ACEP Now

NOVEMBER 8, 2024

Emergency medical services (EMS) scope of practice is governed by the state, but national scope of practice guidelines are available for the four different EMS provider levels. I-Gel The i-gel was designed in the UK in 2003 and features a gel-style cuff that surrounds the larynx. EMS Airway Management: System Considerations.

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Airway Management EMS Hospitals Administration 40

EMDocs

JANUARY 29, 2024

Authors: Sameer Desai, MD (EM Attending Physician, University of Kentucky); Omar Abbas Ahmed Malik, MBBS (Patients’ Aid Foundation, Jinnah Postgraduate Medical Center) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University School of Medicine in St.

Stroke 94

Stroke Outcomes EMS Seizures 94

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.

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EKG/ECG Wellness Fractures Emergency Department 116

PHEM Cast

DECEMBER 12, 2016

Emergency Department thoracotomy for the critically injured patient: Objectives, indications, and outcomes. Joint Position Statement of Nat Assoc EMS Physicians and ACS Committee on Trauma. J Am Coll Surg; 2003 (1): 106-111. Emergency thoracotomy in thoracic trauma: a review. Injury; 2006 (37): 1-19. Clay et al. Rhee et al.

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Military Resuscitation Emergency Department Documentation/Coding 52

The Skeptics' Guide to EM

OCTOBER 31, 2018

He is a deputy editor for EM: RAP and, associate editor for REBEL EM. […] The post SGEM#235: Edoxaban for Cancer Associated VTE – Would the NEJM Lie to You? He is a deputy editor for EM: RAP and, associate editor for REBEL EM. Joseph’s Regional Medical Center in Patterson, NJ.

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EMS Outcomes Wellness 52

RebelEM

MARCH 13, 2023

Nevertheless, mortality of prehospital traumatic cardiac arrest (TCA), and survivability with good neurologic outcome, remain the gold standards of trauma care in and out of the hospital and are effectively the criterion by which we measure outcomes in the trauma literature. Discussion: Dead On Scene: The 96.2% mortality rate and 43.5%

Basic Life Support 52

Basic Life Support EMS Outcomes Resuscitation 52

EMDocs

AUGUST 22, 2024

Certified interpreter use can improve communication and patient outcomes. Conducting research regarding best practices for improving health outcomes for NELP patients. Pearls NELP patients have worse health outcomes despite widespread language-access policies. July-August 2003. Betancourt J, Green A, et al.

Documentation/Coding 102

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 102

RebelEM

MAY 11, 2023

New England Journal of Medicine 2003 , 348 (18), 1786-1795. Rezaie, MD (Twitter: @srrezaie ) The post Return Encounters in Emergency Department Patients Treated with Phenobarbital Versus Benzodiazepines for Alcohol Withdrawal appeared first on REBEL EM - Emergency Medicine Blog. O’Connor, P. DOI: 10.1056/NEJMra020617. (2)

Emergency Department 89

Emergency Department Administration Hospitals Academics 89

RebelEM

JANUARY 19, 2023

If aspiration is unsuccessful based on the criteria above → Chest tube is inserted (size 8-14Fr) and admitted to the hospital. Outcomes: Primary Outcome: Total length of hospital stay up to 30 days after randomization, including initial hospital stay and readmissions.

Outcomes 52

Outcomes Hospitals Research EMS 52

RebelEM

JANUARY 23, 2023

Health care professional involved in patient management and outcome assessment was completely blinded. Noninferiority trials, covered here on REBEL EM , are helpful when the experimental treatment offers a distinct advantage over the standard treatment. The effectiveness of IV cetirizine was determined to be statistically non-inferior.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 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). No difference in exploratory outcomes.

Outcomes 52

Outcomes Documentation/Coding Hospitals EMS 52

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. Difficult prehospital endotracheal intubation – predisposing factors in a physician based EMS. Anesth Analg. 2004 Aug;99(2):607-13, Hasegawa K et al. DOI:10.1002/14651858.CD011136.pub2.

Airway Management 40

Airway Management Resuscitation EMS Hospitals 40

ACEP Now

AUGUST 1, 2023

Factoring such, an order to transfer the patient immediately by ground or air EMS is the only actual support per se these non-physicians receive. Quillen College of Medicine (2003) Response The workforce study shook the foundation of emergency medicine (EM).

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Emergency Department EMS Critical Access Hospitals 98

Intensive Blog

MARCH 13, 2024

Whilst acknowledging not all centres who provide ECMO are registered with ELSO 3 , an analysis of this dataset showed that in 2003 there were < 50 ECPR runs reported in total 4. This showed a similar rate of survival to discharge (27%), of whom approximately 50% had a favourable neurological outcome on discharge (CPC 1 or 2).

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CPR Resuscitation Outcomes Hospitals 130

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. Notably, in the initial analysis of blunt chest trauma (i.e. Am J Emerg Med.

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Emergency Department Resuscitation COPD Shock 98

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. Abnormal ECG – looks for cardiac syncope. Hemoglobin less than 10 (SF rule) 6. Syncope with Exertion (EGSYS) 7. S yncope while supine (EGSYS) 8.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

RebelEM

DECEMBER 4, 2024

JACC 2003; 41: 255-62. Thirty-day Outcomes of Emergency Department Patients Undergoing Electrical Cardioversion for Atrial Fibrillation or Flutter. Acad EM 2010; 17: 408-15. Ann of EM 2011; 58: 517-20. Ann Emerg Med 2015; 65(5): 532-9. PMID: 25701296 Chevalier P et al. PMID: 12535819 Michael JA et al.

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Emergency Department Stroke EMS Shock 83

RebelEM

FEBRUARY 28, 2025

Bottom Line Up Top: Replacing the nail into the eponychial fold doesnt appear to be critical to nail regrowth and cosmetic outcomes of finger injuries with nail avulsion. You consider whether you should re-sedate the patient to replace the nail as you are concerned about the cosmetic outcome of the repair. 2003 Jan;20(1):65.

Outcomes 52

Outcomes Pediatrics Emergency Department EMS 52

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

We’ve heard, or been through, tales of early EM when BNTI was the fall-back for awkward intubations before EM could claim credentialing for RSI. Ontario EMS Nasal Tracheal Intubation Video on the YouTube Channel of Ontario EMS. Should EMS Use Nasotracheal Intubation? Paralysis doesn’t open every oral cavity.

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Resuscitation Airway Management EMS CPR 40

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.

Domestic Violence 52

Domestic Violence Leadership Ultrasounds Academics 52