RebelEM

JANUARY 23, 2023

Health care professional involved in patient management and outcome assessment was completely blinded. Multicenter study of emergency department visits for insect sting allergies. Multicenter study of emergency department visits for food allergies. Patients were randomized in a 1:1 ratio. J Allergy Clin Immunol.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

Taming the SRU

AUGUST 30, 2023

While PCT may be more specific for bacterial infections, it is flawed by still being rather non-specific and is not validated as a stand-alone diagnostic criteria for infection in the setting of the emergency department. In 7 studies with 4164 patients, PCT with a cut-off > 0.1 ng/mL (strongly recommended against antibiotics), 0.1-0.25

Infectious Diseases 89

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

PEMBlog

SEPTEMBER 13, 2023

The causes are many – it could be a force of habit, a medical liability concern for “missing something,” a desire to please the caregivers, a previous seizure patient of theirs who had a bad outcome, or numerous other causes. 2000; 55(5):616-623.

Seizures 52

Seizures Pediatrics Point-of-Care Testing Wellness 52

Pediatric EM Morsels

JULY 21, 2023

Motor Fingernail bed pressure with a pencil first If flexion outcome, then apply painful stimulus to neck or head (trapezius or supraorbital notch) to look for localization Spinal reflex can result in a falsely elevated score if lower extremity pain induced Verbal Orientated- Able to answer all questions. Ann Emerg Med. PMID: 4136544.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

EMDocs

SEPTEMBER 25, 2023

Still, there are those that believe that FPS is more of a physician-centered endpoint that does not fully reflect important patient-centric outcomes (16). actors Associated with the Occurrence of Cardiac Arrest after Emergency Tracheal Intubation in the Emergency Department. Chest 2000; 117(1): 260 – 7.

Emergency Department 93

Emergency Department Soft Tissue Injuries Airway Management Operations 93

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 1, 2023

Several secondary outcomes suggest a signal toward harm with hypothermia, including incidence of pneumonia, bradycardia, and more days ventilated. Bradycardia: 18.8% Average ventilator days (8.3 Bradycardia: 18.8% Average ventilator days (8.3 Bradycardia: 18.8% Average ventilator days (8.3 Bradycardia: 18.8% Average ventilator days (8.3

Hyperthermia / Hypothermia 86

Hyperthermia / Hypothermia Outcomes Hospitals Emergency Department 86

ACEP Now

SEPTEMBER 3, 2024

Private equity investment in health care has increased more than 20-fold since 2000, with 70 percent of this activity since 2010. Still, this wave of private equity acquisitions in emergency medicine has come crashing down on the heads of many early-career physicians. Borsa A, Bejarano G, Ellen M, et al. 2023;382:e075244.

Hospitals 113

Hospitals Radiology Radiology Emergency Department 113

RebelEM

JUNE 5, 2023

With the recent elimination of the DATA 2000 (the X-waiver) requirement, anyone with a DEA license can prescribe buprenorphine. Microdosing and standard‐dosing take‐home buprenorphine from the Emergency Department: A feasibility study. Journal of the American College of Emergency Physicians Open , 1 (6), 1712–1722.

Emergency Department 96

Emergency Department Hospitals Outcomes EMS 96

EMDocs

OCTOBER 5, 2024

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. 12 Complications Inadequate empiric therapy can lead to treatment delays and worse outcomes. 2000; 6:460–3. Lee JA, Kang CI, Joo EJ, et al.

EMS 98

EMS Infectious Diseases Sepsis Hospitals 98

The Skeptics' Guide to EM

JANUARY 7, 2018

Chris Carpenter is from Washington University, Deputy Editor of Academic Emergency Medicine and faculty member of Emergency Medicine and Critical Care course. Case: A 35-year-old female presents to your emergency department three-hours after the onset of a severe frontal headache.

Emergency Department 40

Emergency Department Academics 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. The survival rate for IHCA has almost doubled from the year 2000 when it was only 13.7%.

Hospitals 40

Hospitals CPR Resuscitation Documentation/Coding 40

EMDocs

NOVEMBER 4, 2024

A comprehensive, patient-centered approach to pain management ensures effective treatment across these diverse pain syndromes, ultimately improving patient outcomes. Prevalence and treatment of pain in EDs in the United States, 2000 to 2010. Am J Emerg Med. Ann Emerg Med. Acad Emerg Med. J Emerg Med.

Emergency Department 106

Emergency Department Fractures Burns EMS 106

Dr. Smith's ECG Blog

APRIL 8, 2015

Cardiac Syncope ("True Syncope") Independent Predictors of Adverse Outcomes condensed from multiple studies 1. These premonitory symptoms were negative predictors of adverse outcomes in EGSYS. 2) Boston syncope rule: J Emerg Med. The ROSE (Risk Stratification of syncope in the emergency department) Study.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

EB Medicine

FEBRUARY 1, 2019

This month, we’re tackling an incredibly important topic - evaluation and management of life threatening headaches in the Emergency Department. Nachi: In addition, nimodipine, 60 mg q4h, should be given to those with aneurysmal SAH to improve outcomes. I’m Jeff Nusbaum, and I’m back with my co-host, Nachi Gupta.

Emergency Department 40

Emergency Department Stroke Outcomes Ultrasounds 40

EMDocs

JUNE 3, 2023

Demographic epidemiology of unstable pelvic fracture in the United States from 2000 to 2009: trends and in-hospital mortality. Management and outcomes of open pelvic fractures: An update. Her initial vital signs are blood pressure 76/54 mmHg, heart rate 128 bpm, temperature 37.0˚ J Clin Orthop Trauma. 2021;12(1):101-112.

Fractures 65

Fractures Resuscitation Operations EMS 65

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 ). Fever in the Emergency Department predicts survival of patients with severe sepsis and septic shock admitted to the ICU.

Sepsis 75

Sepsis Shock EMS Emergency Department 75

Broome Docs

DECEMBER 22, 2024

2000 Aug;31(2):513-8. Epub 2000 Sep 14. Their primary outcome was survival at 30 days, and there was no difference between the two groups (4.5% Favourable neurologic outcomes were seen in 2.7% The primary outcome here was ROSC, and there was no difference (30% with IO vs 29% with IV, RR 1.06, 95% CI 0.9-1.24).

Blood Transfusions 52

Blood Transfusions Hospitals Outcomes Emergency Department 52

ACEP Now

APRIL 14, 2025

No scenario demands more rapid, high-stakes decision-making than pediatric traumathe leading cause of death for childrenwhere timely interventions significantly influence outcomes. Emergency physicianswho may rarely encounter severe pediatric traumaare often the first to stabilize. The impact of trauma systems on patient outcomes.

Pediatrics 52

Pediatrics Emergency Department Best Practices Outcomes 52

EMDocs

MARCH 6, 2025

There has been some evidence to suggest that free radical scavengers, including Vitamins E, D, and B6 have beneficial outcomes on patients with early TD (within the first 3 years of symptom development). TD may be a permanent outcome if not recognized early and treated accordingly. 2 Adapted from: Bashir, H. H., & Jankovic, J.

Psychiatric 76

Psychiatric Emergency Department Administration Wellness 76

Dr. Smith's ECG Blog

FEBRUARY 26, 2025

He presented to the emergency department for evaluation. Incidence and Prognosis of Pericarditis After ST-Elevation Myocardial Infarction (from the Acute Coronary Syndrome Israeli Survey 2000 to 2013 Registry Database). Lets us consider two different clinical presentations. How will you manage this patient in each scenario?

EKG/ECG 88

EKG/ECG Shock COPD Wellness 88

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

Taming the SRU

NOVEMBER 13, 2024

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

Psychiatric 89

Psychiatric Seizures Emergency Department Pediatrics 89