PEMBlog

OCTOBER 31, 2024

2018 Nov 22;379(21):2002-2014. N Engl J Med 2018; 379:2015-2026. Lactobacillus rhamnosus GG versus Placebo for Acute Gastroenteritis in Children. N Engl J Med. doi: 10.1056/NEJMoa1802598. PMID: 30462938; PMCID: PMC6358014. Freedman et al. Multicenter Trial of a Combination Probiotic for Children with Gastroenteritis. Parker et al.

Outcomes 105

Outcomes Pediatrics Emergency Department Research 105

Ken Grauer, MD

JANUARY 13, 2024

That said — distinction between "classic" HCM vs the apical HCM for m may be useful because: i ) ECG findings tend to be different ( Lyon et al — Europace 20:102-112iii, 2018 ) ; — ii ) Echo appearance is different when hypertrophy localizes to the apex; and , iii ) There is a significantly greater incidence of AFib with apical HCM.

EKG/ECG 400

EKG/ECG Hospitals 400

Pediatric EM Morsels

MARCH 1, 2024

Lung abscess is a rare subset of these (< 1% of admitted cases of pneumonia ( Wojsyk-Banaszak, 2018 ) Lung abscess = collection of fluid within a thick-walled localized area of necrotic lung parenchyma. 2018 May;24(5):376-382. Epub 2018 Feb 15. 2018 Jun;34(6):447-449. J Infect Chemother. doi: 10.1016/j.jiac.2017.12.020.

Ultrasounds 176

Ultrasounds Pediatrics Operations Hospitals 176

PHARM

JUNE 9, 2025

Email Address: Follow Join 751 other subscribers Categories Categories Select Category #UGH CAFE 2015 Aeromedical retrieval agitation airway andy-buck apps body-piercing BrowOfJustice c-spine cardiac arrest children chris-cresswell conference CPR cup-song ecg ED education EKG Emergency anaesthesia Emergency medicine and critical care EVO ezdrugid FOAMEd (..)

Psychiatric 52

Psychiatric EKG/ECG Military CPR 52

Pediatric EM Morsels

JUNE 16, 2023

Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment.

Soft Tissue Injuries 157

Soft Tissue Injuries Dehydration Fractures Operations 157

The Trauma Pro

MARCH 1, 2024

J Trauma 84(2):379-385, 2018. Reference: No intravenous access, no problem: Intraosseous administration of tranexamic acid is as effective as intravenous in a porcine hemorrhage model.

Military 279

Military Resuscitation Administration Hospitals 279

Pediatric EM Morsels

SEPTEMBER 22, 2023

2018 Oct;14(2):47-54. Epub 2018 Oct 31. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: [link] Ko HY. Revisit Spinal Shock: Pattern of Reflex Evolution during Spinal Shock. Korean J Neurotrauma. doi: 10.13004/kjnt.2018.14.2.47. 2018.14.2.47. PMID: 30402418; PMCID: PMC6218357.

Shock 307

Shock Pediatrics Dislocations Hyperthermia / Hypothermia 307

Ken Grauer, MD

DECEMBER 15, 2023

The July 31, 2018 post in Dr. Smith's ECG Blog ( Please scroll down to the bottom of the page to see My Comment ). The August 22, 2020 post in Dr. Smith's ECG Blog — which illustrates another case of dynamic ST-T wave changes that resulted from a repolarization variant.

EKG/ECG 381

EKG/ECG EMS Hospitals 381

PHARM

JUNE 11, 2025

Email Address: Follow Join 752 other subscribers Categories Categories Select Category #UGH CAFE 2015 Aeromedical retrieval agitation airway andy-buck apps body-piercing BrowOfJustice c-spine cardiac arrest children chris-cresswell conference CPR cup-song ecg ED education EKG Emergency anaesthesia Emergency medicine and critical care EVO ezdrugid FOAMEd (..)

Psychiatric 52

Psychiatric EKG/ECG Military CPR 52

Ken Grauer, MD

APRIL 5, 2024

For additional examples of this phenomenon whereby automatic truncation of an EMS ECG may mistakenly result in LVH serving to mimi c ischemia — Check out My Comment at the bottom of the page of the following posts in Dr. Smith's ECG Blog — the November 29, 2023 post — June 20, 2020 — March 31, 2019 — March 29, 2019 — and t he December 27, 2018 post.

EKG/ECG 238

EKG/ECG EMS Hospitals 238

University of Maryland CC Project

MAY 31, 2025

Skip to content University of Maryland Home Clinical Pearls & Cases Menu Toggle Airway Mechanical Ventilation Medical Education Neuro Critical Care Procedures Pulmonary Statistics and Epidemiology Trauma Critical Care Ultrasound Core Content Lecture Series Menu Toggle Cardiovascular Gastrointestinal Hematology/Oncology Infectious Disease Mechanical (..)

Sepsis 40

Sepsis Infectious Diseases Ultrasounds Airway Management 40

University of Maryland CC Project

MAY 31, 2025

Skip to content University of Maryland Home Clinical Pearls & Cases Menu Toggle Airway Mechanical Ventilation Medical Education Neuro Critical Care Procedures Pulmonary Statistics and Epidemiology Trauma Critical Care Ultrasound Core Content Lecture Series Menu Toggle Cardiovascular Gastrointestinal Hematology/Oncology Infectious Disease Mechanical (..)

Outcomes 40

Outcomes Infectious Diseases Ultrasounds Airway Management 40

Taming the SRU

JUNE 18, 2025

Acad Emerg Med 2024; Study Overview : A retrospective study analyzed 9,455 cervical spine CTs (CSCTs) performed on trauma patients aged ≥65 years at two EDs between 2018–2023, aiming to assess the necessity of routine imaging in asymptomatic older adults.

Fractures 53

Fractures 53

EMDocs

DECEMBER 1, 2024

2018 Oct-Dec;55(4):258-264. Answer : Murine Typhus Epidemiology: Murine typhus is endemic in several parts of the U.S.: Tello-Martin R, Dzul-Rosado K, Zavala-Castro J, Lugo-Caballero C. Approaches for the successful isolation and cell culture of American Rickettsia species. J Vector Borne Dis. doi: 10.4103/0972-9062.256560.

EMS 94

EMS Infectious Diseases Shock Airway Management 94

University of Maryland CC Project

MAY 31, 2025

Skip to content University of Maryland Home Clinical Pearls & Cases Menu Toggle Airway Mechanical Ventilation Medical Education Neuro Critical Care Procedures Pulmonary Statistics and Epidemiology Trauma Critical Care Ultrasound Core Content Lecture Series Menu Toggle Cardiovascular Gastrointestinal Hematology/Oncology Infectious Disease Mechanical (..)

Infectious Diseases 40

Infectious Diseases Ultrasounds Airway Management Sepsis 40

University of Maryland CC Project

MAY 31, 2025

Skip to content University of Maryland Home Clinical Pearls & Cases Menu Toggle Airway Mechanical Ventilation Medical Education Neuro Critical Care Procedures Pulmonary Statistics and Epidemiology Trauma Critical Care Ultrasound Core Content Lecture Series Menu Toggle Cardiovascular Gastrointestinal Hematology/Oncology Infectious Disease Mechanical (..)

Infectious Diseases 40

Infectious Diseases Ultrasounds Airway Management Sepsis 40

University of Maryland CC Project

MAY 31, 2025

Skip to content University of Maryland Home Clinical Pearls & Cases Menu Toggle Airway Mechanical Ventilation Medical Education Neuro Critical Care Procedures Pulmonary Statistics and Epidemiology Trauma Critical Care Ultrasound Core Content Lecture Series Menu Toggle Cardiovascular Gastrointestinal Hematology/Oncology Infectious Disease Mechanical (..)

Infectious Diseases 40

Infectious Diseases Airway Management Ultrasounds Sepsis 40

Ken Grauer, MD

APRIL 26, 2024

An example of a case in which the diagnosis of acute OMI was made purely by assessment of ST-T wave morphology in a PVC can be found HERE ( See My Comment at the bottom of this page in the October 8, 2018 post in Dr. Smith's ECG Blog ). = A cknowledgment : My appreciation for this case that is anonymously contributed. =

EKG/ECG 395

EKG/ECG Resuscitation EMS Wellness 395

RebelEM

DECEMBER 23, 2024

There has been ongoing study about the clinical significance of these effects, as well as whether and for whom LR might provide meaningfully better clinical outcomes ( Myburgh 2013 , Self 2018 , Semler 2018 , Self 2020 ).

Fluid Resuscitation 127

Fluid Resuscitation Resuscitation Documentation/Coding Outcomes 127

Sensible Medicine

MARCH 4, 2024

In 2018, the NEJM and the Lancet published three trials that randomized tens of thousands of patients without heart disease to either low-dose aspirin or a placebo. In the absence of heart disease, based on the 2018 trials, I had recommended patients stop taking aspirin. The ARRIVE trial excluded patients taking aspirin at baseline).

145

145

Pediatric EM Morsels

JUNE 9, 2023

Carneiro de Moura, 2018 ] Seen in 57% of cohort. Banc-Husu, 2023 ; Luoto, 2020; Carneiro de Moura, 2018 ] Basics are best (always)! Banc-Husu, 2023 ; Luoto, 2020; Carneiro de Moura, 2018 ] Basics are best (always)! 2018 Sep;67(3):371-376. Infections occurred in 30% of those with acute variceal bleeding. doi: 10.1097/MPG.0000000000002039.

Pediatrics 157

Pediatrics Head Injuries Airway Management Administration 157

Pediatric EM Morsels

JUNE 14, 2024

Tavasoli 2018, Wolf 2012) More common in adults; children comprise 20% of total cases (Pidcock 2007, Wang 2019) Bimodal age distribution (Absoud 2016) Children < 5 years Children > 10 years Symptoms evolve over 2-4 days and peak at 5-6 days (Absoud 2016) ATM may occur alone OR as part of another disorders (e.g. 28,1 (2008): 105-20.

Pediatrics 144

Pediatrics EMS Outcomes 144

Ken Grauer, MD

APRIL 18, 2023

For review — Check Out My Comment — at the bottom of the page in the following posts on Dr. Smith's ECG Blog: The June 4, 2018 post ( LA-LL reversal ). The July 29, 2018 post ( LA-RA reversal ). The November 4, 2018 post ( Leads V1,V2 misplacement ). The February 11, 2020 post ( LA-RA reversal ).

EKG/ECG 195

EKG/ECG Wellness 195

PEMBlog

APRIL 22, 2025

2018 May/Jun;79(3):17r11506. Pediatric Emergency Care. 2022;38(7):332-336. doi:10.1097/PEC.0000000000002751. 0000000000002751. Youth With Autism Spectrum Disorder in the Emergency Department. Lytle S, Hunt A, Moratschek S, Hall-Mennes M, Sajatovic M. The Journal of Clinical Psychiatry. doi:10.4088/JCP.17r11506. Note: I used ChatGPT 4.o

Pediatrics 77

Pediatrics Emergency Department Administration Hospitals 77

EMDocs

NOVEMBER 22, 2024

11, Nov 2018. References / Further Reading: [link] [link] Effects Of A Communication-And-Resolution Program On Hospitals’ Malpractice Claims And Costs. Kachalia A et al. Health Affairs, Vol. Perspective: Don’t bend the rules for VIP’s. Pilcher CA. Blogpost, January, 2017.

Hospitals 92

Hospitals Patient Safety Emergency Department 92

Pediatric EM Morsels

JUNE 7, 2024

2018 Jun 19;6:170. References Licari A, Brambilla I, Marseglia A, De Filippo M, Paganelli V, Marseglia GL. Difficult vs. Severe Asthma: Definition and Limits of Asthma Control in the Pediatric Population. Front Pediatr. doi: 10.3389/fped.2018.00170. 2018.00170. PMID: 29971223; PMCID: PMC6018103. Clin Med Res. 2004 Aug;2(3):155-63. 2.3.155.

Pediatrics 210

Pediatrics Emergency Department Wellness EMS 210

Emergency Live

DECEMBER 19, 2023

Research conducted by Tufts University revealed that in 2018, approximately 14.1 […] The post Diabetes and Lifestyles: A Global Correlation appeared first on Emergency Live.

Research 111

Research 111

ACEP Now

DECEMBER 7, 2024

Guidelines for the Early Management of Patients with Acute Ischemic Stroke: 2019 update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Is the tPA-for-stroke debate over? 2018;37(6).

Stroke 98

Stroke Research Hospitals Outcomes 98

Emergency Medicine Journal

MAY 22, 2025

Methods Prospective observational study of consecutive children aged <16 years with non-traumatic acute limp presenting to three EDs in Melbourne, Australia between July 2016 and September 2018. Data were prospectively collected on weight-bearing status, duration of symptoms, joint examination findings and signs of systemic disease.

Emergency Department 64

Emergency Department Operations 64

EMCrit

JUNE 18, 2024

Part I: SUP-ICU (2018) This was a large multicenter RCT […] EMCrit Project by Josh Farkas. I would view this as the triquel following SUP-ICU and PEPTIC. In order to understand REVISE in context, let's briefly review SUP-ICU and PEPTIC trials, before discussing REVISE.

108

108

Dr. Smith's ECG Blog

JUNE 5, 2024

Uncontrolled coronary spasm may be associated with serious arrhythmias , including cardiac arrest ( Looi et al — Postgrad Med, 2012 ; Tan et al — Eur Heart J Case Rep, 2018 ; Chevalier et al — JACC, 1998 ; Rodriguez-Manero — EP Europace, 2018 ). As a result — an ICD may need to be considered in selected cases.

EKG/ECG 126

EKG/ECG Outcomes 126

EMDocs

JANUARY 11, 2025

Pediatric Emergency Care 34(9):p e159-e160, September 2018. | Fecal Impaction and Nonperforated Stercoral Colitis: Red Flags for Poor Outcomes. Cureus, 15(7), e41705. link] Proulx, Erik MD * ; Glass, Casey MD . Constipation-Associated Stercoral Colitis. DOI: 10.1097/PEC.0000000000001600 Abdom Radiol (NY). 2023 Oct;48(10):3050-3062.

EMS 91

EMS Sepsis Shock Fluid Resuscitation 91

Pediatric EM Morsels

JULY 7, 2023

Cunningham, 2018 ] Account for less than 1% of all knee injuries. Epub 2018 Apr 19. The PTF joint is inherently stable with good ligamentous support, especially when the knee is in extension. Cunningham NJ, Farebrother N, Miles J. Review article: Isolated proximal tibiofibular joint dislocation. Emerg Med Australas. PMID: 29671944.

Dislocations 144

Dislocations Fractures Pediatrics EMS 144

ACEP Now

JANUARY 5, 2025

Published August 6, 2018. Anesthetic management of the pediatric bleeding tonsil. Paediatr Anaesth. 2010;20(11):982-986. Morgenstern J. Massive hemorrhage post-tonsillectomy. Accessed November 25, 2024. Dermendjieva M, Gopalsami, A, Glennon N, et al.

Airway Management 98

Airway Management Operations Resuscitation Pediatrics 98

PulmCCM

APRIL 14, 2025

The NQF persisted in endorsing SEP-1 anyway, prompting an unusual public rebuke from Drs. were still undergoing clinical testing.

Sepsis 93

Sepsis Infectious Diseases Administration Shock 93

Emergency Medicine Journal

JUNE 19, 2025

We included ambulance patients between 2018 and 2023 across Victoria, Australia. Methods We conducted interrupted time series regression assessing paramedic-to-GP referrals with the following two interruptions: (1) the COVID-19 pandemic in March 2020 and (2) VVED integration in July 2022.

Emergency Department 40

Emergency Department EMS 40

Emergency Medicine Journal

DECEMBER 30, 2024

Data collection took place over 8 weeks between June and August 2018. Methods Non-random purposive sampling was used to recruit doctors and nurses from EDs in five hospitals in Cape Town. Participants were asked to tell a short descriptive narrative, provide a title for their story and create a metaphor to describe working in the ED.

Emergency Department 52

Emergency Department Hospitals 52