ACEP Now

SEPTEMBER 5, 2024

While some issues are handled locally, many issues cannot be solved in our emergency department or hospital. As a community “pit doctor,” I believe I have a good understanding of the needs of emergency physicians. We must have a community of like-minded individuals working towards shared goals.

Leadership 97

Leadership PPE EMS Wellness 97

EB Medicine

DECEMBER 1, 2018

Antigen drift refers to small point mutations to the viral genes that code for H and N. When cells are infected by 2 or more strains, a new strain can emerge after genetic reassortment. In the emergency department, standard isolation and droplet precautions should be maintained for suspected or confirmed infections.

Emergency Department 40

Emergency Department CDC Infectious Diseases EMS 40

ACEP Now

MAY 6, 2023

Case A 35-year-old male is brought to the emergency department (ED) following a single-motor-vehicle collision in which two people were ejected and pronounced dead at the scene. Manual of Forensic Emergency Medicine: A Guide for Clinicians. Sudbury, Massachusetts: Jones and Bartlett; 2009. Discussion There were over 2.1

Forensics 52

Forensics Documentation/Coding Fractures Head Injuries 52

The Skeptics' Guide to EM

DECEMBER 5, 2020

Case: A 50-year-old female presents to your community emergency department in the middle of the night with new-onset constant but mild vertigo and nausea. As an alternative diagnostic method, the HINTS exam was first established in 2009 to better differentiate central from peripheral causes of AVS [4].

Stroke 40

Stroke Documentation/Coding Emergency Department Hospitals 40

Don't Forget the Bubbles

MARCH 19, 2024

Becasue paediatric emergency departments are accessible out-of-hours they become the de facto place of safety with access to immediate support. Key messages Consider social determinants of health and document these in a child’s clinical notes. What can clinicians do? They can assume a ‘coordinating role’.

Hospitals 52

Hospitals Psychiatric Documentation/Coding Pediatrics 52

EMDocs

JULY 11, 2023

2009 Nov;15(6):1281-90. PMID: 7382250 MASAC Document 257 – Guidelines for Emergency Department Management of Individuals with Hemophilia and Other Bleeding Disorders. PMID: 7382250 MASAC Document 257 – Guidelines for Emergency Department Management of Individuals with Hemophilia and Other Bleeding Disorders.

Head Injuries 61

Head Injuries Pediatrics Dislocations CDC 61

Pediatric Emergency Playbook

APRIL 1, 2016

used BNP in the emergency department to differentiate heart failure from respiratory causes in infants and children with heart failure and those with no past medical history. 2009; (55) 12:2098–2112. for the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents. Cohen et al.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

Pediatric EM Morsels

OCTOBER 27, 2023

James Broselow, a family medicine-turned-emergency medicine physician from Hickory, North Carolina , recognized that his team spent a lot of time trying to calculate doses of medications rather than spending their mental energy on the actual medical decisions for the resuscitation. Am J Emerg Med. Am J Emerg Med. x exp[0.02

Pediatrics 269

Pediatrics Resuscitation Documentation/Coding Wellness 269

ACEP Now

DECEMBER 17, 2024

We deal with difficult and traumatizing situations daily, and nowhere is this more apparent than in the emergency department, where sickness, violence, and death are routine. One of the first documented strikes among house staff officers took place in 1974 at Howard University here in Washington, D.C., died by suicide.

Burns 100

Burns Hospitals Documentation/Coding Emergency Department 100

EMDocs

NOVEMBER 6, 2024

He denies any past medical history other than polysubstance abuse and depression. tetani infection is also indicated.

Poisoning 76

Poisoning Airway Management Dislocations Forensics 76

EMDocs

JULY 9, 2024

The emergency department takes care of some of the highest risk patients with the worst access to health care and social services Over the past 20 years, many researchers have created and validated social needs screeners Some examples: iHELP, WE CARE, SEEK, USDA 2-item food insecurity questionnaire Does screening make a difference?

Pediatrics 54

Pediatrics Emergency Department Research Burns 54

Dr. Smith's ECG Blog

JUNE 8, 2023

As they documented, “Paramedics noted patient’s 12 Lead appeared to have 1mm of elevation in III and borderline 1mm elevation in aVF, with mild depression in I and aVL. Cardiology documented “late presentation STEMI but likely aborted given resolution of ST changes from EMS to hospital.” Eur Heart J 2009 4 Lemkes et al.

EKG/ECG 75

EKG/ECG Documentation/Coding EMS Emergency Department 75

The Skeptics' Guide to EM

SEPTEMBER 15, 2018

Intervention: Malpractice claims involving trainees (residents) in an emergency department setting over a three-year period from 2009-2012. Outcomes: Coded information covering a number of domains. Comparison: Malpractice claims not involving trainees in the same time period.

Documentation/Coding 40

Documentation/Coding Teamwork Hospitals Emergency Department 40

RebelEM

MAY 15, 2024

Comparison of the MASCC and CISNE scores for identifying low-risk neutropenic fever patients: analysis of data from three emergency departments of cancer centers in three continents. Application of the MASCC and CISNE Risk-Stratification Scores to Identify Low-Risk Febrile Neutropenic Patients in the Emergency Department.

Infectious Diseases 87

Infectious Diseases Administration Sepsis Anaphylaxis 87

Dr. Smith's ECG Blog

APRIL 8, 2015

Thus, if there is documented sinus bradycardia, and no suspicion of high grade AV block, at the time of the syncope, this is very useful. Yield of Diagnostic Tests in Evaluating Syncopal Episodes in Older Patients Arch Intern Med 2009 Jul 27; 169:1299-1305. Arch Intern Med 2009 Jul 27; 169:1262. Thiruganasambandamoorthy, V.,

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

RebelEM

NOVEMBER 11, 2024

What They Did: Investigators performed a retrospective cohort study in the Emergency Department at the University of Michigan between July 1, 2014 through December 31, 2018. 2009 Dec;37(12):3114-9. 2009 Mar 26;360(13):1283-97. appeared first on REBEL EM - Emergency Medicine Blog. Ann Transl Med. Crit Care Med.

Sepsis 98

Sepsis Outcomes Administration Shock 98