Pediatric EM Morsels

JULY 21, 2023

Journal of veterinary emergency and critical care (San Antonio, Tex. 2019): 478–483. Ash, Kristian et al. Performance Evaluation and Validation of the Animal Trauma Triage Score and Modified Glasgow Coma Scale with Suggested Category Adjustment in Dogs : A VetCOT Registry Study.” Journal of veterinary emergency and critical care (San Antonio, Tex.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

University of Maryland Department of Emergency Med

OCTOBER 17, 2023

The typical bag valve mask ventilator (BVM) for adults has a reservoir volume between 1500-2000 mL depending on the manufacturer while th. Click to view the rest

76

76

ECG Guru

JULY 30, 2024

After a further pause of just under 2000 ms, 2 sinus node beats follow, which merge into a sinus tachycardia or atrial tachycardia (heart rate approx. This is followed by my sinus arrest of just under 3000 ms, followed by a junctional escape beat (no preceding P wave, QRS remains narrow). 120 bpm here).

EKG/ECG 67

EKG/ECG 67

Pediatric EM Morsels

SEPTEMBER 1, 2023

Wilson, 2000 ] Is this dysuria a UTI or could this be chlamydia that could re-present with pelvic inflammatory disease next week? Sex 1/3 US high schoolers are having sex [ Youth Risk Behavior Survey 2021 ] Adolescents with higher levels of risky sexual behavior are more likely to report the ED as their usual source of care.

Pediatrics 164

Pediatrics Emergency Department Fractures EMS 164

The Trauma Pro

NOVEMBER 21, 2023

A group of investigators from Jackson Memorial in Miami and Denver Health published a paper earlier this month that critically reviewed 187 trauma surgery RCTs published from 2000 to 2021. They analyzed power calculations, adherence to the CONSORT guidelines, and an interesting metric called the fragility index.

Research 113

Research Outcomes Wellness 113

Taming the SRU

NOVEMBER 13, 2024

haffner and wright The number of psychiatric emergencies across the U.S.,

Psychiatric 89

Psychiatric Seizures Emergency Department Pediatrics 89

ECG Guru

JULY 30, 2024

After a further pause of just under 2000 ms, 2 sinus node beats follow, which merge into a sinus tachycardia or atrial tachycardia (heart rate approx. Initially, a sinus rhythm with a heart rate of approx. 70 bpm is seen. 120 bpm here).

EKG/ECG 52

EKG/ECG 52

Sensible Medicine

JANUARY 29, 2024

ISIS-4, with it’s nearly 60,000 patients and more than 2000 events in each treatment group, definitively shows that IV-Mg had no effect on mortality. The meta-analyses came out in 1991-1992. LIMIT-2 publishes in 1992. For a half-century, doctors felt that IV-Mg reduced death after MI. Even a trend toward increased death.

Stroke 128

Stroke Outcomes 128

Greater Sydney Area HEMS

AUGUST 8, 2024

Wed 18th Sept 2024, 1630-2000 In person at Bankstown Aerodrome or via Livestream – REGISTRATION ESSENTIAL FOR FACE-TO-FACE ATTENDANCE The NSW Institute of Trauma and Injury Management proudly presents the Pre-Hospital Trauma Evening in collaboration with the NSW Ambulance Service.

Ambulance Services 52

Ambulance Services Hospitals 52

Sensible Medicine

SEPTEMBER 25, 2023

It was covered by 194 news outlets and tweeted by nearly 2000 accounts, including some very high profile doctors. Media Attention: This paper received a high altmetric score of 2252. That places it in the top 5% of all research outputs scored by Altmetric. Comments: Mrs Onderdonk has long taught her students to choose a control arm with care.

Infectious Diseases 116

Infectious Diseases Hospitals Outcomes Research 116

PEMBlog

MAY 27, 2024

What if a boy band from the year 2000 wrote a song about he management of status asthmaticus and then someone made a video and then posted that video to a Pediatric Emergency Medicine blog. You’d think that would be pretty silly right? Lyrics Difficulty breathing, asthma’s bad tonight albuterol and atrovent Dexamethasone All right!

Pediatrics 52

Pediatrics 52

Sensible Medicine

JUNE 5, 2023

In multiple centers, slightly more than 2000 patients were randomized to either early or later starting of the anticoagulant drugs. In other words—a composite of bad things that can occur from not treating (more clots) or treating (bleeding). A primary outcome occurred in 2.9% of the patients in the early arm vs 4.1%

Stroke 98

Stroke Hyperthermia / Hypothermia Outcomes Shock 98

Don't Forget the Bubbles

SEPTEMBER 25, 2023

2000; Hill et al. 2000) Comparison of wet combing with malathion for treatment of head lice in the UK: a pragmatic randomised controlled trial. No contraindications or precautions for its use. The method is inexpensive, and the kits are reusable. Clinical trials report cure rates of 38% and 52% at 14/15 days [ Roberts et al.

Research 75

Research 75

Sensible Medicine

JANUARY 8, 2024

In this study, among 10,000 adults, nearly 2000 had completed hearing tests and had hearing loss. NHANES is one of the many registries that measure health parameters in adults and then follow them for years. Such registries create huge databases. Roughly 13% of these adults regularly used hearing aids.

Research 116

Research 116

PHEM Cast

SEPTEMBER 19, 2016

2000; 5: 302-311. References Baile WF, Buckman R, Lenzi R, Glober G, Beale EA, Kudelka AP. Spikes – a six-step protocol for delivering bad news: Application to the patient with cancer. The Oncologist. Hobgood C, Harward D, Newton K, Davis W. The educational intervention “GRIEV_ING” improves the death notification skills of residents.

Ambulance Services 52

Ambulance Services Resuscitation Academics 52

Emergency Medicine Cases

FEBRUARY 21, 2017

While missing aortic dissection was considered "the standard" in the late 20th century, our understanding of the clinical diagnoses has improved considerably since the landmark International Registry of Aortic Dissection (IRAD) study in 2000.

EMS 52

EMS Wellness 52

ALiEM

SEPTEMBER 29, 2023

2000 Aug;216(2):356-62. Múnera F, Soto JA, Palacio D, Velez SM, Medina E. Diagnosis of arterial injuries caused by penetrating trauma to the neck: comparison of helical CT angiography and conventional angiography. doi: 10.1148/radiology.216.2.r00jl25356. r00jl25356. PMID: 10924553.

Radiology 70

Radiology Radiology Academics Ultrasounds 70

RebelEM

FEBRUARY 21, 2024

Schwartz and colleagues performed an ingenious trial ( Schwartz 2000 ) Enrolled 64 ED patients with acute pain. Acad Emerg Med 2000; 7: 857-61. While this dogmatic claim is often made, the data doesn’t appear to support it. 2019; 36: 401-6. PMID: 31217178 Schwartz NA et al. PMID: 10958124 Motov S et al.

Administration 64

Administration Emergency Department EMS Research 64

RebelEM

JUNE 26, 2024

Am J Emerg Med 2000; 18: 721-9. Definition: A serum potassium level > 5.5 patients can jump from peaked T waves to sine wave) Management Basics: ABCs, IV, O 2 , Cardiac Monitor and, 12-lead EKG Identify + treat underlying cause of hyperkalemia (i.e. rhabdomyolysis -> hydration) Remove inciting factors (i.e.

EKG/ECG 59

EKG/ECG Administration Burns EMS 59

EMDocs

JUNE 1, 2023

Bradycardia: 18.8% Average ventilator days (8.3 Take Aways: The data do not suggest that targeted hypothermia improves neurological function, reduces death, or reduces hospital length of stay as compared to normothermia.

Hyperthermia / Hypothermia 84

Hyperthermia / Hypothermia Outcomes Hospitals Emergency Department 84

Sensible Medicine

MAY 30, 2023

Ioannidis's first paper , that was published in JAMA and co-authored by two Italian researchers, focused on mega-journals, i.e. open-access peer-reviewed journals publishing more than 2000 articles per year.

Research 95

Research Academics Wellness 95

PHEM Cast

FEBRUARY 7, 2022

2000; 25(5): 969-978. The value of technetium 99 scintigraphy in the prognosis of amputation in severe frostbite injuries of the extremities: A retrospective study of 92 severe frostbite injuries. The Journal of Hand Surgery. Cauchy et al. A Controlled Trial of a Prostacyclin and rt-PA in the Treatment of Severe Frostbite. 2011; 364: 189-190.

Hospitals 52

Hospitals 52

Don't Forget the Bubbles

JULY 24, 2023

2000 Jun 1;105. MRI of disc space infection in infants and children. Pediatric Radiology. 1990 Jan;20. Fernandez M, Carrol CL, Baker CJ. Discitis and Vertebral Osteomyelitis in Children: An 18-Year Review. PEDIATRICS. Hensey OJ, Coad N, Carty HM, Sills JM. Juvenile discitis. Archives of Disease in Childhood. 1983 Dec 1;58.

Radiology 98

Radiology Radiology Infectious Diseases Pediatrics 98

PEMBlog

MAY 15, 2023

2000): e58-e58. Life in the Fast Lane • LITFL , 20 Sept. 2022, litfl.com/brugada-syndrome-ecg-library/. Ritter, Saskia, et al. “What is the yield of screening echocardiography in pediatric syncope? ” Pediatrics 105.5 Sanatani, Shubhayan, et al. ” Canadian Journal of Cardiology 33.2 2017): 189-198.

Pediatrics 97

Pediatrics EKG/ECG Emergency Department Burns 97

Dr. Smith's ECG Blog

SEPTEMBER 27, 2023

Troponin T peaked at "only" just above 2000 ng/L. The hospital stay was complicated by aspiration pneumonia, recurring ventricular tachycardia and a mural thrombus. Echocardiography showed and anterior and apical WMA with estimated LVEF 40%. An ICD was placed. The patient ultimately did well. Is there OMI? Learning points from Smith: 1.

EKG/ECG 133

EKG/ECG Resuscitation Academics EMS 133

PulmCCM

APRIL 18, 2024

EMMA Trial: DL vs. McGrath MAC in the OR (Anaesthesia 2023) In a multicenter trial (four centers in Germany, one in Canada in 2015-2019), 2000 patients underwent intubation for elective surgery by a mix of trainees (66%) and attendings (33%), randomized to either direct laryngoscopy or McGrath MAC video laryngoscopy for the first attempt(s).

Airway Management 98

Airway Management Operations EMS Research 98

Don't Forget the Bubbles

SEPTEMBER 13, 2023

2000; 55(5):616-623. Practice parameter: Evaluating a first nonfebrile seizure in children. Report of the Quality Standards Subcommittee of the American Academy of Neurology, the Child Neurology Society, and the American Epilepsy Society. Reaffirmed October 17, 2020 Jaffe M, Bar-Joseph G, Tirosh E. Pediatrics.

Seizures 131

Seizures Pediatrics Emergency Department Radiology 131

EMDocs

FEBRUARY 12, 2025

Trends in Radiation Therapy among Cancer Survivors in the United States, 2000-2030. Int J Radiat Biol. 2013;89(5):311-318. doi:10.3109/09553002.2013.765055 Shin JY, Yabroff KR, Keegan THM, et al. Cancer Epidemiol Biomarkers Prev. 2017;26(6):963-970. doi:10.1158/1055-9965.EPI-16-1023. EPI-16-1023. Rosenthal A, Israilevich R, Moy R.

Best Practices 56

Best Practices Documentation/Coding Radiology Radiology 56

Broome Docs

APRIL 30, 2024

2000 Jul;39(7):515-8. PMID: 38497992 Preventing poison ivy? Why is there so much I never knew Stibich AS, Yagan M, Sharma V, Herndon B, Montgomery C. Cost-effective post-exposure prevention of poison ivy dermatitis. Int J Dermatol. doi: 10.1046/j.1365-4362.2000.00003.x. 1365-4362.2000.00003.x. Rauwerdink D, Balak D.

Poisoning 69

Poisoning Dislocations Operations Ultrasounds 69

Sensible Medicine

AUGUST 4, 2024

The authors obtained incidence data for 34 types of cancer and mortality data for 25 types of cancer for individuals aged 25–84 years for the period Jan 1, 2000, to Dec 31, 2019 from the North American Association of Central Cancer Registries and the US National Center for Health Statistics, respectively.

Academics 104

Academics Outcomes Wellness 104

Emergency Medicine Journal

JUNE 20, 2024

1 In their EMJ paper, Bath et al report the results of a systematic review of comparator study types published since 2000 that investigated the impact of organised trauma systems on morbidity, quality of life and economic outcomes. 2 The study screened 8181 articles and found only 7 addressing this important issue.

Outcomes 40

Outcomes 40

Pediatric Emergency Playbook

OCTOBER 1, 2019

Otolaryngol Clin North Am 2000; 33:1309. Thyroglossal duct cyst: a comparison between children and adults. Am J Otolaryngol 2008; 29:83. Mandell DL. Head and neck anomalies related to the branchial apparatus. Marler JJ, Mulliken JB. Current management of hemangiomas and vascular malformations. Clin Plast Surg 2005; 32:99. Silverman, J.

Pediatrics 52

Pediatrics 52

EMDocs

AUGUST 26, 2023

Oral health in asthmatic patients: a review : Asthma and its therapy may impact on oral health. Clin Mol Allergy. 2020 Nov 7;18(1):22. doi: 10.1186/s12948-020-00137-2. PMID: 33292326; PMCID: PMC7648282. Vazquez, J. Therapeutic options for the management of oropharyngeal and esophageal candidiasis in HIV/AIDS Patients. Trials 1, 47–59.

EMS 95

EMS Infectious Diseases Pediatrics Emergency Department 95

PHEM Cast

DECEMBER 12, 2016

J Am Coll Surg; 2000. Emergency Department thoracotomy for the critically injured patient: Objectives, indications, and outcomes. World Journal of Emergency Surgery; 2006: 1:4. Rhee et al. Survival after Emergency Department thoracotomy: review of published data for last 25 years. 190(3): 288-298 ACS Committee on Trauma Working Group.

Military 52

Military Resuscitation Emergency Department Documentation/Coding 52

ALiEM

NOVEMBER 1, 2023

2000 Jun;59(6):1233-50. Medicine (Baltimore) 1999;78(6):361-9. PMID 10575418 Kaakkola S. Clinical pharmacology, therapeutic use and potential of COMT inhibitors in Parkinson’s disease. PMID: 10882160 The meaning behind the color of urine. The Meaning Behind the Color of Urine – Urology Care Foundation. American Urological Society.

Shock 64

Shock Poisoning Pediatrics 64

Cook County EM Blog

JUNE 2, 2022

2000 Sep;25(5):817-23. Metacarpal fractures: treatment and complications. Hand (N Y). 2014;9(1):16-23. doi:10.1007/s11552-013-9562-1 Stern PJ. Management of fractures of the hand over the last 25 years. J Hand Surg Am. doi: 10.1053/jhsu.2000.4214. PMID: 11040296

Fractures 52

Fractures Soft Tissue Injuries Operations Emergency Department 52

PulmCCM

MAY 22, 2023

They were then randomized to receive (in an unblinded fashion) either liberal fluids along with vasopressors (advising at least 2000 mL crystalloid initially for most patients, with vasopressors as second-line) or a restrictive fluid strategy (favoring vasopressors, with rescue fluids allowed as needed), for the first 24 hours of resuscitation.

Fluid Resuscitation 86

Fluid Resuscitation Resuscitation Hospitals Sepsis 86