Pediatric Education

MARCH 11, 2024

Since 2004, we have offered a breadth of cases that continues to be unstructured pediatric curriculum and educational resource. It has been an amazing journey that started with just one weekly case and now we have come to this newest milestone.

Pediatrics 40

Pediatrics 40

The Trauma Pro

JUNE 13, 2023

Can Med Assn J, 170(4):477-480, 2004. References: Association between industry funding and statistically significant pro-industry findings in medical and surgical randomized trials. The Journal of Trauma and Acute Care Surgery Position on the Issue of Disclosure of Conflict of Interests by Authors of Scientific Manuscripts.

Research 245

Research Academics Operations Hospitals 245

RebelEM

JANUARY 9, 2024

Lancet 2004; 364: 1141-8. PMID: 1664833 Addo-Yobo E, et al. Oral amoxicillin versus injectable penicillin for severe pneumonia in children aged 3 to 59 months: a randomised multicentre equivalency study. PMID: 15451221 Atkinson M et al.

Infectious Diseases 100

Infectious Diseases Pediatrics EMS Administration 100

The Skeptics' Guide to EM

AUGUST 10, 2024

2004) found that recombinant factor VIIa can rapidly reverse warfarin anticoagulation in cases of acute intracranial hemorrhage, but the study did not conclusively demonstrate a reduction in mortality or an improvement in functional outcomes. Reversal of Warfarin: Freeman et al.

Stroke 70

Stroke Airway Management Documentation/Coding Outcomes 70

EMDocs

JANUARY 29, 2024

2004 Feb;35(2):520-6. Epub 2004 Jan 15. 2004 Jun;35(6):1364-7. Epub 2004 Apr 29. Castillo J, et al. Blood pressure decrease during the acute phase of ischemic stroke is associated with brain injury and poor stroke outcome. doi: 10.1161/01.STR.0000109769.22917.B0. 0000109769.22917.B0. PMID: 14726553. doi: 10.1161/01.STR.0000128795.38283.4b.

Stroke 73

Stroke Outcomes EMS Seizures 73

Taming the SRU

JANUARY 29, 2024

2004 Sep 21;110(12):1605-11. Epub 2004 Sep 7. 2004 Jul-Aug;32(4):429-35. Joffe HV, Kucher N, Tapson VF, Goldhaber SZ; Deep Vein Thrombosis (DVT) FREE Steering Committee. Upper-extremity deep vein thrombosis: a prospective registry of 592 patients. Circulation. Merminod T, Pellicciotta S, Bounameaux H. Blood Coagul Fibrinolysis.

Emergency Department 93

Emergency Department Fractures Hospitals Operations 93

Don't Forget the Bubbles

FEBRUARY 19, 2024

A study by Chiu, Lee, and Huang (2004) found a negative correlation between the amount of time spent on gaming and academic performance. There is a complex interplay between gaming, psychological needs, and adolescent well-being. Disruption of Daily Life: Excessive gaming can significantly impact academic performance. Gentile et al.

Academics 59

Academics Leadership Research Teamwork 59

EMDocs

FEBRUARY 29, 2024

2004 May-Jun;156(3):159-62. An interesting cause of wide complex tachycardia: Ashman’s phenomenon in atrial fibrillation. J Emerg Med. 2013 Dec;45(6):835-41. Kennedy LB, Leefe W, Leslie BR. The Ashman phenomenon. J La State Med Soc. PMID: 15233390. Gouaux JL, Ashman R. Am Heart J. 1947 Sep;34(3):366-73.

EKG/ECG 80

EKG/ECG EMS Hospitals 80

Sensible Medicine

SEPTEMBER 8, 2024

The researchers looked at every patient that had mammograms between 2004 and 2019 and developed breast cancer. I also individualize my recommendations, provide a variety of infographics , and respect each patient’s decision. The article came out of the University of Pittsburgh and studied patients there.

Research 107

Research Hospitals 107

RebelEM

JULY 24, 2023

This approach has been shown to benefit patients when agents like propofol and midazolam are used. ( Russotto 2022 , Choi 2004 ). Over the last decade, airway experts have advocated for reduced induction agent dosing to lessen the risk of hypotension particularly in at risk patients. Paper: Driver BE et al.

Resuscitation 98

Resuscitation Outcomes Emergency Department EMS 98

Pediatric EM Morsels

JULY 28, 2023

2004 Jul;27(7):1541-6. [PubMed] [Read by QxMD] Muir AB1, Quisling RG, Yang MC, Rosenbloom AL. Cerebral edema in childhood diabetic ketoacidosis: natural history, radiographic findings, and early identification. Diabetes Care. PMID: 15220225.

Fluid Resuscitation 246

Fluid Resuscitation Pediatrics Resuscitation Research 246

ALiEM

APRIL 10, 2023

2004 Jan;9(1):52-6. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: [link] Lee LA. Neonatal lupus erythematosus: clinical findings and pathogenesis. J Investig Dermatol Symp Proc. doi: 10.1111/j.1087-0024.2004.00827.x. 1087-0024.2004.00827.x. PMID: 14870986.

Pediatrics 98

Pediatrics EKG/ECG Academics Wellness 98

EMDocs

APRIL 27, 2024

Rosh Review Website Link Additional FOAM Resources: [link] [link] [link] [link] References: Rubin Grandis, J., Branstetter, B. 4th, & Yu, V. The changing face of malignant (necrotising) external otitis: clinical, radiological, and anatomic correlations. The Lancet. Infectious diseases , 4 (1), 34–39. link] Grandis, J., Branstetter, B.

EMS 83

EMS Infectious Diseases Radiology Radiology 83

Critical Care Now

MAY 26, 2022

2004; 110(18):e454-8. 2004; 2: 1882-88. References Warkentin TE. Heparin-induced thrombocytopenia: diagnosis and management. Circulation. Lillo-Le Louet A, Boutouyrie P, Ahenc-Gelas M, et al. Diagnostic score for heparin-induced thrombocytopenia after cardiopulmonary bypass. J Thomb Hemost. Cuker A, Arepally GM, Chong BH, et al.

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52

Sensible Medicine

SEPTEMBER 18, 2023

The title gives away the results: Here is what they did: They took 159 patients who had severe TR and were operated on from 2004-2018. The Actual Study published in an Actual Journal: A group of surgeons from the Cleveland Clinic reported their study in The Journal of Thoracic and Cardiovascular Surgery , which has an impact factor of 6.

Operations 121

Operations Academics Shock Outcomes 121

Emergency Medicine Journal

NOVEMBER 28, 2023

Exclusion of non-english speakers in published emergency medicine research - a comparison of 2004 and 2014. J Gen Intern Med. 1996 Jan; 11 (1):39–43. Brodeur M, Herrick J, Guardioloa J, Richman P. Acta Inform Medica. 2017; 25 (2):112. Murray S, Buller AM. J Health Serv Res Policy. 2007 Oct 1; 12 (4):205–8.

Research 40

Research Burns Wellness 40

PEMBlog

SEPTEMBER 24, 2024

2004 Nov;49(4):302-9. PMID: 442005; PMCID: PMC471015. Marrie TJ, Beecroft MD, Herman-Gnjidic Z. Resolution of symptoms in patients with community-acquired pneumonia treated on an ambulatory basis. doi: 10.1016/j.jinf.2003.11.013. 2003.11.013. PMID: 15474628. Metlay JP, Atlas SJ, Borowsky LH, Singer DE.

Pediatrics 52

Pediatrics Ultrasounds Hospitals Wellness 52

The Skeptics' Guide to EM

JULY 9, 2022

This committee’s findings supported the use of tPA in less than three hours ( Ingall et al 2004). NINDS commissioned an independent committee to investigate if any of these imbalances invalidated the entire trial. What are your thoughts on this commissioned report?

Stroke 52

Stroke Emergency Department EMS Outcomes 52

SheMD

NOVEMBER 27, 2023

Flashback, 2004. We are bringing you stories of female physicians that prove you CAN do it! Dr. Sriraman joins us on the blog to discuss "mommy guilt" and how our children REALLY see us, as incredible Moms in Medicine. I introduce myself to a female neighbor who I had never met and we started chatting.

Pediatrics 98

Pediatrics Research Operations 98

Maria Yang, MD

JUNE 4, 2023

Long time readers (from 2004—close to 20 years ago! I’ll say more about compulsory mental health care (also called involuntary psychiatric treatment) and involuntary medications in a separate post. thanks for spending decades with me!) will recall a physician I dubbed the Special Attending. (In

Psychiatric 59

Psychiatric Outcomes 59

Cook County EM Blog

MAY 29, 2023

From 2004 to 2009, prescriptions in the US increased by 50%. Decades later, the opioid epidemic would cause devastation throughout the country leading to a shift away from opioid prescribing. During this timeframe, a rapid increase in prescriptions for non-opioid antitussives such as benzonatate would be seen.

Seizures 52

Seizures Administration Resuscitation Poisoning 52

EMDocs

NOVEMBER 21, 2023

2004 Nov 9;63(9):1647-55. The primary periodic paralyses: diagnosis, pathogenesis and treatment. 2006 Jan;129(Pt 1):8-17. Miller TM, Dias da Silva MR, Miller HA, et al. Correlating phenotype and genotype in the periodic paralyses. Statland JM, Barohn RJ. Muscle channelopathies: the nondystrophic myotonias and periodic paralyses.

Administration 68

Administration 68

RebelEM

MAY 29, 2023

Crit Care 2004. Multiple-Center, Randomized, Placebo-Controlled, Double-Blind Study of the Nitric Oxide Synthase Inhibitor 546C88: Effect on Survival in Patients with Septic Shock. PMID: 14707556 Richards-Belle et al. Lower Versus Higher Exposure to Vasopressor Therapy in Vasodilatory Hypotension: A Systematic Review with Meta-Analysis.

Shock 145

Shock Fluid Resuscitation Sepsis Resuscitation 145

EMDocs

FEBRUARY 7, 2024

One study from the National Bureau of Economic Research on nursing strikes in New York State from 1984 to 2004 found that hospital mortality increased by 19.4% 5 Quality : Results on quality impacts are mixed. and readmissions increased by 6.5% for patients admitted during the strike.

Hospitals 77

Hospitals Research Patient Safety Wellness 77

Emergency Medicine Ireland

JUNE 21, 2021

Believe it or not there is a World Society of abdominal compartment syndrome that has been on the go since 2004 and you can become a life time member for free if you want. This is common, especially in the surgical population and does not always immediately jump to the front of our cerebral hemispheres when it should do.

Fluid Resuscitation 52

Fluid Resuscitation Resuscitation Wellness 52

Ken Grauer, MD

MAY 20, 2023

Cardiol 27:674-677, 2004 ). Inverted U waves are an uncommon, usually ignored phenomenon. That said — when present in the right clinical situation, they are an indicator of significant ischemia ( Correale et al — Clin. Attention to negative U waves was first pointed out to me by Dr. Barney Marriott in the mid 1980s.

EKG/ECG 363

EKG/ECG Wellness 363

The Skeptics' Guide to EM

FEBRUARY 6, 2021

Background: Chronic marijuana use was recognized by Allen el al in 2004 to cause cyclical vomiting in patients from South Australia. You suspect he has cannabis hyperemesis syndrome and discharge him home with the recommendation to stop smoking as much weed.

Hospitals 40

Hospitals Emergency Department Ultrasounds EMS 40

Taming the SRU

AUGUST 27, 2024

Nature 2004; 428:486. HLA-B*5801 allele as a genetic marker for severe cutaneous adverse reactions caused by allopurinol. Proc Natl Acad Sci U S A 2005; 102:4134. Chung WH, Hung SI, Hong HS, et al. Medical genetics: a marker for Stevens-Johnson syndrome. Chen CB, Hsu TH, Chung-Yee Hui R, et al. J Am Acad Dermatol 2021; 84:1782.

Emergency Department 83

Emergency Department Dehydration Burns Sepsis 83

Dr. Smith's ECG Blog

OCTOBER 17, 2024

PR depression — has been shown to be a relatively common ECG sign associated with clinically silent PE ( Kudo et al — JACC 39(12): 2000-2004, 2002 ). Instead, he was diagnosed with pneumonia — that turned out to be a left-sided pulmonary embolism that was initially missed. PR depression is marked and seen in multiple leads in this tracing.

EKG/ECG 73

EKG/ECG EMS Shock Ultrasounds 73

Dr. Smith's ECG Blog

JANUARY 21, 2023

Indian Pacing Electrophysiol J 2004 Antzelevitch C, Yan G. 2004 = My Comment by K EN G RAUER, MD ( 1/21 /2023 ): = I thought today's case by Drs. J wave syndromes. Heart Rhythm 2010 Hudzik B, Gasior M. J-waves in hypothermia. CMAJ 2017 Vassallo SU, Delaney KA, Hoffman RS, et al. Pacing Clin Electrophysiol.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia EKG/ECG Seizures Fractures 52

PHEM Cast

FEBRUARY 2, 2016

2004 May 1;21(3):351– Brodie S, Hodgetts TJ, Ollerton J, McLeod J, Lambert P, Mahoney P. Life, limb and sight-saving procedures–the challenge of competence in the face of rarity. Emerg Med J. 2013 Feb 1;30(2):89–90. Ketamine in prehospital care. Emerg Med J. Tourniquet use in combat trauma: UK military experience. J R Army Med Corps.

Military 52

Military 52

PHEM Cast

APRIL 21, 2021

2004 Aug;99(2):607-13, Hasegawa K et al. 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.

Airway Management 52

Airway Management Resuscitation EMS Hospitals 52

Don't Forget the Bubbles

AUGUST 9, 2023

2004-1231 Karmisholt J, Andersen S, Laurberg P. [link] Gharib H, Tuttle RM, Baskin HJ, Fish LH, Singer PA, McDermott MT. 2005) Subclinical thyroid dysfunction: a joint statement on management from the American Association of Clinical Endocrinologists, the American Thyroid Association, and the Endocrine Society. J Clin Endocrinol Metab.

Ultrasounds 98

Ultrasounds Pediatrics Wellness 98

RebelEM

JANUARY 29, 2024

PMID: 21422387 Wan S et al. Thrombolysis Compared with Heparin for the Initial Treatment of Pulmonary Embolism: A Meta-Analysis of the Randomized Controlled Trials. PMID: 15262836 Sharifi M et al. Pulseless Electrical Activity in Pulmonary Embolism Treated with Thrombolysis (from the “PEAPETT” Study). PMID: 27422214 Wang C et al.

Stroke 137

Stroke Outcomes Hospitals Administration 137

Urgent Care Ultrasounds

SEPTEMBER 14, 2020

2004; 126(2):394-9. [<a href=” [link] ; target=”_blank”>pubmed</a>] Header Photo by uniqsurface on Unsplash . [<a href=” [link] ; target=”_blank”>PDF</a>] Adir Y, Shupak A, Gil A, et al. Swimming-induced pulmonary edema: clinical presentation and serial lung function.

Urgent Care 40

Urgent Care Ultrasounds Hospitals 40

Pediatric Emergency Playbook

OCTOBER 1, 2017

2004; 26(4): 163–167. Ultrasound-guided refilling of an intrathecal baclofen pump—a case report. Childs Nerv Syst. 2013; 29:347–349. Yeh RN, Nypaver MM, Deegan TJ, Ayyangar R. Baclofen Toxicity in an 8-year-old with an Intrathecal Baclofen Pump. J Emerg Med. Ventricular Assist Devices Blume ED, Naftel DC, Bastardi HJ et al.

Pediatrics 52

Pediatrics Seizures Stroke Ultrasounds 52

Taming the SRU

FEBRUARY 5, 2024

Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases , 22 Suppl 3 , S37–S62. Tunkel, A. Hartman, B. Kaplan, S. Kaufman, B. Scheld, W. M., & Whitley, R. Practice guidelines for the management of bacterial meningitis.

Infectious Diseases 97

Infectious Diseases Seizures Ultrasounds Sepsis 97