The Skeptics' Guide to EM

JULY 8, 2023

The Cochrane collaboration published analyses of the available data in 1999, 2003 and 2006. Safety issues popped up soon after widespread use of the drug including neuropsychiatric effects as well as the more common adverse effects of nausea and vomiting.

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CDC Hospitals EMS Emergency Department 96

ALiEM

JUNE 15, 2023

Lancet 2003; 361 (9373): 1935-8. PMID 29855084 De Silva HA, Fonseka MM, Pathmeswaran A et al. Multiple dose activated charcoal for treatment of yellow oleander poisoning: A single-blind, randomized placebo controlled trial.

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Poisoning EKG/ECG Hospitals 98

Emergency Live

OCTOBER 27, 2023

Civil Protection Val D’Enza Radiocommunications announces the arrival of two new operational vehicles on Montecchio (Italy) The Val d’Enza Radiocommunications Civil Defense Association, established in 2003 as a continuation of the Montecchio Titanic Club Association, is celebrating its 20th birthday with an event of special significance: (..)

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Operations 52

PHEM Cast

NOVEMBER 14, 2017

[link] The various devices which Tony discusses are: This video shows the rapidity of infusion entering the circulation from a humeral IO.

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Military 52

Emergency Medicine Cases

FEBRUARY 11, 2020

Although the mortality rate in patients with Coronavirus in this outbreak is less than 1% (which pales in comparison to Ebola or SARS), historically these types of outbreaks have occured every 5-6 years (SARS 2003, HINI 2009, Ebola 2014, Coronavirus 2020), so they are somewhat predictable and we should know how to prepare for them in our EDs.

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Best Practices EMS Research PPE 52

PEMBlog

JANUARY 21, 2025

MMWR Recomm Rep 2003; 52:1. Clin Microbiol Infect 2003; 9:247. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.Available Available from: [link] King CK, Glass R, Bresee JS, et al. Managing acute gastroenteritis among children: oral rehydration, maintenance, and nutritional therapy. Wilhelmi I, Roman E, Snchez-Fauquier A.

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Rapid Diagnostic Testing Pediatrics Dehydration Outcomes 52

Mind The Bleep

FEBRUARY 2, 2025

The Community Care (Delayed Discharge) Act 2003 details how NHS hospitals should communicate with social care about discharges of inpatients. Their role is to establish whether a patient would be eligible for NHS-funded care and to direct patients and relatives appropriately if this is not the case.

Hospitals 95

Hospitals 95

The Skeptics' Guide to EM

JUNE 27, 2020

The 2003 Smith and Pell parachute trial is usually pointed to as an example ( BMJ 2003 ). There are arguments against EBM and it does have limitations. One that is often pointed out is that it would be unethical to do an RCT on harm.

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ACEP Now

SEPTEMBER 5, 2024

To do this, we must assess and address the needs and desires of both our current and potential members.

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Leadership PPE EMS Wellness 98

RebelEM

DECEMBER 4, 2024

JACC 2003; 41: 255-62. Ann Emerg Med 2015; 65(5): 532-9. PMID: 25701296 Chevalier P et al. Amiodarone Versus Placebo and Class Ic Drugs for Cardioversion of Recent-Onset Atrial Fibrillation: A Meta-Analysis. PMID: 12535819 Michael JA et al. Cardioversion of paroxysmal atrial fibrillation in the emergency department.

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Emergency Department Stroke EMS Shock 80

PHEM Cast

JUNE 6, 2016

2003; 97: 256-258. Bamber JH, Dresner M. Aortocaval compression in pregnancy: the effect of changing the degree and direction of lateral tilt on maternal cardiac output. Anaesthesia & Analgesia. Lee SWY, Khaw KS, Kee WN, Leung TY, Critchley LAH.

Resuscitation 52

Resuscitation 52

PHEM Cast

DECEMBER 12, 2016

J Am Coll Surg; 2003 (1): 106-111. Joint Position Statement of Nat Assoc EMS Physicians and ACS Committee on Trauma. Guidelines for withholding or termination of resuscitation in prehospital cardiopulmonary arrest. Tarney et al.Outcomes following military traumatic cardiorespiratory arrest: A prospective observational study.

Military 52

Military Resuscitation Emergency Department Documentation/Coding 52

EM Guide Wire

JANUARY 15, 2020

Eur J Cardiothorac Surg 2003; 24:208. Yes -> consult heme/onc and admit No -> observe in ED References : García Mónaco R, Bertoni H, Pallota G, et al. Use of self-expanding vascular endoprostheses in superior vena cava syndrome. Rice TW, Rodriguez RM, Light RW. Medicine (Baltimore) 2006; 85:37.

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ACEP Now

JULY 11, 2024

2006;295(17):2003-2017 The post Problem Drinking Remains a Big Problem appeared first on ACEP Now. Anton RF, O’Malley SS, Ciraulo DA, et al. Combined pharmacotherapies and behavioral interventions for alcohol dependence: the COMBINE study: a randomized controlled trial.

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Emergency Department Psychiatric Outcomes Wellness 98

Pediatric Emergency Playbook

SEPTEMBER 1, 2020

2003; 28(5): 388-394 Yeh PC et al. The use of prophylactic flucloxacillin in treatment of open fractures of the distal phalanx within an accident and emergency department: a double-blind randomized placebo-controlled trial. The Journal of Hand Surgery: British & European. Pediatric Hand Fractures. Techniques in Orthopaedics.

Fractures 52

Fractures Pediatrics Emergency Department 52

EMDocs

DECEMBER 18, 2024

2003; 348:1786-1795. Management of drug and alcohol withdrawal. N Engl JMed. Gortney J, Raub J, Patel P, et al. Alcohol withdrawal syndrome in medical patients. Cleve Clin J Med. 2016; 83(1): 67-79. Muncie H, Yasinian Y, Oge L. Outpatient management of alcohol withdrawal syndrome.

Seizures 97

Seizures Hyperthermia / Hypothermia Emergency Department EMS 97

The Skeptics' Guide to EM

DECEMBER 21, 2019

SGEM#23 : A Bump Up Ahead (Diagnosis of Appendicitis) One of my other favourite BMJ holiday edition articles has been the classic parachute trial ( Smith and Pell BMJ Dec 2003 ). Since that SRMA published in 2003, there has been a randomized control trial conducted and published on the topic of parachutes.

Soft Tissue Injuries 40

Soft Tissue Injuries Academics 40

PHEM Cast

FEBRUARY 23, 2017

Penn-Barwell JG, Roberts SA, Midwinter MJ, Bishop JR: Improved survival in UK combat casualties from Iraq and Afghanistan: 2003-2012. Powell EK, Hinckley WR, Gottula A, Hart KW, Lindsell CJ, McMullan JT. J Trauma Acute Care Surg. 2016 Sep;81(3):458-62. J Trauma Acute Care Surg 78(5):1014–1020, 2015.

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Blood Transfusions Head Injuries Resuscitation Radiology 52

Advanced Emergency Nursing from AENJ

OCTOBER 8, 2017

July 2003), Emergency Nursing: Historical, Current, and Future Roles. October 2003). Schriver, J. Talmadge, R., and Hedges, J. Academic Emergency Medicine, 10: 798–804. doi:10.1197/aemj.10.7.798 10.7.798 [ PDF ] Schriver, J. Talmadge, R., Chuong, R., & Hedges, J.

Emergency Nursing 40

Emergency Nursing Emergency Department Hospitals Academics 40

Taming the SRU

APRIL 14, 2024

between January 1994 and December 2003, the utility of ultrasound in aiding reduction of incarcerated inguinal hernias was examined. 8) “Ultrasound may decrease the emergency surgery rate of incarcerated inguinal hernia” by Chen et al. (1) 1) In a study performed by Chen et al.

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Ultrasounds Emergency Department Pediatrics Radiology 93

Emergency Medicine Journal

FEBRUARY 20, 2024

Incident cases of AAS were identified between 2003 and 2018 using a validated algorithm based on ICD codes and death. Methods A population-based retrospective cohort study of anonymously linked data for residents of Ontario, Canada, was carried out.

Documentation/Coding 40

Documentation/Coding Hospitals Outcomes 40

Northwestern EM Blog

MARCH 28, 2022

Emerg Med J, 2003. 2003 Jun;142(6):729-30. Barceloux, D.G., American Academy of Clinical Toxicology practice guidelines on the treatment of methanol poisoning. J Toxicol Clin Toxicol, 2002. Boyd, Leucovorin (calcium folinate) in "antifreeze" poisoning. Moreau, C.L., META Study Group. J Toxicol Clin Toxicol, 1998. Journal of Pediatrics.

Poisoning 52

Poisoning Seizures Administration Pediatrics 52

The Skeptics' Guide to EM

OCTOBER 31, 2018

Standard therapy at this time for both symptomatic and asymptomatic VTE is with LMWH based on results from the CLOT trial ( Lee 2003 ). Treatment in this group entails a number of challenges including a higher rate of thrombosis recurrence and a higher risk of bleeding. The NOACs also add ease of use for the patient.

EMS 52

EMS Outcomes Wellness 52

The Skeptics' Guide to EM

FEBRUARY 15, 2020

Despite the near universal application, a systematic review from 2003 ( Smith and Pell, BMJ ) found no RCTs of parachute intervention. Different variants of parachutes have been used both for recreational and safety purposes; in either case aiming to avoid death in people falling from heights presumed to be lethal.

Wellness 52

Wellness Outcomes Emergency Department Research 52

The Skeptics' Guide to EM

FEBRUARY 13, 2021

Patients with suspected bacterial meningitis require hospital admission with empiric antibiotics pending culture results ( Sáez-Llorens and McCracken 2003 ). There is no single variable that can help discriminate between bacterial vs. aseptic meningitis.

Pediatrics 52

Pediatrics Emergency Department Hospitals 52

The Skeptics' Guide to EM

MARCH 31, 2023

Knutsson 2003) I imagine many of us know of a doctor who has been in a car accident when driving home from work. However, as we struggle to cope with our constant exhaustion, we may lose track of the many detrimental effects of poor sleep. Our sleep schedules impact our overall health.

Academics 52

Academics Documentation/Coding Emergency Department Outcomes 52

RebelEM

MAY 11, 2023

New England Journal of Medicine 2003 , 348 (18), 1786-1795. Cambron, DO Assistant Professor Department of Emergency Medicine Christus Health/Texas A&M University School of Medicine References: (1) Kosten, T. O’Connor, P. Management of Drug and Alcohol Withdrawal. DOI: 10.1056/NEJMra020617. (2) 2) Schuckit, M.

Emergency Department 85

Emergency Department Administration Hospitals Academics 85

EMDocs

DECEMBER 6, 2024

2 This requirement was ultimately removed in 2003, however iron related exposures and deaths have stayed low. In 1997, the Food and Drug Administration (FDA) mandated unit-dose packaging for all iron-containing products with more than 30 milligrams of elemental iron.

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Poisoning Fluid Resuscitation Seizures Resuscitation 85

PHEM Cast

JULY 14, 2016

2003 Dec 25;349(26):2510–8. References Stiell IG, Clement CM, McKnight RD, Brison R, Schull MJ, Rowe BH, et al. The Canadian C-spine rule versus the NEXUS low-risk criteria in patients with trauma. N Engl J Med. Oteir AO, Smith K, Stoelwinder JU, Middleton J, Jennings PA. Should suspected cervical spinal cord injury be immobilised?:

Fractures 52

Fractures Hospitals Shock Research 52

EMDocs

JULY 19, 2023

2003 Oct 30;349(18):1731-7. Ten Things Physicians and Patients Should Question. link] Clarkson TW, Magos L, Myers GJ. The toxicology of mercury–current exposures and clinical manifestations. N Engl J Med. doi: 10.1056/NEJMra022471. PMID: 14585942. Rafati-Rahimzadeh M, Rafati-Rahimzadeh M, Kazemi S, Moghadamnia AA.

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Poisoning Fluid Resuscitation Administration Seizures 74

Northwestern EM Blog

JANUARY 2, 2023

Another study looked at suicide rates in Hong Kong during the Severe Acute Respiratory Syndrome (SARS) outbreak in 2003. They found an increase in older adult suicide in April 2003 when compared to 2002. These researchers cited loneliness and disconnectedness in the older community as a possible explanation [7].

Emergency Department 52

Emergency Department Research CDC Pediatrics 52

RebelEM

DECEMBER 28, 2022

Another trial suggests that two weeks of treatment performed similarly to 4 weeks (Ulleryd, 2003). Other studies in afebrile men with UTI have been observational and suggested that longer-duration therapy was not associated with any benefit (Ulleryd, 2003).

Outcomes 52

Outcomes Documentation/Coding Hospitals EMS 52

RebelEM

JANUARY 19, 2023

In 2003 a systematic review and meta-analysis found studies funded by a company are four times more likely to have favorable results than studies from other sources (Lexchin 2003). Conflicts of Interest: Rocket Medical UK provided the ambulatory pleural vent for this trial.

Outcomes 52

Outcomes Hospitals Research EMS 52

RebelEM

JANUARY 23, 2023

Studies funded by pharmaceutical companies are four times more likely to have favorable results than studies from other sources (Lexchin 2003). 2006) “Management of acute allergic reactions and anaphylaxis in the Emergency Department between 1993-2003,” Journal of Allergy and Clinical Immunology , 117(2). 2004 Feb;113(2):347-52.

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Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

The Skeptics' Guide to EM

JANUARY 7, 2018

Edlow 2003 ] Missed SAH diagnosis occurs between 12%-53% of cases with emergency department providers estimated to miss 5% of them. Edlow 2000 , Vermeulen 2007 ] Unfortunately, one-fourth of aneurysmal SAH victims die within one-day and 50% of SAH survivors never return to work.

Emergency Department 40

Emergency Department Academics Outcomes 40

The Skeptics' Guide to EM

SEPTEMBER 7, 2018

Although the vast majority of infants with bronchiolitis can be managed with supportive care at home, due to its high incidence, it is the number one reason for infants to be hospitalized ( Njoo et al 2001, Langley et al 2003, Craig et al 2007 and Shay et al 1999).

Dehydration 40

Dehydration Pediatrics Hospitals Academics 40

EM Curious

JULY 24, 2015

Use of ultrasound to facilitate accurate femoral nerve block in the emergency department. Emergency Medicine Australasia,21(2), 124–130. doi:10.1111/j.1742-6723.2009.01163.xdoi:10.1097/PEC.0000000000000101 1742-6723.2009.01163.xdoi:10.1097/PEC.0000000000000101 xdoi:10.1097/PEC.0000000000000101 0000000000000101 Fletcher, A. S., & Heyes, F.

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Fractures Ultrasounds Emergency Department Dislocations 52