). The American College of Emergency Physicians ( ACEP ) has a number of documents discussing APPs in the ED. There has been a concern about post-graduate training of NPs and PAs in the ED. AEM November 2020. AEM November 2020.

Emergency Department 130

Emergency Department ALS ED OR 130

EMDocs

JUNE 28, 2023

Here’s another case from Medical Malpractice Insights – Learning from Lawsuits , a monthly email newsletter for ED physicians. EMS is called, and he is brought to the ED for a reported “slip and fall” with associated facial abrasions. EMS report includes concern for CVA, with variable documentation of face and extremity weakness.

EMS 89

EMS ED OR 89

EMDocs

AUGUST 22, 2024

6 24% more likely to return to the ED within 72 hours of their initial visit in an urban ED with >50,000 annual visits. 6 24% more likely to return to the ED within 72 hours of their initial visit in an urban ED with >50,000 annual visits. One cohort study in a public ED found that 84.5%

Emergency Department 98

Emergency Department ALS E-9-1-1 ED 98

EMDocs

OCTOBER 11, 2023

Here’s another case from Medical Malpractice Insights – Learning from Lawsuits , a monthly email newsletter for ED physicians. She is seen briefly by the ED physician who orders “ wound cleansing” and an elbow x-ray for “elbow pain.” ” The tech cleans the wound and documents it as 2cm long and “ dirty.”

ED 82

ED EMS OR 82

EMOttawa

DECEMBER 28, 2023

There is a well-documented correlation amongst EMS and adult ED physicians who provide less pediatric care to […] The post Pediatric Traumatic Cardiac Arrest appeared first on EMOttawa Blog. Pediatric trauma is a high acuity but low frequency event (2).

EMS 87

EMS ED Critical Care 87

EMDocs

OCTOBER 3, 2023

This is also where keeping up with documentation starts to slip. You’ll need to put the following tasks in a rank order list: new patient evaluations, dispositions, managing critical or potentially critical patients, results review, team huddle, running the board, calling consults, doing procedures, and documentation. It’s up to you.

EMR 108

EMR EMS OR ED 108