Taming the SRU

DECEMBER 11, 2023

1,2] Patients at risk for suicide often interact with emergency medical care. Suicide-related behavior (SRB) accounts for 1% of all Emergency Department (ED) visits; additionally, greater than 8% of patients visiting emergency departments are likely experiencing suicidal ideation at the time of the encounter.[3-5]

EMS 97

EMS Psychiatric Emergency Department Poisoning 97

RebelEM

DECEMBER 5, 2023

up to 23% ( Lieberman 2005 , Rohacek 2014 , Tole 2007 , Grunau 2014 ). Annals of Allergy, Asthma, and Immunology 2005 Sep;95(3):217-26. Incidence of clinically important biphasic reactions in emergency department patients with allergic reactions or anaphylaxis. Updated Anaphylaxis Guidelines (2020) References Lieberman P.

Anaphylaxis 81

Anaphylaxis Allergic Reactions Emergency Department EMS 81

Pediatric EM Morsels

JULY 21, 2023

Academic emergency medicine 12.9 2005): 814–819. Interrater reliability of Glasgow Coma Scale scores in the emergency department. Ann Emerg Med. Epub 2016 Aug 1. PMID: 27197686. Holmes, James F et al. Performance of the Pediatric Glasgow Coma Scale in Children with Blunt Head Trauma.” Pediatr Neurol. 2005.10.012.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

PHEM Cast

DECEMBER 12, 2016

Emergency thoracotomy: “how to do it”. EMJ; 2005: 22-24. Emergency thoracotomy in thoracic trauma: a review. Emergency Department thoracotomy for the critically injured patient: Objectives, indications, and outcomes. World Journal of Emergency Surgery; 2006: 1:4. Hunt et al. Injury; 2006 (37): 1-19.

Military 52

Military Resuscitation Emergency Department Documentation/Coding 52

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? Hung SI, Chung WH, Liou LB, et al.

Emergency Department 83

Emergency Department Dehydration Burns Sepsis 83

Taming the SRU

APRIL 14, 2024

This revealed that ultrasound can improve the ability to reduce an incarcerated inguinal hernia and may decrease the rate of emergency surgery. (1) 1) Table 1 - Study Protocol Table 2 - Results Conclusion Hernias are often encountered in the emergency department as an acute or non-acute finding. 6, June 2005, pp.

Ultrasounds 93

Ultrasounds Emergency Department Pediatrics Radiology 93

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). The pain is intermittent, sharp, severe, and associated with 2 episodes of nonbloody, nonbilious emesis. Chen et al.,

Ultrasounds 70

Ultrasounds Pediatrics Radiology Radiology 70

The Skeptics' Guide to EM

APRIL 17, 2021

Anthony Crocco is the Deputy Chief – McMaster Department of Pediatrics, Acting Head of Pediatric Cardiology, and creator of Sketchy EBM. JAMA Nov 2020 Case: A four-year-old girl with a known history of asthma presents to your emergency department (ED) after a one-day history of runny nose and cough. Reference: Schuh et al.

Pediatrics 52

Pediatrics PPE Emergency Department Hospitals 52

Taming the SRU

NOVEMBER 14, 2023

Chief complaints involving the ear are a common occurrence in Emergency Departments across the US and include presenting symptoms such as ear pain or fullness, hearing loss, redness, trauma, vertigo, and foreign bodies. A retrospective analysis of the Nationwide Emergency Department Sample (NEDS) from 2009 through 2011 identified 8.6

Emergency Department 94

Emergency Department Pediatrics Wellness Fractures 94

EMDocs

OCTOBER 30, 2023

Background and Context Contrast-enhanced computed tomography (CECT) is of paramount importance in the emergency department (ED) due to its indispensable role in facilitating precise diagnostic outcomes. 3 A study of CT use trends in the ED has shown increasing use of CTs by almost 60% from 2005 to 2013. West J Emerg Med.

Radiology 101

Radiology Radiology Emergency Department Hospitals 101

Pediatric Emergency Playbook

JUNE 1, 2019

2005 Dec;11(6):585- Culley JM, Svendsen E. Impact of a Two-step Emergency Department Triage Model with START, then CTAS, on Patient Flow During a Simulated Mass-casualty Incident. Disaster management teams. Curr Opin Crit Care. American journal of disaster medicine. 2014; 9(2):137-150 FEMA IS 0100.b 2015 Apr;39(2):362-88.

Mass Casualty Incidents 52

Mass Casualty Incidents Disaster Management Emergency Department Pediatrics 52

EB Medicine

MAY 3, 2019

This month, we’re moving into uncharted territories for the podcast… we’re talking psychiatry Nachi: Specifically, we’ll be discussing Depressed and Suicidal Patients in the emergency department. Based on 2005 data, the prevalence of 1 month MDD was 5% with a lifetime prevalence of major depression of 13%.

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

Dr. Smith's ECG Blog

AUGUST 9, 2024

Written by Colin Jenkins and Nhu-Nguyen Le with edits by Willy Frick and by Smith A 46-year-old male presented to the emergency department with 2 days of heavy substernal chest pain and nausea. Usefulness of automated serial 12-lead ECG monitoring during the initial emergency department evaluation of patients with chest pain.

EKG/ECG 107

EKG/ECG EMS Emergency Department Wellness 107

Taming the SRU

OCTOBER 23, 2023

THE CASE A female in her early 20s, G4P2012, presents to the emergency department (ED) with a 5 day history of left lower quadrant abdominal pain which has been worsening since onset. The Lancet, Volume 366, Issue 9485, 2005, Pages 583-591, ISSN 0140-6736, [link]. Tubal Ectopic Pregnancy. ACOG Practice Bulletin No.

Ultrasounds 98

Ultrasounds Operations Radiology Radiology 98

EMDocs

JUNE 16, 2023

And now we’re here at our destination, the place we know and love, the emergency room to talk about what we should be doing for the growing volume of children with mental health problems boarding in the emergency department. McEnany, Olutosin Ojugbele, Julie R. Doherty, Jennifer L. McLaren, JoAnna K. 10.1542/peds.2020-1174

Psychiatric 52

Psychiatric Pediatrics Emergency Department Best Practices 52

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. 2005 Nov;6(11):1045-56. Evaluation of fever in the emergency department. ng/mL, 0.25-0.5

Infectious Diseases 89

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

The Skeptics' Guide to EM

MARCH 6, 2021

Background: Epistaxis is a common Emergency Department (ED) complaint with over 450,000 visits per year and a lifetime incidence of 60% ( Gifford 2008 , Pallin 2005 ). You administer phenylephrine topically, reapply pressure and, consider the use of tranexamic acid (TXA).

EMS 52

EMS Emergency Department Outcomes 52

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. Another reanalysis was done by Kwiatkowski et al 2005 that also confirmed that the baseline imbalance in the NINDS trial did not account for the better outcome of tPA-treated patients.

Stroke 52

Stroke Emergency Department EMS Outcomes 52

ACEP Now

MAY 10, 2024

Jones is assistant professor of pediatric emergency medicine at the University of Kentucky in Lexington. Dr. Cantor is professor of emergency medicine and pediatrics, director of the pediatric emergency department, and medical director of the Central New York Regional Poison Control Center at Upstate Medical University in Syracuse, New York.

Pediatrics 52

Pediatrics Emergency Department Poisoning Outcomes 52

ACEP Now

AUGUST 15, 2023

A 16-year-old female presents to the emergency department (ED) after being sexually assaulted by two males at a party at her friend’s house. She denies any complaints or injuries. She is asking for an exam, as well as medications to avoid pregnancy and diseases. She refuses to allow her parents or the police to be notified.

Sexual Assault 52

Sexual Assault Forensics EMS Risk Management 52

Taming the SRU

MARCH 14, 2023

Case 1 Fussy 1 month old A 1-month-old (ex-34 week premature) infant comes to your emergency department for fussiness. Case 2 19 year old seizure A 19-year-old male is brought into your emergency department via EMS for witnessed seizure-like activity. More on this below as we work through a few cases…. J Neurosurg.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

Advanced Emergency Nursing from AENJ

JANUARY 26, 2015

Preeclampsia/ Eclampsia - Emergency Department Resources. {3 abstracts} Luckett-Gatopoulos, S. Postpartum Emergencies. Emergency department evaluation and management of peripartum cardiomyopathy. The Journal of emergency medicine, 36(2), 141-147. An obstetric emergency called peripartum cardiomyopathy!

OB/GYN 40

OB/GYN Ultrasounds Emergency Department Resuscitation 40

RebelEM

JANUARY 23, 2023

Multicenter study of emergency department visits for insect sting allergies. 2005 Sep;116(3):643-9. Multicenter study of emergency department visits for food allergies. Patients were randomized in a 1:1 ratio. The effectiveness of IV cetirizine was determined to be statistically non-inferior. PMID: 16159637.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

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

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. J Pediatr 2005; 146:787.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 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. Roche and Foster quickly reported in 2005 that this was not an isolated problem to the Adelaide Hills of South Australia. Annals of EM 2020. He reports the symptoms have been continuous for 4 or 5 hours.

Hospitals 40

Hospitals Emergency Department Ultrasounds EMS 40

EMDocs

JANUARY 29, 2024

Introduction: Neurologic emergencies are common in the Emergency Department (ED), and blood pressure management is critical to immediate management. 2005 Jun;23(6):1217-23. A non-contrast head computed tomography (CT) demonstrates a diffuse hyperdensity consistent with subarachnoid hemorrhage (SAH). doi: 10.1161/01.str.0000014509.11540.66.

Stroke 101

Stroke Outcomes EMS Seizures 101

Don't Forget the Bubbles

DECEMBER 16, 2024

Clear history taking In the Emergency Department, healthcare professionals should prioritise thorough history-taking when assessing potential suspected cases. Clin Microbiol Rev 2005; 18 :32682 Mooi FR, van der Maas NAT, de Melker HE. Accessed 14 Oct 24] Mattoo S, Cherry JD. Epidemiol Infect.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

Advanced Emergency Nursing from AENJ

NOVEMBER 7, 2015

In my opinion, hypnosis is a little-understood but potentially valuable technique for the emergency department. Why isn't hypnosis used more in emergency departments? Hypnosis in the treatment of acute pain in the emergency department setting. Hypnosis in the emergency department. 2005, April).

Emergency Department 40

Emergency Department Pediatrics Emergency Nursing Seizures 40

The Skeptics' Guide to EM

NOVEMBER 2, 2019

Case: A 26-year-old right-handed male presents to the emergency department on Friday night with a swollen right hand after punching a wall.The x-ray confirms an uncomplicated boxer’s fracture. Poolman et al ( Cochrane 2005 ) did a SRMA and pooled together five studies with a total of only 252 patients.

Fractures 40

Fractures EMS Emergency Department Outcomes 40

RebelEM

DECEMBER 10, 2023

Background: The use of ultrasound is well established for trauma patients in the emergency department, with almost every patient receiving a FAST (Focused Assessment with Sonography in Trauma) examination as part of the “ABC’s” of trauma. As always, we should consider new data as it emerges. Acad Emerg Med.

Ultrasounds 40

Ultrasounds Emergency Department Wellness EMS 40

PEMBlog

AUGUST 20, 2024

Pediatric Emergency Care , 40(8), 618-622. 2005 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Stratton, M., & Edmunds, K. Extracorporeal Cardiopulmonary Resuscitation. ECC Committee, Subcommittees, and Task Forces of the American Heart Association. Circulation.

CPR 52

CPR Resuscitation Pediatrics Hospitals 52

Advanced Emergency Nursing from AENJ

AUGUST 2, 2016

Act V, scene I [Text from Folger Shakespeare Library] [Audio recording of Dramatic Reading; Chapter Vox] [Video recording of Act V, scene1] Most deaths that are brought to, or occur in, an emergency department will require, at least, discussion with the local Coroner or Medical Examiner. " January 2005; Last updated May 16, 2005.

Documentation/Coding 40

Documentation/Coding Forensics CDC Fractures 40

ACEP Now

OCTOBER 15, 2023

On arrival to the emergency department (ED) she was awake and breathing with stridor. The Difficult Airway: A Brief Overview of the Airway Disruption Algorithm The American Society of Anesthesiologists (ASA) in 2005 modified the ASA Difficult Airway Algorithm.

Fractures 52

Fractures Dislocations Airway Management Operations 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

EMDocs

NOVEMBER 16, 2024

9,23 Disposition: Dislocation : If successfully reduced in the emergency department may discharge with strict mobility restrictions and Orthopedic follow up. Emergency department visits following total joint arthroplasty: do revisions present a higher burden? The American Journal of Emergency Medicine. Emerg Med J.

EMS 98

EMS Dislocations Fractures Operations 98

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