RebelEM

AUGUST 28, 2023

Surgical Patients Quereshi 2019 Double-blind RCT IM diclofenac 75 mg vs PO diclofenac 100 mg Small difference favoring IM in terms of speed to pain relief Authors conclude PO superior due to time to prepare injection The data looks fairly clear in terms of analgesic efficacy but, don’t some patients simply prefer to receive a shot?

Administration 52

Administration Emergency Department EMS Research 52

The Skeptics' Guide to EM

MARCH 20, 2021

This is in contrast to Canada where papers in the early 2000 demonstrated the safety of out-patient management of PEs ( Kovacs ). This includes the European Cardiology Society ( ECS 2019 ) and the British Thoracic Society ( Howard et al 2018 ). The patient has normal vital signs and no comorbidities.

Academics 52

Academics Hospitals Wellness 52

ACEP Now

SEPTEMBER 3, 2024

Hahnemann University Hospital in Philadelphia closed in 2019, a year and a half after it was acquired along with St. Private equity investment in health care has increased more than 20-fold since 2000, with 70 percent of this activity since 2010. Published September 5, 2019. Published July 22, 2019. J Hosp Med.

Hospitals 113

Hospitals Radiology Radiology Emergency Department 113

RebelEM

JUNE 5, 2023

from 2019 to 2021 (from 48,000 to 81,400 annual deaths), which includes prescription opioids (natural and semi-synthetic opioids and methadone), heroin, and synthetic opioids other than methadone including fentanyl (1). Background Information: Opioid overdose deaths have been increasing in the past twenty years.

Emergency Department 97

Emergency Department Hospitals Outcomes EMS 97

RebelEM

MAY 18, 2023

Liberal: 14.9% Estimated Difference: -0.9%; 95% CI 04.4 Liberal: 14.9% Estimated Difference: -0.9%; 95% CI 04.4

Sepsis 104

Sepsis Shock Resuscitation Outcomes 104

Dr. Smith's ECG Blog

SEPTEMBER 12, 2023

Figure-2: A rapid method for estimating the QTc ( Figure from My Comment in the March 19, 2019 post in Dr. Smith's ECG Blog ). == Clinical Implications of a Short QTc: The differential diagnosis for today's tracing, with its short QTc ~360 msec. ) — but as can be seen, my estimate of ~360 msec.

EKG/ECG 69

EKG/ECG Hospitals 69

Cook County EM Blog

MARCH 20, 2023

2019 Nov 16;8(11):2000. 2000 Jul;45(1):64-6. 2019 Dec 18;6(1):153-158. Vitale E, Ledda C, Adani R, Lando M, Bracci M, Cannizzaro E, Tarallo L, Rapisarda V. Management of High-Pressure Injection Hand Injuries: A Multicentric, Retrospective, Observational Study. J Clin Med. doi: 10.3390/jcm8112000. ISSN 0736-4679.

Fractures 52

Fractures Documentation/Coding Operations Research 52

Don't Forget the Bubbles

OCTOBER 7, 2024

2000 Aug;46(1–3). If the hose is narrow, less water flows through (low current) References Electrocution and Electrical Injury – Emergency Management in Children; Children’s Health Queensland Hospital and Health Service Baird J. Electrical Injuries. Chen P, Bukhman AK. Electrical and lightning injuries. In: Walls RM, ed. Wiley; 2016.

Burns 80

Burns Fluid Resuscitation Shock Resuscitation 80

ACEP Now

SEPTEMBER 11, 2023

4 More recent data can be found in a 2019 retrospective review of data from the Kids Inpatient Database as part of the Healthcare Cost and Utilization Project. 5 Pediatric discharges were reported by 2,784 hospitals in 2000 and the number of reporting hospitals increased to 4,179 in 2012.

Pediatrics 40

Pediatrics Poisoning Hospitals Emergency Department 40

Taming the SRU

AUGUST 30, 2023

The 2019 Journal of Arthroplasty practice guidelines to screen for periprosthetic joint infections recommend using ESR at 30mm/hr and CRP at 10mg/L, citing pooled sensitivities and specificities ranging from 75%-86% and 70-72.3%, respectively, for ESR and 88% and 73-74%, respectively, for CRP [32]. 2019 Feb;34(2S):S187-S195.

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

Taming the SRU

SEPTEMBER 8, 2023

2019 Jan 5;1(1):CD011451. 2, 2000, pp. PMID: 34006606; PMCID: PMC8137169. Martí-Carvajal AJ, Gluud C, Arevalo-Rodriguez I, Martí-Amarista CE. Acetyl-L-carnitine for patients with hepatic encephalopathy. Cochrane Database Syst Rev. doi: 10.1002/14651858.CD011451.pub2. PMID: 30610762; PMCID: PMC6353234. 16, 2011, p. 8, 2014, pp.

Radiology 59

Radiology Radiology Ultrasounds EMS 59

The Skeptics' Guide to EM

APRIL 24, 2021

Unfortunately, an FDA Black Box warning and supply issues meant that droperidol effectively vanished from the US armamentarium from 2013-2019 and other agents were used and investigated. Dr. Martel is a practicing emergency physician at Hennepin County medical center in Minneapolis, Minnesota since 2000.

Emergency Department 40

Emergency Department Research Outcomes Documentation/Coding 40

EMDocs

SEPTEMBER 25, 2023

Chest 2000; 117(1): 260 – 7. 2000 Jan-Mar;4(1):14-8. 2019, 64:617-28. PMID: 23911630 Kim WY et al. actors Associated with the Occurrence of Cardiac Arrest after Emergency Tracheal Intubation in the Emergency Department. PLoS One 2014; 9(11): e112779. PMID: 25402500 Forsythe SM et al. PMID: 10631227 Mosier JM et al. Respir Care.

Emergency Department 92

Emergency Department Soft Tissue Injuries Airway Management Operations 92

Dr. Smith's ECG Blog

OCTOBER 17, 2024

PR depression — has been shown to be a relatively common ECG sign associated with clinically silent PE ( Kudo et al — JACC 39(12): 2000-2004, 2002 ). Finally — Note that there is also T-QRS-D ( T erminal QRS D istortion ) in lead V3 ( See My Comment in the November 14, 2019 post for review and illustration of T-QRS-D criteria ).

EKG/ECG 73

EKG/ECG EMS Shock Ultrasounds 73

RebelEM

JANUARY 23, 2023

Moreover, the FDA approved intravenous (IV) cetirizine to treat acute urticaria in 2019. However, according to the American Academy of Allergy, Asthma, and Immunology, “oral antihistamine therapy is equivalent to IV therapy” (Ledford D 2019). 2019) Substitute for diphenhydramine , American Academy of Allergy Asthma & Immunology.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

Taming the SRU

OCTOBER 7, 2024

It is estimated to affect every 1 in 500 to 2000 pregnancies. In addition to discussing the diagnostic pathway and how it differs in pregnancy, we will discuss the treatment options available to both unstable and stable patients during pregnancy and the postpartum period. According to a CDC study, VTE contributes to 10.5% Haematologica.

Ultrasounds 64

Ultrasounds CDC Research Stroke 64

RebelEM

MARCH 27, 2023

2019 Aug; PMID: 30954692 Clinical Question: What is the impact of system factors in the implementation of standard-of-care LPV in critically ill ED patients admitted to the ICU? 2000 May 4; PMID: 10793162 Harvey CE, et al. Paper: Owyang CG, et al. J Crit Care. REFERENCES: Acute Respiratory Distress Syndrome Network et al. N Engl J Med.

Emergency Department 52

Emergency Department Operations Academics Documentation/Coding 52

ACEP Now

AUGUST 1, 2023

Recent data published in Annals showed that between 2013 and 2019, the percentage of clinicians working in rural areas who were emergency physicians actually dropped slightly. Despite the growth we have seen in residency programs, we are not seeing more emergency physicians working in remote EDs.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

Dr. Smith's ECG Blog

FEBRUARY 17, 2023

Features of Short QT Syndrome: From My Comment at the bottom of the page in the September 2, 2019 post of Dr. Smith’s ECG Blog: SQTS is an inherited cardiac channelopathy determined by the presence of symptoms ( syncope, cardiac arrest ) — positive family history — and the ECG finding of an abnormally short QTc interval.

EKG/ECG 52

EKG/ECG Hospitals Wellness 52

EMDocs

JUNE 3, 2023

Demographic epidemiology of unstable pelvic fracture in the United States from 2000 to 2009: trends and in-hospital mortality. 2019 Dec;38(6):695-696]. J Clin Orthop Trauma. 2021;12(1):101-112. doi:10.1016/j.jcot.2020.09.035 2020.09.035 Yoshihara H, Yoneoka D. J Trauma Acute Care Surg. 2014;76(2):380-385. doi:10.1097/TA.0b013e3182ab0cde

Fractures 64

Fractures Resuscitation Operations EMS 64

EB Medicine

FEBRUARY 1, 2019

In addition, one 2015 study found that patients without xanthrochromia and less than 2000 RBC were effectively ruled out of having a SAH with a combined sensitivity of 100% Jeff: Lots of 100% sensitivities and specificities being thrown around today, which is definitely not the norm. Accessed January 10, 2019.

Emergency Department 40

Emergency Department Stroke Outcomes Ultrasounds 40

EB Medicine

JANUARY 2, 2019

Jeff: With that, let’s get into the first episode of 2019 – the topic this month is first trimester pregnancy emergencies: recognition and management. Inclusion criteria included hemodynamic stability, initial b hcg < 2000, declining b hcg titers 48 hours prior to treatment, and visible tubal pregnancy on trans vaginal ultrasound.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

Sensible Medicine

AUGUST 14, 2024

The pneumococcal vaccine arrived in 2000, solving 700 cases of meningitis, 17,000 cases of bloodstream infections, 200 deaths and five million ear infections per year in children. A safer version of the pertussis vaccine was introduced in 1996. A rotavirus vaccine debuted in 2006.

CDC 88

CDC Sepsis Research Pediatrics 88

Taming the SRU

JANUARY 22, 2025

link] GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Chronic obstructive pulmonary disease surveillance--United States, 1971-2000. 2020 Oct 17;396(10258):1204-1222.

COPD 80

COPD CDC Research Emergency Department 80

EMDocs

MARCH 11, 2024

3 Between 1990 and 2019, there were approximately 3 million deaths due to cholera globally, indicating a significant public health issue. Non-O1/non-O139 Vibrio cholerae bacteraemia in mainland China from 2005 to 2019: clinical, epidemiological and genetic characteristics. 2023;10:1155751. doi:10.3389/fmed.2023.1155751 2020;148:e186.

Dehydration 111

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 111

EMDocs

NOVEMBER 2, 2024

During the decade of the 1990s, trends showed a year-to-year decline that reached a nadir in the year 2000. 2019 Oct 31;381(18):1789. Since then, rates of syphilis have been on the rise [2,5]. Rosh Review Website Link References: Tudor ME, Al Aboud AM, Leslie SW, Gossman W. In: StatPearls. 2023 Nov 9;389(19):1828. N Engl J Med.

EMS 115

EMS Infectious Diseases CDC Research 115