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Diagnostics and Therapeutics: Vascular Access in the Emergency Department

Taming the SRU

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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Rebaked Morsel: Pediatric Buckle and Greenstick Forearm Fractures

Pediatric EM Morsels

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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Overdiagnosis: Would we better better off not looking?

First 10 EM

There is little doubt that the use of testing has increased dramatically in emergency medicine during my career. 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.)

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Law Enforcement Information Gathering in the Emergency Department

ACEP Now

What is your role as the emergency physician? Introduction Law enforcement officers frequently accompany emergency department (ED) trauma patients or patients who are under arrest or require assistance. Law enforcement gathering in the emergency department: Legal and ethical background and practical approaches.

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Impact of Emergency Department Crowding on Lung Protective Ventilation

RebelEM

Over the past few years, there has been an increase in emergency department (ED) volumes and lengths of stay. The effect of emergency department crowding on lung-protective ventilation utilization for critically ill patients. 2011 Feb 15; Epub 2010 Aug 27. Paper: Owyang CG, et al. J Crit Care. N Engl J Med.

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In: Dexamethasone, Out: Prednisone

EM Literature of Note

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% emergency departments” [link] Tweet of asthma visits to 17.3% – and the rates are over double that in children.

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The Broselow-Luten System

Pediatric EM Morsels

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.