Sensible Medicine

AUGUST 7, 2024

For example, Bergman reports a 2002 study in which ventilated premature babies were placed to sleep on either their tummies or backs, and the following states were measured: quiet sleep, active sleep (which is less restorative than quiet sleep), crying time, number of stress responses (startle, tremor, and twitch), and oxygen saturation.

CDC 113

CDC Documentation/Coding Research Pediatrics 113

The Skeptics' Guide to EM

MAY 19, 2019

Civil Monetary Penalties Resulting from Violations of the Emergency Medical Treatment and Labor Act (EMTALA) Involving Psychiatric Emergencies, 2002 to 2018. Civil Monetary Penalties Resulting from Violations of the Emergency Medical Treatment and Labor Act (EMTALA) Involving Psychiatric Emergencies, 2002 to 2018.

Psychiatric 40

Psychiatric Academics Emergency Department Hospitals 40

Don't Forget the Bubbles

SEPTEMBER 30, 2024

examined 977,907 first-time ED presentations by children aged 0-15 across thirteen acute hospital trusts (between April 2014 and March 2017), trying to figure out how many were non-urgent. looked at “Did Not Wait” cases in a Queensland hospital and found an overall DNW rate of 4.3%. Simpson et al. Gaucher et al.

Emergency Department 89

Emergency Department Research Pediatrics Hospitals 89

ALiEM

FEBRUARY 16, 2024

This patient was admitted to the hospital’s general surgical service and treated with IV broad-spectrum antibiotics and a percutaneous cholecystostomy tube placed by interventional radiology. 2002), Role of sonography in the diagnosis of gallbladder perforation. 1983 Jul;148(1):219-21. doi: 10.1148/radiology.148.1.6856839.

Radiology 64

Radiology Radiology Ultrasounds COPD 64

The Skeptics' Guide to EM

NOVEMBER 16, 2019

You call your hyperthermia team to initiate targeted temperature management (TTM), which in your hospital means 33C for 24 hours followed by slow rewarming for 24 hours. This has been or out-of-hospital cardiac arrests (OHCA). The patient achieved return of spontaneous circulation (ROSC) on arrival to the ED.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia EMS Research Documentation/Coding 40

PHEM Cast

APRIL 21, 2021

Anesthesia and Analgesia, 2002; 94; S-123. The success of pre-hospital tracheal intubation by different pre-hospital providers: a systematic literature review and meta-analysis. Annals of Emergency Medicine 2012; Volume 60, Issue 6, Pages 749–754.e2 e2 Delson NJ et. Levitan RM et al. Crit Care 21, 31 (2017).

Airway Management 40

Airway Management Resuscitation EMS Hospitals 40

PulmCCM

JANUARY 22, 2024

Background Therapeutic hypothermia, later rebranded as targeted temperature management, became a standard post-cardiac arrest therapy for comatose patients after two 2002 NEJM trials ( n=273 and n=77 ) suggested reducing core temperature to 32°C to 34°C markedly improved neurologic outcomes and survival.

Hyperthermia / Hypothermia 80

Hyperthermia / Hypothermia Outcomes Research Hospitals 80

The Skeptics' Guide to EM

JUNE 24, 2017

Induction of Therapeutic Hypothermia During Out-of-Hospital Cardiac Arrest Using a Rapid Infusion of Cold Saline
The RINSE Trial (Rapid Infusion of Cold Normal Saline). Induction of Therapeutic Hypothermia During Out-of-Hospital Cardiac Arrest Using a Rapid Infusion of Cold Saline
The RINSE Trial (Rapid Infusion of Cold Normal Saline).

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia CPR Resuscitation EMS 40

ACEP Now

MARCH 13, 2024

1 Hospital boarding is the main driver of ED crowding, with patients nearly always awaiting transfer to inpatient beds and now more commonly, to other hospitals. When considering inter-hospital transfer, the patient’s goals of care should be paramount in guiding the process.

Ethical Issues 52

Ethical Issues Emergency Department Operations Hospitals 52

PEMBlog

OCTOBER 18, 2023

This patient was hospitalized for 4 days where he remained well-appearing. The Japanese experience has shown that overall mortality is low and that most infants do well without antibiotic treatment. However for preterm newbown with more severe illness, systemic antibiotics along with intravenous immunoglobulins may be necessary. Miyazawa, H.,

Infectious Diseases 59

Infectious Diseases Shock Pediatrics Wellness 59

Taming the SRU

JANUARY 29, 2024

Hospital Course The patient was initiated on a therapeutic heparin drip in the emergency department with vascular surgery consultation. She had improvement of the swelling in her left arm with return of sensation and function during her five-day hospital course. 2002 Feb 25;162(4):401-4. Arch Intern Med.

Emergency Department 94

Emergency Department Fractures Hospitals Operations 94

Pediatric Emergency Playbook

JANUARY 1, 2018

Incidence and trends of pediatric ovarian torsion hospitalizations in the United States, 2000-2006. Epub 2002 May 25. Fetal ovarian cysts management and ovarian prognosis: a report of 82 cases. 2009;44:868; author reply 868-9. Guthrie BD, Adler MD, Powell EC. Pediatrics 2010;125:532-8. Epub 2010 Feb 1. Houry D, Abbott JT.

Pediatrics 52

Pediatrics Ultrasounds Radiology Radiology 52

EMDocs

JANUARY 29, 2024

2002 May;33(5):1315-20. Blood Pressure Variability Predicts Poor In-Hospital Outcome in Spontaneous Intracerebral Hemorrhage. Stroke 2019; 50:e344. Leonardi-Bee J, et al; IST Collaborative Group. Blood pressure and clinical outcomes in the International Stroke Trial. doi: 10.1161/01.str.0000014509.11540.66. 0000014509.11540.66.

Stroke 99

Stroke Outcomes EMS Seizures 99

The Skeptics' Guide to EM

JUNE 15, 2019

Hyperemesis gravidarum is the most common reason for hospitalization in early pregnancy and impacts a small percentage of these pregnancies. A review by Roscoe and Matteson 2002 showed conflicting results from seven methodologically flawed trials. Background: Many women suffer from nausea and vomiting when pregnant.

Hospitals 40

Hospitals 40

PulmCCM

JANUARY 24, 2024

Background Therapeutic hypothermia, later rebranded as targeted temperature management, became a standard post-cardiac arrest therapy for comatose patients after two 2002 NEJM trials ( n=273 and n=77 ) suggested reducing core temperature to 32°C to 34°C markedly improved neurologic outcomes and survival.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Outcomes Hospitals Stroke 52

Dr. Smith's ECG Blog

OCTOBER 17, 2024

The patient had a protracted hospitalization and did not survive. PR depression — has been shown to be a relatively common ECG sign associated with clinically silent PE ( Kudo et al — JACC 39(12): 2000-2004, 2002 ). PR depression is marked and seen in multiple leads in this tracing.

EKG/ECG 73

EKG/ECG EMS Shock Ultrasounds 73

Don't Forget the Bubbles

FEBRUARY 26, 2024

Evidence (although limited) suggests using HFNC can delay the initiation of NIV and result in longer intensive care and hospital stays. 2002 Apr 1;3(2):181-4. High flow nasal cannula (HFNC ), although increasingly used for respiratory distress, does not have a role in the management of status asthmaticus. 2007 Jan 1;25(1):6-9.

Pediatrics 72

Pediatrics Research Documentation/Coding Outcomes 72

ACEP Now

APRIL 3, 2024

Early work on TTM in 2002 showed benefit to cooling to 33 degrees Celsius, which subsequently influenced international resuscitation guidelines to recommend mild hypothermia at 32 degrees to 34 degrees Celsius in 2005. 5,6 In 2021, the TTM2 trial was published. degrees Celsius “is a reasonable and evidence-based approach.” degrees C.”

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Resuscitation Outcomes Hospitals 40

Taming the SRU

AUGUST 30, 2023

In a small study involving 79 hospitalized children, PCT was found to be elevated in bacterial infections, with a decrease after appropriate antibiotic therapy, and decreased in viral infections [24]. 2002 Jan 2;287(1):92-101. . + Procalcitonin (PCT) Etiology: PCT was first discovered in 1984. days (secondary endpoint) [51].

Infectious Diseases 89

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

EMDocs

MAY 15, 2024

Consider risk factors for multi-drug resistant microbes: Recent IV antibiotics Hospitalization within 90 days. COVID-19 and ACS COVID increases the risk of hospitalization, pneumonia, pain, and ACS in SCD patients. Clinical Guide for the Management of Sickle Cell Disease, 2002. Published January 2002. Am J Hematol.

Blood Transfusions 103

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 103

EMDocs

MAY 28, 2024

Consider risk factors for multi-drug resistant microbes: Recent IV antibiotics Hospitalization within 90 days. COVID-19 and ACS COVID increases the risk of hospitalization, pneumonia, pain, and ACS in SCD patients. Clinical Guide for the Management of Sickle Cell Disease, 2002. Published January 2002. Am J Hematol.

Blood Transfusions 97

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 97

RebelEM

MAY 29, 2023

It also reduced length of stay in ICU and hospital without adverse effects. Anaesth Intensive Care 2002. What They Did: Single-center, parallel, double blind, randomized controlled trial performed in a medical-surgical ICU (Mexico) Both groups received: Adjunctive vasopressin initiated at a dose of 0.03 95% CI 15.4 95% CI 15.4

Shock 145

Shock Fluid Resuscitation Sepsis Resuscitation 145

RebelEM

MAY 25, 2023

Lancet 2010 [10] >20,000 adult trauma patients with SBP <90mmHg Patients randomized to TXA 1g over 10 min + 1g IV over 8hrs vs Placebo given within 8hrs of injury In-hospital mortality by 28d reduced (14.5% NEJM 1994. [2]

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

RebelEM

JUNE 26, 2024

Nephrol Dial Transplant 2002; 17: 1639-42. Definition: A serum potassium level > 5.5 patients can jump from peaked T waves to sine wave) Management Basics: ABCs, IV, O 2 , Cardiac Monitor and, 12-lead EKG Identify + treat underlying cause of hyperkalemia (i.e. rhabdomyolysis -> hydration) Remove inciting factors (i.e.

EKG/ECG 58

EKG/ECG Administration Burns EMS 58

ACEP Now

MAY 9, 2024

The procedure has soared in popularity as beauty standards have shifted and cosmetic surgery has become increasingly transparent on social media platforms, with reported cases in the United States increasing from 614 in 2002 to 61,387 by 2021, a nearly 10,000 percent increase. Cosmetic Surgery National Data Bank: 2002 Statistics.

Emergency Department 52

Emergency Department Operations Ultrasounds Shock 52

Greater Sydney Area HEMS

APRIL 26, 2023

– Eventual hospital assessment demonstrated no traumatic injuries. In fact as recently as 2002 a UK Health and Safety Executive report recommended that suspended patients ‘must never be laid down’, rather gradually transferred via a number of intermediate seated positions (1). UK Health and Safety Executive, London; 2002.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Shock Research Operations 52

Don't Forget the Bubbles

JULY 26, 2023

This has been trialled (out of hospital) in known children with SVT. Upside-down position for the out of hospital management of children with SVT, Bronzetti et al, International Journal of Cardiology 2017 this showed that a modified position (upside down) improved cardioversion rates from 33% to 67%. www.cats.nhs.uk/wp-content/uploads/guideline-intubation.pdf

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

PHEM Cast

MAY 3, 2020

whose review included 10 studies (5 case-control; 5 cohort), all of which investigated transmission of SARS from patients to healthcare workers in intensive care or other healthcare settings during the 2002-2003 SARS outbreaks. This evaluation is based on a systematic review by Tran et al. Volume 31, Issue 5 May 2010 , pp.

PPE 52

PPE Airway Management Resuscitation Hospitals 52

Advanced Emergency Nursing from AENJ

MAY 27, 2015

and all start shooting the hospital staff. Little attention has been given to the Hospital as the target of terror. Other issues in hospital security have been dealing with assaultive behavior of patients; workplace violence; active killer scenarios. Attacks have occurred upon hospitals in other countries, notably Yemen.

Federal Emergency Management Agency 40

Federal Emergency Management Agency Military Hospitals Administration 40

ACEP Now

MARCH 14, 2024

He underwent continuous renal replacement therapy (CRRT) with complications of acute respiratory distress syndrome and need for left scapular disarticulation, and transitioned to comfort care by his next of kin on hospital day five. Dr. Koo is faculty and an emergency physician at MedStar Washington Hospital Center in Washington, D.C.,

Burns 52

Burns Fluid Resuscitation EKG/ECG EMS 52

Advanced Emergency Nursing from AENJ

SEPTEMBER 13, 2016

It is a 11:39 minute film, by Walter Reid Army Institute of Research Production of experimental research done by Peter Safar, MD, and associates, at Baltimore City Hospital's Department of Anesthesiology. The University of Pittsburgh to the Safar Centre for Resuscitation Research 1961–2002. " "AUA Update" Winter, 2002.

Resuscitation 40

Resuscitation CPR Emergency Nursing Basic Life Support 40

PHEM Cast

APRIL 18, 2016

All things Pre Hospital Ketamine – Minh Le Cong Key point: patients remember if you manage their pain well. Hauwald, 2002 A co-operative patient does not require immobilization unless their conscious level deteriorates. We have also recorded a three interviews already which will feature in future podcasts.

Fractures 40

Fractures Operations Administration Shock 40

ACEP Now

MAY 8, 2023

1,2 With such enormous popularity it is no surprise that each year there are 56,000 emergency department (ED) visits, 2,600 hospitalizations, and 500 deaths in the U.S. Dr. Helman is an emergency physician at North York General Hospital in Toronto. 2002 Sep;36(3):659-65. take acetaminophen on a weekly basis. 2002;359: 558–563.

Poisoning 52

Poisoning Outcomes Administration EMS 52

Advanced Emergency Nursing from AENJ

APRIL 8, 2014

Chief, Department of Anesthesiology, Baltimore City Hospitals, Asst. Pinching, electrocution, ravens’ beaks, and positive pressure ventilation: a brief history of neonatal resuscitation. Archives of Disease in Childhood-Fetal and Neonatal Edition, 91(5), F369-F373. Review of old methods for resuscitating babies. Tercier, J.

Resuscitation 40

Resuscitation Ambulance Services Research Military 40

Pediatric Emergency Playbook

JANUARY 1, 2017

Neonatal pain pathways are particularly plastic; prompt assessment of and increased alertness to neonatal pain may help to mitigate long-lived pain sensitivity and hyperalgesia ( Taddio 2002 ). For many medications, these children will have a greater weight-normalized clearance than adults ( Berde 2002 ). 2002 Oct 3;347(14):1094-103.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Dr. Smith's ECG Blog

APRIL 8, 2015

Clinical predictors of cardiac syncope at initial evaluation in patients referred urgently to general hospital: the EGSYS score. Background: Syncope is a common, potentially serious condition accounting for many hospital admissions. Other studies 1) EGSYS score (full text link). Del Rosso A, et al. Heart 2008;94(12):1620–6.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

PEMBlog

OCTOBER 31, 2024

every year, leading to emergency department visits and hospitalizations. 2018 Nov 22;379(21):2002-2014. Introduction Acute gastroenteritis affects millions of children in the U.S. However, for pediatric gastroenteritis, the evidence suggests they do not provide significant benefits. N Engl J Med. doi: 10.1056/NEJMoa1802598.

Outcomes 105

Outcomes Pediatrics Emergency Department Research 105