RebelEM

JANUARY 18, 2024

to 0.97; p = 0.02 Length of ICU Stay 906 patients Prehospital Abx: 300 pts No Prehospital Abx: 606 pts Pooled Mean Difference 0.11; 95% CI -1.85 to 2.07; p = 0.91 NOT STATISTICALLY SIGNIFICANT Length of Hospital Stay 3325 patients Prehospital Abx: 1680 pts No Prehospital Abx: 1645 pts Pooled Mean Difference: 4.50; 95% CI -3.34 to 12.33; p = 0.26

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Sepsis Hospitals Administration Outcomes 129

RebelEM

JUNE 26, 2024

Clin J Am Soc Nephrol 2008; 3:324–330. Crit Care Med 2008; 36: 3246-51. Definition: A serum potassium level > 5.5 patients can jump from peaked T waves to sine wave) Management Basics: ABCs, IV, O 2 , Cardiac Monitor and, 12-lead EKG Identify + treat underlying cause of hyperkalemia (i.e. Nephrol Dial Transplant 2002; 17: 1639-42.

EKG/ECG 58

EKG/ECG Administration Burns EMS 58

Ziqitza HealthCare Ltd

JULY 21, 2023

Considering its popularity, the then Government of India introduced the 108 emergency response system to other parts of the country in 2008. It was an instant hit in rural Andhra Pradesh. The service today is changing rural India by making primary healthcare accessible to the people in the remotest part of the state free of cost.

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Ambulance Services Poisoning Operations Hospitals 98

Dr. Smith's ECG Blog

MAY 31, 2023

In discussing deWinter T waves — I find it helpful to return to the original commentary by deWinter and colleagues ( N Engl J Med 359:2071-2073, 2008 ) — in which they described a “new ECG pattern" without ST elevation that signifies acute occlusion of the proximal LAD ( L eft A nterior D escending ) coronary artery.

EKG/ECG 96

EKG/ECG Outcomes Academics Wellness 96

Sensible Medicine

MAY 28, 2024

A 2008 Cochrane review found adult depression screening does not improve outcomes. Regardless, the USPSTF concludes there is “moderate certainty that screening for anxiety… has a moderate net benefit”, the rationale for a “B” grade. Since the beginning, these recommendations have drawn criticism.

Military 139

Military Outcomes Psychiatric Wellness 139

ECG Guru

JUNE 28, 2024

Dr. Robbert de Winter, et al, described this pattern in a letter to the editor of the New England Journal of Medicine in 2008. This is called de Winter T wave pattern, and it is a sign of critical proximal occlusion of the left anterior descending coronary artery. Since then, it has been estimated to occur in about 2%-3.4%

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EKG/ECG Emergency Department EMS 78

Dr. Smith's ECG Blog

FEBRUARY 10, 2023

D e W inter T Waves : In 2008 — Robert J. NOTE: For illustrative purposes — I’ve adapted Figure-1 from the original manuscript by de Winter et al, published in this 2008 NEJM citation. de Winter et al in N Engl J Med 359:2071-2073, 2008. It does not quite meet the original 2008 description for de Winter T waves.

EKG/ECG 52

EKG/ECG 52

EMDocs

DECEMBER 11, 2023

De Winter Sign [4,6] First described in 2008 this pattern be seen in proximal left anterior descending artery occlusion and should be evaluated by emergent angiography. 2008 Nov 6;359(19):2071—2073. Her vital signs are stable. Her ECG is shown below. Source: [link] This case is consistent with the De Winter Sign. Ann Emerg Med.

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EKG/ECG Emergency Department Academics Operations 116

Sensible Medicine

JUNE 24, 2024

Complex Regulatory History Impella was first approved in 2008 through a lax pathway wherein it was deemed sufficiently similar to a cardiac bypass pump. That last sentence should trigger regular readers of Sensible Medicine—because we have covered many plausible ideas that fail to pass muster in the randomized trial.

Shock 100

Shock Hospitals 100

PulmCCM

APRIL 29, 2024

In 2008, the U.S. It used to be highly prevalent in U.S. ICUs, and a popular research focus for academics, generating a steady stream of papers. Then, in 2009, the condition disappeared completely. Just kidding! government proposed adding VAP to its “hospital-acquired conditions” list—the ones that it won’t pay for.

Documentation/Coding 52

Documentation/Coding Academics Administration Research 52

RebelEM

MARCH 6, 2024

2008 Jul 1;31(7):table of contents. Practice parameters for the clinical evaluation and treatment of circadian rhythm sleep disorders. An American Academy of Sleep Medicine report. 2007 Nov;30(11):1445-59. doi: 10.1093/sleep/30.11.1445. Erratum in: Sleep. PMID: 18041479; PMCID: PMC2082098. Caffeine Walsh JK, Muehlbach MJ, Schweitzer PK.

Leadership 90

Leadership Hospitals EMS 90

Taming the SRU

APRIL 14, 2024

Biomedical Imaging and Intervention Journal , vol. 4, 1 July 2009, p. e14, www.biij.org/2009/4/e14/. Accessed 9 Apr. Jenkins, John T, and Patrick J O’Dwyer. Inguinal Hernias.” 7638, 31 Jan. 269–272, [link]. Long, Brit. “EM@3AM: EM@3AM: Hernia.” ScienceDirect , www.sciencedirect.com/science/article/pii/S0736467913011396. Strange, Chad D, et al.

Ultrasounds 93

Ultrasounds Emergency Department Pediatrics Radiology 93

Taming the SRU

DECEMBER 11, 2023

Emergency Department Visits Related to Suicidal Ideation or Suicide Attempt, 2008-2017. Trends in US emergency department visits for attempted suicide and self-inflicted injury, 1993-2008. Preventing suicide: a global imperative. Geneva: World Health Organization; 2014. Owens PL, McDermott KW, Lipari RN, Hambrick MM. 2022;48(1):57-73.

EMS 96

EMS Psychiatric Emergency Department Poisoning 96

Pediatric Emergency Playbook

AUGUST 1, 2020

2008 Nov;36(11):2226-37. In: Pediatric Emergency Medicine, Baren JM, Rothrock SG, Brennan JA, Brown L (Eds), Saunders Elsevier, Philadelphia 2008. J Athl Train. 2013 Jul-Aug; 48(4): 546–553. DeFranco MJ et al. Environmental issues for team physicians. Am J Sports Med. Ishimine P. Hyperthermia. Jardine DS. Heat illness and heat stroke.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Stroke Burns Pediatrics 52

Pediatric Emergency Playbook

MARCH 1, 2018

2008; 26: 181-198. The infant with acute, unexplained, excessive crying. Pediatrics. 1991; 88 (3): 450-5. Prentiss KA, Dorfman DH. Pediatric Opthalmology in the Emergency Department. Shope TR, Rieg TS, Kathiria NN. Corneal abrasions in young infants. Pediatrics. 2010 Mar;125(3):e565-9. Epub 2010 Feb 8.

Pediatrics 52

Pediatrics Emergency Department 52

Sensible Medicine

JULY 17, 2023

A year later, in 2008, COURAGE trialists published a follow-up paper looking at quality of life. And again, they reported no difference in outcomes. You might wonder how PCI remained so popular after such a definitive study. One reasons was the relief of angina or chest pain. Here is the key graph.

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Shock Outcomes 98

PHEM Cast

JULY 14, 2016

British Orthopaedic Association Standards for Trauma (BOAST); 2008. 2008 Apr 15;5(3):214–9. 2008 Apr 22;178(9):1141–52. BOAST2: SPINAL CLEARANCE IN THE TRAUMA PATIENT. Hauswald M, Ong G, Tandberg D, Omar Z. Out-of-hospital spinal immobilization: its effect on neurologic injury. Acad Emerg Med. 2014 Jul 3;14(1):1–5. Emerg Med J.

Fractures 52

Fractures Hospitals Shock Research 52

ALiEM

DECEMBER 20, 2024

Epub 2008 Jun 27. Studdiford JS, Valko GP, Belin LJ, Stonehouse AR. Eczema herpeticum: making the diagnosis in the emergency department. J Emerg Med. 2011 Feb;40(2):167-9. doi: 10.1016/j.jemermed.2007.11.049. 2007.11.049. PMID: 18584994.

Infectious Diseases 64

Infectious Diseases Pediatrics Academics Emergency Department 64

Mind The Bleep

NOVEMBER 6, 2023

Figure 2 – Teardrop sign (Cobb et al 2008) Key aspects of management: CT scan Specialist input may include surgery, steroids, antibiotics, nasal decongestants and ice packs. 37(9):787-93 Cobb, Murthy, Saiet et al (2008) The tear-drop sign: a trap door for the unwary? May involve facial bones. Curr Eye Res.

Fractures 52

Fractures Radiology Radiology Emergency Department 52

Sensible Medicine

JULY 30, 2024

The cohort enrolled patients from 2008 to 2022. Design/Setting/Patients PASS is a North American multicenter, prospective cohort study that enrolled 2155 active surveillance patients with low-risk localized prostate cancer and no prior treatment.

Outcomes 101

Outcomes Research 101

EMDocs

SEPTEMBER 7, 2023

Fatal Poisoning Among Young Children from Diethylene Glycol-Contaminated Acetaminophen — Nigeria, 2008—2009”. Upon review of the history, several of the patients had been exposed to a liquid acetaminophen-based teething medication. 1 Clinical Questions: When should a clinician suspect diethylene glycol (DEG) toxicity? Schier, Capt.

Poisoning 73

Poisoning CDC Administration Emergency Department 73

RebelEM

SEPTEMBER 13, 2023

of people who take NSAIDs ( Nzeako 2010 ). patients that take ACE inhibitors (but 20-30% of all angioedema presentations to the Emergency Department) 3 times more common in Black Americans ( Kostis 2005 ) 0.01

Allergic Reactions 99

Allergic Reactions Airway Management Anaphylaxis Emergency Department 99

Don't Forget the Bubbles

JANUARY 8, 2024

Recent studies have indicated a significant rise in mental health disorders among young people.

Research 105

Research Emergency Department Psychiatric Academics 105

Emergency Medicine Journal

JUNE 20, 2024

Austerity measures introduced in the UK in 2010 following the 2008 recession resulted in major changes and, in some cases, significant cuts to healthcare funding. Health inequalities EDs are increasingly a good barometer of pressure across the NHS and the health of the nation.

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Pediatric Emergency Playbook

APRIL 1, 2018

2008; 51(3):21-24. References Baracco R et al. Pediatric Hypertensive Emergencies. Curr Hypertens Rep. 2014; 16:456. Pediatric Hypertension in the Emergency Department. Ann Emerg Med. Chandar J et al. Hypertensive crisis in children. Pediatr Nephrol. 2012; 27:741-751. Dionne JM et al.

Pediatrics 52

Pediatrics Emergency Department 52

PEMBlog

AUGUST 14, 2024

2008 Aug;21(4):457-61. Anesth Analg. 2002 Aug;95(2):461-6, table of contents. doi: 10.1097/00000539-200208000-00042. PMID: 12145072. Carollo DS, Nossaman BD, Ramadhyani U. Dexmedetomidine: a review of clinical applications. Curr Opin Anaesthesiol. doi: 10.1097/ACO.0b013e328305e3ef. 0b013e328305e3ef. PMID: 18660652. Pediatr Crit Care Med.

Pediatrics 59

Pediatrics Wellness 59

Emergency Medicine Journal

FEBRUARY 20, 2024

Methods Adults (16+ years) from the UK Trauma Audit and Research Network (TARN) registry (January 2008–December 2017) served as surrogates for MI victims, with P1 patients identified using predefined criteria. This study employs machine learning (ML) to develop and validate models for novel primary and secondary triage tools.

Military 52

Military Operations Research 52

PHEM Cast

DECEMBER 12, 2016

Injury; 2008 (39): 967-969. Practice Management guidelines for ED Thoracotomy. J Am Coll Surg. 2001, 193 (3): 303-309. When should we stop resuscitative efforts after blunt traumatic arrest. Joint Position Statement of Nat Assoc EMS Physicians and ACS Committee on Trauma.

Military 52

Military Resuscitation Emergency Department Documentation/Coding 52

Pediatric Emergency Playbook

JUNE 1, 2019

1) 2008, pp S25-S34. Lerner EB, Schwartz RB, Coule PL, et al. Mass Casualty Triage: An Evaluation of the Data and Development of a Proposed National Guideline." Disaster Medicine and Public Health Preparedness 2(Suppl.

Mass Casualty Incidents 52

Mass Casualty Incidents Disaster Management Emergency Department Pediatrics 52

ALiEM

SEPTEMBER 25, 2023

Epub 2008 Feb 15. References Bazan HA, Reiner E, Sumpio B. Management of bilateral phlegmasia cerulea dolens in a patient with subacute splenic laceration. Ann Vasc Dis. 2008;1(1):45-8. doi: 10.3400/avd.AVDcr07002. PMID: 23555338; PMCID: PMC3610218. Chaochankit W, Akaraborworn O. Phlegmasia Cerulea Dolens with Compartment Syndrome.

Ultrasounds 60

Ultrasounds Academics 60

Dr. Smith's ECG Blog

APRIL 17, 2023

Emergency providers need to instinctively recognize this ECG pattern in a patient with new chest pain! == KEY POINTS regarding D e W inter T Waves : In 2008 — Robert J. NOTE: For illustrative purposes — I’ve adapted Figure-1 from the original manuscript by deWinter et al, published in this 2008 NEJM citation. See text ).

EKG/ECG 52

EKG/ECG Documentation/Coding Emergency Department Psychiatric 52

EMDocs

NOVEMBER 4, 2023

Published 2008 Sep 19. 2008) ISBN:0521871123. Scrotal abscess as a complication of perforated appendicitis: A case report and review of the literature. 2008;1(1):165. doi:10.1186/1757-1626-1-165 Hackett B, Sletten Z, Bridwell R E (July 03, 2020) Testicular Abscess and Ischemia Secondary to Epididymo-orchitis. Cureus 12(7): e8991.

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EMS Ultrasounds Emergency Department Infectious Diseases 76

Dr. Smith's ECG Blog

FEBRUARY 8, 2015

The one exception ADDIN EN.CITE McCord 2008 1774 1774 17 McCord, J. style='mso-element:field-begin'> ADDIN EN.CITE McCord 2008 1774 1774 17 McCord, J. Wells, P.J. Hollander, J. de Lemos, J. Gibler, W. Philippides, G. Henry Ford Hospital. ADDIN EN.CITE Pollan 1989 1855 1855 17 Pollan, S. Hollander, J. de Lemos, J. Gibler, W.

Seizures 52

Seizures Administration Outcomes Hospitals 52

PulmCCM

SEPTEMBER 20, 2024

China’s New Policy on Research Evaluation, Max Planck Institute Five ways China must cultivate research integrity, Nature , November 2019 Analysis of doctoral graduates' attitudes toward academic misconduct and its causes, Wangfang Data, 2008 Nearly half of US Chinese student dismissals due to “academic dishonesty”, The PIE, September (..)

Academics 105

Academics Forensics Research Operations 105

EMDocs

JULY 25, 2024

From Assessing and Managing Suicide Risk (AMSR), American Association of Suicidology (AAS). Columbia-Suicide Severity Rating Scale (C-SSRS). Posner et al. Research Foundation for Mental Hygiene, Inc., The post Medical Malpractice Insights: The challenge of suicide evaluation in the ED appeared first on emDOCs.net - Emergency Medicine Education.

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Documentation/Coding Hospitals Patient Safety Emergency Department 91

RebelEM

NOVEMBER 2, 2022

JAMA 2008; 299(10):1166-78. Journal of Gastroenterology and Hepatology 2016. PMID: 26642977 Wong CL et al. Does this patient have bacterial peritonitis or portal hypertension? How do I perform a paracentesis and analyze the results? PMID: 18334692 Runyon BA. Management of Adult Patients with Ascites Due to Cirrhosis: Update 2012.

EMS 52

EMS Administration Hospitals 52

Sensible Medicine

MAY 25, 2023

Jindal served as governor of Louisiana, 2008-16, and a U.S. .” The USPSTF might beg to differ about the significant unmet need, but we can all agree about the sizable new market. Investors take note. The co-author is not a physician or scientist, but is no stranger to the health care industry. He serves on the board of U.S.

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Documentation/Coding Academics Wellness 79