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

Don't Forget the Bubbles

NOVEMBER 8, 2023

7-year-old Tilly is brought to your emergency department at 11 p.m. Abdominal pain in children is common, accounting for over 1 in 20 attendances to paediatric emergency departments [1]. Clinical scoring tools have improved diagnostic performance in assessing suspected appendicitis in the emergency department.

Emergency Department 105

Emergency Department Ultrasounds Pediatrics Best Practices 105

The Skeptics' Guide to EM

JULY 8, 2023

Case: A 57-year-old woman with hypertension, hyperlipidemia and type-2 diabetes mellitus presents to the emergency department (ED) with fever, cough, myalgias, headache and congestion. The Cochrane collaboration published analyses of the available data in 1999, 2003 and 2006.

CDC 94

CDC Hospitals EMS Emergency Department 94

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 87

Emergency Department Pediatrics CPR Administration 87

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

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

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

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

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

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 90

Hyperthermia / Hypothermia Resuscitation Administration Blood Transfusions 90

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

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 90

Infectious Diseases Fractures Radiology Radiology 90

PHEM Cast

MARCH 17, 2016

Annals of Emergency Medicine. Preoxygenation, reoxygenation, and delayed sequence intubation in the Emergency Department. The Journal of Emergency Medicine. Journal of Emergency Medicine. 2006: 30(1); 63-67. Delayed Sequence Intubation: A Prospective Observational Study. 2014; 65(4): 349-355. Weingart SD.

Airway Management 52

Airway Management Burns Emergency Department Resuscitation 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

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 92

Emergency Department Fractures Hospitals Operations 92

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 Research Academics 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 77

Ultrasounds Sepsis Radiology Radiology 77

EMDocs

JUNE 27, 2024

2006 Jul;134(1):109-15. Intranasal fentanyl and discharge from the emergency department among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. 2006 Dec 13;2(91):2852-7. Ataga KI, Moore CG, Jones S, Olajide O, Strayhorn D, Hinderliter A, Orringer EP.

Pediatrics 76

Pediatrics Dehydration EMS Hospitals 76

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

Dr. Smith's ECG Blog

DECEMBER 13, 2024

The patient was transported by EMS to the emergency department, where the ECG was interpreted as showing VT ( V entricular T achycardia ). Nevertheless, this recommendation is still based on the papers published before 2006." Smith's ECG Blog for review on the Cabrera Format ). Figure-1: The initial ECG in today's case. (

EKG/ECG 84

EKG/ECG Ambulance Services Emergency Department EMS 84

EMDocs

JANUARY 20, 2025

48 in 2006 enrolled 58 patients divided into two groups. Further #FOAMed: POCUS for Assessing Volume Responsiveness – Core Ultrasound Volume Assessment Using POCUS in the Emergency Department References McGee S, Abernathy WB 3rd, Simel DL. Orthostatic vital signs in emergency department patients.

Dehydration 40

Dehydration Fluid Resuscitation Sepsis Resuscitation 40

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

ACEP Now

SEPTEMBER 11, 2023

From these data, the authors looked at five reporting periods—2000, 2003, 2006, 2009, and 2012—and identified ARF case incidences of 0.63, 0.77, 0.64, 0.51, and 0.52, respectively, per 100,000 children. Jones is assistant professor of pediatric emergency medicine at the University of Kentucky in Lexington.

Pediatrics 40

Pediatrics Poisoning Hospitals Emergency Department 40

Pediatric Emergency Playbook

DECEMBER 1, 2016

Pros and Cons in Audio; the 2006 AAP Guidelines and the 2014 AAP Guidelines use same data to come to divergent recommendations. 2006 Oct;118(4):1774-93. Discharged on supplemental oxygen from an emergency department in patients with bronchiolitis. 2016 May 14. pii: S0022-3476(16)30170-6. Pediatrics. Pediatrics.

Pediatrics 40

Pediatrics Emergency Department Hospitals Wellness 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

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 113

EKG/ECG Documentation/Coding Wellness Emergency Department 113

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

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. 2006; 26:1485-1500.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 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 58

Research Hospitals Academics Emergency Department 58