Emergency Medicine Cases

APRIL 21, 2025

Please support EM Cases to continue to be free open access by making a donation: [link] The post EM Quick Hits 64 Whole Blood Transfusions, Calcium Before Diltiazem in Afib, Thoracotomy Pearls, Uterine Casts, OMI Scale & Proportionality appeared first on Emergency Medicine Cases.

Blood Transfusions 82

Blood Transfusions EMS Resuscitation EKG/ECG 82

Emergency Medicine Cases

JANUARY 28, 2025

The post EM Quick Hits 62 Optimizing RSI Medication Timing, ED Boarding of Older Patients, Prolonged Tourniquet Use, Rural Peer Support Programs, ECG Reciprocal Changes, Nutrition Tips for Shift Workers appeared first on Emergency Medicine Cases.

EMS 104

EMS EKG/ECG Resuscitation 104

Pediatric EM Morsels

OCTOBER 27, 2023

James Broselow, a family medicine-turned-emergency medicine physician from Hickory, North Carolina , recognized that his team spent a lot of time trying to calculate doses of medications rather than spending their mental energy on the actual medical decisions for the resuscitation. This system has now become the “ industry standard.”

Pediatrics 274

Pediatrics Resuscitation Documentation/Coding Wellness 274

The Skeptics' Guide to EM

NOVEMBER 30, 2024

Case: You’re doing a ride along with your local emergency medical service (EMS) crews and responding to an out-of-hospital cardiac arrest (OHCA). After starting cardiopulmonary resuscitation (CPR), you note pulseless electrical activity (PEA) on the monitor. Most EMS providers are choosing the proximal tibial as their go-to IO access.

Administration 99

Administration CPR Airway Management Resuscitation 99

EMDocs

APRIL 25, 2025

Originally published at The Pediatric EMS Podcast on March 5, 2035. This is the Pediatric EMS Podcast with the mission to provide case-based discussion with evidence-based recommendations by content experts in prehospital pediatric medicine in order to advance the care of children outside the hospital. Reposted with permission.

Pediatrics 93

Pediatrics EMS Head Injuries Hyperthermia / Hypothermia 93

EB Medicine

JANUARY 25, 2025

Eckler, MD discuss the January 2025 Emergency Medicine Practice article, Alkali Exposure: An Evidence-Based Approach to Diagnosis and Treatment Patient Demographics and Case Scenarios: Types of patients prone to alkali exposure Causes and scenarios leading to alkali exposure (e.g.,

Poisoning 84

Poisoning EKG/ECG Airway Management Resuscitation 84

Emergency Medicine Cases

APRIL 23, 2024

The post EM Quick Hits 56 – Nitroglycerin in SCAPE, REBOA, Diverticulitis Imaging, CRAO, Penicillin Allergy, Physician Personality appeared first on Emergency Medicine Cases.

EMS 122

EMS Resuscitation Outcomes Allergic Reactions 122

Dr. Smith's ECG Blog

JULY 25, 2024

EMS arrived and found him in Ventricular Fibrillation (VF). For clarity in Figure-1 — I've reproduced today's ECG — obtained following successful resuscitation of out-of-hospital cardiac arrest. This patient was witnessed by bystanders to collapse. They started CPR. He was defibrillated into VT.

Resuscitation 127

Resuscitation EKG/ECG CPR Shock 127

EMDocs

SEPTEMBER 7, 2024

We’ll keep it short, while you keep that EM brain sharp. Laborator evaluation: CBC, CMP, lipase, type and screen, coagulation panel Treatment: 1-3 Resuscitation with blood products as necessary for hemodynamic stability. A 25-year-old man presents to the ED via EMS after he sustained a gunshot wound to the left flank.

EMS 90

EMS Fluid Resuscitation Resuscitation Radiology 90

Emergency Medicine Cases

NOVEMBER 28, 2023

On this month's EM Quick Hits podcast: Anand Swaminathan on update to ED management of postpartum hemorrhage, Nour Khatib on serotonin syndrome and its mimics, Katie Lin on an approach to recognition and management of severe TBI and brain herniation syndromes, Hans Rosenberg on the ED management of ulcerative colitis, Heather Cary on pediatric c-spine (..)

EMS 129

EMS Pediatrics Resuscitation 129

Emergency Medicine Journal

NOVEMBER 21, 2024

Background Because of their young age and lack of known comorbidities, paediatric patients with out-of-hospital cardiac arrest (OHCA) often undergo prolonged cardiopulmonary resuscitation (CPR). All patients received prehospital CPR by emergency medical service (EMS). The aetiologies of arrest included traumatic and atraumatic causes.

Hospitals 52

Hospitals Outcomes Resuscitation CPR 52

RebelEM

MAY 15, 2023

EMS is able to tell you that she is currently being treated for pneumonia. Rezaie, MD (Twitter: @srrezaie ) The post Rosh Review EM Scholar Monthly Question appeared first on REBEL EM - Emergency Medicine Blog. The patient is on a nonrebreather mask, and vital signs on arrival are BP 110/50 mm Hg, HR 120 bpm, RR 40/min, T 98.6°F

EMS 98

EMS Documentation/Coding Resuscitation 98

The Trauma Pro

NOVEMBER 12, 2024

This is a quality initiative that was developed by the Emergency Medical Services for Children program (EMS-C), which partnered with the American College of Emergency Physicians, the Emergency Nurses Association, and the American Academy of Pediatrics. It is a measure introduced by the National Pediatric Readiness Project.

Pediatrics 113

Pediatrics Emergency Nursing Hospitals Resuscitation 113

ACEP Now

JUNE 21, 2023

emergency medicine (EM) residency training length has been a decades-long dilemma: four vs. three years. First, is three years enough time to become an EM physician? But critical questions remain unanswered when it comes to specialization, career trajectory, and actual competence as an EM physician. 11 What should we take away?

EMS 114

EMS Academics Telemedicine Operations 114

EMDocs

JUNE 18, 2025

That is, it may provide a measure for when fluid resuscitation should be stopped and earlier pressors utilized. Primarily related to evaluation of venous congestion, VExUS can be utilized not only for endpoints of fluid resuscitation, but for targets of diuresis in congested patients as well.

Ultrasounds 107

Ultrasounds Fluid Resuscitation EKG/ECG Resuscitation 107

ACEP Now

JANUARY 5, 2025

3 A three-pronged management approach provides a framework for addressing post-tonsillectomy bleeds: resuscitation, early ENT consultation with transport arrangements, and temporizing measures applied to control bleeding. Special thanks to Dr. Kevin Wasko, guest expert on the EM Cases podcast on this topic, who inspired this column.

Airway Management 98

Airway Management Operations Resuscitation Pediatrics 98

Pediatric EM Morsels

SEPTEMBER 22, 2023

To celebrate the end of trauma season ( is it ever really over? ), we here at the Ped EM Morsels Bakery have cooked up a morsel to remind you that pediatric trauma can be even more difficult than you think. Available from: [link] The post Neurogenic Shock in Children appeared first on Pediatric EM Morsels. Never fear.

Shock 307

Shock Pediatrics Dislocations Hyperthermia / Hypothermia 307

Emergency Medicine Cases

OCTOBER 22, 2024

Do you learn a lot from EM Cases?

Fractures 113

Fractures EMS Resuscitation 113

Emergency Medicine Cases

JULY 30, 2024

The post EM Quick Hits 58 – HIV PEP and PrEP, PREOXI Trial, Blast Crisis, Nitrous Oxide Poisoning, Vasopressors in Trauma appeared first on Emergency Medicine Cases.

Poisoning 114

Poisoning EMS Resuscitation 114

EMDocs

JULY 13, 2024

We’ll keep it short, while you keep that EM brain sharp. The post EM@3AM: Endometritis appeared first on emDOCs.net - Emergency Medicine Education. A 37-year-old G2P2 female with no other past medical history presents to the ED with a 2-day history of intermittent fever and foul-smelling vaginal discharge. Cochrane Database Syst Rev.

OB/GYN 77

OB/GYN EMS Sepsis Fluid Resuscitation 77

Cook County EM Blog

JUNE 6, 2025

on an overnight shift and the resuscitation room nurse runs over, “Hey doc, the patient in R3 is bradycardic and now his blood pressure is dropping”. Management Truthfully, most ED Physicians have likely successfully and thoroughly resuscitated patients with BRASH without identifying the underlying clinical syndrome. It’s 3 a.m.

Shock 52

Shock EKG/ECG Fluid Resuscitation Resuscitation 52

Ken Grauer, MD

APRIL 26, 2024

The ECG in Figure-1 — was obtained on the scene by EMS ( E mergency M edical S ervices ). Unfortunately the patient arrested before catheterization could be completed — and could not be resuscitated. The patient was a man in his 90s, who ~1 hour earlier, noted the onset of severe CP ( C hest P ain ).

EKG/ECG 395

EKG/ECG Resuscitation EMS Wellness 395

Emergency Medicine Cases

JANUARY 15, 2019

EM Quick Hits is a brand new EM Cases podcast that contains 5 minute segments chosen from 10 specific topics by 10 different experts and educators. They include toxicology, trauma, ophthalmology, orthopaedics, resuscitation, human factors, addiction and pediatric emergencies.

Resuscitation 52

Resuscitation Pediatrics EMS Wellness 52

Emergency Medicine Cases

MAY 10, 2022

On this month's EM Quick Hits: Christina Shenvi on ACS in older people, Nour Khatib on rural NRP, Jess McLaren on how not to get fooled by ECG computer interpretation, Brit Long on hemophilia recognition and workup, Maria Ivankovic on persistent and intractable hiccups from EM Cases Summit 2021.

Resuscitation 52

Resuscitation EMS EKG/ECG Pediatrics 52

The Skeptics' Guide to EM

JANUARY 13, 2024

Resuscitation 2023. Date: January 11, 2024 Guest Skeptic: Dr. Chris Root is an EMS fellow in the Department of Emergency Medicine at the University of New Mexico Health […] The post SGEM#426: All the Small Things – Small Bag Ventilation Masks in Out of Hospital Cardiac Arrest first appeared on The Skeptics Guide to Emergency Medicine.

Hospitals 109

Hospitals CPR Resuscitation Airway Management 109

RebelEM

JUNE 14, 2023

Scott Weingart, MD put together a manual titled the Resuscitation Crisis Manual , which in short, is composed of two-page protocols for various situations that involve crashing patients. If not treated rapidly can become fatal. On the 1st page are the immediate actions that must be taken to stabilize a crashing patient.

Shock 145

Shock Allergic Reactions Resuscitation EMS 145

Emergency Medicine Cases

JUNE 15, 2020

In this EM Cases Best Case Ever podcast, Dr. Kari Sampsel, Emergency Physician at Ottawa Hospital and Assistant Professor at University of Ottawa, Medical Director of Sexual Assault and Partner Abuse Care Program guides us through an example of a perimortem C-section - a resuscitative hysterotomy at Janus General.

Sexual Assault 52

Sexual Assault Resuscitation EMS Hospitals 52

Dr. Smith's ECG Blog

JULY 9, 2024

His family started CPR and called EMS, who arrived to find him in ventricular fibrillation. 15 minutes after EMS arrival, after at least 6 defibrillations, the patient achieved sustained ROSC. He underwent resuscitation including vasopressors, inotropic support, and intubation. What do you think?

EKG/ECG 119

EKG/ECG Resuscitation Shock CPR 119

Emergency Medicine Cases

MAY 21, 2019

Things like inaccurate estimation of burn size, unnecessary endotracheal intubation, over- and under-estimation of fluid resuscitation volumes, inadequate analgesia and inappropriate wound dressings are just some of the issues where a small change to ED practice patterns could have a huge impact on patient care.

Airway Management 52

Airway Management Burns Resuscitation Fluid Resuscitation 52

RebelEM

MAY 24, 2023

Take Home Points The Parkland formula can be used to be a guide for initial fluid resuscitation. Utilize response to treatment as a guide to continue fluid resuscitation. Rezaie, MD (Twitter: @srrezaie ) The post REBEL Core Cast 102.0 – Burn Management appeared first on REBEL EM - Emergency Medicine Blog.

Burns 98

Burns Fluid Resuscitation Resuscitation EMS 98

RebelEM

JULY 24, 2024

Do you know what the latest evidence in critical care/resuscitation? If this question makes you uncomfortable or you just don’t have time to keep up with the literature, you should sign up for the REBEL Lit Distillery at the ResusX Conference in Philly. Let us help you keep up to date.

Resuscitation 82

Resuscitation EMS 82

The Skeptics' Guide to EM

APRIL 27, 2024

Reference: Tanner et al, A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation. Reference: Tanner et al, A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation. Prehospital Emergency Care.

Resuscitation 92

Resuscitation Airway Management EMS CPR 92

The Skeptics' Guide to EM

SEPTEMBER 21, 2024

Chris Root is an emergency medicine and emergency medicine service (EMS) physician at the University of New Mexico, Albuquerque. Chris completed his emergency medicine residency and EMS fellowship at UNM. On arrival, you find a 35-year-old male, pulseless and apneic with cardio-pulmonary resuscitation (CPR) in progress by a bystander.

Hospitals 103

Hospitals CPR EMS Outcomes 103

Emergency Medicine Cases

SEPTEMBER 12, 2023

The post EM Quick Hits 51 – Methylene Blue in Septic Shock, TMJ Dislocation, Crohn’s Disease, Analgesia for Renal Colic, Inhaled Steroids for Asthma, Hypocalcemia in Bleeding Trauma Patients appeared first on Emergency Medicine Cases.

Dislocations 91

Dislocations Shock EMS Sepsis 91

Emergency Medicine Cases

OCTOBER 13, 2020

The post Neonatal Resuscitation NRP Rapid Reviews Video appeared first on Emergency Medicine Cases. Nick Clarridge runs through the NRP algorithm and delivers the nuggets of wisdom on how best to prepare for the sick neonate, best monitoring practices and ventilation strategies of the neonate.

Resuscitation 52

Resuscitation Pediatrics EMS 52

RebelEM

APRIL 29, 2024

Critically ill patients requiring resuscitation often present with many challenges including the ability to secure safe, sterile, fast, and reliable intravenous (IV) access. This can often lead to significant delays in proper resuscitation. Studies reviewed landmark-based CVC compared to IO; using IJ, subclavian, and femoral CVC sites.

Resuscitation 104

Resuscitation Administration Emergency Department Ultrasounds 104

RebelEM

FEBRUARY 8, 2024

were they in the resuscitative phase? This study does not address the utility of arterial lines vs NIBP in the acute resuscitative phase Author Conclusion: “There was broad agreement between IABP and NIBP in critically ill patients over a range of BPs and severity of illness. appeared first on REBEL EM - Emergency Medicine Blog.

Resuscitation 123

Resuscitation Outcomes EMS Sepsis 123