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

PulmCCM

APRIL 29, 2024

In 2008, the U.S. government proposed adding VAP to its “hospital-acquired conditions” list—the ones that it won’t pay for. Hospital administrators put VAP on the kill list. ICUs, and a popular research focus for academics, generating a steady stream of papers. Just kidding!

Documentation/Coding 52

Documentation/Coding Academics Administration Research 52

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 120

EKG/ECG Emergency Department Academics Operations 120

EMDocs

JANUARY 25, 2024

An attorney is consulted and a lawsuit filed against the first two EP’s, the radiologist, and the hospital, claiming that the patient was negligently cared for during the first ED visit. Hospital : The nurse drew a full “rainbow” set of blood tubes. 2008 Jul; 44(1): 40–42. [link] 2. I saw none at the time. References : 1.

Poisoning 97

Poisoning Documentation/Coding Patient Safety Hospitals 97

PHEM Cast

JULY 14, 2016

British Orthopaedic Association Standards for Trauma (BOAST); 2008. Out-of-hospital spinal immobilization: its effect on neurologic injury. 2008 Apr 15;5(3):214–9. Connor D, Greaves I, Porter K, Bloch M, consensus group Faculty of Pre-Hospital Care. Pre-hospital spinal immobilisation: an initial consensus statement.

Fractures 52

Fractures Hospitals Shock Research 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. A Single-Institution Experience in the Use of Chest Radiographs for Hospitalized Children Labeled as Asthma Exacerbation. Hamdoun, O., Alabdouli, A., Alsamri, M.

Emergency Department 131

Emergency Department Pediatrics Infectious Diseases Research 131

Taming the SRU

JANUARY 29, 2024

Hospital Course The patient was initiated on a therapeutic heparin drip in the emergency department with vascular surgery consultation. She had improvement of the swelling in her left arm with return of sensation and function during her five-day hospital course. 2008 Aug;6(8):1262-6. Epub 2008 May 15. Epub 2020 Nov 25.

Emergency Department 95

Emergency Department Fractures Hospitals Operations 95

ACEP Now

SEPTEMBER 5, 2024

With elimination of CME funding in many of our hospitals and groups, it is crucial to continue to add value and communicate that value to residents before graduation. While some issues are handled locally, many issues cannot be solved in our emergency department or hospital.

Leadership 98

Leadership PPE EMS Wellness 98

The Skeptics' Guide to EM

APRIL 17, 2021

Effect of Nebulized Magnesium vs Placebo Added to Albuterol on Hospitalization Among Children With Refractory Acute Asthma Treated in the Emergency Department: A Randomized Clinical […] The post SGEM#327: MAGNUM PA – Nebulized Magnesium for Pediatric Asthma first appeared on The Skeptics Guide to Emergency Medicine. Reference: Schuh et al.

Pediatrics 52

Pediatrics PPE Emergency Department Hospitals 52

EMDocs

OCTOBER 30, 2023

1 The shortage in supply posed difficulties for hospitals that significantly depend on GE Healthcare as their supplier, which encompassed approximately 50% of hospitals in the United States (US). Preparation 9 Hospitals had to prepare for the impending contrast shortage as soon as potential shortage news occurred. 11 Table 1.

Radiology 99

Radiology Radiology Emergency Department Hospitals 99

RebelEM

NOVEMBER 2, 2022

The benefit of paracentesis on hospitalized adults with cirrhosis and ascites. JAMA 2008; 299(10):1166-78. PMID: 11303974 Gaetano et al. Journal of Gastroenterology and Hepatology 2016. PMID: 26642977 Wong CL et al. Does this patient have bacterial peritonitis or portal hypertension? PMID: 18334692 Runyon BA.

EMS 52

EMS Administration Hospitals 52

ACEP Now

JUNE 7, 2023

Software attacks crippled operations in large hospital chains, and physical assaults on ED staff continued unabated. 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. Patient volume losses in 2020 reversed in 2021.

Emergency Department 52

Emergency Department Documentation/Coding Operations EMS 52

PulmCCM

SEPTEMBER 23, 2024

Daily duration of long-term oxygen therapy and risk of hospitalization in oxygen-dependent COPD patients. 2016 Sep 20;11(9):e0163293. doi: 10.1371/journal.pone.0163293. PMID: 27649490; PMCID: PMC5029935. Sundh J, Ahmadi Z, Ekström M. Int J Chron Obstruct Pulmon Dis. 2018 Aug 28;13:2623-2628. doi: 10.2147/COPD.S167523.

COPD 52

COPD Research Academics 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. PulmCCM is not affiliated with SCCM or IDSA. You can read the document here. What’s a Fever? °C (100.9°F).

Best Practices 111

Best Practices Ultrasounds Infectious Diseases Sepsis 111

PHEM Cast

APRIL 16, 2018

Effect of adrenaline on survival in out of hospital cardiac arrest: randomised double-blind placebo controlled trial. 2008; 64: 9-14/ Resuscitation. 2011; 82: 1138-43. Smith et al. Traumatic Cardiac Arrest. Journal of Royal Society of Medicine. 2015; 108: 11-16. Sperry et al.

Resuscitation 52

Resuscitation Shock Ultrasounds CPR 52

Dr. Smith's ECG Blog

FEBRUARY 8, 2015

The one exception ADDIN EN.CITE McCord 2008 1774 1774 17 McCord, J. Henry Ford Hospital. style='mso-element:field-begin'> ADDIN EN.CITE McCord 2008 1774 1774 17 McCord, J. Henry Ford Hospital. Wells, P.J. Hollander, J. de Lemos, J. Gibler, W. Philippides, G. ADDIN EN.CITE Pollan 1989 1855 1855 17 Pollan, S. Hollander, J.

Seizures 52

Seizures Administration Outcomes Hospitals 52

ACEP Now

DECEMBER 11, 2023

Long term trends remain intact, as these intake processing times decreased in most years since 2008, when the intake time was about 41 minutes. About 19 percent of ED visits result in hospital admission and 66 percent of hospital admissions are processed through the ED. The pandemic saw the time interval increase. ED boarding.

Emergency Department 52

Emergency Department Hospitals EMS Operations 52

Pediatric Emergency Playbook

AUGUST 1, 2017

J Med Genet 2008; 45:1. J Pediatr Gastroenterol Nutr 2008; 46:13. 2008; 15-21. Management of the child after enema-reduced intussusception: hospital or home? 2008; 22-28. Acute Intestinal Obstruction in children: Experience in a Tertiary Care Hospital. 2010; 149(3):386-391. Arshad A, Powell C, Tighe MP.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

The Skeptics' Guide to EM

JANUARY 27, 2018

Background: Emergency department patients often have peripheral IV cannula (PIVC) placed at triage for initial blood draws or “just in case” they are used during the emergency department stay or hospitalization. It is one of the most commonly performed procedures in the emergency department. days after, the intervention. .

Emergency Department 40

Emergency Department Academics Outcomes Research 40

The Skeptics' Guide to EM

JULY 2, 2022

You have been reading about the overuse of objective cardiac testing (OCT) and wonder if this patient really needs admission to the hospital. The HEART score was originally developed in 122 patients in the Netherlands and published in 2008. He has no history of coronary artery disease. If we thought about ACS, we brought them in.

EKG/ECG 40

EKG/ECG Academics Emergency Department Hospitals 40

Northwestern EM Blog

FEBRUARY 14, 2022

Interestingly, when vasopressin was studied in 2008, it similarly did not show a mortality benefit when added to norepinephrine infusion in septic shock2. There’s been some study of angiotensin II in the years since it has landed in our hospital formularies and there has not been robust data supporting its use.

Shock 52

Shock Resuscitation Fluid Resuscitation Sepsis 52

Northwestern EM Blog

JANUARY 10, 2022

Though this is dictated by your own hospital protocols, hypertonic saline has been shown to be safe when pushed in small doses through a large-bore peripheral (proximally placed) IV [1,2]. 2008 Nov;3(6):1852-60. Epub 2008 Aug 6. Of note, you do NOT need a central line for hypertonic saline administration. Campbell GA, Rosner MH.

Administration 52

Administration Seizures Emergency Department Wellness 52

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). That could be because CIRCI is ill-defined, almost hypothetical.

Shock 52

Shock Administration Sepsis Fractures 52

PulmCCM

OCTOBER 16, 2023

hospitals, between roughly one and four central line-associated bloodstream infections (CLABSI) occur per 1,000 days with a central line in place (catheter-days). Central line infections result in excess mortality, hospital stays, and cost (although the magnitude of all three are debated). How Often Do Central Lines Become Infected?

CDC 52

CDC Hospitals Ultrasounds Documentation/Coding 52

ACEP Now

MAY 3, 2023

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. As her career path unfolded, she also became involved with ACEP and the American Hospital Association.

EMS 52

EMS Outcomes Emergency Department Hospitals 52

Urgent Care Ultrasounds

JANUARY 17, 2019

The patient was referred to hospital to further investigate the cause of her collapse, in light of the uncertain aetiology of the echo findings. 2008; 6:46. Disposition A mass can be seen in the posterior mediastinum, immediately behind the the left atrium and anterior to the descending thoracic aorta. 1995; 75(4):308-10. pubmed ] 3.Koskinas

Urgent Care 40

Urgent Care Ultrasounds Radiology Radiology 40

Taming the SRU

AUGUST 30, 2023

In a small study involving 79 hospitalized children, PCT was found to be elevated in bacterial infections, with a decrease after appropriate antibiotic therapy, and decreased in viral infections [24]. 2008 Aug;75(8):557-66. . + Procalcitonin (PCT) Etiology: PCT was first discovered in 1984. days (secondary endpoint) [51].

Infectious Diseases 90

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 90

EMDocs

JANUARY 29, 2024

Blood Pressure Variability Predicts Poor In-Hospital Outcome in Spontaneous Intracerebral Hemorrhage. 2008 Jul;26(7):1446-52. 2019 Aug;50(8):2023-2029. doi: 10.1161/STROKEAHA.119.025514. 119.025514. Epub 2019 Jun 20. PMID: 31216966. Zhang Y, et al. J Hypertens. doi: 10.1097/HJH.0b013e328300a24a. 0b013e328300a24a.

Stroke 98

Stroke Outcomes EMS Seizures 98

RebelEM

JULY 20, 2023

INTRODUCTION You’re moonlighting in a remote access hospital. EMS radios in for a burn patient and to anticipate a difficult airway. You can hear the tension in their voice. They’re rolling up now. The patient is horribly burned. Acad Emerg Med. PMID: 18785939.

EMS 75

EMS Burns Airway Management Wellness 75

Dr. Smith's ECG Blog

OCTOBER 6, 2023

He was hospitalized for 16 days. de Winter et al in N Engl J Med 359:2071-2073, 2008. But the ECG is telling us that the myocardium will probably not recover. Such large infarcts have many complications. His included cardiogenic shock, V Tach, AV block. ECG one month later: What do you think? There will be very little recovery.

EKG/ECG 65

EKG/ECG Academics Shock Outcomes 65

Northwestern EM Blog

DECEMBER 20, 2021

2008 Jul;90(7):940-5. Terese Whipple, MD Assistant Professor Department of Emergency Medicine University of Iowa Hospitals and Clinics How To Cite This Post: [Peer-Reviewed, Web Publication] Ng, T. Acta Orthop. 2017;88(1):96-100. doi:10.1080/17453674.2016.1227055 Canavese F, Dimeglio A. J Bone Joint Surg Br. doi: 10.1302/0301-620X.90B7.20691.

Pediatrics 52

Pediatrics Ultrasounds Emergency Department Radiology 52

Sensible Medicine

APRIL 9, 2025

In the Spring of 2008, I was stationed aboard the La Rabida Children's hospital. The hospital was perched on a peninsula that jut into Lake Michigan on Chicago's South Side. It was the children's hospital. You couldn't feel sorry for yourself in the children's hospital. We could have been in the Pacific.

Hospitals 103

Hospitals Pediatrics PPE CDC 103

Pediatric Emergency Playbook

DECEMBER 1, 2015

Precautionary advice: take the moment to talk to parents about the risk, and show them how to apply pressure to the wound, pinching the inner and outer cheek together with the thumb and index finger until the child arrives to the hospital. 2008; 15:988-994. Pediatric electrical injuries: a review of 38 consecutive patients.

Burns 40

Burns Emergency Department EKG/ECG Shock 40

Pediatric EM Morsels

JULY 21, 2023

2008 Apr;39(4):1347-8. Epub 2008 Feb 28. Validation of a prognostic subarachnoid hemorrhage grading scale derived directly from the Glasgow Coma Scale. doi: 10.1161/STROKEAHA.107.498345. 107.498345. PMID: 18309166. Lammers DT, Marenco CW, Do WS, Conner JR, Horton JD, Martin MJ, Escobar MA Jr, Bingham JR, Eckert MJ.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Intensive Blog

MARCH 13, 2024

A Japanese meta-analysis that analysed studies from 1983 to 2008 found the rate of survival to discharge was approximately 27%, with a large proportion having good neurological recovery 7. Pre-hospital initiation vs transport to ECMO centre The optimal location of where ECMO should be initiated is yet to be determined.

CPR 130

CPR Resuscitation Hospitals Outcomes 130

EMDocs

FEBRUARY 7, 2024

3 Increasing Strikes and Unions Labor actions in healthcare can disrupt normal hospital operations, potentially impacting costs and threatening patient quality of care. One study from the National Bureau of Economic Research on nursing strikes in New York State from 1984 to 2004 found that hospital mortality increased by 19.4%

Hospitals 97

Hospitals Research Patient Safety Wellness 97

ACEP Now

SEPTEMBER 3, 2024

Hahnemann University Hospital in Philadelphia closed in 2019, a year and a half after it was acquired along with St. Christopher’s Hospital for Children by private equity (PE) firm Paladin Healthcare Capital for 170 million dollars. 14 Dr. Stinson remembers what it was like to work for a PE-owned hospital early in her career. “I

Hospitals 113

Hospitals Radiology Radiology Emergency Department 113