American Ambulance Association

APRIL 30, 2025

The post EMS Week Op-Ed Writing Structure Guide & Checklist appeared first on American Ambulance Association. This content is for AAA members only. Please either Log In or Join!

ED 130

ED EMS Ambulance OR 130

GEDC

FEBRUARY 27, 2025

Cleveland Clinic’s Geriatric Emergency Department (GED) model has significantly reduced hospital admissions and improved care for older emergency department (ED) patients. It operates in all 13 Cleveland Clinic EDs, with positive results: 17% admission rate for those seen by the geriatric team, compared to 55% for those not seen.

ED 72

ED Emergency Department 72

EM Board Bombs

MAY 9, 2025

-Case- A 31-year-old woman rushes into the ED with her lips swelling and a rapidly spreading rash. She was stung by a bee while jogging, and within minutes developed hives, throat tightness, and shortness of breath. On arrival, her vitals are notable for HR of 118 bpm, a BP 82/50 mmHg, and she’s wheezing audibly.

Epinephrine 52

Epinephrine ED 52

The Skeptics' Guide to EM

NOVEMBER 16, 2024

With emergency department (ED) volumes rising, administrators are eager to explore AI-driven solutions to improve patient safety and reduce staff burnout. They want to know how CHARTWatch integrates with electronic health records (EHRs), whether it can adapt to their patient ED population, and how clinicians respond to using the tool.

ICU 272

ICU Emergency Department ALS EMS 272

Emergency Medicine Cases

MAY 28, 2024

Paying attention to the time-sensitive details of ED management of SAH patients can have a significant impact on their outcome. In this second part of our 2-part podcast series on subarachnoid hemorrhage with Dr. Katie Lin and Dr. What can we do in the ED to prevent rebleeding in patients with subarachnoid hemorrhage?

ED 130

ED EMS 130

The Skeptics' Guide to EM

MAY 3, 2025

Case: A 6-week-old boy is brought by his parents to your emergency department (ED) for fever. Unfortunately, its expensive, and not all EDs have access to it or can receive the results promptly to help with decision making. His older sister has been sick with upper respiratory symptoms for the past week but seems to be recovering.

ALS 200

ALS Emergency Department ED OR 200

EM Board Bombs

MAY 2, 2025

-Case- A 54-year-old man presents to the ED with sudden, severe chest pain that began shortly after an episode of forceful vomiting. He’s diaphoretic, tachycardic, and complains of neck discomfort and shortness of breath. He says the pain radiates to his back and worsens with swallowing.

ED 52

ED 52

REBEL EM

JULY 1, 2024

The AVAPS mode is as effective and safe as BPAP S/T in treating patients with hypercapnic respiratory failure in the ED.” Clinical Take Home Point: I n patients presenting to the ED with hypercapnic respiratory failure, AVAPS did lead to a faster improvement in pH and PaCO2 levels compared to BPAP S/T. AVAPS: 0.07 AVAPS: 10.20

ED 132

ED Emergency Department ALS OR 132

Life in the Fastlane

JUNE 12, 2024

Kane Guthrie Nebulised GTN in the ED Nebulised GTN in the ED. Case study and review of dose, administration and indication for GTN nebuliser administration

ED 104

ED 104

St. Emlyn's

FEBRUARY 27, 2024

St.Emlyn's - Emergency Medicine #FOAMed A review of Acute on Chronic Liver Disease (ACLD / decompensated liver disease) in the ED. Liver disease in the ED. How we can improve patient outcomes. FOAMed @stemlyns The post Decompensated. St Emlyn’s appeared first on St.Emlyn's.

ED 129

ED Critical Care 129

The Skeptics' Guide to EM

JUNE 8, 2024

Case: A 16-year-old nonbinary youth on testosterone blockers and oestrogen has come into your emergency department (ED) having twisted their ankle while playing soccer. You don’t see a large number of trans patients in your ED and you wonder if there might be specific recommendations that can guide your care of this adolescent.

Emergency Department 356

Emergency Department ED ALS Paramedic 356

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 126

ED Critical Care ICU Emergency Department 126

St. Emlyn's

MAY 24, 2024

stemlyns #FOAMed The post JC: Serratus Anterior Plane Blocks for rib fractures in the ED. St.Emlyn's - Emergency Medicine #FOAMed JC: Review of an RCT of serratus anterior plane blocks in the emergency department for chest/rib injury. Is this now a standard of care? St Emlyn’s appeared first on St.Emlyn's.

ED 130

ED Emergency Department 130

EM Board Bombs

MARCH 10, 2025

-Case- A 30-year-old woman at 34 weeks gestation arrives at the ED complaining of a pounding headache, blurry vision, and swelling in her hands and face over the past few days. Her blood pressure reads 168/102 mmHg, has bilateral 2+ pitting edema of the lower extremities, and she has 3+ proteinuria on urine dipstick. -Evaluation-

ED 52

ED 52

Emergency Medicine Cases

MAY 28, 2024

Paying attention to the time-sensitive details of ED management of SAH patients can have a significant impact on their outcome. What can we do in the ED to prevent rebleeding in patients with subarachnoid hemorrhage? Once the diagnosis of nontraumatic subarachnoid hemorrhage (SAH) has been made, our job is not done.

ED 348

ED EMS 348

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. US, compared with CXR and CT, offers the absence of ionizing radiation and high reproducibility. Emerg Med J. 2023;40(10):700-707.

ED 128

ED E-9-1-1 Emergency Department ALS 128

ALiEM

JANUARY 13, 2025

Symptoms started approximately seven hours prior to arrival and progressive, severe pain eventually prompted her visit to the ED. This happened once 10 years ago, requiring reduction in the ED. A 55-year-old female presented with the complaint of my right eye popped out. She endorsed right eye blurred vision and severe pain.

Emergency Department 169

Emergency Department ED ALS OR 169

St. Emlyn's

AUGUST 13, 2024

St.Emlyn's - Emergency Medicine #FOAMed Some expert guidance and top tips about how to care for a child with lifelimiting illness who presents to the Emergency Department The post Podcast – Paediatric Palliative Care in the ED appeared first on St.Emlyn's.

ED 100

ED Emergency Department 100

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 104

ED Emergency Department OR 104

The Skeptics' Guide to EM

DECEMBER 16, 2023

Case: A 57-year-old Chinese woman presents to the emergency department (ED) with chest pain. Background: Patient experiences of care are associated with health outcomes and may impact perspectives of ED care and the patient recovery process.(1-5) 6-7) We looked at deaf and hard-of-hearing patients in the ED on SGEM#383.

Emergency Department 313

Emergency Department ED ALS OR 313

The Skeptics' Guide to EM

OCTOBER 21, 2023

Case: You are in your group meeting and have heard about a case at a nearby emergency department (ED) where the […] The post SGEM#418: I Ain’t Missing You – Spinal Epidural Abscess first appeared on The Skeptics Guide to Emergency Medicine. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals.

Emergency Department 329

Emergency Department ALS ED OR 329

Emergency Medicine Cases

NOVEMBER 28, 2023

On this month's EM Quick Hits podcast: Anand Swaminathan on update to ED management of postpartum hemorrhage, Nour Khatib on serotonin syndrome and its mimics, Katie Lin on an approach to recognition and management of severe TBI and brain herniation syndromes, Hans Rosenberg on the ED management of ulcerative colitis, Heather Cary on pediatric c-spine (..)

EMS 327

EMS ED 327

Emergency Medicine Cases

JULY 30, 2024

In this month's EM Quick Hits podcast: Andrew Petrosoniak on the role of vasopressors in the hemorrhaging trauma patient, Megan Landes on providing HIV PEP and PrEP in the ED, Justin Morgenstern & George Kovacs on the PREOXI trial and evidence for pre-oxygenation with NIPPV before intubation in RSI, Brit Long on recognition and management of blast (..)

EMS 292

EMS ED 292

Emergency Medicine Cases

FEBRUARY 27, 2024

Hans Rosenberg on when to use gabapentinoids for pain control in the ED. Nour Khatib and Hamza Jalal on an approach to paresthesias in the ED. Anand Swaminathan on an update on the appropriate selection of induction agents. Katie Lin on pearls for neuroprotective intubation. Eric Wortmann on preventing burnout in emergency medicine.

EMS 317

EMS ED 317

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 EMS Critical Care 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 EMS Critical Care OR 100

Emergency Medicine Cases

AUGUST 19, 2024

The post Ep 197 Acute Heart Failure Risk Stratification and Disposition appeared first on Emergency Medicine Cases.

ED 325

ED EMS 325

The Skeptics' Guide to EM

JANUARY 6, 2024

Case: After your shift in the emergency department (ED) one day, the medical director pulls you aside. July 2023 * Population: ED leadership across the United States. million annual pediatric ED visits. * Excluded: EDs that are not open 24 hours a day or 7 days a week. JAMA Netw Open.

Emergency Department 335

Emergency Department Emergency Medical Services ALS ED 335

The Skeptics' Guide to EM

SEPTEMBER 9, 2023

Casey currently splits his time between Broome, a small rural hospital in the remote Kimberley region of Western Australia, and a large tertiary ED in sunny Perth. Case: It is a steady Saturday afternoon in your rural emergency department (ED). He has been a guest skeptic on the SGEM multiple times.

Critical Care 340

Critical Care ALS ED Emergency Department 340

Emergency Medicine Cases

DECEMBER 19, 2023

Matt DiStefano answer such questions as:when should we suspect a DRUJ injury, why is it important to pick up DRUJ injuries in the ED, and how does it change our management? When it comes to distal radius fractures, how are Colles vs Barton's vs Smith's fractures managed differently in the ED?

ED 296

ED OR EMS 296

The Skeptics' Guide to EM

JULY 6, 2024

The emergency department (ED) evaluation reveals an unremarkable chemistry panel with normal renal function and a white blood cell count of 10,000. Background: We have discussed agitation in the ED on the SGEM several times. They are afebrile and tolerate oral intake. These conflicts can ultimately lead to moral injury [1,2,3].

ED 235

ED ALS Emergency Department OR 235

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. Wound management in the ED is only a starting point, and appropriate referral and follow-up are key to an improved outcome. Back to the patient.

ED 97

ED OR Emergency Department Ambulance 97

The Skeptics' Guide to EM

SEPTEMBER 2, 2023

The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics. The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics. However, the ICU is full and the patient will likely be boarding in your ED for a bit before coming upstairs.

ICU 271

ICU ED Critical Care ALS 271

Emergency Medicine Cases

NOVEMBER 7, 2023

You diagnose uncomplicated appendicitis in the ED. The on call General Surgery team wants to wait until the next morning to perform an appendectomy. Is your patient at risk for appendiceal perforation with a delay to surgery?

EMS 318

EMS ED 318

Core EM

JANUARY 25, 2024

A quick primer on hypocalcemia in the ED. Pfenning CL, Slovis CM: Electrolyte Disorders; in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. Hypocalcemia in the critically ill patient. J Intensive Care Med 2013; 28:166. Louis, Mosby, Inc., 2014, (Ch) 125: p 1636-53.

Critical Care 246

Critical Care ED ALS OR 246

Emergency Medicine Cases

FEBRUARY 13, 2024

How can we integrate systems thinking into the daily operations of EDs to improve patient flow and outcomes? How can we utilize virtual care to make it work for us and our patients well? How can we improve our EMS systems? How can we change the system to prevent emergency provider burnout? and many more.

EMS 258

EMS ED 258

Emergency Medicine Cases

APRIL 23, 2024

The post EM Quick Hits 56 – Nitroglycerin in SCAPE, REBOA, Diverticulitis Imaging, CRAO, Penicillin Allergy, Physician Personality appeared first on Emergency Medicine Cases.

EMS 312

EMS Allergic Reaction ED 312