RebelEM

APRIL 29, 2024

One may speculate that the US-guided CVC placement would have a higher first-pass success rate with fewer complications, however, this may potentially add time to the procedure depending on the operator and institution’s use of ultrasound during emergencies and maintaining sterile technique with the US probe. Ong MEH, Chan YH, Oh JJ, et al.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

Taming the SRU

OCTOBER 23, 2023

At this point, the patient is taken to the operating room for a diagnostic laparoscopy. She was taken to the operating room and found to have a right tubal ectopic pregnancy with a pseudogestational sac. Best Practice & Research Clinical Obstetrics & Gynaecology, Volume 23, Issue 4, 2009. Pages 501-508, ISSN 1521-6934.

Ultrasounds 97

Ultrasounds Operations Radiology Radiology 97

ACEP Now

SEPTEMBER 5, 2024

It is a multi-phase process, and we have to listen to the voices of our membership. However, to stay static in today’s world is to fade into irrelevance and our country and our membership needs the voice and presence of emergency medicine.

Leadership 98

Leadership PPE EMS Wellness 98

The Skeptics' Guide to EM

JUNE 4, 2017

Huber-Wagner et al ( Lancet 2009 ) showed a mortality reduction in a retrospective database study of patients who have had a pan scan. There is no validated clinical decision tool to help guide our decisions. Many studies (most retrospective) have assessed the use of pan scanning as an initial radiologic evaluation.

Radiology 52

Radiology Radiology CPR Hospitals 52

The Skeptics' Guide to EM

APRIL 16, 2022

JAMA Feb 2009 looked at the ACC/AHA guidelines from 1984 to 2008. Clinical Question: What is the effectiveness of common elective orthopaedic procedures compared with no treatment, placebo, or non-operative care? This is a broader problem in medicine. Tricoci et al. They found 53 guidelines with 7,196 recommendations.

Military 40

Military Operations Emergency Department Pediatrics 40

ALiEM

MAY 13, 2024

63M with an Erythematous Abdomen Limitations of POCUS As with all ultrasound applications, soft tissue POCUS is operator dependent. J Emerg Med 2009 [9] 50 Prospective cohort study of children <18yrs comparing clinical assessment to POCUS 90% (77-100%) 83% (70-97%) POCUS changed management in 22% of cases. Epub 2009 Aug 8.

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

RebelEM

MARCH 27, 2023

First ED-based study to evaluate how operational effects such as crowding can affect patient care in the form of LPV Included ARDS criteria relating to the usage of LPV in the ED allowing evaluation as to whether patients with ARDS were more likely to receive LPV settings. Prior studies have used annual census or shift level crowding.

Emergency Department 52

Emergency Department Operations Documentation/Coding Academics 52

EMDocs

JUNE 3, 2023

4 This is the framework the ED resuscitationist should be operating under, as hemodynamically unstable pelvic trauma patients require a different approach compared to stable patients who will undergo CT, routine pelvic fixation, and definitive surgical repair. An x-ray in the trauma bay demonstrated an AP grade III fracture.

Fractures 54

Fractures Resuscitation Operations EMS 54

Taming the SRU

MAY 27, 2024

This often is seen in trauma, cancer, post-operatively, and end-stage metabolic conditions with excessive colloid or protein leak. 2009 Mar;26(1):82-5. If the volume of fluid is anticipated to re-accumulate quickly, a drain should be placed. World journal of surgical oncology. Staes W, Funaki B. "Ex Ex vacuo" pneumothorax.

Emergency Department 85

Emergency Department Ultrasounds Radiology Radiology 85

PHEM Cast

APRIL 18, 2016

Hauwald, 2002 A co-operative patient does not require immobilization unless their conscious level deteriorates. Blackham & Benger, 2009. The awake patient will develop a position of comfort with muscle spasm protecting the injured spine. Muscle spasm is superior to any artificial method.

Fractures 40

Fractures Administration Operations Shock 40

Greater Sydney Area HEMS

APRIL 26, 2023

A literature search on ST as recently as 2009 yielded only 5 articles, as compared to thousands of non-medical commentaries. Although remember, as is observed intra-operatively from tourniquet application, muscle can tolerate hours of hypoxia. This occurs via inadequate muscle perfusion. ST mechanisms can occur before then.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Shock Research Operations 52

Pediatric Emergency Playbook

JUNE 1, 2017

Fontan Operation and the Single Ventricle. 2009; 8:67-69. 2009; 24:156-8. 2009; 27:942-947. Acute myocarditis mimicking acute myocardial infarction associated with pandemic 2009 (H1N1) influenza virus. References Congenital AboulHosn JA et al. Congenit Heart Dis. 2007; 2:2-11. Aliku TO et al. 2004; 90:e17.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Pediatric Emergency Playbook

JANUARY 1, 2017

Further, children participate in and absorb their family’s culture and specific personality from a very young age ( Finley 2009 ). Neonatal observational scales have been validated in the intensive care and post-operative settings; ED-specific quantitative scales are lacking. Knowing the context of the episode may help.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Advanced Emergency Nursing from AENJ

DECEMBER 18, 2014

10 Commandments of Risk Management (Camp Operations) THE "20 Commandments" of EMTALA Ten Commandments For Malpractice Depositions The Top Ten Ways to Ensure Frustration, Miscommunication, and Poor Patient Care the Next Time You Provide (or Request) a Consult [N.B. Alanazi, H., Campbell, D., Redfearn, D.

Mass Casualty Incidents 40

Mass Casualty Incidents Burns Urgent Care Pediatrics 40

Pediatric Emergency Playbook

APRIL 1, 2017

Steady the operating hand by placing your hypothenar eminence on the child’s zygoma or temporal scalp, to avoid jutting the instrument into the ear canal with sudden movement. A commonly available suction catheter is the Frazier suction tip ( right ), a single-use device used in the operating room. Published July 2009.

Pediatrics 52

Pediatrics CPR Operations Resuscitation 52

Dr. Smith's ECG Blog

APRIL 6, 2023

Medical history: History of Ischemic Heart Disease History of Congestive Heart Failure Diabetes Mellitus requiring treatment with insulin Pre-operative serum creatinine >2 mg/dL He had this ECG recorded: What do you think? This patient presented with complications of his dialysis fistula.

EKG/ECG 52

EKG/ECG Operations Documentation/Coding Wellness 52

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Farrington] Rebuilding of outdated hospitals put emergency rooms on ground level with nearby X-ray service, and, ideally, sometimes closer to the Blood Bank and the Operating Rooms. We applied to "The Golden Hour" the attitudes and abilities that led to a man on the moon. Prehospital Emergency Care, 4(4), 285-289. Touchstone, Mike.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

Taming the SRU

FEBRUARY 19, 2024

12) Axillary While axillary arterial line placement has been uncommon, in the age of facile ultrasound operators it may become a more advantageous and accessible site particularly in patients with high BMIs. They also found that when femoral lines did fail, they did so later in the patient’s clinical course. (12) Galluccio, S. Finnis, M.

Shock 59

Shock Resuscitation Ultrasounds Research 59

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.

Outcomes 52

Outcomes Emergency Department Sepsis Operations 52

Pediatric Education

NOVEMBER 12, 2023

Pierre-Robin Sequence) and post-operative congenital heart disease. 2009-0559 Davis NL. 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. neuromuscular problems, Down syndrome), micrognathia (e.g. Pediatrics.

Pediatrics 40

Pediatrics Poisoning Hospitals Documentation/Coding 40

EMDocs

OCTOBER 23, 2023

Operative complications requiring surgical intervention or hospitalization occur in about 3-6% of all hysterectomies (5). difficile infection, and post-operative hemorrhage. Abscess and Infected Hematoma : This condition is typically delayed, occurring most commonly 10-14 days post-operatively.

OB/GYN 67

OB/GYN Operations EMS Ultrasounds 67

Don't Forget the Bubbles

JULY 10, 2023

Orthopaedic operations and supportive measures such as braces or corrective shoes may be needed in the long term as many patients develop skeletal deformities and asymmetric growth. Clin Inf Dis 2009; 49(8):1287-8. Intensive occupational and physical therapy is often necessary. eClinical Med 2022; 50:01508. Shahzad A et al.

Seizures 75

Seizures Operations Pediatrics Hospitals 75

The Skeptics' Guide to EM

MARCH 5, 2022

JAMA Feb 2009 looked at the ACC/AHA guidelines from 1984 to 2008. The comparison was the clinical efficacy of the most common orthopaedic procedures with no treatment, placebo, or non-operative care. Tricoci et al. They found 53 guidelines with 7,196 recommendations. Only two out of ten common procedures,

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Research Pediatrics Outcomes 40

EMDocs

DECEMBER 18, 2023

When analyzing the receiver operating characteristic (ROC) curve of the pooled data, optimal diagnostic accuracy of MDW for sepsis prediction was seen (pooled sensitivity of 0.838 and specificity of 0.704 for Sepsis-3 criteria). Incidence and trends of sepsis in US hospitals using clinical vs claims data, 2009–2014.

Sepsis 65

Sepsis Fluid Resuscitation Resuscitation Shock 65

Dr. Smith's ECG Blog

APRIL 8, 2015

in 2010 EM Clinics of North America (full text link) For an Exhaustive Review of Syncope and its full management outside the ED environment, go to the 2009 European Society of Cardiology Guidelines (full text pdf). Yield of Diagnostic Tests in Evaluating Syncopal Episodes in Older Patients Arch Intern Med 2009 Jul 27; 169:1299-1305.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

EMDocs

NOVEMBER 13, 2023

26 With regards to penetrating neck injuries, particularly those in which the platysma is violated, CTA of the neck has allowed a shift away from mandatory operative exploration of Zone 2 neck wounds (those in the mid-neck). Emerg Radiol 2009, 16 (3), 195-201. 32 Table 2 : Memphis Criteria. Schaefer, P. 22) Naraghi, L.; Larentzakis, A.;

Stroke 87

Stroke Radiology Radiology Emergency Department 87

ALiEM

FEBRUARY 12, 2024

The patient was taken to the operating room for dilation and curettage and was discharged the following day. 16, 2009, pp. These images, taken by point of care ultrasound, show a heterogenic mass with mixed echogenicities within the uterine cavity consistent with gestational trophoblastic disease or molar pregnancy. Berkowitz, Ross S.,

Ultrasounds 64

Ultrasounds Emergency Department Academics Operations 64

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

They also proved that only expired air resuscitation guaranteed sufficient inflation volumes; that exhaled air was a suitable resuscitating gas; and that the operator would have continuous feedback from each breath. Clinical Anesthesia, Lippincott and Williams & Wilkins, New York, 2009, pp. Barash, B. Cullen, R. Stoelting, M.

Resuscitation 40

Resuscitation Airway Management EMS CPR 40