EB Medicine

SEPTEMBER 1, 2023

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the September 2023 Emergency Medicine Practice article, Emergency Department Management of Patients With Rectal Bleeding Etiology/pathophysiology Risk factors Differential diagnosis Prehospital care ED history and physical exam Diagnostic studies Laboratory testing Imaging studies Treatment (..)

Emergency Department 52

Emergency Department Pediatrics 52

EB Medicine

JUNE 1, 2023

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the June 2023 Emergency Medicine Practice article, Hypertensive Emergencies: Guidelines and Best Practice Recommendations Epidemiology Etiology Differential diagnosis Prehospital care History and physical Diagnostics Treatment Acute decompensated heart failure Acute ischemic stroke Acute (..)

Best Practices 52

Best Practices Stroke Risk Management 52

EB Medicine

MAY 3, 2023

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the May 2023 Emergency Medicine Practice article on Emergency Department Management of Gastrointestinal Foreign Body Ingestion Epidemiology Etiology - types of ingestions Anatomy - common locations by age Food impaction Sharp objects Button batteries Magnets Colorectal foreign bodies Prehospital (..)

Emergency Department 52

Emergency Department 52

EB Medicine

JANUARY 2, 2024

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the January 2024 Pediatric Emergency Medicine Practice article, Management of Pediatric Urinary Tract Infections in the Emergency Department , and the January 2024 Evidence Based Urgent Care article on Pediatric Community-Acquired Pneumonia: Diagnosis and Management in the Urgent Care Setting. (..)

Pediatrics 59

Pediatrics Urgent Care Emergency Department 59

EB Medicine

MARCH 1, 2023

Announcements: The interactive Clinical Pathways have launched and they are available for free! — In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the February 2023 Pediatric Emergency Medicine Practice article on Pediatric Electrolyte Emergencies: Recognition and Management in the Emergency Department — History Point-of-care (..)

Pediatrics 52

Pediatrics Point-of-Care Testing Emergency Department 52

EB Medicine

OCTOBER 2, 2023

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the October 2023 Pediatric Emergency Medicine Practice article, Substance Use in Adolescents: Recognition and Management in the Emergency Department and the October 2023 Emergency Medicine Practice article, Evidence-Based Emergency Department Management of Migraine and Other Primary Headaches (..)

Emergency Department 59

Emergency Department Pediatrics 59

PulmCCM

APRIL 29, 2024

This made VAP hard to tr… Read more

Documentation/Coding 52

Documentation/Coding Academics Administration Research 52

EB Medicine

DECEMBER 12, 2022

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the December 2022 Evidence-Based Urgent Care article on Influenza in Urgent Care.

Urgent Care 52

Urgent Care CDC Documentation/Coding 52

EB Medicine

JANUARY 17, 2023

Announcements: The interactive Clinical Pathways have launched and they are available for free! — In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the July 2022 Emergency Medicine Practice article on the Management of Allergic Reactions and Anaphylaxis in the Emergency Department. Intro The number of ED visits and hospitalizations (..)

Allergic Reactions 52

Allergic Reactions Anaphylaxis Infectious Diseases Emergency Department 52

EB Medicine

JUNE 28, 2022

In this episode of EMplify: Conversation , Sam Ashoo, MD and TR Eckler, MD discuss meningococcal meningitis and the recent outbreak in Florida. Topics discussed include: Which vaccines are currently approved by the FDA and recommended by the CDC. The difference between the MEN ACWY vaccine and the meningococcal B vaccine.

CDC 52

CDC Emergency Department 52

EB Medicine

FEBRUARY 2, 2023

Announcements: The interactive Clinical Pathways have launched and they are available for free!

Emergency Department 52

Emergency Department Pediatrics 52

EB Medicine

AUGUST 15, 2022

In this episode of EMplify: Conversation – Sam Ashoo, MD, and TR Eckler, MD, speak with John Roberts, MD, MPH, about his work with the International Medical Corps and his efforts in Ukraine. Topics include: What is the International Medical Corps (IMC) and what does it do? What has IMC been doing in the U.S.?

EMS 52

EMS 52

Mount Sinai EM

JULY 30, 2023

TR Pearl: Thyroid Storm Management Endocrine emergency: severe clinical manifestations of thyrotoxicosis Mortality rate of thyroid storm is 10-30% Often precipitated in patients with hx of hyperthyroidism by an acute event such as surgery (thyroid or non-thyroidal surgery), trauma, infection, acute iodine load (including amiodarone), or parturition (..)

Administration 185

Administration COPD Wellness 185

Mount Sinai EM

NOVEMBER 14, 2022

In this TR pearl, I will teach you some skills/pearls you can take to your next difficult LP to make this often difficult “blind” procedure into one that is easier and precise. As Emergency medicine doctors, we rely on ultrasound for so many procedures (central venous access, pericardiocentesis, paracentesis, etc.),

Ultrasounds 130

Ultrasounds Wellness 130

The Skeptics' Guide to EM

FEBRUARY 24, 2024

The current diagnostic criteria for MDD are outlined in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition ( DSM-5-TR ). Depression has been reported to be most prevalent among young women aged 12-17 (29.2%) [2]. These criteria serve as a guideline for clinicians to diagnose depression. appears tearful).

Research 65

Research Emergency Department 65

Pediatric EM Morsels

APRIL 7, 2023

Farber MD, Koshy M, Kinney TR. American Society of Hematology 2020 guidelines for sickle cell disease: prevention, diagnosis, and treatment of cerebrovascular disease in children and adults. 2020 Apr 28;4(8):1554-1588. doi: 10.1182/bloodadvances.2019001142. 2019001142. PMID: 32298430; PMCID: PMC7189278. J Chronic Dis. 1985;38(6):495-505.

Stroke 130

Stroke Pediatrics Seizures Sepsis 130

Mount Sinai EM

NOVEMBER 14, 2022

which I will not discuss in this TR pearl but I am more than happy to discuss personally or send you resources. There are many nuances to the types of ECMO, the placement of the catheters, anticoagulation while on ECMO, ventilator settings, complications, troubleshooting settings etc.

Shock 130

Shock Wellness 130

EB Medicine

JUNE 20, 2022

In this episode of EMplify: Conversation , Sam Ashoo, MD and TR Eckler, MD discuss high sensitivity troponin testing and clinical pathways. Topics discussed include: Which troponin assay are you currently using and what are its limits of detection? Do delta troponin results only count if they increase? Contemp Clin Trials Commun.

Outcomes 52

Outcomes 52

Pediatric Emergency Playbook

MARCH 1, 2018

Shope TR, Rieg TS, Kathiria NN. The infant with acute, unexplained, excessive crying. Pediatrics. 1991; 88 (3): 450-5. Prentiss KA, Dorfman DH. Pediatric Opthalmology in the Emergency Department. 2008; 26: 181-198. Corneal abrasions in young infants. Pediatrics. 2010 Mar;125(3):e565-9. Epub 2010 Feb 8.

Pediatrics 52

Pediatrics Emergency Department 52

Broome Docs

OCTOBER 31, 2022

Tips for radial artery art lines Imbrìaco G, Monesi A, Spencer TR. In future pandemics, we should require infection control practitioners to base their recommendations on science. Preventing radial arterial catheter failure in critical care – Factoring updated clinical strategies and techniques. Anaesth Crit Care Pain Med.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Fluid Resuscitation Seizures Emergency Department 52

RebelEM

APRIL 17, 2023

Urban MJ, Masliah J, Heyd C, Patel TR, Nielsen T. Tipnis SV, Spampinato MV, Hungerford J, Huda W. Thyroid Doses and Risks to Adult Patients Undergoing Neck CT Examinations. AJR Am J Roentgenol. 2015 May;204(5):1064-8. PMID: 25905942. Peritonsillar Abscess Size as a Predictor of Medical Therapy Success. Ann Otol Rhinol Laryngol.

Ultrasounds 127

Ultrasounds Radiology Radiology Operations 127

Don't Forget the Bubbles

JUNE 14, 2023

Lester TR, et al. Clinical practice – latest insights in optimizing the care of children with Down syndrome. van Gameren-Oosterom HBM, et al. Eur J Pediatr. 2023 May;182(5):2027-2039. Anxiety and Depression Treatment in Primary Care Pediatrics. Pediatrics. 2023 May 1;151(5):e2022058846. Mansell H, et al. Paediatr Child Health.

Pediatrics 119

Pediatrics Point-of-Care Testing Outcomes Hospitals 119

PHEM Cast

MARCH 17, 2016

Semier MW, Janz DR, Lentz RJ, Matthews DT, Norman BC, Assad TR, Keriwala RD, Ferrell BA, Noto MJ, McKown AC, Kocurek EG, Warren MA, Huerta LE, Rice TW. Effects of face mask ventilation in apneic patients with a resuscitation ventilator in comparision with a bag-valve-mask. Journal of Emergency Medicine. 2006: 30(1); 63-67.

Airway Management 52

Airway Management Burns Emergency Department Resuscitation 52

ACEP Now

MARCH 6, 2024

Shaikh N, Hoberman A, Shope TR, et al. Zaoutis T, Shaikh N, Fisher BT, et al. Short-course therapy for urinary tract infections in children: the scout randomized clinical trial. JAMA Pediatr.2023;177(8):782. 2023;177(8):782. Identifying children likely to benefit from antibiotics for acute sinusitis: a randomized clinical trial.

Research 52

Research Airway Management Stroke Outcomes 52

Dr. Smith's ECG Blog

SEPTEMBER 17, 2023

maybe not seen well on these echo-loops) The CW doppler at the tricuspid valve showed a maximum TR velocity of 2,55m/s with a TRP gradient of 26mmHg. There is visible septal flattening with D-sign in the parasternal short axis. McConnells sign was present.

EKG/ECG 86

EKG/ECG COPD Wellness Shock 86

Taming the SRU

JANUARY 29, 2024

Mustafa S, Stein PD, Patel KC, Otten TR, Holmes R, Silbergleit A. Phlegmasia Cerulea Dolens in the Upper Extremity: A Case Report and Literature Review. Ann Vasc Surg. 2021 Oct;76:601.e7-601.e11. Epub 2021 Jun 25. Upper extremity deep venous thrombosis. 2003 Jun;123(6):1953-6. Grant J D, Stevens SM, Woller SC, et al.

Emergency Department 82

Emergency Department Hospitals Fractures Operations 82

EMDocs

DECEMBER 4, 2023

doi:10.1056/NEJMoa023153 Wolf SJ, McCubbin TR, Feldhaus KM, Faragher JP, Adcock DM. Published 2020 Feb 11. doi:10.1371/journal.pone.0228788 0228788 Wells PS, Anderson DR, Rodger M, et al. Evaluation of D-dimer in the diagnosis of suspected deep-vein thrombosis. N Engl J Med. 2003;349(13):1227-1235. Ann Emerg Med. 2004;44(5):503-510.

Ultrasounds 69

Ultrasounds Wellness Documentation/Coding EMS 69

Pediatric EM Morsels

APRIL 19, 2024

Light TR, Ogden DA, Ogden JA. Cast versus splint in children with minimally angulated fractures of the distal radius: a randomized controlled trial. 2010 Oct 5;182(14):CMAJ 2010. DOI:10.1503/cmaj.100119. The anatomy of metaphyseal torus fractures. Clin Orthop Relat Res. 1984 Sep;(108):103-111. Kuba MH, Izuka BH.

Fractures 251

Fractures Pediatrics Best Practices Outcomes 251

EMDocs

FEBRUARY 12, 2024

19) Rudkin SE, Anderson CL, Grogan TR, Elashoff DA, Treger RM. Agreement between arterial and venous blood gases in trauma resuscitation in emergency department (AGREE). Eur J Trauma Emerg Surg. 2021 Apr;47(2):365-372. doi: 10.1007/s00068-019-01190-6. Epub 2019 Jul 18. PMID: 31321471. (19) J Intensive Care Med. 2020 May;35(5):511-518.

Emergency Department 93

Emergency Department Resuscitation COPD Shock 93

Dr. Smith's ECG Blog

FEBRUARY 12, 2023

This often leads to significant TR ( T ricuspid R egurgitation ). This sequence of events further explains the qR pattern seen in lead V1 — because severe TR leads to marked clockwise rotation of the right ventricle ( which accounts for a change in anatomic orientation of the interventricular septum ).

EKG/ECG 52

EKG/ECG Sepsis Ultrasounds 52

Dr. Smith's ECG Blog

NOVEMBER 28, 2022

High Spec, Lower sensitivity (caveat: elevated RV pressure w/ pHTN, severe TR can prevent RV inversion) References: Klein AL, Abbara S, Agler DA, Appleton CP, Asher CR, Hoit B, Hung J, Garcia MJ, Kronzon I, Oh JK, Rodriguez ER, Schaff HV, Schoenhagen P, Tan CD, White RD.

EKG/ECG 52

EKG/ECG Ultrasounds Documentation/Coding COPD 52

Taming the SRU

MARCH 11, 2024

Knee Surg Sports Tr A. Chowdhry M, Burchette D, Whelan D, Nathens A, Marks P, and Wasserstein D. Knee dislocation and associated injuries: An analysis of the American College of Surgeons National Trauma Data Bank. 2020;28:568-575. Figueras JH, Johnson BM, Thomson C, Dailey SW, Betz BE, and Grawe BM. JBJS Reviews.

Dislocations 98

Dislocations Emergency Department Fractures Operations 98

Don't Forget the Bubbles

MARCH 4, 2024

Article 1: Infections in Foreign Travellers Bird C, Hayward GN, Turner PJ, Wasala D, Merrick V, Lyttle MD, Mullen N, Fanshawe TR; for Paediatric Emergency Research in the UK and Ireland (PERUKI). Infections diagnosed in children and young people screened for malaria in UK emergency departments: a retrospective multi-centre study.

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

Don't Forget the Bubbles

JULY 31, 2023

Bird C, Hayward GN, Turner PJ, Merrick V, Lyttle MD, Mullen N, Fanshawe TR. One reviewer has returned to an oldie but a goodie to answer a clinical question! Article 1: Does rapid diagnostic testing for Malaria work? J Pediatric Infect Dis Soc. 2023 May 31;12(5):290-297. doi: 10.1093/jpids/piad024 What’s it about?

Rapid Diagnostic Testing 98

Rapid Diagnostic Testing Resuscitation Emergency Department Pediatrics 98

PHEM Cast

APRIL 10, 2016

Guerra WF, Mayfield TR, Meyers MS, Clouatre AE, Riccio JC. Am J Emerg Med. Elsevier B.V; 2015 Aug 26;:1–31. Amado Alejandro Baez MD MSc MFFF, MD LC. ACCEPTED MANUSCRIPT. Am J Emerg Med. Elsevier B.V; 2015 Oct 17;:1–16. Early detection and treatment of patients with severe sepsis by prehospital personnel. J Emerg Med. 2013 Jun;44(6):1116–25.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52