Podcasts about sergey motov

Date: October 26, 2023 Reference: Jones et al. Opioid analgesia for acute low back pain and neck pain (the OPAL trial): a randomised placebo-controlled trial placebo-controlled trial. Lancet July 2023 Guest Skeptic: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. He is also one of the world's leading researchers […] The post SGEM#419: Welcome Back – To Another Episode on Back Pain first appeared on The Skeptics Guide to Emergency Medicine.

Dr. Sergey Motov, gave this presentation on acute pain management to the Mayo EM Grand Rounds audience in the fall of 2022. Pain is the most common reason for people to seek care in the Emergency Department. The current laws and regulations have significantly affected ED Clinician's ability to provide effective, efficient and safe pain relief by worsening opiophobia, by repurposing non-analgesic medications for pain control and by proliferation of dangerous drug-drug combinations. This talks is set to discuss the current state of ED analgesia when it comes to acute pain management with a primary focus on what works and what does not.   Contacts: TWITTER - @AlwaysOnEM; @VenkBellamkonda; @PainFreeED INSTAGRAM – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch EMAIL - AlwaysOnEM@gmail.com

Date: May 13th, 2022 Reference: Abril et al. The Relative Efficacy of Seven Skeletal Muscle Relaxants. An Analysis of Data From Randomized Studies. J Emerg Med 2022 Guest Skeptic: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. He is also one of the world's leading […]

An update on opioids and pain

Welcome to Episode 4 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! Full show Notes for Episode 4 of “The 2 View” can be found here: https://docs.google.com/document/d/1Awc9VPm2igzhKwNoDO07eq269bZTgrPtfSCJVVCvu6U/edit?usp=sharing Sickle Cell Brandow AM, Carroll CP, Creary S, et al. American Society of Hematology 2020 guidelines for sickle cell disease: management of acute and chronic pain. Blood Adv. 2020;4(12):2656-2701. Accessed April 5, 2021. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322963/ Della-Moretta S, Delatore L, Purcell M, et al. The Effect of Use of Individualized Pain Plans in Sickle Cell Patients Presenting to the Emergency Department. Ann Emerg Med. Published September 2020. Accessed March 17, 2021. https://www.sciencedirect.com/science/article/pii/S019606442030648X Table from Cisewski D. ED Management of Sickle Cell Vaso-occlusive Crises: Myths, Facts, and A Novel Approach to Acute Pain Management. emDocs. Updated April 15, 2019. Accessed April 5, 2021. https://www.emdocs.net/ed-management-of-sickle-cell-vaso-occlusive-crises-myths-facts-and-a-novel-approach-to-acute-pain-management/ A Practical Approach to Pain Management in the Acute Care Setting with Dr. Sergey Motov, MD / EM Boot Camp Faculty Forum #2. Updated December 2, 2020. Accessed April 5, 2021. https://youtu.be/lJSioPsGw3A Sickle Cell Disease. CorePendium. EM:RAP.org, 2020. Updated December 7, 2020. Accessed April 5, 2021. https://www.emrap.org/corependium/chapter/recZWicqx0K20uwsz/Sickle-Cell-Disease Procedure IM Shots Roberts M, Roberts JR. Intramuscular Injections: 101 — The Proceduralist. The Proceduralist. Accessed March 17, 2021. https://www.theproceduralist.org/thecases/intramusclar-injections-101 You Call the Shots – Vaccine Administration: Intramuscular (IM) Injection Adults 19 years of age and older. Cdc.gov. Published November 16, 2020. Accessed March 17, 2021. https://www.cdc.gov/vaccines/hcp/admin/downloads/IM-Injection-adult.pdf Documentation Henry, Greg, MD. What You Must Know to Avoid Being Sued. Original Emergency Medicine Boot Camp. December 2019. Las Vegas. Accessed March 17, 2021. Risk Management Monthly. The Center for Medical Education. Accessed March 17, 2021. https://www.ccme.org/riskmgmt/ Weinstock MB; Longstreth R; Henry GL. Bouncebacks! Emergency Department Cases: ED Returns. 2nd ed. Anadem; 2018. First Time Seizures Epilepsy. American Association of Neurological Surgeons. Accessed March 17, 2021. https://www.aans.org/en/Patients/Neurosurgical-Conditions-and-Treatments/Epilepsy Types of Seizures. Johns Hopkins Medicine. Accessed March 17, 2021. https://www.hopkinsmedicine.org/health/conditions-and-diseases/epilepsy/types-of-seizures Billet, M MD, Khouja, D MBBS. Seizures in Adults. EM:RAP CorePendium. Emrap.org. Updated September 15, 2020. Accessed March 17, 2021. https://www.emrap.org/corependium/chapter/recLTpXKGatE7jq2r/Seizures-in-Adults Pohlmann-Eden B, Beghi E, Camfield C, Camfield P. The first seizure and its management in adults and children. BMJ. Published February 11, 2006. Accessed March 17, 2021. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1363913/ Adamolekun, B MD. Seizure Disorders. Merck Manuals. Content last modified July 2020. Accessed March 17, 2021. https://www.merckmanuals.com/professional/neurologic-disorders/seizure-disorders/seizure-disorders Neurology. American Academy of Neurology. Accessed March 17, 2021. https://n.neurology.org/ Ho K, Lawn N, Bynevelt M, Lee J, Dunne J. Neuroimaging of first-ever seizure: Contribution of MRI if CT is normal. Neurol Clin Pract. Published October 2013. Accessed March 17, 2021. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5765827/ First Time Seizure. Emrap.org. Published August 2017. Accessed March 17, 2021. https://www.emrap.org/episode/c3seizures/seizuresfirst Trivia Question: Send answers to 2viewcast@gmail.com Please note that for this month, if you get the trivia question correct, you will win 20% off any CCME course you want. That's right, ANY CCME course you want, including live courses. You can buy it for yourself or give it to a friend - it's your 20% off. So, download and listen to the episode for the question! Please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to.

OverviewDo you ever get overwhelmed with all the ED analgesic options? In part 2 on ED Pain Management, Dr. Sergey Motov helps break things down, reviewing a few cases and finishing with Sergey’s 10 Commandments of ED Pain Management. Key PointsSergey's 10 Commandments of ED Pain Management Titrate opioids regardless of initial dosing regimen: weight-based, fixed, or nurse-initiated. Use alternatives (to IV) routes of analgesic administration: PO, PR, IN, SubQ, nebulized, topical. Utilize sub-dissociative dose ketamine for selected acute and chronic painful conditions. Educate patients about appropriate expectations of pain course and management. Embrace a concept of channels/enzymes/receptors targeted analgesia. Use NSAIDs based on their analgesic ceiling dose. Attempt to use non-opioid analgesics whenever possible. Promote nerve blocks for a variety of acute painful conditions (trauma, infection, inflammation). DO NOT prescribe long-acting opioids, SR/ER opioids, or fentanyl patches in the ED or at discharge. If indicated, DO prescribe a short course of immediate release opioids (preferably morphine sulfate IR) at discharge and arrange proper follow-up. Resources and References Cisewski DH, Motov SM. EMRA Pain Management Guide. EMRA. Dallas, Texas:2020. • App version available within MobilEM at iTunes and Google Play. Motov SM. PainFreeED.com.

Do you ever get overwhelmed with all the ED analgesic options? Dr. Sergey Motov from Maimonides Medical Center in the Bronx helps breaks down ED pain management. We cover everything from topical NSAIDs to ketamine infusions. Curious which opioid to go with or what dosing? Look no further. Key Points: Remember to set appropriate pain management expectations. The goal is to make the pain tolerable, not to eliminate it. The more you include your patient in your decision making, the more in control they will feel. NSAIDs are a go-to first option. If a patient doesn’t respond to one class, try another. And don’t forget about topical NSAIDs like diclofenac! Reasons to avoid this class would be history of GI bleed or CAD. Ketamine is a great option for acute pain. 0.3mg/kg in a bolus over 30 minutes followed by 0.1mg/kg/hr during their ED stay. Use these slow infusions to avoid dysphoric reactions. Don’t be afraid to use ketamine in combination with other analgesics for optimal pain management. Neuropathic pain is difficult to manage. Options include antidepressants, lidocaine infusion, gabapentin. Nerve blocks are amazing. From a greater occipital nerve block for migraine to serratus anterior block for rib fractures. There are so many more applications. “If there is a nerve, it can be blocked.” Shout out to my favorite: a hematoma block! Opioids are dangerous but they have a definite role in acute pain management. Morphine is less associated with euphoria and is a good start if choosing to treat with opioids. Oxycodone and hydromorphone are weaker alternatives and have a higher risk of substance abuse; avoid them if possible. Resources and References: https://www.emra.org/books/pain-management/painmgtguide/ http://www.painfree-ed.com/  

Date: October 9th, 2020 Guest Skeptic: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. He is also one of the world's leading researchers on pain management in the emergency department, specifically the use of ketamine. His twitter handle is @PainFreeED. Reference: Friedman et al. Ibuprofen Plus Acetaminophen […]

Dr. Raja rants about the Rhode Island EPs who are being blamed for the flaws in their hospital’s EMR, Dr. Pescatore fumes about how saying children aren’t little adults creates problems, and they discuss the nuances of the high-flow nasal cannula for patients in respiratory distress. They top that off with an interview with emergency medicine pain expert Sergey Motov, MD, to learn more his ED Opioid Stewardship Pathway 2.0, with its surprises about morphine sulfate and TENS. See the pathway at http://bit.ly/2S2nwLL.

Check out our post on the Down East EM blog for shownotes, references and more.   Author: Jason Hine MD and Sergey Motov MD Peer Review: Jeff Holmes MD

  Sergey M. Motov, MD, FAAEM Courtesy of Sergey M. Motov, MD Twitter @painfreeED Dr. Motov is an Emergency Medicine Physician practicing in the Department of Emergency Medicine at Maimonides Medical Center, Brooklyn, New York. He graduated from Medical Academy of Latvia and completed his EM residency at Maimonides Medical Center. Dr. Motov is an Associate Research Director who is passionate about safe and effective pain management in the ED.  He has numerous publications on the subject of opioid alternatives in pain management, and is actively involved in growing this body of work both nationally and globally   Missed Episode 011? Low Dose Ketamine for Pain - Administration Explained! Click Here Missed Episode 018? Deep Dive on Continuous Sub-Dissociative Dose Ketamine Infusions, Ketamine in Geriatrics?, Ethics & More Click Here A Candid Conversation on having a Hydromorphone-Free ED with Sergey Motov, MD FAAEM This episode was recorded earlier in the year at the same time as the Deep Dive Continuous Sub-Dissociative Dose Ketamine discussion. Are people forgetting how powerful hydromorphone is? Some people do forget, majority have not been educated. Why are we now using so much hydromorphone? This medication was basically thrown at us. "Use it. It’s a great and safe medication alternative to morphine." Without actual explanations of equi-analgesic conversion, potency, or lipophilicity (lipid solubility) in comparison to morphine. Morphine 8mg or Hydromorphone 1mg? There’s something mental about giving a single digit dose of an opiod versus double digit. It’s much easier to prescribe 1mg, 2mg, 3mg…6mg of hydromorphone than let’s say 10mg of morphine without understanding that hydromorphone 2mg = morphine 16mg. Hydromorphone 1mg = Morphine 8mg Hydromorphone 2mg = Morphine 16mg 48% ED attendings lack pharmacological understanding or validity of why they are using one opioid over another Opioid-Naive Patients First-line medication - should NOT be hydromorphone Initial hydromorphone dose should be 0.2-0.4mg (If you must, for opioid-naive patients) Conversion: Morphine 2-4/5mg dose How to administer opioids? Titrate at Specified Intervals *Clinical Pearl Single dose of opioids will not do the trick. No matter how you dose it (weight based or fixed). Start with a lower dose. Reeval every 10-15 minutes. Ask the patient if they need more. Give another dose as needed. Repeat. No need to wait 4 hours for the next opioid dose. Morphine peak time ~20 minutes Hydromorphone peak time ~15 minutes Morphine, hydromorphone and fentanyl are pure mu receptor agonists with no analgesic ceiling. Titrate opioids up until one or two things will happen: Pain is optimized or they stop breathing Clinical Example: Patient received 3 doses of morphine: 4mg, 4mg, 4mg. Still has pain. Now what? You want to give an opioid. Which one? Some may switch to hydromorphone. But why? Hydromorphone is not any different than morphine except for potency. The most potent opioid is fentanyl. Problem is fentanyl has a shorter half life so will have to re-dose more often. Consider adding non-opioid analgesic modalities If you do switch to hydromorphone - remember to add previous morphine doses and convert equianalgesia for total dosage. i.e. Morphine 12 mg (4mg x3) + Hydromorphone 1mg (Morphine 8mg) = Morphine 20mg Opioid-Induced Hyperalgesia The longer a patient uses opioids to treat pain, the patient will most likely develop hyperalgesia and will ultimately require a higher dose to treat their pain which will eventually lead to tolerance and possibly addiction. Constantly requires a higher dose. Hydromorphone has a Higher Abuse Potential than Morphine Hydromorphone is 10x more lipophilic than morphine. Penetrates the blood brain barrier significantly faster and saturates the mu receptors faster. It translates to a euphoria,

Join the EMGuideWire Team as we discuss Pain Management issues and options in our Emergency Departments. EM physicians Sergey Motov and Chris Griggs discuss concepts that may help alleviate not only the patients' pain, but also the challenges physicians face in today's environment.

Sergey Motov discusses his recent paper on subdissociative ketamine in older adults. See www.gempodcast.com for more info and the full reference.

Sergey M. Motov, MD, FAAEM Courtesy of Sergey M. Motov, MD Twitter @painfreeED Dr. Motov is an Emergency Medicine Physician practicing in the Department of Emergency Medicine at Maimonides Medical Center, Brooklyn, New York. He graduated from Medical Academy of Latvia and completed his EM residency at Maimonides Medical Center. Dr. Motov is an Associate Research Director who is passionate about safe and effective pain management in the ED.  He has numerous publications on the subject of opioid alternatives in pain management, and is actively involved in growing this body of work both nationally and globally Missed the Low Dose Ketamine for Pain - Administration Explained! Episode? Click Here We wanted to do a Follow-Up Episode about Sub-Dissociative or Low-Dose Ketamine (SDK) Infusions. Then this research got published... Continuous Intravenous Sub-Dissociative Dose Ketamine Infusion for Managing Pain in the Emergency Department Authors: Motov, Sergey; Drapkin, Jefferson; Likourezos, Antonios; Beals, Tyler; Monfort, Ralph; Fromm, Christian; Marshall, John Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health Publication Date: March 3, 2018 Sergey is back and talks about his research and findings... Impressive Pain Reduction >3 on Numeric Pain Scale 60 Minutes, 65% of Patients 120 Minutes, 68% of Patients How does Continuous SDK Infusion Work? "Ketamine's rapid onset, and super rapid saturation of N-methyl-D-aspartate (NMDA) receptors and will give you an initial jolt of pain relief. But if you do it relatively slowly, the saturation will be a little slower, but it will last much, much longer. That's why I believe the results of patients experiencing significant reduction of pain at 60 and 120 minutes, a direct consequence of this particular way of giving ketamine." - Sergey Motov, MD Most Patients Enrolled in Study Received a Loading/Short Bolus Infusion prior to Continuous SDK Infusion Who received the most benefits? Patients with... Oncology/Cancer Pain (Chronic and Metastatic) Oncology patients normally have multiple modalities to treat their pain. Can have very high baseline PO opioid doses (i.e. morphine 300mg PO, fentanyl patches). Administering morphine 4mg or hydromorphone 1mg IVP will do absolutely nothing for these patients. The opioid dose needed is so high that the side effects are intolerable (i.e. nausea, vomiting). Increase CNS depression, respiratory depression, morbidity, and mortality in very high, inhumane doses. Continuous Sub-Dissociative Ketamine Infusions can be used as an adjunct therapy FYI: Ketamine comes in PO form (pill and liquid) Ethical Alert! Concern for abuse is real, don't prescribe it. Highly addictive and highly abused. Just know that it's out there, may have application to some chronic oncology patient population. Abdominal Pain (Pancreatitis, Intractable, Unknown Etiology) Sub-Dissociative Ketamine is the most beneficial modality for chronic intractable pain with or without non opioid adjunct therapy with functional abdominal pain (i.e. secondary to toxicology emergency). Psyche component for unknown etiology abdominal pain? Simple conversation with biofeedback, psycho-social counseling, encouragement, and reassurance Normal Physical Exam May not need any interventions Sickle Cell Crisis Pain Use of continuous SDK infusion decreases opioid needs by 50% Barriers: Admitted Sickle Cell Crisis Patients will not get SDK infusions on inpatient units and will go back to hydromorphone PCA pumps Inpatient Providers' and Nurses' familiarity and understanding of SDK infusions Convincing Patients to try SDK as adjunct therapy for pain Interdepartmental protocol. Work Around: Admit patients to an observation unit with SDK protocols in place. Utilize Clinical Nurse Educators to develop nursing policy. Interdisciplinary SDK protocol can be developed with ED Medical Director, ED Nursing Director, and Pharmacy.

Ms. Roberts and Dr. Pescatore not only dissect the April issue, but also call on the knowledge of pain expert Sergey Motov, MD, to discuss these game-changing articles: “The Cure for Back Pain Is Biting the Bullet” by Graham Walker, MD “Is Phenobarbital for Alcohol Withdrawal Ready for the Big Time?” by Leon Gussow, MD “TXA Superior to Packing for Epistaxis, and Patients Like It Better” by Dustin Ballard, MD, & David Vinson, MD “Rage against Renal Colic: Keep the Ketorolac, Maybe Morphine, Leave the Lido for Last” by Dan Runde, MD “Three Things You Should Know about Sickle Cell Disease” by EMedHome.com And much more!

Sergey M. Motov, MD, FAAEM Courtesy of Sergey M. Motov, MD Twitter @painfreeED Dr. Motov is an Emergency Medicine Physician practicing in the Department of Emergency Medicine at Maimonides Medical Center, Brooklyn, New York. He graduated from Medical Academy of Latvia and completed his EM residency at Maimonides Medical Center. Dr. Motov is an Associate Research Director who is passionate about safe and effective pain management in the ED.  He has numerous publications on the subject of opioid alternatives in pain management, and is actively involved in growing this body of work both nationally and globally.  "In the 7 years I've been administering ketamine for this application, I've never had a patient walk into my ER and ask, 'Can I get ketamine?'" - Sergey Motov, MD     Who gets low-dose ketamine for analgesia? Patients who fail initial 3+ opioid doses. Patients generally with chronic pain, neuropathic pain, oncology pain, opioid tolerance, polytrauma. Great medication for treating pain and doesn't have the same addictive qualities as opioids. Ketamine is abused, namely in China. In the United States, we don't see it as much. Low-Dose Ketamine Bolus Dose for Analgesia 0.3mg/kg in NS 100mL infused over 15 minutes (400mL/hr) Max dose 30mg **Reduces the feeling of unreality in comparison to administering IV push. Basically, your patient won't freak out! (at least much less episodes!)   Bolus Administration Pearls: No pumps are needed for the bolus dose administered as a short infusion. But doesn't hurt either. No monitors needed. Low-Dose Ketamine Drip Dose for Analgesia 0.1mg/kg as a continuous infusion Titrate every 30 minutes as needed - involve provider when titrating. 0.1-0.3mg/kg 0.4-0.7mg/kg --> you've now entered a recreational dose Preparation: Ketamine 100mg in NS 100mL = 1:1 ratio Infusion Pearls: Must use an iv pump to administer the infusion. Use nursing judgement for telemonitoring. Majority of patients will get discharged after 2-3 hours of continuous therapy. Look at the presentation of the patient. Not everyone will need an infusion. Many patients will find relief with the bolus dose alone. Some may need both the bolus and infusion. Dose obese patients with an ideal body weight. Logistics: Ketamine comes in 2 different concentrations: 10mg/mL and 50mg/mL Much easier to calculate and draw up ketamine with the 10mg/mL concentration with this application! Worried about waste? Pharmacy can keep a single dose vial with 10mg/mL concentration for 24 hours and use it as a multi-dose vial. They will have to prepare all of your ketamine bolus infusions and ketamine continuous infusions - wouldn't that be nice? Now Listen to the Episode... References Kurdi MS, Theerth KA, Deva RS. Ketamine: Current applications in anesthesia, pain, and critical care. Anesthesia, Essays and Researches. 2014;8(3):283-290. doi:10.4103/0259-1162.143110. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4258981/ Motov, S., Rockoff, B., Cohen, V., Pushkar, I., Likourezos, A., Mckay, C., . . . Fromm, C. (2015). Intravenous Subdissociative-Dose Ketamine Versus Morphine for Analgesia in the Emergency Department: A Randomized Controlled Trial. Annals of Emergency Medicine, 66(3). doi:10.1016/j.annemergmed.2015.03.004 https://www.ncbi.nlm.nih.gov/pubmed/25817884 Lee, E. N., & Lee, J. H. (2016, October 27). The Effects of Low-Dose Ketamine on Acute Pain in an Emergency Setting: A Systematic Review and Meta-Analysis.  https://www.ncbi.nlm.nih.gov/pubmed/27788221 Motov S et al. A Prospective Randomized, Double-Dummy Trial Comparing Intravenous Push Dose of Low Dose Ketamine to Short Infusion of Low Dose Ketamine for Treatment of Moderate to Severe Pain in the Emergency Department. AJEM 2017; S0735 – 6757(17): 30171 – 7.  PMID: 28283340 Ketamine: How to Use it Fearlessly For All its Indications by Reuben Strayer. (2015, December 06).

Who is Reuben Strayer, MD? Courtesy of Reuben Strayer, MD Emergency Medicine Physician who works in New York City Author of emupdates.com One of the authors of painandspa.org Twitter @emupdates Created the phrase "ketamine brain continuum" No financial disclosure A Special K Trip Part 3 - Ketamine for Analgesia & Tranquilization And now for the conclusion of the 3-part ketamine series with Reuben Strayer. Today’s episode is Part 3 focusing on Ketamine for analgesia and extremely uncontrollable violent patients. If you haven’t already, go back and listen to Episode 7 where Reuben talks about ketamine and how different dosing can have different applications in the ED setting. In Episode 8, Reuben talks about ketamine for PSA & RSI. Ready to continue with your Ketamine trip w/Reuben? Here we go! Ketamine for Analgesia Who gets ketamine? Chronic pain, poly trauma, oncology pain, etc. Dosing 0.3mg/kg 0.1-0.3mg/kg have been used. No pumps for bolus dose? No problem. Of course, administering through a pump will always be the gold standard. How to administer: Inject the analgesic dose into NS 100mL and infuse over 15 minutes. 15 minutes = 400mL/hr (best!) 10 minutes = 600mL/hr (not much difference) Why are we diluting the ketamine dose for administration? To prevent psychiatric emergence or your patient from "freaking out." Ketamine drips - always use a pump. (Not everyone will get a drip) 0.1mg/kg and titrated every 30 minutes. No monitoring required. *Use your discretion, if you feel that your pt needs monitoring - put your patient on a monitor and alert your provider. Some pretty good articles, full list below: Sergey Motov's article on ketamine for pain in the ED Cheryl Allen's article on administering ketamine in Pain Management Journal Sergey Motov interviewed on ketamine in EP Monthly Ketamine for Tranquilization Who gets it? Your huge guy where you have a small army of security and staff trying to hold him down and you are concerned for the patient's and staff's safety. How often are you using this? Rarely. Dose Dissociative Intramuscular (IM) Dose: 4-6mg/kg 500mg IM Adult dosing = approx. 100kg person Monitoring required with airway capable provider at bedside.  Safety Pearl for Violent and Agitated patients (whether you use ketamine or not): Don't attempt to put in an IV line! (If your provider asks, say "No thank you!") Administer IM through the clothing. No alcohol swab needed. Team approach to hold down patient for patient and staff safety. Now Listen to the Episode... References Kurdi MS, Theerth KA, Deva RS. Ketamine: Current applications in anesthesia, pain, and critical care. Anesthesia, Essays and Researches. 2014;8(3):283-290. doi:10.4103/0259-1162.143110. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4258981/ Motov, S., Rockoff, B., Cohen, V., Pushkar, I., Likourezos, A., Mckay, C., . . . Fromm, C. (2015). Intravenous Subdissociative-Dose Ketamine Versus Morphine for Analgesia in the Emergency Department: A Randomized Controlled Trial. Annals of Emergency Medicine, 66(3). doi:10.1016/j.annemergmed.2015.03.004 https://www.ncbi.nlm.nih.gov/pubmed/25817884 Lee, E. N., & Lee, J. H. (2016, October 27). The Effects of Low-Dose Ketamine on Acute Pain in an Emergency Setting: A Systematic Review and Meta-Analysis.  https://www.ncbi.nlm.nih.gov/pubmed/27788221 Motov S et al. A Prospective Randomized, Double-Dummy Trial Comparing Intravenous Push Dose of Low Dose Ketamine to Short Infusion of Low Dose Ketamine for Treatment of Moderate to Severe Pain in the Emergency Department. AJEM 2017; S0735 – 6757(17): 30171 – 7.  PMID: 28283340 Ketamine: How to Use it Fearlessly For All its Indications by Reuben Strayer. (2015, December 06). https://www.smacc.net.au/2015/12/ketamine-how-to-use-it-fearlessly-for-all-its-indications-by-reuben-strayer/ Strayer, R. (n.d.).

Full length Grand Rounds recording from Sergey Motov's talk - "The Evolution of Pain Management in the ED: From Poppy Seeds to Ketamine https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_9_1_Final_Version.m4a Download Leave a Comment Tags: Ketamine, Opioid Free ED, Pain Management Show Notes Pain Free ED Site ACEP Now: Non-Opioid Pain Medications to Consider for Emergency Department Patients EMCrit: Opiate-Free ED with Sergey Motov Read More

Full length Grand Rounds recording from Sergey Motov's talk - "The Evolution of Pain Management in the ED: From Poppy Seeds to Ketamine https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_9_1_Final_Version.m4a Download Leave a Comment Tags: Ketamine, Opioid Free ED, Pain Management Show Notes Pain Free ED Site ACEP Now: Non-Opioid Pain Medications to Consider for Emergency Department Patients EMCrit: Opiate-Free ED with Sergey Motov Read More

Full length Grand Rounds recording from Sergey Motov's talk - "The Evolution of Pain Management in the ED: From Poppy Seeds to Ketamine https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_9_1_Final_Version.m4a Download Leave a Comment Tags: Ketamine, Opioid Free ED, Pain Management Show Notes Pain Free ED Site ACEP Now: Non-Opioid Pain Medications to Consider for Emergency Department Patients EMCrit: Opiate-Free ED with Sergey Motov Read More

Pearls, pitfalls and take home points from the NYU/Bellevue EM Residency weekly conference. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_9_0_Final.m4a Download Leave a Comment Tags: Pediatric Cardiology, Pericardial Tamponade Show Notes Vaillancourt S. et al. Repeated Emergency Department Visits Among ChildrenAdmitted With Meningitis or Septicemia: A Population-Based Study. Ann Emerg Med 2015; 65(6): 625-631. PMID: 25458981 EMCrit: Rapid Ultrasound for Shock and Hypotension – the RUSH Exam. Verma V et al. The utility of routine admission chest X-ray films on patient care. Eur J Intern Med 2011; 22(3): 286-8. PMID: 21570649 EMCrit: Opiate-Free ED with Sergey Motov Read More

Pearls, pitfalls and take home points from the NYU/Bellevue EM Residency weekly conference. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_9_0_Final.m4a Download Leave a Comment Tags: Pediatric Cardiology, Pericardial Tamponade Show Notes Vaillancourt S. et al. Repeated Emergency Department Visits Among ChildrenAdmitted With Meningitis or Septicemia: A Population-Based Study. Ann Emerg Med 2015; 65(6): 625-631. PMID: 25458981 EMCrit: Rapid Ultrasound for Shock and Hypotension – the RUSH Exam. Verma V et al. The utility of routine admission chest X-ray films on patient care. Eur J Intern Med 2011; 22(3): 286-8. PMID: 21570649 EMCrit: Opiate-Free ED with Sergey Motov Read More

Pearls, pitfalls and take home points from the NYU/Bellevue EM Residency weekly conference. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_9_0_Final.m4a Download Leave a Comment Tags: Pediatric Cardiology, Pericardial Tamponade Show Notes Vaillancourt S. et al. Repeated Emergency Department Visits Among ChildrenAdmitted With Meningitis or Septicemia: A Population-Based Study. Ann Emerg Med 2015; 65(6): 625-631. PMID: 25458981 EMCrit: Rapid Ultrasound for Shock and Hypotension – the RUSH Exam. Verma V et al. The utility of routine admission chest X-ray films on patient care. Eur J Intern Med 2011; 22(3): 286-8. PMID: 21570649 EMCrit: Opiate-Free ED with Sergey Motov Read More

Can we manage pain more effectively without Opioids?