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. Funding: The Cardinal Health Laboratory provided Turkel thoracentesis kits to two hospitals Trial Registry: Clinicaltrials.gov: NCT01008228.

Outcomes 103

Outcomes Hospitals Research Emergency Department 103

PulmCCM

MAY 2, 2024

Candida auris is a multi-drug resistant fungus discovered in 2009 in Japan. For example, Maryland public health investigators collected surveillance cultures from hundreds of mechanically ventilated patients at 33 hospitals and 18 long-term acute care hospitals (LTACHs) in the spring and summer of 2023. Since 2018, C.

Hospitals 52

Hospitals 52

PulmCCM

APRIL 29, 2024

Then, in 2009, the condition disappeared completely. government proposed adding VAP to its “hospital-acquired conditions” list—the ones that it won’t pay for. Hospital administrators put VAP on the kill list. ICUs, and a popular research focus for academics, generating a steady stream of papers.

Documentation/Coding 52

Documentation/Coding Academics Administration Research 52

Pediatric EM Morsels

AUGUST 18, 2023

(Etminan 2019) In Belgium between 2010 – 2013, of the 262 children treated with fluroquinolones while hospitalized, only 17% were used for labelled indications. From 2001 to 2009, in a pediatric hospital gram negative culture showed a drop in sensitivity to ciprofloxacin from 96% to 93%. J Pediatric Infect Dis Soc.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

ACEP Now

SEPTEMBER 5, 2024

With elimination of CME funding in many of our hospitals and groups, it is crucial to continue to add value and communicate that value to residents before graduation. While some issues are handled locally, many issues cannot be solved in our emergency department or hospital.

Leadership 98

Leadership PPE EMS Wellness 98

ACEP Now

OCTOBER 15, 2023

In 2009, a consensus statement from the American Diabetes Association (ADA) discussed using a low-dose infusion (0.1 4,5 Notably, patients weighing 166 kg or more may have altered absorption of insulin and were eventually excluded from one hospital system’s protocol. Diabetes care in the hospital: standards of care in diabetes-2023.

Hospitals 80

Hospitals Operations Emergency Department Research 80

Mind The Bleep

OCTOBER 29, 2024

First aid done pre-hospital. Cardiovasc Intervent Radiol 32 , 155–158 (2009). The AMPLE framework offers a structured approach [2]. A Allergies M Medications P Past medical history L Last meal and drink E Events surrounding the injury: Time of chemical burn. Type of chemical and strength. Sagoschen, I. Management of chemical burns.

Burns 52

Burns Fluid Resuscitation PPE Resuscitation 52

Cook County EM Blog

MAY 1, 2023

The patient had been seen two days earlier at an outside hospital, where he received an aspiration of his right elbow out of concern for septic arthritis, though the aspirated fluid demonstrated no organisms. 2009 Jun 25. 2009 Oct;37(3):269-272. He was thereafter discharged home with oral antibiotics. and ESR 26. emDocs.net.

Ultrasounds 52

Ultrasounds Emergency Department Hospitals Outcomes 52

Taming the SRU

JUNE 3, 2024

Myth: Some patients are “too sick to transport” Myth Part B: The receiving hospital gets to decide if a patient is too sick to transport. What drives the concern? Relative to inactions, actions receive more attention, elicit stronger emotional reactions, trigger higher regret, and are often perceived as more consequential.

Shock 92

Shock Seizures Airway Management Stroke 92

ALiEM

JANUARY 22, 2024

The patient during his hospital stay developed ARDS and was on mechanical ventilation for 20 days. 2009 Jan;11(1):66-72. Fever was documented to be 102°F and was not associated with any chills or rigors. He was then extubated and discharged after 27 days. Infect Dis Clin North Am. 2007 Dec;21(4):997-1011, ix. doi: 10.1016/j.idc.2007.08.002.

Academics 64

Academics Documentation/Coding Emergency Department Hospitals 64

The Skeptics' Guide to EM

SEPTEMBER 23, 2017

Prehospital advanced cardiac life support for out-of-hospital cardiac arrest: a cohort study. Prehospital advanced cardiac life support for out-of-hospital cardiac arrest: a cohort study. The classic paper on ACLS drugs is called OPALS (Ontario Pre-hospital Advanced Life Support) study and was done by Dr. Ian Stiell and team.

CPR 52

CPR Academics Resuscitation Hospitals 52

The Skeptics' Guide to EM

DECEMBER 7, 2018

A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. Background: The AHA has five steps in the Chain-of-Survival for out-of-hospital cardiac arrest (OHCA). JAMA 2009, Hagihara et al. Date: December 6th , 2018 Reference: Perkins et al.

Advances Cardiac Life Support (ACLS) 52

Advances Cardiac Life Support (ACLS) CPR Resuscitation Hospitals 52

Dr. Smith's ECG Blog

JANUARY 1, 2024

The patient was promptly admitted to the hospital for further evaluation. Cannon waves are associated with reduced RV compliance or elevated RV end-diastolic pressure ( Ali et al — Ann Noninvasic Electrocard 22:e12423, 2017 — and — Chen and Pel-Ying Pai — Circulation 119:e381, 2009 ). What do you think? What is the rhythm?

EKG/ECG 111

EKG/ECG Shock Emergency Department Administration 111

Don't Forget the Bubbles

MAY 29, 2023

A qualitative study of 2,815 pre-hospital clinicians reported that nearly half of the respondents had experienced incivility from professional teams at least once a week. Academy of Management Learning & Education [Internet] 2009: 8:2:301–303. link] Isn’t it just ‘part of the job?’ Available at [link] Credland NJ, Whitfield C.

Leadership 98

Leadership Patient Safety Academics Research 98

EMDocs

OCTOBER 21, 2023

In hospital mortality estimated at 30-40%. 17 65-78% of survivors have significant disability one month after hospital discharge. Lancet Neurol 2009; 8:724-730. 20 Prognosis: Despite advances in imaging and treatment options, BAO is associated with high morbidity and mortality.

EMS 97

EMS Stroke Outcomes Hospitals 97

PHEM Cast

JULY 14, 2016

Out-of-hospital spinal immobilization: its effect on neurologic injury. Connor D, Greaves I, Porter K, Bloch M, consensus group Faculty of Pre-Hospital Care. Pre-hospital spinal immobilisation: an initial consensus statement. 2009 May;10(2):74–8. The University of Warwick. 2007 Aug 1;:1–18. Acad Emerg Med. J Emerg Med.

Fractures 52

Fractures Hospitals Shock Research 52

The Skeptics' Guide to EM

JANUARY 15, 2022

This has included looking at supraglottic airways for out-of-hospital cardiac arrests ( SGEM#247 ), video vs. direct laryngoscopy ( SGEM#95 ), tracheal intubation for in-hospital cardiac arrests ( SGEM#197 ), apneic oxygenation ( SGEM#186 ) and confirming intubation with POCUS ( SGEM#249 ).

Sepsis 43

Sepsis Shock Emergency Department Outcomes 43

PulmCCM

FEBRUARY 19, 2024

Let Families Activate Rapid Response Teams, Says SCCM The Society of Critical Care Medicine (SCCM) issued a new guideline on how hospitals and care teams should respond to emergencies outside the ICU or ED (i.e., SCCM now suggests this should be a standard practice at most hospitals. on the medical and surgical wards). Read it here.

Hospitals 52

Hospitals Resuscitation Burns Documentation/Coding 52

PEMBlog

OCTOBER 18, 2023

This patient was hospitalized for 4 days where he remained well-appearing. The Japanese experience has shown that overall mortality is low and that most infants do well without antibiotic treatment. However for preterm newbown with more severe illness, systemic antibiotics along with intravenous immunoglobulins may be necessary. Nishida, H.,

Infectious Diseases 59

Infectious Diseases Shock Pediatrics Wellness 59

EMDocs

JUNE 17, 2023

2009-1709 The post EM@3AM: Periorbital Cellulitis appeared first on emDOCs.net - Emergency Medicine Education. swelling, chemosis, fever, etc.), The Pediatric Infectious Disease Journal. 2021;40(11):969-974. doi:10.1097/inf.0000000000003226 0000000000003226 Rudloe TF, Harper MB, Prabhu SP, Rahbar R, VanderVeen D, Kimia AA. Pediatrics.

EMS 96

EMS Infectious Diseases Pediatrics Emergency Department 96

The Skeptics' Guide to EM

FEBRUARY 10, 2018

Lancet January 2018 Guest Skeptic: Dr. Tessa Davis is a Pediatrician specialising in Pediatric Emergency Medicine and currently practicing in a central London hospital. Lancet January 2018 Guest Skeptic: Dr. Tessa Davis is a Pediatrician specialising in Pediatric Emergency Medicine and currently practicing in a central London hospital.

Emergency Department 40

Emergency Department Pediatrics Sepsis Hospitals 40

Critical Care Now

APRIL 21, 2022

The duration of PIRRT also varies between hospitals and published studies making a standardized approach to dosing an issue. Clin Infect Dis 2009; 49:433-7. While there is definitely more information on HD and CRRT dosing, PIRRT dosing information is frequently lacking. Kidney Int 2006;70:963-968. Mushatt D, Mihm L, Dreisbach A, et al.

Burns 52

Burns Administration Outcomes Hospitals 52

The Skeptics' Guide to EM

MARCH 7, 2020

Over the past seventeen years he has practiced as a rural emergency and family physician and Clinical Chief of Emergency at Carbonear Hospital. Background: Many hospitals had their health care workers fitted with N95 masks in response to the 2009 H1N1 pandemic. John’s, Newfoundland Canada.

Emergency Nursing 40

Emergency Nursing PPE Emergency Department Administration 40

The Skeptics' Guide to EM

DECEMBER 5, 2020

John’s Riverside Hospital Emergency Medicine Residency in Yonkers, New York. John’s Riverside Hospital Emergency Medicine Residency in Yonkers, New York. As an alternative diagnostic method, the HINTS exam was first established in 2009 to better differentiate central from peripheral causes of AVS [4]. But what is the HINTS exam?

Stroke 40

Stroke Documentation/Coding Emergency Department Hospitals 40

PulmCCM

OCTOBER 16, 2023

hospitals, between roughly one and four central line-associated bloodstream infections (CLABSI) occur per 1,000 days with a central line in place (catheter-days). per 1,000 central-line days between 2001 and 2009. Other analyses have concluded that for hospitalized patients, the rates of CLABSI from PICCs are about equal to CVCs.

CDC 52

CDC Hospitals Ultrasounds Documentation/Coding 52

Pediatric Emergency Playbook

AUGUST 1, 2017

Management of the child after enema-reduced intussusception: hospital or home? 2009; 197:211-215. 2009 Jun;123(6):1548-55 Chinn WM, Zavala DC, Ambre J. Acute Intestinal Obstruction in children: Experience in a Tertiary Care Hospital. Management of childhood intussusception after reductiion by enema. Am J Emerg Med.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

PEMBlog

JULY 17, 2023

At that point you can follow the step of inserting new G-tube Bonus Videos This video is by Nemours Children’s Hospital. 11, 2009, pp. Ex 8 —>10 Continue to repeat these steps until you have reached the foley size that matches the patient’s G-tube. The steps on how to insert a new G-tube occurs at minute 11. doi:10.1097/pec.

Pediatrics 52

Pediatrics Emergency Department Hospitals 52

RebelEM

MARCH 27, 2023

2 Finally the settings initiated early in a patient’s care are often carried forward unchanged into their hospital and ICU stay. Hospitals should focus on both systemic factors and bedside physician and/or respiratory therapist interventions to increase LPV utilization in times of ED boarding and crowding for all patients. J Crit Care.

Emergency Department 52

Emergency Department Operations Academics Documentation/Coding 52

Taming the SRU

OCTOBER 23, 2023

After a short period of recovery in the hospital, she is discharged home in stable condition with follow-up with OBGYN. Best Practice & Research Clinical Obstetrics & Gynaecology, Volume 23, Issue 4, 2009. At this point, the patient is taken to the operating room for a diagnostic laparoscopy. PMID: 34146921. Ultrasonography.

Ultrasounds 99

Ultrasounds Operations Radiology Radiology 99

Don't Forget the Bubbles

FEBRUARY 26, 2024

Evidence (although limited) suggests using HFNC can delay the initiation of NIV and result in longer intensive care and hospital stays. Changes in the use of invasive and noninvasive mechanical ventilation in pediatric asthma: 2009–2019. How does bi-level positive pressure ventilation work? Annals of the American Thoracic Society.

Pediatrics 72

Pediatrics Research Documentation/Coding Outcomes 72

Pediatric Education

NOVEMBER 12, 2023

It is recommended to be performed within 1-2 days of hospital discharge. Babies recommended to be tested are infants < 37 weeks gestation, with some hospital protocols including babies at risk for cardiorespiratory problems such as hypotonia (e.g. Safe Transportation of Preterm and Low Birth Weight Infants at Hospital Discharge.

Pediatrics 40

Pediatrics Poisoning Hospitals Documentation/Coding 40

RebelEM

NOVEMBER 3, 2022

Albert 2011, Jabre 2009) However, the existing literature comparing etomidate and ketamine is conflicting. The environment, operator-related factors, and equipment are different in a pre-hospital vs. ED setting. Background: Rapid sequence intubation (RSI) induction agent selection remains a heavily debated matter.

Emergency Department 52

Emergency Department Outcomes Sepsis Operations 52

ACEP Now

FEBRUARY 6, 2024

2009; 47:236–238. In the hospital, the most common source of “black” or UV light is the Wood’s lamp. 2007;176(8):1097-1099. doi 10.1503/cmaj.061288. Verelst S, Vermeersch P, Desmet K. Ethylene glycol poisoning presenting with a falsely elevated lactate level. Clin Toxicol. doi: 10.1080/15563650802432954.

Poisoning 52

Poisoning Pediatrics Shock Research 52

ACEP Now

JANUARY 12, 2024

While the urine culture was pending, the patient was empirically started on a broad-spectrum intravenous antibiotic and admitted to the hospital, where he rapidly improved. New York, NY: McGraw Medical; 2009:475-81. 48 hours later, the patient’s urine culture grew E. coli colonies, sensitive to trimethoprim/sulfamethoxazole.

Infectious Diseases 52

Infectious Diseases Ultrasounds Wellness Hospitals 52

Mind The Bleep

FEBRUARY 29, 2024

Of course, this should be used in conjunction with local checklists at your hospital. Some hospitals have ‘bundles’ that should be prescribed for patients with artificial airways, with reminders for nursing staff to complete certain toileting tasks for that airway- this is to reduce the incidence of ventilator-associated pneumonia.

Documentation/Coding 52

Documentation/Coding Hospitals Wellness Best Practices 52

Taming the SRU

FEBRUARY 19, 2024

Arterial lines require specialized monitoring and nursing resources which are not available in all hospital settings. More to come on location below… Disadvantages The primary obvious disadvantage to IABP is the more robust training and time required to place an arterial line as opposed to placing a BP cuff. Galluccio, S. Finnis, M.

Shock 59

Shock Resuscitation Ultrasounds Research 59

Pediatric Emergency Playbook

MAY 1, 2017

Hospital Stay for Healthy Term Newborn Infants. 2009; 124(4):1193-6. The child with high-intermediate to high-risk for developing severe hyperbilirubinemia should be admitted for hydration, bililights, and/or assessment for exchange transfusion. References Benitz WE. Pediatrics. 2015; 135(5):948-53. Bhutani V et al. 2011; 32(8):341-9.

Dehydration 52

Dehydration Pediatrics Wellness Seizures 52