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

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 102

Infectious Diseases Emergency Department Administration Academics 102

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 81

EKG/ECG Emergency Department EMS 81

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 91

Documentation/Coding Hospice Resuscitation CPR 91

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.

Ambulance Services 98

Ambulance Services Poisoning Operations Hospitals 98

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 105

Leadership Hospitals EMS 105

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

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.

Outcomes 139

Outcomes Military Psychiatric Wellness 139

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 110

EKG/ECG Emergency Department Academics Operations 110

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 94

Shock Hospitals 94

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 85

EKG/ECG Outcomes Academics Wellness 85

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

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

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

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 Best Practices Pediatrics 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 80

EKG/ECG EMS Hospitals 80

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

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 122

EKG/ECG Documentation/Coding Emergency Department Hospitals 122

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.

Documentation/Coding 52

Documentation/Coding Fractures Operations Research 52

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.

Hospitals 52

Hospitals Fractures 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

JANUARY 8, 2024

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

Research 105

Research Emergency Department Psychiatric Outcomes 105

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 93

Emergency Department Fractures Hospitals Operations 93

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 52

Infectious Diseases Pediatrics Academics Emergency Department 52

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

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

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 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 91

Shock Outcomes 91

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

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

Pediatric Emergency Playbook

OCTOBER 1, 2019

Am J Otolaryngol 2008; 29:83. Management of congenital anomalies of the neck. Facial Plast Surg Clin North Am 2001; 9:131. Lin ST, Tseng FY, Hsu CJ, et al. Thyroglossal duct cyst: a comparison between children and adults. Mandell DL. Head and neck anomalies related to the branchial apparatus. Otolaryngol Clin North Am 2000; 33:1309.

Pediatrics 52

Pediatrics 52

Taming the SRU

OCTOBER 28, 2024

2008 Nov 03;3:59. 2008 Dec;65(6):1340-5. [PubMed] 2. Al-Mufarrej F, Badar J, Gharagozloo F, Tempesta B, Strother E, Margolis M. Spontaneous pneumomediastinum: diagnostic and therapeutic interventions. J Cardiothorac Surg. PMC free article] [PubMed] 3. Clinical Pearls in Nonpenetrating Pneumomediasteinum. doi: 10.1097/TA.0b013e318169cd24.

COPD 78

COPD Pediatrics Emergency Department Ultrasounds 78

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