PEMBlog

MAY 17, 2023

J Inherit Metab Dis 2007; 30:631. Department of Health and Human Services (HHS) as part of an award (U07MC37471) totaling $3M with 0 percent financed with nongovernmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Pediatrics 2021; 147.

Psychiatric 80

Psychiatric Pediatrics Emergency Department Best Practices 80

ALiEM

FEBRUARY 20, 2024

Here is the patient’s EKG after administration of a 300 mEq sodium bicarbonate showing significant improvement of the cardiac sodium channel blockade as evidenced by a narrower QRS complex. 2007 Apr;19(2):155-9. What are other agents that block cardiac socium channels? PMID: 35287973. Devin R, Devin R, Garrett P, Anstey C.

Shock 73

Shock EKG/ECG Poisoning Burns 73

The Skeptics' Guide to EM

MARCH 18, 2023

Association of early oseltamivir with improved outcomes in hospitalized children with influenza, 2007-2020. Association of early oseltamivir with improved outcomes in hospitalized children with influenza, 2007-2020. Association of early oseltamivir with improved outcomes in hospitalized children with influenza, 2007-2020.

Pediatrics 40

Pediatrics Infectious Diseases Administration Outcomes 40

The Skeptics' Guide to EM

MAY 21, 2017

His prehospital vital signs were oxygen saturation of 89% and respiratory rate of six breaths per minute prior to administration of oxygen and 1 mg of naloxone. After naloxone administration he is alert and oriented times three with a normal pulse oximetry and clear lung fields. Reference: Willman et al. Clinical Toxicology 2017.

Emergency Department 52

Emergency Department Administration Academics EMS 52

EMDocs

MARCH 2, 2024

A) Administration of mannitol B) Admission for observation C) Discharge home D) Discharge home with oral steroids Answer: B The patient has a skull fracture with an overlying laceration. Administration of mannitol (A) is indicated for patients with elevated intracranial pressure. 2007 ) ISBN:1888799935. Demos Medical Publishing.

EMS 119

EMS Fractures Seizures Head Injuries 119

PEMBlog

MAY 24, 2023

Marianne Gausche-Hill New England EMSC: New England Regional Behavioral Health Toolkit Disclaimer The Emergency Medical Services for Children Innovation and Improvement Center is supported by the Health Resources and Services Administration (HRSA) of the U.S. 2007 Oct;14(5):265-8. West J Emerg Med. 2012 Feb;13(1):35-40. PMC3298214.

Emergency Department 59

Emergency Department Pediatrics Psychiatric Administration 59

Don't Forget the Bubbles

MAY 29, 2023

Internet] 2007; 505:1181–1197. JONA: The Journal of Nursing Administration. Organizational Dynamics [Internet] 2015:44:4: 258-265. Available at: [link] Porath CL, Erez A. Does rudeness really matter? The effects of rudeness on task performance and helpfulness. Acad Manage J. Roberts SJ, Scherer LL, Bowyer CJ. Smokler LP, Malecha A.

Leadership 98

Leadership Patient Safety Academics Research 98

Dr. Smith's ECG Blog

NOVEMBER 2, 2015

A prospective analysis of consecutive adult patients presenting to an urban/suburban two paramedic ambulance service fromJuly 15, 2006, to August 15, 2007, who have diagnostic ECGs for STEMI. Prehospital ECGs diagnostic for STEMI can normalize or become nondiagnostic after NTG administration or due to spontaneous reperfusion or evolution.

EKG/ECG 52

EKG/ECG Ambulance Services Administration 52

ACEP Now

OCTOBER 3, 2023

This document is an update of guidelines first published in 2000, and then updated in 2007. Prehospital administration of TXA therapy is not generally and widely indicated for the prophylactic treatment of suspected ICH or elevated ICP at this time. References Lulla A, et al.

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98

Pediatric Emergency Playbook

AUGUST 1, 2017

2007; 16:27-33. 2007; 298(4):438-451. Plasma levels of lidocaine following nebulized aerosol administration. 2007; 25:1009-1040. Single-stage versus multi-stage pull-through for Hirschsprung's disease: practice trends and outcomes in infants. J Pediatr Surg 2014; 49:1619. Pyloric Stenosis Aspelund G, Langer JC.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

Don't Forget the Bubbles

DECEMBER 16, 2024

Depending on the individuals circumstances, this may involve either the administration of the MMR vaccine within 72 hours of exposure or intravenous immunoglobulin within six days. Although post-exposure prophylaxis is recommended in cases of measles, these interventions have limited effectiveness, making surveillance a priority.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

EMDocs

JANUARY 29, 2024

hypertensive emergency, need for thrombolytic administration) [1]. 2007 Jul 18;2007(3):CD000277. Current guidelines do not recommend acute treatment of hypertension in these patients unless extreme (SBP > 220 mmHg or DBP > 120 mmHg), or another indication is present (e.g. 1998 Apr;50(4):876-83. doi: 10.1212/wnl.50.4.876.

Stroke 99

Stroke Outcomes EMS Seizures 99

Medical Law

JANUARY 19, 2022

An estimated 891 bicyclists were killed in traffic crashes in 2020, according to the National Highway Traffic Safety Administration ( NHTSA ). roadways, the largest number of traffic fatalities nationwide since 2007, and an increase of approximately 7.2% Cities throughout the U.S. reported higher numbers of bike crashes.

Administration 40

Administration 40

EMDocs

OCTOBER 21, 2023

15 Treatment: Several treatment modalities have been described for BAO, including intravenous thrombolysis (IVT) which involves systemic administration of agents such as TNK or tPA, intra-arterial thrombolysis (IAT) via microcatheter at thrombus site, or mechanical endovascular thrombectomy (EVT). link] January 24, 2007.

EMS 97

EMS Stroke Outcomes Hospitals 97

RebelEM

JANUARY 23, 2023

2007 Jul-Aug;28(4):418-26. The effectiveness of IV cetirizine was determined to be statistically non-inferior. However, according to the American Academy of Allergy, Asthma, and Immunology, “oral antihistamine therapy is equivalent to IV therapy” (Ledford D 2019). Resources: Banerji A, Long AA, Camargo CA Jr. Allergy Asthma Proc.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

EMDocs

SEPTEMBER 25, 2023

First described in 1970, RSI with the near-simultaneous administration of a sedative agent and NMBA has been shown to have increased first-pass success compared with intubation facilitated by a sedative alone (6,7). 2007): 748. Introduction: Since the late 1990s, RSI has been the gold standard of emergency intubations (5).

Emergency Department 92

Emergency Department Soft Tissue Injuries Airway Management Operations 92

Critical Care Now

MAY 12, 2022

If the tympanic membrane was not completely visualized after administration of the medication, irrigation with 50 – 100 mL of lukewarm normal saline may be completed. 2007; 75: 1523 – 28. Debrief Docusate is a stool softener that may be used as a cerumenolytic for patients with cerumen impaction. Cerumen Impaction. Am Fam Physician.

Infectious Diseases 52

Infectious Diseases Stroke Emergency Department Administration 52

Dr. Smith's ECG Blog

JULY 22, 2023

A Brugada-1 pattern may either be observed spontaneously ( with leads V1 and/or V2 positioned normally — or positioned 1 or 2 interspaces higher than usual ) — or — a Brugada-1 pattern may be observed on provocative drug testing after IV administration of a sodium-channel blocking agent such as ajmaline, flecainide or procainamide.

EKG/ECG 92

EKG/ECG Hyperthermia / Hypothermia Documentation/Coding Wellness 92

Northwestern EM Blog

JANUARY 24, 2022

At those levels, bicarbonate administration has not been shown to improve cardiac output, MAP or pressor response. For example, a patient in cardiogenic shock will likely worsen with the administration of fluids and the wrong vasopressors. 2007; 25: 309-331. Alternate Shock Not all shock is declared equal. Arch Surgery.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

ACEP Now

AUGUST 1, 2023

This is an important opportunity for board certified emergency physicians to secure those positions today, impressing upon hospital administrations the essential benefits to the patients, the medical staff, and the hospital itself uniquely enabled by board certified emergency physicians.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

Pediatric Emergency Playbook

MAY 1, 2017

Also, newborns have a double-whammy administrative load. 2007 Nov;25(4):1117-35, vii. Newborns are terrible at answering emails. There is a lot of unread unconjugated bilirubin is floating around. The liver and spleen are just not able to keep up. The infant’s gut is relatively sterile, so no admin assistance there. Pediatrics.

Dehydration 52

Dehydration Pediatrics Wellness Seizures 52

EB Medicine

MAY 3, 2019

Since commonly prescribed antidepressants take up to 6-8 weeks to have a clinical effect, the administration of psychotropic medications is not routinely initiated in the ED. Mental health and substance abuse-related emergency department visits among adults, 2007: statistical brief #92. Jeff: As always, the team approach is preferred.

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

Pediatric Emergency Playbook

JANUARY 1, 2017

CRIES is a 10-point scale, using a physiologic basis similar to APGAR: Crying; Requires increased oxygen administration (distress and breath-holding); Increased vital signs; Expression; and Sleeplessness ( Krechel 1995 ). Once the pain is controlled, less frequent administration of medications, with frequent reassessments, are indicated.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Pediatric Emergency Playbook

AUGUST 1, 2016

The subcutaneous tissues will swell to a point where you have a steady state fluid administration rate, and as soon as you stop the infusion, the remaining fluid will start to subside as it is absorbed. in 2007 compared subcutaneous administration of lactated ringer’s solution by gravity with and without hyalurondase.

Allergic Reactions 52

Allergic Reactions Dehydration Pediatrics Administration 52

EMDocs

JULY 17, 2023

3,14 There are currently no good studies of enteric or rectal contrast administration in the evaluation of LBO and there are no society recommendations for its use. 2007 Jan 21;13(3):432-7. This also serves as a tool for surgical planning. 2,3,5 A CT scan with IV contrast is reported as 96% sensitive and 93% specific for LBO.

Operations 98

Operations EMS Fluid Resuscitation Resuscitation 98

Intensive Blog

FEBRUARY 9, 2023

The timeframe for administration of charcoal post Amanita phalloides poisoning may be up to 48 hours 9. 2007, Mar). This should be discussed with a toxicologist. Antidotes and specific therapies Silibinin an antidote used in cases of Amanita phalloides poisoning 10. .; Bellomo, R. 2014, Jan). Anaesth Intensive Care, 42(1), 78-88.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Fluid Resuscitation Resuscitation 52

Dr. Smith's ECG Blog

APRIL 8, 2015

2007 Oct; 33(3): 233–239. Administrative data from an integrated health system of 11 Southern California EDs were used to identify cardiac outcomes after ED presentation for syncope from January 1, 2002, to December 31, 2005. 2) Boston syncope rule: J Emerg Med.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

ACEP Now

DECEMBER 11, 2023

Food and Drug Administration regarding the efficacy of oral phenylephrine as a nasal decongestant, caused a ruckus. The GRASE Pathway Phenylephrine has been available for oral administration within the FDA scope of non-prescription drugs under the designation Generally Recognized as Safe and Effective (GRASE).

Administration 64

Administration Outcomes Research Stroke 64

The Skeptics' Guide to EM

JUNE 12, 2021

This uncertainty has led to wide practice variation and controversy surrounding diagnostic testing (blood and cerebrospinal fluid testing), antibiotic administration (IV vs oral), and disposition (discharge vs admission) in infants with AOM.

Pediatrics 40

Pediatrics Emergency Department Administration Hospitals 40

Sensible Medicine

APRIL 3, 2025

“I have no idea what you are talking about Your mouth moves only with someone's hand up your ass” - Radiohead In the fall of 2007, Radiohead released In Rainbows. If you think the rules we have in medicine are sensible— the policies and administration reasonable— you are wrong.

OB/GYN 93

OB/GYN Administration Wellness Hospitals 93

EMDocs

JANUARY 20, 2025

Since then, at least three separate meta-analyses 20-22 have found that on the whole, a restrictive fluid administration approach (variously defined) is at least as effective and possibly better than a liberal approach. It may be reasonable to consider IV fluid administration in patients with moderate dehydration or prolonged vomiting.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

Sensible Medicine

SEPTEMBER 29, 2024

The IRB administrator confirmed that Suzanna is not required to consult with an IRB and that I could collaborate on a publication provided that the data were deidentified. Michael Bailey and Northwestern IRB administrator [redacted].” Hamburger, 2004; Hottenstein, 2018; Katz, 2007; Schneider, 2015; Sola Pool, 1980).

Academics 145

Academics Research Administration Outcomes 145