RebelEM

MARCH 27, 2023

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.

Emergency Department 52

Emergency Department Operations Documentation/Coding Academics 52

RebelEM

SEPTEMBER 13, 2023

of people who take NSAIDs ( 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 Angioedema in the Emergency Department: An Evidence Based Review. Emergency Medicine Practice.

Allergic Reactions 105

Allergic Reactions Airway Management Anaphylaxis Emergency Department 105

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 104

Infectious Diseases Fractures Radiology Radiology 104

Taming the SRU

DECEMBER 11, 2023

1,2] Patients at risk for suicide often interact with emergency medical care. Suicide-related behavior (SRB) accounts for 1% of all Emergency Department (ED) visits; additionally, greater than 8% of patients visiting emergency departments are likely experiencing suicidal ideation at the time of the encounter.[3-5]

EMS 96

EMS Psychiatric Emergency Department Poisoning 96

Don't Forget the Bubbles

SEPTEMBER 13, 2023

The parents of 18-month-old Susie brought her to the Emergency Department after she had a seizure at home. The role of brain computed tomography in evaluating children with new onset of seizures in the emergency department. Emergency management of the paediatric patient with convulsive status epilepticus.

Seizures 131

Seizures Pediatrics Emergency Department Radiology 131

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.

Pediatrics 52

Pediatrics Emergency Department 52

Pediatric EM Morsels

JULY 5, 2024

PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study. Ann Emerg Med. 2010; doi:10.1016/j.annemergmed.2010.08.038. Lancet Child Adolesc Health. 2024; Published online June 4, 2024. 2010.08.038.

Pediatrics 161

Pediatrics Head Injuries Dislocations Research 161

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.

Pediatrics 52

Pediatrics Emergency Department 52

ALiEM

DECEMBER 9, 2024

A 25-year-old female with no pertinent past medical history presented to an emergency department in Massachusetts with four days of generalized malaise, myalgias, congestion, low-grade fever, and a rash behind her left knee. 2010 Feb 15;50(4):512-20. References Kowalski TJ, Tata S, Berth W, Mathiason MA, Agger WA. Lyme Disease.

Emergency Department 60

Emergency Department CDC EMS Academics 60

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

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.

EKG/ECG 125

EKG/ECG Documentation/Coding Emergency Department 125

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.

Teamwork 52

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

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

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.

Emergency Department 40

Emergency Department Poisoning Anaphylaxis Allergic Reactions 40

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.

Emergency Department 52

Emergency Department Research Wellness 52

ALiEM

OCTOBER 7, 2024

A 52-year-old female with a past medical history of hypertension and prediabetes presented to the emergency department with double vision that started one day prior to arrival. 2010 Dec;14(6):502-5. She stated that her double vision improved when she closed one eye. Treasure Island (FL): StatPearls Publishing; 2024 Jan–.

Academics 64

Academics Emergency Department Pediatrics Wellness 64

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.

Emergency Department 40

Emergency Department Hospitals Pediatrics Research 40

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

Emergency Department 93

Emergency Department Pediatrics Wellness Documentation/Coding 93

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.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

PHEM Cast

APRIL 10, 2016

The impact of emergency medical services on the ED care of severe sepsis. Am J Emerg Med. One year mortality of patients treated with an emergency department based early goal directed therapy protocol for severe sepsis and septic shock: a before and after study. 2010 Apr;38(4):1045–53. Emergency Medicine Journal.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

Don't Forget the Bubbles

JULY 17, 2023

2023 Jun 1;76(6):731-736 The Association Between Media-Based Exposure to Nonsuicidal Self-Injury and Emergency Department Visits for Self-Harm. coli urine tract infections in children treated in primary care and emergency department. Trends in Reasons for Human Papillomavirus Vaccine Hesitancy: 2010-2020.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

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.

Emergency Department 52

Emergency Department Operations Hospitals Leadership 52

RebelEM

JANUARY 23, 2023

Despite being highly effective in treating acute allergic reactions, first-generation H1 antihistamines cross the blood-brain barrier and bind to H1 receptors, which can lead to undesirable side effects, including drowsiness, sedation, fatigue, and decreased cognition (Church MK 2010). 2010 Apr;65(4):459-66. Epub 2010 Feb 8.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

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

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.

EMS 52

EMS CDC Emergency Department Hospitals 52

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.

Emergency Department 40

Emergency Department Stroke Wellness Outcomes 40

EM Curious

JULY 24, 2015

A Comparison of Ultrasound-guided Three-in-one Femoral Nerve Block Versus Parenteral Opioids Alone for Analgesia in Emergency Department Patients With Hip Fractures: A Randomized Controlled Trial. Academic Emergency Medicine, 20(6), 584–591. Western Journal of Emergency Medicine. Pediatric Emergency Care,30(4), 227–229.

Fractures 52

Fractures Ultrasounds Emergency Department Dislocations 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.

Poisoning 67

Poisoning Seizures Pediatrics EMS 67

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.

Emergency Department 93

Emergency Department Fractures Hospitals Operations 93

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.

Administration 79

Administration Fractures Anaphylaxis Head Injuries 79

PHEM Cast

MARCH 17, 2016

Annals of Emergency Medicine. Preoxygenation, reoxygenation, and delayed sequence intubation in the Emergency Department. The Journal of Emergency Medicine. 2010; Grant S, Khan F, Keijzers G, Shirran M, Marneros L. Delayed Sequence Intubation: A Prospective Observational Study. 2014; 65(4): 349-355. Weingart SD.

Airway Management 52

Airway Management Burns Emergency Department Resuscitation 52

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.

Fractures 96

Fractures COPD Hospitals Emergency Department 96

EMDocs

JUNE 1, 2023

Bradycardia: 18.8% Average ventilator days (8.3 Take Aways: The data do not suggest that targeted hypothermia improves neurological function, reduces death, or reduces hospital length of stay as compared to normothermia.

Hyperthermia / Hypothermia 61

Hyperthermia / Hypothermia Outcomes Hospitals Emergency Department 61

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 Burns Hospitals 52

Taming the SRU

OCTOBER 30, 2024

Although cancer diagnosis is not the primary goal of the care we provide in the emergency department, we can make a substantial impact on long term mortality​ HNSCC is rapidly invasive and the time to diagnosis often significantly impacts long-term morbidity and mortality in these patients.

Hospitals 52

Hospitals Emergency Department Documentation/Coding EKG/ECG 52

Taming the SRU

FEBRUARY 5, 2024

The LP is now a standard procedure and in 2010 well over 135,000 LPs were performed in Emergency Departments throughout the US (3). WHO - Who Needs an LP in the ED? Patients with concern for infection (i.e.,

Infectious Diseases 97

Infectious Diseases Seizures Ultrasounds Sepsis 97