EMDocs

DECEMBER 18, 2024

A 36-year-old male presents to the emergency department after being found down at home by his spouse. 2003; 348:1786-1795. Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE-4): Alcohol use disorder and cannabinoid hyperemesis syndrome management in the emergency department.

Seizures 79

Seizures Hyperthermia / Hypothermia Emergency Department EMS 79

Don't Forget the Bubbles

SEPTEMBER 30, 2024

In the UK, as in most developed countries, more patients are presenting to Emergency Departments (EDs) with minor illnesses or injuries. Emergency department overcrowding is a complex issue with multiple contributing factors. Learning about international trends sparked our curiosity about our own department.

Emergency Department 89

Emergency Department Research Hospitals Pediatrics 89

ACEP Now

JULY 11, 2024

2 Although the opiate epidemic is certainly worthy of attention, it accounts for only about half of the number of deaths annually and only around a quarter of the number of emergency department visits annually relative to alcohol use. He returned to the emergency department, and you had the great privilege of saving his life.

Emergency Department 98

Emergency Department Psychiatric Outcomes Wellness 98

The Skeptics' Guide to EM

JULY 8, 2023

Case: A 57-year-old woman with hypertension, hyperlipidemia and type-2 diabetes mellitus presents to the emergency department (ED) with fever, cough, myalgias, headache and congestion. The Cochrane collaboration published analyses of the available data in 1999, 2003 and 2006.

CDC 93

CDC Hospitals EMS Emergency Department 93

Dr. Smith's ECG Blog

FEBRUARY 6, 2024

Written by Pendell Meyers A teenager was involved in a motor vehicle collision and presented to the Emergency Department via EMS altered and potentially critically ill. 2003, May). He was intubated for altered mental status. Chest trauma was suspected on initial exam. Here is his initial ECG around 1330: What do you think?

EKG/ECG 107

EKG/ECG Wellness Fractures Hospitals 107

EMDocs

AUGUST 22, 2024

12 How do we address these disparities in the emergency department? An implementation science approach improves language access in the emergency department. Association of limited English proficiency and increased emergency department waiting room lengths of stay. Annals of Emergency Medicine.

Documentation/Coding 82

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 82

Taming the SRU

JANUARY 29, 2024

She was concerned that this was not improving and decided to come to the emergency department (ED). Hospital Course The patient was initiated on a therapeutic heparin drip in the emergency department with vascular surgery consultation. 2003 Jun;123(6):1953-6. 2003 Jul;4(3):146-52. Ann Vasc Surg.

Emergency Department 92

Emergency Department Fractures Hospitals Operations 92

PHEM Cast

DECEMBER 12, 2016

Emergency thoracotomy in thoracic trauma: a review. Emergency Department thoracotomy for the critically injured patient: Objectives, indications, and outcomes. World Journal of Emergency Surgery; 2006: 1:4. Survival after Emergency Department thoracotomy: review of published data for last 25 years.

Military 52

Military Resuscitation Emergency Department Documentation/Coding 52

Taming the SRU

APRIL 14, 2024

8) “Ultrasound may decrease the emergency surgery rate of incarcerated inguinal hernia” by Chen et al. (1) between January 1994 and December 2003, the utility of ultrasound in aiding reduction of incarcerated inguinal hernias was examined. The Journal of Emergency Medicine , vol. Emergency Radiology (Print) , vol.

Ultrasounds 92

Ultrasounds Emergency Department Pediatrics Radiology 92

ACEP Now

SEPTEMBER 5, 2024

While some issues are handled locally, many issues cannot be solved in our emergency department or hospital. As a community “pit doctor,” I believe I have a good understanding of the needs of emergency physicians. We must have a community of like-minded individuals working towards shared goals.

Leadership 98

Leadership PPE EMS Wellness 98

Pediatric Emergency Playbook

SEPTEMBER 1, 2020

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. 2003; 28(5): 388-394 Yeh PC et al. The Journal of Hand Surgery: British & European. Pediatric Hand Fractures. Techniques in Orthopaedics.

Fractures 52

Fractures Pediatrics Emergency Department 52

Taming the SRU

AUGUST 30, 2023

While PCT may be more specific for bacterial infections, it is flawed by still being rather non-specific and is not validated as a stand-alone diagnostic criteria for infection in the setting of the emergency department. 2003 Jun;111(12):1805-12. 2003 Jul;112(2):299. 2003 Jun;111(12):1805-12. 2003 Jul;112(2):299.

Infectious Diseases 87

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 87

The Skeptics' Guide to EM

FEBRUARY 13, 2021

Pediatrics 2020 Case: A 4-year-old immunized girl presents to the emergency department (ED) with a fever and rhinorrhea for the […] The post SGEM#319: Is it Aseptic Meningitis or More Than This? first appeared on The Skeptics Guide to Emergency Medicine. Reference: Mintegi S et al. Reference: Mintegi S et al.

Pediatrics 52

Pediatrics Emergency Department Hospitals 52

Northwestern EM Blog

JANUARY 2, 2023

A pediatric emergency department in Texas looked at the resulted of their routine suicide risk screenings for patients aged 11-21. Another study looked at suicide rates in Hong Kong during the Severe Acute Respiratory Syndrome (SARS) outbreak in 2003. Assessing psychiatric safety in suicidal emergency department patients.

Emergency Department 52

Emergency Department Research Pediatrics CDC 52

The Skeptics' Guide to EM

JANUARY 7, 2018

Chris Carpenter is from Washington University, Deputy Editor of Academic Emergency Medicine and faculty member of Emergency Medicine and Critical Care course. Case: A 35-year-old female presents to your emergency department three-hours after the onset of a severe frontal headache.

Emergency Department 40

Emergency Department Academics Outcomes 40

EM Curious

JULY 24, 2015

A Comparison of Ultrasound-guided Three-in-one Femoral Nerve Block Versus Parenteral Opioids Alone for Analgesia in Emergency Department Patients With Hip Fractures: A Randomized Controlled Trial. Academic Emergency Medicine, 20(6), 584–591. Impact of ultrasound-guided femoral nerve blocks in the pediatric emergency department.

Fractures 52

Fractures Ultrasounds Emergency Department Dislocations 52

Advanced Emergency Nursing from AENJ

OCTOBER 8, 2017

However, what is unique in Emergency Nurses , is the ability to confront, decisively and actively, any emergency, regardless of medical specialty; to do so instantly, and without initial direction. July 2003), Emergency Nursing: Historical, Current, and Future Roles. Academic Emergency Medicine, 10: 798–804.

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). Multicenter study of emergency department visits for insect sting allergies. Multicenter study of emergency department visits for food allergies. J Allergy Clin Immunol.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 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. Quality Checklist for Randomized Clinical Trials: * The study population included or focused on those in the emergency department.

Wellness 52

Wellness Outcomes Emergency Department Research 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. Objective assessment of sleep and fatigue risk in emergency medicine physicians. AEM March 2023 * Population: A convenience sample of emergency physicians from a single academic emergency department.

Academics 52

Academics Documentation/Coding Emergency Department Outcomes 52

PEMBlog

OCTOBER 18, 2023

Initially in the emergency department he was generally well-appearing with normal vital signs. Clinical features of neonatal toxic shock syndrome-like exanthematous disease emerging in Japan. There were no measured fevers at home or known sick contacts. No medication exposures. Mom was GBS negative. Y., & Uchiyama, T.

Infectious Diseases 59

Infectious Diseases Shock Pediatrics Wellness 59

Pediatric Emergency Playbook

AUGUST 1, 2017

One of our largest responsibilities in the Emergency Department is sorting out benign from surgical or medical causes of abdominal pain. Abdominal Surgical Emergencies in Children: A Relative Timeline General Advice Neonate (birth to one month) Necrotizing Enterocolitis Pneumatosis Intestinalis. Pediatr Surg Int 2003; 19:439.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

EMDocs

JANUARY 29, 2024

Introduction: Neurologic emergencies are common in the Emergency Department (ED), and blood pressure management is critical to immediate management. 2003 Oct 28;61(8):1047-51. Ann Emerg Med. 2003 Nov;42(5):619-26. His blood pressure (BP) is 220/120 mmHg. doi: 10.1212/01.wnl.0000092498.75010.57.

Stroke 74

Stroke Outcomes EMS Seizures 74

EMDocs

DECEMBER 6, 2024

2 This requirement was ultimately removed in 2003, however iron related exposures and deaths have stayed low. A partner at bedside reports recent depressed mood, abdominal pain, and vomiting yesterday. The patient woke up confused this morning, and has had a worsening mental status throughout the day today.

Poisoning 77

Poisoning Fluid Resuscitation Seizures Resuscitation 77

The Skeptics' Guide to EM

SEPTEMBER 7, 2018

Ben Lawton is a paediatric emergency physician in Brisbane Australia. He divides his time between a tertiary children’s hospital and a community hospital that is busy enough to have its own paediatric emergency department. He is part of the Don’t Forget the Bubbles team.

Dehydration 40

Dehydration Pediatrics Hospitals Academics 40

PHEM Cast

APRIL 21, 2021

J Trauma 2003; 54:444-453 Mort TC. Emergency tracheal intubation: complications associated with repeated laryngoscope attempts. Association Between Repeated Intubation Attempts and Adverse Events in Emergency Departments: An Analysis of a Multicenter Prospective Observational Study. Anesth Analg.

Airway Management 40

Airway Management Resuscitation EMS Hospitals 40

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. Jones is assistant professor of pediatric emergency medicine at the University of Kentucky in Lexington.

Pediatrics 40

Pediatrics Poisoning Hospitals Emergency Department 40

Advanced Emergency Nursing from AENJ

AUGUST 2, 2016

Act V, scene I [Text from Folger Shakespeare Library] [Audio recording of Dramatic Reading; Chapter Vox] [Video recording of Act V, scene1] Most deaths that are brought to, or occur in, an emergency department will require, at least, discussion with the local Coroner or Medical Examiner. 2003 Revision. 2003 Revision.

Documentation/Coding 40

Documentation/Coding Forensics CDC Fractures 40

Taming the SRU

APRIL 10, 2023

HOSPITAL COURSE The patient was initially found to be hypotensive in the Emergency Department with a blood pressure of 87/58 mmHg. She received 2 mg intranasal Narcan from paramedics with improvement in respiratory status, but in the emergency department (ED) she remains somnolent and is unable to provide further history.

EKG/ECG 52

EKG/ECG Fluid Resuscitation Administration Emergency Department 52

Pediatric Emergency Playbook

JANUARY 1, 2017

Children have long suffered from an under-treatment of their pain, due both to our incomplete acknowledgement of their pain and our fear of treatment ( Howard 2003 ). Intranasal ketamine for analgesia in the emergency department: a prospective observational series. Acad Emerg Med. Pediatr Emerg Care. Liebelt EL.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Don't Forget the Bubbles

JULY 5, 2023

A 6-year-old girl from Saudi Arabia was referred by her General Practitioner to the local emergency department. 2003; 5: 229–240. Other non-pharmacological treatments are bladder emptying, exercise such as jogging, warm baths and analgesia. She complained of cough and runny nose for 3 days. Stinson J, Naser B. Ware et al.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

Advanced Emergency Nursing from AENJ

NOVEMBER 20, 2014

Ballistic injuries in the emergency department. Emergency medicine practice, 13(12), 1-30. 4, April 2003 The Eddie Eagle GunSafe® Program National Rifle Association Gun Control Controversy GunFacts.Info website 119 pp pdf Lott, John R. PMID: 24350154 [PubMed] PMCID: PMC3860682 Tactical Combat Casualty Care (ppt) Dan S.

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

Don't Forget the Bubbles

DECEMBER 16, 2024

Clear history taking In the Emergency Department, healthcare professionals should prioritise thorough history-taking when assessing potential suspected cases. 2003) Severe and unrecognised: pertussis in UK infants. Clin Microbiol Rev 2005; 18 :32682 Mooi FR, van der Maas NAT, de Melker HE. Epidemiol Infect.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

EMDocs

FEBRUARY 12, 2024

Correlation and agreement between arterial and venous blood gas analysis in patients with hypotension-an emergency department-based cross-sectional study. Int J Emerg Med. The role of venous blood gas in the emergency department: a systematic review and meta-analysis. Eur J Emerg Med. Emerg Med J.

Emergency Department 94

Emergency Department Resuscitation COPD Shock 94

ACEP Now

AUGUST 1, 2023

How does that apply to the role of the board certified emergency physician? Fundamentally, I believe every patient coming to an emergency department is best served by care delivered by board certified emergency physicians. When those same fundamentals done right achieve great success, they aren’t little at all.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

Don't Forget the Bubbles

FEBRUARY 7, 2024

My first real encounter with the healthcare system took place when I was about seven years old and had to go into hospital for an orchidopexy, so I can empathize with all the young people who come through our emergency department with acute testicular pain. Pediatric emergency care , 35 (12), pp.821-825. Mellick, L.B.,

Pediatrics 111

Pediatrics Ultrasounds Operations Hospitals 111

EMDocs

JULY 15, 2023

She notes increasing redness on her right arm with some associated pain and swelling. She also reports generalized malaise and chills in the 24 hours preceding the onset of the rash. Purulent drainage (E) is possible with many infections, including cutaneous abscesses and cellulitis, but is not typical of erysipelas. M., & Bédane, C.

EMS 66

EMS Infectious Diseases Ultrasounds Shock 66