The Skeptics' Guide to EM

DECEMBER 2, 2023

Reference: Shaikh N, et al. Identifying children likely to benefit from antibiotics for acute sinusitis: a randomized clinical trial. JAMA July 2023 Date: October 17, 2023 Guest Skeptic: Dr. Alasdair Munro is a clinical research fellow specializing in pediatric infectious disease at the University of Southampton. He is currently involved with clinical trials of vaccines […] The post SGEM#422: And It was all Yellow-Nasal Discharge and Antibiotics in Pediatric Sinusitis first appeared on The Skep

Emergency Department 294

Emergency Department ALS OR ED 294

Emergency Medicine Cases

DECEMBER 19, 2023

In this part 1 or our 2-part podcast series on wrist injuries Dr. Arun Sayal and Dr. 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? Why is the lateral x-ray view so important in picking up commonly missed wrist injuries? When it comes to distal radius fractures, how are Colles vs Barton's vs Smith's fractures managed differently in the ED?

ED 256

ED OR EMS 256

ALiEM

DECEMBER 18, 2023

A 19-year-old female with a past medical history of epilepsy presented to the emergency department for evaluation of rash and fever. Two days prior to presentation she began to experience fevers with a Tmax of 103°F. One day before presentation she developed a rash that began on her face and slowly spread down her body, now involving her palms. The patient endorsed associated pruritus and cervical lymphadenopathy with the rash.

Emergency Department 177

Emergency Department OR 177

Don't Forget the Bubbles

DECEMBER 18, 2023

“Okay team, we’ve been following the APLS algorithm for 30 minutes and have considered all reversible causes. This child has been in cardiac arrest for at least an hour and none of the interventions we have carried out have made a difference. The blood gas is incompatible with life. I think we should stop resuscitation. Does anyone have any objections?

CPR 131

CPR OR Ambulance 131

EMCrit Project

DECEMBER 10, 2023

Within the past year, two major societies have released guidelines on ARDS: the ATS (American Thoracic Society) and the ESICM (European Society of Intensive Care Medicine). Don’t be fooled by their names – both of these organizations are fundamentally international in scope. Some authors on the ATS document were from Europe, and similarly some authors […] EMCrit Project by Josh Farkas.

131

131

American Ambulance Association

DECEMBER 29, 2023

This content is for AAA members only. Please either Log In or Join! The post VA Issues Notice on Delay of Special Modes of Transportation Final Rule appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR 130

The Skeptics' Guide to EM

DECEMBER 16, 2023

Reference: Punches et al. Patient Perceptions of Microaggressions and Discrimination Towards Patients During Emergency Department Care. AEM Dec 2023 Date: December 14, 2023 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. He is also an avid FOAM supporter/producer through various online outlets including TheSGEM.

Emergency Department 292

Emergency Department ED ALS OR 292

ALiEM

DECEMBER 22, 2023

An 84-year-old female presented with a chief complaint of right hip pain after a fall 12 hours prior to presentation. The patient reported a history of falls resulting in shoulder, rib, and left hip fractures in the past. The patient stated that upon getting out of bed, she took 4-5 steps, lost her balance, and fell backward onto the bedroom floor. She denied loss of consciousness.

OR 161

OR 161

High Performance EMS

DECEMBER 27, 2023

Improvement of your deployment operations requires that you understand where your services will be needed and how to get the available units into the most suitable positions. Then, once you are prepared to respond, it is also critical that only the most appropriate assignments are made for each request to preserve your ability to respond to the next call as well.

UHU 130

UHU BLS Emergency Medical Services Unit Hour 130

EMergucate

DECEMBER 26, 2023

The following chest x-ray is from a toddler taken post choking episode. What can be seen?

EMS 130

EMS 130

American Ambulance Association

DECEMBER 21, 2023

This content is for AAA members only. Please either Log In or Join! The post 2023 Year-End Government Affairs Update appeared first on American Ambulance Association.

Ambulance 130

Ambulance OR EMT EMT 130

The Skeptics' Guide to EM

DECEMBER 9, 2023

Date: November 20, 2023 Reference: Jones et al. Time to reflect on open-label placebos and their value for clinical practice. PAIN October 2023 Guest Skeptic: Dr. Caitlin Jones is a Postdoctoral Research Associate at Sydney University’s institute for Musculoskeletal Health. Her research evaluates the benefits and harms of treatments for musculoskeletal conditions with a particular […] The post SGEM Xtra: Open Label Placebo first appeared on The Skeptics Guide to Emergency Medicine.

ALS 197

ALS OR 197

Critical Care Scenarios

DECEMBER 20, 2023

Discussing the new 2023 AAN/AAP/CNS/SCCM Pediatric and Adult Brain Death/Death by Neurologic Criteria Consensus Practice Guideline, with the joint first authors: Dr. Ariane Lewis, neurointensivist, professor of neurology and neurosurgery at NYU Langone, director of neurocritical care, and chair of the Langone ethics committee, and Dr. Matthew Kirschen, pediatric neurointensivist and associate director of pediatric … Continue reading "Lightning rounds #35: Brain death updates, with Ariane Lewis a

OR 130

OR 130

ALiEM

DECEMBER 8, 2023

A 45-year-old male status-post right nephrectomy secondary to a renal mass presented to the emergency department with right-sided flank pain. He endorsed low-grade intermittent right-sided flank pain since the nephrectomy one year prior, associated with an increasingly enlarging mass extending laterally from his right abdomen. Over the course of the past several days, the mass had become larger and more painful.

Emergency Department 152

Emergency Department OR 152

Core EM

DECEMBER 1, 2023

We go over the treatment of rapid atrial fibrillation (afib with RVR). Hosts: Brian Gilberti, MD Jonathan Kobles, MD [link] Download Leave a Comment Tags: Cardiology Show Notes Understanding AF with RVR Categories General AF with RVR: Definition and basic understanding. Rapid AF with Pre-excitation: Characteristics and complications. Chronic AF in Critical Illness: Identification and special considerations.

CAD 130

CAD OR 130

EMergucate

DECEMBER 23, 2023

The abdominal CT slice shows a grossly distended suprapubic mass, which in this case was from hematometra.

EMS 130

EMS 130

American Ambulance Association

DECEMBER 21, 2023

Michele Bracken Training Officer Wendover Ambulance West Wendover, NV Share on: Facebook | Instagram | X | LinkedIn How did you come to be in EMS? I had a good […] The post EMS Profiles | Meet Michele Bracken appeared first on American Ambulance Association.

EMS 130

EMS Ambulance 130

Life in the Fastlane

DECEMBER 18, 2023

Neil Long Button Battery Update 3.0 Want to know the latest on button battery management, prevention and immediate care? Look no further than our latest tox offering.

125

125

Critical Care Scenarios

DECEMBER 6, 2023

We learn about liver transplant with Dr. Meera Gupta, transplant surgeon at the University of Kentucky Healthcare Transplant Center, and surgical director of the Kidney and Pancreas Transplant Program. We discuss eligibility, triage, the peri-operative course, and important post-op complications. Find us on Patreon here! Buy your merch here! Takeaway lessons We learn about liver transplant with Dr.

FFP 130

FFP OR 130

ALiEM

DECEMBER 4, 2023

A 49-year-old male presented to the emergency department of an academic hospital with the chief concern of penile pain. Prior medical history is notable for end-stage renal disease on hemodialysis three times per week, but the patient has not been dialyzed in the past four days, hypertension, insulin-dependent diabetes mellitus, heart failure with reduced ejection fraction (59% two months prior), seizure disorder, prior pulmonary embolism (eight months prior), a left nephrectomy seven months ago

Emergency Department 152

Emergency Department OR 152

Dr. Smith's ECG Blog

DECEMBER 5, 2023

Beyond STEMI: Diagnosing Acute Coronary Occlusion on the ECG. The Queen of Hearts AI app can do it for you. With explainability too.

Coronary 124

Coronary STEMI 124

EMergucate

DECEMBER 23, 2023

The chest x-ray shows left pleural based opacity protruding into the lung field with a reverse D appearance.

EMS 130

EMS 130

American Ambulance Association

DECEMBER 21, 2023

Private Health Insurance: Roll out of Independent Dispute Resolution Process for Out-Of-Network Claims Has Been Challenging GAO-24-106335Published: Dec 12, 2023. Publicly Released: Dec 12, 2023. Jump To […] The post GAO | Roll Out of IDR Process for Out-of-Network Claims Has Been Challenging appeared first on American Ambulance Association.

Ambulance 130

Ambulance 130

St. Emlyn's

DECEMBER 30, 2023

St.Emlyn's - Emergency Medicine #FOAMed We generally try and review studies that are close to use in practice. but occasionally we spot something that is just interesting and which might give us a clue as … JC: Selective aortic arch perfusion. St Emlyn’s Read More » The post JC: Selective aortic arch perfusion. St Emlyn’s appeared first on St.Emlyn's.

Coronary 121

Coronary 121

Broome Docs

DECEMBER 9, 2023

Welcome to another episode of the Emergency Medicine Journal Club with Dr Justin Morgenstern. This month we cover a bunch of papers that look at a lot of topics and try to answer questions such as: Can I push Keppra safely? Does BP management in haemorrhagic stroke matter? How good is my intuition about PE diagnosis? Is it a good idea to keep geriatric patients in the ED overnight?

Emergency Department 120

Emergency Department ED ALS 120

Life in the Fastlane

DECEMBER 14, 2023

Sheralyn Guilleminot and Mike Cadogan AI Prompting Techniques 4 AI Prompting Techniques to Help You Stay Ahead in Medicine. AI prompting techniques are the key to using artificial intelligence efficiently and getting usable output.

119

119

Dr. Smith's ECG Blog

DECEMBER 24, 2023

Written by Pendell Meyers A woman in her 20s with connective tissue disorder and history of aortic root and valve repair presented with palpitations. Here is her triage ECG: What do you think? Atrial flutter with 2:1 conduction. The atrial flutter rate is approximately 200 bpm, with 2:1 AV conduction resulting in ventricular rate almost exactly 100 bpm.

ED 123

ED OR Emergency Manager Emergency Management 123

EMergucate

DECEMBER 23, 2023

The foot x-ray shows punched out lesions with overhanging edges at the head of 5th metatarsal.

EMS 130

EMS 130

American Ambulance Association

DECEMBER 20, 2023

From Regulations.Gov NHTSA published a request for information on October 13, 2023, seeking comments from all sources (public, private, government, academic, professional, public interest groups, and other interested parties) on […] The post NHTSA Request for Information: Emergency Medical Services Education Agenda 2050 appeared first on American Ambulance Association.

Emergency Medical Services 130

Emergency Medical Services Ambulance EMS 130

EMCrit Project

DECEMBER 28, 2023

Setting PEEP and Righting the RV in ARDS with Matt Siuba EMCrit Project by Scott Weingart, MD FCCM.

117

117

EMDocs

DECEMBER 11, 2023

Authors: Genevieve Pentecost, MD (@genpentecost, Emergency Medicine Resident, Washington University School of Medicine in St Louis) and Aaron Lacy, MD (@AaronLacyMD, Assistant Professor of Emergency Medicine, Washington University School of Medicine in St Louis) // Reviewed by: Jamie Santistevan, MD (EM Physician, Presbyterian Hospital, Albuquerque, NM); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Introduction Welcome back to ECG Pointers from emDOCS.

STEMI 110

STEMI Coronary Emergency Department OR 110

St. Emlyn's

DECEMBER 26, 2023

St.Emlyn's - Emergency Medicine #FOAMed Air France Flight 447 takes off at 1930hrs on the final day of May in 2009, from Rio de Janeiro en route to Paris, carrying 228 passengers. In charge is … AI & Medicine: Saviour or Snake Oil? Read More » The post AI & Medicine: Saviour or Snake Oil? appeared first on St.Emlyn's.

OR 106

OR ED 106

Dr. Smith's ECG Blog

DECEMBER 11, 2023

Occlusion myocardial infarction is a clinical diagnosis Written by Willy Frick (@Willyhfrick). Willy is a cardiology fellow with a keen interest in the ECG in OMI. A woman in her late 70s presented with left arm pain. The arm pain started the day prior when she was at the dentist's office for a root canal. Her systolic blood pressure at the dentist was over 200 mm Hg.

E-9-1-1 121

E-9-1-1 ACS Coronary STEMI 121

EMergucate

DECEMBER 19, 2023

The foot x-ray is from an adult with lateral forefoot swelling and inflammation. What can be seen?

EMS 130

EMS 130

American Ambulance Association

DECEMBER 19, 2023

43 min PLAY The road ahead: Resuscitating EMS through trend analysisEMS One-Stop Government Listen on Apple Podcasts Collecting and communicating the big EMS news of 2023 The American Ambulance Association […] The post Podcast | EMS One-Stop | Resuscitating EMS through trend analysis appeared first on American Ambulance Association.

EMS 130

EMS Ambulance 130

REBEL EM

DECEMBER 13, 2023

Take Home Points: Carbon monoxide is a colorless, odorless, and tasteless gas that results from incomplete combustion of any carbon containing product. Exposure often occur unintentionally from indoor use of gas powered generators, camp stoves, or faulty home heaters. The symptoms of mild, acute exposure are non-specific and can be confused with a variety of other disease processes including common viral syndromes.

OR 104

OR EMS ED 104

First 10 EM

DECEMBER 25, 2023

Throughout the length of my career, we have consistently heard that less is more when it comes to blood transfusions (outside of the critically ill requiring massive transfusion, where the message, correct or not, has been the exact opposite). This has been aided by the rise of intravenous iron, giving us an alternative effective option […] The post The MINT trial: liberal or restrictive transfusion in MI appeared first on First10EM.

OR 103

OR Coronary EMS 103