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SGEM #425: Are You Ready for This? Pediatric Readiness of Emergency Departments

The Skeptics' Guide to EM

National Assessment of Pediatric Readiness of US Emergency Departments during the Covid-19 Pandemic. July 2023 Date: Dec 11, 2023 Guest Skeptic: Dr. Rachel Hatcliffe is a pediatric emergency medicine attending at Children’s National Hospital in Washington, DC. Are general emergency departments ready to care for children?

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SGEM#430: De Do Do Do, De Dash, Dash DAShED – Diagnosing Acute Aortic Syndrome in the ED.

The Skeptics' Guide to EM

Diagnosis of Acute Aortic Syndrome in the Emergency Department (DAShED) study: an observational cohort study of people attending the emergency department with symptoms consistent with acute aortic syndrome. first appeared on The Skeptics Guide to Emergency Medicine. EMJ Nov 2023. EMJ Nov 2023. per 100,000. [4-8]

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Glasgow Coma Scale in Children

Pediatric EM Morsels

Borgialli DA, Mahajan P, Hoyle JD Jr, Powell EC, Nadel FM, Tunik MG, Foerster A, Dong L, Miskin M, Dayan PS, Holmes JF, Kuppermann N; Pediatric Emergency Care Applied Research Network (PECARN). Acad Emerg Med. 2003 Jul;40(7):620-5. Interrater reliability of Glasgow Coma Scale scores in the emergency department.

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Did Not Wait – DNW

Don't Forget the Bubbles

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. Simpson et al. of these were felt to be non-urgent attendances. Simpson et al.

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Improving Care for Patients with a Non-English Language Preference (NELP)

EMDocs

12 How do we address these disparities in the emergency department? Rockville: Agency for Healthcare Research and Quality. An implementation science approach improves language access in the emergency department. 20,21 Advocating for policy changes improving language access in your department and institution.

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Problem Drinking Remains a Big Problem

ACEP Now

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.

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Approach to Hernias in the ED

Taming the SRU

There is less research in the utility of ultrasound in identifying strangulation, however findings such as lack of peristalsis, edema of the bowel wall, and lack of blood flow on Doppler all seem to be suggestive of strangulation. (8) 8) “Ultrasound may decrease the emergency surgery rate of incarcerated inguinal hernia” by Chen et al. (1)