The Trauma Pro

OCTOBER 11, 2024

The University of Miami Ryder Trauma Center group performed a comprehensive review of the topic, spanning literature published through 2022.

Hospitals 113

Hospitals 113

The Skeptics' Guide to EM

JANUARY 27, 2024

Fanaroff et al looked at the ACC/AHA guidelines from 2008-2018 [4]. On top of that, there was no standardization of the nitrate dose or route of administration, so it’s hard to know how to extrapolate the findings to our standard nitrate admin protocols. I was not surprised by this information.

Administration 125

Administration Academics EKG/ECG EMS 125

Taming the SRU

JUNE 12, 2023

In 2008, this led to greater than 316,000 emergency department (ED) visits and about 9,500 hospitalizations [1]. Emergency department visits and inpatient stays involving dog bites, 2008: Statistical brief #101. Human Rabies Prevention - United States, 2008: Recommendations of the Advisory Committee on Immunization Practices.

Infectious Diseases 103

Infectious Diseases Emergency Department Administration Academics 103

EMDocs

MARCH 20, 2024

Amer J Nursing, July 2008, 108:7 [link] The post Medical Malpractice Insights: Speaking in “Code” appeared first on emDOCs.net - Emergency Medicine Education. Association of Emergency Clinicians’ Assessment of Mortality Risk With Actual 1-Month Mortality Among Older Adults Admitted to the Hospital.

Documentation/Coding 105

Documentation/Coding Hospice Resuscitation CPR 105

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

Sepsis 132

Sepsis Hospitals Administration Outcomes 132

Don't Forget the Bubbles

JANUARY 27, 2025

Rousseau V, Massicot R, Darwish AA, Sauvat F, Emond S, Thibaud E, Nihoul-Fekete C (2008) Emergency management and conservative surgery of ovarian torsion in children: a report of 40 cases, 21(4):201-6, PMID: 18656074. Sims MJ, Price AB, Hirsig LE, Collins HR, Hill JG, Titus MO (2022) Pediatric Ovarian Torsion: Should you go with the flow?

Ultrasounds 76

Ultrasounds Emergency Department Pediatrics Dehydration 76

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 144

Military Outcomes Psychiatric Wellness 144

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 59

EKG/ECG Administration Burns EMS 59

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 105

Shock Hospitals 105

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.

EKG/ECG 119

EKG/ECG Emergency Department Academics Operations 119

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.

Ambulance Services 98

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

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%

EKG/ECG 78

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

FEBRUARY 29, 2024

6th edn Philadelphia: Saunders Elsevier, 2008: chapter 17, ventricular arrhythmias; 405–39. Ashman phenomenon: an often unrecognized entity in daily clinical practice. Acta Clin Croat. 2010;49(1):99-100. Surawicz B, Knilans TK. Chou’s electrocardiography in clinical practice. Longo D, Baranchuk A. J Atr Fibrillation.

EKG/ECG 104

EKG/ECG EMS Hospitals 104

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 92

Poisoning CDC Administration Emergency Department 92

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 101

Leadership Hospitals EMS 101

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

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

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 97

EMS Psychiatric Emergency Department Poisoning 97

ALiEM

JUNE 5, 2023

Geneva: World Health Organization; 2008. Centers for disease control and prevention expert panel meetings on prevention and treatment of anthrax in adults. Emerg Infect Dis. 2014;20(2):e130687. doi: 10.3201/eid2002.130687 Anthrax in Humans and Animals. 4th edition. 7, Treatment and prophylaxis. Accessed May 1, 2023.

Infectious Diseases 102

Infectious Diseases CDC PPE Military 102

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

Cook County EM Blog

MARCH 20, 2023

2008 Apr;3(1):27-33. Epub 2008 Feb 2. 2008 Jan;12(1):33-6. 2008 Dec;3(4):340-5. Epub 2008 May 28. High-pressure injection injury of the hand: an often underestimated trauma: case report with study of the literature. Strategies Trauma Limb Reconstr. doi: 10.1007/s11751-008-0029-9. PMID: 18427921; PMCID: PMC2291478.

Fractures 52

Fractures Documentation/Coding Operations Research 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

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.

EMS 94

EMS Ultrasounds Emergency Department Infectious Diseases 94

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.

Shock 98

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

PHEM Cast

DECEMBER 1, 2017

Awareness of site for needle thoracocentesis. Emergency Medicine Journal , 22 (11), 788–789. link] Fitzgerald, M., Mackenzie, C. Marasco, S., Hoyle, R., & Kossmann, T. Pleural decompression and drainage during trauma reception and resuscitation. Injury , 39 (1), 9–20. link] Givens, M. Ayotte, K., & Manifold, C. link] Netto, F. Shulman, H.,

Academics 52

Academics Radiology Radiology Resuscitation 52

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. Overcrowding and limited staffing threaten to increase the length of stay if unnecessary imaging is obtained.

Emergency Department 131

Emergency Department Pediatrics Infectious Diseases Research 131

EMDocs

JANUARY 25, 2024

2008 Jul; 44(1): 40–42. [link] 2. This is a classic case of “anchoring bias” (i.e., failure to assess the overall presentation and instead jumping to conclusions). References : 1. Spontaneous Spinal Epidural Hematoma. Baek BS et al. J Korean Neurosurg Soc. The Significance of Drug—Drug and Drug—Food Interactions of Oral Anticoagulation.

Poisoning 98

Poisoning Documentation/Coding Patient Safety Hospitals 98

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 105

Allergic Reactions Airway Management Anaphylaxis Emergency Department 105

Dr. Smith's ECG Blog

JANUARY 20, 2024

de Winter et al in N Engl J Med 359:2071-2073, 2008. Today’s case presents yet another variation — in that what represents clear indication of a deWinter T wave in lead V2 of today's initial ECG — then goes on to manifest a more traditional evolution of an anterior OMI without additional deWinter T waves.

EKG/ECG 121

EKG/ECG Documentation/Coding Emergency Department Hospitals 121

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 102

Outcomes Research 102

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

Don't Forget the Bubbles

JULY 24, 2023

2008 Jun;56. References Brown R, Hussain M, McHugh K, Novelli V, Jones D. Discitis in young children. The Journal of Bone and Joint Surgery British volume. 2001 Jan;83-B. Cottle L, Riordan T. Infectious spondylodiscitis. Journal of Infection. Cushing AH. Diskitis in Children. Clinical Infectious Diseases. 1993 Jul 1;17(1).

Radiology 98

Radiology Radiology Infectious Diseases Pediatrics 98

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.

Documentation/Coding 104

Documentation/Coding Hospitals Patient Safety Emergency Department 104

Taming the SRU

JANUARY 29, 2024

2008 Aug;6(8):1262-6. Epub 2008 May 15. Epub 2020 Nov 25. Flinterman LE, Van Der Meer FJ, Rosendaal FR, Doggen CJ. Current perspective of venous thrombosis in the upper extremity. J Thromb Haemost. doi: 10.1111/j.1538-7836.2008.03017.x. 1538-7836.2008.03017.x.

Emergency Department 94

Emergency Department Fractures Hospitals Operations 94