St. Emlyn

SEPTEMBER 27, 2023

St.Emlyn's - Emergency Medicine #FOAMed Day one of the RCEM annual scientific conference in Glasgow 2023. FOAMed @stemlyns The post Day 1 RCEM Annual Scientific Conference: Glasgow 2023. Highlights and summaries of some the talks. St Emlyn’s appeared first on St.Emlyn's.

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St. Emlyn

APRIL 25, 2024

St.Emlyn's - Emergency Medicine #FOAMed Part 2 of our podcast on top papers from 2023/24 with @EMManchester and @docb #FOAMed @stemlyns The post Top papers podcast 2023/24. St Emlyn’s appeared first on St.Emlyn's.

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119

St. Emlyn

APRIL 23, 2024

Part 2 will be out later in the […] The post Top papers podcast 2023/24. St.Emlyn's - Emergency Medicine #FOAMed This month we hacve two podcasts covering our recent posts on top 10 resuscitation papers. This blog covers the first 5 papers. St Emlyn’s appeared first on St.Emlyn's.

Resuscitation 117

Resuscitation 117

Pediatric EM Morsels

AUGUST 23, 2024

Concussion – Presentation [ Silverberg, 2023 ] There is no definitive test to diagnose concussion in the ED. Progression through Return to Learn and Return to Sport:[ Patricios, 2023 ] Is individualized and based on the person’s symptoms Typically takes a minimum of 1 week. 2023 Aug;104(8):1343-1355. 2023.03.036.

Seizures 284

Seizures Pediatrics Academics Emergency Department 284

Emergency Live

SEPTEMBER 19, 2023

This event represented an extraordinary opportunity for hundreds of volunteers from all corners of Italy, who competed […] The post Lombardy triumphs in the Italian Red Cross National First Aid Competition 2023 appeared first on Emergency Live.

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Pediatric EM Morsels

MARCH 15, 2024

Nicotera, 2024; Bacus, 2023 ] The laughing often described as being unmotivated or disproportionate to the emotional context. Bacus, 2023 ] Cases as young as 4 months have been described. 2023 Jun 6;23:100609. 2023 Nov 8. Pathologic uncontrollable laughing without mirth (lacking joy). Can even become status gelasticus.

Seizures 261

Seizures Pediatrics Psychiatric Emergency Department 261

Greater Sydney Area HEMS

NOVEMBER 4, 2023

Airway Registry learning points reflect the challenges described and wisdom shared by Sydney HEMS personnel and guests at the Clinical Governance Airway Registry presentations. Cases are discussed non-contemporaneously, anonymised and amalgamated over a period of time to draw together unifying take-home messages.

Airway Management 144

Airway Management Burns Operations Resuscitation 144

Pediatric EM Morsels

SEPTEMBER 22, 2023

Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. In: Strange and Schafermeyer’s: Pediatric Emergency Medicine. 5 th Edition. McGraw Hill Education; 2019:104-109 Dave S, DAHLSTROM JJ. Neurogenic Shock. Updated 2022 Feb 10]. In: StatPearls [Internet]. Korean J Neurotrauma.

Shock 307

Shock Pediatrics Hyperthermia / Hypothermia Dislocations 307

Pediatric EM Morsels

DECEMBER 20, 2024

pneumoniae re-emgerged in 2023 after the COVID pandemic. Mycoplasma Pneumonia: Epidemiology According to the CDC , infections from Mycoplasma pneumnoniae have increased in the US, especially in young children. After a prolonged period of low incidence , M.

CDC 167

CDC Seizures Pediatrics EMS 167

Pediatric EM Morsels

SEPTEMBER 8, 2023

Accessed September 06, 2023. Shah A, Sobolewski B, Mittiga MR. Summer Penile Syndrome. In: Knoop KJ, Stack LB, Storrow AB, Thurman R. The Atlas of Emergency Medicine, 5e. McGraw Hill; 2021. link] Smith GA, Sharma V, Knapp JF, Shields BJ. The summer penile syndrome: seasonal acute hypersensitivity reaction caused by chigger bites on the penis.

Poisoning 281

Poisoning Pediatrics EMS 281

The Bottom Line

FEBRUARY 7, 2024

What’s new in the Critical Care literature – monthly updates

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EMDocs

NOVEMBER 19, 2024

Published 2023. Accessed October 23, 2023. Accessed October 23, 2023. Accessed October 23, 2023. Accessed October 23, 2023. Accessed October 23, 2023. Innov Clin Neurosci. 2018;15(7-8):20-22. Second-generation antipsychotic medications: Pharmacology, administration, and side effects. Micromedex.

Poisoning 111

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 111

Ken Grauer, MD

SEPTEMBER 22, 2023

The May 13, 2023 post ( LA-RA reversal ). The May 30, 2023 post ( LA-RA reversal ). The May 5, 2022 post ( LA-RA reversal ). The May 24, 2022 post ( LA-LL reversal ). The May 26, 2022 post ( LA-LL reversal ). The August 17, 2022 post ( LA-RA reversal ).

EKG/ECG 442

EKG/ECG Wellness 442

The Bottom Line

OCTOBER 19, 2023

What’s new in the Critical Care literature – monthly updates

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Ken Grauer, MD

AUGUST 26, 2023

These tall T waves are associated with flattening ( straightening ) of the ST segment in the inferior leads — with slight S T elevation in leads V2-thru-V6 ( albeit not enough to qualify as a "STEMI" — Akbar et al, StatPearls, 2023 ). This point is discussed in detail in the March 24, 2023 post of Dr. Smith’s ECG Blog ).

EKG/ECG 363

EKG/ECG EMS Hospitals 363

ACEP Now

MARCH 21, 2025

Emergency Medicine continues to rebound from a decline in 2023, which saw an 81.8 The NRMP statistics show 3,003 applicants matched to the specialty, up from 2,456 applicants obtaining PGY-1 positions in 2023. percent fill rate. That rate went up to 95.5 percent last year.

EMS 97

EMS 97

EMDocs

JANUARY 11, 2025

May 18, 2023) Stercoral Colitis: A Diagnostic Challenge and Therapeutic Approach in an Elderly Patient With Chronic Constipation. 2023 Oct;48(10):3050-3062. Epub 2023 Jun 27. Stercoral colitis in the emergency department: a review of the literature. International journal of emergency medicine, 17(1), 3. Stercoral Colitis.

EMS 98

EMS Sepsis Shock Fluid Resuscitation 98

EMDocs

NOVEMBER 6, 2023

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association 2023 Guideline for managing cardiac arrest or life-threatening toxicity due to poisoning was recently released. This post will focus on the key parts of the guideline that affect ED evaluation and management. COR 2b, LOE C-EO.

Poisoning 116

Poisoning Hyperthermia / Hypothermia Seizures Administration 116

Ken Grauer, MD

DECEMBER 29, 2023

A DDENDUM ( 12/30/2023 ) : The Audio Pearl below reviews the concept of "shark fin" ST elevation. — — E CG M edia P EARL # 73 ( 5:40 minutes Audio ) — Reviews the concept of " S hark F in" S T e levation and d epression as a sign of extensive acute infarction.

EKG/ECG 434

EKG/ECG Resuscitation Hospitals Wellness 434

Sensible Medicine

JANUARY 30, 2025

In 2023, the Maryland Department of Health (DOH) adopted a standard for return to universal masking in healthcare facilities when hospitalizations with respiratory viruses (covid, influenza, or RSV) reach a level of 10 cases per 100,000 population. A limited mask mandate is returning to my state this week. Maryland has a population of 6.3

CDC 102

CDC Hospitals Academics 102

Pediatric EM Morsels

OCTOBER 27, 2023

Available at: [link] (Accessed: 26 October 2023). Available at: [link] (Accessed: 27 October 2023). References: Emergency Medical Services for Children- Enhancing Pediatric Safety (no date) Study Packet for the Correct Use of the BroselowTM Pediatric Emergency Tape. and Seaver, M. Rosenberg, M.S.

Pediatrics 274

Pediatrics Resuscitation Documentation/Coding Wellness 274

Pediatric EM Morsels

JUNE 9, 2023

Banc-Husu, 2023 ] Cholestastis Inflammatory conditions Genetic and Metabolic diseases Pediatric cirrhotic liver disease has many complications. Banc-Husu, 2023 ; Luoto, 2020; Carneiro de Moura, 2018 ] Basics are best (always)! 2023 Feb;43(1):100-116. Portal Hypertension in children is a heterogenous disease ]. Semin Liver Dis.

Pediatrics 157

Pediatrics Head Injuries Airway Management Administration 157

ALiEM

DECEMBER 3, 2024

[Updated 2023 Jul 31]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. link] Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. In: StatPearls [Internet].

Academics 60

Academics Emergency Department Infectious Diseases 60

Ken Grauer, MD

AUGUST 16, 2024

References on Echo for PE Diagnosis: Oh and Park - Korean J Intern Med 38(4):456-470, 2023 — and — Hritani et al - Cleveland Clin J Med 85(11):826-828, 2018 — and — IF you want an excellent 5-minute video review on recognition of the McConnell Sign on Echo — WATCH_this_VIDEO by Dr.

EKG/ECG 391

EKG/ECG Wellness Shock 391

Pediatric EM Morsels

JULY 19, 2024

2023 Aug;171:111644. Epub 2023 Jul 6. Shin TJ, Hasnain F, Shay EO, Ye MJ, Matt BH, Elghouche AN. Treatment of post-tonsillectomy hemorrhage with nebulized tranexamic acid: A retrospective study. Int J Pediatr Otorhinolaryngol. doi: 10.1016/j.ijporl.2023.111644. 2023.111644. PMID: 37423163.

Airway Management 293

Airway Management Pediatrics Wellness Operations 293

Pediatric EM Morsels

JULY 26, 2024

2023 Jul 17. UpToDate , June 2023, www.uptodate.com/contents/autoimmune-including-paraneoplastic-encephalitis-clinical-features-and-diagnosis?search=anti+nmda+receptor+encephalitis&source=search_result&selectedTitle=1~29&usage_type=default&display_rank=1#H2973236366. Neurol Neuroimmunol Neuroinflamm. doi: 10.1212/NXI.0000000000200013.

Psychiatric 274

Psychiatric Seizures Outcomes Pediatrics 274

Ken Grauer, MD

JANUARY 13, 2024

A bout H CM ( Different Forms of this Entity ): I've excerpted what appears below from My Comment in the December 26, 2023 post in Dr. Smith's ECG Blog. HCM is an "umbrella term" applied to the presence of LVH in the absence of "abnormal cardiac loading conditions" ( Hughes et al — JAHA 9:e015294, 2020 ).

EKG/ECG 397

EKG/ECG Hospitals 397

The Skeptics' Guide to EM

MARCH 8, 2025

December 2023 Date: February 7, 2025 Dr. Lauren Rosenfeld Guest Skeptic: Dr. Lauren Rosenfeld is a PGY-3 emergency medicine resident at George Washington University. December 2023 Population: preterm and term infants of postmenstrual age up to 46 weeks and 0 days. Reference: Pessano S, et al. Cochrane Database Syst Rev.

Outcomes 71

Outcomes Emergency Department Wellness 71

Ken Grauer, MD

DECEMBER 15, 2023

For review on when despite acute OMI — the initial hs-troponin may come back normal — See the March 24, 2023 post in Dr. Smith’s ECG Blog. The importance of the new OMI ( vs the old STEMI ) Paradigm — See My Comment in the July 31, 2020 post in Dr. Smith's ECG Blog. This case is remarkable for the dynamic ST-T wave changes that are seen.

EKG/ECG 378

EKG/ECG EMS Hospitals 378

ALiEM

JANUARY 13, 2025

Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. Available at: [link] (Accessed: 04 January 2024). View other cases from this Clinical Image Series on ALiEM.

Academics 67

Academics Emergency Department 67

ALiEM

OCTOBER 30, 2024

2023 Jan 1;53(1):140-2. 2022; 06/26/2023. 2023 Jun 1;36:89-91. This month in JAAD Case Reports: August 2023: Xylazine and skin necrosis. 2023 Aug 1;89(2):231. 2023 [book]. 2023 Jun 1;36:113-5. 2023 Aug 1;89(2):e99-102. 2023 Mar 1;6(3):e236108-. Annals of Clinical and Laboratory Science.

Emergency Department 64

Emergency Department Operations Psychiatric Hospitals 64

The Skeptics' Guide to EM

NOVEMBER 25, 2023

Date: November 22, 2023 Reference: Stopyra et al. AEM November 2023. Date: November 22, 2023 Reference: Stopyra et al. AEM November 2023. AEM November 2023. Delayed First Medical Contact to Reperfusion Time Increases Mortality in Rural EMS Patients with STEMI. Reference: Stopyra et al.

EMS 138

EMS EKG/ECG Research Hospitals 138

EMDocs

DECEMBER 1, 2024

2023 Oct 26;15(6):700-716. 2023 Oct 26;15(6):700-716. 2024 Jun 10;14(2):e185-e187. Blanton LS. Murine Typhus: A Review of a Reemerging Flea-Borne Rickettsiosis with Potential for Neurologic Manifestations and Sequalae. Infect Dis Rep. Civen R, Ngo V. Murine Typhus: An Unrecognized Suburban Vectorborne Disease. Clin Infect Dis.

EMS 106

EMS Infectious Diseases Shock Airway Management 106

The Skeptics' Guide to EM

APRIL 19, 2025

Population:Studies involving AI or ML-based clinical decision support tools applied to individual patient care in the ED, published 2010 - 2023. Reference: Kareemi et al Artificial intelligence-based clinical decision support in the emergency department: a scoping review.AEM April 2025. Excluded: Models that assessed a specific test (e.g.

Emergency Department 81

Emergency Department Outcomes Operations Administration 81

The Skeptics' Guide to EM

OCTOBER 21, 2023

Date: October 20, 2023 Reference: Cai et al. AEM October 2023. Date: October 20, 2023 Reference: Cai et al. AEM October 2023. AEM October 2023. Implementation of a Clinical Management Tool for Spinal Epidural Abscess Early Diagnosis. Reference: Cai et al.

Emergency Department 134

Emergency Department Radiology Radiology Hospitals 134

St. Emlyn

JULY 14, 2024

In 2023, Dr Zaf Qasim reviewed the UK REBOA trial for us on St Emlyn’s (The UK-REBOA trial – Has the […] The post JC: Prehospital Partial Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) for Exsanguinating Subdiaphragmatic Hemorrhage appeared first on St.Emlyn's.

Resuscitation 134

Resuscitation Research 134

The Skeptics' Guide to EM

JANUARY 6, 2024

July 2023 Date: Dec 11, 2023 Guest Skeptic: Dr. Rachel Hatcliffe is a pediatric emergency medicine attending at Children’s National Hospital in Washington, DC. July 2023 Date: Dec 11, 2023 Guest Skeptic: Dr. Rachel Hatcliffe is a pediatric emergency medicine attending at Children’s National Hospital in Washington, DC.

Emergency Department 136

Emergency Department Pediatrics Anaphylaxis Leadership 136