Emergency Medicine Journal

NOVEMBER 28, 2023

Overprescribing and inappropriate antibiotic selection for children with pharyngitis in the United States, 1997-2010. Cochrane Database Syst Rev. 2021; 12 (12):CD000023. Dooling KL, Shapiro DJ, Van Beneden C, Hersh AL, Hicks LA. JAMA Pediatr. 2014; 168 (11):1073-4. Llor C, Bjerrum L. Ther Adv Drug Saf. 2014; 5 (6):229-41.

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Emergency Department Hospitals Pediatrics Research 40

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. Evaluation and Treatment of Acute Back Pain in the Emergency Department. Back Pain Emergencies.

Infectious Diseases 102

Infectious Diseases Fractures Radiology Radiology 102

Don't Forget the Bubbles

SEPTEMBER 18, 2023

This blog post aims to help familiarise you with some of the most common reasons for prescribing antibiotics in the paediatric emergency department. Antibiotic Use for Common Infections in Pediatric Emergency Departments: A Narrative Review. 2010 Aug 1;126(2):196–203. Karageorgos, S.; Hibberd, O.; Mullally, P.J.W.;

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Emergency Department Infectious Diseases Pediatrics Sepsis 143

ACEP Now

JUNE 14, 2024

1 As fresh challenges of the pandemic and hospital operations changed emergency medicine practice, one of the more challenging areas was the movement of admitted patients out of the first emergency department (ED). emergency departments. percent of patients—twice the rate in 2010 (Table 1). 2022;41(2):15.

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Emergency Department Operations Hospitals Leadership 52

JournalFeed

JANUARY 17, 2022

2010 Nov;60(11):451-6. Epub 2010 Jun 16. Policed Patients: How the Presence of Law Enforcement in the Emergency Department Impacts Medical Care. Ann Emerg Med. Psychother Psychosom Med Psychol. doi: 10.1055/s-0030-1251980. Harada MY, Lara-Millán A, Chalwell LE. 2021 Dec;78(6):738-748. doi: 10.1016/j.annemergmed.2021.04.039.

EMS 52

EMS Emergency Department 52

Pediatric Emergency Playbook

APRIL 1, 2018

Pediatric Hypertensive Emergencies. Pediatric Hypertension in the Emergency Department. Ann Emerg Med. Blood pressure measurements on children in the emergency department. Emergency Medicine Australasia. Open Access Emergency Medicine. 2010; 1:44-51. 2010; p315. 2014; 16:456.

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Pediatrics Emergency Department 52

ALiEM

OCTOBER 2, 2023

A 6-year-old male presented to the pediatric emergency department (PED) for scalp lesions. 2010 Mar;124(3):339-40. He was seen by his pediatrician 2 weeks prior and prescribed antibiotics and a delousing shampoo for suspected cellulitis versus lice infestation. Symptoms did not improve despite completion of treatment.

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Ultrasounds Pediatrics Academics Emergency Department 75

Pediatric Emergency Playbook

MARCH 1, 2018

Pediatric Opthalmology in the Emergency Department. 2010 Mar;125(3):e565-9. Epub 2010 Feb 8. Pediatrics. 1991; 88 (3): 450-5. Prentiss KA, Dorfman DH. 2008; 26: 181-198. Shope TR, Rieg TS, Kathiria NN. Corneal abrasions in young infants. Pediatrics.

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Pediatrics Emergency Department 52

The Skeptics' Guide to EM

OCTOBER 10, 2020

Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. He is also one of the world’s leading researchers on pain management in the emergency department, specifically the use of ketamine. His twitter handle is @PainFreeED.

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Emergency Department Research Wellness 52

EB Medicine

SEPTEMBER 1, 2018

Jeff: Welcome back to Emplify, the podcast corollary to EB Medicine’s Emergency Medicine Practice. I’m Jeff Nusbaum, and I’m back with my co-host, Nachi Gupta and we’ll be taking you through the September 2018 issue of Emergency Medicine Practice - Emergency Department Management of North American Snake envenomations.

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Emergency Department Poisoning Anaphylaxis Allergic Reactions 40

RebelEM

MARCH 9, 2023

However, evaluating and managing patients with acute alcohol intoxication in the emergency department can be challenging. Pompili 2010) However, >65% of patients who endorse suicidal ideation when intoxicated no longer endorse suicidal ideation once sober. Annals of Emergency Medicine. 2010 Apr;7(4):1392-431.

Psychiatric 52

Psychiatric Emergency Department Documentation/Coding Fractures 52

EB Medicine

JULY 8, 2019

This month, we are sticking in the abdomen for another round of evidence-based medicine, focusing on Emergency Department Management of Patients With Complications of Bariatric Surgery. Additionally, back in 2010, it was estimated that 6.6% I hope everybody enjoyed a fantastic conference. That’s almost half of the population.

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Emergency Department Sepsis Operations Dehydration 40

Taming the SRU

JUNE 12, 2023

Although not every person seeks health care for these injuries, the majority of those that do end up in the emergency department. In 2008, this led to greater than 316,000 emergency department (ED) visits and about 9,500 hospitalizations [1]. Annals of Emergency Medicine. Annals of Emergency Medicine.

Infectious Diseases 102

Infectious Diseases Emergency Department Administration Academics 102

RebelEM

MARCH 23, 2023

The 30-day emergency department readmission rate and all-cause 30-day readmission were significantly lower only when adjusted for propensity scores. of symptom-triggered phenobarbital versus symptom-triggered lorazepam in the emergency department (n=44). A randomized, blinded clinical trial (Hendey et al.)

Emergency Department 52

Emergency Department Outcomes Hospitals Burns 52

Dr. Smith's ECG Blog

MAY 27, 2024

2022 ACC expert consensus decision pathway on the evaluation and disposition of acute chest pain in the emergency department: a report of the American College of Cardiology solution set oversight committee. Ann Noninvasive Electrocardiol 2010 7. Conduction disorders in the setting of acute STEMI. Curr Cardiol Red 2021 3.

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EKG/ECG Documentation/Coding Emergency Department 115

Taming the SRU

NOVEMBER 14, 2023

Chief complaints involving the ear are a common occurrence in Emergency Departments across the US and include presenting symptoms such as ear pain or fullness, hearing loss, redness, trauma, vertigo, and foreign bodies. A retrospective analysis of the Nationwide Emergency Department Sample (NEDS) from 2009 through 2011 identified 8.6

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Emergency Department Pediatrics Wellness Documentation/Coding 92

PHEM Cast

JANUARY 4, 2017

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. Scenario based outdoor simulation in pre-hospital trauma care using a simple mannequin model. Patterson MD, Geis GL, Falcone RA, LeMaster T, Wears RL.

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Teamwork Burns Emergency Department Resuscitation 52

ACEP Now

OCTOBER 26, 2023

Using Maryland state law as a guide, the American College of Emergency Physicians (ACEP) and the Emergency Department Practice Management Association (EDPMA) lobbied for passage of federal protections beginning in the mid-1990s. 1997: Congress enacts the PLP for Medicare and Medicaid managed care plans via BBA ’97.

Documentation/Coding 124

Documentation/Coding Hospitals Administration Emergency Department 124

The Skeptics' Guide to EM

FEBRUARY 25, 2023

Case: A 6-month-old boy presents to the emergency department (ED) with three days of worsening cough, cold symptoms, and fever. Pediatric Crit Care Med. 2022 Date: February 15, 2023 Guest Skeptic: Dr. Carlie Myers is Pediatric Critical Care Attending at Cincinnati Children’s Hospital Medical Center.

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Pediatrics Hospitals CPR Resuscitation 52

EMDocs

JANUARY 17, 2024

She had return of spontaneous resuscitation (ROSC) and was subsequently intubated and transported to the emergency department (ED). 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) Pharmacotherapy.

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Poisoning Seizures Pediatrics EMS 67

EB Medicine

AUGUST 6, 2019

Nachi: However, in 2010, the FDA approved the first DOAC, a real game-changer. Jeff: Unfortunately, these agents have a narrow therapeutic window and many drug-drug interactions, and they require frequent monitoring - making them less desirable to many.

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Emergency Department Stroke Wellness Outcomes 40

Northwestern EM Blog

JANUARY 2, 2023

A pediatric emergency department in Texas looked at the resulted of their routine suicide risk screenings for patients aged 11-21. Suicide ideation and attempts in a pediatric emergency department before and during COVID-19. Association of Suicide and Other Mortality With Emergency Department Presentation.

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Emergency Department Research CDC Pediatrics 52

The Skeptics' Guide to EM

JULY 2, 2022

Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. His father had a minor heart attack at the age of 63.

EKG/ECG 40

EKG/ECG Academics Emergency Department Hospitals 40

EMDocs

SEPTEMBER 7, 2023

2 Laboratory assays for DEG are not widely available and have long turn-around-times, thus have limited utility in diagnosis in the emergency department. 1, 2010, pp. 2 Careful consideration should be given to the use of the osm gap, as this should not be used to exclude toxic alcohol ingestion. Accessed August 2022.

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Poisoning CDC Administration Emergency Department 66

Taming the SRU

FEBRUARY 12, 2024

HISTORY OF PRESENT ILLNESS A female in her 30s arrives to the emergency department via emergency medical services. She arrives in the emergency department agitated and unable to answer questions appropriately. The patient is agitated on a backboard with C-collar in place. BMC Pharmacol Toxicol. May 2; 19(1): 19.

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Administration Fractures Anaphylaxis Head Injuries 79

The Skeptics' Guide to EM

JANUARY 19, 2019

He is alert and oriented times three with normal vital signs by the time he arrives in the emergency department. Wave 2: Rapid increase in overdose deaths involving heroin starting in 2010. Wave 2: Rapid increase in overdose deaths involving heroin starting in 2010. Reference: Clemency et al.

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CDC EMS Emergency Department Hospitals 52

ALiEM

MAY 13, 2024

Case Introduction: Child with abdominal pain Wendy is a 7-year-old girl who comes into the emergency department with redness, swelling, and pain on her left calf. Point-of-Care Ultrasound on Management of Cellulitis Versus Local Angioedema in the Pediatric Emergency Department. Pediatr Emerg Care. J Emerg Med.

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Ultrasounds Pediatrics Emergency Department Wellness 64

EMDocs

JULY 30, 2024

Elsevier; 2010:2153-2217. The father reported the patient was in his usual state of health approximately two hours ago. References: Pelfrène AF. Rodenticides. In: Krieger R, ed. Hayes’ Handbook of Pesticide Toxicology. doi: 10.1016/b978-0-12-374367-1.00100-2 Schum TR, Lachman BS. Effect of Packaging and Appearance on Childhood Poisoning.

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Poisoning Seizures Fluid Resuscitation Pediatrics 56

ACEP Now

MAY 10, 2024

A 59-year-old man presents to your community emergency department (ED) with chest pain that is radiating to his back. Acad Emerg Med. His vital signs are normal and the ECG does not demonstrate a myocardial infarction. Your clinical gestalt has you suspecting an acute aortic dissection (AoD). 2024;31(2):112-118.

Ultrasounds 52

Ultrasounds Outcomes Documentation/Coding Academics 52

Pediatric EM Morsels

APRIL 19, 2024

Trauma season is at hand and like all other pediatric emergency departments in the country, we find our ED breaking ( pun intended ) at the seams with orthopedic injuries. 2010 Oct 5;182(14):CMAJ 2010. We see all different flavors of upper extremity injuries. References: Boutis K, Willan A, Babyn P, Goeree R, Howard A.

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Fractures Pediatrics Best Practices Outcomes 285

The Skeptics' Guide to EM

JUNE 22, 2019

Background: New-onset atrial fibrillation is a common occurrence in the emergency department, and practitioners differ on whether to take a primary rate-control approach versus a rhythm-control approach utilizing either electrical or pharmacological cardioversion. The ECG shows atrial fibrillation without ischemic changes.

Academics 40

Academics Emergency Department Hospitals EKG/ECG 40

Taming the SRU

JANUARY 29, 2024

She was concerned that this was not improving and decided to come to the emergency department (ED). Hospital Course The patient was initiated on a therapeutic heparin drip in the emergency department with vascular surgery consultation. Epub 2010 Feb 6. She had not had any blood clots previously. J Thromb Haemost.

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Emergency Department Fractures Hospitals Operations 92

Don't Forget the Bubbles

MAY 6, 2024

This multicentre retrospective cohort study looked at 202 children in California aged 1- 24 months who presented acutely between 2010 and 2021. Pyuria is defined as greater than 5 white blood cells and positive leucocytes on urinalysis. These children had a negative urinalysis and positive urine culture and were not prescribed antibiotics.

Sepsis 75

Sepsis Outcomes Pediatrics Documentation/Coding 75

Taming the SRU

OCTOBER 1, 2023

This post aims to broadly cover the types of PTX, the diagnostic modalities available, and the ideal management by PTX type in the Emergency Department. J Emerg Med. Management of spontaneous pneumothorax: British Thoracic Society Pleural Disease Guideline 2010. Ann Emerg Med. Clin Pract Cases Emerg Med.

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Fractures COPD Hospitals Emergency Department 95

Taming the SRU

JANUARY 1, 2024

Ann Emerg Med. Intraosseous vascular access in adults using the EZ-IO in an emergency department. Int J Emerg Med. J Emerg Med. 2010 Oct;39(4):468–75. Am J Emerg Med. 2010 Sep 1;134(9):1253–60. 2020 Aug;76(2):134–42. Ngo AS-Y, Oh JJ, Chen Y, Yong D, Ong MEH. 2009 Sep 11;2(3):155–60.

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Emergency Department Ultrasounds Administration Burns 90

Mind The Bleep

SEPTEMBER 17, 2024

Introduction Patients regularly present to the emergency department with animal bites. The western journal of emergency medicine, 11(5), 435–441. This article aims to help guide you through managing these patients and what factors you might want to consider. link] Quinn, J. McDermott, D., Stein, J., & Kramer, N.

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Fractures Infectious Diseases Documentation/Coding Hospitals 52

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.

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Leadership PPE EMS Wellness 98