EMDocs

JANUARY 29, 2024

Introduction: Neurologic emergencies are common in the Emergency Department (ED), and blood pressure management is critical to immediate management. 2004 Feb;35(2):520-6. Epub 2004 Jan 15. 2004 Jun;35(6):1364-7. Epub 2004 Apr 29. His blood pressure (BP) is 220/120 mmHg. Castillo J, et al.

Stroke 101

Stroke Outcomes EMS Seizures 101

EMDocs

APRIL 27, 2024

A 67-year-old man with a history of hypertension and diabetes presents to the emergency department with right ear pain for 2 weeks. Fluroquinolones +/- anti-pseudomonal beta-lactams are the antimicrobials of choice for initial management. His vital signs are normal except for a temperature of 38.2°C Branstetter, B. 4th, & Yu, V.

EMS 105

EMS Infectious Diseases Radiology Radiology 105

Taming the SRU

AUGUST 27, 2024

The following are bullous skin disorders with indications for urgent/emergent intervention, and more likely to present to an Emergency Department. What can you do from the Emergency Department if suspected? What can you do from the Emergency Department if suspected? Nature 2004; 428:486.

Emergency Department 83

Emergency Department Dehydration Burns Sepsis 83

ACEP Now

AUGUST 1, 2023

How does that apply to the role of the board certified emergency physician? Fundamentally, I believe every patient coming to an emergency department is best served by care delivered by board certified emergency physicians. When those same fundamentals done right achieve great success, they aren’t little at all.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said "Nothing too exciting." N Engl J Med [Internet] 2013;368(21):2004–13. Then she began complaining of severe dizziness and quickly went into ventricular fibrillation and resuscitation was initiated by hospital staff.

EKG/ECG 52

EKG/ECG Emergency Department Ultrasounds Hospitals 52

Don't Forget the Bubbles

JULY 31, 2023

A Diagnostic Accuracy Study to Evaluate Standard Rapid Diagnostic Test (RDT) Alone to Safely Rule Out Imported Malaria in Children Presenting to UK Emergency Departments. Using quicker diagnostic tools for malarial infection could significantly reduce repeat attendance to emergency departments and laboratory time and equipment costs.

Rapid Diagnostic Testing 98

Rapid Diagnostic Testing Resuscitation Emergency Department Pediatrics 98

ALiEM

AUGUST 9, 2023

Child with Cough and Fever: Case Introduction A 6-year-old boy presents to the emergency department complaining of cough for 3 days and fever for the last day. His work of breathing increased during his emergency department visit, and he was started on high flow nasal cannula at 30 L/min with improvement in his respiratory status.

Ultrasounds 98

Ultrasounds Pediatrics Emergency Department Operations 98

Dr. Smith's ECG Blog

OCTOBER 25, 2023

A man in his 60s with a history of severe alcohol use disorder and epidural abscess on long-term ciprofloxacin presented to the emergency department after an episode of syncope while standing in line at a grocery store. Written by Sean Trostel MD, peer reviewed by Meyers, Smith, Grauer, etc. He did not have chest pain.

EKG/ECG 124

EKG/ECG Seizures Hospitals Stroke 124

EMDocs

APRIL 13, 2024

A 21-year-old man presents to the emergency department for pain and swelling in his ear beginning 3 days ago. Published online April 19, 2004. doi:[link] The post EM@3AM: Auricular Hematoma appeared first on emDOCs.net - Emergency Medicine Education. Prophylactic antibiotics are recommended.

EMS 105

EMS Emergency Department Pediatrics Wellness 105

The Skeptics' Guide to EM

JULY 9, 2022

Great emergency care takes a team from the prehospital setting, emergency department, inpatient and outpatient all working together. This committee’s findings supported the use of tPA in less than three hours ( Ingall et al 2004). While this is true, we are part of the team that diagnose and treat acute stroke patients.

Stroke 52

Stroke Emergency Department EMS Outcomes 52

Don't Forget the Bubbles

JANUARY 17, 2024

Curious Ken is brought into your emergency department. Closer to home, the New South Wales Poisons Information Centre (NSWPIC) reported 129 incidents involving water-absorbing beads since 2004. What are the risks of water beads? His older brother, Roy, had found him playing with his toys, and an argument ensued.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

ALiEM

MARCH 7, 2024

Facts and Literature Review Bladder volume estimation Measuring bladder volume via POCUS in pediatric patients has been studied, demonstrating a benefit on Emergency Department workflow and length of stay (Table 1). Point-of-care ultrasound for the detection of hydronephrosis in emergency department patients with suspected renal colic.

Ultrasounds 70

Ultrasounds Pediatrics Radiology Radiology 70

Taming the SRU

FEBRUARY 5, 2024

The LP is now a standard procedure and in 2010 well over 135,000 LPs were performed in Emergency Departments throughout the US (3). WHO - Who Needs an LP in the ED? Patients with concern for infection (i.e., Tunkel, A. Hartman, B. Kaplan, S. Kaufman, B. Scheld, W. M., & Whitley, R.

Infectious Diseases 97

Infectious Diseases Seizures Ultrasounds Sepsis 97

Taming the SRU

AUGUST 30, 2023

While PCT may be more specific for bacterial infections, it is flawed by still being rather non-specific and is not validated as a stand-alone diagnostic criteria for infection in the setting of the emergency department. Evaluation of fever in the emergency department. ng/mL (strongly recommended against antibiotics), 0.1-0.25

Infectious Diseases 89

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

ACEP Now

SEPTEMBER 5, 2024

While some issues are handled locally, many issues cannot be solved in our emergency department or hospital. As a community “pit doctor,” I believe I have a good understanding of the needs of emergency physicians. We must have a community of like-minded individuals working towards shared goals.

Leadership 98

Leadership PPE EMS Wellness 98

RebelEM

JANUARY 23, 2023

Multicenter study of emergency department visits for insect sting allergies. Multicenter study of emergency department visits for food allergies. 2004 Feb;113(2):347-52. 2004 Feb;113(2):347-52. Patients were randomized in a 1:1 ratio. J Allergy Clin Immunol. 2005 Sep;116(3):643-9. PMID: 16159637.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

The Skeptics' Guide to EM

FEBRUARY 6, 2021

Case: A 32-year-old male patient presents to your emergency department (ED) with severe nausea, vomiting and abdominal pain. Background: Chronic marijuana use was recognized by Allen el al in 2004 to cause cyclical vomiting in patients from South Australia. Annals of EM 2020.

Hospitals 40

Hospitals Emergency Department Ultrasounds EMS 40

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. Clear history taking In the Emergency Department, healthcare professionals should prioritise thorough history-taking when assessing potential suspected cases.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

PHEM Cast

APRIL 21, 2021

Emergency tracheal intubation: complications associated with repeated laryngoscope attempts. 2004 Aug;99(2):607-13, Hasegawa K et al. Association Between Repeated Intubation Attempts and Adverse Events in Emergency Departments: An Analysis of a Multicenter Prospective Observational Study. Anesth Analg. e2 Delson NJ et.

Airway Management 40

Airway Management Resuscitation EMS Hospitals 40

Northwestern EM Blog

DECEMBER 20, 2021

Written by: Tommy Ng, MD (NUEM ‘24) Edited by: Patricia Bigach, MD (NUEM ‘22) Expert review by : Terese Whipple, MD '20 So your kid won’t walk One of the most common complaints in a pediatric Emergency Department is a child refusing or inability to ambulate. Typically presenting with fevers and abnormal labs.

Pediatrics 52

Pediatrics Ultrasounds Emergency Department Radiology 52

Critical Care Now

MAY 12, 2022

Reading Time: 5 minutes Ruben Santiago Emergency Medicine Pharmacist and medication hustler at a level I trauma center in Miami, FL. The Pre-brief When we think of lysing things in the emergency department (ED), we think of alteplase busting up a blood clot in either ischemic stroke or in patients experiencing a massive pulmonary embolism.

Infectious Diseases 52

Infectious Diseases Stroke Emergency Department Administration 52

Pediatric Emergency Playbook

AUGUST 1, 2017

One of our largest responsibilities in the Emergency Department is sorting out benign from surgical or medical causes of abdominal pain. Abdominal Surgical Emergencies in Children: A Relative Timeline General Advice Neonate (birth to one month) Necrotizing Enterocolitis Pneumatosis Intestinalis. 2004; 199(4):628-635.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

Dr. Smith's ECG Blog

JUNE 18, 2013

This formerly met "criteria" for thrombolytics in the ACC/AHA guidelines of 2004, though of course this amount of ST elevation is very nonspecific. Usefulness of automated serial 12-lead ECG monitoring during the initial emergency department evaluation of patients with chest pain. Ann Emerg Med 1998;31(1):3-11.

EKG/ECG 52

EKG/ECG Outcomes Emergency Department Hospitals 52

Northwestern EM Blog

JANUARY 24, 2022

2004; 139(11):1199-1203. Emergency Medicine Clinics of North America. Revised National Estimates of Emergency Department Visits for Sepsis in the United States. The Internet Book of Critical Care. Accessed [link] 4) Ho H, Chapital A, and Yu M. Hypothyroidism and Adrenal Insufficiency in Sepsis and Hemorrhagic Shock.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

EMDocs

FEBRUARY 12, 2024

Correlation and agreement between arterial and venous blood gas analysis in patients with hypotension-an emergency department-based cross-sectional study. Int J Emerg Med. The role of venous blood gas in the emergency department: a systematic review and meta-analysis. Eur J Emerg Med. Emerg Med J.

Emergency Department 98

Emergency Department Resuscitation COPD Shock 98

Don't Forget the Bubbles

JANUARY 27, 2025

We dont often cover gynaecological presentations in the emergency department and most chronic gynaecological problems go through the primary care referral pathway. However, CT scans remain largely more obtainable in a time critical case, in an emergency department setting. Childress K.J, Dietrich J.E doi: 10.1016/j.suc.2016.08.008.

Ultrasounds 76

Ultrasounds Emergency Department Pediatrics Dehydration 76

Dr. Smith's ECG Blog

APRIL 8, 2015

The ROSE (Risk Stratification of syncope in the emergency department) Study. 2009.09.049 Objectives: The aim of this study was to develop and validate a clinical decision rule (CDR) to predict 1-month serious outcome and all-cause death in patients presenting with syncope to the emergency department.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

PHEM Cast

MARCH 3, 2019

Emergency Medicine Journal. Ketamine-propofol combination (ketofol) versus propofol alone for emergency department procedural sedation and analgesia: a randomized double-blind trial. Ann Emerg Med. Emerg Med J. Ketamine for paediatric sedation/analgesia in the emergency department. Emerg Med J.

Emergency Department 52

Emergency Department Head Injuries Pediatrics Hospitals 52

RebelEM

MAY 15, 2024

Comparison of the MASCC and CISNE scores for identifying low-risk neutropenic fever patients: analysis of data from three emergency departments of cancer centers in three continents. Application of the MASCC and CISNE Risk-Stratification Scores to Identify Low-Risk Febrile Neutropenic Patients in the Emergency Department.

Infectious Diseases 101

Infectious Diseases Administration Sepsis Anaphylaxis 101

The Skeptics' Guide to EM

FEBRUARY 29, 2020

Randomised control trial of adult therapeutic colouring for the management of significant anxiety in the Emergency Department. AEM February 2020 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Reference: Rajendran et al.

Emergency Department 40

Emergency Department Academics Psychiatric Outcomes 40

Pediatric Emergency Playbook

SEPTEMBER 1, 2016

The American Academy of Neurology's most recent guidelines, published first in 1994 and revised in 2004. in Pediatric Emergency Care evaluated the safety and efficacy of their institution’s standardized pediatric migraine practice guideline in the emergency department, which used ths cocktail, based on the best evidence available.

Pediatrics 52

Pediatrics Seizures Emergency Department Wellness 52

Advanced Emergency Nursing from AENJ

SEPTEMBER 4, 2014

Resuscitator : Wikipedia general article Emergency Care Research Institute [ECRI] Gas-Powered Resuscitators Hazard [Health Devices Nov 1988;17(11):352-4] **Good review of concerns re Demand Valves, then and now. Prehospital endotracheal intubation: rationale for training emergency medical personnel. Grainge, C. Noordergraaf, G.

Resuscitation 40

Resuscitation CPR Documentation/Coding EMS 40

Pediatric Emergency Playbook

JANUARY 1, 2017

mg/kg IV, up to 10 mg ) ( Brousseau 2004 ), often given with diphenhydramine (1 mg/kg PO or IV, up to 50 mg) and IV fluids. Intranasal ketamine for analgesia in the emergency department: a prospective observational series. Acad Emerg Med. Is there a role for intravenous acetaminophen in pediatric emergency departments?

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

ACEP Now

APRIL 4, 2024

3 The majority of those who arrive to the emergency department (ED) live for 2 hours or more, leaving a small window for surgical intervention. 2004 Apr;39:788-91. Eur J Emerg Med. A pulsatile abdominal mass may be difficult to assess in patients with a higher BMI. 5 Untreated, nearly all patients die. J Vasc Surg.

Operations 40

Operations Ultrasounds Emergency Department 40

Don't Forget the Bubbles

SEPTEMBER 18, 2023

This blog post aims to help familiarise you with some of the most common reasons for prescribing antibiotics in the paediatric emergency department. Antibiotic Use for Common Infections in Pediatric Emergency Departments: A Narrative Review. 2004 Sep 25;364(9440):1141–8. Karageorgos, S.; Hibberd, O.; The Lancet.

Emergency Department 143

Emergency Department Infectious Diseases Pediatrics Sepsis 143

Don't Forget the Bubbles

JULY 17, 2023

2023 Jun 1;76(6):731-736 The Association Between Media-Based Exposure to Nonsuicidal Self-Injury and Emergency Department Visits for Self-Harm. coli urine tract infections in children treated in primary care and emergency department. Baaleman DF, et al. J Pediatr Gastroenterol Nutr. Lee T, et al. 2023 Jun;62(6):656-664.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

EMDocs

JUNE 27, 2024

2004 Jul;15(4):248-250. Am J Emerg Med. Intranasal fentanyl and discharge from the emergency department among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. Dourakis SP, Alexopoulou A, Papageorgiou C, Kaloterakis A, Hadziyannis SJ. PMID: 15288680.

Pediatrics 98

Pediatrics Dehydration EMS Hospitals 98