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 169

Burns Pediatrics Hospitals Wellness 169

Pediatric EM Morsels

OCTOBER 27, 2023

Rosenberg 2011, Yamamoto 2009] Not as accurate in obese children (physicians were better at estimating). 2009; 27(7):810-815. [Lubitz 1988] Very accurate for 3.5-25kg 25kg , but not as accurate >25kg. Lubitz 1988] Good agreement with actual weight if average body habitus, better than physician estimate. x exp[0.02 Am J Emerg Med.

Pediatrics 269

Pediatrics Resuscitation Documentation/Coding Wellness 269

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

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

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

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

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

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 59

Dislocations Fractures Soft Tissue Injuries Outcomes 59

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

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 122

Wellness 122

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

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.

52

52

Cook County EM Blog

MAY 1, 2023

2009 Jun 25. 2009 Oct;37(3):269-272. Septic bursitis: ED presentation, evaluation, and management. emDocs.net. Ruangchaijatuporn T, Gaetke-Udager K, Jacobson JA, Yablon CM, Morag Y. Ultrasound evaluation of bursae: anatomy and pathological appearances.  Skeletal Radiol. 2017;46(4):445-462. Wasserman AR, Melville LD, Birkhahn RH.

Ultrasounds 52

Ultrasounds Emergency Department Hospitals Outcomes 52

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

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

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

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

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

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

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.

Academics 64

Academics Documentation/Coding Emergency Department Hospitals 64

RebelEM

FEBRUARY 22, 2023

Giant Cell Arteritis (arteritic anterior ischemic neuropathy) ( Bagheri 2015 , Hayreh 2009 ) Pathophysiology Giant cell arteritis(GCA) affects that medium-sized and large arteries. T-cell-dependent disease. Predilection to involve the posterior ciliary artery.

Emergency Department 52

Emergency Department EMS Wellness 52

PulmCCM

JUNE 10, 2024

” Time-Limited Trials of Critical Care Time-limited trials of intensive care were suggested at least as far back as 2009 as a method of bridging the divide between clinicians and families' perspectives and expectations for ICU care. 2009 Nov;37(11):2888-94; quiz 2904. 2009 Fall;20(3):212-9. Crit Care Med. doi: 10.1097/CCM.0b013e3181ab86ed.

COPD 45

COPD Outcomes Hospitals EMS 45

PEMBlog

MAY 11, 2023

There is inconclusive evidence that it’s better than placebo for IVs too – it may help… ( see Auerbach, 2009 ). 2009 May;16(5):388-93. Epub 2009 Apr 15. Should we be using it for LPs instead of injecting? Let’s take a look at a couple of studies. Acad Emerg Med. doi: 10.1111/j.1553-2712.2009.00401.x.

Documentation/Coding 52

Documentation/Coding Pediatrics Emergency Department Academics 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 99

Outcomes Wellness 99

ALiEM

SEPTEMBER 29, 2023

2009 Nov;67(5):1046-1050. References Goodwin RB, Beery PR 2nd, Dorbish RJ, et al. Computed tomographic angiography versus conventional angiography for the diagnosis of blunt cerebrovascular injury in trauma patients. The Journal of Trauma. DOI: 10.1097/ta.0b013e3181b83b63. 0b013e3181b83b63. PMID: 19901666.

Radiology 70

Radiology Radiology Academics Ultrasounds 70

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 91

Shock Hospitals 91

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

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

MAY 6, 2023

The American College of Emergency Physicians ( ACEP ) defined the term in 2009 as “acute delirium (not linked to dementia or preexisting pathologies) associated with extreme physical and psychomotor agitation”. The task force came up with a paper that was presented and accepted by the ACEP board in 2009.

EMS 40

EMS Hospitals 40

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

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 77

Head Injuries EMS Research Emergency Department 77

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

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 95

CDC Hospitals EMS Emergency Department 95

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

Ziqitza HealthCare Ltd

JULY 15, 2024

A/California/07/2009 (H1N1), for instance, is the name of an influenza A virus that was identified in California in 2009 and that has the N1 neuraminidase and H1 hemagglutinin proteins. Since influenza B viruses are not classified into subtypes, they have similar names but lack the H and N designations.

Ambulance Services 40

Ambulance Services 40

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 137

Outcomes Military Psychiatric Wellness 137

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