ACEP Now

DECEMBER 11, 2023

The Emergency Department Benchmarking Alliance (EDBA) is a membership organization composed of high-performance emergency departments (EDs) that share a commitment to quality. EMS arrivals increased; many of those patients (35 percent) were admitted. American College of Emergency Physicians. ED boarding.

Emergency Department 52

Emergency Department Hospitals EMS Operations 52

EMDocs

DECEMBER 11, 2023

As we all know, a critical concern for emergency physicians is identifying patients with heart tissue-threatening ischemia that could benefit from percutaneous catheterization via stent deployment by an interventional cardiologist. Her vital signs are stable. Her ECG is shown below. He underwent serial ECGs, which are shown below.

EKG/ECG 119

EKG/ECG Emergency Department Academics Operations 119

ECG Guru

JUNE 28, 2024

EMS found him pale, diaphoretic, and anxious. Dr. Robbert de Winter, et al, described this pattern in a letter to the editor of the New England Journal of Medicine in 2008. The Patient This ECG is from a 57-year-old man complaining of sub-sternal chest pain for 30 minutes. The ECG The rhythm is normal sinus rhythm at 98 bpm.

EKG/ECG 81

EKG/ECG Emergency Department EMS 81

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

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. EM@3AM: Hernia.”

Ultrasounds 93

Ultrasounds Emergency Department Pediatrics Radiology 93

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 92

Poisoning CDC Administration Emergency Department 92

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 95

Soft Tissue Injuries Emergency Department EMS Fractures 95

EMDocs

OCTOBER 30, 2023

Pillai, MBBS (@sspillai01, EM Resident Physician, University of Kentucky) and Christopher N. 2 In response to the constrained availability of contrast media, emergency medicine (EM) and radiology departments were compelled to enact modifications in their imaging techniques. West J Emerg Med. Authors: Saran S.

Radiology 99

Radiology Radiology Emergency Department Hospitals 99

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 74

Pediatrics Emergency Department Research Burns 74

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

ACEP Now

SEPTEMBER 5, 2024

Our state chapter members and leaders are uniquely positioned to follow EMRA’s lead in partnering with local EM residency programs to improve communication of ACEP’s value to EM-bound medical students and EM residents by hosting residency visits or local events relevant to our shared mission.

Leadership 98

Leadership PPE EMS Wellness 98

The Skeptics' Guide to EM

MARCH 6, 2021

Anand Swaminathan is an Assistant Professor of Emergency Medicine at St. Managing editor of EM:RAP and Associate Editor at REBEL EM. Ann Emerg […] The post SGEM#321: The Times they are a Changin’ for TXA in Epistaxis? Anand Swaminathan is an Assistant Professor of Emergency Medicine at St. Reference: Reuben A et al.

EMS 52

EMS Emergency Department Outcomes 52

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

EMDocs

JANUARY 29, 2024

Authors: Sameer Desai, MD (EM Attending Physician, University of Kentucky); Omar Abbas Ahmed Malik, MBBS (Patients’ Aid Foundation, Jinnah Postgraduate Medical Center) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University School of Medicine in St. 2008 Jul;26(7):1446-52. 2019 Aug;50(8):2023-2029.

Stroke 99

Stroke Outcomes EMS Seizures 99

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

EMDocs

JANUARY 4, 2024

Case Follow-up: The patient required a dose of lorazepam in the emergency department. Ann Emerg Med. 2008 Apr;51(4):412-5, 415.e1. Symptoms, including any vital sign abnormalities (especially tachycardia,) must be completely resolved before discharge/medical clearance. doi: 10.1016/j.annemergmed.2007.06.004. 2007.06.004.

Seizures 92

Seizures EKG/ECG Poisoning Shock 92

The Skeptics' Guide to EM

FEBRUARY 24, 2018

He writes an excellent blog called EM Nerd , which he describes as nihilistic ramblings. 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.

Shock 40

Shock Sepsis Emergency Department Resuscitation 40

ACEP Now

MAY 3, 2023

is a bit like emergency medicine, she says: “Every day is different with a different set of circumstances and range of problems to be solved.” When she took the role in 2008, it was a newly created job tasked with expanding AARP’s approach to making health products and services available to its members from third party companies.

EMS 52

EMS Outcomes Emergency Department Hospitals 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. Neurol Med Chir (Tokyo).

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

EMDocs

APRIL 22, 2024

4 In an emergency department (ED) presentation of cardiac arrest, the diagnosis of PE is challenging without the use of CT angiography. Point-of-Care-Ultrasound (POCUS) is a bedside modality that can assist Emergency Physicians (EPs) in differentiating PE from other causes of cardiac arrest. 2008 Mar;28(3):370-2.

Ultrasounds 98

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

EMDocs

JANUARY 20, 2024

We’ll keep it short, while you keep that EM brain sharp. Takotsubo syndrome is often exceedingly difficult to distinguish from acute myocardial infarction in the emergency department, as there is significant overlap in many clinical and diagnostic features. 2008 Mar;155(3):408-17. Vital signs show T of 99.0°F J Neurosurg.

EMS 101

EMS Fluid Resuscitation Shock EKG/ECG 101

RebelEM

MAY 15, 2024

Comparison of the MASCC and CISNE scores for identifying low-risk neutropenic fever patients: analysis of data from three emergency departments of cancer centers in three continents. Epub 2011 Apr 22 Coyne CJ, Le V, Brennan JJ, Castillo EM, Shatsky RA, Ferran K, Brodine S, Vilke GM. Ann Emerg Med. 2008 Sep;1138:329-50.

Infectious Diseases 101

Infectious Diseases Administration Sepsis Anaphylaxis 101

ACEP Now

AUGUST 1, 2023

In November 2022, the American College of Emergency Physicians sent a letter to President Biden on behalf of 34 organizations, asking to convene stakeholders to identify solutions to address the emergency department (ED) boarding crisis.1 The effect of emergency department crowding on clinically oriented outcomes.

Military 98

Military Emergency Department Hospitals Leadership 98

ACEP Now

APRIL 5, 2024

13 To examine the death of Elijah McClain, in which excited delirium was ruled as the cause of death and in which two paramedics and a police officer have been convicted of homicide, the Colorado Department of Public Health and the Environment appointed an independent review committee on emergency use of ketamine. J Forensic Sci.

Forensics 49

Forensics Psychiatric Burns Hospitals 49

Don't Forget the Bubbles

SEPTEMBER 18, 2023

This blog post aims to help familiarise you with some of the most common reasons for prescribing antibiotics in the paediatric emergency department. Antibiotic Use for Common Infections in Pediatric Emergency Departments: A Narrative Review. 2008 Mar;72(3):377–83. Karageorgos, S.; Hibberd, O.; Mullally, P.J.W.;

Emergency Department 143

Emergency Department Infectious Diseases Pediatrics Sepsis 143

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. 1) This is a true ophthalmologic emergency. CASE 3 file Acute Angle Closure-glaucoma.jpg from Wiki EM through CC by 3.0 patients should follow up with ophthalmology within a few days.

Emergency Department 88

Emergency Department EMS Burns Wellness 88

EMDocs

NOVEMBER 4, 2024

Bhana, MD (EM Resident Physician, University of Massachusetts/UMass Chan Medical School); Clarence Kong, MD (Pain Fellow, Eastern Virginia Medical School – Virginia Health Sciences at Old Dominion University); Mani Hashemi, MD (EM Attending, HCA Florida Mercy Hospital); S.M. J Emerg Med. Acad Emerg Med. Ann Emerg Med.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

EB Medicine

DECEMBER 1, 2018

Jeff: Of note, EMS providers should use face masks themselves and place them on patients as well. Jeff: Alright, so now that the EMS crew, wearing proper PPE of course, has delivered the patient, who is also wearing a mask, to the ED, we can begin our ED H&P. In 2007-2008, an oseltamivir-resistant H1N1 strain emerged globally.

Emergency Department 40

Emergency Department CDC Infectious Diseases EMS 40

Taming the SRU

OCTOBER 28, 2024

When should I get a consultant involved in the emergency department? Editing by Anne Grisoli, MD and Anita Goel, MD Dr Grisoli is a PGY-4 in Emergency Medicine at the University of Cincinnati and planning on pursuing an ICU fellowship following residency graduation. She is a graduate from the UC EM residency, class of 2018.

COPD 79

COPD Pediatrics Emergency Department Ultrasounds 79

EMDocs

JANUARY 20, 2025

Further #FOAMed: POCUS for Assessing Volume Responsiveness – Core Ultrasound Volume Assessment Using POCUS in the Emergency Department References McGee S, Abernathy WB 3rd, Simel DL. Does this dyspneic patient in the emergency department have congestive heart failure? 2008 Sep;1(3):170-7. Acad Emerg Med.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

EMDocs

MARCH 11, 2024

Authors: Gaston Omba, MD (EM Resident Physician, Makerere University); Jessica Pelletier, DO (EM Education Fellow, Washington University in St. Risk Factors for Severe Cholera among Children under Five in Rural and Urban Bangladesh, 2000–2008: A Hospital-Based Surveillance Study. Trop Med Infect Dis. 2023;8(3):169. Kirk M, ed.

Dehydration 111

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 111