Tactical Medicine News Blog

Dr. Salim Rezaie of R.E.B.E.L. EM tells his Best Case Ever of a Low Risk Pulmonary Embolism that begs us to consider a work-up and management plan that we might not otherwise consider. With new guidelines suggesting that subsegmental pulmonary embolism need not be treated with anticoagulants, exceptions to Well's Score and PERC rule to help guide work-ups, the adaptation of outpatient management of pulmonary embolism, and the option of NOACs for treatment, the management of pulmonary embolism in 2016 has evolved considerably. In which situations would you treat subsegmental pulmonary embolism? How comfortable are you sending patients home with pulmonary embolism? How does the patient's values play into these decisions? Listen to Dr. Rezaie provide an insightlful perspective on these important issues and much more... The post Best Case Ever 44 Low Risk Pulmonary Embolism appeared first on Emergency Medicine Cases.

Get ready for another round of 60-Second Soapbox! Each episode, one lucky individual gets exactly 1 minute to present their rant-of-choice to the world. Any topic is on the table – clinical, academic, economic, or whatever else may interest an EM-centric audience. We carefully remix your audio to add an extra splash of drama and excitement. Even more exciting, participants get to challenge 3 of their peers to stand on a soapbox of their own!

Background: As Emergency Department (ED) physicians it is not uncommon to give patients procedural sedation and analgesia (PSA) to help facilitate painful procedures. Performing PSA requires close monitoring and is not without potential adverse events. There are numerous analgesic, sedative, and anesthetic agents that can be used in combination for PSA in the ED. Adverse event reporting for PSA has been heterogeneous. The purpose of this systematic review and meta-analysis is to determine the incidence of adverse events during PSA in the ED, including the frequency of events with individual drugs and different drug combinations.

We are back this week with a new “Working Smarter” mini-series on Podcasting. An increasing number of individuals and residency programs are starting podcasts, but it’s not always obvious how to get started. What hardware is needed? What’s the workflow? What are the pitfalls? To help answer these questions we picked the brains of 9 star Emergency Medicine podcasters (@FOAMpodcast, @srrezaie, @TheSGEM, @stemlyns, @embasic, @Core_EM, @EM_Educator, @EMtogether, @EMCases) and asked them to share their secrets. From dead simple set-ups to semi-professional studios, you’ll learn from veterans how to get your voice out to the public, and do it well. In this first installment, we review podcasting gear: the hardware and software you’ll need. The next installment will go over the production work-flow for taking a podcast from an idea to a finished product.

In November 2013, the blog post 52 Articles in 52 weeks: Landmark EM Articles for EM interns was published on the ALiEM site. Over the subsequent years, many ground-breaking and practice-changing articles have been published. As part of a multi-institutional initiative launched by the ALiEM Chief Resident Incubator (“The Crincubator”), 9 chief residents from across the country pooled together lists of journal articles thought to be most important for the broad spectrum of EM learners. Additional input was obtained from FOAM leaders across the country including Dr. Ryan Radecki and Dr. Jeffrey Kline. These lists can be used by individuals for further learning or by residency programs for journal clubs.