Dr. Smith's ECG Blog

NOVEMBER 27, 2024

In Figure-1 is the ECG from the August 26, 2009 post in Dr. Smith's ECG Blog ( this being one of the 10 Cases of Inferior HATWs that Dr. Smith links to — and the ECG for which he gives a preview of the HATW model that he and Dr. .: Figure-1: ECG from the August 26, 2009 post in Dr. Smith's ECG Blog.

EKG/ECG 117

EKG/ECG Research Outcomes Wellness 117

Pediatric EM Morsels

MAY 12, 2023

2009 Oct 3;374(9696):1160-70. Epub 2009 Sep 14. Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. doi: 10.1016/S0140-6736(09)61558-0. Erratum in: Lancet. 2014 Jan 25;383(9914):308. PMID: 19758692.

Head Injuries 130

Head Injuries Fractures Pediatrics EMS 130

Science Based Medicine

APRIL 17, 2024

If the measure becomes law it will ban the sale of tobacco products to anyone born after January 1, 2009. UK MPs have just passed the Tobacco and Vapes Bill by a 383 to 67 vote. This is not just an age limit – this is a permanent phased ban.

92

92

RebelEM

NOVEMBER 6, 2024

2009 Mar;17(3):137-51. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. PMID: 30480959 Mathew PK, Athwal GS, King GJ. Terrible triad injury of the elbow: current concepts. J Am Acad Orthop Surg. Doi: 10.5435/00124635-200903000-00003. PMID: 19264707 Murphy KA, Morrisonponce D. Anatomy, Shoulder and Upper Limb, Median Nerve. 2023 Aug 20.

Dislocations 118

Dislocations Fractures Soft Tissue Injuries Outcomes 118

ALiEM

NOVEMBER 17, 2023

2009 May;73(5):1008-11. Epub 2009 Mar 13. Always keep a broad differential for prepubertal pediatric patients with genitourinary and vaginal bleeding complaints References HHillyer S, Mooppan U, Kim H, Gulmi F. Diagnosis and treatment of urethral prolapse in children: experience with 34 cases. doi: 10.1016/j.urology.2008.10.063.

Pediatrics 100

Pediatrics Emergency Department Academics OB/GYN 100

Pediatric EM Morsels

JULY 28, 2023

2009 Apr;10(2):155-7. Diabetes Ther. 2010 Dec;1(2):103-20. PMID: 22127748. PubMed] [Read by QxMD] Morales AE1, Daniels KA. Cerebral edema before onset of therapy in newly diagnosed type 2 diabetes. Pediatr Diabetes. PMID: 19261103. PubMed] [Read by QxMD] Lawrence SE1, Cummings EA, Gaboury I, Daneman D.

Fluid Resuscitation 246

Fluid Resuscitation Pediatrics Resuscitation Research 246

Sensible Medicine

JUNE 9, 2024

I trained at Northwestern Medical Center in Chicago between 2009 and 2012 in internal medicine. Its incredible how times have changed. If I ever called out “fake” sick, my program director would give me a “real” ass-kicking.

Wellness 125

Wellness 125

Pediatric EM Morsels

MAY 24, 2024

In 2009, more than 9,000 children died from accidental injuries. Today we tackle low risk intra-abdominal injury , to find those children in which less may be more. Low Risk Inta-Adbominal Trauma: Pediatric Trauma is Dangerous! Unintentional injuries are the leading cause of death in children. Every hour, 1 child dies from an injury.

Pediatrics 161

Pediatrics Blood Transfusions EMS Fractures 161

Pediatric Emergency Playbook

SEPTEMBER 1, 2020

2009; 39(1):e23-e27. Tuft Fracture Yeh PC et al. Pediatric Hand Fractures. Techniques in Orthopaedics. Seymour Fracture Nellans et al. Pediatric Hand Injuires. 2013 November ; 29(4): 569–578 Yeh PC et al. Pediatric Hand Fractures. Techniques in Orthopaedics. Mallet Fracture Adolescent with mallet finger and Kirschner wire fixation.

Fractures 52

Fractures Pediatrics Emergency Department 52

RebelEM

JANUARY 18, 2024

to 0.97; p = 0.02 Length of ICU Stay 906 patients Prehospital Abx: 300 pts No Prehospital Abx: 606 pts Pooled Mean Difference 0.11; 95% CI -1.85 to 2.07; p = 0.91 NOT STATISTICALLY SIGNIFICANT Length of Hospital Stay 3325 patients Prehospital Abx: 1680 pts No Prehospital Abx: 1645 pts Pooled Mean Difference: 4.50; 95% CI -3.34 to 12.33; p = 0.26

Sepsis 132

Sepsis Hospitals Administration Outcomes 132

ALiEM

OCTOBER 11, 2024

2009 Jun 25;113(26):6511-21. doi: 10.1182/blood-2009-01-129155. Epub 2009 Apr 24. Consult Hematology early to guide management. References Cines DB, Bussel JB, Liebman HA, Luning Prak ET. The ITP syndrome: pathogenic and clinical diversity. PMID: 19395674; PMCID: PMC2710913.

Academics 60

Academics Wellness 60

RebelEM

AUGUST 30, 2023

Imaging Gadolinium enhanced MRI – modality of choice, highly sensitive and specific ( Mylona 2009 ). 2009 Aug; 39(1):10-7. Cultured specimen narrows antibiotic coverage Urinalysis/Urine Culture –UTI is a frequent missed source of bacteremia (especially in diabetic patients). J Antimicrob Chemother. Semin Arthritis Rheum.

Infectious Diseases 104

Infectious Diseases Fractures Radiology Radiology 104

Board Bombs

MAY 3, 2020

Copyright Terminator 1984, Terminator Salvation 2009 Want to experience the greatest in board studying? Copyright Terminator 1984, Terminator Salvation 2009 We talk some serious movie references here while dropping bombs about SAH, its causes, diagnosis, and management. What about BP in SAH? No one knows, but we'll try.

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Taming the SRU

JANUARY 1, 2024

It is a relatively new procedure first described in 2009 (13). 2009 Sep 11;2(3):155–60. 2009 Nov;37(4):419. Peripheral Internal Jugular Vein (“Easy IJ”) The Easy IJ is a great last resort when you have exhausted all other options for peripheral vascular access and you have been unsuccessful. Ann Emerg Med. 2020 Aug;76(2):134–42.

Emergency Department 91

Emergency Department Ultrasounds Administration Burns 91

The Skeptics' Guide to EM

JUNE 3, 2023

This goes back to at least 2009 the Ketased study. However, it is hypothesized that etomidate may increase the risk of organ dysfunction and death by the suppression of cortisol production through inhibition of 11-beta-hydroxylase.

Outcomes 97

Outcomes Wellness 97

Sensible Medicine

MAY 28, 2024

Seven years later, in 2009, the USPSTF expanded this guideline to include children as young as 12 years old. But I’ve learned that screening can lead to a cascade of interventions more likely to harm than help. USPSTF Guidelines Depression screening was first recommended to adults in 2002 with a “B” grade.

Outcomes 139

Outcomes Military Psychiatric Wellness 139

ALiEM

FEBRUARY 26, 2024

2009 Jul-Aug;26(4):373-80. Case Discussion Take-Home Points When a vesicular rash is in a neonate < 1 month and all over the face, consider benign neonatal pustular lesions such as neonatal cephalic pustulosis. References Antoniou C, Dessinioti C, Stratigos AJ, Katsambas AD. Clinical and therapeutic approach to childhood acne: an update.

Academics 78

Academics Pediatrics Wellness 78

Sensible Medicine

JUNE 24, 2024

Between 2009-2023, many thousands, perhaps hundreds of thousands of patients, had Impella devices implanted. What I type next is not a typo: PROTECT II was a) stopped for futility, b) failed to show any superiority of Impella over IABP, and c) previous studies had shown the IABP to be no better than standard care.

Shock 94

Shock Hospitals 94

The Skeptics' Guide to EM

JULY 8, 2023

In 2009, the Cochrane group questioned Roche about the completeness of the data and after four years of requests, finally got access to all the data in 2013 and updated their review in 2014. The Cochrane collaboration published analyses of the available data in 1999, 2003 and 2006.

CDC 93

CDC Hospitals EMS Emergency Department 93

PulmCCM

MAY 2, 2024

Candida auris is a multi-drug resistant fungus discovered in 2009 in Japan. The fungus spread across Asia, the Mideast, and Africa before arriving in the U.S. Since 2018, C. auris cases have required reporting to public health officials, allowing more effective tracking. auris cases has been accelerating.

Hospitals 52

Hospitals 52

Don't Forget the Bubbles

NOVEMBER 29, 2023

A retrospective cohort analysis of the ED portion of the National Hospital Ambulatory Medical Care Survey from 2006 to 2009 in the US revealed that less than one-half of patients undergoing ETI in the ED received sedative drugs while in the ED.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

PulmCCM

APRIL 29, 2024

Then, in 2009, the condition disappeared completely. You don’t hear much about ventilator-associated pneumonia (VAP) anymore. It used to be highly prevalent in U.S. ICUs, and a popular research focus for academics, generating a steady stream of papers. Just kidding! In 2008, the U.S.

Documentation/Coding 52

Documentation/Coding Academics Administration Research 52

ALiEM

NOVEMBER 22, 2023

Tetrodotoxin, an Extremely Potent Marine Neurotoxin: Distribution, Toxicity, Origin and Therapeutical Uses. 2015;13(10):6384-6406. Published 2015 Oct 19. PMID: 26492253 Pratap Chand. Marine Envenomations. In: Clinical Neurotoxicology. Pages 454-462. ISBN 9780323052603. Retrieved 2023-06-13. Dumbacher JP, Spande TF, Daly JW.

Poisoning 113

Poisoning 113

Taming the SRU

APRIL 14, 2024

4, 1 July 2009, p. e14, www.biij.org/2009/4/e14/. H, Ravikumar, et al. Reduction En-Masse of Inguinal Hernia with Strangulated Obstruction.” Biomedical Imaging and Intervention Journal , vol. Accessed 9 Apr. Jenkins, John T, and Patrick J O’Dwyer. Inguinal Hernias.” 7638, 31 Jan. 269–272, [link]. Long, Brit.

Ultrasounds 93

Ultrasounds Emergency Department Pediatrics Radiology 93

RebelEM

MARCH 8, 2023

Retinal Detachment ( Hollands 2009 ) Pathophysiology Posterior vitreous shrinks with advancing age (aka synchysis senilis), pulling on the retina. Symptom characteristics ( Hollands 2009 ) Any flashers/floaters: (+) LR 1.2 Photopsia is from vitreoretinal traction, floaters are from vitreous cells/blood in the eye. and (–) LR 0.9.

Stroke 52

Stroke Emergency Department Ultrasounds Outcomes 52

ALiEM

DECEMBER 16, 2024

2009 Jun;13(2):115-7. Proc (Bayl Univ Med Cent). 2017 Apr;30(2):179-181. doi: 10.1080/08998280.2017.11929575. PMID: 28405074; PMCID: PMC5349820. Masterson L, Leong P. Pott’s puffy tumour: a forgotten complication of frontal sinus disease. Oral Maxillofac Surg. doi: 10.1007/s10006-009-0155-7. PMID: 19352731.

Pediatrics 52

Pediatrics Academics Wellness Infectious Diseases 52

RebelEM

FEBRUARY 5, 2024

Sites: Investigators recruited patients at 31 French emergency departments at university and nonuniversity hospitals Duration : June 1, 2009 to March 31, 2015. Practice Updates: While published in 2023, the data from this trial were gathered between 2009 and 2015. Population: Inclusion: Patients between 18–50 years of age.

Outcomes 105

Outcomes Hospitals Research Emergency Department 105

Emergency Medicine Cases

FEBRUARY 11, 2020

Although the mortality rate in patients with Coronavirus in this outbreak is less than 1% (which pales in comparison to Ebola or SARS), historically these types of outbreaks have occured every 5-6 years (SARS 2003, HINI 2009, Ebola 2014, Coronavirus 2020), so they are somewhat predictable and we should know how to prepare for them in our EDs.

Best Practices 52

Best Practices EMS Research PPE 52

EMDocs

FEBRUARY 7, 2024

healthcare workers previously remained low and relatively stagnant between 2009 and 2021. Trends in labor unionization among US health care workers, 2009-2021. Frequency : In the U.S., there were 31 recorded healthcare strikes in 2021, 39 recorded healthcare strikes in 2022, and 37 healthcare strikes in 2023 as of November 3rd.

Hospitals 77

Hospitals Research Patient Safety Wellness 77

Taming the SRU

SEPTEMBER 8, 2023

2009 Sep;137(3):856-64, 864.e1. Epub 2009 Jun 12. 2009 Jun;136(7):2159-68. Lee WM, Hynan LS, Rossaro L, Fontana RJ, Stravitz RT, Larson AM, Davern TJ 2nd, Murray NG, McCashland T, Reisch JS, Robuck PR; Acute Liver Failure Study Group. Gastroenterology. doi: 10.1053/j.gastro.2009.06.006. 2009.06.006. Erratum in: Gastroenterology.

Radiology 59

Radiology Radiology Ultrasounds EMS 59

EMDocs

SEPTEMBER 7, 2023

Fatal Poisoning Among Young Children from Diethylene Glycol-Contaminated Acetaminophen — Nigeria, 2008—2009”. 6, 8 July 2009, pp. Due to the limited availability of laboratory assays for DEG, clinicians should rely on a high index of suspicion, history, and routine lab work for diagnosing DEG toxicity. References: Abubukar et al.

Poisoning 66

Poisoning CDC Administration Emergency Department 66

AENJ: Featured Articles

JUNE 30, 2011

Lipton, 2009). Headache is 1 of the 5 most common chief complaints in the United States and accounts for nearly 5 million visits in the emergency department (ED; B. Freidman, D. Serrano, M. Diamond, & R.

Emergency Department 52

Emergency Department Research 52

Pediatric Emergency Playbook

MARCH 1, 2018

2009; 123(3):841-8 Herman M, Le A. References Cohen GM, Albertini LW. Pediatr Rev. 2012; 33(7):332-3. Friedman SB et al. The crying infant: diagnostic testing and frequency of serious underlying disease. Pediatrics. The crying infant. Emerg Med Clin North Am. 2007 Nov;25(4):1137-59. The infant with acute, unexplained, excessive crying.

Pediatrics 52

Pediatrics Emergency Department 52

PEMBlog

MAY 24, 2023

2009 Nov;27(4):655-67, ix. 2009 Jun;21(3):196-202. Coburn VA, Mycyk MB. Physical and chemical restraints. Emerg Med Clin North Am. doi: 10.1016/j.emc.2009.07.003. 2009.07.003. PMID: 19932399. Downes MA, Healy P, Page CB, Bryant JL, Isbister GK. Structured team approach to the agitated patient in the emergency department.

Emergency Department 59

Emergency Department Pediatrics Psychiatric Administration 59

ALiEM

JANUARY 22, 2024

2009 Jan;11(1):66-72. Infect Dis Clin North Am. 2007 Dec;21(4):997-1011, ix. doi: 10.1016/j.idc.2007.08.002. 2007.08.002. PMID: 18061086. Hendershot EF, Sexton DJ. Scrub typhus and rickettsial diseases in international travelers: a review. Curr Infect Dis Rep. doi: 10.1007/s11908-009-0010-x. PMID: 19094827. Shiao CC, Lin SY.

Documentation/Coding 64

Documentation/Coding Academics Emergency Department Hospitals 64

RebelEM

JANUARY 25, 2024

2009 Oct;114(7):1053-64. Epub 2009 Aug 20. Cardinale L, Volpicelli G, Binello F, Garofalo G, Priola SM, Veltri A, Fava C. Clinical application of lung ultrasound in patients with acute dyspnea: differential diagnosis between cardiogenic and pulmonary causes. Radiol Med. PMID: 19697100. Staub LJ, Biscaro RRM, Kaszubowski E, et al.

Ultrasounds 129

Ultrasounds Outcomes COPD Hospitals 129

Don't Forget the Bubbles

AUGUST 23, 2023

The Pause Jonathon Bartels worked as an Emergency Nurse in America in 2009. Definitive emotional support is critical to our emotional and psychological well-being. To limit the psychological harm, perhaps we should implement THE PAUSE. After the death of a young person in the Emergency Department, he initiated ‘ The Pause.’

Emergency Department 98

Emergency Department Resuscitation Documentation/Coding Best Practices 98