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. One study found that labor unionization among U.S.

Hospitals 98

Hospitals Research Patient Safety Wellness 98

Cook County EM Blog

MAY 29, 2023

From 2004 to 2009, prescriptions in the US increased by 50%. Analysis of benzonatate overdoses among adults and children from 1969-2010 by the United States Food and Drug Administration. Food and Drug Administration (FDA). The market share of benzonatate amount antitussives increased from 6.3% Pharmacotherapy. doi: 10.1002/phar.1153.

Seizures 52

Seizures Administration Resuscitation Poisoning 52

Dr. Smith's ECG Blog

JULY 21, 2024

In such cases — radiofrequency ablation of ectopic beats triggering malignant ventricular arrhythmias was needed for control of arrhythmic storm because the antiarrhythmic medications tried were ineffective ( Marrouche et al — JACC 5;43(9): 1715-20, 2004 ). Administration of Procainamide is 10-17 mg/kg at 20 mg/min.

EKG/ECG 131

EKG/ECG Shock Hospitals Sepsis 131

Don't Forget the Bubbles

DECEMBER 16, 2024

In 2004, the UK introduced the acellular pertussis (aP) vaccine, replacing the whole-cell pertussis (wP) vaccine due to its association with fewer adverse events. Depending on the individuals circumstances, this may involve either the administration of the MMR vaccine within 72 hours of exposure or intravenous immunoglobulin within six days.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

RebelEM

JANUARY 23, 2023

2004 Feb;113(2):347-52. The effectiveness of IV cetirizine was determined to be statistically non-inferior. However, according to the American Academy of Allergy, Asthma, and Immunology, “oral antihistamine therapy is equivalent to IV therapy” (Ledford D 2019). Multicenter study of emergency department visits for food allergies.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

Critical Care Now

MAY 12, 2022

If the tympanic membrane was not completely visualized after administration of the medication, irrigation with 50 – 100 mL of lukewarm normal saline may be completed. 2004; 54(508): 862 – 7. Debrief Docusate is a stool softener that may be used as a cerumenolytic for patients with cerumen impaction. J Prim Care Community Health.

Infectious Diseases 52

Infectious Diseases Stroke Emergency Department Administration 52

Pediatric Emergency Playbook

AUGUST 1, 2017

2004; 199(4):628-635. Plasma levels of lidocaine following nebulized aerosol administration. 2004 Aug;44(2):131-7. Intestinal Malrotation in Children: A Problem-Solving Approach to the Upper Gastrointestinal Series. Radiographics. 2006; 26:1485-1500. Kapfer SA, Rappold JF. J Am Coll Surg. Lee HC et al. J Emerg Med. Pediatrics.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

Northwestern EM Blog

JANUARY 24, 2022

At those levels, bicarbonate administration has not been shown to improve cardiac output, MAP or pressor response. For example, a patient in cardiogenic shock will likely worsen with the administration of fluids and the wrong vasopressors. 2004; 139(11):1199-1203. Alternate Shock Not all shock is declared equal. Arch Surgery.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

ACEP Now

AUGUST 1, 2023

This is an important opportunity for board certified emergency physicians to secure those positions today, impressing upon hospital administrations the essential benefits to the patients, the medical staff, and the hospital itself uniquely enabled by board certified emergency physicians.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

PulmCCM

OCTOBER 16, 2023

per 1,000 catheter-days in a 2004 analysis across Michigan (or about 1 infection for every 40 people with a CVC for 10 days). These measures have dramatically increased hospital administrators’ attention to CLABSI rates, and have likely had an effect of reducing actual rates of CRBSI. CLABSI rates were about 2.5

CDC 52

CDC Hospitals Ultrasounds Documentation/Coding 52

Pediatric Emergency Playbook

MAY 1, 2017

Also, newborns have a double-whammy administrative load. 2004; 114(1). Newborns are terrible at answering emails. There is a lot of unread unconjugated bilirubin is floating around. The liver and spleen are just not able to keep up. The infant’s gut is relatively sterile, so no admin assistance there. Pediatrics. 2015; 135(5):948-53.

Dehydration 52

Dehydration Pediatrics Wellness Seizures 52

Dr. Smith's ECG Blog

DECEMBER 23, 2019

That said — I do not agree that the rhythm strip recorded during Adenosine administration ( which I show in Figure-2 ) proves that the rhythm in ECG #1 was 1:1 AFlutter. Figure-2: The rhythm strip recorded during Adenosine administration ( See text ). Only AFib was induced during EP study.

EKG/ECG 52

EKG/ECG Administration Wellness 52

RebelEM

MAY 15, 2024

Early administration of antibiotics is the only factor known to reduce this mortality. Early administration of antibiotics is the only factor known to reduce this mortality. Cohort Study of the Impact of Time to Antibiotic Administration on Mortality in Patients with Febrile Neutropenia. Radiologypics, P. 2014, November 10).

Infectious Diseases 101

Infectious Diseases Administration Sepsis Anaphylaxis 101

Sensible Medicine

JULY 23, 2024

So, the school administrators cancelled my talk as I was boarding the plane to Michigan, thereby joining the DOJ in sending a loud signal to students and practitioners: those who dare to challenge these practices will be treated as beyond the pale, and their arguments will be suppressed rather than engaged.

Pediatrics 145

Pediatrics Academics Administration Wellness 145

Pediatric Emergency Playbook

JANUARY 1, 2017

CRIES is a 10-point scale, using a physiologic basis similar to APGAR: Crying; Requires increased oxygen administration (distress and breath-holding); Increased vital signs; Expression; and Sleeplessness ( Krechel 1995 ). Once the pain is controlled, less frequent administration of medications, with frequent reassessments, are indicated.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Dr. Smith's ECG Blog

APRIL 8, 2015

Administrative data from an integrated health system of 11 Southern California EDs were used to identify cardiac outcomes after ED presentation for syncope from January 1, 2002, to December 31, 2005. Population-based data on patterns and predictors of cardiac outcomes may improve decision-making.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

The Skeptics' Guide to EM

NOVEMBER 30, 2024

An alumnus of Tacoma Community College's paramedic program Missy served as a paramedic for the Bremerton Fire Department for nearly 12 years and has been involved in paramedic education since 2004. One critical consideration in prehospital epinephrine administration is the method of vascular access.

Administration 100

Administration CPR Airway Management Outcomes 100

EMDocs

JANUARY 20, 2025

Since then, at least three separate meta-analyses 20-22 have found that on the whole, a restrictive fluid administration approach (variously defined) is at least as effective and possibly better than a liberal approach. It may be reasonable to consider IV fluid administration in patients with moderate dehydration or prolonged vomiting.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

Sensible Medicine

SEPTEMBER 29, 2024

The IRB administrator confirmed that Suzanna is not required to consult with an IRB and that I could collaborate on a publication provided that the data were deidentified. Michael Bailey and Northwestern IRB administrator [redacted].” Hamburger, 2004; Hottenstein, 2018; Katz, 2007; Schneider, 2015; Sola Pool, 1980).

Academics 145

Academics Research Administration Outcomes 145

Sensible Medicine

JUNE 23, 2023

In 2004, Merck famously withheld clinical trial findings that their newly approved drug Vioxx increased heart attack risks as 80 million Americans took their product. This is the Biden administration’s new way of running the FDA. Vioxx was eventually pulled off the market. .”

CDC 101

CDC Research Academics Administration 101