EMDocs

DECEMBER 11, 2023

In October 2022, the American College of Cardiology released an updated expert consensus decision regarding the evaluation of chest pain in the emergency department. This included the addition several new STEMI equivalents [4] on ECG that warrant “prompt evaluation for emergency coronary angiography.” Ann Emerg Med.

EKG/ECG 110

EKG/ECG Emergency Department Academics Operations 110

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. Follow up Unfortunately, we don't have follow up information on this patient, other than he arrived at the Emergency Department alive and was scheduled for the cath lab.

EKG/ECG 81

EKG/ECG Emergency Department EMS 81

Taming the SRU

APRIL 14, 2024

This revealed that ultrasound can improve the ability to reduce an incarcerated inguinal hernia and may decrease the rate of emergency surgery. (1) 1) Table 1 - Study Protocol Table 2 - Results Conclusion Hernias are often encountered in the emergency department as an acute or non-acute finding. 4, 1 July 2009, p. 7638, 31 Jan.

Ultrasounds 93

Ultrasounds Emergency Department Pediatrics Radiology 93

Don't Forget the Bubbles

JANUARY 8, 2024

Dr Bourke’s work is not only about deepening academic understanding but also about forging practical approaches to help healthcare professionals navigate the nuanced and often uncertain waters of adolescent care in emergency settings. Recent studies have indicated a significant rise in mental health disorders among young people.

Research 105

Research Emergency Department Psychiatric Outcomes 105

RebelEM

SEPTEMBER 13, 2023

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 Angioedema in the Emergency Department: An Evidence Based Review. Emergency Medicine Practice. of people who take NSAIDs ( Nzeako 2010 ).

Allergic Reactions 105

Allergic Reactions Airway Management Anaphylaxis Emergency Department 105

Pediatric Emergency Playbook

APRIL 1, 2018

Pediatric Hypertensive Emergencies. Pediatric Hypertension in the Emergency Department. Ann Emerg Med. 2008; 51(3):21-24. Blood pressure measurements on children in the emergency department. Emergency Medicine Australasia. Open Access Emergency Medicine. References Baracco R et al.

Pediatrics 52

Pediatrics Emergency Department 52

Pediatric Emergency Playbook

MARCH 1, 2018

Pediatric Opthalmology in the Emergency Department. 2008; 26: 181-198. The infant with acute, unexplained, excessive crying. Pediatrics. 1991; 88 (3): 450-5. Prentiss KA, Dorfman DH. 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

Written by Pendell Meyers A man in his late 30s with history of hypertension, tobacco use, and obesity presented to the Emergency Department for acute chest pain which started approximately 3 hours prior to arrival, in the setting of a very stressful situation. de Winter et al in N Engl J Med 359:2071-2073, 2008.

EKG/ECG 122

EKG/ECG Documentation/Coding Emergency Department Hospitals 122

PHEM Cast

DECEMBER 12, 2016

Emergency thoracotomy in thoracic trauma: a review. Emergency Department thoracotomy for the critically injured patient: Objectives, indications, and outcomes. World Journal of Emergency Surgery; 2006: 1:4. Survival after Emergency Department thoracotomy: review of published data for last 25 years.

Military 52

Military Resuscitation Emergency Department Documentation/Coding 52

Taming the SRU

JANUARY 29, 2024

She was concerned that this was not improving and decided to come to the emergency department (ED). Hospital Course The patient was initiated on a therapeutic heparin drip in the emergency department with vascular surgery consultation. 2008 Aug;6(8):1262-6. Epub 2008 May 15. Epub 2020 Nov 25.

Emergency Department 93

Emergency Department Fractures Hospitals Operations 93

ALiEM

DECEMBER 20, 2024

Eczema herpeticum: making the diagnosis in the emergency department. J Emerg Med. Epub 2008 Jun 27. Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. 2011 Feb;40(2):167-9.

Infectious Diseases 52

Infectious Diseases Pediatrics Academics Emergency Department 52

EB Medicine

DECEMBER 1, 2018

In 2007-2008, an oseltamivir-resistant H1N1 strain emerged globally. In the emergency department, standard isolation and droplet precautions should be maintained for suspected or confirmed infections. J: So that wraps up episode 23 - Influenza: Diagnosis and Management in the Emergency Department.

Emergency Department 40

Emergency Department CDC Infectious Diseases EMS 40

Taming the SRU

NOVEMBER 27, 2023

These patients may be discharged with close outpatient follow-up, and should be instructed to return to the Emergency Department if they develop worsening and/or spreading pain and swelling, as this may be indicative of an infectious process. 2008 Sep;122(3):105e-117e. Antibiotics are not indicated [7, 8]. Plast Reconstr Surg.

Soft Tissue Injuries 94

Soft Tissue Injuries Emergency Department EMS Fractures 94

EB Medicine

MAY 3, 2019

This month, we’re moving into uncharted territories for the podcast… we’re talking psychiatry Nachi: Specifically, we’ll be discussing Depressed and Suicidal Patients in the emergency department. Routine serum testing and urine toxicology testing are not recommended for psychiatric patients presenting to the emergency department.

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

EMDocs

JULY 9, 2024

The emergency department takes care of some of the highest risk patients with the worst access to health care and social services Over the past 20 years, many researchers have created and validated social needs screeners Some examples: iHELP, WE CARE, SEEK, USDA 2-item food insecurity questionnaire Does screening make a difference?

Pediatrics 55

Pediatrics Emergency Department Research Burns 55

EB Medicine

JULY 8, 2019

This month, we are sticking in the abdomen for another round of evidence-based medicine, focusing on Emergency Department Management of Patients With Complications of Bariatric Surgery. From the 80’s to 2008, the worldwide prevalence of obesity nearly doubled! I hope everybody enjoyed a fantastic conference. million adults!!

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

The Skeptics' Guide to EM

APRIL 17, 2021

Anthony Crocco is the Deputy Chief – McMaster Department of Pediatrics, Acting Head of Pediatric Cardiology, and creator of Sketchy EBM. JAMA Nov 2020 Case: A four-year-old girl with a known history of asthma presents to your emergency department (ED) after a one-day history of runny nose and cough. Reference: Schuh et al.

Pediatrics 52

Pediatrics PPE Emergency Department Hospitals 52

Taming the SRU

OCTOBER 28, 2024

When should I get a consultant involved in the emergency department? 2008 Nov 03;3:59. West J Emerg Med. Pneumomediastinum Diagnosed on Ultrasound in the Emergency Department: A Case Report. 2008 Dec;65(6):1340-5. Al-Mufarrej F, Badar J, Gharagozloo F, Tempesta B, Strother E, Margolis M.

COPD 78

COPD Pediatrics Emergency Department Ultrasounds 78

Pediatric Emergency Playbook

JUNE 1, 2019

Impact of a Two-step Emergency Department Triage Model with START, then CTAS, on Patient Flow During a Simulated Mass-casualty Incident. 1) 2008, pp S25-S34. Explaining implementation behaviour of the National Incident Management System (NIMS). 2015 Apr;39(2):362-88. doi: 10.1111/disa.12103. Lee JS, Franc JM.

Mass Casualty Incidents 52

Mass Casualty Incidents Disaster Management Emergency Department Pediatrics 52

EMDocs

SEPTEMBER 7, 2023

2 Laboratory assays for DEG are not widely available and have long turn-around-times, thus have limited utility in diagnosis in the emergency department. Fatal Poisoning Among Young Children from Diethylene Glycol-Contaminated Acetaminophen — Nigeria, 2008—2009”. References: Abubukar et al. Schier, Capt.

Poisoning 66

Poisoning CDC Administration Emergency Department 66

EMDocs

NOVEMBER 4, 2023

aureus infections among patients in the emergency department. Skin and Soft Tissue Infections in the Emergency Department. Emerg Med Clin North Am. Published 2008 Sep 19. 2008) ISBN:0521871123. Managing a Cutaneous Abscess in the Emergency Department. Ann Emerg Med. N Engl J Med.

EMS 68

EMS Ultrasounds Emergency Department Infectious Diseases 68

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. UpToDate. <

Fractures 52

Fractures Radiology Radiology Emergency Department 52

The Skeptics' Guide to EM

JANUARY 27, 2018

Peripheral Intravenous Cannula Insertion and Use in the Emergency Department: An Intervention Study. AEM Jan 2018 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency. He is also the CME editor for Academic Emergency.

Emergency Department 40

Emergency Department Academics Outcomes Research 40

The Skeptics' Guide to EM

APRIL 16, 2022

Case: A 55-year-old man comes into the emergency department (ED) for increasing knee pain and decrease in function. Background: Musculoskeletal complaints are one of the most common presentations to emergency departments. JAMA Feb 2009 looked at the ACC/AHA guidelines from 1984 to 2008.

Military 40

Military Operations Emergency Department Pediatrics 40

Dr. Smith's ECG Blog

APRIL 17, 2023

The remainder of his Emergency Department stay was uneventful. Here is the clinical informaton on ECG 2: A man in his 50s presented to the Emergency Department with acute chest pain that started within the past few hours. de Winter et al in N Engl J Med 359:2071-2073, 2008. He had no symptoms of ACS. See text ).

EKG/ECG 52

EKG/ECG Documentation/Coding Emergency Department Psychiatric 52

Taming the SRU

MARCH 14, 2023

Case 1 Fussy 1 month old A 1-month-old (ex-34 week premature) infant comes to your emergency department for fussiness. Case 2 19 year old seizure A 19-year-old male is brought into your emergency department via EMS for witnessed seizure-like activity. Pediatr Emerg Care. He appears well and is triaged to an ESI 4.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

EMDocs

JULY 25, 2024

Literature-based Recommendations for Suicide Assessment in the Emergency Department: A Review. The post Medical Malpractice Insights: The challenge of suicide evaluation in the ED appeared first on emDOCs.net - Emergency Medicine Education. Assessment of Patients’ Competence to Consent to Treatment. Applebaum PS. Oct 04, 2012.

Documentation/Coding 82

Documentation/Coding Hospitals Patient Safety Emergency Department 82

Taming the SRU

AUGUST 30, 2023

While PCT may be more specific for bacterial infections, it is flawed by still being rather non-specific and is not validated as a stand-alone diagnostic criteria for infection in the setting of the emergency department. Evaluation of fever in the emergency department. ng/mL (strongly recommended against antibiotics), 0.1-0.25

Infectious Diseases 88

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 88

The Skeptics' Guide to EM

MARCH 6, 2021

Background: Epistaxis is a common Emergency Department (ED) complaint with over 450,000 visits per year and a lifetime incidence of 60% ( Gifford 2008 , Pallin 2005 ). You administer phenylephrine topically, reapply pressure and, consider the use of tranexamic acid (TXA).

EMS 52

EMS Emergency Department Outcomes 52

Northwestern EM Blog

JANUARY 2, 2023

A pediatric emergency department in Texas looked at the resulted of their routine suicide risk screenings for patients aged 11-21. Suicide ideation and attempts in a pediatric emergency department before and during COVID-19. 2008 Dec;23(12):1231-8. JAMA Netw Open. 2021;4(1):e2034261. doi:10.1001/jamanetworkopen.2020.34261

Emergency Department 52

Emergency Department Research Pediatrics CDC 52

EMDocs

OCTOBER 30, 2023

Background and Context Contrast-enhanced computed tomography (CECT) is of paramount importance in the emergency department (ED) due to its indispensable role in facilitating precise diagnostic outcomes. Increased Computed Tomography Utilization in the Emergency Department and Its Association with Hospital Admission.

Radiology 73

Radiology Radiology Emergency Department Hospitals 73

Don't Forget the Bubbles

SEPTEMBER 18, 2024

Case 1 focuses on a case seen in the emergency department and explores the common parental query of a “weak immune system” in a young child who has had several recurrent upper respirator tract infections back-to-back but is otherwise well. A 3 year old boy is brought to emergency department and treated for viral induced wheeze.

Emergency Department 78

Emergency Department Wellness Infectious Diseases Pediatrics 78

ACEP Now

JANUARY 9, 2024

A 3-year-old male was brought to the emergency department (ED) by his mother, who reported the sudden onset of a rash (hives) covering his entire body, with no rash on his palms and soles. The next day, the patient’s mother was called to come to the emergency department with the patient due to abnormal labs. Adv Pediatr.

Poisoning 52

Poisoning Pediatrics Emergency Department Wellness 52

Pediatric Emergency Playbook

AUGUST 1, 2017

One of our largest responsibilities in the Emergency Department is sorting out benign from surgical or medical causes of abdominal pain. Abdominal Surgical Emergencies in Children: A Relative Timeline General Advice Neonate (birth to one month) Necrotizing Enterocolitis Pneumatosis Intestinalis. J Med Genet 2008; 45:1.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

The Skeptics' Guide to EM

FEBRUARY 24, 2018

Case: 64-year-old male presents to your emergency department with worsening abdominal pain, nausea, vomiting and anorexia for the past week. Over the course of his emergency department stay he has escalating vasopressor requirements. He writes an excellent blog called EM Nerd , which he describes as nihilistic ramblings.

Shock 40

Shock Sepsis Emergency Department Resuscitation 40

The Skeptics' Guide to EM

JULY 2, 2022

Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. His father had a minor heart attack at the age of 63.

EKG/ECG 40

EKG/ECG Academics Emergency Department Hospitals 40

Taming the SRU

JULY 21, 2023

Eye Pathology Now let’s dive back into some common eye disease processes you may see on a typical day in the emergency department. Knowing these spaces can be helpful when differentiating peri-orbital vs orbital cellulitis. patients should follow up with ophthalmology within a few days. Accessed April 15, 2022. Microbial Keratitis.;

Emergency Department 87

Emergency Department EMS Burns Wellness 87