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Well keep it short, while you keep that EM brain sharp. A 45-year-old outdoor enthusiast presents to the emergencydepartment with fever, headache, myalgias, and malaise. Philadelphia, PA: Mosby; 2006:384-418. Disposition is based on overall clinical presentation, inciting etiology, and consultant evaluation. 2nd edition.
Trauma season is at hand and like all other pediatric emergencydepartments in the country, we find our ED breaking ( pun intended ) at the seams with orthopedic injuries. Plint, 2006. The post Rebaked Morsel: Pediatric Buckle and Greenstick Forearm Fractures appeared first on Pediatric EM Morsels. West, 2005.
PATIENT PRESENTATION A young woman with a past medical history of major depressive disorder presented to the emergency room via EMS for a report of intentional ingestion of an unknown substance. EMS reported that she was vomiting profusely on their arrival to the scene but during transport became increasingly lethargic.
In emergency medicine, we often use illness scripts and protocols to help drive our decision-making. We had just received a young child from EMS who was post-ictal with decreased mentation. Academic emergency medicine 12.9 2006 May;34(5):379-87. Ann Emerg Med. Less than 8, intubate! 2005): 814–819. Pediatr Neurol.
Guest Skeptic: Dr. Anand Swaminathan is an Assistant Professor of Emergency Medicine at Staten Island University Hospital. Managing editor of EM:RAP and Associate Editor at REBEL EM. first appeared on The Skeptics Guide to Emergency Medicine. Managing editor of EM:RAP and Associate Editor at REBEL EM.
In England, the rate of emergencydepartment (ED) attendance in the first year of life is greater than at any other age, amounting to 122 visits per 100 000 population. 1 Children aged 0–16 accounted for 23% of ED attendances (more than 5.4 million children) in 2022/2023, with children aged 0–4 accounting for 11%.
Emergency thoracotomy in thoracic trauma: a review. Injury; 2006 (37): 1-19. EmergencyDepartment 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. J Am Coll Surg.
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.
Today, we are talking about race in EM with the authors of a recent op-ed in Annals of Emergency Medicine. We tackle some tough questions about racism and how we can be better allies as EM colleagues. Policed Patients: How the Presence of Law Enforcement in the EmergencyDepartment Impacts Medical Care.
There have been many “temporary” rural emergencydepartment closures during the past last year. In Ontario alone there have been approximately 160 emergencydepartments (ED) temporarily closed since the beginning of 2022. It was a stepped-wedge reconfiguration of the entire Danish emergency healthcare system.
Evaluation and Treatment of Acute Back Pain in the EmergencyDepartment. Orthopedic Emergencies 2015 May; 33(2) 311-26. Med Clin North Am, 2006 May;90(3):505-23. Diagnostic Radiology: Musculoskeletal and Breast Imaging. New Delhi: JP Brothers Medical Ltd; 2012 Della-Guistina, D. PMID: 25892724 Gouliouris T, et al.
Guest Skeptic: Dr. Stephen Meigher is the EM Chief Resident training with the Jacobi and Montefiore Emergency Medicine Residency Training Program. Guest Skeptic: Dr. Stephen Meigher is the EM Chief Resident training with the Jacobi and Montefiore Emergency Medicine Residency Training Program. The TOMAHAWK Investigators.
It is obviously a huge topic and there is lots of information to cover; a couple of other recently released podcasts are available which are produced with the Emergency Medicine community in mind, but will no doubt expand your knowledge. The impact of emergency medical services on the ED care of severe sepsis. Am J Emerg Med.
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 - EmergencyDepartment Management of North American Snake envenomations.
The patient was transported by EMS to the emergencydepartment, 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 ). It may be safe to give IV Amiodarone.
Background Renal colic is a commonly encountered diagnosis in the emergencydepartment that is known to cause significant pain. Comparison of intravenous ketorolac at three doses for treating renal colic in the emergencydepartment: A noninferiority randomized controlled trial. Acad Emerg Med. Ann Emerg Med.
Noninferiority trials, covered here on REBEL EM , are helpful when the experimental treatment offers a distinct advantage over the standard treatment. Multicenter study of emergencydepartment visits for insect sting allergies. Multicenter study of emergencydepartment visits for food allergies. PMID: 16159637.
Emergency tracheal intubation: complications associated with repeated laryngoscope attempts. Association Between Repeated Intubation Attempts and Adverse Events in EmergencyDepartments: An Analysis of a Multicenter Prospective Observational Study. Annals of Emergency Medicine 2012; Volume 60, Issue 6, Pages 749–754.e2
This was a male in his 50's with a history of hypertension and possible diabetes mellitus who presented to the emergencydepartment 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. Here is another classic article.
4 In an emergencydepartment (ED) presentation of cardiac arrest, the diagnosis of PE is challenging without the use of CT angiography. Point-of-Care-Ultrasound (POCUS) is a bedside modality that can assist Emergency Physicians (EPs) in differentiating PE from other causes of cardiac arrest. 4, 2006, pp. Chest , vol.
We’ll keep it short, while you keep that EM brain sharp. 9,23 Disposition: Dislocation : If successfully reduced in the emergencydepartment may discharge with strict mobility restrictions and Orthopedic follow up. Rockville (MD): Agency for Healthcare Research and Quality (US); 2006 Feb-. Hospitals, 2018. 2021 Aug 31.
Police officers have poor hit probability, ricochets may occur, suppressive fire may be used (“keep ‘em pinned down”), or even ‘spray and pray.” Ballistic injuries in the emergencydepartment. Emergency medicine practice, 13(12), 1-30. Being a health care worker does not protect you from fire coming your way.
We’ll keep it short, while you keep that EM brain sharp. Takotsubo syndrome is often exceedingly difficult to distinguish from acute myocardial infarction in the emergencydepartment, as there is significant overlap in many clinical and diagnostic features. 2006 Jul;27(13):1523-9. Vital signs show T of 99.0°F Eur Heart J.
We’ll keep it short, while you keep that EM brain sharp. A 34-year-old male is brought via EMS after collapsing during an outdoor adventure race. EMS reports the patient was conscious but altered, with slurred speech and confusion. An 18-month-old boy presents to the emergencydepartment with loss of consciousness.
in 2010 EM Clinics of North America (full text link) For an Exhaustive Review of Syncope and its full management outside the ED environment, go to the 2009 European Society of Cardiology Guidelines (full text pdf). The ROSE (Risk Stratification of syncope in the emergencydepartment) Study.
Comparison of the MASCC and CISNE scores for identifying low-risk neutropenic fever patients: analysis of data from three emergencydepartments of cancer centers in three continents. Epub 2011 Apr 22 Coyne CJ, Le V, Brennan JJ, Castillo EM, Shatsky RA, Ferran K, Brodine S, Vilke GM. Ann Emerg Med. Support Care Cancer.
This blog post aims to help familiarise you with some of the most common reasons for prescribing antibiotics in the paediatric emergencydepartment. Antibiotic Use for Common Infections in Pediatric EmergencyDepartments: A Narrative Review. 2006 [cited 2023 Jan 3];(2). Karageorgos, S.; Hibberd, O.; JAMA Pediatr.
Sundd P, Gladwin MT, Novelli EM. 2006 Jul;134(1):109-15. Intranasal fentanyl and discharge from the emergencydepartment among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. 2006 Dec 13;2(91):2852-7. 2020 Feb 12;10(1):2470. Annu Rev Pathol.
Bhana, MD (EM Resident Physician, University of Massachusetts/UMass Chan Medical School); Clarence Kong, MD (Pain Fellow, Eastern Virginia Medical School – Virginia Health Sciences at Old Dominion University); Mani Hashemi, MD (EM Attending, HCA Florida Mercy Hospital); S.M. J Emerg Med. Acad Emerg Med. Ann Emerg Med.
Whereas the 2006-2019 Model Development Data set was randomly split 9:1 into a training set and an internal validation set. Furthermore, the model was not trained on all comers in the emergencydepartment, many of whom do not have ACS.
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 EmergencyDepartment References McGee S, Abernathy WB 3rd, Simel DL. Orthostatic vital signs in emergencydepartment patients.
Vision loss carries a high degree of morbidity and is associated with higher all-cause mortality, 4 and it is our role as emergency providers to recognize potentially reversible causes of such adverse outcomes. 2006) River Blindness: A Success Story under Threat? 0000000000000483 Opoku NO, Bakajika DK, Kanza EM, et al.
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