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. Use procalcitonin and CRP as ancillary tests only.

Best Practices 111

Best Practices Ultrasounds Infectious Diseases Sepsis 111

The Skeptics' Guide to EM

APRIL 16, 2022

JAMA Feb 2009 looked at the ACC/AHA guidelines from 1984 to 2008. The level of high-quality evidence had not changed much when looking at the ACC/AHA guidelines from 2008-2018. Clinical Question: What is the effectiveness of common elective orthopaedic procedures compared with no treatment, placebo, or non-operative care?

Military 40

Military Operations Emergency Department Pediatrics 40

ACEP Now

JUNE 7, 2023

Software attacks crippled operations in large hospital chains, and physical assaults on ED staff continued unabated. 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. Executive Summary of ED Operations in 2022 Volume was up from 2021.

Emergency Department 52

Emergency Department Documentation/Coding Operations EMS 52

The Skeptics' Guide to EM

MAY 11, 2019

Omar et al (2008) showed just how safe laparoscopic appendectomies have become. This is an example of why things in evidence-based medicine can be “complicated” ( SGEM#115 and SGEM#180 Clinical Question: Operative treatment or non-operative treatment of acute Grade 1 (uncomplicated) appendicitis? Reference: Sceats et al.

Documentation/Coding 40

Documentation/Coding Operations Academics Ultrasounds 40

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. 2008 Dec 1;67(11):1784-8. Despite a plateau in overall union membership of around 10% in 2023 1 , major labor actions shook the U.S. 2012 Feb 1;4(1):127-57.

Hospitals 89

Hospitals Research Patient Safety Wellness 89

ACEP Now

SEPTEMBER 5, 2024

It is a multi-phase process, and we have to listen to the voices of our membership. However, to stay static in today’s world is to fade into irrelevance and our country and our membership needs the voice and presence of emergency medicine.

Leadership 98

Leadership PPE EMS Wellness 98

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. Patients who require inpatient boarding remain a significant challenge to ed operations. Overall length of stay increased in EDs, with a subsequent large increase in the ED walkaway rate.

Emergency Department 52

Emergency Department Hospitals EMS Operations 52

Don't Forget the Bubbles

MARCH 11, 2024

Craniosynostosis needs urgent referral and is usually corrected operatively before a child’s first birthday. Craniosynostosis can lead to raised intracranial pressure and failure to thrive. and can worsen and become harder to correct over time. This can lead to intracranial hypertension and neurodevelopmental delay. Bialocerkowski, A.

Radiology 59

Radiology Radiology Pediatrics Documentation/Coding 59

Taming the SRU

MARCH 14, 2023

Ultimately, definitive management is in the operating room with revision or replacement of the VP shunt. 2008) Shprecher, Schwalb, Kurlan. Unfortunately, maneuvers to relieve a proximal occlusion in the emergency department are limited. Lumbar puncture is an option with limited data for success. Neuroradiology. Wallace et al.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

Advanced Emergency Nursing from AENJ

DECEMBER 18, 2014

10 Commandments of Risk Management (Camp Operations) THE "20 Commandments" of EMTALA Ten Commandments For Malpractice Depositions The Top Ten Ways to Ensure Frustration, Miscommunication, and Poor Patient Care the Next Time You Provide (or Request) a Consult [N.B. Higginson, I., Belsham, P., Hicks, A., & Boon, D.

Mass Casualty Incidents 40

Mass Casualty Incidents Burns Urgent Care Pediatrics 40

ACEP Now

SEPTEMBER 13, 2023

Dr. Prescott, currently retired, was Chief Academic Officer of the Association of American Medical Colleges from 2008-2021 where he says he worked with “every single school of medicine in the U.S.,” There was no center at the NIH that looks at emergency care as a specialty.”

EMS 45

EMS Research Military Academics 45

Northwestern EM Blog

DECEMBER 20, 2021

Management is orthopedic consultation for operative stabilization [12]. 2008 Jul;90(7):940-5. Presentation is classically chronic hip pain with antalgic gait however may present with knee pain. Physical exam classically shows external rotation and abduction of the hip during hip flexion. References Smith E, Anderson M, Foster H.

Pediatrics 52

Pediatrics Ultrasounds Emergency Department Radiology 52

ETM Course

MAY 3, 2017

Simple windlass-style tourniquets are relatively inexpensive, easy to apply and easy to operate. 2008 Feb;64(2 Suppl):S38-49 Tourniquet use for civilian extremity trauma. Studies comparing different commercially available tourniquets have produced mixed results so no single device can be recommended over another.

Military 52

Military Shock Hospitals Operations 52

Taming the SRU

JANUARY 29, 2024

Variations in sensitivity are thought to be related to operator technique, patient habitus, and difficulty evaluating the subclavian vein beneath the clavicle. [12] 2008 Aug;6(8):1262-6. Epub 2008 May 15. Epub 2020 Nov 25. Flinterman LE, Van Der Meer FJ, Rosendaal FR, Doggen CJ. J Thromb Haemost. doi: 10.1111/j.1538-7836.2008.03017.x.

Emergency Department 93

Emergency Department Fractures Hospitals Operations 93

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.

Fractures 52

Fractures Documentation/Coding Operations Research 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 While secrecy surrounds the operations of many PE-owned groups, Envision serves as a case study. This was cited as a cause for its eventual bankruptcy.

Hospitals 113

Hospitals Radiology Radiology Administration 113

PulmCCM

SEPTEMBER 4, 2024

OP is operating point, the operating point defines the cardiac output on the y-axis and Pra on the x-axis; Rcardiac is cardiac resistance (i.e., OP1 is operating point 1 at baseline. With tamponade, operating point 2 (OP2) is formed. Parkin WG, Leaning MS, (2008) Therapeutic control of the circulation.

Ultrasounds 84

Ultrasounds Operations Research Outcomes 84

PHEM Cast

DECEMBER 1, 2017

Journal of Special Operations Medicine : a Peer Reviewed Journal for SOF Medical Professionals , 13 (4), 53–58. Awareness of site for needle thoracocentesis. Emergency Medicine Journal , 22 (11), 788–789. link] Fitzgerald, M., Mackenzie, C. Marasco, S., Hoyle, R., & Kossmann, T. Injury , 39 (1), 9–20. link] Givens, M. Branco, B.

Academics 52

Academics Radiology Radiology Resuscitation 52

EMDocs

OCTOBER 23, 2023

Operative complications requiring surgical intervention or hospitalization occur in about 3-6% of all hysterectomies (5). difficile infection, and post-operative hemorrhage. Abscess and Infected Hematoma : This condition is typically delayed, occurring most commonly 10-14 days post-operatively.

OB/GYN 78

OB/GYN Operations EMS Ultrasounds 78

EMDocs

OCTOBER 30, 2023

Under standard operating protocols, residual contrast materials are usually wasted, according to current CDC and JC standards. Retrospective study done by Monash University in Melbourne (largest radiology department in Australia) (Average daily scans plotted). J Am Coll Radiol. Published online August 3, 2023:S1546-1440(23)00544-6.

Radiology 84

Radiology Radiology Emergency Department Hospitals 84

Pediatric Emergency Playbook

JANUARY 1, 2017

Neonatal observational scales have been validated in the intensive care and post-operative settings; ED-specific quantitative scales are lacking. CRIES ( Table 1 ) was validated for post-operative patients; to adapt its use for the ED, the most conservative approach is to substitute “preoperative baseline” with normal range for age.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

EMDocs

JUNE 21, 2023

Common operator errors Failing to enter joint capsule before injecting STS. 2008 Feb;466(2):432-5. When in the joint, you’ll obtain synovial fluid. Inject lidocaine first, then slowly start injecting STS looking at the wound for saline coming out. You can range the joint which may help you see fluid extruding. J Orthop Trauma.

Soft Tissue Injuries 80

Soft Tissue Injuries Fractures Dislocations Radiology 80

The Skeptics' Guide to EM

MARCH 5, 2022

JAMA Feb 2009 looked at the ACC/AHA guidelines from 1984 to 2008. The level of high-quality evidence had not changed much when looking at the ACC/AHA guidelines from 2008-2018. The comparison was the clinical efficacy of the most common orthopaedic procedures with no treatment, placebo, or non-operative care. Tricoci et al.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Research Pediatrics Outcomes 40

Advanced Emergency Nursing from AENJ

JULY 9, 2015

They may be entrapped; have limited access; may be midway in an operating position that can’t be changed; may need to be sitting due to pulmonary edema, morbid obesity, aspiration prevention or for awake intubation. NREMT (2008). December 2008 JEMS Vol. Most training is likewise done with the patient on a table.

Airway Management 40

Airway Management Pediatrics Resuscitation Documentation/Coding 40

Taming the SRU

AUGUST 30, 2023

A 2008 review in the International Journal of Medicine on spinal epidural abscess (SEA) agreed that inflammatory markers (specifically ESR and CRP) are generally sensitive in the diagnosis of SEA, but are not specific. 2008 Aug;75(8):557-66. Notably, up to 40% of patients with native vertebral osteomyelitis had a normal WBC [33-34].

Infectious Diseases 88

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

EB Medicine

JULY 8, 2019

From the 80’s to 2008, the worldwide prevalence of obesity nearly doubled! Nachi: Unfortunately this procedure is associated with a relatively high re-operation rate – one study found 20% of patients required removal or revision. Jeff: Even more shockingly, some series showed a 52% repeat operation rate. million adults!!

Emergency Department 40

Emergency Department Sepsis Operations Ultrasounds 40

Advanced Emergency Nursing from AENJ

AUGUST 2, 2016

" [Coroners Society] King Richard I (the Lionheart) needed vast sums of money for the Third Crusade, operation of the kingdom, and for his ransom fro m Duke Leopold of Austria. Visible Proofs: Forensic Views of the Body exhibition at the National Library of Medicine closed on February 25, 2008. Accessed 07/30/2016.

Documentation/Coding 40

Documentation/Coding Forensics CDC Fractures 40

Advanced Emergency Nursing from AENJ

MAY 27, 2015

2008) Mumbai Combined Arms Operation November 26-28, 2008. September 2005) Terrorism and Other Public Health Emergencies Reference Guide for Media. [ USDHHS Public Health Emergency website for more current and general information] Sourced from : California Hospital Association. Emergency Preparedness. Emergency Preparedness.

Federal Emergency Management Agency 40

Federal Emergency Management Agency Military Hospitals Administration 40

Don't Forget the Bubbles

JANUARY 27, 2025

Rousseau V, Massicot R, Darwish AA, Sauvat F, Emond S, Thibaud E, Nihoul-Fekete C (2008) Emergency management and conservative surgery of ovarian torsion in children: a report of 40 cases, 21(4):201-6, PMID: 18656074. How unstable is this patient? Do they need to be in the bay in front of your nursing station or in resus? Renganathan, R.,

Ultrasounds 76

Ultrasounds Emergency Department Pediatrics Dehydration 76

Advanced Emergency Nursing from AENJ

FEBRUARY 27, 2015

" EyeWitness to History, www.eyewitnesstohistory.com (2008). President Eisenhower's Operation for Regional Enteritis A Footnote to History. Taft and Pickwick; Sleep Apnea in the White House. September 2003. 124 (3) 1133 " The Death of President Franklin Roosevelt, 1945." Dallek, Matthew. Rogers, William Warren. “

Stroke 40

Stroke COPD Emergency Nursing Sepsis 40

EMDocs

NOVEMBER 4, 2024

Jan 23 2008;(1):CD000396. Pharmacologic therapy should only be utilized for chronic low back pain for patients who have not responded adequately to the aforementioned options. Epub 2017 Feb 14. PMID: 28192789. Roelofs PD, Deyo RA, Koes BW, Scholten RJ, van Tulder MW. Non-steroidal anti-inflammatory drugs for low back pain.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

They also proved that only expired air resuscitation guaranteed sufficient inflation volumes; that exhaled air was a suitable resuscitating gas; and that the operator would have continuous feedback from each breath. McGraw-Hill Medical, 2008. The first reported oral intubation of the human trachea. McLachlan, G. Barton, E. Kimball, W.,

Resuscitation 40

Resuscitation Airway Management EMS CPR 40