ACEP Now

SEPTEMBER 5, 2024

Creation of an accurate database of emergency physicians living and working within a state, as well as a network of each states’ EM groups and ED medical directors would help chapter leaders disseminate relevant information, strengthen advocacy efforts, and plan regional solutions summits to focus on unique challenges.

Leadership 98

Leadership PPE EMS Wellness 98

EMDocs

APRIL 27, 2024

and Staphylococcus spp. 2 F ungal involvement (usually Aspergillus fumigatus ), especially in immunocompromised patients. Rosh Review Website Link Additional FOAM Resources: [link] [link] [link] [link] References: Rubin Grandis, J., Branstetter, B. 4th, & Yu, V. The Lancet. Infectious diseases , 4 (1), 34–39. link] Grandis, J.,

EMS 83

EMS Infectious Diseases Radiology Radiology 83

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% Unionization of healthcare providers can create opportunities to improve staff’s financial and general well-being, but may also facilitate future strikes.

Hospitals 77

Hospitals Research Patient Safety Wellness 77

Don't Forget the Bubbles

DECEMBER 13, 2023

Susan had issues initially with ensuring the correct latch, but after a review with a lactation consultant, feeding is going well. Though it has been hard, they have been coping well and enjoying parenthood. First and foremost, do they look well or unwell? At the 6-week check, Luke is 3.54 They have no financial stressors.

Dehydration 98

Dehydration CDC Hospitals Wellness 98

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). As may be seen in the table below, there are several themes as well a range of stringency. WHO - Who Needs an LP in the ED? Patients with concern for infection (i.e., Tunkel, A. Hartman, B. Kaplan, S.

Infectious Diseases 97

Infectious Diseases Seizures Ultrasounds Sepsis 97

Dr. Smith's ECG Blog

OCTOBER 25, 2023

Assuming the heart rate is not too rapid ( this method works less well with heart rates >90-100/minute ) — one may suspect that the QTc will be long if the longest QT interval that you can clearly see on the tracing is more than half the R-R interval. Trostel and Meyers — the QTc in markedly prolonged in today's case.

EKG/ECG 120

EKG/ECG Seizures Hospitals Stroke 120

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 ). The patient was already intubated and sedated. What About Procainamide?

EKG/ECG 122

EKG/ECG Shock Hospitals Sepsis 122

Don't Forget the Bubbles

JANUARY 17, 2024

Closer to home, the New South Wales Poisons Information Centre (NSWPIC) reported 129 incidents involving water-absorbing beads since 2004. Point-of-care ultrasound may show well-demarcated, round, and hypoechoic material in the stomach and first part of the duodenum, though it can underestimate the number of beads present.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

Don't Forget the Bubbles

AUGUST 9, 2023

There is no pain or discharge, no lymphadenopathy, and she is otherwise well. 2004-1231 Karmisholt J, Andersen S, Laurberg P. Her parents first noticed it when she was two years old, and since then, it has gradually been increasing in size. It is soft, cystic, and not tender. It moves on swallowing, and when she sticks out her tongue.

Ultrasounds 98

Ultrasounds Pediatrics Wellness 98

Taming the SRU

AUGUST 27, 2024

This differential is broad and reflects the clinical diversity of their presentations - in this post we will parse through the specifics of bullous lesions as well as what there is to do for them acutely. Nature 2004; 428:486. HLA-B*5801 allele as a genetic marker for severe cutaneous adverse reactions caused by allopurinol.

Emergency Department 83

Emergency Department Dehydration Burns Sepsis 83

RebelEM

JULY 20, 2023

This can be plotted as a Forgetting Curve (Figure 2), the slope of which depends on many things – the quality of the teacher, if stress is included in the training, if you’re well fed, have good sleep, etc. This is the idea of learning something so well you bring yourself well above the line of competence.

EMS 75

EMS Burns Airway Management Wellness 75

Pediatric Emergency Playbook

JUNE 1, 2017

This child is at risk for expected complications, as well as overdiagnosis and iatrogenia. These children depend on their preload to run blood passively into the pulmonary circuit; afterload reduction is also important to compensate for a poor left ejection fraction, as well as to avoid the development of pulmonary hypertension.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

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. Colonic decompression with endoscopy is at the extreme end of this and I’ll confess I’d probably plump for neostigmine well before that.

Fluid Resuscitation 52

Fluid Resuscitation Resuscitation Wellness 52

RebelEM

AUGUST 14, 2023

4 XBJ received approval from the China Food and Drug Administration in 2004, 2 although the FDA of the United States has not approved it. Demographics, severity of illness, and comorbidities were well balanced between groups and the intervention and control groups have the same prognosis. hypothesis generating).

Sepsis 98

Sepsis Outcomes Administration EMS 98

Don't Forget the Bubbles

JULY 31, 2023

Our team have scoured what’s new (well, mostly new!) 2004) Positive end expiratory pressure during resuscitation of premature lambs rapidly improves blood gases without adversely affecting arterial pressure. With millions of journal articles published yearly, it is impossible to keep up. in the paediatric literature. Probyn, M.E.,

Rapid Diagnostic Testing 98

Rapid Diagnostic Testing Resuscitation Emergency Department Pediatrics 98

Emergency Medicine Journal

NOVEMBER 28, 2023

Journals reviewed were Archives of Disease in Childhood, BMJ Emergency Medicine, and the Lancet Adolescent and Child Health; as well as published studies by the Paediatric Emergency Research in the UK and Ireland (PERUKI) Network. Exclusion of non-english speakers in published emergency medicine research - a comparison of 2004 and 2014.

Research 40

Research Burns Wellness 40

Don't Forget the Bubbles

JULY 17, 2023

Prenatal opioid exposure and well-child care in the first 2 years of life: population-based cohort study. 2023 Jun 14;46:8-23 One-year survival and outcomes of infants born at 22 and 23 weeks of gestation in Sweden 2004-2007, 2014-2016 and 2017-2019. 2023 Jun;257:113325. Selvaratnam RJ, et al. J Paediatr Child Health. 2023 Jun 9.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

Dr. Smith's ECG Blog

NOVEMBER 15, 2023

Over some time and the pain moved into her other arm as well as her jaw. N Engl J Med [Internet] 2013;368(21):2004–13. Over the course of the next hour, this pain turned into a pressure in her chest. She said this was midsternal and felt like a tightness. This originally radiated into her left arm. Eur Cardiol [Internet] 2020;15:e20.

EKG/ECG 108

EKG/ECG Ultrasounds Wellness Stroke 108

EMDocs

APRIL 13, 2024

If the hematoma is not drained it can cause disruption of blood supply to the cartilage and subsequent necrosis, as well as an increase in risk of infection. Published online April 19, 2004. I&D should then be considered.[4] 7] Referral to ENT in case additional drainage of the hematoma is needed.[1]

EMS 82

EMS Emergency Department Pediatrics Wellness 82

Pediatric Emergency Playbook

JULY 1, 2016

Lab work can be helpful, as well as US of the hip to look for an effusion, but sometimes, regardless of the results, the joint just has to be tapped to know for sure. If you have any suspicion of the general wellness of the child, get a screening CBC, and perhaps a peripheral blood smear. These children don’t look to well.

Fractures 52

Fractures Poisoning Wellness Sepsis 52

PEMBlog

SEPTEMBER 24, 2024

Further evaluation with computed tomography (CT) chest was obtained with representative cuts shown and a 3D reconstruction shown as well. 2004 Nov;49(4):302-9. His chest x-ray revealed persistent opacity in the left lower lobe, shown below. What’s the Diagnosis? Aspirated foreign body B. Bronchopulmonary sequestration C.

Pediatrics 52

Pediatrics Ultrasounds Hospitals Wellness 52

The Skeptics' Guide to EM

FEBRUARY 6, 2021

Each month they post new content and focus two main topics, the medical therapy of the month as well as tricks for dealing with complex emergencies. Background: Chronic marijuana use was recognized by Allen el al in 2004 to cause cyclical vomiting in patients from South Australia.

Hospitals 40

Hospitals Emergency Department Ultrasounds EMS 40

Pediatric Education

MARCH 10, 2024

She was doing well and but was having problems with her math and some reading. “She’s doing well socially and developing pretty normally, so that is good. They learn or do some things exceptionally well, but they also are exceptional in that they have problems learning too.

Leadership 40

Leadership Wellness Pediatrics Documentation/Coding 40

Advanced Emergency Nursing from AENJ

SEPTEMBER 4, 2014

It was extremely well-liked by field personnel, but virtually unknown in hospitals. However, they could be used easily and well with the assist of head-straps which were never sold as part of the complete “kit” but only as an uncataloged “spare part.” Accessed July 28, 2014 **Quoting original documents of fascinating history.

Resuscitation 40

Resuscitation CPR Documentation/Coding EMS 40

Northwestern EM Blog

JANUARY 24, 2022

Due to its extremely high morbidity and mortality as well as high healthcare costs, the prompt recognition, diagnosis and resuscitation of shock is key. To reverse these effects as well as refractory hypotension, hydrocortisone is the preferred agent due to both its glucocorticoid and mineralocorticoid properties. Arch Surgery.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

EMDocs

JUNE 27, 2024

His medical history is significant for three prior admissions for vaso-occlusive crises that have responded well to appropriate therapy, including pain control with NSAIDs and opioids, blood transfusions, antibiotics, and intravenous (IV) crystalloids. 2004 Jul;15(4):248-250. C or 100.4 mg/kg, max 0.4 Eur J Intern Med. PMID: 15288680.

Pediatrics 75

Pediatrics Dehydration EMS Hospitals 75

Pediatric Emergency Playbook

AUGUST 1, 2017

2004; 199(4):628-635. 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. Intestinal Malrotation – Not Just the Pediatric Surgeon’s Problem. J Am Coll Surg. Lee HC et al. J Emerg Med. 2012; 43(1):49-51.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

ALiEM

AUGUST 9, 2023

F Heart Rate 138 bpm Blood Pressure 102/61 Respiratory Rate 32 Oxygen Saturation (room air) 100% He is well appearing but has increased work of breathing. 2004 Feb;30(2):276-281. He presents with persistent cough and fever and now has increased work of breathing. On arrival, his vital signs are: Vital Sign Finding Temperature 99.7

Ultrasounds 98

Ultrasounds Pediatrics Emergency Department Operations 98

Pediatric Emergency Playbook

MAY 1, 2017

Home care The neonate who is safe to go home is well appearing, and not dehydrated. Make sure to enlist the family's help and support to keep Mom hydrated, eating well, and resting whenever she can. My take away: we now have some evidence basis for using filtered sunlight as an adjunct for babies well enough to go home.

Dehydration 52

Dehydration Pediatrics Wellness Seizures 52

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. El-Baba, Dell and McLaren to be intriguing for a series of important concepts that it raises — as well as for a number of equally intriguing unanswered questions. J wave syndromes.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia EKG/ECG Seizures Fractures 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. His ECG was repeated at this point: This shows a well developed anterior STEMI. There is 1 mm of ST elevation at the J-point in leads V2 and V3. His first troponin was normal.

EKG/ECG 52

EKG/ECG Outcomes Emergency Department Hospitals 52

Pediatric Education

DECEMBER 15, 2024

He was acting well, and attempting to breastfeed. ” They further state, “[c]omprehensive information about phototherapy, including its mechanism of action and strategies for its use, can be found in the Appendix to the 2004 guideline, a technical report of the AAP Committee on Fetus and Newborn, and comprehensive recent reviews.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Pediatrics Dehydration Wellness 40

PHEM Cast

APRIL 19, 2016

One RTC – 3 perspectives’ – Darren North The fire service have only had a statutory duty to attend RTCs since 2004. We tried to get to as many as possible to share some of the key learning points and interesting messages, and again we have recorded some interviews which we will share in future podcasts.

Head Injuries 52

Head Injuries Ambulance Services Hospitals Leadership 52

RebelEM

JANUARY 23, 2023

2004 Feb;113(2):347-52. Clinical Bottom Line This trial was funded, designed, and written with direction from a pharmaceutical company. Clark S, Bock SA, Gaeta TJ, Brenner BE, Cydulka RK, Camargo CA; Multicenter Airway Research Collaboration-8 Investigators. Multicenter study of emergency department visits for food allergies. PMID: 14767453.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

Pediatric Emergency Playbook

SEPTEMBER 1, 2015

Philadelphia, PA, Lipincott Williams & Wilkins, 2004. Do a total body check. Heart disease or Hypovolemia - is there a history of congenital heart disease? Newborn Emergencies: The First 30 Days of Life. Pediatr Clin N Am. 2006; 53:69-84. Cloherty JP, Eichenwald EC, Stark AR: Manual of Neonatal Care, 5th edition. McGowan et al.

Seizures 40

Seizures Sepsis Pediatrics Shock 40

ALiEM

MARCH 7, 2024

It is usually large, nodular, well-defined, homogeneous, and slightly hypoechoic (Figure 13) [6]. The pain and vomiting were well-controlled with ketorolac and ondansetron, respectively. The most common malignant bladder mass is rhabdomyosarcoma , and the genitourinary tract is the second most common tumor site. Ann Emerg Med.

Ultrasounds 70

Ultrasounds Pediatrics Radiology Radiology 70

Northwestern EM Blog

DECEMBER 20, 2021

Typically well appearing with normal labs, however, this is a diagnosis of exclusion and a septic joint should be ruled out. The Kocher Criteria (originally developed in 1999 and validated in 2004) can be helpful in determining the likelihood of septic arthritis [6]. Affects ages 3-8, males to females 2:1 [3].

Pediatrics 52

Pediatrics Ultrasounds Emergency Department Radiology 52