PHEM Cast

DECEMBER 12, 2016

Emergency Department thoracotomy for the critically injured patient: Objectives, indications, and outcomes. World Journal of Emergency Surgery; 2006: 1:4. Survival after Emergency Department thoracotomy: review of published data for last 25 years. J Am Coll Surg; 2000. Injury; 2006 (37): 1-19. Clay et al.

Military 52

Military Resuscitation Emergency Department Documentation/Coding 52

ACEP Now

SEPTEMBER 5, 2024

Our state chapter members and leaders are uniquely positioned to follow EMRA’s lead in partnering with local EM residency programs to improve communication of ACEP’s value to EM-bound medical students and EM residents by hosting residency visits or local events relevant to our shared mission. However, unlike 80 percent of U.S.

Leadership 98

Leadership PPE EMS Wellness 98

RebelEM

AUGUST 28, 2023

Schwartz and colleagues performed an ingenious trial ( Schwartz 2000 ) Enrolled 64 ED patients with acute pain. Read More REBEL EM: The Ketorolac Analgesic Ceiling References Irizarry E et al. Can J Emerg Med 2007; 9(1): 30-2. Ann Emerg Med 1995;26:117-20. Acad Emerg Med; 1998; 5(2): 118-122.PMID:

Administration 52

Administration Emergency Department EMS Research 52

The Skeptics' Guide to EM

APRIL 24, 2021

Randomized Double-blind Trial Intramuscular Droperidol, Ziprasidone and Lorazepam for Acute Undifferentiated Agitation in the Emergency Department. On investigating you find a collection of nursing, EMS and hospital security personnel surrounding an obviously agitated patient with blood on his head who is attempting to punch them.

Emergency Department 40

Emergency Department Research Outcomes Documentation/Coding 40

RebelEM

JANUARY 23, 2023

Noninferiority trials, covered here on REBEL EM , are helpful when the experimental treatment offers a distinct advantage over the standard treatment. Multicenter study of emergency department visits for insect sting allergies. Multicenter study of emergency department visits for food allergies. PMID: 16159637.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

EB Medicine

AUGUST 6, 2019

Interestingly, one retrospective study found limited agreement between EMS records and hospital documentation on current DOAC usage. Isaac Tawil from the University of New Mexico. This can help with destination selection when relevant. Nachi: Extremely important to identify DOAC use early.

Emergency Department 40

Emergency Department Stroke Wellness Outcomes 40

The Skeptics' Guide to EM

DECEMBER 2, 2017

He is currently deployed, practicing emergency medicine in an undisclosed location. Case: You are working a regular shift in the emergency department when you hear a code blue called. SGEM#64 : Classic EM Papers (OPALS Study) * SGEM#136 : CPR – Man or Machine? The survival rate for adults to hospital discharge is 24.8%.

Hospitals 40

Hospitals CPR Resuscitation Documentation/Coding 40

Taming the SRU

OCTOBER 7, 2024

epidemiology of venous thromboembolism in pregnancy VTE is not only important to understand because it is the number one cause of mortality for pregnant patients, but also because it is common and will show up in your Emergency Department likely frequently throughout your career. According to a CDC study, VTE contributes to 10.5%

Ultrasounds 64

Ultrasounds CDC Research Stroke 64

EMDocs

AUGUST 26, 2023

We’ll keep it short, while you keep that EM brain sharp. The post EM@3AM: Oropharyngeal Candidiasis appeared first on emDOCs.net - Emergency Medicine Education. A 32-year-old male with HIV presents to the ED for loss of taste. He noticed white plaques on his tongue, worsening over the last few days. Clin Mol Allergy.

EMS 96

EMS Infectious Diseases Pediatrics Emergency Department 96

EMDocs

OCTOBER 5, 2024

We’ll keep it short, while you keep that EM brain sharp. A 62-year-old female patient with a history of recurrent urinary tract infections (UTIs) presents to the emergency department with fever, chills, and dysuria. 2000; 6:460–3. Clin Microbiol Rev 18: [link] Paterson DL. Lee JA, Kang CI, Joo EJ, et al. doi:10.1001/jama.2018.12163

EMS 97

EMS Infectious Diseases Sepsis Hospitals 97

Dr. Smith's ECG Blog

APRIL 8, 2015

in 2010 EM Clinics of North America (full text link) For an Exhaustive Review of Syncope and its full management outside the ED environment, go to the 2009 European Society of Cardiology Guidelines (full text pdf). The ROSE (Risk Stratification of syncope in the emergency department) Study.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

Pediatric EM Morsels

SEPTEMBER 1, 2023

One such vital aspect of pediatric emergency medicine is the appreciation of how psychosocial history impacts a patient’s life and care. As previously mentioned by Dr. Richardson , adolescents use the Emergency Department as their Primary Care resource often. This is particularly true for vulnerable adolescents.

Pediatrics 164

Pediatrics Emergency Department Fractures EMS 164

Don't Forget the Bubbles

DECEMBER 2, 2024

This single-centre prospective study focused on a quality improvement (QI) project to reduce the overuse of chest X-rays (CXR) in paediatric patients with acute asthma exacerbations (AAE) arriving at the emergency department (ED ). Arch Acad Emerg Med. Pediatric Emergency Medical Journal 2023;10(4):109-117.

Documentation/Coding 98

Documentation/Coding Pediatrics Emergency Department Fractures 98

EMDocs

JUNE 3, 2023

What is the EM physician’s role in the stabilization of unstable pelvic injuries? If a pelvic binder was placed by EMS, inquire whether this was placed empirically or if mechanical pelvic instability was already elicited. Her initial vital signs are blood pressure 76/54 mmHg, heart rate 128 bpm, temperature 37.0˚ J Clin Orthop Trauma.

Fractures 64

Fractures Resuscitation Operations EMS 64

EMDocs

NOVEMBER 4, 2024

Bhana, MD (EM Resident Physician, University of Massachusetts/UMass Chan Medical School); Clarence Kong, MD (Pain Fellow, Eastern Virginia Medical School – Virginia Health Sciences at Old Dominion University); Mani Hashemi, MD (EM Attending, HCA Florida Mercy Hospital); S.M. Am J Emerg Med. Ann Emerg Med. Acad Emerg Med.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

RebelEM

DECEMBER 17, 2024

A large observational study of > 2000 patients found an association with fever at presentation and ICU survival for patients with severe sepsis or septic shock ( Sunden-Culberg 2017 ). Read More REBEL EM: The HEAT Trial: Acetaminophen for Fever? appeared first on REBEL EM - Emergency Medicine Blog.

Sepsis 75

Sepsis Shock EMS Emergency Department 75

ACEP Now

FEBRUARY 11, 2025

percent of emergency department (ED) visits and 55.3 Reimbursement for emergency physician services decreased by 29 percent between 2000 and 2020. 8 In addition, emergency medicine compensation has not kept pace with increasing inflation, growing administrative burden, or surging patient volumes.

Hospitals 80

Hospitals Emergency Department Wellness Outcomes 80

Broome Docs

DECEMBER 22, 2024

2000 Aug;31(2):513-8. Epub 2000 Sep 14. PARAMEDIC 3 randomized 6,000 (but they were supposed to get to 15,000) patients with out of hospital arrest from multiple EMS agencies in the UK to either an IO or IV to start. Acad Emerg Med. Full post here. Skepticism: a lost clinical art. DiNubile MJ. Clin Infect Dis.

Blood Transfusions 52

Blood Transfusions Hospitals Outcomes Emergency Department 52

EMDocs

MARCH 11, 2024

Authors: Gaston Omba, MD (EM Resident Physician, Makerere University); Jessica Pelletier, DO (EM Education Fellow, Washington University in St. Risk Factors for Severe Cholera among Children under Five in Rural and Urban Bangladesh, 2000–2008: A Hospital-Based Surveillance Study. Trop Med Infect Dis. 2023;8(3):169. Kirk M, ed.

Dehydration 111

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 111

EMDocs

MARCH 6, 2025

The risk of TD generally does not outweigh the benefits that antidopaminergic medications may pose in an acute setting, such as an emergency department. link] The post ToxCard: Tardive Dyskinesia appeared first on emDOCs.net - Emergency Medicine Education. Treatment of Tardive Dyskinesia.Neurologic clinics,38(2), 379396.

Psychiatric 74

Psychiatric Emergency Department Administration Wellness 74