RebelEM

FEBRUARY 1, 2024

Earlier studies looking at tenecteplase dosing began in 2005 and have largely settled on a dose of 0.25 Tenecteplase, a modified version of alteplase, is being increasingly utilized for AIS due to its favorable pharmacological profile, ease of administration, and cost effectiveness. mg/kg at this time for the potential treatment of AIS.

Stroke 135

Stroke Blood Transfusions Outcomes EMS 135

ACEP Now

JULY 11, 2024

The United States Preventive Services Task Force (USPSTF) recommends screening for problem drinking in the primary setting, but we know that patients who present to the ED are twice as likely to engage in dangerous drinking, so arguably the ED is an important venue for screening as well. Front Public Health. 2020:8;279. doi:10.3389/fpubh.2020.00279.

Emergency Department 98

Emergency Department Psychiatric Outcomes Wellness 98

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

Dr. Smith's ECG Blog

AUGUST 9, 2024

The LCx and OM vessels are not as well visualized. MY Thoughts on ECG #3: As per Dr. Frick — ECG #3 ( as well as the other 2 repeat ECGs obtained over the 5-minute span referred to above ) is clearly diagnostic of acute OMI. Circulation , 63 (2), 333–340. link] Meine, T. Washam, J. Peacock, W. Pollack, C. Gibler, W. & Peterson, E.

EKG/ECG 107

EKG/ECG EMS Emergency Department Wellness 107

Taming the SRU

APRIL 14, 2024

You may place cold packs or ice packs to the hernia site to help reduce inflammation and swelling, as well as to assist in local analgesia. Symptoms include persistent tenderness in the area, as well as symptoms of obstruction including nausea, vomiting, and pain, despite reduction. (2) 6, June 2005, pp. 721–724, [link].

Ultrasounds 93

Ultrasounds Emergency Department Pediatrics Radiology 93

American Medical Compliance

APRIL 10, 2023

Rise in Cases of Sexual Harassment There were 4,738 cases of improper sexual conduct reported from 2005-2015. This empowers victims to step forward with these allegations as well as show others that they are not alone. Individuals are making connections and empowering change throughout the industry.

Hospitals 52

Hospitals Wellness 52

PEMBlog

SEPTEMBER 26, 2024

She denies any associated redness, warmth, or bruising to the area as well as any trauma or falls. He has been doing well since discharge. On exam, the child has normal vital signs and is generally well appearing. The mother describes the upper leg as feeling swollen and tense, and the patient cries when the area is touched.

Fractures 59

Fractures Pediatrics Wellness 59

Taming the SRU

NOVEMBER 14, 2023

B) on right: hand drawn images of layers of ear demonstrating auricular hematoma The epidemiology and incidence of ED presentation for auricular hematomas has not been well-studied because it is a relatively uncommon condition. 2005 Jan;119(1):27-31. Courtesy of wiki commons under CC Attribution 3.0 Emerg Med Clin North Am.

Emergency Department 94

Emergency Department Pediatrics Wellness Fractures 94

ALiEM

MARCH 7, 2024

It is usually large, nodular, well-defined, homogeneous, and slightly hypoechoic (Figure 13) [6]. 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. Chen et al.,

Ultrasounds 70

Ultrasounds Pediatrics Radiology Radiology 70

Don't Forget the Bubbles

AUGUST 9, 2023

There is no pain or discharge, no lymphadenopathy, and she is otherwise well. 2005) Subclinical thyroid dysfunction: a joint statement on management from the American Association of Clinical Endocrinologists, the American Thyroid Association, and the Endocrine Society. It is soft, cystic, and not tender. J Clin Endocrinol Metab.

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. Proc Natl Acad Sci U S A 2005; 102:4134. N Engl J Med 1995; 333:1600. Hung SI, Chung WH, Liou LB, et al. Nature 2004; 428:486.

Emergency Department 83

Emergency Department Dehydration Burns Sepsis 83

Taming the SRU

DECEMBER 11, 2023

8] While there is no standardized screening tool for SRB, there are well established trends that emergency medical providers may use to identify patients at risk.[9] Suicides - United States, 2005-2009. 9] Adolescents and patients in their early twenties are at increased risk.[10] BMC Psychiatry. 2018;18(1):112. MMWR Suppl.

EMS 97

EMS Psychiatric Emergency Department Poisoning 97

RebelEM

FEBRUARY 29, 2024

Patient data anonymized when presented to adjudication committee to avoid detection bias Well-balanced patient characteristics between groups. Am J Respir Crit Care Med 2005 , 171 (4), 388-416. Strengths Multiple centers, double-blinded, placebo-controlled Opaque bottle and tubing of medication to prevent unblinding. DOI: 10.1164/rccm.200405-644ST

CDC 122

CDC Radiology Radiology Head Injuries 122

PEMBlog

AUGUST 20, 2024

2005 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. eCPR is typically performed in specialized centers with highly trained personnel in well coordinated teams. Well, that’s all for this episode on extracorporeal cardiopulmonary resuscitation, eCPR. Circulation.

CPR 52

CPR Resuscitation Pediatrics Hospitals 52

EMDocs

JANUARY 29, 2024

However, other sources suggest that the optimal blood pressure target is not well established and may vary depending on the individual patient’s characteristics and the type of hemorrhagic transformation [7]. 2005 Jun;23(6):1217-23. This includes intraparenchymal hemorrhage and subarachnoid hemorrhage (SAH). 2002 May;33(5):1315-20.

Stroke 99

Stroke Outcomes EMS Seizures 99

ACEP Now

AUGUST 15, 2023

She is asking for an exam, as well as medications to avoid pregnancy and diseases. 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. What do you do?

Sexual Assault 52

Sexual Assault Forensics EMS Risk Management 52

Pediatric Emergency Playbook

AUGUST 1, 2017

J Pediatr 2005; 146:787. J Pediatr Surg 2005; 40:197. 2005; 40:1848-1851. J Pediatr Gastroenterol Nutr 2008; 46:13. De Lorijn F, Reitsma JB, Voskuijl WP, et al. Diagnosis of Hirschsprung's disease: a prospective, comparative accuracy study of common tests. Hirschsprung's disease and mimicking conditions. Dig Dis 1994; 12:106.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

PulmCCM

JANUARY 22, 2024

This was in large part due to the recommendations from a task force of the International Liaison Committee on Resuscitation (ILCOR) , and their enshrinement in the American Heart Association’s 2005, 2010 and 2015 post-cardiac arrest management guidelines. that would create a rationale strong enough to justify the downsides of cooling?

Hyperthermia / Hypothermia 80

Hyperthermia / Hypothermia Outcomes Research Hospitals 80

Ziqitza HealthCare Ltd

MAY 28, 2023

Ziqitza Rajasthan was founded in 2005 by Sweta Mangal and Naresh Jain, Shaffi Mather, Manish Sacheti, and Ravi Krishna. This can lead to increased job satisfaction and overall productivity. Ziqitza Health Care Limited (ZHL) is a provider of emergency medical services.

Ambulance Services 52

Ambulance Services Wellness 52

The Skeptics' Guide to EM

MARCH 14, 2020

Lilienfeld ( Association for Psychological Science 2005). Here are some basic things that you could do to try and stay healthy: * Wash your hands well (at least 20 seconds with soap and water) and try not to touch your face * Avoid people who are sick and limit your social gatherings * Stay home if you are feeling ill

Wellness 40

Wellness 40

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. Roche and Foster quickly reported in 2005 that this was not an isolated problem to the Adelaide Hills of South Australia.

Hospitals 40

Hospitals Emergency Department Ultrasounds EMS 40

Advanced Emergency Nursing from AENJ

JANUARY 26, 2015

All went well. .") Another crew did have the prolapsed cord case, and resolved the issue by carrying Mom's stretcher down the stairs head-first providing steep reverse Trendelenburg's position (not clear if genupectoral position was used) to take pressure off the cord. Not in the textbook, but it worked. Airway problems in pregnancy.

OB/GYN 40

OB/GYN Ultrasounds Emergency Department Resuscitation 40

The Skeptics' Guide to EM

NOVEMBER 2, 2019

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 ). 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

PEMBlog

DECEMBER 14, 2023

2005 Nov;128(5):3391-7. Well, it could be neurologic function. And if the infant is thriving and growing well, not having any apnea or color change, you can kinda wait it out. Well, they could use lasers or cold steel or microdebridement, and it’s really tailored to the individual patient’s anatomy.

Pediatrics 52

Pediatrics Wellness 52

ACEP Now

MAY 10, 2024

A retrospective study of 34 patients including both children and adults aged 2–78 years, evaluated the duration of EAC FB and its relationship to successful removal as well as complications. 2005; 46(4):172-8. During this time, outpatient ENT appointments were difficult to obtain. Ann Acad Med Singap. 2022;51(6):351-356. Otol Neurotol.

Pediatrics 52

Pediatrics Emergency Department Poisoning Outcomes 52

RebelEM

MARCH 13, 2023

Many studies suggest that increased time spent on scene correlates with worse outcomes for trauma (Stiell 2008) and all-cause incidence (Isenberg 2005) across all levels of prehospital care. 2005, 20: 265-70. However, we might expect on-scene advanced trauma resuscitation to prolong prehospital time sizably. 2008 Apr 22;178(9):1141-52.

Basic Life Support 52

Basic Life Support EMS Outcomes Resuscitation 52

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. This feature of the study limits generalizability as well as applicability. 2005.05.005.

Ultrasounds 40

Ultrasounds Emergency Department Wellness EMS 40

Taming the SRU

AUGUST 30, 2023

As the name would suggest, inflammatory markers are biological markers of, well, inflammation. 2005 Nov;6(11):1045-56. 2005 Feb 15;53(1):33-8. They are used clinically to detect pathological inflammation or measure response to treatment [1-2]. PMID: 28778870; PMCID: PMC6071487. Gruys E, Toussaint MJ, Niewold TA, Koopmans SJ.

Infectious Diseases 89

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

EMDocs

OCTOBER 30, 2023

3 A study of CT use trends in the ED has shown increasing use of CTs by almost 60% from 2005 to 2013. Some institutions developed a tier-based system for outpatient imaging as well which was updated in real-time. Necessity-based system prioritizing CT contrast usage for emergent conditions (modified for ED-relevance).

Radiology 99

Radiology Radiology Emergency Department Hospitals 99

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. Tarrow, A.

Resuscitation 40

Resuscitation Ambulance Services Research Military 40

PulmCCM

JANUARY 24, 2024

This was in large part due to the recommendations from a task force of the International Liaison Committee on Resuscitation (ILCOR) , and their enshrinement in the American Heart Association’s 2005, 2010 and 2015 post-cardiac arrest management guidelines. that would create a rationale strong enough to justify the downsides of cooling?

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Outcomes Hospitals Stroke 52

RebelEM

JANUARY 23, 2023

2005 Sep;116(3):643-9. Clinical Bottom Line This trial was funded, designed, and written with direction from a pharmaceutical company. Epub 2010 Feb 8. PMID: 20146728. Clark S, Long AA, Gaeta TJ, Camargo CA Jr. Multicenter study of emergency department visits for insect sting allergies. J Allergy Clin Immunol. PMID: 16159637. 2, 2001, pp.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

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

Dr. Smith's ECG Blog

JANUARY 9, 2023

The ECG easily meets STEMI criteria in all leads V2-V6, as well. Acute coronary occlusion almost always occurs in patients who are well beyond their teenage years. This is not "diffuse", this is simply anterior, lateral, and likely apical.

EKG/ECG 52

EKG/ECG Wellness Ultrasounds Outcomes 52

Taming the SRU

MARCH 14, 2023

He appears well and is triaged to an ESI 4. She was doing well, but recently has had the “stomach flu” with a couple weeks of abdominal pain, nausea and vomiting. More on this below as we work through a few cases…. Case 1 Fussy 1 month old A 1-month-old (ex-34 week premature) infant comes to your emergency department for fussiness.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

PHEM Cast

SEPTEMBER 6, 2017

H Spontaneously breathing carbon dioxide waveforms where phase III is not well delineated. G Esophageal intubation resulting in the gastric washout of residual carbon dioxide and subsequent carbon dioxide will be zero. I Dual capnogram in one lung transplantation patient.

CPR 52

CPR Resuscitation Operations Shock 52

EMDocs

JUNE 16, 2023

It’s stressful for the ED clinical staff as well. Prolonged emergency department length of stay for US pediatric mental health visits (2005-2015). Pediatrics. This has a downstream effect. As capacity and resources decrease in the ED, that leads to longer wait times, higher rates of left-without-being-seen patients. JAMA Pediatr.

Psychiatric 52

Psychiatric Pediatrics Emergency Department Best Practices 52