EMDocs

JANUARY 1, 2025

Guideline Updates: Corticosteroids in Sepsis, ARDS, Community-Acquired Pneumonia This post covers the SCCM guideline updates on steroids in sepsis, ARDS, and community-acquired pneumonia. EM@3AM: Retroperitoneal Hematoma Iosif Davidov covers retroperitoneal bleeding in this EM@3AM. Stay tuned for 2025!

Sepsis 74

Sepsis EMS EKG/ECG Hospitals 74

EMDocs

MARCH 9, 2025

Well keep it short, while you keep that EM brain sharp. Other children at risk for osteomyelitis include those with sickle cell disease , sepsis , an indwelling catheter , and immunodeficiency (e.g., doi:10.1007/s00247-010-1557-2 The post EM@3AM: Pediatric Osteomyelitis appeared first on emDocs. Ther Clin Risk Manag.

Pediatrics 52

Pediatrics EMS Infectious Diseases Fractures 52

The Trauma Pro

AUGUST 16, 2024

This one applies to anyone who takes care of children, and is particularly important to EMS / prehospital providers and emergency physicians. Bottom line: It’s so easy to go down the sepsis path with sick kids, especially those who can’t talk yet. And another law to end the first week! Any time I give a pediatric talk, I mention it.

Pediatrics 203

Pediatrics Sepsis EMS 203

EMDocs

JULY 13, 2024

We’ll keep it short, while you keep that EM brain sharp. Incidence, treatment and outcome of peripartum sepsis. The post EM@3AM: Endometritis appeared first on emDOCs.net - Emergency Medicine Education. Am J Obstet Gynecol. 1985 Dec 1;153(7):737-9. doi: 10.1016/0002-9378(85)90335-7. PMID: 4073137. Acta Obstet Gynecol Scand.

OB/GYN 80

OB/GYN EMS Sepsis Fluid Resuscitation 80

Pediatric EM Morsels

MARCH 29, 2024

link] The post Rebaked: Inborn Errors of Metabolism presenting in the ED appeared first on Pediatric EM Morsels. Inborn Errors of Metabolism: Becoming Ready for Rare. Samantha A. Schrier Vergano. Pediatr Rev (2022) 43 (7): 371–383.

Dehydration 300

Dehydration Pediatrics Sepsis EMS 300

EMDocs

MAY 11, 2024

We’ll keep it short, while you keep that EM brain sharp. A 74-year-old female with a past medical history of hypertension, diabetes, recent basilar artery stent placement with a 20 pack-year smoking history presents to the ED via EMS for altered mental status and episodes of apnea. Vital signs include BP 168/89, HR 96, T 98.3,

Stroke 100

Stroke EMS Radiology Radiology 100

Critical Care North Hampton

JUNE 26, 2025

ICM Case Summaries A brilliant resource Hippo Ed Great Em podcasts here Critical Care Propofology.com EmCases Fab EM cases site worth a look! EM Topics Fabulous, quick spoon feeds of EM stuff! Manoj’s Sonobytes! Click to follow us!!

Ultrasounds 66

Ultrasounds Sepsis Radiology Radiology 66

EMDocs

JULY 29, 2023

We’ll keep it short, while you keep that EM brain sharp. 2021.3.51501 The post EM@3AM: Suppurative Parotitis appeared first on emDOCs.net - Emergency Medicine Education. A 75-year-old male with past history of HTN, CVA, DM II presents to the emergency department with right facial swelling since last night. Afr J Paediatr Surg.

EMS 90

EMS Dehydration Ultrasounds Emergency Department 90

Critical Care North Hampton

JUNE 25, 2025

ICM Case Summaries A brilliant resource Hippo Ed Great Em podcasts here Critical Care Propofology.com EmCases Fab EM cases site worth a look! EM Topics Fabulous, quick spoon feeds of EM stuff! Manoj’s Sonobytes! Click to follow us!!

Radiology 66

Radiology Radiology Ultrasounds Patient Safety 66

Dr. Smith's ECG Blog

JANUARY 2, 2025

She was managed for sepsis with antibiotics including azithromycin, had hypotension with arterial and central lines placed and pressors. I do not see OMI here and all trops were only minimally elevated, consistent with either chronic injury from cardiomyopathy or with acute injury from sepsis. Dodd KW, Elm KD, Dodd EM, Smith SW.

EKG/ECG 122

EKG/ECG Sepsis Wellness Documentation/Coding 122

Emergency Medicine Cases

MARCH 1, 2022

The post EM Quick Hits 36 – Surviving Sepsis, Angle Closure Glaucoma, Bougies, Frostbite, Hot/Altered Patient, Central Cord Syndrome appeared first on Emergency Medicine Cases.

Sepsis 52

Sepsis EMS Fluid Resuscitation Hyperthermia / Hypothermia 52

RebelEM

JULY 5, 2023

Sepsis) De Winters T waves are the earliest sign of an anterior wall MI but will only be present in ~ 2% of LAD infarcts Patients with Wellens Syndrome on ECG should have a cardiac cath within 24 hours, not necessarily within the first 60 minutes of ED arrival.

EKG/ECG 139

EKG/ECG Sepsis EMS 139

PHEM Cast

APRIL 10, 2016

[link] We hope you enjoyed our sepsis podcast. St Emlyns Induction podcast on Sepsis. A great summary of what to do when a patient with suspected sepsis first arrives in the ED. A great summary of what to do when a patient with suspected sepsis first arrives in the ED. March 2016.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

EMDocs

JULY 1, 2023

We’ll keep it short, while you keep that EM brain sharp. link] The post EM@3AM: Kawasaki Disease appeared first on emDOCs.net - Emergency Medicine Education. A 3-year-old male with no past medical history presents to the ED with one week of daily fevers >102°F associated with four days of rash on the trunk. UpToDate;2022.

EMS 83

EMS Infectious Diseases Pediatrics Research 83

RebelEM

FEBRUARY 19, 2024

The 2021 Surviving Sepsis Campaign Guidelines suggest starting vasopressors peripherally rather than delaying infusion until a CVC is placed [2]. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021. REBEL EM: Peripheral Vasopressors – Safe or Dangerous?

Administration 135

Administration Sepsis EMS Ultrasounds 135

Emergency Medicine Cases

MAY 5, 2020

The post EM Quick Hits 18 Conservative Management Pneumothorax, Microdosing Buprenorphine, Practical Use of CRITOE, Canadian TIA Score, Pediatric Surviving Sepsis Guidelines, Safety of Peripheral Vasopressors appeared first on Emergency Medicine Cases.

Sepsis 52

Sepsis Pediatrics EMS Fractures 52

EMCrit

MAY 15, 2025

Blood sampled from existing peripheral IV cannulae yields results equivalent to venepuncture: a systematic review [ 10.1177/2054270419894817 ] Second Line 18 G Should we be placing in the AC?

Sepsis 56

Sepsis EMS Emergency Department Resuscitation 56

Emergency Medicine Cases

MARCH 26, 2019

In this podcast Dr. Sara Gray, intensivist and emergency physician, co-author of The CAEP Sepsis Guidelines, answers questions such as: How does one best recognize occult septic shock? What are the goals of resuscitation in the patient with sepsis or septic shock? What are the indications for a second vasopressor after norepinephrine?

Sepsis 40

Sepsis Shock EMS Resuscitation 40

RebelEM

APRIL 26, 2023

Remember to evaluate for concurrent medical illness: gastritis, pancreatitis, pyelonephritis, pneumonia, sepsis. Remember to evaluate for concurrent medical illness: gastritis, pancreatitis, pyelonephritis, pneumonia, sepsis. Treatment consists of thiamine, dextrose, and volume repletion. The syndrome of alcoholic ketoacidosis.

Sepsis 126

Sepsis Administration EMS 126

EMDocs

JUNE 18, 2025

You suspect pneumonia with severe sepsis, but given his past medical history, have concerns for his fluid tolerance and give a small fluid bolus of 500cc Lactated Ringers. He has crackles on his lung exam and rhonchi present in the left lower lung base. His vital signs are notable for a fever to 101.2

Ultrasounds 108

Ultrasounds Fluid Resuscitation EKG/ECG Resuscitation 108

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

AENJ: Current Issue

MARCH 31, 2025

Sepsis remains a global health challenge, with millions affected and high mortality rates. This literature review examines screening tools used in prehospital environments, focusing on their predictive abilities, ease of use, and limitations in detecting sepsis.

Sepsis 40

Sepsis Evidence-Based Practice EMS Outcomes 40

First 10 EM

JULY 3, 2023

I think there is an interesting variety of papers this time around, from sepsis, to b t, to patient access to their own results online. The pace of these literature summaries has decreased over the years, but perhaps that means that quality has increased?

Research 114

Research Sepsis EMS 114

Pediatric EM Morsels

NOVEMBER 17, 2023

The post Cuffed Endotracheal Tubes for Children: ReBaked Morsel appeared first on Pediatric EM Morsels. Intubation practice and outcomes among pediatric emergency departments: A report from National Emergency Airway Registry for Children (NEAR4KIDS). Acad Emerg Med. 2022 Apr;29(4):406-414. doi: 10.1111/acem.14431. 2016 Feb;30(1):3-11.

Pediatrics 190

Pediatrics Emergency Department Outcomes Sepsis 190

Emergency Medicine Cases

OCTOBER 17, 2023

In this ECG Cases blog Dr. Jesse McLaren guides us through 10 cases, driving home the points that sepsis is a common cause of rapid Afib and diffuse ST depression with reciprocal ST elevation in aVR, myo/pericarditis is a diagnosis of exclusion, endocarditis or lyme carditis can cause AV block, PE can cause low grade fever and ECG signs of acute RV (..)

Infectious Diseases 111

Infectious Diseases EKG/ECG Sepsis EMS 111

The Skeptics' Guide to EM

FEBRUARY 17, 2018

Prehospital antibiotics in the ambulance for sepsis: a multicentre, open label, randomised trial. Case: EMS is dispatched to a retirement […] The post SGEM#207: Ahh (Don’t) Push It – Pre-Hospital IV Antibiotics for Sepsis. Prehospital antibiotics in the ambulance for sepsis: a multicentre, open label, randomised trial.

Sepsis 40

Sepsis Hospitals Fluid Resuscitation Administration 40

EMDocs

AUGUST 17, 2023

The study was performed when Surviving Sepsis Campaign Guidelines were used, so it was more common to see large volume fluid administration in the setting of sepsis. Welcome back to the “52 in 52” series. This collection of posts features recently published must-know articles. Today we look at the CENSER trial. vs 48.4% (OR 3.4,

Sepsis 85

Sepsis Shock Resuscitation Fluid Resuscitation 85

Critical Care Now

AUGUST 18, 2024

ClinicalTrials.gov: NCT025174897 Background: Community-acquired pneumonia (CAP) can lead to significant pulmonary and systemic inflammation, resulting in impaired gas exchange, sepsis, organ failure, and increased mortality. Check out the full post on REBEL EM: [link] New guidelines from SCCM strongly support its use.

Outcomes 93

Outcomes Sepsis Administration EMS 93

RebelEM

FEBRUARY 8, 2024

PMID: 32109843 For More Thoughts on This Topic Checkout: REBEL EM: Is ATLS Wrong About Palpable Blood Pressure Estimates? appeared first on REBEL EM - Emergency Medicine Blog. to 1.12; p = 0.03 for every change in 5ug/min Lower MAP Value: aOR 0.98; 95% CI 0.98 to 0.99; p <0.01 to 1.09; p = 0.01 to 1.37; p <0.01 to 2.47; p – 0.04

Resuscitation 119

Resuscitation Outcomes EMS Sepsis 119

EMergucate

MAY 17, 2016

Blood Cultures Cellulitis Dengue Fever HIV Human Herpes Viruses Infection Control Lyme Disease Malaria Needlestick Notifiable Diseases SARS Sepsis STDs … Continue reading →

Infectious Diseases 40

Infectious Diseases EMS Sepsis 40

Pediatric EM Morsels

APRIL 7, 2023

Unfortunately, it can cause so many other complications – Sepsis , acute chest syndrome , and hepatopathy. The post Sickle Cell Disease and Stroke appeared first on Pediatric EM Morsels. Stroke in patients with sickle cell disease. Expert Rev Hematol. 2013 Jun;6(3):301-16. doi: 10.1586/ehm.13.25. PMID: 23782084.

Stroke 130

Stroke Pediatrics Seizures Sepsis 130

EMDocs

NOVEMBER 1, 2023

Authors: Katey DG Osborne, MD (EM Attending Physician; Tacoma, WA), Rachel Bridwell, MD (EM Attending Physician; Tacoma, WA) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital) and Brit Long, MD (@long_brit, EM Attending Physician, San Antonio, TX) Welcome to emDOCs revamp!

Operations 85

Operations Radiology Radiology Fluid Resuscitation 85

EM Curious

JULY 29, 2015

The idea of the FOAMed review is to give you a digestible selection of reliable content from the online EM/CC world that you can fit into your busy weekly schedule. Over a year's span we will be sure to include topics from all core EM content areas.even the ones that may not be the coolest. Read the post from EM Nerd here.

Sepsis 52

Sepsis EMS Emergency Department Ultrasounds 52

Taming the SRU

MARCH 10, 2024

critical AS, ASD, HCM) Arrhythmogenic right ventricular cardiomyopathy Pulmonary embolism Thoracic aortic dissection Transient occult shock Sepsis Hemorrhagic shock (ex. Can’t miss ED diagnosis for syncope Brady/tachy dysrhythmia, arrhythmias such as ARVC, channelopathy (Brugada) Acute MI Structural heart disease (ex.

EKG/ECG 105

EKG/ECG Shock Wellness EMS 105

EM Curious

JULY 8, 2015

The idea of the FOAMed review is to give you a digestible selection of reliable content from the online EM/CC world that you can fit into your busy weekly schedule. Over a year's span we will be sure to include topics from all core EM content areas.even the ones that may not be the coolest. With a bonus brief on disaster management.

Infectious Diseases 52

Infectious Diseases Disaster Management Sepsis Fractures 52

The Skeptics' Guide to EM

FEBRUARY 23, 2019

Association Between Early Intravenous Fluids Provided by Paramedics and Subsequent In-Hospital Mortality Among Patients With Sepsis. Association Between Early Intravenous Fluids Provided by Paramedics and Subsequent In-Hospital Mortality Among Patients With Sepsis. Date: February 22nd, 2019 Reference: Lane et al. Reference: Lane et al.

Sepsis 52

Sepsis Administration Documentation/Coding Hospitals 52

The Skeptics' Guide to EM

JUNE 6, 2020

Max is then going to Georgetown to be an attending in both EM and ICU. Background: I think we have covered sepsis more often than any other topic on the SGEM. Max Hockstein trained as an Emergency Medicine physician at University of Texas Southwestern and is finishing his Intensive Care fellowship at Emory.

Sepsis 52

Sepsis Shock Resuscitation Administration 52