CasesBlog

OCTOBER 21, 2022

The first use of the hastag #MedTwitter was in 2009 by one of my accounts @DrVes, did not know about this until this year. DrVes) January 6, 2009 More: Did you know that the first medical journal club on Twitter was started by an allergist/immunologist @DrVes ?

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Pediatric EM Morsels

JUNE 21, 2024

[Palmieri 2002, Choi 2018, Raymond 2018] A systematic review with moderate quality evidence found no difference in the rate of wound healing or epithelialization with silver sulfadiazine compared to silver impregnated foam dressing.

Burns 173

Burns Pediatrics Hospitals Wellness 173

St. Emlyn

DECEMBER 26, 2023

St.Emlyn's - Emergency Medicine #FOAMed Air France Flight 447 takes off at 1930hrs on the final day of May in 2009, from Rio de Janeiro en route to Paris, carrying 228 passengers. In charge is … AI & Medicine: Saviour or Snake Oil? Read More » The post AI & Medicine: Saviour or Snake Oil?

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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

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 139

Wellness 139

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

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

EMDocs

NOVEMBER 13, 2024

2009 Mar 7;15(9):1042-9. Monomicrobial nonneutrocytic bacterascites: a variant of spontaneous bacterial peritonitis. Hepatology. 1990 Oct;12(4 Pt 1):710-5. Koulaouzidis A, Bhat S, Saeed AA. Spontaneous bacterial peritonitis. World J Gastroenterol. Chinnock B, Hendey GW, Minnigan H, et al. J Emerg Med. 2013 May;44(5):903-9.

Hyperthermia / Hypothermia 105

Hyperthermia / Hypothermia Ultrasounds Shock Hospitals 105

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 164

Pediatrics Blood Transfusions EMS Fractures 164

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

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 111

Outcomes Wellness 111

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 92

Poisoning CDC Administration Emergency Department 92

Taming the SRU

NOVEMBER 13, 2024

haffner and wright The number of psychiatric emergencies across the U.S.,

Psychiatric 89

Psychiatric Seizures Emergency Department Pediatrics 89

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

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

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 108

CDC Hospitals EMS Emergency Department 108

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.

Military 144

Military Outcomes Psychiatric Wellness 144

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 105

Shock Hospitals 105

The Skeptics' Guide to EM

JULY 29, 2023

Clinical Question: How has the rate of pre-hospital spinal immobilization/spinal motion restriction changed from 2009 to 2020? In order for standards for acute management of spinal injuries to progress, we must optimize patient protection and limit harm [19]. Reference: McDonald et al.

Head Injuries 98

Head Injuries EMS Research Emergency Department 98

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 aboutBP in SAH? No one knows, but we'll try.

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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 96

Infectious Diseases Fractures Radiology Radiology 96

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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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 98

Hospitals Research Patient Safety Wellness 98

ALiEM

OCTOBER 4, 2024

2009 Oct;201(4):381.e1-5. Epub 2009 Aug 29. PMID: 21691183. Ganer H, Levy A, Ohel I, Sheiner E. Pregnancy outcome in women with an intrauterine contraceptive device. Am J Obstet Gynecol. doi: 10.1016/j.ajog.2009.06.031. 2009.06.031. PMID: 19716537. Roline, C.E., Heegaard, W.G. & & Anderson, K.S.

Ultrasounds 64

Ultrasounds Academics Emergency Department Hospitals 64

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 92

Emergency Department Ultrasounds Administration Burns 92

Mind The Bleep

OCTOBER 29, 2024

Cardiovasc Intervent Radiol 32 , 155–158 (2009). Sagoschen, I. Intra-Arterial Calcium Gluconate Treatment After Hydrofluoric Acid Burn of the Hand. Kirkpatrick JJ, Enion DS, Burd DA. Hydrofluoric acid burns: a review. 1995;21(7):483-93 Walsh K, Hughes I, Dheansa B. Management of chemical burns. Br J Hosp Med (Lond). 2022 Mar 2;83(3):1-12.

Burns 52

Burns Fluid Resuscitation PPE Resuscitation 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

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

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

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

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

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

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

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

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 22, 2025

2009 Jun;140(6):826-33 Liao YJ, Dillon WP, Chin CT, McDermott MW, Horton JC. PMID: 34499261. Banks CA, Palmer JN, Chiu AG, O’Malley BW, Woodworth BA, Kennedy DW. Endoscopic closure of CSF rhinorrhea: 193 cases over 21 years.Otolaryngol Head Neck Surg.2009

EMS 65

EMS Fractures Operations Wellness 65

EMDocs

JUNE 22, 2024

Romero (2009). Additionally, PE in the context of labor is less likely than AFE, given the patient’s presentation and timing. Rosh Review Website Link Further Reading: FOAM Reading: [link] References: Conde-Agudelo, A. “Amniotic fluid embolism: an evidence-based review.” ” Am J Obstet Gynecol 201(5): 445 e441-413.

EMS 111

EMS Resuscitation Blood Transfusions Seizures 111