ACEP Now

SEPTEMBER 5, 2024

With elimination of CME funding in many of our hospitals and groups, it is crucial to continue to add value and communicate that value to residents before graduation. While some issues are handled locally, many issues cannot be solved in our emergency department or hospital.

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Leadership PPE EMS Wellness 98

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

The Skeptics' Guide to EM

FEBRUARY 26, 2022

Emergency psychiatric assessment, treatment, and healing (EmPATH) unit decreases hospital admission for patients presenting with suicidal ideation in rural America. She is […] The post SGEM#360: We Care a Lot – The EmPATH Study first appeared on The Skeptics Guide to Emergency Medicine. AEM February 2022. AEM February 2022.

Psychiatric 52

Psychiatric Hospitals Academics Research 52

PHEM Cast

APRIL 10, 2016

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. Severe Sepsis in Pre-Hospital Emergency Care. 2006 Jun 3;332(7553):1295–8. Emergency Medicine Journal. Prehosp Emerg Care.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

Angiography after Out-of-Hospital Cardiac Arrest without ST-Segment Elevation. Guest Skeptic: Dr. Stephen Meigher is the EM Chief Resident training with the Jacobi and Montefiore Emergency Medicine Residency Training Program. first appeared on The Skeptics Guide to Emergency Medicine. The TOMAHAWK Investigators.

EKG/ECG 52

EKG/ECG Academics EMS CPR 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 94

Emergency Department Fractures Hospitals Operations 94

Taming the SRU

JULY 24, 2023

THE CASE A male in his 60s presented to the emergency department for right upper quadrant abdominal pain. He was transitioned to cefdinir and fluconazole for a full 7-day course of antibiotics and discharged from the hospital on day three, with instructions to follow up with general surgery for an outpatient cholecystectomy.

Ultrasounds 79

Ultrasounds Sepsis Radiology Radiology 79

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

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

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 Emergency Department Urgent Care 52

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. There were no differences in length of hospital stay between the placebo and treatment groups, and so they concluded that for inpatients, nebulized epinephrine is not worth the hassle. 2006 Oct;118(4):1774-93.

Pediatrics 40

Pediatrics Emergency Department Hospitals Wellness 40

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

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

Advanced Emergency Nursing from AENJ

NOVEMBER 20, 2014

Ballistic injuries in the emergency department. Emergency medicine practice, 13(12), 1-30. BULLETIN-HOSPITAL FOR JOINT DISEASES NEW YORK, 64(3/4), 139. 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.

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

EMDocs

NOVEMBER 16, 2024

9,23 Disposition: Dislocation : If successfully reduced in the emergency department may discharge with strict mobility restrictions and Orthopedic follow up. Hospitals, 2018. Rockville (MD): Agency for Healthcare Research and Quality (US); 2006 Feb-. Closed reduction of prosthetic hip dislocation by emergency physicians.

EMS 98

EMS Dislocations Fractures Operations 98

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

Taming the SRU

DECEMBER 11, 2023

1,2] Patients at risk for suicide often interact with emergency medical care. Suicide-related behavior (SRB) accounts for 1% of all Emergency Department (ED) visits; additionally, greater than 8% of patients visiting emergency departments are likely experiencing suicidal ideation at the time of the encounter.[3-5]

EMS 97

EMS Psychiatric Emergency Department Poisoning 97

Don't Forget the Bubbles

NOVEMBER 29, 2023

You are the Paediatric doctor on call and receive a call for an incoming patient to the emergency department. Tragically, several attempts at resuscitation upon arrival at the emergency department were unsuccessful. Pediatric Endotracheal Intubations for Airway Management in the Emergency Department.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

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 57

Stroke Emergency Department COPD Academics 57

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

RebelEM

MAY 15, 2024

Follow your hospital’s protocol (if available). High Risk Patients will need hospitalization and IV antibiotics. Comparison of the MASCC and CISNE scores for identifying low-risk neutropenic fever patients: analysis of data from three emergency departments of cancer centers in three continents. Ann Emerg Med.

Infectious Diseases 101

Infectious Diseases Administration Sepsis Anaphylaxis 101

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

Taming the SRU

JULY 2, 2023

End-Tidal CO2 monitoring has a variety of uses in the Emergency Department. The Glories of End Tidal CO2 EtCO2 vs Standard Triage Vitals for Predicting In-Hospital Mortality References Long, Brit, Alex Koyfman, and Michael A. Capnography in the emergency department: a review of uses, waveforms, and limitations."

Emergency Department 88

Emergency Department Pediatrics CPR Administration 88

PHEM Cast

MARCH 3, 2019

Ketamine-propofol combination (ketofol) versus propofol alone for emergency department procedural sedation and analgesia: a randomized double-blind trial. Ann Emerg Med. Morphine and Ketamine Is Superior to Morphine Alone for Out-of-Hospital Trauma Analgesia: A Randomized Controlled Trial. Ann Emerg Med.

Emergency Department 52

Emergency Department Head Injuries Pediatrics Hospitals 52

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. It’s also important to elicit any psychiatric history, including prior hospitalizations. Pretty big numbers.

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

ACEP Now

SEPTEMBER 11, 2023

5 Pediatric discharges were reported by 2,784 hospitals in 2000 and the number of reporting hospitals increased to 4,179 in 2012. This database systematically and randomly samples pediatric discharges from participating hospitals. Trends and presentation patterns of acute rheumatic fever hospitalizations in the United States.

Pediatrics 40

Pediatrics Poisoning Hospitals 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

Sensible Medicine

SEPTEMBER 29, 2023

Early warning scores are another example, which are used in hospitals to predict clinical deterioration based on a patient’s vital signs [2]. 2006 Apr;332(7550):1127-9. The recent rise of big data has propelled the pursuit of personalized medicine. Medical Journal of Australia. 2017 Sep;207(5):201-5.

Research 59

Research Hospitals Academics Emergency Department 59

EMDocs

JUNE 12, 2024

Ionised calcium levels in major trauma patients who received blood in the Emergency Department. Emerg Med J. Abnormal Calcium Levels During Trauma Resuscitation Are Associated With Increased Mortality, Increased Blood Product Use, and Greater Hospital Resource Consumption. J Trauma Inj Infect Crit Care. Anesth Analg.

Hyperthermia / Hypothermia 105

Hyperthermia / Hypothermia Resuscitation Administration Blood Transfusions 105

Advanced Emergency Nursing from AENJ

MAY 27, 2015

An ambulance pulls up, in haste, to the Receiving door of the Emergency Department with a last squeal of the siren. and all start shooting the hospital staff. Little attention has been given to the Hospital as the target of terror. Attacks have occurred upon hospitals in other countries, notably Yemen.

Federal Emergency Management Agency 40

Federal Emergency Management Agency Military Hospitals Administration 40

EMDocs

APRIL 22, 2024

1-3 VTE is responsible for hospitalizing over 250,000 Americans every year, and there are an estimated 100,000 deaths annually associated with these conditions. 4 In an emergency department (ED) presentation of cardiac arrest, the diagnosis of PE is challenging without the use of CT angiography. 4, 2006, pp. Chest , vol.

Ultrasounds 98

Ultrasounds Advances Cardiac Life Support (ACLS) EKG/ECG Resuscitation 98

Sensible Medicine

SEPTEMBER 29, 2023

Early warning scores are another example, which are used in hospitals to predict clinical deterioration based on a patient’s vital signs [2]. 2006 Apr;332(7550):1127-9. The recent rise of big data has propelled the pursuit of personalized medicine. Medical Journal of Australia. 2017 Sep;207(5):201-5.

Research 40

Research Hospitals Academics Emergency Department 40

Don't Forget the Bubbles

SEPTEMBER 18, 2023

This blog post aims to help familiarise you with some of the most common reasons for prescribing antibiotics in the paediatric emergency department. Antibiotic Use for Common Infections in Pediatric Emergency Departments: A Narrative Review. Conventionally IV antibiotics have been limited to in-hospital use.

Emergency Department 143

Emergency Department Infectious Diseases Pediatrics Sepsis 143

EMDocs

NOVEMBER 4, 2024

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. 05 2018;54(5):731-736.

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Emergency Department Fractures Burns EMS 105

Dr. Smith's ECG Blog

APRIL 8, 2015

Clinical predictors of cardiac syncope at initial evaluation in patients referred urgently to general hospital: the EGSYS score. 2) Boston syncope rule: J Emerg Med. The ROSE (Risk Stratification of syncope in the emergency department) Study. Other studies 1) EGSYS score (full text link). Del Rosso A, et al.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

EMDocs

JANUARY 20, 2024

Takotsubo syndrome is often exceedingly difficult to distinguish from acute myocardial infarction in the emergency department, 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 Therefore, phenylephrine is the vasopressor of choice. Eur Heart J.

EMS 101

EMS Fluid Resuscitation Shock EKG/ECG 101

Pediatric Emergency Playbook

JANUARY 1, 2017

For example, for a simple forearm fracture, you may opt to give an oral opioid, perform a hematoma block, and offer inhaled nitrous oxide for reduction, rather than a formal intravenous procedural sedation ( Luhmann 2006 ). Committee on Bioethics and Committee on Hospital Care. Acad Emerg Med. Acad Emerg Med. Pediatrics.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40