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. 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.

Emergency Department 89

Emergency Department Research Pediatrics Hospitals 89

EMDocs

AUGUST 22, 2024

3,4 Notably, institutions receiving federal funding (such as hospitals receiving Medicare reimbursement) must abide by Title VI of the 1964 Civil Rights Act, which entitles persons with NELP to language assistance. 12 How do we address these disparities in the emergency department? Lion KC, et al. Pediatrics. 135:e709-e716.

Documentation/Coding 100

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 100

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. Between 81-95% of life-threatening ventricular dysrhythmias and acute cardiac failure occur within 24-48 hours of hospitalization. 2003, May). Cramer, M.

EKG/ECG 116

EKG/ECG Wellness Fractures Emergency Department 116

ACEP Now

SEPTEMBER 5, 2024

With elimination of CME funding in many of our hospitals and groups, it is crucial to continue to add value and communicate that value to residents before graduation. While some issues are handled locally, many issues cannot be solved in our emergency department or hospital.

Leadership 98

Leadership PPE EMS Wellness 98

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 94

Emergency Department Fractures Hospitals Operations 94

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. Or another, at which the ambulance crew would have to call the hospital's telephone operator to send someone to unlock the door at night.

Emergency Nursing 40

Emergency Nursing Emergency Department Hospitals Academics 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]. . + Procalcitonin (PCT) Etiology: PCT was first discovered in 1984. However, it was not until a 1993 study that its significance was realized.

Infectious Diseases 89

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

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

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. 119.025514.

Stroke 91

Stroke Outcomes EMS Seizures 91

The Skeptics' Guide to EM

SEPTEMBER 7, 2018

Guest Skeptic: Dr. 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 […] The post SGEM#228: Winds of Change – High Flow Nasal Oxygen for Acute Bronchiolitis? NEJM March 2018.

Dehydration 40

Dehydration Pediatrics Hospitals Academics 40

PEMBlog

OCTOBER 18, 2023

Initially in the emergency department he was generally well-appearing with normal vital signs. This patient was hospitalized for 4 days where he remained well-appearing. Clinical features of neonatal toxic shock syndrome-like exanthematous disease emerging in Japan. No medication exposures. Mom was GBS negative.

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

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. Crit Care 21, 31 (2017).

Airway Management 40

Airway Management Resuscitation EMS Hospitals 40

ACEP Now

SEPTEMBER 11, 2023

5 Pediatric discharges were reported by 2,784 hospitals in 2000 and the number of reporting hospitals increased to 4,179 in 2012. This database systematically and randomly samples pediatric discharges from participating hospitals. Trends and presentation patterns of acute rheumatic fever hospitalizations in the United States.

Pediatrics 40

Pediatrics Poisoning Hospitals Emergency Department 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

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

Advanced Emergency Nursing from AENJ

NOVEMBER 20, 2014

Ballistic injuries in the emergency department. Emergency medicine practice, 13(12), 1-30. BULLETIN-HOSPITAL FOR JOINT DISEASES NEW YORK, 64(3/4), 139. 4, April 2003 The Eddie Eagle GunSafe® Program National Rifle Association Gun Control Controversy GunFacts.Info website 119 pp pdf Lott, John R. Gustafson, C.

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

EMDocs

FEBRUARY 12, 2024

Authors: Rachel Kelly, MD ( EM Resident Physician, Stony Brook University Hospital); Robert Nocito, MD (EM Attending Physician, Stony Brook University Hospital) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. Int J Emerg Med. Eur J Emerg Med. Emerg Med J. doi: 10.1097/MEJ.0b013e32836437cf.

Emergency Department 98

Emergency Department Resuscitation COPD Shock 98

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

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 ). Committee on Bioethics and Committee on Hospital Care. Intranasal ketamine for analgesia in the emergency department: a prospective observational series.

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. 2) Boston syncope rule: J Emerg Med. The ROSE (Risk Stratification of syncope in the emergency department) Study. Other studies 1) EGSYS score (full text link). Del Rosso A, et al.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

Don't Forget the Bubbles

JULY 5, 2023

GPs and local hospitals should provide easy access to medication and vaccinations to ensure good compliance. At home, he has had 24 hours of alternating paracetamol and ibuprofen, but the pain was so unbearable that his parents came to hospital in the middle of the night. What medications would you give to control pain in hospital?

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

The Skeptics' Guide to EM

FEBRUARY 13, 2021

Dennis Ren is a paediatric emergency medicine fellow at Children’s National Hospital in Washington, DC. 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?

Pediatrics 52

Pediatrics Emergency Department Hospitals 52

Taming the SRU

JULY 24, 2024

Victims of IPV are likely to seek care at emergency departments at higher rates than the general population. Included 10 academic hospitals. rates are 25 times that of other countries for homicide and 10 times greater for suicide. “Can Can an airway assessment score predict difficulty at intubation in the ED?

Domestic Violence 52

Domestic Violence Leadership Ultrasounds Academics 52