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 76

Hospitals Research Wellness Patient Safety 76

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.

Wellness 40

Wellness Leadership Pediatrics Documentation/Coding 40

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 65

Emergency Department Dehydration Burns Sepsis 65

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 90

Infectious Diseases Seizures Ultrasounds Sepsis 90

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

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

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 71

EMS Burns Airway Management Wellness 71

Ken Grauer, MD

MAY 20, 2023

This blog post reviews the basics for predicting the " C ulprit" A rtery — as well as the importance of the term, " O MI" ( = O cclusion-based MI ) as an improvement from the outdated STEMI paradigm. Cardiol 27:674-677, 2004 ). ECG Blog #193 — illustrates use of the M irror T est to facilitate recognition of acute Posterior MI.

EKG/ECG 319

EKG/ECG Wellness 319

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 112

EKG/ECG Shock Hospitals Sepsis 112

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

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 81

EMS Emergency Department Pediatrics Wellness 81

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

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

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

Pediatric EM Morsels

JUNE 7, 2024

For children at least 4 years of age who are not well controlled on ICS alone. 2004 Aug;2(3):155-63. Lucky for us, in 2020 there were some updates made to the NIH Asthma Management Guidelines and we’re going to discuss which ones can help us in the Emergency Department! Front Pediatr. 2018 Jun 19;6:170. doi: 10.3389/fped.2018.00170.

Pediatrics 262

Pediatrics Emergency Department Wellness EMS 262

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 100

EKG/ECG Ultrasounds Wellness Hospitals 100

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

ACEP Now

AUGUST 1, 2023

A rural ED staffed by a well-trained EP is an essential resource in small communities that may be otherwise lacking in readily available healthcare resources. Coach John Wooden was famous for focusing on the fundamentals, sometimes called “little things.”

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

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

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

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

PHEM Cast

SEPTEMBER 6, 2017

trauma 2004) showed that end-tidal CO2 may be of value in predicting outcome from major trauma (19). H Spontaneously breathing carbon dioxide waveforms where phase III is not well delineated. In a study of 191 blunt trauma patients, only 5% of patients with an end-tidal CO2 determination of 3.25

CPR 52

CPR Resuscitation Wellness Operations 52

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

Pediatric Emergency Playbook

JANUARY 1, 2017

Tachycardia, tachypnea, and a change in behavior can be indicators not only to the presence of pain, but possibly to its etiology as well. For children greater than one year who are preverbal, a well performing scale is the FLACC score: Face, Legs, Activity, Cry, Consolability ( Table 3 ).

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Dr. Smith's ECG Blog

DECEMBER 23, 2019

They had a history of non-ischemic cardiomyopathy (EF 30%), as well as PCI with one stent. Nathwani Conclusion It is well worth remembering that this was a rare case! Home medications included metoprolol, but no calcium- or sodium-channel blocking agents. Furthermore, while specific criteria (e.g.

EKG/ECG 52

EKG/ECG Administration Wellness 52

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

Pediatric EM Morsels

JULY 21, 2023

Systematic review showed 85% of studies with substantial reliability with kappa statistic >0.6

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Advanced Emergency Nursing from AENJ

FEBRUARY 27, 2015

There are increasingly many writings upon the health of our Presidents either factual or speculative, and even in contention whether the office is inherently detrimental to wellness and longevity of its occupants. Spring 2004. Franklin D. George Washington Eyewitness Account of his Death © 2013. Vadakan, VV. Permanente Journal.

Stroke 40

Stroke COPD Emergency Nursing Sepsis 40

Advanced Emergency Nursing from AENJ

APRIL 8, 2014

The idea of placing one's mouth on the mouth of an apparently dead victim, particularly where the mouth may be covered with foam, mucus or blood, as often the case in asphyxia victims, as well as the fear of possible transmittal of disease is revolting to the average person and is difficult to overcome." Bauer, Robert O.

Resuscitation 40

Resuscitation Ambulance Services Research Military 40

Sensible Medicine

JULY 23, 2024

To my knowledge, the bioethics community has been silent as the DOJ brings suit against a whistleblower, much as the field has been silent as well-established ethical guardrails for pediatric medicine have been set aside in the “gender affirming medicine” project.

Pediatrics 144

Pediatrics Academics Administration Wellness 144

Don't Forget the Bubbles

AUGUST 2, 2023

CRPS subtypes Type I absence of significant nerve damage Type II very rare in childhood occurs in the setting of known nerve damage CRPS-NOS (not otherwise specified) only partially meets CRPS criteria not better explained by any other condition Budapest Criteria In 2004, the Budapest Criteria were suggested. More recently, Mesaroli et al.

Psychiatric 98

Psychiatric Pediatrics Outcomes Academics 98

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

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 111

EKG/ECG Seizures Hospitals Stroke 111

EMDocs

OCTOBER 23, 2023

She had been feeling well until yesterday when she had a follow-up with her surgeon, at which time she reported that they performed an internal exam and inserted a ‘medication disk’ into her vagina. The patient is noted to be mildly tachycardic as well as febrile. 21 May 2004 Hoges K, Davids B, Swaim L. BJOG 2008; 115:1473.

OB/GYN 67

OB/GYN Operations EMS Ultrasounds 67

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

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 Emergency Department Radiology 70

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