ALiEM

SEPTEMBER 29, 2023

Additional Images Physical Exam General : Well-appearing male in no distress Neck : Hemostatic wound to his left neck. 2000 Aug;216(2):356-62. He now presents requesting “Neosporin.” ” His tetanus status is out of date. No significant pain, no hematoma, no bruits. Múnera F, Soto JA, Palacio D, Velez SM, Medina E.

Radiology 70

Radiology Radiology Academics Ultrasounds 70

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

PulmCCM

APRIL 18, 2024

Anesthesiology residents literally stop counting, generally performing well over a thousand intubations in a four-year residency (compared to pulmonary-critical care fellows’ mere nine months total in the ICU on a traditional research/clinical split), including extensive experience on difficult airways and advanced airway management.

Airway Management 98

Airway Management Operations EMS Research 98

ACEP Now

SEPTEMBER 5, 2024

Creation of an accurate database of emergency physicians living and working within a state, as well as a network of each states’ EM groups and ED medical directors would help chapter leaders disseminate relevant information, strengthen advocacy efforts, and plan regional solutions summits to focus on unique challenges.

Leadership 98

Leadership PPE EMS Wellness 98

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

RebelEM

MAY 18, 2023

This could have influenced care the patients received as well as reporting of adverse events (i.e. Clinical judgement is still alive and well…one protocol will not work for a heterogenous disease process. Liberal: 14.9% Estimated Difference: -0.9%; 95% CI 04.4

Sepsis 104

Sepsis Shock Resuscitation Outcomes 104

Sensible Medicine

AUGUST 7, 2024

There is evidence that, for children and adults, elevated cortisol levels and chronic stress can lead to behavioral, mental-health, and mood issues, as well as changes in inflammation and immunity. A google Ngram of the term “tummy time” shows the phrase taking off in American English around the year 2000.

CDC 114

CDC Documentation/Coding Research Pediatrics 114

Dr. Smith's ECG Blog

SEPTEMBER 7, 2024

2000 Mar;139(3):430-6. There is also a very negative (reciprocally inverted) T-wave in lead III, and a down-up T-wave in aVF, both of which are highly suggestive of occlusion of the LAD or D1. Am Heart J. PubMed PMID: 10689257. Doevendans PA, Gorgels AP, van der Zee R, Partouns J, Bär FW, Wellens HJ.

EKG/ECG 116

EKG/ECG Research Wellness 116

The Skeptics' Guide to EM

MARCH 20, 2021

She is low risk by Wells Criteria but PERC Rule positive because of an appendectomy last month. This is in contrast to Canada where papers in the early 2000 demonstrated the safety of out-patient management of PEs ( Kovacs ). Outpatient Management of Patients Following Diagnosis of Acute Pulmonary Embolism.

Academics 52

Academics Hospitals Wellness 52

EMDocs

JULY 13, 2024

doi: 10.1002/(SICI)1098-0997(2000)8:2<77::AID-IDOG3>3.0.CO;2-6. Rosh Review Website Link Further Reading: FOAM [link] [link] References Chaim W, Bashiri A, Bar-David J, Shoham-Vardi I, Mazor M. Prevalence and clinical significance of postpartum endometritis and wound infection. Infect Dis Obstet Gynecol. 2000;8(2):77-82.

OB/GYN 91

OB/GYN EMS Sepsis Fluid Resuscitation 91

The Skeptics' Guide to EM

MARCH 16, 2024

Therefore, I created this talk using the Matrix as a more contemporary theme from the late 1990’s early 2000’s. Yet “what if I told you” is one of the most well-known Memes. I’ve come to recognize that many SGEMers are not very familiar with the best movie decade of all time, the 1980’s. Here are three examples of movie misquotes.

Wellness 60

Wellness 60

Mind The Bleep

APRIL 2, 2023

We’ve reached out to SkilledMedical who said they’re happy to guide and support any Mind the Bleep readers through the whole process with every step including finding a job that suits them at the right salary as well as applying, completing paperwork and tips for interviews.

Hospitals 59

Hospitals Wellness 59

EMDocs

SEPTEMBER 25, 2023

They increase the risks of hypoxia and acidosis during the apneic period as well as hypotension and hypoperfusion caused by the abrupt transition from negative-pressure to positive-pressure ventilation (10). Chest 2000; 117(1): 260 – 7. 2000 Jan-Mar;4(1):14-8. PMID: 23911630 Kim WY et al. PLoS One 2014; 9(11): e112779.

Emergency Department 93

Emergency Department Soft Tissue Injuries Airway Management Operations 93

ACEP Now

OCTOBER 3, 2023

This document is an update of guidelines first published in 2000, and then updated in 2007. Confounders to the GCS such as seizure and post-ictal phase, ingestions and drug overdose, as well as medications administered in the prehospital setting that impact GCS score should be documented.

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98

ACEP Now

SEPTEMBER 13, 2023

In 2000, as he was completing his second term on ACEP’s Board, he was elected to the IOM – now National Academy of Medicine – in 2000. We wanted to reach emergency physicians, nurses and others working in trauma as well as those at Health and Human Services and the Centers for Disease Control.

EMS 45

EMS Research Military Academics 45

Mind The Bleep

JULY 23, 2023

Abnormal location of superior mesenteric vessels (Kimura K, 2000), abnormal location of duodenal-jejunal (DJ) flexure seen on upper GI contrast (should normally be sited to the left of the spine at the same level or higher than the pylorus) “Corckscrew” sign on contrast due to incomplete obstruction with some contrast passing through.

Sepsis 52

Sepsis Blood Transfusions Dehydration Wellness 52

RebelEM

JULY 20, 2023

This can be plotted as a Forgetting Curve (Figure 2), the slope of which depends on many things – the quality of the teacher, if stress is included in the training, if you’re well fed, have good sleep, etc. This is the idea of learning something so well you bring yourself well above the line of competence.

EMS 75

EMS Burns Airway Management Wellness 75

Sensible Medicine

MARCH 11, 2024

Back to the Trial With proper randomization, the two groups should be well balanced with regard to baseline characteristics and therefore have no notable sources of bias and confounding. If this is the case then there can be only three possible explanations for the observed difference between the groups. A CVD event occurred in 17.8%

Outcomes 118

Outcomes Research Stroke COPD 118

Don't Forget the Bubbles

OCTOBER 7, 2024

The high voltage can cause direct thermal injuries, as well as mechanical injuries from falls or secondary trauma. 2000 Aug;46(1–3). Mechanisms of Injury Industrial electrical injuries are typically high-voltage injuries, resulting in deep tissue damage, burns, and significant systemic effects. Wiley; 2016. Resuscitation. Narayanan, K.,

Burns 80

Burns Fluid Resuscitation Shock Resuscitation 80

ACEP Now

APRIL 2, 2024

Due to concerns regarding THS, the import of ackee fruit was outlawed in 1972, but since 2000 canned exports have been allowed by certain “green listed” manufacturers by the Federal Drug Administration. Ackee fruit poisoning: an outbreak investigation in Haiti 2000–2001, and review of the literature. Am J Trop Med Hyg. Clin Toxicol.

Poisoning 40

Poisoning Administration Urgent Care Documentation/Coding 40

Sensible Medicine

MARCH 27, 2024

Peter Attia - From Surgeon to Longevity Guru I first encountered Peter Attia online while researching ketosis , the Atkins diet and low carb diets in 2012 and found his writing to be incredibly well-researched and helpful. Attia calls the era exemplified by Hippocrates and lasting for 2000 years after his death Medicine 1.0.

Research 112

Research Documentation/Coding Wellness 112

Emergency Medicine Ireland

DECEMBER 10, 2020

Our bodies have a well established pathway for dealing with an influx of purines and metabolises them to uric acid. This blocks production of uric acid (surely a good thing I hear you cry) but merely diverts it into the production of xanthine, a somewhat problematic compound that we’re also not particularly well adapted to get rid of.

Wellness 40

Wellness 40

PEMBlog

SEPTEMBER 13, 2023

This harm can manifest through the discomfort of blood draws and urine catheterizations, as well as the radiation exposure involved in head CT scans. Fever First, is there a fever in a previously well child between the ages of 6 months and 5 years? 2000; 55(5):616-623.

Seizures 52

Seizures Pediatrics Point-of-Care Testing Wellness 52

Don't Forget the Bubbles

NOVEMBER 15, 2023

As well as requesting relevant investigations and reviewing her drugs, you send paired urine and serum electrolytes to calculate a fractional excretion of sodium to categorise the cause as pre-renal vs other (see [link] for more information). Is it any wonder all of our PICU patients suffer from fluid overload?! Pediatrics. PMID: 13431307 J.

Resuscitation 80

Resuscitation Dehydration Administration Shock 80

ACEP Now

AUGUST 1, 2023

A rural ED staffed by a well-trained EP is an essential resource in small communities that may be otherwise lacking in readily available healthcare resources. Coach John Wooden was famous for focusing on the fundamentals, sometimes called “little things.”

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

Taming the SRU

NOVEMBER 29, 2023

Lumbar puncture with xanthochromia or > 2000 RBCs in tube 4 should increase suspicion for SAH. They come in several well-recognized varieties: phytobezoar (plant matter), trichobezoar (hair), pharmacobezoar (medications), lactobezoar (milk products), and randobezoar (we made this word up but it's the "other" category).

Stroke 53

Stroke EKG/ECG Resuscitation Shock 53

Pediatric Emergency Playbook

SEPTEMBER 1, 2015

We can use intranasal drugs for analgesia, for anxiolysis, for seizures – but not all drugs used for those purposes will perform well – or at all – via the IN route. 2000 Feb;77(2):69-82. Right Dose – Dosing with IN meds will vary considerably from the IV route. Rule of thumb: the IN dose is 2-3 times the IV dose. Biol Neonate.

Administration 40

Administration Seizures Emergency Department Ultrasounds 40

RebelEM

JANUARY 23, 2023

Definition, Classification, and Routine Diagnosis of Urticaria: A Consensus report11this Consensus Report Is the Result of a Panel Discussion during the International Clinically Oriented ESDR Symposium ‘Urticaria 2000’.” Clinical Bottom Line This trial was funded, designed, and written with direction from a pharmaceutical company.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Urgent Care Emergency Department 52

Urgent Care Ultrasounds

MAY 15, 2018

Well, maybe. 2000; 26(10):1434-40. The importance of patient positioning, probe position and patience, for the detection of small pneumothoraces Ultrasound to rule out a pneumothorax is easy! Just plonk the probe on the front of the chest, confirm lung sliding, and you’re done, right? 1) Small pneumothoraces are more ellusive.

Ultrasounds 40

Ultrasounds Academics Fractures Wellness 40

Pediatric Emergency Playbook

JUNE 1, 2017

This child is at risk for expected complications, as well as overdiagnosis and iatrogenia. These children depend on their preload to run blood passively into the pulmonary circuit; afterload reduction is also important to compensate for a poor left ejection fraction, as well as to avoid the development of pulmonary hypertension.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

RebelEM

MARCH 27, 2023

There may have very well been a policy where only RTs can make changes to a ventilator after an order was placed to ensure accurate documentation. 2000 May 4; PMID: 10793162 Harvey CE, et al. Unfortunately, its not clear whether the documentation came from RTs or ED providers. N Engl J Med. Crit Care Explor.

Emergency Department 52

Emergency Department Operations Academics Documentation/Coding 52

Pediatric Education

OCTOBER 13, 2024

Her school age sister was coming to a later appointment that day as well. Periodontology 2000. The very experienced foster mother had been given little information, but said the reason for removal was parental substance abuse and neglect. The child had said little since placement and seemed quite wary. J Periodontology.

Pediatrics 40

Pediatrics Operations Wellness 40

Sensible Medicine

FEBRUARY 28, 2024

He is a thoughtful well-read cardiologist. Since 2000 the landmark MESA study has been looking at the prevalence, correlates, and progression of these nontraditional risk markers of subclinical atherosclerosis in a multi-ethnic population without known ASCVD at baseline. We agree on many things. I have argued it is has no value.

Stroke 46

Stroke Documentation/Coding Outcomes Wellness 46

Dr. Smith's ECG Blog

AUGUST 3, 2017

Furthermore although there is no literature on morphology of ST-elevation in posterior leads, it is interesting to note that the morphologies of these elevations are in and of themselves concerning as well. So treating these as STEMI is well within the bounds of guideline recommendations (6). 2000 Apr 1;85(7):911-2, A10.

EKG/ECG 52

EKG/ECG Outcomes Wellness 52

Dr. Smith's ECG Blog

OCTOBER 11, 2020

JAMA 2000) showed that 1/3 of patients with STEMI, and 1/3 of patients with NSTEMI, present without chest pain. When the anterior 12 lead is not convincing for posterior OMI, posterior leads may help. When the anterior 12 lead is convincing as in this case, posterior leads don't add much and may actually mislead you or the cardiologist.

EKG/ECG 52

EKG/ECG Hospitals Outcomes Wellness 52

Emergency Medicine Ireland

DECEMBER 5, 2022

This type of maths does not translate well to audio format and indeed there are actually several of these calculations available just to make it even more confusing. 2000 Nov;28(11):3631-6. The difference between these two numbers is then divided by the driving pressure on the ventilator, this is your TI. LITFL – Bootsma, I. .

Shock 40

Shock Wellness 40

Advanced Emergency Nursing from AENJ

JULY 9, 2015

Flexibility of mind and skill bodes well. Wiget, Urs & Torres, Eric. Your self-assigned goal is be prepared by forethought and practice to deal with any awkward circumstance. Your team is prepared, and camaraderie is shared. Before} 19 May 01. Beckham, J., & Cortes, V. Inverse intubation: potential for complications. Gürtner, I.,

Airway Management 40

Airway Management Pediatrics Resuscitation Emergency Nursing 40