Pediatric EM Morsels

JUNE 16, 2023

Arch Orthop Trauma Surg 2013;133(5):635-640.23443527 The post Morel-Lavallée Lesion in Children appeared first on Pediatric EM Morsels. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment.

Soft Tissue Injuries 154

Soft Tissue Injuries Dehydration Fractures Operations 154

RebelEM

JANUARY 9, 2024

You decide she is stable to be discharged home on levofloxacin (See REBEL EM for antibiotic coverage in CAP ) but consider giving her a first dose intravenously. 2006; 333(7580):1193. Cochrane Database Syst Rev 2006(2). appeared first on REBEL EM - Emergency Medicine Blog. A CXR demonstrates a right middle lobe opacity.

Infectious Diseases 99

Infectious Diseases Pediatrics EMS Administration 99

The Skeptics' Guide to EM

JULY 8, 2023

Managing editor of EM:RAP and Associate Editor at REBEL EM. Managing editor of EM:RAP and Associate Editor at REBEL EM. The Cochrane collaboration published analyses of the available data in 1999, 2003 and 2006. Case: A 57-year-old woman with hypertension, […] The post SGEM#409: Same as it Ever Was – Tamiflu for Influenza?

CDC 108

CDC Hospitals EMS Emergency Department 108

Pediatric EM Morsels

AUGUST 2, 2024

x The post Pediatric Balanitis and Balanoposthitis appeared first on Pediatric EM Morsels. Infectious balanoposthitis: management, clinical and laboratory features. Int J Dermatol. 2009;48(2):121-124. doi:10.1111/j.1365-4632.2009.03966.x 1365-4632.2009.03966.x

Pediatrics 154

Pediatrics Allergic Reactions EMS Infectious Diseases 154

Emergency Medicine Journal

OCTOBER 23, 2024

Paediatric emergency medicine (PEM) was first recognised in the UK in 2001 with all doctors required to have a parent specialty—emergency medicine (EM) or paediatrics. In England, the rate of emergency department (ED) attendance in the first year of life is greater than at any other age, amounting to 122 visits per 100 000 population.

Emergency Department 52

Emergency Department EMS 52

Dr. Smith's ECG Blog

OCTOBER 23, 2023

Edited by Bracey, Meyers, Grauer, and Smith A 50-something-year-old female with a history of an unknown personality disorder and alcohol use disorder arrived via EMS following cardiac arrest with return of spontaneous circulation. 2006 Jan 17;47(2):269-81. Epub 2006 Jan 4. Pacing Clin Electrophysiol. 2007 Oct;30(10):1267-72.

EKG/ECG 131

EKG/ECG Documentation/Coding Psychiatric EMS 131

Pediatric EM Morsels

AUGUST 18, 2023

Oral Fluoroquinolone Prescribing to Children in the United States From 2006 to 2015. PMID: 29356761 The post Fluoroquinolone Use In Children appeared first on Pediatric EM Morsels. Nearly 400,000 prescriptions were written and 22% were found to be inappropriate based on clinical guidelines. Clin Pediatr. 55(2):107-10. 38 (3):268-270.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

ACEP Now

SEPTEMBER 5, 2024

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.

Leadership 98

Leadership PPE EMS Wellness 98

RebelEM

MARCH 6, 2024

Anderson C, Horne JA [2006]. Rezaie, MD (Twitter/X: @srrezaie ) The post REBEL Core Cast 119.0 – Sleep Hygiene appeared first on REBEL EM - Emergency Medicine Blog. Diet Lowden A, Holmbäck U, Åkerstedt T, Forslund J, Lennernäs M, Forslund A [2004]. Biol Psychol 65(3):251–263. Hum Psychopharmacol 21(5):299–303. Acad Emerg Med.

Leadership 103

Leadership Hospitals EMS 103

PHEM Cast

DECEMBER 12, 2016

Injury; 2006 (37): 1-19. World Journal of Emergency Surgery; 2006: 1:4. Joint Position Statement of Nat Assoc EMS Physicians and ACS Committee on Trauma. EMJ; 2005: 22-24. Hunt et al. Emergency thoracotomy in thoracic trauma: a review. Clay et al. Rhee et al. J Am Coll Surg. 2001, 193 (3): 303-309. Injury; 2008 (39): 967-969.

Military 52

Military Resuscitation Emergency Department Documentation/Coding 52

RebelEM

JANUARY 24, 2024

Foot Ankle Int 2006; 27(4): 305-13. Rezaie, MD (Twitter/X: @srrezaie ) The post REBEL Core Cast 116.0 – Achilles Tendon Rupture appeared first on REBEL EM - Emergency Medicine Blog. The epidemiology and trends in management of acute Achilles tendon ruptures in Ontario, Canada: a population-based study of 27,607 patients.

Operations 101

Operations Ultrasounds Fractures Outcomes 101

JournalFeed

JANUARY 17, 2022

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. It’s a special edition of the JournalFeed Podcast. Epub 2021 Aug 6. Washington, Harriet A.

EMS 52

EMS Emergency Department 52

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

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.

EKG/ECG 52

EKG/ECG Academics EMS CPR 52

RebelEM

AUGUST 30, 2023

Med Clin North Am, 2006 May;90(3):505-23. PMID: 20237348 Post Created By: Anand Swaminathan MD, MPH (Twitter @EMSwami ) Post Peer Reviewed By: Salim Rezaie MD (Twitter @SRRezaie) The post REBEL Core Cast 107.0 – Vertebral Osteomyelitis appeared first on REBEL EM - Emergency Medicine Blog. PMID: 16473102 Zimmerli W.

Infectious Diseases 100

Infectious Diseases Fractures Radiology Radiology 100

EMDocs

AUGUST 3, 2023

Cumberland Pharmaceuticals, Nashville, TN, 2006. Hernandez SH, Howland M, Schiano TD, Hoffman RS. The pharmacokinetics and extracorporeal removal of N-acetylcysteine during renal replacement therapies. Clin Toxicol (Phila). 2015;53(10):941-949.

Poisoning 98

Poisoning Seizures Administration Pediatrics 98

PHEM Cast

APRIL 10, 2016

And from our buddies at HEFT EM CAST: [link] A bit more detail covering some of the research in an easy to understand way. An amazing podcast on the subject can be found at SMART EM: SMART Testing: Back to Basics As always, any feedback, comments etc. Báez AA, Hanudel P, Perez MT, Giráldez EM, Wilcox SR. March 2016. South Med J.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

PHEM Cast

APRIL 16, 2018

Annals of Emergency Medicine; 2006. Anneals of EM; 2015: 297-307. Resuscitative thoracotomy following wartime injury. Jeffcoach DR et al. Use of CPR in hemorrhagic shock, a dog model. Lockey et al. Traumatic cardiac arrest: who are the survivors? Grasner et al. Critical Care; 2011. Zwingmann et al. Critical Care; 2012. Slessor et al.

Resuscitation 52

Resuscitation Shock Ultrasounds CPR 52

The Skeptics' Guide to EM

APRIL 8, 2023

This is something that has only happened once since 2006 ( Ottawa Citizen March 28, 2023 ) The study referred to in the editorial looks at the experience in Denmark with a reconfiguration of their emergency healthcare services ( Flojstrup et al 2023 ). Listed are the assumptions and some of the points we touched upon.

Stroke 57

Stroke Emergency Department COPD Academics 57

The Skeptics' Guide to EM

JUNE 11, 2017

Guest Skeptic: Dr. Robert Edmonds is an Emergency Medicine staff physician in Newport News, VA and a recent graduate of the University of Missouri-Kansas City EM residency. Background: In the US, daily or every other day aspirin use has been reported to be as high as 61% in adults aged 65 or older ( Ajani et al Am J Prev Med 2006 ).

Stroke 52

Stroke EMS Outcomes 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 103

EKG/ECG Ambulance Services Emergency Department EMS 103

ACEP Now

SEPTEMBER 13, 2023

Years before, he’d started his EM career as medical director of the ER at Memphis’ public hospital and Memphis Fire EMS. 1 “I remarked that EM was not even a specialty then, and suggested it might be an opportune time for an updated IOM report that examined the achievements and challenges of emergency care in the U.S.,”

EMS 45

EMS Research Academics Military 45

Advanced Emergency Nursing from AENJ

DECEMBER 18, 2014

Classic Advice to New Interns (Commentary upon 10 Commandments of EM) Ten Commandments of Emergency Medicine Luke & Cusack Cork Emergency Medicine 2014 The Derriford twelve commandments of emergency medicine: a model for good practice in a changing world, or a survival guide for new medical staff Smith, J.

Mass Casualty Incidents 40

Mass Casualty Incidents Burns Urgent Care Pediatrics 40

PHEM Cast

APRIL 21, 2021

Annals of Emergency Medicine 2006; 47(6):548-555 Lewis SR, Butler AR, Parker J, Cook TM, Smith AF. Difficult prehospital endotracheal intubation – predisposing factors in a physician based EMS. Difficult prehospital endotracheal intubation – predisposing factors in a physician based EMS. DOI:10.1002/14651858.CD011136.pub2.

Airway Management 40

Airway Management Resuscitation EMS Hospitals 40

Taming the SRU

SEPTEMBER 8, 2023

Clinical Critical Care Medicine, 2006, pp. NAC: Jiang SX, Hussaini T, Yoshida EM. Gastroenterology. 2017 Feb;152(3):644-647. doi: 10.1053/j.gastro.2016.12.026. 2016.12.026. Epub 2017 Jan 2. PMID: 28056348. Cross, Timothy, et al. Acute liver failure.” 531–542, [link] Shah NJ, Royer A, John S. Acute Liver Failure. Updated 2023 Apr 7].

Radiology 59

Radiology Radiology Ultrasounds EMS 59

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Advocacy for Trauma Care and EMS Development. Development of EM Residencies. Organized EM supporting Rapid Sequence Intubation and other airway advances. Organized EM supporting Rapid Sequence Intubation and other airway advances. EM begins to "Own the Airway" (emergent). EDNA->ENA. Touchstone, Mike.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

Downeast Emergency Medicine

JULY 17, 2021

2006 Aug; 48(2): 173-81.[ A convenience sample of 150 adults aged 18-64 presenting between November 2016 and October 2018 with pain between the costal margin and groin suspected by the EM physician of being caused by renal colic were enrolled. American Journal of Emergency Medicine. 2020 Feb; 38 (2): 165-172.[ Pubmed ] 3.

Emergency Department 52

Emergency Department Wellness Administration EMS 52

RebelEM

JANUARY 23, 2023

Noninferiority trials, covered here on REBEL EM , are helpful when the experimental treatment offers a distinct advantage over the standard treatment. 2006) “Management of acute allergic reactions and anaphylaxis in the Emergency Department between 1993-2003,” Journal of Allergy and Clinical Immunology , 117(2). J Allergy Clin Immunol.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

Dr. Smith's ECG Blog

NOVEMBER 15, 2013

It shows that on a 7 day angiogram, only 58% of re-occlusions were symptomatic: Ohman EM, Califf RM, Topol EJ et al. Eur Heart J 2001;22:1997–2006. Here is the classic article on continuous 12-lead monitoring (in full text) showing that the ECG is a much more reliable indicator of re-occlusion than are symptoms. Gottlieb SO, et al.

EKG/ECG 52

EKG/ECG Documentation/Coding Emergency Department Wellness 52

EMDocs

APRIL 22, 2024

EMS verbalized concern to EPs that an “intracranial bleed” may have precipitated the event. 4, 2006, pp. Paramedics reported that coworkers activated them after the patient was discovered unconscious with labored breathing. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: [link] Meneveau, Nicolas, et al.

Ultrasounds 98

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

EMDocs

NOVEMBER 16, 2024

We’ll keep it short, while you keep that EM brain sharp. Rockville (MD): Agency for Healthcare Research and Quality (US); 2006 Feb-. The post EM@3AM: Total Hip Arthroplasty Complications appeared first on emDOCs.net - Emergency Medicine Education. Initial vital signs include T 36.8, HR of 91, BP 138/88, RR 16, SPO2 98% on RA.

EMS 98

EMS Dislocations Fractures Operations 98

Advanced Emergency Nursing from AENJ

NOVEMBER 20, 2014

Police officers have poor hit probability, ricochets may occur, suppressive fire may be used (“keep ‘em pinned down”), or even ‘spray and pray.” Being a health care worker does not protect you from fire coming your way. You are not safer in an area that is posted as a “gun-free zone.” Tejwani, N. C., & Egol, K. de Barros Filho, T.

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

Taming the SRU

MARCH 31, 2023

of emergency medicine residents report 1 or more dimensions of burnout (Lin Annals Emerg Med 2019) Moral Injury with COVID “We pushed aside our fear and frustration to focus on saving the patients in front of us; we kept our eyes open, and our feelings closed.

Allergic Reactions 40

Allergic Reactions Seizures Anaphylaxis Leadership 40

Pediatric Emergency Playbook

OCTOBER 1, 2015

EMS is bringing you a child with a VP shunt, port-a-cath, trached on a vent, seizing, hypotensive, and now desaturating – ETA – 3 minutes. Paediatric Resp Rev (2006) 7, 162–168 Wright SE,VanDahm K. Are you ready? Medicine is evolving. Before we go further, remember to assess the parent and the child as a unit.

Pediatrics 40

Pediatrics Fractures Resuscitation Burns 40

EMDocs

FEBRUARY 22, 2025

Well keep it short, while you keep that EM brain sharp. He was transported from the scene by EMS. 2006 Jan;29(1):64-71. The post EM@3AM: CSF Leak appeared first on emDOCs.net - Emergency Medicine Education. A 37-year-old male comes in with facial trauma after his head slammed into the steering wheel during an MVC.

EMS 67

EMS Fractures Operations Wellness 67

EB Medicine

OCTOBER 1, 2018

Jeff : I’m an EMS fellow, what can I say… Anyway, on to my favorite section -- prehospital care. This is always a hot topic because the prehospital period is a special opportunity to get early interventions in for septic patients as 40 - 70% of all severe sepsis hospitalizations arrive via EMS. What does that mean?

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40

Advanced Emergency Nursing from AENJ

APRIL 8, 2014

Implementation and care directives for "EMS" mouth-to-airway. Photo from which, by kind permission of Allen Press, shown above of early mouth-to-airway devices. Probably only Internet-accessible extant photo of the Gordon Airway. O’Donnell, C. Gibson, A. T., & Davis, P.

Resuscitation 40

Resuscitation Ambulance Services Research Military 40

EB Medicine

SEPTEMBER 1, 2018

Both are at the University of Florida Jacksonville, and they reviewed a total of 120 articles from 2006-2017, in addition to reviews from both Cochrane and Dare. As some background, from 2006-2015 there were almost 66,000 reported snake exposures and 31 deaths from snake envenomation in the US. Jeff: What a team! Jeff: What a team!

Emergency Department 40

Emergency Department Poisoning Anaphylaxis Allergic Reactions 40