The Skeptics' Guide to EM

AUGUST 17, 2019

Some have identified the 2001 Joint Commission making pain the fifth vital sign in an attempt to address the oligoanalgesia issue as part of the opioid misuse problem. Attempting to decrease a patient’s pain to zero is certainly well-intentioned but you have to ask yourself how many patients are being harmed by such a goal?

Emergency Department 52

Emergency Department Academics Fractures Outcomes 52

The Skeptics' Guide to EM

SEPTEMBER 14, 2019

Case: It’s a busy night in the emergency department, your next patient is a well appearing 70-year-old man, presenting after a mechanical fall from standing with loss of consciousness. It was a classic EM paper published in the Lancet back in 2001 by the Legend of Emergency Medicine, Dr. Ian Stiell.

Head Injuries 52

Head Injuries Emergency Department Seizures EMS 52

The Skeptics' Guide to EM

MAY 22, 2021

She is generally well appearing without any deficients on neurological examination, given her minor mechanism, and normal examination no imaging or further testing is required. We looked at the Canadian CT Head Rule (CCHR) published by Dr. Ian Stiell in the Lancet 2001 on SGEM#106. She was ambulatory on scene.

Head Injuries 52

Head Injuries Research Emergency Department Pediatrics 52

Don't Forget the Bubbles

FEBRUARY 19, 2024

The Role of Gaming in Emotional Well-being Stress Relief: Gaming can be a form of relaxation and stress relief, providing an escape from the pressures of daily life. There is a complex interplay between gaming, psychological needs, and adolescent well-being. It can offer a safe environment to unwind and engage in enjoyable activities.

Academics 59

Academics Leadership Research Teamwork 59

RebelEM

AUGUST 14, 2023

This varies from the 2001 definition, which used SIRS criteria and was thought to overly focus on inflammation. Demographics, severity of illness, and comorbidities were well balanced between groups and the intervention and control groups have the same prognosis. hypothesis generating).

Sepsis 96

Sepsis Outcomes Administration EMS 96

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). J Emerg Med 2001; 20:391-401.

EKG/ECG 52

EKG/ECG Outcomes Wellness 52

The Skeptics' Guide to EM

MARCH 12, 2022

She knows about taking it easy physically for the next couple of days but wonders if she must stay off her computer as well? This classic paper was published in Lancet 2001 and reviewed on SGEM#106. The Acute Concussion Evaluation–Emergency Department (ACE-ED) Tool is used, and she scores a 2 for headache and feeling foggy.

Emergency Department 40

Emergency Department Head Injuries Pediatrics Research 40

ACEP Now

APRIL 2, 2024

Francis Hospital and Medical Center, as well as an assistant professor at University of Connecticut School of Medicine and Quinnipiac University School of Medicine. Ackee fruit poisoning: an outbreak investigation in Haiti 2000–2001, and review of the literature. Franco is an emergency medicine attending physician at St. Clin Toxicol.

Poisoning 40

Poisoning Administration Documentation/Coding Urgent Care 40

Pediatric Emergency Playbook

SEPTEMBER 1, 2015

This definition includes clinically apparent seizures as well as those seen only on EEG.) Or… is it something else as well? 2001; 32: 1458-1471 Rosati A et al. Definition of status epilepticus:Continuous seizure activity of 5 minutes or greater – OR – Recurrent activity without recovery between intervals. 2012; 79:2355-2358.

Pediatrics 40

Pediatrics Seizures Stroke Radiology 40

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

PulmCCM

APRIL 1, 2024

That could (and should) change if improved functional outcomes, persisting for months after hospital discharge, are ever confirmed in large, well-conducted trials. ” But less than half of the included studies used ultrasound guidance during central line placements.

Ultrasounds 40

Ultrasounds Operations Outcomes Research 40

PulmCCM

OCTOBER 9, 2023

After two studies published in NEJM 2001 and 2006 showed intensive glucose control (to 80-110 g/dL) improved outcomes in adult medical and surgical patients, and then in kids (all at a single center in Leuven, Belgium), tight glucose control quickly became standard care in the U.S. and many other countries.

Shock 52

Shock Outcomes Hospitals Wellness 52

ACEP Now

OCTOBER 10, 2023

The toxic metabolites of EG ingestions are what cause the acidosis (glycolic, glyoxylic, and oxalic acids as well as lactate) and present later in the ingestion after EG is metabolized to these bad actors. Whitehouse Station (NJ):Merck & Co;2001:736. 3,4 Anion gap metabolic acidosis: if this is large—very bad (indirect evidence).

Poisoning 52

Poisoning Pediatrics Research Wellness 52

RebelEM

JANUARY 23, 2023

2, 2001, pp. Clinical Bottom Line This trial was funded, designed, and written with direction from a pharmaceutical company. Journal of Investigative Dermatology Symposium Proceedings , vol.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Urgent Care Emergency Department 52

EB Medicine

OCTOBER 1, 2018

Jeff : So as well all know Sepsis is bread and butter emergency medicine, but, what is sepsis? 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. Jeremy, can you give us a little historical context there?

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40

PHEM Cast

SEPTEMBER 6, 2017

H Spontaneously breathing carbon dioxide waveforms where phase III is not well delineated. G Esophageal intubation resulting in the gastric washout of residual carbon dioxide and subsequent carbon dioxide will be zero. I Dual capnogram in one lung transplantation patient.

CPR 52

CPR Resuscitation Operations Wellness 52

RebelEM

AUGUST 7, 2023

No mention was made of what kind, how much or how often Critical Results: Median time from ICU admission to randomization was 3.9 days (1.8 – 9.7 IQR) in the haloperidol group and 4.1 days (1.6 – 8.9 IQR) in the placebo group.

Outcomes 52

Outcomes Hospitals EMS Administration 52

ACEP Now

OCTOBER 31, 2024

The No Surprises Act was well-intentioned, but it unintentionally allowed insurers to avoid paying us. This approach was effective in Portugal’s heroin crisis in 2001, and we can replicate that success here. ACEP Now: What are your thoughts on consolidation among insurers and health care providers?

OB/GYN 40

OB/GYN Hospitals Wellness 40

RebelEM

JANUARY 19, 2023

The study was well-powered, with target participants reaching 236 total patients. 2001 Dec;18(6):565-8. Strengths: Randomized controlled, multicenter study increases external validity. Investigators asked a patient-oriented research question. Randomization was done through a centralized, computer-generated algorithm.

Outcomes 52

Outcomes Hospitals Research EMS 52

Advanced Emergency Nursing from AENJ

APRIL 8, 2014

The idea of placing one's mouth on the mouth of an apparently dead victim, particularly where the mouth may be covered with foam, mucus or blood, as often the case in asphyxia victims, as well as the fear of possible transmittal of disease is revolting to the average person and is difficult to overcome." Bauer, Robert O.

Resuscitation 40

Resuscitation Ambulance Services Research Military 40

Advanced Emergency Nursing from AENJ

JUNE 7, 2016

Greenland's two-curve theory); unloads the visceral weight that impedes the diaphragm, thus, increasing functional reserve capacity; and may well minimize silent aspiration of regurgitation. One hand may maintain this maneuver (so-so) but it's harder to initiate and may not maintain it as well under adverse conditions.

Resuscitation 40

Resuscitation Wellness Research Emergency Nursing 40

Dr. Smith's ECG Blog

OCTOBER 6, 2018

The patient did well at least in the short term. Chest 2001 1788 patients with acute MI (diagnosed by clinical symptoms and positive CK-MB) were prospectively enrolled and all underwent emergent coronary angiography. EF was 55%. High Lateral OMI: The high lateral wall is often aptly called "electrocardiographically silent."

EKG/ECG 40

EKG/ECG Seizures Documentation/Coding Outcomes 40

Pediatric EM Morsels

JULY 21, 2023

2001 Apr;68(4):311-4. Systematic review showed 85% of studies with substantial reliability with kappa statistic >0.6 Pediatr Neurol. 2006 May;34(5):379-87. doi: 10.1016/j.pediatrneurol.2005.10.012. 2005.10.012. PMID: 16647999. Chaturvedi P, Kishore M. Modified Glasgow Coma Scale to predict mortality in febrile unconscious children.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

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%. (Jackson 2016) It can also be used in UTIs , but is typically reserved for special cases where the infectious bacteria is found to be multidrug resistant or in complicated UTIs.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

Dr. Smith's ECG Blog

DECEMBER 27, 2023

Brief aside: "Early repolarization" is a frequently proclaimed and poorly understood electrocardiographic phenomenon which mostly serves to reassure clinicians that not all ST elevations are ischemic (something readers of this blog know well). linking the finding with long term risk of idiopathic ventricular fibrillation. link] Stone, G.

EKG/ECG 134

EKG/ECG Documentation/Coding Wellness Emergency Department 134

PulmCCM

APRIL 18, 2024

Video laryngoscopy was introduced in 2001 as a technique for orotracheal intubation. We reviewed the DEVICE trial in 2023, which you can read about here: The Goalposts Are Moving An increasing share of intubations have been performed with video since 2001.

Airway Management 98

Airway Management Operations EMS Research 98

EMDocs

JUNE 2, 2023

You should always follow your local practice guidelines and recommendations as well as adhere to approved medications in your facility. mg/kg/dose (IM/IV) Has a FDA Black Box warning in 2001 citing concerns of QT prolongation and torsades de pointes (TdP). Document what you gave and why, as well as the impact. 5 mg PO; 0.05-0.15

Psychiatric 77

Psychiatric Pediatrics Emergency Department Administration 77

Taming the SRU

NOVEMBER 13, 2024

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

Psychiatric 88

Psychiatric Seizures Emergency Department Pediatrics 88

PulmCCM

FEBRUARY 17, 2025

For example, among 45,500 in-hospital cardiac arrests between 2001 and 2010 , the median duration of CPR among the patients who did not achieve ROSC (i.e., Health professionals who repeatedly perform CPR perceived as excessive or futile may experience reduced job satisfaction and well-being. who died) was 21 minutes.

CPR 71

CPR Hospitals Resuscitation Documentation/Coding 71

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. Alternatively, trauma or iatrogenic injury to structures such as the trachea, bronchi, or esophagus can result in direct leakage of air into the mediastinum [5].

COPD 78

COPD Pediatrics Emergency Department Ultrasounds 78

Pediatric Emergency Playbook

APRIL 1, 2017

Look for a small tip diameter (to fit in the ear canal as well as the nose) and a strong “hold” (at least a 3-lb hold). Nonfatal Choking on Food Among Children 14 Years or Younger in the United States, 2001–2009. button batteries in the nose or ears).29,30 This is a teachable moment – and only you can have this golden opportunity!

Pediatrics 52

Pediatrics CPR Operations Resuscitation 52

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. YouTube.com Alternate Jaw Thrust. Yaddanapudi, S., & Chari, P. Lee, Daniel E.,

Airway Management 40

Airway Management Pediatrics Resuscitation Documentation/Coding 40

Intensive Blog

AUGUST 17, 2023

Image source: Thakar et al (2001), available at URL: [link] Q5. The many causes of anaemia include: Decreased production Malnutrition Bone marrow suppression (e.g., Cannula site bleeding. What is your action now?

Blood Transfusions 52

Blood Transfusions Operations Wellness 52

EMDocs

FEBRUARY 12, 2024

ABG and VBG Correlation The correlation between venous and arterial blood gases is well-documented for standard differences (Table 1), and the data obtained from the VBG can be acted on as if it were an ABG (1, 3-6). While ABGs and VBGs usually correlate well, there are a few situations where this correlation is disturbed.

Emergency Department 98

Emergency Department Resuscitation COPD Shock 98

EB Medicine

DECEMBER 4, 2019

Well, with that, let’s get started on our final scheduled episode of EMplify ! Thanks as well to the peer editors, Dr. Knight, and Dr. Hill of the University of Cincinnati. Show More v Jeff: Well, this is a first! Jeff: Just as on the ground, shockable rhythms do well with good BLS care.

Dehydration 40

Dehydration EMS Wellness Burns 40

EB Medicine

AUGUST 1, 2018

Jeff: Because the current DEA controlled substances schedule designations are based on original chemical names, synthetics have gained popularity as manufacturers are able to produce newer compounds and circumvent DEA designation as well as routine urine drug screening tests. Jeff: And the etiology of CHS is not well understood.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

EMDocs

NOVEMBER 25, 2024

volvulus as well as improvements in the diagnosis and treatment of this morbid disease. Clinical manifestations occur as a result of dead and dying microfilariae inciting an immunologic/inflammatory response, ultimately resulting in tissue damage and scarring. Contributed by Ian Murdoch and Allen Foster. Image source: 1. Murdoch I, Foster A.

Infectious Diseases 63

Infectious Diseases Emergency Department EMS Administration 63