EB Medicine

JANUARY 17, 2023

— In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the July 2022 Emergency Medicine Practice article on the Management of Allergic Reactions and Anaphylaxis in the Emergency Department. Intro The number of ED visits and hospitalizations Studies show up to 57% of anaphylactic reactions are not recognized, and epinephrine is not administered (..)

Allergic Reactions 52

Allergic Reactions Anaphylaxis Infectious Diseases Emergency Department 52

PHEM Cast

DECEMBER 12, 2016

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.

Military 52

Military Resuscitation Emergency Department Documentation/Coding 52

Taming the SRU

JULY 2, 2023

End-Tidal CO2 monitoring has a variety of uses in the Emergency Department. Capnography in the emergency department: a review of uses, waveforms, and limitations." The Journal of emergency medicine 53.6 Clinical policy: procedural sedation and analgesia in the emergency department." 2017): 829-842.

Emergency Department 88

Emergency Department Pediatrics CPR Administration 88

Taming the SRU

JUNE 12, 2023

Although not every person seeks health care for these injuries, the majority of those that do end up in the emergency department. In 2008, this led to greater than 316,000 emergency department (ED) visits and about 9,500 hospitalizations [1]. In 2006, only 79 dogs were found to have rabies in the United States [14].

Infectious Diseases 102

Infectious Diseases Emergency Department Administration Academics 102

Pediatric Emergency Playbook

APRIL 1, 2018

Pediatric Hypertensive Emergencies. Pediatric Hypertension in the Emergency Department. Ann Emerg Med. Blood pressure measurements on children in the emergency department. Emergency Medicine Australasia. 2006; 18:148-154. Open Access Emergency Medicine. References Baracco R et al.

Pediatrics 52

Pediatrics Emergency Department 52

EB Medicine

SEPTEMBER 1, 2018

Jeff: Welcome back to Emplify, the podcast corollary to EB Medicine’s Emergency Medicine Practice. I’m Jeff Nusbaum, and I’m back with my co-host, Nachi Gupta and we’ll be taking you through the September 2018 issue of Emergency Medicine Practice - Emergency Department Management of North American Snake envenomations.

Emergency Department 40

Emergency Department Poisoning Anaphylaxis Allergic Reactions 40

ALiEM

SEPTEMBER 25, 2024

A 24-year-old male with a history of microscopic hematuria presented to the emergency department (ED) with left lower quadrant abdominal pain. The patient’s pain was resolved when they saw the patient in the emergency department. 2006 Oct;49(10):1546-51. He describes the pain as stabbing. World J Gastroenterol.

Emergency Department 56

Emergency Department Wellness Radiology Radiology 56

Northwestern EM Blog

APRIL 15, 2024

2006): 576-579. While most of the immediate complications of tracheostomy will occur in the ICU, these patients still frequent our emergency department with and without tracheostomy related emergencies. ENT and airways in the emergency department: national survey of junior doctors’ knowledge and skills.

Emergency Department 98

Emergency Department Resuscitation Pediatrics Outcomes 98

The Skeptics' Guide to EM

APRIL 8, 2023

There have been many “temporary” rural emergency department closures during the past last year. In Ontario alone there have been approximately 160 emergency departments (ED) temporarily closed since the beginning of 2022. It was a stepped-wedge reconfiguration of the entire Danish emergency healthcare system.

Stroke 55

Stroke Emergency Department COPD Academics 55

Emergency Medicine Journal

NOVEMBER 28, 2023

2006; 17 (3):140-8. With future spikes in GAS cases likely, further research needs to be done to correctly target antibiotic prescribing for GAS pharyngitis. References Martin JM, Green M. Group A streptococcus. Semin Pediatr Infect Dis. Spinks A, Glasziou PP, Del Mar CB. Antibiotics for treatment of sore throat in children and adults.

Emergency Department 40

Emergency Department Hospitals Pediatrics Research 40

JournalFeed

JANUARY 17, 2022

Policed Patients: How the Presence of Law Enforcement in the Emergency Department Impacts Medical Care. Ann Emerg Med. New York : Doubleday, 2006 How Racism Makes us Sick - TED Talk Robert Livingston, The Conversation White Privilege: Unpacking the Invisible Knapsack Addressing Anti-Black Racism in Medicine 2021.04.039.

EMS 52

EMS Emergency Department 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

PHEM Cast

APRIL 10, 2016

The impact of emergency medical services on the ED care of severe sepsis. Am J Emerg Med. One year mortality of patients treated with an emergency department based early goal directed therapy protocol for severe sepsis and septic shock: a before and after study. 2006 Jun 3;332(7553):1295–8. Prehosp Emerg Care.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

Pediatric Emergency Playbook

MARCH 1, 2021

Pediatric Constipation in the Emergency Department: Evaluation, Treatment, and Outcomes. JPGN 2006; 43:e1-e13. Saline enemas are generally safe for all ages Be careful with the specific dose — please use your local reference Selected References Freedman SB et al. JPGN 2014;59: 327–333. Tabbers MM et al.

Pediatrics 52

Pediatrics Emergency Department Outcomes 52

The Skeptics' Guide to EM

FEBRUARY 26, 2022

She is Chair of the Royal College of Emergency Medicine Women in Emergency Medicine group and involved with the RCEM Public Health and Informatics groups. ED visits in the US for mental health conditions has increased by 44% from 2006 to 2014. Kirsty is also the creator of the wonderful infographics called #PaperinaPic.

Psychiatric 52

Psychiatric Hospitals Academics Research 52

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

She arrives in the emergency department (ED) with decreased level of consciousness and shock. Defibrillation is the treatment of choice in these cases but does not often result in sustained ROSC ( Kudenchuk et al 2006). She has a history of hypertension and non-insulin dependent diabetes mellitus.

EKG/ECG 52

EKG/ECG Academics EMS CPR 52

Downeast Emergency Medicine

JULY 17, 2021

Background Renal colic is a commonly encountered diagnosis in the emergency department that is known to cause significant pain. Comparison of intravenous ketorolac at three doses for treating renal colic in the emergency department: A noninferiority randomized controlled trial. Acad Emerg Med. Ann Emerg Med.

Emergency Department 52

Emergency Department Wellness Administration EMS 52

Taming the SRU

JULY 24, 2023

THE CASE A male in his 60s presented to the emergency department for right upper quadrant abdominal pain. 2006 Dec 28;12(48):7832-6. coli) empyema due to complicated pneumonia, and a prior perisplenic abscess requiring percutaneous drainage. 1934 Jun;99(6):922-4. doi: 10.1097/00000658-193499060-00005. World J Gastroenterol.

Ultrasounds 78

Ultrasounds Sepsis Radiology Radiology 78

EMDocs

JANUARY 25, 2025

A 45-year-old outdoor enthusiast presents to the emergency department with fever, headache, myalgias, and malaise. Philadelphia, PA: Mosby; 2006:384-418. Management is directed based on underlying etiology, but consider fluid resuscitation, antipyretics, and antibiotics as indicated. No rash is identified. Nuclear Medicine.

EMS 80

EMS Infectious Diseases Allergic Reactions Fluid Resuscitation 80

RebelEM

JANUARY 23, 2023

Multicenter study of emergency department visits for insect sting allergies. Multicenter study of emergency department visits for food allergies. 2006) “Management of acute allergic reactions and anaphylaxis in the Emergency Department between 1993-2003,” Journal of Allergy and Clinical Immunology , 117(2).

Allergic Reactions 52

Allergic Reactions Anaphylaxis Urgent Care Emergency Department 52

PHEM Cast

APRIL 21, 2021

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. Annals of Emergency Medicine 2012; Volume 60, Issue 6, Pages 749–754.e2

Airway Management 40

Airway Management Resuscitation EMS Hospitals 40

Pediatric Emergency Playbook

JANUARY 1, 2016

2006; 26(5):1485-500. 2006 Apr;7(2):75-80. Accuracy of a screening instrument to identify potential child abuse in emergency departments. Radiographics. Glaser NS, Wootton-Gorges SL, Buonocore MH et al. Frequency of sub-clinical cerebral edema in children with diabetic ketoacidosis. Pediatr Diabetes.

Head Injuries 40

Head Injuries Pediatrics Shock Sepsis 40

Dr. Smith's ECG Blog

NOVEMBER 15, 2013

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

EKG/ECG Documentation/Coding Emergency Department Wellness 52

Sensible Medicine

SEPTEMBER 29, 2023

For example, a model that assesses patients presenting to an emergency department with suspected acute coronary syndrome (ACS) was designed so that patients with ACS wrongly labelled as “low risk” and sent home would be just 1% (false negatives) [8]. 2006 Apr;332(7550):1127-9. Medical Journal of Australia.

Research 56

Research Hospitals Academics Emergency Department 56

Pediatric Emergency Playbook

APRIL 1, 2016

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. 2006; 118(4): 1165-1168. B-Type Natriuretic Peptide in the Emergency Diagnosis of Critical Heart Disease in Children. 2006; 107(1)21-31.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

Don't Forget the Bubbles

MARCH 19, 2024

Becasue paediatric emergency departments are accessible out-of-hours they become the de facto place of safety with access to immediate support. Admitting children with social problems to an acute hospital does not address the underlying social issues.

Hospitals 52

Hospitals Psychiatric Documentation/Coding Pediatrics 52

Advanced Emergency Nursing from AENJ

NOVEMBER 20, 2014

Ballistic injuries in the emergency department. Emergency medicine practice, 13(12), 1-30. PMID: 24350154 [PubMed] PMCID: PMC3860682 Tactical Combat Casualty Care (ppt) Dan S. Mosely, Maj USA MC FS 20 Jun 05 Treatment Reviews Bruner, D., Gustafson, C. G., & Visintainer, C. PMID 22232864 EB Medicine: Full text Motamedi, M.

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

Sensible Medicine

SEPTEMBER 29, 2023

For example, a model that assesses patients presenting to an emergency department with suspected acute coronary syndrome (ACS) was designed so that patients with ACS wrongly labelled as “low risk” and sent home would be just 1% (false negatives) [8]. 2006 Apr;332(7550):1127-9. Medical Journal of Australia.

Research 40

Research Hospitals Academics Emergency Department 40

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. Global measles outbreaks. 2024 Oct 15. Available from: [link] (Accessed 14 Oct 2024) World Health Organization. Measles and rubella surveillance: manual. 2021 Wendelboe, A.M.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

Pediatric EM Morsels

JULY 21, 2023

Academic emergency medicine 12.9 2006 May;34(5):379-87. Interrater reliability of Glasgow Coma Scale scores in the emergency department. Ann Emerg Med. 2005): 814–819. Chung CY, Chen CL, Cheng PT, See LC, Tang SF, Wong AM. Critical score of Glasgow Coma Scale for pediatric traumatic brain injury. Pediatr Neurol.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

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. Routine serum testing and urine toxicology testing are not recommended for psychiatric patients presenting to the emergency department.

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

Don't Forget the Bubbles

AUGUST 30, 2023

The parents of 9-month-old Josie bring her into the Emergency Department with coryzal symptoms and difficulty breathing. A secondary analysis of a nationwide study of Emergency Department attendance in America from 2006 to 2008 found that CXRs increase the average length of stay by 27 minutes. Am J Emerg Med.

Emergency Department 131

Emergency Department Pediatrics Infectious Diseases Research 131

PEMBlog

MAY 17, 2023

Most children who present to Pediatric Emergency Departments these days with mental health concerns – including agitation – have a known psychiatric problem or diagnosis. In: Textbook of Pediatric Emergency Medicine, 5th, Fleisher GR, Ludwig S, Henretig FM (Eds), Lippincott Williams & Wilkins, Philadelphia 2006.

Psychiatric 80

Psychiatric Pediatrics Emergency Department Best Practices 80

EMDocs

JUNE 12, 2024

Ionised calcium levels in major trauma patients who received blood in the Emergency Department. Emerg Med J. Emerg Med J. Admission Ionized Calcium Levels Predict the Need for Multiple Transfusions: A Prospective Study of 591 Critically Ill Trauma Patients. J Trauma Inj Infect Crit Care. 2011;70(2):391-397.

Hyperthermia / Hypothermia 100

Hyperthermia / Hypothermia Resuscitation Administration Blood Transfusions 100

Dr. Smith's ECG Blog

DECEMBER 27, 2023

Written by Willy Frick A man in his 50s with a history of hypertension, dyslipidemia, type 2 diabetes mellitus, and prior inferior OMI status post DES to his proximal RCA 3 years prior presented to the emergency department at around 3 AM complaining of chest pain onset around 9 PM the evening prior. Grines, C. Stuckey, T., Tcheng, J.

EKG/ECG 134

EKG/ECG Documentation/Coding Wellness Emergency Department 134

Taming the SRU

JANUARY 29, 2024

She was concerned that this was not improving and decided to come to the emergency department (ED). Hospital Course The patient was initiated on a therapeutic heparin drip in the emergency department with vascular surgery consultation. 2006 Apr;17(3):225-6. She had not had any blood clots previously.

Emergency Department 93

Emergency Department Fractures Hospitals Operations 93

RebelEM

AUGUST 30, 2023

Evaluation and Treatment of Acute Back Pain in the Emergency Department. Orthopedic Emergencies 2015 May; 33(2) 311-26. Simon’s Emergency Orthopedics. Back Pain Emergencies. Med Clin North Am, 2006 May;90(3):505-23. Diagnostic Radiology: Musculoskeletal and Breast Imaging. PMID: 25892724 Gouliouris T, et al.

Infectious Diseases 84

Infectious Diseases Fractures Radiology Radiology 84