The Skeptics' Guide to EM

FEBRUARY 11, 2024

This study found that between 2003 and 2018, there were 1,299 cases of AAS in Ontario, the largest province in the country. The annual incidence rate of AD ranges between 2.9 per 100,000. [4-8] per hour in the first 48 hours. [20] 20] A retrospective observational study from Canadian researcher, Dr. Robert Ohle was published in CJEM in 2023.

Emergency Department 121

Emergency Department Resuscitation Hospitals Research 121

RebelEM

NOVEMBER 6, 2024

2003 Apr;69(2):197-200. AMA Arch Surg. 1957 Dec;75(6):972-5. doi: 10.1001/archsurg.1957.01280180104014 1957.01280180104014 PMID: 13478276 Saouti R, Albassir A, Berger JP, Fatemi F, Willems S. Anterior elbow dislocation with recurrent instability. Acta Orthop Belg. PMID: 12769023 Skelley NW, Chamberlain A. Orthopedics. 2015 Jan;38(1):42-4.

Dislocations 59

Dislocations Fractures Soft Tissue Injuries Outcomes 59

Pediatric EM Morsels

JULY 21, 2023

2003 Jul;40(7):620-5. Systematic review showed 85% of studies with substantial reliability with kappa statistic >0.6 Indian J Pediatr. 2001 Apr;68(4):311-4. doi: 10.1007/BF02721834. PMID: 11370435. Nayana Prabha PC, Nalini P, Tiroumourougane Serane V. Role of Glasgow Coma Scale in pediatric nontraumatic coma. Indian Pediatr. Biradar, S.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Dr. Smith's ECG Blog

FEBRUARY 6, 2024

2003, May). Myocardial contusion in an 8-year-old boy. Circulation: Cardiovascular Imaging. Retrieved July 2, 2022, from [link] Sybrandy, K. Cramer, M. & Burgersdijk, C. Diagnosing cardiac contusion: Old Wisdom and new insights. Heart (British Cardiac Society).

EKG/ECG 107

EKG/ECG Wellness Fractures Hospitals 107

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

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.

Best Practices 52

Best Practices EMS Research PPE 52

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.

CDC 95

CDC Hospitals EMS Emergency Department 95

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.

Poisoning 98

Poisoning EKG/ECG Hospitals 98

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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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.

Military 52

Military 52

ACEP Now

SEPTEMBER 5, 2024

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

Leadership 98

Leadership PPE EMS Wellness 98

Taming the SRU

JANUARY 29, 2024

2003 Jun;123(6):1953-6. 2003 Jul;4(3):146-52. Ann Vasc Surg. 2021 Oct;76:601.e7-601.e11. Epub 2021 Jun 25. Mustafa S, Stein PD, Patel KC, Otten TR, Holmes R, Silbergleit A. Upper extremity deep venous thrombosis. Grant J D, Stevens SM, Woller SC, et al. Diagnosis and management of upper extremity deep-vein thrombosis in adults.

Emergency Department 93

Emergency Department Fractures Hospitals Operations 93

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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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

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

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.

Emergency Department 98

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

PEMBlog

OCTOBER 18, 2023

Y., & Uchiyama, T. Clinical features of neonatal toxic shock syndrome-like exanthematous disease emerging in Japan. The Journal of infection, 59(3), 194–200. link] Takahashi N. Neonatal toxic shock syndrome-like exanthematous disease (NTED). Pediatrics international : official journal of the Japan Pediatric Society, 45(2), 233–237.

Infectious Diseases 59

Infectious Diseases Shock Pediatrics Wellness 59

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

EMDocs

JANUARY 29, 2024

2003 Oct 28;61(8):1047-51. 2003 Nov;42(5):619-26. Detrimental effect of blood pressure reduction in the first 24 hours of acute stroke onset. doi: 10.1212/01.wnl.0000092498.75010.57. 0000092498.75010.57. PMID: 14581662. Vlcek M, et al. Ann Emerg Med. doi: 10.1016/s0196-0644(03)00609-7. PMID: 14581913.

Stroke 73

Stroke Outcomes EMS Seizures 73

ACEP Now

SEPTEMBER 11, 2023

From these data, the authors looked at five reporting periods—2000, 2003, 2006, 2009, and 2012—and identified ARF case incidences of 0.63, 0.77, 0.64, 0.51, and 0.52, respectively, per 100,000 children. 5 Pediatric discharges were reported by 2,784 hospitals in 2000 and the number of reporting hospitals increased to 4,179 in 2012.

Pediatrics 52

Pediatrics Poisoning Hospitals Emergency Department 52

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

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

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

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.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 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

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

Pediatric Emergency Playbook

AUGUST 1, 2017

Pediatr Surg Int 2003; 19:439. Pediatr Surg Int 2003; 19:247. 2003; 12(4):241-253. 2003; 21:909-935. Khan AR, Vujanic GM, Huddart S. The constipated child: how likely is Hirschsprung's disease? Singh SJ, Croaker GD, Manglick P, et al. Hirschsprung's disease: the Australian Paediatric Surveillance Unit's experience.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

Taming the SRU

AUGUST 30, 2023

2003 Jun;111(12):1805-12. 2003 Jul;112(2):299. 2003 Jun;111(12):1805-12. 2003 Jul;112(2):299. Serological reactions in pneumonia with non-protein somatic fraction of pneumococcus. J Exp Med 1930;52:561-571 Pepys MB, Hirschfield GM. C-reactive protein: a critical update. J Clin Invest. doi: 10.1172/JCI18921. 2023 Jul 10.

Infectious Diseases 88

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 88

EMDocs

JULY 13, 2024

2003 Aug;82(8):730-5. Am J Obstet Gynecol. 1985 Dec 1;153(7):737-9. doi: 10.1016/0002-9378(85)90335-7. PMID: 4073137. Kankuri E, Kurki T, Carlson P, Hiilesmaa V. Incidence, treatment and outcome of peripartum sepsis. Acta Obstet Gynecol Scand. doi: 10.1034/j.1600-0412.2003.00265.x. 1600-0412.2003.00265.x. PMID: 12848644. Moldenhauer, Julie S.

OB/GYN 64

OB/GYN EMS Sepsis Fluid Resuscitation 64

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

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.

Ultrasounds 93

Ultrasounds Emergency Department Pediatrics Radiology 93

ACEP Now

NOVEMBER 8, 2024

I-Gel The i-gel was designed in the UK in 2003 and features a gel-style cuff that surrounds the larynx. The benefits of a King LT include lower inflation pressure and soft distal end, which decrease trauma during insertion and use.

Airway Management 52

Airway Management EMS Hospitals Administration 52

Don't Forget the Bubbles

SEPTEMBER 30, 2024

2003 Sep 1;20(5):402. Independent Investigation of the National Health Service in England [Internet]. 2024 Sep [cited 2024 Sep 12]. Available from: [link] Trzeciak S, Rivers EP. Emergency department overcrowding in the United States: an emerging threat to patient safety and public health. Emerg Med J.

Emergency Department 89

Emergency Department Research Hospitals Pediatrics 89

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 98

Emergency Department Administration Hospitals Academics 98