Emergency Medicine Journal

OCTOBER 23, 2024

Paediatric emergency medicine (PEM) was first recognised in the UK in 2001 with all doctors required to have a parent specialty—emergency medicine (EM) or paediatrics. 1 Children aged 0–16 accounted for 23% of ED attendances (more than 5.4 million children) in 2022/2023, with children aged 0–4 accounting for 11%.

Emergency Department 52

Emergency Department EMS 52

ACEP Now

FEBRUARY 11, 2024

V’s is the only hospital remaining in downtown Toledo and receives 70 percent of local EMS traffic, ensuring high acuity. In addition to robust simulation and ultrasound experiences, our program has optional concentrations for pre-hospital/EMS, event medicine, and wilderness medicine.

Mass Casualty Incidents 52

Mass Casualty Incidents EMS Ultrasounds Hospitals 52

Dr. Smith's ECG Blog

OCTOBER 23, 2023

Edited by Bracey, Meyers, Grauer, and Smith A 50-something-year-old female with a history of an unknown personality disorder and alcohol use disorder arrived via EMS following cardiac arrest with return of spontaneous circulation. 2001 Nov 27;104(22):2722-7. The described rhythm was an irregular, wide complex rhythm. JAMA Intern Med.

EKG/ECG 131

EKG/ECG Documentation/Coding Psychiatric EMS 131

Pediatric EM Morsels

AUGUST 18, 2023

From 2001 to 2009, in a pediatric hospital gram negative culture showed a drop in sensitivity to ciprofloxacin from 96% to 93%. PMID: 29356761 The post Fluoroquinolone Use In Children appeared first on Pediatric EM Morsels. Meesters 2018) Resistance is growing (likely from inappropriate / overuse)! Pediatr Infect Dis J.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

PHEM Cast

DECEMBER 12, 2016

2001, 193 (3): 303-309. Joint Position Statement of Nat Assoc EMS Physicians and ACS Committee on Trauma. J Am Coll Surg; 2000. 190(3): 288-298 ACS Committee on Trauma Working Group. Practice Management guidelines for ED Thoracotomy. J Am Coll Surg. When should we stop resuscitative efforts after blunt traumatic arrest.

Military 52

Military Resuscitation Emergency Department Documentation/Coding 52

RebelEM

NOVEMBER 2, 2022

EMRAP: C3 Live Paracentesis Video LITFL: Spontaneous Bacterial Peritonitis SinaiEM: SBP Pearls REBEL EM: Should You Give Albumin in Spontaneous Bacterial Peritonitis (SBP)? Dig Liver Dis 2001; 33(1): 41-48. Louis, Mosby, Inc., 2010, (Ch) 90: p 1186-1205. References Runyon BA et al. Ascitic fluid analysis in malignancy‐related ascites.

EMS 52

EMS Administration Hospitals 52

RebelEM

AUGUST 14, 2023

This varies from the 2001 definition, which used SIRS criteria and was thought to overly focus on inflammation. More on this Topic: First10EM: Finally, a cure for sepsis: Herbs REBEL EM: Sepsis 3.0 Definitions REBEL EM: Methylene Blue for Sepsis REBEL EM: VITAMINS for Sepsis References: Liu S, Yao C, Xie J, et al.

Sepsis 98

Sepsis Outcomes Administration EMS 98

The Skeptics' Guide to EM

SEPTEMBER 14, 2019

We have covered the CCHR on the SGEM with the EM Swami and Dr. Emily Junck back on SGEM#106. It was a classic EM paper published in the Lancet back in 2001 by the Legend of Emergency Medicine, Dr. Ian Stiell. We also discussed three studies that compared CCHR to the NOC.

Head Injuries 52

Head Injuries Emergency Department Seizures EMS 52

Cook County EM Blog

MAY 29, 2023

As resuscitation measures are underway, you obtain collateral from EMS and parents. Upon EMS arrival, the patient was in cardiac arrest. EMS shows you the prescription bottle with a handful of capsules remaining. 2001 Nov; 9(8):565-74. Am J Case Rep. 2019;20:640-642. Published 2019 May 3. doi:10.12659/AJCR.915151

Seizures 52

Seizures Resuscitation Poisoning Administration 52

The Skeptics' Guide to EM

JUNE 6, 2020

Max is then going to Georgetown to be an attending in both EM and ICU. It was the landmark paper published 19 years ago by Dr. Emanuel Rivers on early goal directed therapy in the treatment of severe sepsis and septic shock that sensitized the medical community ( Rivers et al NEJM 2001).

Sepsis 52

Sepsis Shock Resuscitation Administration 52

EMDocs

JUNE 2, 2023

mg/kg/dose (IM/IV) Has a FDA Black Box warning in 2001 citing concerns of QT prolongation and torsades de pointes (TdP). Haloperidol (Haldol) – 0.5-5 5 mg PO; 0.05-0.15 mg/kg IM (up to 5 mg/dose) Chlorpromazine (Thorazine) – 0.55 mg/kg/dose (PO/IM) Droperidol – 0.03-0.07

Psychiatric 93

Psychiatric Pediatrics Emergency Department Administration 93

RebelEM

FEBRUARY 5, 2024

Rezaie, MD (Twitter/X: @srrezaie ) and Anand Swaminathan, MD (Twiiter/X: @EMSwami ) The post The Needle Vs. The Knife for Spontaneous Pneumothorax: A Closer Look at the EXPRED Study appeared first on REBEL EM - Emergency Medicine Blog. PMID: 20696690 Baumann, M. Strange, C., Heffner, J. Luketich, J. Panacek, E. A., & Sahn, S.

Outcomes 104

Outcomes Hospitals Research Emergency Department 104

PHEM Cast

DECEMBER 1, 2017

For example, here are the locations identified as ‘2nd ICS mid clavicular line’ amongst 25 EM physicians in a 2005 EMJ paper. Be particularly careful when using the 2nd intercostal space mid-clavicular line that you are sufficiently lateral. Note – again please do not use this location! link] Cullinane, D., Ferrie, E.

Academics 52

Academics Radiology Radiology Resuscitation 52

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. 2, 2001, pp. 2, 2001, pp. In this case, cetirizine may be advantageous as it may have a more favorable side effect profile than diphenhydramine.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

EM Updates

MARCH 24, 2021

The age of VL was ushered in by the 2001 Glidescope, which simultaneously introduced two technologies: video (putting a camera at the end of the blade and projecting the image onto a screen), and hyperangulated geometry (blades with a much steeper curve that are designed not to move the tongue out of the way, but to advance around the tongue).

Operations 52

Operations Airway Management EMS Wellness 52

RebelEM

AUGUST 7, 2023

PMID: 22759376 For More Thoughts on This Topic Checkout: REBEL EM : MINDS-USA Trial EMCrit: Antipsychotics and Delirium Post Peer Reviewed By : Salim Rezaie, MD (Twitter: @Srrezaie ) The post AID-ICU Trial: Haloperidol for Treatment of ICU Delirium appeared first on REBEL EM - Emergency Medicine Blog. Crit Care 16, R115 (2012).

Outcomes 52

Outcomes Hospitals EMS Administration 52

EB Medicine

OCTOBER 1, 2018

Optimal management of septic patients has been a source of intense research, stemming from the landmark study by Rivers in 2001. Then in 2001, sepsis-2 was introduced. The CMS metrics are slightly different from the 2001 sepsis guidelines also. Jeremy, can you give us a little historical context there? Jeff : Yes it has!

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40

RebelEM

JANUARY 19, 2023

2001 Dec;18(6):565-8. Rezaie, MD (Twitter: @srrezaie ) The post The RAMPP Trial: Randomised Ambulatory Management of Primary Pneumothorax appeared first on REBEL EM - Emergency Medicine Blog. PMID: 15916457 Yaphe J, Edman R, Knishkowy B, Herman J.

Outcomes 52

Outcomes Hospitals Research EMS 52

Advanced Emergency Nursing from AENJ

JULY 9, 2015

YouTube.com [Time=33’11” Presentation] EMS World. [Video] YouTube.com [One version of inverted jaw thrust facing cephalad] Podder, S., Yaddanapudi, S., & Chari, P. Challenges in paediatric mask holding; the ‘claw hand’technique. Anaesthesia, 56(7), 697-699. Lee, Daniel E., MD PhD - UCSDTraumaBurn. Pediatric Airway Management.

Airway Management 40

Airway Management Pediatrics Resuscitation Emergency Nursing 40

EB Medicine

DECEMBER 4, 2019

Physicians reportedly respond 44% of the time, followed by nurses at 20% and EMS providers at about 4%. Even in cases where EMS was requested, patients were only transported 37% of the time and of those, only 8% were actually admitted for further work up. Nachi: I think that covers the main pathologies you may encounter.

Dehydration 40

Dehydration EMS Wellness Burns 40

Advanced Emergency Nursing from AENJ

APRIL 8, 2014

Implementation and care directives for "EMS" mouth-to-airway. Anesthesiology: January/February 1960 - Volume 21 - Issue 1 - ppg 125 **Review of the book, which is out of print, but sometimes available. Training in Ambulance and Emergency Programs McMahon, Martin C. Journal of the American Medical Association , 169 (1), 33-35.

Resuscitation 40

Resuscitation Ambulance Services Research Military 40

EB Medicine

AUGUST 1, 2018

Nachi: Sometimes… Jeff: This month’s issue was authored by Mollie Williams, who is the EM residency program director at the Brooklyn Hospital Center. Are we still reviewing talking points together before we start recording these episodes?

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

EMDocs

FEBRUARY 12, 2024

Authors: Rachel Kelly, MD ( EM Resident Physician, Stony Brook University Hospital); Robert Nocito, MD (EM Attending Physician, Stony Brook University Hospital) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. 2001 Oct;27(10):1606-13. N Engl J Med. 1989 May 18;320(20):1312-6.

Emergency Department 98

Emergency Department Resuscitation COPD Shock 98

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). 111(3):177-84, 2001 Aug 15. . -- Finally, a dedicated syncope unit may improve evaluation and outcome (17). Rajeswaran A.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

RebelEM

NOVEMBER 11, 2024

4 The 2023 ACORN Trial ( covered here on REBEL EM ) randomized 2,511 patients requiring antipseudomonal coverage to receive either cefepime or piperacillin-tazobactam. 2001 Nov 8;345(19):1359-67. appeared first on REBEL EM - Emergency Medicine Blog. In 2021, Buckley et. 3 The same year, Ross et. N Engl J Med. PMID: 11794168.

Sepsis 113

Sepsis Outcomes Administration Shock 113

EMDocs

JANUARY 20, 2025

2001 12 found similar results among a cohort of critically ill patients. One of the hallmarks of sepsis care, based on the Rivers 2001 17 trial and still recommended by the latest SCCM guidelines is early detection of sepsis and initiation of early resuscitation. 2001 Jun;86(6):754-62 Evans L et al. 11 A study by Stephan et al.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

Taming the SRU

OCTOBER 28, 2024

Unported from wikimedia commons, File:2001 Heart Position in ThoraxN.jpg - Wikimedia Commons accessed 10/25/24 Epidemiology and etiology Pneumomediastinum is uncommon. She is a graduate from the UC EM residency, class of 2018. left image: coronal view of structures within the mediastinum. Image licensed under CC Attribution 3.0

COPD 79

COPD Pediatrics Emergency Department Ultrasounds 79

EMDocs

NOVEMBER 2, 2024

We’ll keep it short, while you keep that EM brain sharp. Journal of the neurological sciences 184,2 (2001): 101-22. Available from: [link] The post EM@3AM: Neurosyphilis appeared first on emDOCs.net - Emergency Medicine Education. New York: McGraw-Hill, 2008:P661–83. Reiber, H, and J B Peter. Jarisch-Herxheimer Reaction.

EMS 115

EMS Infectious Diseases CDC Research 115

EMDocs

NOVEMBER 25, 2024

0000000000000483 Opoku NO, Bakajika DK, Kanza EM, et al. Contributed by Ian Murdoch and Allen Foster. This material is available under the Creative Commons license. Image source: 1. Murdoch I, Foster A. File:Sclerosing Keratitis.Jpg.; Accessed November 17, 2024. Elsevier; 2009:274-278. Imported onchocerciasis in migrants and travelers.

Infectious Diseases 73

Infectious Diseases Emergency Department EMS Administration 73