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 Academics Documentation/Coding 52

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. The NNT varied from 17 to 32 according to the injury severity. cumulative radiation dose, serious adverse events, transfusion requirements, number of missed injuries and hospital costs.

Radiology 52

Radiology Radiology CPR Hospitals 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. Figure 5: Pelvic binding with a sheet.

Fractures 54

Fractures Resuscitation Operations EMS 54

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 English proverb has served me well in the field of arrhythmias.

EKG/ECG 52

EKG/ECG Operations Documentation/Coding Wellness 52

Pediatric Education

NOVEMBER 12, 2023

weeks was seen for well-care. Pierre-Robin Sequence) and post-operative congenital heart disease. 2009-0559 Davis NL. Patient Presentation A former 35 week, appropriate for gestational age male, now 37.5 neuromuscular problems, Down syndrome), micrognathia (e.g. Pediatrics. 2009;123(5):1424-1429. doi:10.1542/peds.2009-0559

Pediatrics 40

Pediatrics Poisoning Hospitals Documentation/Coding 40

PHEM Cast

APRIL 18, 2016

All things Pre Hospital Ketamine – Minh Le Cong Key point: patients remember if you manage their pain well. Hauwald, 2002 A co-operative patient does not require immobilization unless their conscious level deteriorates. Blackham & Benger, 2009. Muscle spasm is superior to any artificial method.

Fractures 40

Fractures Administration Operations Shock 40

Pediatric Emergency Playbook

JUNE 1, 2017

This child is at risk for expected complications, as well as overdiagnosis and iatrogenia. These children depend on their preload to run blood passively into the pulmonary circuit; afterload reduction is also important to compensate for a poor left ejection fraction, as well as to avoid the development of pulmonary hypertension.

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 ). Tachycardia, tachypnea, and a change in behavior can be indicators not only to the presence of pain, but possibly to its etiology as well. Knowing the context of the episode may help.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

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. 1950s & 1960s Resuscitation Research. Touchstone, Mike.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 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. Look for a small tip diameter (to fit in the ear canal as well as the nose) and a strong “hold” (at least a 3-lb hold). Published July 2009. Pediatrics.

Pediatrics 52

Pediatrics CPR Operations Resuscitation 52

EMDocs

OCTOBER 23, 2023

She had been feeling well until yesterday when she had a follow-up with her surgeon, at which time she reported that they performed an internal exam and inserted a ‘medication disk’ into her vagina. The patient is noted to be mildly tachycardic as well as febrile. difficile infection, and post-operative hemorrhage.

OB/GYN 66

OB/GYN Operations EMS Ultrasounds 66

Don't Forget the Bubbles

JULY 10, 2023

Analgesia is often necessary for the acute phase, as well as antibiotics for secondary bacterial infections. 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.

Seizures 75

Seizures Operations Pediatrics Hospitals 75

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

True Syncope: If, on the other hand, the patient is well, had no other serious symptoms , has a normal sinus rhythm, and normal physical exam , then you need to be certain the syncope was not due to a dangerous brady- or tachydysrhythmia that could recur. Arch Intern Med 2009 Jul 27; 169:1262. Arch Intern Med 2009 Jul 27; 169:1305.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

EMDocs

NOVEMBER 13, 2023

2019) argue against a minimum NIHSS score to trigger the use of CTA, instead purporting that clinical suspicion of acute ischemic stroke presenting within 24 hours of the last known well was sufficient evidence to order the study. Emerg Radiol 2009, 16 (3), 195-201. 8 The data in Mayer et al. positivity rate on CTA for BCVI.

Stroke 86

Stroke Radiology Radiology Emergency Department 86

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. Lubricate well. Clinical Anesthesia, Lippincott and Williams & Wilkins, New York, 2009, pp. Gerkin] Priceless.

Resuscitation 40

Resuscitation Airway Management EMS CPR 40