ACEP Now

NOVEMBER 8, 2024

Historically, the endotracheal tube (ETT) has been considered the definitive airway of choice in both the prehospital and in-hospital setting. 1 Prehospital endotracheal intubation and EGAs are typically placed without paralytics and are reserved for unconscious, apneic, and out-of-hospital cardiac arrest patients.

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Airway Management EMS Hospitals Administration 40

EMDocs

DECEMBER 6, 2024

2 This requirement was ultimately removed in 2003, however iron related exposures and deaths have stayed low. Iron Ingestion: an Evidence-Based Consensus Guideline for Out-of-Hospital Management. The oral bioavailability of inorganic iron is < 10%; ferrous iron (Fe 2+ ) is better absorbed than ferric iron (Fe 3+ ). Manoguerra, A.

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Poisoning Fluid Resuscitation Seizures Resuscitation 94

Dr. Smith's ECG Blog

FEBRUARY 6, 2024

Between 81-95% of life-threatening ventricular dysrhythmias and acute cardiac failure occur within 24-48 hours of hospitalization. 2003, May). Ultimately, a normal ECG and normal troponin at 4-6 hours from initial traumatic incident is highly predictive of a lack of future cardiac complications in blunt chest trauma. Cramer, M.

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EKG/ECG Wellness Fractures Emergency Department 116

ALiEM

JUNE 15, 2023

Lancet 2003; 361 (9373): 1935-8. PMID 12801736 Author information Sheila Goertemoeller, PharmD, DABAT, ICPS Clinical Toxicologist and Educator Drug and Poison Information Center Cincinnati Children's Hospital Medical Center | The post ACMT Toxicology Visual Pearl: The Heart Won’t Go On and On appeared first on ALiEM.

Poisoning 98

Poisoning EKG/ECG Hospitals 98

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.

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Leadership PPE EMS Wellness 98

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. Improving patient safety systems for patients with limited English proficiency: a guide for hospitals. July-August 2003.

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

Taming the SRU

JANUARY 29, 2024

Hospital Course The patient was initiated on a therapeutic heparin drip in the emergency department with vascular surgery consultation. She had improvement of the swelling in her left arm with return of sensation and function during her five-day hospital course. 2003 Jun;123(6):1953-6. 2003 Jul;4(3):146-52. Ann Vasc Surg.

Emergency Department 94

Emergency Department Fractures Hospitals Operations 94

Don't Forget the Bubbles

SEPTEMBER 30, 2024

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. looked at “Did Not Wait” cases in a Queensland hospital and found an overall DNW rate of 4.3%. 2003 Sep 1;20(5):402. Emerg Med J.

Emergency Department 89

Emergency Department Research Pediatrics Hospitals 89

RebelEM

MAY 11, 2023

History of liver disease, history of substance abuse disorder, and history of delirium tremens were also extracted from the hospital EMR. 11 of those were admitted to the hospital. New England Journal of Medicine 2003 , 348 (18), 1786-1795. Strengths Investigators asked a clinically valuable question that is patient-oriented.

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Emergency Department Administration Hospitals Academics 89

EMDocs

JULY 13, 2024

A) Administer ceftriaxone 500 mg IM and doxycycline 100 mg PO B) Consult OB/GYN for incision and drainage C) Establish IV access and administer clindamycin and gentamicin D) Prescribe doxycycline with metronidazole and ensure close OB/GYN follow-up Answer: C Most postpartum infections are identified after hospital discharge. PMID: 4073137.

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OB/GYN EMS Sepsis Fluid Resuscitation 81

Advanced Emergency Nursing from AENJ

OCTOBER 8, 2017

I can recall when a major metropolitan hospital had an unattended "First Aid Room" to which one's personal physician or a resident might be called should one come to the hospital with a problem. July 2003), Emergency Nursing: Historical, Current, and Future Roles. October 2003). Schriver, J. Talmadge, R.,

Emergency Nursing 40

Emergency Nursing Emergency Department Hospitals Academics 40

PHEM Cast

FEBRUARY 23, 2017

Penn-Barwell JG, Roberts SA, Midwinter MJ, Bishop JR: Improved survival in UK combat casualties from Iraq and Afghanistan: 2003-2012. Weaver AE, Eshelby S, Norton J, Lockey DJ: The introduction of on-scene blood transfusion in a civilian physician-led pre-hospital trauma service. J Trauma Acute Care Surg. 2016 Sep;81(3):458-62.

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Blood Transfusions Head Injuries Resuscitation Radiology 52

RebelEM

JANUARY 19, 2023

However, management continues to be debated and may lead to unnecessary hospitalization. PMID: 32622394 Clinical Question: Can ambulatory management of patients with primary spontaneous pneumothorax reduce the length of hospitalization? Often patients are otherwise young and healthy. Paper: Hallifax RJ et al. 2020;396(10243):39-49.

Outcomes 52

Outcomes Hospitals Research EMS 52

Pediatric Emergency Playbook

AUGUST 1, 2017

Pediatr Surg Int 2003; 19:439. Pediatr Surg Int 2003; 19:247. Management of the child after enema-reduced intussusception: hospital or home? 2003; 12(4):241-253. Acute Intestinal Obstruction in children: Experience in a Tertiary Care Hospital. 2003; 21:909-935. Khan AR, Vujanic GM, Huddart S. Am J Emerg Med.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

EMDocs

JANUARY 29, 2024

2003 Oct 28;61(8):1047-51. 2003 Nov;42(5):619-26. Blood Pressure Variability Predicts Poor In-Hospital Outcome in Spontaneous Intracerebral Hemorrhage. Detrimental effect of blood pressure reduction in the first 24 hours of acute stroke onset. doi: 10.1212/01.wnl.0000092498.75010.57. 0000092498.75010.57. PMID: 14581662.

Stroke 91

Stroke Outcomes EMS Seizures 91

Emergency Medicine Journal

FEBRUARY 20, 2024

Incident cases of AAS were identified between 2003 and 2018 using a validated algorithm based on ICD codes and death. Non-teaching and non-cardiac hospitals had a higher incidence of missed cases. Educational interventions should be prioritised in non-teaching hospitals and non-cardiac centres.

Documentation/Coding 40

Documentation/Coding Hospitals Outcomes 40

The Skeptics' Guide to EM

SEPTEMBER 7, 2018

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? Her parents Dave and Tony have driven 20 minutes from home to bring her to the regional hospital where you work.

Dehydration 40

Dehydration Pediatrics Hospitals Academics 40

PHEM Cast

JULY 14, 2016

2003 Dec 25;349(26):2510–8. Out-of-hospital spinal immobilization: its effect on neurologic injury. Connor D, Greaves I, Porter K, Bloch M, consensus group Faculty of Pre-Hospital Care. Pre-hospital spinal immobilisation: an initial consensus statement. N Engl J Med. A systematic review. The University of Warwick.

Fractures 52

Fractures Hospitals Shock Research 52

PEMBlog

OCTOBER 18, 2023

This patient was hospitalized for 4 days where he remained well-appearing. The Japanese experience has shown that overall mortality is low and that most infants do well without antibiotic treatment. However for preterm newbown with more severe illness, systemic antibiotics along with intravenous immunoglobulins may be necessary.

Infectious Diseases 59

Infectious Diseases Shock Pediatrics Wellness 59

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]. 2003 Jun;111(12):1805-12. 2003 Jul;112(2):299. 2003 Jun;111(12):1805-12. 2003 Jul;112(2):299. J Clin Invest.

Infectious Diseases 89

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

PHEM Cast

APRIL 21, 2021

J Trauma 2003; 54:444-453 Mort TC. The success of pre-hospital tracheal intubation by different pre-hospital providers: a systematic literature review and meta-analysis. Click here to hear what our friends over at the Resus Room think about Airways 2 References (kindly shared by Rich) Davis DP et al. Anesth Analg.

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

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).

Outcomes 52

Outcomes Documentation/Coding Hospitals EMS 52

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). 2006) “Management of acute allergic reactions and anaphylaxis in the Emergency Department between 1993-2003,” Journal of Allergy and Clinical Immunology , 117(2). 2004 Feb;113(2):347-52.

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Allergic Reactions Anaphylaxis Emergency Department Urgent Care 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. 2003 Feb;237(2):153-60. 2011;15(6):276. Resuscitation.

Basic Life Support 52

Basic Life Support EMS Outcomes Resuscitation 52

Don't Forget the Bubbles

DECEMBER 16, 2024

2003) Severe and unrecognised: pertussis in UK infants. Clin Microbiol Rev 2005; 18 :32682 Mooi FR, van der Maas NAT, de Melker HE. Pertussis resurgence: waning immunity and pathogen adaptation two sides of the same coin. Epidemiol Infect. 2014;142(4):685-94 Crowcroft NS, Booy R, Harrison T et al.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

Advanced Emergency Nursing from AENJ

AUGUST 2, 2016

These include, but are not limited to the following: · Persons dying within 24 hours of admission to the hospital, or not medically attended by a physician within 24-hours of the time of death, unless the attending physician has established a natural cause of death. · 2003 Revision. 2003 Revision. Accessed 07/25/2016.

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Documentation/Coding Forensics CDC Fractures 40

PHEM Cast

MAY 3, 2020

whose review included 10 studies (5 case-control; 5 cohort), all of which investigated transmission of SARS from patients to healthcare workers in intensive care or other healthcare settings during the 2002-2003 SARS outbreaks. This evaluation is based on a systematic review by Tran et al. Volume 31, Issue 5 May 2010 , pp.

PPE 52

PPE Airway Management Resuscitation Hospitals 52

Don't Forget the Bubbles

FEBRUARY 28, 2024

Clinical Presentation of Herpes Zoster in Immunocompetent and Immunocompromised Hospitalized Children Treated With Aciclovir. 2003; 59(1): 49–56. Herpes zoster: A Review of Clinical Manifestations and Management. 2022; 14(2):192. Kuchar E, Szenborn L, Lis I, Jaroszewska A, Czeladzka J. Journal of paediatric haematology and oncology.

Pediatrics 59

Pediatrics Infectious Diseases Outcomes Research 59

Pediatric Education

AUGUST 20, 2023

In a study from the US of 4075 admissions nationwide (ages 6-19 years) from 2003-14 found a low but increasing incidence of PLA from 9.63 per 100,000 hospitalizations in 2014. Treatment duration again was lengthy for many (up to 154 days) and they had a survival rate of 95.8%.

Pediatrics 40

Pediatrics Infectious Diseases Wellness Sepsis 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. Her oxygen requirement decreased throughout her hospitalization. 2003 May 27;168(11):1421-3. Diagnostics WBC : 8.6 Plt : 190 Na : 136 K : 4.4 Cl : 98 CO2 : 24 BUN : 20 Cr : 1.56 TSH : 18.04

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EKG/ECG Fluid Resuscitation Administration Emergency Department 52

Advanced Emergency Nursing from AENJ

SEPTEMBER 13, 2016

Readers of this blog may have read of the death of Dr. Peter Josef Safar in 2003, who is often called "The Father of Cardiopulmonary Resuscitation," or noted citations of his work in articles written and references given by me here at AENJournal.com and the Advanced Emergency Nursing Blog. Peter Safar (1924-2003). Birnbaum, M.

Resuscitation 40

Resuscitation CPR Emergency Nursing Basic Life Support 40

Advanced Emergency Nursing from AENJ

NOVEMBER 20, 2014

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. Tejwani, N. C., & Egol, K. Gunshot wounds to the extremities. de Barros Filho, T. Cristante, A. Marcon, R. Spinal cord.

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

Advanced Emergency Nursing from AENJ

MAY 27, 2014

It necessitated either switching cylinders from an oxygen device or having extra equipment; but when used outside a hospital was administered with an inhalator or resuscitator by rescue crews or in industrial or electrical, gas, or mining environments. 2003; 47 (2) : 146-147 **Shows devices and problematic history of CO2 and equipment.

Resuscitation 40

Resuscitation Poisoning Research Administration 40

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

Author continued : STE in aVR is often due to left main coronary artery obstruction (OR 4.72), and is associated with in-hospital cardiovascular mortality (OR 5.58). N Engl J Med 2003; 348:1756-1763, 5/1/2013. 2 The astute paramedic recognized this possibility and announced a CODE STEMI. Aortic valve surgery as an emergency procedure.

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EKG/ECG Shock Fluid Resuscitation Documentation/Coding 40

ACEP Now

AUGUST 1, 2023

Our Indiana ACEP colleagues have helped us all as emergency physicians in championing the passage of state legislation mandating a physician leading a hospital’s emergency department to be physically present in that hospital.

Emergency Department 98

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. Pre-hospital initiation vs transport to ECMO centre The optimal location of where ECMO should be initiated is yet to be determined.

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CPR Resuscitation Hospitals Outcomes 130