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 92

CDC Hospitals EMS Emergency Department 92

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. Atrial fibrillation is also a predictor of worse outcomes in this case (Alborzi). 2003, May). He was intubated for altered mental status. Cramer, M.

EKG/ECG 105

EKG/ECG Wellness Fractures Hospitals 105

EMDocs

AUGUST 22, 2024

12 How do we address these disparities in the emergency department? Certified interpreter use can improve communication and patient outcomes. An implementation science approach improves language access in the emergency department. One cohort study in a public ED found that 84.5% 45:446-458. Taira B, et al.

Documentation/Coding 82

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

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

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

EMDocs

JANUARY 29, 2024

Introduction: Neurologic emergencies are common in the Emergency Department (ED), and blood pressure management is critical to immediate management. Poor blood pressure management can worsen the outcome of hemorrhagic stroke by increasing the risk of hematoma expansion, cerebral edema, and ischemia [8-14]. PMID: 11988609.

Stroke 74

Stroke Outcomes EMS Seizures 74

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. Secondary Outcomes: Health status and subgroup analysis based on type of aircraft or previous parachute use.

Wellness 52

Wellness Outcomes Emergency Department Research 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. In 7 studies with 4164 patients, PCT with a cut-off > 0.1 ng/mL (strongly recommended against antibiotics), 0.1-0.25

Infectious Diseases 87

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

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

RebelEM

JANUARY 23, 2023

Health care professional involved in patient management and outcome assessment was completely blinded. 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.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Urgent Care Emergency Department 52

Northwestern EM Blog

JANUARY 2, 2023

While this may be surprising, there is literature that shows that catastrophic events can be associated with increased social support and reduce suicidal outcomes [4]. A pediatric emergency department in Texas looked at the resulted of their routine suicide risk screenings for patients aged 11-21. JAMA Netw Open. 2020.34261 5.

Emergency Department 52

Emergency Department Research Pediatrics CDC 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. AEM March 2023 * Population: A convenience sample of emergency physicians from a single academic emergency department. Our sleep schedules impact our overall health.

Academics 52

Academics Documentation/Coding Emergency Department Outcomes 52

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

DECEMBER 6, 2024

2 This requirement was ultimately removed in 2003, however iron related exposures and deaths have stayed low. 7 Workup other than serum iron concentration at 4 hours after ingestion not shown to accurately predict clinical outcomes or severity of toxicity. 6 Absence of visualized tablets on x-ray does not exclude iron ingestion.

Poisoning 77

Poisoning Fluid Resuscitation Seizures Resuscitation 77

PHEM Cast

APRIL 21, 2021

The Effect of Paramedic Rapid Sequence Intubation on Outcome in Patients with Severe Traumatic Brain Injury. J Trauma 2003; 54:444-453 Mort TC. Emergency tracheal intubation: complications associated with repeated laryngoscope attempts. Anesth Analg. 2004 Aug;99(2):607-13, Hasegawa K et al.

Airway Management 40

Airway Management Resuscitation EMS Hospitals 40

Don't Forget the Bubbles

JULY 5, 2023

Haematology specialist clinics are key to manage the chronic side of the disease, while ED doctors should be able to act rapidly on the common acute emergencies. Furthermore, educating both patients and their families is important in order to achieve good treatment compliance and better clinical outcomes. 2003; 5: 229–240.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

EMDocs

FEBRUARY 12, 2024

There is well-documented evidence that low systolic blood pressure, a low Glasgow Coma Score (GCS), and a high Injury Severity Score (ISS) are known predictors of poor outcomes, and in combination with serum lactate provide adequate prognostic value. Int J Emerg Med. Eur J Emerg Med. Emerg Med J. Open Access Emerg Med.

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. MacDonald, C.,

Pediatrics 111

Pediatrics Ultrasounds Operations Hospitals 111

Dr. Smith's ECG Blog

APRIL 8, 2015

Cardiac Syncope ("True Syncope") Independent Predictors of Adverse Outcomes condensed from multiple studies 1. These premonitory symptoms were negative predictors of adverse outcomes in EGSYS. 2) Boston syncope rule: J Emerg Med. The ROSE (Risk Stratification of syncope in the emergency department) Study.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

Taming the SRU

JULY 24, 2024

jarrell and kimmel Violence is a social determinant of health Direct injury Vicarious trauma Cardiovascular health Psychological health Birth outcomes Risky sexual behavior Substance use Socioeconomic health The link between violence and direct injury is obvious, however there is evidence linking exposure to violence to other health consequences.

Leadership 52

Leadership Domestic Violence Ultrasounds Academics 52