EMergucate

FEBRUARY 2, 2023

Simulation report 2/2/23 Interdisciplinary SIM ED/ Anaesthetics Summery: Head injury requiring intubation post agitation and seizure, ambulance called by police … Continue reading →

ED 100

ED Ambulance 100

The Skeptics' Guide to EM

MARCH 25, 2023

Casey […] The post SGEM#398: Another Ab Gets BUSED – POCUS in the ED for Biliary Disease first appeared on The Skeptics Guide to Emergency Medicine. 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.

ED 130

ED Critical Care Emergency Department ALS 130

EMDocs

OCTOBER 9, 2023

Yoo, MD (Assistant Professor/Core Faculty, San Antonio, TX) // Reviewed by Brit Long, MD (@long_brit) Case An 18-year-old man with a history of asthma and medication noncompliance presents to the emergency department (ED) with acute onset shortness of breath. He states that he recently moved to Texas from Colorado. Which one do you select?

ED 81

ED Life Support Advanced Life Support CPR 81

Emergency Medicine Cases

JANUARY 12, 2021

The post Ep 151 AKI Part 2 – ED Management appeared first on Emergency Medicine Cases. When should ACEi/ARBs be held in AKI patients? When, if ever, should NSAIDs be given in AKI patients, and if so, how should the dose be modified? and many more.

ED 130

ED EMS 130

Emergency Medicine Cases

OCTOBER 13, 2020

In this podcast, Part 2 of our diabetic emergencies series with Melanie Baimel, Bourke Tillmann and Leeor Sommer, we dive into the recognition and ED management of Hyperglycemic Hyperosmolar State (HHS). Why is finding and treating the cause or trigger of HHS so important in the ED? How does fluid management differ in HHS from DKA?

ED 130

ED OR EMS 130

Emergency Medicine Cases

MAY 18, 2021

The post Ep156 ED Approach to Acute Motor Weakness appeared first on Emergency Medicine Cases. Differentiate the types of lower motor neuron lesions - peripheral neuropathy vs neuromuscular junction vs myopathy, as well as review the indication for endotracheal intubation for the patient with neuromuscular weakness.

ED 130

ED EMS 130

EMDocs

JULY 3, 2023

Louis); Alex Koyfman, MD (@EMHighAK); Marina Boushra, MD (EM-CCM Attending, Cleveland Clinic Foundation) Case A 62-year-old male with past medical history of hypertension (HTN), hyperlipidemia (HLD), and prior cerebrovascular accident (CVA) presents to the emergency department (ED) via ambulance. What additional workup is necessary in the ED?

ED 84

ED E-9-1-1 ALS OR 84

Emergency Medicine Cases

FEBRUARY 11, 2020

The current outbreak of the novel respiratory pathogen Coronavirus is an opportunity to remind ourselves of how to properly and adequately prepare for an emergency outbreak in our EDs. The post Preparation for Emergency Infectious Outbreak in your ED – Coronavirus appeared first on Emergency Medicine Cases.

ED 130

ED EMS OR 130

Emergency Medicine Cases

JULY 13, 2021

The post EM Quick Hits 30 Scaphoid Fracture, Therapeutic Hypothermia, HEADS-ED, Pelvic Trauma, Kratom, Femoral Lines appeared first on Emergency Medicine Cases.

ED 130

ED EMS 130

EMDocs

DECEMBER 14, 2023

Here’s another case from Medical Malpractice Insights – Learning from Lawsuits , a monthly email newsletter for ED physicians. Patient dies in ED. He is transported to the ED, where he is alert on arrival. He is found in the OR doing an elective case and tells the ED physician to “ call someone else.” Patient dies in ED.

ED 71

ED OR 71

Emergency Medicine Cases

JUNE 2, 2020

In this month's Waiting to Be Seen blog Dr. Howard Ovens explores The End of The Beginning: What’s Next for EDs in the Pandemic? Many questions have arisen now that we are a few months into the pandemic in North America: How long will ED volumes remain low? What will happen as hospital services ramp up? Will PPE supplies be maintained?

ED 130

ED EMS 130

Emergency Medicine Cases

SEPTEMBER 29, 2020

The post Ep 146 DKA Recognition and ED Management appeared first on Emergency Medicine Cases.

ED 130

ED OR EMS 130

EMDocs

JULY 17, 2023

and is poorly tolerated by patients with obstruction, it should not be a routine part of the ED evaluation for LBO unless it is critical for another diagnosis on the differential. Bowel Perforation: ED Presentations, evaluation and management. He reports distension and the sensation of fullness. Adv Cancer Res. 2021;151:1-37.

E-9-1-1 76

E-9-1-1 ED Operating Room ALS 76

The Skeptics' Guide to EM

AUGUST 28, 2021

Case: A forty-year-old woman presents to the emergency department […] The post SGEM#342: Should We Get Physical, Therapy for Minor Musculoskeletal Disorders in the ED? Case: A forty-year-old woman presents to the emergency department (ED) with a sore lower back after moving some boxes at home over the weekend.

ED 130

ED Emergency Department ALS OR 130

EMDocs

JUNE 22, 2023

So I did what we as ED physicians are all so good at – I prepared. We had sent off a Type and Screen as soon as the patient arrived at the ED. Massive transfusion protocol (MTP) was activated prior to the patient’s arrival to the Trauma Center thanks to effective interhospital coordination between Medcom and the ED staff at UMMC.

ED 96

ED Paramedic OR EMS 96

Emergency Medicine Cases

DECEMBER 15, 2021

Is there any role for morphine or ACEi in the ED management of acute heart failure? Is there any role for second line diuretics in the management of acute heart failure in the ED? How should we best time and dose furosemide in the acute heart failure patient with renal insufficiency? and many more.

ED 130

ED OR EMS 130

EMergucate

SEPTEMBER 11, 2022

Findings In this series, 84% of patient was discharged from ED, 55.3% with antibiotic. had elbow aspiration in … Continue reading →

ED 100

ED 100

University of Maryland Department of Emergency Med

JUNE 3, 2023

Bottom Line: Lack of pericardial fluid or cardiac motion on FAST exam leads to no intact survivors for ED RT for trauma. Zone 1 REBOA. Click to view the rest

ED 74

ED OR 74

Emergency Medicine Cases

APRIL 9, 2019

In this Journal Jam podcast we do a deep dive into the hugely complex literature of cardiac stress testing and see whether or not stress testing portends any benefit for patients who we assess in the ED for chest pain. The post JJ 15 Cardiac Stress Testing After Negative ED Workup for MI appeared first on Emergency Medicine Cases.

ED 130

ED OR EMS 130

ACEP Now

SEPTEMBER 13, 2023

Many of the causes of ED boarding are out of the control of the individual hospital or ED team—collaborative system-wide solutions are the only way to address this crisis.” The post ACEP to Host Stakeholder Summit to Address ED Boarding Crisis appeared first on ACEP Now.

ED 52

ED Emergency Department OR 52

Emergency Medicine Cases

JANUARY 29, 2019

Are there things we can do in the ED to reduce the risk of violence? We focus on some of the high-risk populations that are often involved in situations that escalate and suffer the consequences of ED responses.

ED 130

ED EMS 130

Emergency Medicine Education

JULY 26, 2023

This is an observational study among patients presenting to 3 EDs with Seizure and they found approximately 12 % of patients had some neuroimaging findings! Link to the article

ED 40

ED 40

Emergency Medicine Cases

MAY 21, 2019

It turns out that for all burn patients—from minor to severe—there is a lot of room for improvement in ED management, counselling and disposition. The post Ep 124 Burn and Inhalation Injuries: ED Wound Care, Resuscitation and Airway Management appeared first on Emergency Medicine Cases.

ED 130

ED EMS 130

The Skeptics' Guide to EM

APRIL 14, 2019

This is a warning to those listening to the podcast or reading […] The post SGEM#252: Blue Monday- Screening Adult ED Patients for Risk of Future Suicidality first appeared on The Skeptics Guide to Emergency Medicine. Date: April 11th, 2019 Reference: Brucker et al. Assessing Risk of Future Suicidality in Emergency Department Patients.

ED 130

ED Emergency Department ALS OR 130

REBEL EM

JUNE 5, 2023

These statistics make the ED a crucial treatment initiation point to prevent further morbidity and mortality from opioid overdoses. The benefit of accessibility, availability, and safety of buprenorphine compared to methadone makes it a viable option for opioid use disorder treatment initiation in the ED. PMID 33392580.

Naloxone 73

Naloxone ED Overdose Emergency Department 73

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. He reframes violence in the ED as a public health issue and offers strategies for a safe ED.

ED 130

ED Emergency Department EMS 130

EMS 12-Lead

MAY 15, 2024

Crew notifies the received ED of an incoming post-arrest patient and notes a sinus bradycardia on their monitor, as seen in Figure 2. On arrival at the ED, the leads are ripped off the patient and the pacemaker fires in non-demand mode for several minutes, as seen in Figure 7. Pacing was continued in the ED, with identical settings.

Epinephrine 331

Epinephrine Paramedic CPR First Responder 331

Emergency Medicine Cases

JANUARY 29, 2019

The post Ep 120 ED Stroke Management in the Age of Endovascular Therapy appeared first on Emergency Medicine Cases. Which patients are the ones who’ll benefit from these therapies and how do we make that happen in our different practice environments? Which patients should be considered for lytic therapy? and many more.

ED 130

ED EMS 130

Emergency Medicine Cases

MARCH 12, 2019

On this EM Quick Hits podcast we have Natalie May on Kawasaki disease clues to diagnosis, Justin Morgenstern on suturing dog bites: the evidence, Anand Swaminathan on BVM prior to laryngoscopy, Michelle Klaiman on anticraving medications for alcohol use disorder and special guest Howard Ovens on managing ED violence with compassionate care.

ED 130

ED EMS 130

ACEP Now

OCTOBER 31, 2023

Emergency physicians have a unique opportunity to recognize these cases and to intervene, as medically neglected children may be brought to the ED once illness becomes severe. Following appropriate medical treatment in the ED, the patient is hospitalized. Prince v Massachusetts. 32 US 158, 64 SCt 438, 88 LEd 645 (1944).

ED 52

ED OR EMS 52

Emergency Medicine Cases

MARCH 23, 2020

The post Ep 138 COVID-19 Part 2 – ED Surge Capacity Strategies in the COVID-19 Pandemic appeared first on Emergency Medicine Cases. Daniel Kollek, emergency physician, chair of the CAEP Disaster Medicine committee and Director of the Centre for Excellence in Emergency Preparedness, answers questions.

ED 130

ED OR EMS 130

Emergency Medicine Cases

SEPTEMBER 15, 2020

In this month's EM Quick Hits podcast, Anand Swaminathan on postpartum hemorrhage, Justin Morgenstern on phenobarbital in pediatric status epilepticus, Michelle Klaiman on managed alcohol programs, Andrew Petrosoniak on traumatic cardiac arrest, Brit Long on cholangitis pearls and pitfalls and Bourke Tillman on ED approach to ARDS.

ED 130

ED EMS 130

EMCrit Project

MARCH 17, 2023

A new format of ED Critical Care perfectly suited to rural environments EMCrit Project by Scott Weingart, MD FCCM.

Critical Care 91

Critical Care ED 91

CanadiEM

OCTOBER 24, 2023

A 72-year-old male presents to the emergency department (ED) with severe chest pain and difficulty breathing after an MVC. The post Clinical Question: Which ultrasound-guided nerve block is best for acute pain management of rib fractures in the ED? first appeared on CanadiEM.

ED 52

ED Emergency Department 52

Emergency Medicine Cases

MARCH 13, 2018

It’s been another trying flu season in the northern hemisphere—for patients and for emergency department (ED) providers. EDs that are crowded at the best of times come close to a tipping point, waits to be seen and for beds climb, and hospitals struggle to handle the load, sometimes coping by putting patients in hallways or lounges.

ED 130

ED Emergency Department OR EMS 130

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 299

Emergency Department ED ALS OR 299

University of Maryland Department of Emergency Med

SEPTEMBER 19, 2023

The BRASH syndrome (Bradycardia, Renal failure, AV nodal blockade, Shock, Hyperkalemia) has been increasingly described in the literature in. Click to view the rest

ED 83

ED 83