Don't Forget the Bubbles

NOVEMBER 29, 2023

A retrospective cohort analysis of the ED portion of the National Hospital Ambulatory Medical Care Survey from 2006 to 2009 in the US revealed that less than one-half of patients undergoing ETI in the ED received sedative drugs while in the ED.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

Don't Forget the Bubbles

MARCH 19, 2024

This has coincided with a widespread shortage of specialist placements for children facing behavioural, psychiatric, and child protection challenges, leading to an over-reliance on the placement of these children in hospitals. A paediatric social admission is one where a child is admitted to the hospital but not for a medical reason.

Hospitals 52

Hospitals Psychiatric Documentation/Coding Pediatrics 52

Taming the SRU

DECEMBER 11, 2023

If providers are unsure about or concerned for the patient’s suitability for safe discharge, attempts should be made to engage hospital specific psychiatric resources. In: Healthcare Cost and Utilization Project (HCUP) Statistical Briefs.Rockville (MD)2006. Emergency Department Visits Related to Suicidal Ideation, 2006-2013.

EMS 97

EMS Psychiatric Emergency Department Poisoning 97

RebelEM

MARCH 6, 2024

Anderson C, Horne JA [2006]. Diet Lowden A, Holmbäck U, Åkerstedt T, Forslund J, Lennernäs M, Forslund A [2004]. Performance and sleepiness during a 24 h wake in constant conditions are affected by diet. Biol Psychol 65(3):251–263. A high sugar content, low caffeine drink does not alleviate sleepiness but may worsen it.

Leadership 103

Leadership Hospitals EMS 103

EMDocs

FEBRUARY 7, 2024

3 Increasing Strikes and Unions Labor actions in healthcare can disrupt normal hospital operations, potentially impacting costs and threatening patient quality of care. One study from the National Bureau of Economic Research on nursing strikes in New York State from 1984 to 2004 found that hospital mortality increased by 19.4%

Hospitals 98

Hospitals Research Patient Safety Wellness 98

Emergency Medicine Journal

JULY 22, 2024

The rate of violent events in Mexico, especially in hospital settings, has increased since 2006, but has become more evident in 2018. Guanajuato State, located in central Mexico, is among the states most affected by the wave of violence, especially active shooter events. The year 2019 had the highest number of incidents.

Emergency Department 52

Emergency Department Documentation/Coding Hospitals 52

PHEM Cast

SEPTEMBER 25, 2019

Parenteral penicillin for children with meningococcal disease before hospital admission: case-control study. 2006 Jun 3;332(7553):1295–8. 2006 Jun 3;332(7553):1299–303. Hahné SJM, Charlett A, Purcell B, Samuelsson S, Camaroni I, Ehrhard I, et al. J Clin Epidemiol 1998, 51:717–721.

Ambulance Services 52

Ambulance Services Sepsis Burns Hospitals 52

EMDocs

AUGUST 13, 2024

From 2006-2013, HTN emergencies occurred in approximately 2 of every 1000 adult ED visits. Of note, they caution against lowering the BP of patients with asymptomatic markedly elevated BP prior to going to the hospital floor, as this is not evidence based and furthers the myth that treatment of the BP is necessary.

Stroke 98

Stroke Administration Outcomes Hospitals 98

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

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.

Leadership 98

Leadership PPE EMS Wellness 98

Don't Forget the Bubbles

AUGUST 30, 2023

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. A Single-Institution Experience in the Use of Chest Radiographs for Hospitalized Children Labeled as Asthma Exacerbation. Hamdoun, O., Alabdouli, A., Alsamri, M.

Emergency Department 131

Emergency Department Pediatrics Infectious Diseases Research 131

PEMBlog

MAY 17, 2023

In: Textbook of Pediatric Emergency Medicine, 5th, Fleisher GR, Ludwig S, Henretig FM (Eds), Lippincott Williams & Wilkins, Philadelphia 2006. Chun TH, Sargent J, Hodas GR. Psychiatric emergencies. Cunqueiro A, Durango A, Fein DM, et al. Pediatr Radiol 2019; 49:240.

Psychiatric 80

Psychiatric Pediatrics Emergency Department Best Practices 80

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 ). It was a stepped-wedge reconfiguration of the entire Danish emergency healthcare system.

Stroke 56

Stroke Emergency Department COPD Academics 56

EMDocs

JUNE 12, 2024

Abnormal Calcium Levels During Trauma Resuscitation Are Associated With Increased Mortality, Increased Blood Product Use, and Greater Hospital Resource Consumption. Do early ionized calcium levels really matter in trauma patients? J Trauma – Inj Infect Crit Care. MacKay EJ, Stubna MD, Holena DN, et al. Anesth Analg. 2017;125(3):895-901.

Hyperthermia / Hypothermia 105

Hyperthermia / Hypothermia Resuscitation Administration Blood Transfusions 105

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. Emergency psychiatric assessment, treatment, and healing (EmPATH) unit decreases hospital admission for patients presenting with suicidal ideation in rural America.

Psychiatric 52

Psychiatric Hospitals Academics Research 52

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

Angiography after Out-of-Hospital Cardiac Arrest without ST-Segment Elevation. Angiography after Out-of-Hospital Cardiac Arrest without ST-Segment Elevation. Background: The American Heart Association estimates there are approximately 350,000 EMS-assessed out-of-hospital cardiac arrests (OHCAs) in the United States per year.

EKG/ECG 52

EKG/ECG Academics EMS CPR 52

Taming the SRU

JULY 2, 2023

The Glories of End Tidal CO2 EtCO2 vs Standard Triage Vitals for Predicting In-Hospital Mortality References Long, Brit, Alex Koyfman, and Michael A. 2006): e1170-e1178. For some additional background, take a look and listen at our previous posts/podcasts on EtCO2. The Journal of emergency medicine 53.6 2017): 829-842. 2014): 247-258.

Emergency Department 88

Emergency Department Pediatrics CPR Resuscitation 88

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

Don't Forget the Bubbles

NOVEMBER 8, 2023

She had a low-grade fever and an episode of vomiting before coming to the hospital. Hospital Admitted Patient Care Activity. 2006 Oct;241(1):83-94. How does appendicitis present in kids? Tilly’s father explains that she has been unwell for two days with worsening abdominal pain. Her immunisations are up to date. Bachur, R.G.,

Emergency Department 105

Emergency Department Ultrasounds Pediatrics Best Practices 105

PHEM Cast

APRIL 16, 2018

Annals of Emergency Medicine; 2006. Effect of adrenaline on survival in out of hospital cardiac arrest: randomised double-blind placebo controlled trial. 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?

Resuscitation 52

Resuscitation Shock Ultrasounds CPR 52

PHEM Cast

APRIL 10, 2016

Severe Sepsis in Pre-Hospital Emergency Care. Prehospital Sepsis Project (PSP): knowledge and attitudes of United States advanced out-of-hospital care providers. Parenteral penicillin for children with meningococcal disease before hospital admission: case-control study. 2006 Jun 3;332(7553):1295–8. 2009;13(5):R167.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

Pediatric Emergency Playbook

OCTOBER 1, 2017

2006; 113: 2313-2319. Predictors of In-Hospital Mortality in Children After Long-Term Ventricular Assist Device Insertion. Outcomes of Children Bridged to Heart Transplantation With Ventricular Assist Devices: A Multi-Institutional Study. Circulation. Colón JE, Laborde ME, Nossaman BD. Fan Y, Weng YG, Huebler M et al.

Pediatrics 52

Pediatrics Seizures Stroke Ultrasounds 52

Critical Care Now

MARCH 3, 2022

The Pre-brief Working in a Pulmonary Function Lab plus providing in-patient care within the hospital, I see patients every day that have been diagnosed with chronic obstructive pulmonary disease (COPD). The use of the combination of drugs saw the greatest benefits in reducing COPD hospitalization and mortality. 2006, May 2 ).

COPD 52

COPD Research Hospitals Wellness 52

Taming the SRU

JANUARY 29, 2024

Hospital Course The patient was initiated on a therapeutic heparin drip in the emergency department with vascular surgery consultation. She had improvement of the swelling in her left arm with return of sensation and function during her five-day hospital course. 2006 Apr;17(3):225-6. Epub 2004 Sep 7. Blood Coagul Fibrinolysis.

Emergency Department 94

Emergency Department Fractures Hospitals Operations 94

Taming the SRU

JULY 24, 2023

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. 2006 Dec 28;12(48):7832-6. Fluid cultures obtained during the procedure grew E. coli and rare budding yeasts.

Ultrasounds 79

Ultrasounds Sepsis Radiology Radiology 79

PHEM Cast

APRIL 21, 2021

Annals of Emergency Medicine 2006; 47(6):548-555 Lewis SR, Butler AR, Parker J, Cook TM, Smith AF. The success of pre-hospital tracheal intubation by different pre-hospital providers: a systematic literature review and meta-analysis. Videolaryngoscopy versus direct laryngoscopy for adult patients requiring tracheal intubation.

Airway Management 40

Airway Management Resuscitation EMS Hospitals 40

Don't Forget the Bubbles

OCTOBER 7, 2024

If the hose is narrow, less water flows through (low current) References Electrocution and Electrical Injury – Emergency Management in Children; Children’s Health Queensland Hospital and Health Service Baird J. Electrical Injuries. Chen P, Bukhman AK. Electrical and lightning injuries. In: Walls RM, ed. Narayanan, K., and Marijon, E.,

Burns 80

Burns Fluid Resuscitation Shock Resuscitation 80

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

Advanced Medical Reviews

SEPTEMBER 15, 2017

A Manatt Health study funded by the Robert Wood Johnson Foundation found that the total number of such clinics grew 900 percent between 2006 and 2014 , to 1,800 nationwide. FierceHealthPayer projected hundreds of thousands of dollars in savings from reduced ER/hospital admissions. Their overall convenience has tradeoffs, though.

Operations 56

Operations Research Wellness Hospitals 56

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. Larger sample sizes will give a better picture of a model’s true accuracy.

Research 60

Research Hospitals Academics Emergency Department 60

Advanced Emergency Nursing from AENJ

DECEMBER 18, 2014

Research The Ten Commandments of Emergency Care Research (p59 ff ) From ACEP Mass Casualty Planning Management of Conventional Mass Casualty Incidents: Ten Commandments for Hospital Planning Lynn, M., Management of conventional mass casualty incidents: ten commandments for hospital planning. Herzog, M., & Seidl, R.

Mass Casualty Incidents 40

Mass Casualty Incidents Burns Urgent Care Pediatrics 40

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. It’s going to take time, money and commitment within hospitals, the specialty and in the federal government.”

EMS 45

EMS Research Military Academics 45

PulmCCM

OCTOBER 16, 2023

hospitals, between roughly one and four central line-associated bloodstream infections (CLABSI) occur per 1,000 days with a central line in place (catheter-days). Central line infections result in excess mortality, hospital stays, and cost (although the magnitude of all three are debated). How Often Do Central Lines Become Infected?

CDC 52

CDC Hospitals Ultrasounds Documentation/Coding 52

Pediatric Emergency Playbook

JANUARY 1, 2018

Incidence and trends of pediatric ovarian torsion hospitalizations in the United States, 2000-2006. Fetal ovarian cysts management and ovarian prognosis: a report of 82 cases. 2009;44:868; author reply 868-9. Guthrie BD, Adler MD, Powell EC. Pediatrics 2010;125:532-8. Epub 2010 Feb 1. Houry D, Abbott JT. 2001;38:156-9.

Pediatrics 52

Pediatrics Ultrasounds Radiology Radiology 52

Pediatric Emergency Playbook

AUGUST 1, 2017

2006; 26:1485-1500. 2006; 22:1021-1024. Management of the child after enema-reduced intussusception: hospital or home? Acute Intestinal Obstruction in children: Experience in a Tertiary Care Hospital. Pediatr Rev. 1988; 9(7):219-226. Malrotation with Midgut Volvulus Applegate KE. Radiographics. Kapfer SA, Rappold JF.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

Don't Forget the Bubbles

DECEMBER 16, 2024

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. and Van Rie, A., Diagnosis of pertussis: a historical review and recent developments. Expert review of molecular diagnostics , 6 (6), pp.857-864.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

Downeast Emergency Medicine

JULY 17, 2021

2006 Aug; 48(2): 173-81.[ Adult patients presenting with renal colic were enrolled across 3 hospitals in Tehran and were excluded for age > 65, PUD, GI bleed, renal insufficiency as well as those who had received analgesics within 24 hours. American Journal of Emergency Medicine. 2020 Feb; 38 (2): 165-172.[ Pubmed ] 3.

Emergency Department 52

Emergency Department Wellness Administration EMS 52