2010 - Emergency Care Today

Are local public expenditure reductions associated with increases in inequality in emergency hospitalisation? Time-series analysis of English local authorities from 2010 to 2017

Emergency Medicine Journal

JUNE 20, 2024

Background Reductions in local government funding implemented in 2010 due to austerity policies have been associated with worsening socioeconomic inequalities in mortality. In 2017, a LAD average population was ~170 000.

Chest Pain in Children: ReBaked Morsel

Pediatric EM Morsels

MAY 10, 2024

EKG Reasonable screen for cardiac etiology [ Kane, 2010 ]: Chest Pain with Exertion? 2010 Jul-Aug;5(4):366-73. 2010 Dec;57(6):1385-95. 2010 Dec;57(6):1221-34. GI Look for hepatosplenomegaly Is there Epigastric tenderness? High-risk family history (ex, unexplained sudden death, drowning )? Congenit Heart Dis.

EKG/ECG

EKG/ECG Pediatrics Ultrasounds Seizures

Rebaked Morsel: Pediatric Buckle and Greenstick Forearm Fractures

Pediatric EM Morsels

APRIL 19, 2024

2010 Oct 5;182(14):CMAJ 2010. The minority of parents would have wanted clinic follow up (6%) and reimaging (14%). References: Boutis K, Willan A, Babyn P, Goeree R, Howard A. Cast versus splint in children with minimally angulated fractures of the distal radius: a randomized controlled trial. DOI:10.1503/cmaj.100119.

Fractures

Fractures Pediatrics Best Practices Outcomes

Overdiagnosis: Would we better better off not looking?

First 10 EM

MARCH 25, 2024

Between 2001 and 2010 the use of CT in emergency departments increased 3-fold (and the use of MRI increased 9-fold, but for some reason it is still almost impossible for me to get one done.) There is little doubt that the use of testing has increased dramatically in emergency medicine during my career.

Emergency Department

The Power Of Trauma Research?

The Trauma Pro

NOVEMBER 21, 2023

In 2010, a checklist of 25 guidelines was created (CONSORT 2010, see reference 1) to guide researchers on the essential items that should be included in all RCTs to ensure high-quality results. The randomized, controlled trial (RCT) is usually considered the big kahuna among research designs. JACS 237(5):731-736, 2023.

Research

Research Outcomes Wellness

PulmCrit: Why the new study associating piptazo with increased mortality is wrong

EMCrit

MAY 16, 2024

In the early 2010's, a series of retrospective correlational studies found that patients treated […] EMCrit Project by Josh Farkas. Combine this with the conservatism that often (rightfully) surrounds drug safety, and it creates a lot of volatility. Before going further, we should review some recent history regarding piptazo.

In: Dexamethasone, Out: Prednisone

EM Literature of Note

AUGUST 25, 2024

It’s NHAMCS – so it is representative data being transformed into rough weighted estimates – between 2010-2021, but we see its use increasing from 3.5% Well, yes to all of the above, in the appropriate clinical context – But, most prominently, as featured in this brief report, for asthma – particularly childhood asthma.

Administration

Administration Emergency Department Wellness Pediatrics

Hydrogeological Disaster Preparedness and Response - Special Means

Emergency Live

AUGUST 2, 2023

If we consider the data available since 2010, this region has in fact suffered as many as 110 disasters, all of course of […] The post Hydrogeological Disaster Preparedness and Response - Special Means appeared first on Emergency Live.

REBEL Core Cast 123.0 – Posterior Epistaxis

RebelEM

MAY 29, 2024

Laryngoscope 2010; 120: 2325-2330. Traditional teaching is that these patients are at risk for life-threatening bradydysrhythmias and should go to the ICU Literature here is non-existent. Laryngoscope 1971; 81(8): 1261-6. PMID: 5569677 Zeyyan E et al. PMID: 20938948 Loftus BC et al. Otolaryngol Head Neck Surg 1994; 110: 363-9.

PPE

PPE EMS Hospitals Wellness

Renault: more than 5000 firefighters trained in 19 countries

Emergency Live

JULY 11, 2023

Started in 2010, this exclusive collaboration, called ‘Time Fighters’, has a clear and defined objective: to make […] The post Renault: more than 5000 firefighters trained in 19 countries appeared first on Emergency Live.

Wellness

What are risk factors in ambulance crashes?

University of Maryland Department of Emergency Med

JUNE 21, 2023

Between 2010 and 2020, there were 279 fatalities related to ambulance accidents. In up to 50% of accidents, EMS is not at fault. Click to view the rest

EMS

REBEL Core Cast 107.0 – Vertebral Osteomyelitis

RebelEM

AUGUST 30, 2023

cases per 100,000 people ( Zimmerli 2010 ) More common in males with M:F of 3:1 Rate is also increasing due to increased number of spinal procedures Typically affects adults, with most cases occurring in patients over 50 years old. 2010 Nov;65 Suppl 3:iii 11-24 PMID: 20876624 Mylona E, et al. N Engl J Med 2010 Mar; 362(11)1022-9.

Infectious Diseases

Infectious Diseases Fractures Radiology Radiology

Can a gut hormone protect the brain after cardiac arrest? (GRECO trial)

PulmCCM

MAY 12, 2024

At least as far back as 2010, ghrelin was found to enhance dopaminergic neuronal survival , and is under stud… Read more It stimulates appetite by acting on the hypothalamus and brainstem nuclei, among many other effects. Acyl-ghrelin is the active endocrine form of the molecule.

Hospitals

Hospitals Outcomes

For undifferentiated strokes, should blood pressure be aggressively managed pre-hospital?

PulmCCM

MAY 27, 2024

In hemorrhagic strokes (intracerebral hemorrhage or ICH), severely elevated blood pressure has been closely linked to hematoma expansion (Ohwaki et al Stroke 2004) , and early intensive treatment to reduce blood pressure to a target systolic BP of 140 mm Hg can reduce hematoma growth (Anderson et al Stroke 2010, INTERACT trial).

Stroke

Stroke Hospitals

REBEL Core Cast 108.0 – Angioedema

RebelEM

SEPTEMBER 13, 2023

of people who take NSAIDs ( Nzeako 2010 ). This can cause an abundance of leukotrienes and other pro-inflammatory mediators and precipitate angioedema ( Nzeako 2010 ). patients that take ACE inhibitors (but 20-30% of all angioedema presentations to the Emergency Department) 3 times more common in Black Americans ( Kostis 2005 ) 0.01

Allergic Reactions

Allergic Reactions Airway Management Anaphylaxis Emergency Department

Trends in the mortality of intra-abdominal infections in adults over 25 years in the USA, 1999-2021

Emergency Medicine Journal

APRIL 22, 2024

Age-standardised mortality rates (ASMR) per 100 000 population were calculated using the 2010 US Census as the standard population. Joinpoint Regression Program (V.4.9.0.0) was performed to evaluate ASMR trends.

Sepsis

Does Spine Surgery Have a Role in Low Back Pain? - Clinical Correlations

Clinical Correlations

DECEMBER 14, 2022

By: Michael Moore Peer Reviewed “Too many complex back surgeries are being performed and patients are suffering as a result” wrote National Public Radio health science journalist Joanne Silberner in her 2010 article “Surgery May Not.

REBEL Core Cast 125.0 – Hyperkalemia

RebelEM

JUNE 26, 2024

CMAJ 2010; 182(15): 1631-5. Definition: A serum potassium level > 5.5 patients can jump from peaked T waves to sine wave) Management Basics: ABCs, IV, O 2 , Cardiac Monitor and, 12-lead EKG Identify + treat underlying cause of hyperkalemia (i.e. rhabdomyolysis -> hydration) Remove inciting factors (i.e. PMID: 20855477 Wrenn K et al.

EKG/ECG

EKG/ECG Administration Burns EMS

The Broselow-Luten System

Pediatric EM Morsels

OCTOBER 27, 2023

Rosenburg 2010] B-L system is designed for 12yo and younger, patients up to 80 lbs, height 46-143 cm [Meguerdichian 2012] Estimates the 50%ile weight for height (Length vs Ideal Body Weight). 2010) ‘140: Does physician estimates of pediatric patient weights lead to inaccurate medication dosages’, Annals of Emergency Medicine , 56(3), p.

Pediatrics

Pediatrics Resuscitation Documentation/Coding Wellness

Primary survey: highlights from this issue

Emergency Medicine Journal

JUNE 20, 2024

Austerity measures introduced in the UK in 2010 following the 2008 recession resulted in major changes and, in some cases, significant cuts to healthcare funding. Health inequalities EDs are increasingly a good barometer of pressure across the NHS and the health of the nation.

Overview of the AHA Essential 8 for Heart Health

AED Leader

APRIL 17, 2023

Originally developed in 2010 as “Life’s Simple 7,” the American Heart Association’s construct has been updated to “Life’s Essential 8.”

Stroke

ITIM Prehospital Trauma Evening – Weds 30th August

Greater Sydney Area HEMS

JULY 27, 2023

Weds 30th August 2023, 1630-2010 In person at Bankstown Aerodrome or online – REGISTRATION ESSENTIAL The NSW Institute of Trauma and Injury Management proudly presents the Pre-Hospital Trauma Evening in collaboration with the NSW Ambulance Service. Register now for the ITIM Prehospital Trauma Evening, hosted by Sydney HEMS.

Ambulance Services

Ambulance Services Hospitals

Fast Facts: Traumatic Bladder Rupture

PEMBlog

OCTOBER 11, 2023

Pediatric genitourinary injuries in the United States from 2002 to 2010. PubMed PMID: 24857651; PubMed Central PMCID: PMC4104146. Tasian GE, Bagga HS, Fisher PB, McCulloch CE, Cinman NM, McAninch JW, Breyer BN. 2013 Jan;189(1):288-93. doi: 10.1016/j.juro.2012.09.003. 2012.09.003. Epub 2012 Nov 19. Guttmann I, Kerr HA.

Fractures

Fractures Pediatrics

SAEM Clinical Images Series: Doubly Double Vision

ALiEM

OCTOBER 7, 2024

2010 Dec;14(6):502-5. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. PMID: 29489275. Merino P, Gómez de Liaño P, Villalobo JM, Franco G, Gómez de Liaño R. Etiology and treatment of pediatric sixth nerve palsy. doi: 10.1016/j.jaapos.2010.09.009. 2010.09.009. PMID: 21168073.

Academics

Academics Emergency Department Pediatrics Wellness

Talking About Race in Emergency Medicine

JournalFeed

JANUARY 17, 2022

2010 Nov;60(11):451-6. Epub 2010 Jun 16. Psychother Psychosom Med Psychol. doi: 10.1055/s-0030-1251980. Harada MY, Lara-Millán A, Chalwell LE. Policed Patients: How the Presence of Law Enforcement in the Emergency Department Impacts Medical Care.

EMS

EMS Emergency Department

SGEM#408: Hey, I, Oh I’m Still Alive – Is it due to TXA?

The Skeptics' Guide to EM

JULY 2, 2023

There is also the CRASH-2 trial from 2010 which was reviewed with our good friend Dr. Anand Swaminathan ( SGEM#80 ). That classic practice changing paper showed a 1.5% absolute decrease in death in trauma patients receiving TXA vs placebo (NNT = 66).

EMS

EMS Outcomes Hospitals Research

Clinical Conundrums: Should You Give the First Dose of Antibiotics IV Before Discharging Home on Oral Antibiotics?

RebelEM

JANUARY 9, 2024

Additionally, multiple studies demonstrate increased harm with IV antibiotics such as increased rate of diarrhea ( Haran 2014 ), complications from IV placement ( Li 2015 ), and increased length of stay or cost ( Lorgelly 2010 ). Eur Resp J 2010; 35: 858-64. PLoS medicine. 2015; 12(5):e1001825. PMID: 25992781 Lorgelly PK et al.

Infectious Diseases

Infectious Diseases Pediatrics EMS Administration

The Latest In Critical Care, 9/23/24 (#57)

PulmCCM

SEPTEMBER 23, 2024

JAMA 2010 Retraction Watch The Truth about China’s Cash-for-Publication Policy, MIT Technology Review , July 2017 “Why Fake Research Is Rampant in China,” The Economist, February 2024 The End of Publish or Perish? Eur Respir J. 2017 Aug 31;50(2):1602426. doi: 10.1183/13993003.02426-2016. PMID: 28860265. Bassler D et al.

Research

Research COPD Academics Hospitals

REBEL Core Cast 91.0 – Testicular Torsion

RebelEM

NOVEMBER 30, 2022

Am J Emerg Med 2010; 28:786-789. Perform manual detorsion after diagnosis REBEL Core Cast 91.0 – Testicular Torsion Click here for Direct Download of the Podcast Definition: Twisting of the spermatic cord leading to decreased blood flow to the testicle resulting in ischemia, infarction and potentially, tissue necrosis. OR = 58.8 (Ben-Israel

Ultrasounds

Ultrasounds Pediatrics Operations EMS

The Fussy Infant

Pediatric Emergency Playbook

MARCH 1, 2018

2010 Mar;125(3):e565-9. Epub 2010 Feb 8. Pediatric Opthalmology in the Emergency Department. 2008; 26: 181-198. Shope TR, Rieg TS, Kathiria NN. Corneal abrasions in young infants. Pediatrics.

Pediatrics

Pediatrics Emergency Department

The Break Room

ACEP Now

AUGUST 8, 2023

Arch Dis Child Educ Pract Ed 2010; 95: 83-87. 2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the diagnosis and management of patients with thoracic aortic disease: executive summary. Circulation 2010; 121: 1544-1579. Clinical decision rules: how to build them. Hiratzka LF, Bakris GL, Beckman JA, et al.

Shock

Shock Hospitals Wellness

REBEL Core Cast 95.0 – Herpetic Keratitis

RebelEM

FEBRUARY 8, 2023

Cochrane Database Syst Rev 2010; (12): CD002898. Surv Ophthalmol 2012; 57(5):448-462. PMID: 3652623 Wilhelmus KR et al. Antiviral treatment and other therapeutic interventions for herpes simplex virus epithelial keratitis. PMID: 4739528 Weiner et al. Demystifying the ocular herpes simplex virus. American Academy of Ophthalmology.

EMS

The Toxic Shelf

Cook County EM Blog

MAY 29, 2023

This subsequently led the FDA to issue a Black Box Warning in 2010 which warned that the capsules resemble candy and may be visually appealing to young children. Analysis of benzonatate overdoses among adults and children from 1969-2010 by the United States Food and Drug Administration. Pharmacotherapy. 2013 Jan;33(1):38-43.

Seizures

Seizures Administration Resuscitation Poisoning

How Independent Medical Reviews Benefits Patients, Payers and the Health Care System

Advanced Medical Reviews

JUNE 28, 2021

The Affordable Care Act (ACA) was enacted in 2010 with three primary goals.

SAEM Clinical Images Series: Insidiously Contracted Hand

ALiEM

SEPTEMBER 15, 2023

Nat Rev Rheumatol 2010; 6:715. Repetitive motion occupations, tobacco use, alcohol use, and diabetes are key risk factors. References Shih B, Bayat A. Scientific understanding and clinical management of Dupuytren disease. Trojian TH, Chu SM. Dupuytren’s disease: diagnosis and treatment. Am Fam Physician 2007; 76:86.

Academics

Comprehensive ACA and ADA Compliance Training

American Medical Compliance

APRIL 17, 2024

Understanding the ACA The Patient Protection and Affordable Care Act, referred to as the Affordable Care Act or “ACA” for short, is the comprehensive health care reform law enacted in March 2010. The law has 3 primary goals: Make affordable health insurance available to more people.

Outcomes

Hypertension in Children

Pediatric Emergency Playbook

APRIL 1, 2018

2010; 1:44-51. 2010; p315. Evaluation and management of pediatric hypertensive crises: hypertensive urgency and hypertensive emergencies. Open Access Emergency Medicine. 2012; 4:85-92. Yang WC et al. Clinical Analysis of Hypertension in Children Admitted to the Emergency Department. Pediatr Neonatol. Hypertension.

Pediatrics

Pediatrics Emergency Department

Cerebral Edema and Diabetic Ketoacidosis: Rebaked

Pediatric EM Morsels

JULY 28, 2023

2010 Dec;1(2):103-20. Low morbidity and mortality in children with diabetic ketoacidosis treated with isotonic fluids. 2013 Sep;163(3):761-6. PMID: 23499379. PubMed] [Read by QxMD] Rosenbloom AL. The management of diabetic ketoacidosis in children. Diabetes Ther. PMID: 22127748. PubMed] [Read by QxMD] Morales AE1, Daniels KA.

Fluid Resuscitation

Fluid Resuscitation Pediatrics Resuscitation Research

Epic sued in federal court for alleged monopolistic behavior

PulmCCM

OCTOBER 8, 2024

The 21st Century Cures Act disrupted the health data ecosystem (and Epic’s business) Under the Affordable Care Act passed in 2010, EHR vendors were mandated to (someday) produce interoperability standards ensuring data portability. Epic and Cerner) remained largely proprietary.

Wellness

SGEM#293: CRASH in the US, CRASH in the US, CRASH-2 in the USA

The Skeptics' Guide to EM

MAY 30, 2020

This study published in 2010 showed an absolute mortality reduction of 1.5% Lancet 2010 ) CRASH-3 was a well-designed, large, multi-centred randomized placebo controlled trial published in October 2019 ( The Lancet ). Anand Swaminathan and I covered the classic CRASH-2 Trial ( SGEM#80 ).

Head Injuries

Head Injuries Academics Outcomes EMS

Empowering Elder Justice Training

American Medical Compliance

JULY 9, 2024

The Elder Justice Act of 2010 established a framework to combat elder abuse, neglect, and exploitation by funding prevention programs and supporting adult protective services. By understanding these different types, healthcare providers can better protect and support vulnerable elders.

Elder Abuse

Elder Abuse Documentation/Coding Outcomes Wellness

Ultrasound

PHEM Cast

JULY 27, 2021

Intensive Care Med 2010; 36: 1475-83. Cavallaro F, Sandroni C, Marano C, et al. Diagnostic accuracy of passive leg raising for prediction of fluid responsiveness in adults: systematic review and meta-analysis of clinical studies.

Ultrasounds

Ultrasounds Fractures Resuscitation EMS

First10EM Journal Club: April 2023

Broome Docs

APRIL 6, 2023

2010 Oct 5;182(14):1527-32. Epub 2010 Aug 23. PMID: 35780790 [ open access here ] Stiell IG, Clement CM, Grimshaw JM, Brison RJ, Rowe BH, Lee JS, Shah A, Brehaut J, Holroyd BR, Schull MJ, McKnight RD, Eisenhauer MA, Dreyer J, Letovsky E, Rutledge T, Macphail I, Ross S, Perry JJ, Ip U, Lesiuk H, Bennett C, Wells GA. doi: 10.1503/cmaj.091974.

Sepsis

Sepsis Ultrasounds Hospitals Outcomes

ToxCard: Benzonatate

EMDocs

JANUARY 17, 2024

3, 7) The accumulating post marketing adverse event reports led to the FDA release of a Drug Safety Communication (DSC) in 2010, over 50 years after initial approval. (9) Analysis of benzonatate overdoses among adults and children from 1969-2010 by the United States Food and Drug Administration. Pharmacotherapy. 2013;33(1):38-43.

Poisoning

Poisoning Seizures Pediatrics EMS

Are local public expenditure reductions associated with increases in inequality in emergency hospitalisation? Time-series analysis of English local authorities from 2010 to 2017

Chest Pain in Children: ReBaked Morsel

Rebaked Morsel: Pediatric Buckle and Greenstick Forearm Fractures

Overdiagnosis: Would we better better off not looking?

The Power Of Trauma Research?

PulmCrit: Why the new study associating piptazo with increased mortality is wrong

In: Dexamethasone, Out: Prednisone

Hydrogeological Disaster Preparedness and Response - Special Means

REBEL Core Cast 123.0 – Posterior Epistaxis

Renault: more than 5000 firefighters trained in 19 countries

What are risk factors in ambulance crashes?

REBEL Core Cast 107.0 – Vertebral Osteomyelitis

Can a gut hormone protect the brain after cardiac arrest? (GRECO trial)

For undifferentiated strokes, should blood pressure be aggressively managed pre-hospital?

REBEL Core Cast 108.0 – Angioedema

Trends in the mortality of intra-abdominal infections in adults over 25 years in the USA, 1999-2021

Does Spine Surgery Have a Role in Low Back Pain? - Clinical Correlations

REBEL Core Cast 125.0 – Hyperkalemia

The Broselow-Luten System

Primary survey: highlights from this issue

Overview of the AHA Essential 8 for Heart Health

ITIM Prehospital Trauma Evening – Weds 30th August

Fast Facts: Traumatic Bladder Rupture

SAEM Clinical Images Series: Doubly Double Vision

Talking About Race in Emergency Medicine

SGEM#408: Hey, I, Oh I’m Still Alive – Is it due to TXA?

Clinical Conundrums: Should You Give the First Dose of Antibiotics IV Before Discharging Home on Oral Antibiotics?

The Latest In Critical Care, 9/23/24 (#57)

REBEL Core Cast 91.0 – Testicular Torsion

The Fussy Infant

The Break Room

REBEL Core Cast 95.0 – Herpetic Keratitis

The Toxic Shelf

How Independent Medical Reviews Benefits Patients, Payers and the Health Care System

SAEM Clinical Images Series: Insidiously Contracted Hand

Comprehensive ACA and ADA Compliance Training

Hypertension in Children

Cerebral Edema and Diabetic Ketoacidosis: Rebaked

Epic sued in federal court for alleged monopolistic behavior

SGEM#293: CRASH in the US, CRASH in the US, CRASH-2 in the USA

Empowering Elder Justice Training

Ultrasound

First10EM Journal Club: April 2023

ToxCard: Benzonatate

Stay Connected