2000, Emergency Department and Shock

2000

Emergency Department

Shock

But Can You Just PO?

Taming the SRU

DECEMBER 17, 2024

Fluid management in the Emergency Department (ED) is crucial in the adequate resuscitation of the acutely ill and decompensating patient. Other contraindications include those who are unable to drink liquid (respiratory problems or impaired unconsciousness) and patients in shock, persistent vomiting, or with an ileus.

Dehydration

Dehydration Fluid Resuscitation Resuscitation Administration

Glasgow Coma Scale in Children

Pediatric EM Morsels

JULY 21, 2023

Interrater reliability of Glasgow Coma Scale scores in the emergency department. Ann Emerg Med. Pediatric adjusted reverse shock index multiplied by Glasgow Coma Scale as a prospective predictor for mortality in pediatric trauma. Journal of veterinary emergency and critical care (San Antonio, Tex. J Surg Res.

Head Injuries

Head Injuries Pediatrics Outcomes Shock

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Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

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Trending Sources

Impact of Emergency Department Crowding on Lung Protective Ventilation

RebelEM

MARCH 27, 2023

Over the past few years, there has been an increase in emergency department (ED) volumes and lengths of stay. The effect of emergency department crowding on lung-protective ventilation utilization for critically ill patients. 2000 May 4; PMID: 10793162 Harvey CE, et al. Paper: Owyang CG, et al. J Crit Care.

Emergency Department

Emergency Department Operations Academics Documentation/Coding

Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

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The Private Equity Wave in Health Care

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.

Hospitals

Hospitals Radiology Radiology Emergency Department

Episode 31 - Emergency Department Management of Patients Taking Direct Oral Anticoagulant Agents (Pharmacology CME)

EB Medicine

AUGUST 6, 2019

Jeff: That is simply shocking! Isaac Tawil from the University of New Mexico. Nachi: And just as with traumatic head bleeds, a small observational study of those with blunt abdominal trauma found 8% vs 30% mortality for those on DOACs vs warfarin, respectively. Let’s also talk lab studies.

Emergency Department

Emergency Department Stroke Wellness Resuscitation

EZIO Drill Recycling

ETM Course

SEPTEMBER 27, 2022

EZIO essentially has a monopoly on intraosseous access, being used in almost all Emergency Departments and ambulance/pre-hospital systems around Australia and New Zealand. We have just done this to 6 flat drills we had laying around, saving them from landfill and saving $2000 in the process.

Emergency Department

Emergency Department Hospitals Shock

Diagnostics: Inflammatory Markers

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. Evaluation of fever in the emergency department. ng/mL (strongly recommended against antibiotics), 0.1-0.25

Infectious Diseases

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing

EM@3AM: ESBL-Producing Organisms and Their Management

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. Pressors where indicated for septic shock (typically Norepinephrine starting at 0.05 2000; 6:460–3. We’ll keep it short, while you keep that EM brain sharp.

EMS

EMS Infectious Diseases Sepsis Hospitals

Pediatric Pain

Pediatric Emergency Playbook

JANUARY 1, 2017

Facial grimacing is a weak indicator of pain in neonates ( Liebelt 2000 ). Unexplained tachycardia may be the early signs of shock. 2000 Aug;106(2 Pt 1):351-7. Intranasal ketamine for analgesia in the emergency department: a prospective observational series. Acad Emerg Med. Pediatr Emerg Care.

Pediatrics

Pediatrics Soft Tissue Injuries Burns Emergency Department

Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

EMDocs

JUNE 3, 2023

In fact, the World Society of Emergency Surgery (WSES) classification assigns grades I-III depending on their Young-Burgess classification, but any patient hemodynamically unstable from their pelvic fracture is automatically WSES grade IV regardless of their fracture pattern. J Clin Orthop Trauma. 2021;12(1):101-112. doi:10.1016/j.jcot.2020.09.035

Fractures

Fractures Resuscitation Operations EMS

Grand Rounds Recap 11.13.24

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., mg/kg (of 0.1 mg/kg (of 0.1 2x maintenance rate

Psychiatric

Psychiatric Seizures Emergency Department Pediatrics

Clinical Conundrum: Should We Always Treat Fever in Patients with Sepsis?

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 ). Importantly, all of the patients in this study had septic shock requiring vasopressors and mechanical ventilation.

Sepsis

Sepsis Shock EMS Emergency Department

Chest pain followed by 6 days of increasing dyspnea -- what happened?

Dr. Smith's ECG Blog

FEBRUARY 26, 2025

He presented to the emergency department for evaluation. Rupture can be either free wall rupture (causing tamponade) or septal rupture, causing ventricular septal defect with left to right flow and resulting pulmonary edema and shock. Lets us consider two different clinical presentations. References: [1] Lador, A. Hammill, S.

EKG/ECG

EKG/ECG Shock COPD Wellness

Cholera: ED presentation, evaluation, and management

EMDocs

MARCH 11, 2024

Louis) // Reviewed by: Joshua Lowe, MD (EM Staff Physician, USAF); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case A 25-year-old woman presented to the emergency department (ED) in Uganda with acute encephalopathy. Laboratory testing was not immediately available. How is this condition diagnosed and treated in the ED?

Dehydration

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation

Emergency Care Today

But Can You Just PO?

Glasgow Coma Scale in Children

Webinars

Trending Sources

Impact of Emergency Department Crowding on Lung Protective Ventilation

Webinars

The Private Equity Wave in Health Care

Episode 31 - Emergency Department Management of Patients Taking Direct Oral Anticoagulant Agents (Pharmacology CME)

EZIO Drill Recycling

Diagnostics: Inflammatory Markers

EM@3AM: ESBL-Producing Organisms and Their Management

Pediatric Pain

Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

Grand Rounds Recap 11.13.24

Clinical Conundrum: Should We Always Treat Fever in Patients with Sepsis?

Chest pain followed by 6 days of increasing dyspnea -- what happened?

Cholera: ED presentation, evaluation, and management

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