Pediatric EM Morsels

JULY 21, 2023

We had just received a young child from EMS who was post-ictal with decreased mentation. 2005): 814–819. The post Glasgow Coma Scale in Children appeared first on Pediatric EM Morsels. In emergency medicine, we often use illness scripts and protocols to help drive our decision-making. Less than 8, intubate! Epub 2016 Aug 1.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

RebelEM

JANUARY 24, 2024

2005; 39(11): 838-42. Rezaie, MD (Twitter/X: @srrezaie ) The post REBEL Core Cast 116.0 – Achilles Tendon Rupture appeared first on REBEL EM - Emergency Medicine Blog. Sports Med. 1998; 25(2): 79-100. PMID: 9519398 Kayser R et al. Br J Sports Med. PMID: 16244194 Margetic P et al. Coll Antropol. 2007; 31:279-284.

Operations 101

Operations Ultrasounds Fractures Outcomes 101

RebelEM

DECEMBER 5, 2023

up to 23% ( Lieberman 2005 , Rohacek 2014 , Tole 2007 , Grunau 2014 ). The Skeptics Guide to EM Should I Stay or Should I Go Related Topics: Are steroids and antihistamines really effective for anaphylaxis?: Annals of Allergy, Asthma, and Immunology 2005 Sep;95(3):217-26. appeared first on REBEL EM - Emergency Medicine Blog.

Anaphylaxis 81

Anaphylaxis Allergic Reactions Emergency Department EMS 81

RebelEM

SEPTEMBER 13, 2023

patients that take ACE inhibitors (but 20-30% of all angioedema presentations to the Emergency Department) 3 times more common in Black Americans ( Kostis 2005 ) 0.01 Typically involves the mouth, larynx, pharynx, and subglottic tissue ( Kostis 2005 ). of people who take NSAIDs ( Nzeako 2010 ).

Allergic Reactions 105

Allergic Reactions Airway Management Anaphylaxis Emergency Department 105

Pediatric EM Morsels

AUGUST 18, 2023

Gatifloxacin use was evaluated in 867 children, which resulted in 12 (1.4%) of children having transient arthritis which resolved within 2 weeks (Pichichero 2005) Ciprofloxacin was compared to Cephalospoin for the treatment of complicated UTI’s in children. Arthropathy was seen in 13.7% of the Ciprofloxacin group vs 9.5% Clin Infect Dis.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

Pediatric EM Morsels

JUNE 16, 2023

Arch Orthop Trauma Surg 2013;133(5):635-640.23443527 The post Morel-Lavallée Lesion in Children appeared first on Pediatric EM Morsels. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment.

Soft Tissue Injuries 154

Soft Tissue Injuries Dehydration Fractures Operations 154

ACEP Now

AUGUST 15, 2023

First, the federal Violence Against Women Act (VAWA), 42 USC.A § 3796gg-4(d)(1) (2005), allows for sexual assault survivors to undergo medical forensic examination without reporting to law enforcement and at no cost to them. The post How EM Physicians Should Manage Their Legal and Medical Duties appeared first on ACEP Now.

Sexual Assault 52

Sexual Assault Forensics EMS Risk Management 52

PHEM Cast

DECEMBER 12, 2016

EMJ; 2005: 22-24. Joint Position Statement of Nat Assoc EMS Physicians and ACS Committee on Trauma. pdf Equipment required for resuscitative thoracotomy: Surface anatomy: Appearance of pericardial clot A foley catheter being used to fill a cardiac wound – note how easily this could be pulled out. Traumatic Cardiac Arrest.

Military 52

Military Resuscitation Emergency Department Documentation/Coding 52

ACEP Now

SEPTEMBER 5, 2024

Our state chapter members and leaders are uniquely positioned to follow EMRA’s lead in partnering with local EM residency programs to improve communication of ACEP’s value to EM-bound medical students and EM residents by hosting residency visits or local events relevant to our shared mission.

Leadership 98

Leadership PPE EMS Wellness 98

Dr. Smith's ECG Blog

AUGUST 9, 2024

About 2 hours later the patient arrived at a PCI-capable center and repeat ECG was obtained: The transferring EMS crew noted “runs of VT” during transport. FINAL Point: During transport to the PCI center — the EMS crew noted, "runs of VT". I suspect the EMS crew misdiagnosed AIVR as VT. Circulation , 63 (2), 333–340. Washam, J.

EKG/ECG 107

EKG/ECG EMS Emergency Department Outcomes 107

The Skeptics' Guide to EM

MARCH 6, 2021

Managing editor of EM:RAP and Associate Editor at REBEL EM. Managing editor of EM:RAP and Associate Editor at REBEL EM. 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 ). Reference: Reuben A et al. SGEM#210 ).

EMS 52

EMS Emergency Department Outcomes 52

PHEM Cast

DECEMBER 1, 2017

For example, here are the locations identified as ‘2nd ICS mid clavicular line’ amongst 25 EM physicians in a 2005 EMJ paper. Be particularly careful when using the 2nd intercostal space mid-clavicular line that you are sufficiently lateral. Note – again please do not use this location! link] Cullinane, D.,

Academics 52

Academics Radiology Radiology Resuscitation 52

EMDocs

JANUARY 29, 2024

Authors: Sameer Desai, MD (EM Attending Physician, University of Kentucky); Omar Abbas Ahmed Malik, MBBS (Patients’ Aid Foundation, Jinnah Postgraduate Medical Center) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University School of Medicine in St. 2005 Jun;23(6):1217-23. 2002 May;33(5):1315-20.

Stroke 99

Stroke Outcomes EMS Seizures 99

The Skeptics' Guide to EM

FEBRUARY 26, 2019

Dr. Hoffman has published a graphic re-analysis of NINDS ( Annals EM 2009 ) and Sayer et al responded in print ( Annals EM 2010 ). We did not re-hash all the trials in our conversation but instead focused on a couple key publications like NINDS and IST-3. The SGEM did a Classic Episode on NINDS with Anand Swaminathan ( SGEM#70 ).

Stroke 52

Stroke EMS Research Outcomes 52

The Skeptics' Guide to EM

JANUARY 29, 2020

Date: January 25th, 2020 SGEM#281: EM Docs Got an AmbuBag Statistically Significant: Dan Lane We want to make the SGEM even better and address some of the criticisms from the ClinEpi world about clinicians trying to do critical appraisal. May 2005. In order to do that we now have a Dr. Randomization, statistics, and causal inference.

EMS 52

EMS Outcomes 52

RebelEM

MARCH 13, 2023

Does the inclusion of patients pronounced dead on scene and the presence of a physician-based EMS organization affect the pooled mortality rate and survival with favorable neurologic outcomes for prehospital TCA? Subcategory data on EMS system type is still extremely variable, given the range of included EMS systems and regions.

Basic Life Support 52

Basic Life Support EMS Outcomes Resuscitation 52

EMDocs

AUGUST 3, 2023

2005 Apr;54(4):515-21. Br Med J (Clin Res Ed). 1984;289(6439):217-219. doi:10.1136/bmj.289.6439.217 289.6439.217 Knudsen TT, Thorsen S, Jensen SA, Dalhoff K, Schmidt LE, Becker U, Bendtsen F. Effect of intravenous N-acetylcysteine infusion on haemostatic parameters in healthy subjects. doi: 10.1136/gut.2004.043505. 2004.043505. Minhaj, F.

Poisoning 98

Poisoning Seizures Administration Pediatrics 98

Taming the SRU

SEPTEMBER 8, 2023

2005 May;41(5):1179-97. NAC: Jiang SX, Hussaini T, Yoshida EM. 2005 Mar;42(3):365-70. LaFollette is co-editor of TamingtheSRU.com References General Information: Polson J, Lee WM; American Association for the Study of Liver Disease. AASLD position paper: the management of acute liver failure. Hepatology. doi: 10.1002/hep.20703.

Radiology 59

Radiology Radiology Ultrasounds EMS 59

PHEM Cast

APRIL 16, 2018

EMJ; 2005: 22-24. Anneals of EM; 2015: 297-307. The role of trauma scoring in developing trauma clinical governance in the Defence Medical Services. Phil Trans R Soc. Doi: 1098/rstb.2010.0232 2010.0232 Wise et al. Emergency thoracotomy ‘how to do it’. Morrison et al. Resuscitative thoracotomy following wartime injury. Lockey et al.

Resuscitation 52

Resuscitation Shock Ultrasounds CPR 52

EMDocs

OCTOBER 30, 2023

Pillai, MBBS (@sspillai01, EM Resident Physician, University of Kentucky) and Christopher N. 2 In response to the constrained availability of contrast media, emergency medicine (EM) and radiology departments were compelled to enact modifications in their imaging techniques. Authors: Saran S. 11 Table 1.

Radiology 99

Radiology Radiology Emergency Department Hospitals 99

The Skeptics' Guide to EM

JULY 9, 2022

* 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. They published their findings in Annals of EM 2009. Any brief comments on this reanalysis?

Stroke 52

Stroke Emergency Department EMS Outcomes 52

Taming the SRU

APRIL 14, 2024

6, June 2005, pp. EM@3AM: Hernia.” References Chen, Shyr-Chyr, et al. Ultrasound May Decrease the Emergency Surgery Rate of Incarcerated Inguinal Hernia.” Scandinavian Journal of Gastroenterology , vol. 721–724, [link]. Accessed 15 Aug. H, Ravikumar, et al. Reduction En-Masse of Inguinal Hernia with Strangulated Obstruction.”

Ultrasounds 93

Ultrasounds Emergency Department Pediatrics Radiology 93

RebelEM

FEBRUARY 29, 2024

Am J Respir Crit Care Med 2005 , 171 (4), 388-416. Rezaie, MD (Twitter/X: @srrezaie ) The post The PROPHY-VAP Trial: Ceftriaxone to Prevent VAP in Patients with Acute Brain Injury appeared first on REBEL EM - Emergency Medicine Blog. DOI: 10.1056/NEJMoa1812379 From NLM. (9) DOI: 10.1164/rccm.200405-644ST 200405-644ST From NLM.

CDC 122

CDC Radiology Radiology Head Injuries 122

The Skeptics' Guide to EM

NOVEMBER 2, 2019

Annals of EM 2019 Guest Skeptic: Martha Roberts is a critical and emergency care, triple certified nurse practitioner, currently living and working in western Massachusetts. She is the host of EM BOOTCAMP in Las Vegas, as well as a usual speaker and faculty member for The Center for Continuing Medical Education ( CCME ).

Fractures 40

Fractures EMS Emergency Department Outcomes 40

PHEM Cast

JULY 6, 2017

[link] The West Midlands surgical skills course offers cadaveric training for PHEM and EM practitioners on rare life saving procedures. Click here to go straight to their page. Anatomy The Guidelines Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. Frerk et al. link] Navsa, N.,

Airway Management 52

Airway Management Academics Operations Resuscitation 52

ALiEM

MARCH 7, 2024

Ann Emer Med , 2005 [7] Prospective, blinded, observational study performed in the pediatric ED, 3 month period N=44, < 2 years of age Created a bladder urinary index by multiplying the AP and transverse bladder diameters. 2005 Jan;115(1):108-11. The index achieved 100% sensitivity and 97% specificity. Chen et al., Wong et al.,

Ultrasounds 70

Ultrasounds Pediatrics Radiology Radiology 70

The Skeptics' Guide to EM

FEBRUARY 6, 2021

Annals of EM 2020. Roche and Foster quickly reported in 2005 that this was not an isolated problem to the Adelaide Hills of South Australia. Additionally, they host selected guests for special episodes, and publish blogs dedicated to more advanced medical questions or topics. Reference: Ruberto et al.

Hospitals 40

Hospitals Emergency Department Ultrasounds EMS 40

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Advocacy for Trauma Care and EMS Development. Development of EM Residencies. Organized EM supporting Rapid Sequence Intubation and other airway advances. Organized EM supporting Rapid Sequence Intubation and other airway advances. EM begins to "Own the Airway" (emergent). EDNA->ENA. Touchstone, Mike.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

Advanced Emergency Nursing from AENJ

DECEMBER 18, 2014

Classic Advice to New Interns (Commentary upon 10 Commandments of EM) Ten Commandments of Emergency Medicine Luke & Cusack Cork Emergency Medicine 2014 The Derriford twelve commandments of emergency medicine: a model for good practice in a changing world, or a survival guide for new medical staff Smith, J.

Mass Casualty Incidents 40

Mass Casualty Incidents Burns Urgent Care Pediatrics 40

RebelEM

JANUARY 23, 2023

Noninferiority trials, covered here on REBEL EM , are helpful when the experimental treatment offers a distinct advantage over the standard treatment. 2005 Sep;116(3):643-9. In this case, cetirizine may be advantageous as it may have a more favorable side effect profile than diphenhydramine. Epub 2010 Feb 8. PMID: 20146728.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

PEMBlog

AUGUST 20, 2024

2005 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. It’s much more logistically difficult when the patient arrests out of the hospital and then presents to the emergency department with CPR ongoing via EMS personnel and then to get transitioned to ECMO. Circulation.

CPR 52

CPR Resuscitation Pediatrics Hospitals 52

RebelEM

DECEMBER 10, 2023

Prior studies have noted sensitivities of ultrasound for pneumothorax ranging from 91-98%, in comparison to CXR, which ranges from 47-75% ( Blaivas 2005 ; Chan 2020 ). 2005 Sep;12(9):844-9. Ultrasound has been found to have higher accuracy and confers the advantage of being performed rapidly at the bedside. PMID: 25205343. 2005.05.005.

Ultrasounds 40

Ultrasounds Emergency Department Wellness EMS 40

EMDocs

NOVEMBER 16, 2024

We’ll keep it short, while you keep that EM brain sharp. 2005 Nov;22(11):807-9. The post EM@3AM: Total Hip Arthroplasty Complications appeared first on emDOCs.net - Emergency Medicine Education. Initial vital signs include T 36.8, HR of 91, BP 138/88, RR 16, SPO2 98% on RA. The Journal of Arthroplasty. 2018;33(5):1309-1314.e2.

EMS 98

EMS Dislocations Fractures Operations 98

Advanced Emergency Nursing from AENJ

APRIL 8, 2014

2005) Resuscitation Greats: Edgar Alexander Pask ─ a hero of resuscitation Resuscitation , 67 (1), 7-11. Implementation and care directives for "EMS" mouth-to-airway. Chief Martin McMahon, 94 first-aid pioneer [Obituary] The Baltimore Sun February 13, 2005 Safar,P. Rasmussen, Frederick N. Tribute to Dr. Austin Lamont.

Resuscitation 40

Resuscitation Ambulance Services Research Military 40

EMDocs

JUNE 16, 2023

Prolonged emergency department length of stay for US pediatric mental health visits (2005-2015). Pediatrics. JAMA Pediatr. 2023;177(2):168–176. doi:10.1001/jamapediatrics.2022.4885 2022.4885 Nash KA, Zima BT, Rothenberg C, et al. 2021;147(5):e2020030692. doi: 10.1542/peds.2020-030692

Psychiatric 52

Psychiatric Pediatrics Emergency Department Best Practices 52

RebelEM

JANUARY 19, 2023

PMID: 8285810 Smith R (2005) Medical Journals Are an Extension of the Marketing Arm of Pharmaceutical Companies. Rezaie, MD (Twitter: @srrezaie ) The post The RAMPP Trial: Randomised Ambulatory Management of Primary Pneumothorax appeared first on REBEL EM - Emergency Medicine Blog. Arch Intern Med 154: 157–163. PLoS Med 2(5): e138.

Outcomes 52

Outcomes Hospitals Research EMS 52

Taming the SRU

MARCH 14, 2023

Case 2 19 year old seizure A 19-year-old male is brought into your emergency department via EMS for witnessed seizure-like activity. VP Shunt - Courtesy of Cancer Research UK via wikimedia - CC-4.0 - [link] Case courtesy of Paul Simkin, Radiopaedia.org, rID: 30453 Case courtesy of Dr Ruslan Asadov, Radiopaedia.org, rID: 8401. Neurosurg Focus.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52