RebelEM

MARCH 6, 2024

2007 Nov;30(11):1445-59. Morgenthaler TI et al; Standards of Practice Committee of the American Academy of Sleep Medicine. Practice parameters for the clinical evaluation and treatment of circadian rhythm sleep disorders. An American Academy of Sleep Medicine report. doi: 10.1093/sleep/30.11.1445. Erratum in: Sleep.

Leadership 103

Leadership Hospitals EMS 103

Don't Forget the Bubbles

NOVEMBER 20, 2023

Royal Children’s Hospital. Royal Children’s Hospital, Melbourne. Most paediatric neck lumps are benign, although they may require specific investigations and management. References Al-Khateeb T, Al Zoubi F. Congenital Neck Masses: A Descriptive Retrospective Study of 252 Cases. Journal of Oral and Maxillofacial Surgery.

Pediatrics 124

Pediatrics Documentation/Coding Emergency Department Ultrasounds 124

ALiEM

JUNE 15, 2023

New York, NY: Springer; 2007. PMID 12801736 Author information Sheila Goertemoeller, PharmD, DABAT, ICPS Clinical Toxicologist and Educator Drug and Poison Information Center Cincinnati Children's Hospital Medical Center | The post ACMT Toxicology Visual Pearl: The Heart Won’t Go On and On appeared first on ALiEM. Elsevier; 2017.

Poisoning 98

Poisoning EKG/ECG Hospitals 98

RebelEM

FEBRUARY 21, 2024

IM ketorolac will provide better pain relief and the patient will be happier with her care since she got an ‘injection’ and, after all, she did come all the way to the hospital. A 2007 review of the literature concluded that there was no difference in analgesia between IM ketorolac and PO ibuprofen ( Arora 2007 ).

Administration 63

Administration Emergency Department EMS Research 63

EMDocs

AUGUST 22, 2024

3,4 Notably, institutions receiving federal funding (such as hospitals receiving Medicare reimbursement) must abide by Title VI of the 1964 Civil Rights Act, which entitles persons with NELP to language assistance. Improving patient safety systems for patients with limited English proficiency: a guide for hospitals. April 2007.

Documentation/Coding 104

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 104

The Skeptics' Guide to EM

MARCH 18, 2023

Association of early oseltamivir with improved outcomes in hospitalized children with influenza, 2007-2020. Guest Skeptic: Dr. Marisu Rueda-Altez is a pediatric infectious disease fellow at Children’s National Hospital in Washington, DC. JAMA Pediatr. JAMA Pediatr. JAMA Pediatr.

Pediatrics 40

Pediatrics Infectious Diseases Administration Outcomes 40

Don't Forget the Bubbles

AUGUST 30, 2023

A Single-Institution Experience in the Use of Chest Radiographs for Hospitalized Children Labeled as Asthma Exacerbation. Bethesda, MD: National Heart, Lung, and Blood Institute; 2007:391 Patel NH, Hassoun A, Chao JH. Hamdoun, O., Alabdouli, A., Alsamri, M. Ghatasheh, G. Zoubeidi, T., & Souid, A. 2019 Aug 1;173(8):801].

Emergency Department 131

Emergency Department Pediatrics Infectious Diseases Research 131

PEMBlog

MAY 17, 2023

J Inherit Metab Dis 2007; 30:631. Collaborative Care in the Identification and Management of Psychosis in Adolescents and Young Adults. Pediatrics 2021; 147. Sedel F, Baumann N, Turpin JC, et al. Psychiatric manifestations revealing inborn errors of metabolism in adolescents and adults. Chun TH, Sargent J, Hodas GR. Psychiatric emergencies.

Psychiatric 80

Psychiatric Pediatrics Emergency Department Best Practices 80

RebelEM

MARCH 9, 2023

Assess for head and neck trauma : A 2014 study out of NYU/Bellevue Hospital found that 39% of patients who frequented the emergency department with acute alcohol intoxication had a moderate to severe brain injury over a three-year period. Suicide attempts in which alcohol is involved: a special group in general hospital emergency rooms.

Psychiatric 52

Psychiatric Emergency Department Fractures Documentation/Coding 52

ALiEM

JANUARY 22, 2024

The patient during his hospital stay developed ARDS and was on mechanical ventilation for 20 days. 2007 Dec;21(4):997-1011, ix. Fever was documented to be 102°F and was not associated with any chills or rigors. He was then extubated and discharged after 27 days. Early empiric treatment with Doxycycline is life-saving. 2007.08.002.

Academics 64

Academics Documentation/Coding Emergency Department Hospitals 64

PHEM Cast

JULY 14, 2016

2007 Aug 1;:1–18. Out-of-hospital spinal immobilization: its effect on neurologic injury. 2007 Jul 1;24(7):501–3. Connor D, Greaves I, Porter K, Bloch M, consensus group Faculty of Pre-Hospital Care. Pre-hospital spinal immobilisation: an initial consensus statement. The University of Warwick. Acad Emerg Med.

Fractures 52

Fractures Hospitals Shock Research 52

The Skeptics' Guide to EM

SEPTEMBER 7, 2018

He divides his time between a tertiary children’s hospital and a community hospital that is busy enough to have its own paediatric […] The post SGEM#228: Winds of Change – High Flow Nasal Oxygen for Acute Bronchiolitis? Her parents Dave and Tony have driven 20 minutes from home to bring her to the regional hospital where you work.

Dehydration 40

Dehydration Pediatrics Hospitals Academics 40

RebelEM

AUGUST 28, 2023

IM ketorolac will provide better pain relief and the patient will be happier with her care since she got an ‘injection’ and, after all, she did come all the way to the hospital. A 2007 review of the literature concluded that there was no difference in analgesia between IM ketorolac and PO ibuprofen ( Arora 2007 ).

Administration 52

Administration Emergency Department EMS Research 52

ACEP Now

OCTOBER 3, 2023

This document is an update of guidelines first published in 2000, and then updated in 2007. There are at least 600 TBI-related hospitalizations and 175 TBI-related deaths per day. 2,3 TBI outcomes are profoundly linked to the timing and quality of care provided before patients reach the hospital.

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98

RebelEM

DECEMBER 1, 2022

Regardless of the cause, a thoracostomy is often required for treatment (Currie 2007 ). The weighting from spontaneous pneumothorax was nearly 55% for drainage duration, 77% for complication rates, 96% for hospital length of stay, and 100% for recurrence rates. Air is Air? Our Conclusion: We agree with the author’s conclusion.

Outcomes 52

Outcomes Hospitals Research Critical Access 52

PulmCCM

FEBRUARY 19, 2024

Let Families Activate Rapid Response Teams, Says SCCM The Society of Critical Care Medicine (SCCM) issued a new guideline on how hospitals and care teams should respond to emergencies outside the ICU or ED (i.e., SCCM now suggests this should be a standard practice at most hospitals. on the medical and surgical wards). Read it here.

Hospitals 52

Hospitals Resuscitation Burns Documentation/Coding 52

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. JAMA, 2007. How does appendicitis present in kids? Tilly’s father explains that she has been unwell for two days with worsening abdominal pain. She takes no regular medications and has no known allergies.

Emergency Department 105

Emergency Department Ultrasounds Pediatrics Best Practices 105

PulmCCM

JUNE 10, 2024

PubMed search for “time-limited trial” (43 results 2009-2024) Studies of Time-Limited Trials in Critical Care Chang et al ( JAMA Int Med 2021 ) A before/after prospective cohort quality improvement study was performed at three public hospitals in Los Angeles between 2017 and 2019 (Chang et al, JAMA Internal Medicine 2021).

COPD 45

COPD Outcomes Hospitals EMS 45

Don't Forget the Bubbles

MAY 29, 2023

A qualitative study of 2,815 pre-hospital clinicians reported that nearly half of the respondents had experienced incivility from professional teams at least once a week. Speaking up for patient safety by hospital-based health care professionals: a literature review. Internet] 2007; 505:1181–1197. Does rudeness really matter?

Leadership 98

Leadership Patient Safety Academics Research 98

ACEP Now

AUGUST 1, 2023

Our Indiana ACEP colleagues have helped us all as emergency physicians in championing the passage of state legislation mandating a physician leading a hospital’s emergency department to be physically present in that hospital.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

EMDocs

OCTOBER 21, 2023

In hospital mortality estimated at 30-40%. 17 65-78% of survivors have significant disability one month after hospital discharge. link] January 24, 2007. 20 Prognosis: Despite advances in imaging and treatment options, BAO is associated with high morbidity and mortality. Updated 2022 Oct 15]. In: StatPearls [Internet].

EMS 97

EMS Stroke Outcomes Hospitals 97

ACEP Now

FEBRUARY 13, 2024

Risk Factors for Opioid-Related Adverse Drug Events Among Older Adults After Hospitalization for Major Orthopedic Procedures. Opioid Prescribing at Hospital Discharge Contributes to Chronic Opioid Use. Trends in opioid prescriptions among part D medicare recipients from 2007 to 2012. J Patient Saf. 2023 Oct 1;19(6):379-385.

Ultrasounds 52

Ultrasounds Emergency Department Hospitals Wellness 52

Don't Forget the Bubbles

JULY 26, 2023

This has been trialled (out of hospital) in known children with SVT. Upside-down position for the out of hospital management of children with SVT, Bronzetti et al, International Journal of Cardiology 2017 this showed that a modified position (upside down) improved cardioversion rates from 33% to 67%. www.cats.nhs.uk/wp-content/uploads/guideline-intubation.pdf

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

PEMBlog

MAY 24, 2023

2007 Oct;14(5):265-8. West J Emerg Med. 2012 Feb;13(1):35-40. PMC3298214. Melamed E, Oron Y, Ben-Avraham R, Blumenfeld A, Lin G. The combative multitrauma patient: a protocol for prehospital management. Eur J Emerg Med. PMID: 17823561.

Emergency Department 59

Emergency Department Pediatrics Psychiatric Administration 59

The Skeptics' Guide to EM

MAY 21, 2017

Background: Heroin use has been increasing in the USA since 2007 (1). If transported to hospital, they may also refuse further treatment or observation in the emergency department. After naloxone administration he is alert and oriented times three with a normal pulse oximetry and clear lung fields.

Emergency Department 52

Emergency Department Administration Academics EMS 52

EMDocs

MAY 26, 2023

Patients may be brought to hospital by police under restraint (e.g. 2007 Oct;14(5):265-8. Conversely they may need to be present for patient and staff safety What if a patient arrives in handcuffs in police custody? West J Emerg Med. 2012 Feb;13(1):35-40. PMC3298214. Melamed E, Oron Y, Ben-Avraham R, Blumenfeld A, Lin G.

Pediatrics 98

Pediatrics Emergency Department Psychiatric Documentation/Coding 98

ACEP Now

AUGUST 12, 2024

He was hospitalized two months prior and had a normal stress test. Dr. Young is an emergency physician at Saint Francis Hospital and Medical Center, Hartford, Conn. 2007 Aug;30(8):403. He has prediabetes, hypertension, hyperlipidemia, and obesity. His vital signs were within normal limits. Arch Intern Med. 1976 Apr;136(4):391-5.

EKG/ECG 52

EKG/ECG Emergency Department Hospitals 52

Pediatric Emergency Playbook

AUGUST 1, 2017

2007; 16:27-33. Management of the child after enema-reduced intussusception: hospital or home? 2007; 298(4):438-451. Acute Intestinal Obstruction in children: Experience in a Tertiary Care Hospital. 2007; 25:1009-1040. J Pediatr Surg 2014; 49:1619. Pyloric Stenosis Aspelund G, Langer JC. Semin Pedaitr Surg.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

Dr. Smith's ECG Blog

OCTOBER 20, 2013

in Vienna found that 27 of 765 (4%) of out of hospital cardiac arrests (OHCA) were due to SAH. Only 1 of 27 survived, after 45 days in the hospital, with a cerebral performance category of 2; this patient had ventricular fibrillation. Kurkciyan et al. In 25 (93%), the initial rhythm was asystole or PEA. Chicago November 2010.

Resuscitation 52

Resuscitation EKG/ECG Hospitals Emergency Department 52

Critical Care Now

APRIL 5, 2022

The Excellence in Prehospital Injury (EPIC) Study The EPIC TBI study ran from 2007 to 2019 and involved an EMS and public health partnership in Arizona. The data was collected from 2007 until 2015, analyzed from 2015 until 2019, and then published in 2019.

Airway Management 52

Airway Management EMS CDC Pediatrics 52

Northwestern EM Blog

SEPTEMBER 12, 2022

Written by: August Grace, MD (NUEM ‘24) Edited by: Andrew Rogers, MD, MBA (NUEM ‘22) Expert Commentary by : Andra Farcas, MD (NUEM ‘21) Introduction In the setting of trauma, most hospitals are adept at treating and managing patients with a variety of injuries. Time begins after the first patient arrives at the hospital [8].

Mass Casualty Incidents 52

Mass Casualty Incidents EMS Hospitals Hazardous Materials 52

RebelEM

MARCH 13, 2023

Nevertheless, mortality of prehospital traumatic cardiac arrest (TCA), and survivability with good neurologic outcome, remain the gold standards of trauma care in and out of the hospital and are effectively the criterion by which we measure outcomes in the trauma literature. An analysis of two national emergency registries. 2011;15(6):276.

Basic Life Support 52

Basic Life Support EMS Outcomes Resuscitation 52

Dr. Smith's ECG Blog

AUGUST 19, 2023

They had had twice the rate of cardiac arrest and twice the in-hospital mortality[1] In another study of patients diagnosed with STEMI, those on dialysis experienced delayed reperfusion and double the mortality.[2] Circulation 2007 2. They were less likely to have STEMI on ECG, and more likely to be initially diagnosed as non-ACS.

EKG/ECG 98

EKG/ECG Wellness Outcomes Hospitals 98

EMDocs

JUNE 16, 2023

Episode 4 covered management of the agitated child in the pre-hospital environment. Over the past 50 years, mental health has shifted away from hospital-based to community-based care models. Episode 2 covered non-pharmacologic management and episode 3 covered pharmacologic management of agitation. Why are we boarding?

Psychiatric 52

Psychiatric Pediatrics Emergency Department Best Practices 52

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.” Emergency Medicine research was and still is tremendously underfunded,” says John E.

EMS 45

EMS Research Academics Military 45

Pediatric Emergency Playbook

JANUARY 1, 2018

Incidence and trends of pediatric ovarian torsion hospitalizations in the United States, 2000-2006. Epub 2007 Mar 15. 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.

Pediatrics 52

Pediatrics Ultrasounds Radiology Radiology 52

Don't Forget the Bubbles

DECEMBER 16, 2024

Manual for the laboratory diagnosis of measles and rubella infection Geneva: WHO Documents Production Services, 2007 Available from: [link] [Accessed 4 Oct 2024] Government of the United Kingdom. European Centre for Disease Prevention and Control. Measles facts [Internet]. cited 2024 Oct 24] WHO. World Health Organization.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59