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SGEM#345: Checking In, Checking Out for Non-Operative Treatment of Appendicitis

The Skeptics' Guide to EM

His practice is in trauma, […] The post SGEM#345: Checking In, Checking Out for Non-Operative Treatment of Appendicitis first appeared on The Skeptics Guide to Emergency Medicine. It is a good, and generally very safe operation, with a high rate of patient satisfaction. Date: September 16th, 2021 Reference: Sippola et al.

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ECG Pointers: STEMI Equivalents from the American College of Cardiology

EMDocs

In addition to a posterior ECG, the ACC’s new recommendations emphasize consideration of an emergent TTE, though lack clarity in defining who should be the operator, stating “a clinician qualified in echocardiography” is necessary, without providing specific definitions. 2008 Nov 6;359(19):2071—2073. Her vital signs are stable.

EKG/ECG 110
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The Latest in Critical Care, 2/5/24 (Issue #28)

PulmCCM

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. Ultrasound is well-suited for identifying most serious biliary system abnormalities.

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2024 ACEP Elections Preview: Meet the Board of Directors Candidates

ACEP Now

Creation of an accurate database of emergency physicians living and working within a state, as well as a network of each states’ EM groups and ED medical directors would help chapter leaders disseminate relevant information, strengthen advocacy efforts, and plan regional solutions summits to focus on unique challenges.

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Policy Playbook: Labor Actions and Unionization in Healthcare

EMDocs

3 Increasing Strikes and Unions Labor actions in healthcare can disrupt normal hospital operations, potentially impacting costs and threatening patient quality of care. Unionization of healthcare providers can create opportunities to improve staff’s financial and general well-being, but may also facilitate future strikes.

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SGEM#256: Doctor Doctor Give Me the News, I Gotta Bad Case of RLQ Pain – Should I have an Appendectomy?

The Skeptics' Guide to EM

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.

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An approach to the infant with plagiocephaly

Don't Forget the Bubbles

There are many causes, and it is less well understood than plagiocephaly. Craniosynostosis needs urgent referral and is usually corrected operatively before a child’s first birthday. Craniosynostosis Craniosynostosis is rare. It is due to the premature closure of the sutures rather than positional changes to an otherwise normal skull.