The Skeptics' Guide to EM

MAY 25, 2024

He has been involved in ED-based clinical research examining ways to improve care for patients with alcohol use disorder in the ED for over two decades. Case 1: A patient presents to the ED with nausea, vomiting and some abdominal pain complaining of alcohol withdrawal. This is an SGEM HOP but with a twist.

ED 231

ED Emergency Department ICU ALS 231

Pediatric EM Morsels

SEPTEMBER 1, 2023

Let’s review an important tool to help us account for the impact of important psychosocial aspects in our adolescent patients in our ED – the HEADSS Assessment in the Ped ED : THE HEADSS Assessment: An ED-focused HEADSS The HEADSS assessment is a systematic approach to obtaining a psychosocial history from adolescents.

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ED Emergency Department Overdose ALS 161

ACEP Now

AUGUST 1, 2023

In November 2022, the American College of Emergency Physicians sent a letter to President Biden on behalf of 34 organizations, asking to convene stakeholders to identify solutions to address the emergency department (ED) boarding crisis.1 Over time, this caused attrition among ED physicians. percent) to 2.1

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ED Emergency Department ALS OR 98

CanadiEM

JULY 11, 2024

Clinical scenario A 27-year old female presents to the emergency department (ED) after a fall onto her hand from amotorized scooter. Clinical question: What are the predictive clinical features for occult scaphoid fractures in patients with normal initial radiographs in the ED? Background Scaphoid fractures commonly occur from a fall.

ED 83

ED Emergency Department 83

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 122

ED Critical Care 122

EMDocs

JULY 25, 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 The challenge of suicide evaluation in the ED “I’ve changed my mind. If you have a story to share click here.

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ED ALS Emergency Department OR 73

University of Maryland Department of Emergency Med

NOVEMBER 21, 2023

A recently published study of ED APPs, residents, attendings, and nurses attempted to assess clinician's perspectives on how ED boarding im. Click to view the rest

ED 69

ED 69

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

St. Emlyn's

JUNE 1, 2024

FOAMed @stemlyns The post JC: Is nebulised ketamine an option in the ED? St.Emlyn's - Emergency Medicine #FOAMed Journal club review of an RCT on the use of nebulised ketamine use in the emergency department. Yet another route for ketamine? Or maybe not?? appeared first on St.Emlyn's.

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ED Emergency Department OR 84

St. Emlyn's

JULY 16, 2024

St.Emlyn's - Emergency Medicine #FOAMed Listen to a podcast about looking after patients with hybrid closed loop insulin pumps and what might go wrong The post Podcast – Hybrid Closed Loop Insulin Pumps in the ED appeared first on St.Emlyn's.

ED 55

ED 55

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.

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ED Emergency Department 119

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

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

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?

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ED Life Support Advanced Life Support CPR 81

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

Don't Forget the Bubbles

MAY 15, 2023

How do I measure hypoglycaemia in the ED? She brought him to ED because he complained of weakness and dizziness, and she was worried about his hydration. Next time you encounter unexplained hypoglycaemia in the ED, remember the importance of a focused history and exam. 0.8mmol/L in the hypoglycaemic range. ‘Not

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ED Plasma OR ALS 101

EMDocs

MARCH 11, 2024

Louis) // Reviewed by: Joshua Lowe, MD (EM Staff Physician, USAF); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case A 25-year-old woman presented to the emergency department (ED) in Uganda with acute encephalopathy. How is this condition diagnosed and treated in the ED? Kirk M, ed. Trop Med Infect Dis. The Lancet.

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ED OR ALS Plasma 89

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

ACEP Now

JUNE 13, 2024

FACEP Who is liable when the ED is over capacity, boarders (admitted but not bedded) are using ED space and staff, and a patient is alleged to have come to harm? Thomas Benzoni, DO, FACEP The post Readers Respond: Ethical Issues in Interhospital Transfers of ED Patients appeared first on ACEP Now. Curtis Brown, MD.

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ED 52

The Skeptics' Guide to EM

DECEMBER 26, 2020

He holds a Masters in Public Administration from the […] The post SGEM#313: Here Comes A Regular to the ED first appeared on The Skeptics Guide to Emergency Medicine. Emergency Medical Services (EMS) is called, and the patient is brought to the emergency department (ED). Date: December 18th, 2020 Reference: Hulme et al.

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ED Emergency Department Emergency Medical Services ALS 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?

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ED E-9-1-1 ALS OR 85

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.

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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.

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ED OR 72

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?

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ED EMS 130

EMDocs

JUNE 27, 2023

He reports he has numbness to the palmer aspect of his left pinky finger, and as part of your musculoskeletal exam you evaluate for neurovascular and tendon injury.

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ED EMS OR 67

Don't Forget the Bubbles

JANUARY 4, 2024

All articles reviewed and edited by Vicki Currie The post The 77th Bubble Wrap x Chelsea and Westminster Paediatric ED appeared first on Don't Forget the Bubbles. Many thanks to our reviewers who have taken the time to scour the literature, so you don’t have to.

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ED ICU ALS OR 127

Emergency Medicine Cases

SEPTEMBER 29, 2020

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

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ED OR EMS 130

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.

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ED Emergency Department ALS OR 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 77

E-9-1-1 ED Operating Room ALS 77

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

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.

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ED Paramedic OR EMS 96

The Skeptics' Guide to EM

NOVEMBER 26, 2022

Click on the LINK for a transcript […] The post SGEM#383: Tommy Can You Hear Me – Deaf and Hard-of-Hearing (DHH) Patients in the ED first appeared on The Skeptics Guide to Emergency Medicine. Authors’ Conclusions: Our study identified that DHH ASL-users have longer ED LOS than non-DHH English-speakers. Reference: James et al.

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ED Emergency Department ALS 100

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

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

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ED OR 74

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