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Active shooter in emergency departments in Guanajuato State, Mexico

Emergency Medicine Journal

The rate of violent events in Mexico, especially in hospital settings, has increased since 2006, but has become more evident in 2018. Guanajuato State, located in central Mexico, is among the states most affected by the wave of violence, especially active shooter events. The year 2019 had the highest number of incidents.

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Episode 14: Thoracotomy

PHEM Cast

Emergency thoracotomy in thoracic trauma: a review. Injury; 2006 (37): 1-19. Emergency Department thoracotomy for the critically injured patient: Objectives, indications, and outcomes. World Journal of Emergency Surgery; 2006: 1:4. Clay et al. Rhee et al. J Am Coll Surg; 2000.

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2024 ACEP Elections Preview: Meet the Board of Directors Candidates

ACEP Now

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.

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Why we need continuous 12-lead ST segment monitoring in Wellens' syndrome

Dr. Smith's ECG Blog

This was a male in his 50's with a history of hypertension and possible diabetes mellitus who presented to the emergency department with a history of squeezing chest pain, lasting 5 minutes at a time, with several episodes over the past couple of months. Eur Heart J 2001;22:1997–2006. Gottlieb SO, et al. Jernberg T, et al.

EKG/ECG 52
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Intubation

PHEM Cast

Guidance documents College of Paramedics Statement on Intubation, available here. Emergency tracheal intubation: complications associated with repeated laryngoscope attempts. Association Between Repeated Intubation Attempts and Adverse Events in Emergency Departments: An Analysis of a Multicenter Prospective Observational Study.

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The Silent Crisis: The impact of paediatric hospital social admissions

Don't Forget the Bubbles

Becasue paediatric emergency departments are accessible out-of-hours they become the de facto place of safety with access to immediate support. Key messages Consider social determinants of health and document these in a child’s clinical notes. What can clinicians do?

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Big Labs, Little People

Pediatric Emergency Playbook

used BNP in the emergency department to differentiate heart failure from respiratory causes in infants and children with heart failure and those with no past medical history. for the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents. 2006; 118(4): 1165-1168. 2006; 107(1)21-31.