PulmCCM

FEBRUARY 12, 2024

SCCM made its statement unilaterally, without the European Society of Intensive Care Medicine (ESICM), its partner on the 2008 and 2017 updates, or the American Thoracic Society (ATS). Co-administration of mineralocorticoid might include fludrocortisone 50 µg enteral daily. Critically ill patients with low cortisol (e.g.,

Shock 52

Shock Administration Sepsis Fractures 52

RebelEM

NOVEMBER 2, 2022

JAMA 2008; 299(10):1166-78. Pneumoniae, Enterococci 3rd Generation Cephalosporin covers vast majority of cases Ceftriaxone 25 mg/kg up to 1 gm daily Cefotaxime 25 mg/kg up to 1 gm Q8 Alternate antibiotic choices Ciprofloxacin 400mg IV BID Levofloxacin 750mg IV daily Piperacillin/Tazobactam 4.5g grams/kg within 6 hours 1.0 Link Sort P et al.

EMS 52

EMS Administration Hospitals 52

PulmCCM

FEBRUARY 5, 2024

Fever in the ICU: Guideline Update The Society of Critical Care Medicine (SCCM) and the Infectious Diseases Society of America (IDSA) issued an interim update to their 2008 recommendations for the management of fever in the ICU. to enforce compliance with an administrative policy). PulmCCM is not affiliated with SCCM or IDSA.

Best Practices 111

Best Practices Ultrasounds Infectious Diseases Sepsis 111

Pediatric Emergency Playbook

AUGUST 1, 2017

J Med Genet 2008; 45:1. J Pediatr Gastroenterol Nutr 2008; 46:13. 2008; 15-21. 2008; 22-28. Plasma levels of lidocaine following nebulized aerosol administration. 2010; 149(3):386-391. Hirschprung Disease Amiel J, Sproat-Emison E, Garcia-Barcelo M, et al. Arshad A, Powell C, Tighe MP. Hirschsprung's disease.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

ACEP Now

JUNE 7, 2023

These data can be shared with hospital administration as there is mutual need to find solutions to the current ED flow challenges and very high ED walkaway rates. Long-term trends of improving ED patient intake remain intact, as times decreased in most years since 2008, when the intake time was about 41 minutes.

Emergency Department 52

Emergency Department Documentation/Coding Operations EMS 52

ACEP Now

MAY 8, 2023

Homeowners doing this en masse with adjustable-rate mortgages contributed to the Global Financial Crisis of 2008. The second lesson is to understand and take advantage of FDIC (and National Credit Union Administration (NCUA), the credit-union equivalent) limits.

Administration 59

Administration Shock 59

EMDocs

JANUARY 29, 2024

hypertensive emergency, need for thrombolytic administration) [1]. 2008 Jul;26(7):1446-52. 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. 2019 Aug;50(8):2023-2029. doi: 10.1161/STROKEAHA.119.025514.

Stroke 98

Stroke Outcomes EMS Seizures 98

The Skeptics' Guide to EM

FEBRUARY 24, 2018

The second, the larger CORTICUS study, published in the NEJM in 2008 found no benefit of the use of corticosteroids compared to placebo. Clinical Question: Does the administration of a continuous infusion of hydrocortisone to a general population of patients in septic shock on mechanical ventilation improve survival?

Shock 40

Shock Sepsis Emergency Department Resuscitation 40

EMDocs

OCTOBER 30, 2023

Contrast Media, Iodinated, Dose, and Administration. Optimization of iodinated contrast media inventory management: effect of inventory diversification on waste reduction. J Am Coll Radiol. Published online August 3, 2023:S1546-1440(23)00544-6. doi:10.1016/j.jacr.2023.06.032 2023.06.032 Hartman, R.P., In: Baert, A.L. How low can we go?

Radiology 99

Radiology Radiology Emergency Department Hospitals 99

PulmCCM

OCTOBER 16, 2023

Because CRBSI have been shown to be highly preventable, since 2008 they’ve been included in the list of hospital-acquired infections for which Medicare won’t pay hospitals. Many states have instituted mandatory reporting of CLABSI.

CDC 52

CDC Hospitals Ultrasounds Documentation/Coding 52

Sensible Medicine

APRIL 9, 2025

In the Spring of 2008, I was stationed aboard the La Rabida Children's hospital. One of the first orders of business was the administrators— those abject pieces of s**t— deciding that only one parent could visit a child at a time—that brothers and sisters would have to sit in the car. Did I do my best?

Hospitals 103

Hospitals Pediatrics PPE CDC 103

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

EMDocs

NOVEMBER 4, 2023

A) Administration of a 30 mL/kg bolus of normal saline B) Admission for intravenous vancomycin C) CT scan of the pelvis D) Emergency surgical consultation and broad-spectrum antibiotics Answer: D Fournier gangrene is necrotizing fasciitis of the perineal, genital, or perianal anatomy. Published 2008 Sep 19. 2008) ISBN:0521871123.

EMS 93

EMS Ultrasounds Emergency Department Infectious Diseases 93

RebelEM

MAY 15, 2024

Early administration of antibiotics is the only factor known to reduce this mortality. Early administration of antibiotics is the only factor known to reduce this mortality. 2008 Sep;1138:329-50. Cohort Study of the Impact of Time to Antibiotic Administration on Mortality in Patients with Febrile Neutropenia. 2016.11.007.

Infectious Diseases 98

Infectious Diseases Administration Sepsis Anaphylaxis 98

EMDocs

SEPTEMBER 7, 2023

2 Administration of an alcohol dehydrogenase (ADH) inhibitor, such as fomepizole, is recommended in suspected or known DEG poisoning. Fatal Poisoning Among Young Children from Diethylene Glycol-Contaminated Acetaminophen — Nigeria, 2008—2009”. 1 Clinical Questions: When should a clinician suspect diethylene glycol (DEG) toxicity?

Poisoning 91

Poisoning CDC Administration Emergency Department 91

EMDocs

FEBRUARY 7, 2024

22 Regardless of one’s ethical stance on the issue, increases in strike frequency will pose challenges to health systems, while also putting pressure on administrators to offer better support to workers. 2008 Dec 1;67(11):1784-8. One study found that labor unionization among U.S. Why does it matter? 2012 Feb 1;4(1):127-57.

Hospitals 97

Hospitals Research Patient Safety Wellness 97

PulmCCM

OCTOBER 30, 2023

If you thought administrators had a bee in their bonnet for SEP-1 before, just wait. In 2008, the U.S. Hospital administrators put VAP on the kill list. The stakes are going up. CMS has added SEP-1 to its “value-based purchasing” program for 2024, meaning hospitals will face financial penalties for noncompliance.

Sepsis 52

Sepsis Shock Hospitals Infectious Diseases 52

ACEP Now

SEPTEMBER 3, 2024

billion dollars in one of the largest leveraged buyouts since the 2008 financial crisis, of which over 7 billion dollars was new debt obligation.18 The AMA found that administrative burden of reimbursement and low rates were the most frequent factors in physicians’ decisions to sell their practices.

Hospitals 113

Hospitals Radiology Radiology Emergency Department 113

EMDocs

APRIL 22, 2024

The Accu-Chek was 214, and there was no response to empiric Narcan administration. Rockville (MD): Office of the Surgeon General (US); 2008. 2008 Mar;28(3):370-2. Advanced cardiac life support (ACLS) had been initiated and on arrival at the ED, the patient was found to have Pulseless Electrical Activity (PEA). Am J Prev Med.

Ultrasounds 98

Ultrasounds Advances Cardiac Life Support (ACLS) EKG/ECG Resuscitation 98

Advanced Emergency Nursing from AENJ

APRIL 29, 2015

It may be reasonable, when the appropriate equipment is available, to titrate oxygen administration to maintain the arterial oxyhemoglobin saturation ≥94%. Has oxygen administration delayed appropriate respiratory care? “Once the circulation is restored, monitor systemic arterial oxyhemoglobin saturation. Howard, L.

Resuscitation 40

Resuscitation Pediatrics Administration Emergency Nursing 40

Pediatric Emergency Playbook

SEPTEMBER 1, 2015

Four Components to Successful Pain Management and Intranasal Medication Administration Right drug, right dose, right patient, right timing Right Drug – Not every medication is easily amenable to intranasal administration. 2008 Oct;5(10):1159-68. This is mostly from an old culture of misunderstanding or fear of overdose.

Administration 40

Administration Seizures Emergency Department Ultrasounds 40

ACEP Now

AUGUST 1, 2023

It was submitted in 2008 to the National Quality Forum (NQF), which convenes external groups to endorse measures. FOA-ETA-22-16, DOL Nursing Expansion Grant Program Department of Labor Employment and Training Administration. The Centers for Medicare and Medicaid Services (CMS) developed and maintained the measure. Grants.gov website.

Military 98

Military Emergency Department Hospitals Leadership 98

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

Advanced Emergency Nursing from AENJ

MAY 27, 2015

Dolan, LA Times] Administrators often insist that the hospital be a “weapons-free” zone (as if there was any protection in that), that guards are often unarmed –perhaps with just a radio and a flashlight, and often wearing a “friendly” blazer rather than a uniform of obvious authority. Occupational Safety and Health Administration. (No

Federal Emergency Management Agency 40

Federal Emergency Management Agency Military Hospitals Administration 40

Don't Forget the Bubbles

JUNE 10, 2024

Use of Probiotics : The administration of probiotics to VLBW infants has shown promise in reducing the incidence of NEC, though the optimal strains and dosages remain under investigation. Careful Advancement of Enteral Feeding : Gradual introduction and advancement of enteral feeds can help minimise the risk of NEC. Pediatrics, 133(1), 1-12.

Pediatrics 40

Pediatrics Sepsis Fluid Resuscitation Outcomes 40

Thinking Critical Care

MAY 18, 2023

In the UK the Committee for Safety of Medicines merely drew attention to potential hazards of etomidate administration. 14] N Engl J Med 2008; 358:111-124 DOI: 10.1056/NEJMoa071366 15 Anaesthesia 2020 May. An Inspector called from time to time to ensure our work was humane. [11] 12] N Engl J Med 1984 Nov 01. 311:1137-43. 75:654-663.

Shock 40

Shock Research Sepsis Resuscitation 40

EB Medicine

MAY 3, 2019

Jeff: If those figures seem a bit high, another CDC study found that in a general population survey of a quarter million people between 2006-2008, 9% met the criteria for major depression. Current depression among adults United States, 2006 and 2008. Pretty big numbers. Jeff: As always, the team approach is preferred.

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

EMDocs

NOVEMBER 4, 2024

Prophylactic Administration of Diphenhydramine to Reduce Neuroleptic Side Effects in the Acute Care Setting: A Systematic Review and Meta-Analysis. Prophylactic Administration of Diphenhydramine to Reduce Neuroleptic Side Effects in the Acute Care Setting: A Systematic Review and Meta-Analysis. Jan 23 2008;(1):CD000396.

Emergency Department 106

Emergency Department Fractures Burns EMS 106

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

EB Medicine

FEBRUARY 1, 2019

Nachi: Unfortunately, the 2008 ACEP guideline and 2012 AHA guidelines still recommend a lumbar puncture in those being worked up for SAH. Nachi: In addition to monitoring ABCs, early care involves the administration of analgesics and anti-emetics. In addition, one 2016 study demonstrated a LR of 0.01

Emergency Department 40

Emergency Department Stroke Outcomes Ultrasounds 40

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].” No good solution will come from university professors or (worse) administrators at large.

Academics 145

Academics Research Administration Outcomes 145

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

Taming the SRU

APRIL 15, 2025

1,4,5] A cross sectional analysis found that uninsurance rates among justice-involved individuals decreased significantly by nearly 10% between 2008 and 2014 during which time these policy changes went into effect. [8]

EMS 52

EMS Hospitals Emergency Department Administration 52

EMDocs

JULY 19, 2023

Food and Drug Administration. Food and Drug Administration. doi: 10.1186/2008-2231-22-46. This condition is difficult to reverse; supportive measures should be undertaken, with chelation considered. Resources: S. 2022, February 25). Mercury levels in commercial fish and shellfish (1990-2012). 2018, February 1).

Poisoning 91

Poisoning Fluid Resuscitation Administration Seizures 91

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]. There are multiple factors to consider when managing dog and mammalian bites in the ED, including closure, prophylactic antibiotic administration, and rabies post-exposure prophylaxis. Emergency Medicine Journal.

Infectious Diseases 103

Infectious Diseases Emergency Department Administration Academics 103

EMDocs

MARCH 11, 2024

Oral antibiotic administration should take place for patients with severe cholera infection as soon as they are able to tolerate oral intake, which usually occurs after rehydration and administration of antiemetics. Trop Med Infect Dis. 2023;8(3):169. doi:10.3390/tropicalmed8030169 Colombara DV, Cowgill KD, Faruque ASG. Kirk M, ed.

Dehydration 111

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 111

Cook County EM Blog

MARCH 31, 2022

Lastly, if the animal is healthy and can be observed for a ten-day period (eg, a domestic cat or dog) after a significant exposure, PEP administration can be deferred, and if the animal remains well it can be avoided completely. Human Rabies Prevention – United States, 2008. Rabies PEP regimen provided to our patient. 2018.10.103.

Infectious Diseases 52

Infectious Diseases Administration Wellness 52