Emergency medicine - When minutes matter...| First10EM
The First10EM monthly wrap up is a place for me to share updates about the website, about my academic life, and also interesting content, such as books, podcasts, and other FOAMed, that I have encountered in the prior month. First, I have obviously been on a bit of a hiatus. I haven’t published anything since […]| First10EM
I have seen a few patients with cutaneous botfly larvae (proper medical terminology being furuncular myiasis) in my career. They are extremely gross, but relatively easy to deal with. However, I had never seen (or even heard of) their much nastier cousins: the New World Screwworm. The scientific name of the New World Screwworm is […] The post New World Screwworm appeared first on First10EM.| First10EM
The First10em research roundup is a collection of interesting or important medical research, critically appraised.| First10EM
This isn’t a full blog post, but just an opportunity to share a resource that I think many people will find valuable. In most pediatric resuscitations, I feel very comfortable standing with the Broselow tape in my hand for dosing. If it isn’t on the Broselow, I probably have time to look it up. The […] The post Pediatric transfusion dosing appeared first on First10EM.| First10EM
There appears to be wide agreement that we are not good at providing feedback in medicine. I have attended many seminars and read many papers on this topic, and despite believing this is an essential role in medical education, I still fail routinely. I have received a lot of advice. I should start by ‘setting […] The post Providing feedback and defining excellence in medicine appeared first on First10EM.| First10EM
Case It is the scenario of nightmares: a young child with an airway obstruction. They came in with stridor, and although you were initially thinking severe croup, the story doesn’t quite fit, there is no response to medical therapy, and this patient is incredibly sick. There is significant hypoxemia despite a nonrebreather. You can’t wait […] The post Pediatric front of neck access (the surgical tracheotomy) appeared first on First10EM.| First10EM
A deep dive into the literature around the management of higher risk pulmonary embolism patients.| First10EM
The First10EM monthly wrap up is a place for me to share updates about the website, about my academic life, and also interesting content, such as books, podcasts, and other FOAMed, that I have encountered in the prior month. Obviously the format means the focus is mostly on content I have found, but I hope […]| First10EM
I have been doing this for 10 years now. I am not sure what the future holds. I am not sure what First10EM will look like in another 10 years. I am not sure these words will be published (although if you are reading it, I guess we have our answer). This is an exercise […]| First10EM
The monthly research roundup from FIrst10EM covers the most interesting or important emergency medicine research (that I have read)| First10EM
How fast should we correct severe hyponatremia? Observational data shows an association between slower and more death.| First10EM
The First10EM monthly wrap up is a place for me to share updates about the website, about my academic life, and also interesting content, such as books, podcasts, and other FOAMed, that I have encountered in the prior month (or now quarter). Obviously the format means the focus is mostly on content I have found, […]| First10EM
A look at two trials (PARAMEDIC3 and IVIO) comparing intraosseous (IO) and intravenous (IV) access in out of hospital cardiac arrest.| First10EM
A critical appraisal of the TRAIN trial - conservative versus liberal transfusion in brain injury, short on the heels of HEMOTION| First10EM
The monthly(ish) collection of interesting or important emergency medicine publications, with a touch of critical appraisal| First10EM
A critical appraisal of the HEMOTION trial - a multicenter RCT comparing liberal and restrictive blood transfusion in traumatic brain injury.| First10EM
A critical appraisal of Nielsen 2024, which demonstrates that oral antibiotics are noninferior to IV in pediatric bone and joint infections.| First10EM
A critical appraisal of the COSTED trial: A multi center RCT looking at smoking cessation in the emergency department| First10EM
Intubation of critically ill patients is a high risk procedure. This post reviews an important checklist to ensure a patient is safe to be intubated.| First10EM
Gestalt is better than decision rules for identifying sepsis in the emergency department (obviously, to anyone who reads EBM)| First10EM
The Fiirst10EM monthly round up of the most interesting or important emergency medicine research and or literature| First10EM
A bibliography that includes the more important and interesting papers about evidence based medicine that I have read.| First10EM
A simplified guide to critical appraisal. Evidence based medicine is really easy!| First10EM
evidence based medicine deep dives from First10EM| First10EM
A review of the evidence for the pediatric can't intubate can't oxygenate scenario. Bottom line: use a knife not a needle.| First10EM
A critical appraisal of the PREOXI trial, a multicenter RCT that remonstrates reduced peri-intubation hypoxia with NIPPV| First10EM
Andexanet alfa: there was no reason to use this drug until now, and nothing changes with this first RCT. Harmful and expensive.| First10EM
A critical appraisal of a meta-analysis looking at MRI in first episode psychosis. Despite the conclusions, routine MRI is not warranted.| First10EM
