emDocs
1,467 FOLLOWERS
emDocs a group of seven emergency physicians who want to provide a truly current resource for the rapidly developing field of emergency medicine. Their goal is to inform the global EM community with timely and high yield content about what providers like you are seeing and doing everyday in your local ED.
emDocs
2d ago
Authors: Joseph R. Peters, DO, RDMS, FACOEP, FACEP, FACOI (EM Attending Physician, OSF St. Francis Medical Center); Carolina Hartje, DO (EM Resident Physician, OSF St. Francis Medical Center) // Reviewed by: Stephen Alerhand, MD; Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit)
Introduction
There are an estimated 300,000-600,000 Americans who develop venous thromboembolisms (VTE) each year, including deep venous thromboembolisms (DVT) and pulmonary embolism (PE).1-3 VTE is responsible for hospitalizing over 250,000 Americans every year, and there are an estimated 100,000 deaths annuall ..read more
emDocs
1w ago
The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research.
Today on we have our two renowned experts, Dr. Ilene Claudius and Dr. Julie Brown, discussing the ins and outs of anaphylaxis.
Anaphylaxis
Background and epidemiology
Overall incidence of anaphylaxis in children is thought to vary from 1-760 per 10,000 person-years. Overall global incidence of ..read more
emDocs
1w ago
Authors: Jacob Tauferner, MD (EM Resident Physician, UTSW/ Dallas, TX); Mihir Patel, MD (EM Attending Physician, Dallas, TX) // Reviewed by: Sophia Görgens, MD (EM Physician, Northwell, NY); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit)
Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited review of clinical basics. We’ll keep it short, while you keep that EM brain sharp.
A 24-year-old male presents to the ED from a mixed marital arts ..read more
emDocs
2w ago
Authors: Alex Rogers, MD (EM Resident Physician, Christus Spohn/Texas A&M University School of Medicine, Corpus Christi, TX); J.D. Cambron, DO (EM Attending Physician, Christus Spohn/Texas A&M University School of Medicine, Corpus Christi, TX)// Reviewed by: Anthony Spadaro, MD (@TSpadaro91, Medical Toxicology Fellow, Rutgers New Jersey Medical School, Newark, NJ); James Dazhe Cao, MD (@JamesCaoMD, Associate Professor of EM, Medical Toxicology, UT Southwestern Medical Center, Dallas, TX); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit)
Case:
You are in the middl ..read more
emDocs
2w ago
We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter.
Originally published at JournalFeed, a site that provides daily or weekly literature updates.
Follow Dr. Clay Smith at @spoonfedEM, and sign up for email updates here.
#1: Phoenix Criteria – New Pediatric Sepsis Score
Spoon Feed
The Phoenix Sepsis Score, which is a novel clinical criterion for pediatric sepsis and septic shock developed using measures of organ dysfunction, outperforms existing IPSCC criteria for the diagnosis of pediatric sepsis and septic shock.
Source
Development an ..read more
emDocs
3w ago
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! This series provides evidence-based updates to previous posts so you can stay current with what you need to know.
An 18-year-old female presents to the ED for abdominal pain. The pain began the day prior in the “middle of her stomach,” but is now “lower to the right ..read more
emDocs
3w ago
Today on the emDOCs cast Brit Long interviews Zachary Aust on the use of a mental model in post ROSC patients.
Episode 98: Post ROSC Mental Model
What’s the problem?
The Code
Whatever caused the initial arrest
Iatrogenic injuries from CPR
Patients are in a pathophysiologic state that is being called “post-cardiac arrest syndrome”
Hypoxic brain injury
Myocardial dysfunction
Systemic ischemia/reperfusion injury
SIRS Response
Very fragile state
Hard to diagnose what is going on
Small Things Matter
Overview – C A B S
Circulation
Close monitoring of perfusion
Arterial L ..read more
emDocs
3w ago
Authors: Luke Bailey (Medical Student, Texas A&M SOM, Bryan, TX) and Scott Wieters, MD (Associate Dean Temple Campus, Texas A&M SOM, Temple, TX) // Reviewed by: Sophia Görgens, MD (EM Physician, Northwell, NY); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit)
Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited review of clinical basics. We’ll keep it short, while you keep that EM brain sharp.
A 70-year-old female with a past medical ..read more
emDocs
1M ago
Authors: Zachary Boivin, MD (@ZachBoivinMD, Ultrasound Fellow, Yale University); Jia Jian Li, MD (@JjMDUS, Ultrasound Fellow, Yale University) // Reviewed by: Stephen Alerhand, MD; Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit)
Introduction
Anytime a patient presents to the ED with abdominal pain, biliary pathology should be considered in the diagnosis.1 A biliary point-of-care ultrasound (POCUS) is the fastest and most accurate way to assess for biliary pathology, but it can be difficult to locate the gallbladder, as it is not a fixed organ.2, 3 Biliary POCUS can help decrease patie ..read more
emDocs
1M ago
We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter.
Originally published at JournalFeed, a site that provides daily or weekly literature updates.
Follow Dr. Clay Smith at @spoonfedEM, and sign up for email updates here.
#1: Ketamine for the Win? Induction Agents Compared
Spoon Feed
A Bayesian meta-analysis found an 83.2% probability that ketamine lowers mortality compared to etomidate in critically ill patients undergoing intubation.
Source
Ketamine versus etomidate as an induction agent for tracheal intubation in critically ill adults ..read more