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

PHEM Cast

APRIL 10, 2016

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. Severe Sepsis in Pre-Hospital Emergency Care. 2010 Apr;38(4):1045–53. Emergency Medicine Journal. Prehosp Emerg Care.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 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 EKG/ECG Documentation/Coding 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 Fractures Documentation/Coding 52

RebelEM

MARCH 23, 2023

REBEL Cast Ep115 – Phenobarbital vs Lorazepam in Alcohol Withdrawal Click here for Direct Download of the Podcast Clinical question : Is a phenobarbital-based or lorazepam-based alcohol detoxification protocol associated with a lower hospital length of stay compared to Ativan for alcohol withdrawal? Paper : Hawa F et al.

Emergency Department 52

Emergency Department Outcomes Burns Hospitals 52

ACEP Now

SEPTEMBER 5, 2024

With elimination of CME funding in many of our hospitals and groups, it is crucial to continue to add value and communicate that value to residents before graduation. While some issues are handled locally, many issues cannot be solved in our emergency department or hospital.

Leadership 98

Leadership PPE EMS Wellness 98

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 initially agreed to be transported to the hospital by ambulance, but jumped from the moving vehicle and was subsequently struck and pinned under the fuselage for 10-15 minutes. BMC Pharmacol Toxicol.

Administration 80

Administration Fractures Anaphylaxis Head Injuries 80

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

Don't Forget the Bubbles

MAY 29, 2023

A qualitative study of 2,815 pre-hospital clinicians reported that nearly half of the respondents had experienced incivility from professional teams at least once a week. Psychological Bulletin [Internet] 2010: 136 :5:894–914. Bad manners in the Emergency Department: Incivility among doctors. PLoS ONE [Internet].

Leadership 98

Leadership Patient Safety Academics Research 98

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.

Emergency Department 94

Emergency Department Fractures Hospitals Operations 94

The Skeptics' Guide to EM

JUNE 22, 2019

NEJM 2019 Guest Skeptic: Dr. David Glaser, emergency physician from a community teaching hospital in Denver and faculty member for the annual Emergency Medicine and Acute Care course series. That episode reviewed a 2010 cohort study done by the Legend of Emergency Medicine, Dr. Ian Stiell.

Academics 40

Academics Emergency Department Hospitals EKG/ECG 40

Broome Docs

APRIL 6, 2023

A prospective cluster-randomized trial to implement the Canadian CT Head Rule in emergency departments. 2010 Oct 5;182(14):1527-32. Epub 2010 Aug 23. Clinical Outcomes After Intensifying Antihypertensive Medication Regimens Among Older Adults at Hospital Discharge. doi: 10.1503/cmaj.091974. JAMA Intern Med.

Sepsis 52

Sepsis Ultrasounds Hospitals Fractures 52

ACEP Now

NOVEMBER 7, 2023

A 67-year-old man presents to the emergency department (ED) in cardiac arrest. Out-of-hospital cardiac arrest unfortunately occurs relatively commonly and emergency physicians must be equipped to diagnose and treat this rapidly. The primary outcome was survival to hospital discharge. 2018;13(9):e0204169.

Resuscitation 52

Resuscitation Hospitals Shock CPR 52

EB Medicine

AUGUST 6, 2019

Nachi: However, in 2010, the FDA approved the first DOAC, a real game-changer. Interestingly, one retrospective study found limited agreement between EMS records and hospital documentation on current DOAC usage. This strategy reduces hospital days and costs with otherwise similar outcomes - total win all around.

Emergency Department 40

Emergency Department Stroke Wellness Outcomes 40

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. 807 patients between the ages of 7 days to 17 years, from the ED, ward and PICU, were included across ten hospitals in Switzerland.

Sepsis 75

Sepsis Pediatrics Outcomes Documentation/Coding 75

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

Pediatric Emergency Playbook

AUGUST 1, 2017

One of our largest responsibilities in the Emergency Department is sorting out benign from surgical or medical causes of abdominal pain. Abdominal Surgical Emergencies in Children: A Relative Timeline General Advice Neonate (birth to one month) Necrotizing Enterocolitis Pneumatosis Intestinalis. J Emerg Med. J Emerg Med.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 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). 2018) Epidemiology of lumbar punctures in hospitalized patients in the United States. WHO - Who Needs an LP in the ED? Patients with concern for infection (i.e., PLOS ONE 13(12): e0208622.

Infectious Diseases 97

Infectious Diseases Seizures Ultrasounds Sepsis 97

The Skeptics' Guide to EM

MARCH 9, 2019

InStyle February 2019 Case: A women colleague is being hired for an emergency department attending job wants to know why her pay is less than that of a man at the same hospital with the same years of training and the same accomplishments? Women now represent half of medical school graduates and 38% of faculty members in U.S.

Sexual Assault 40

Sexual Assault Academics Research Emergency Department 40

Taming the SRU

AUGUST 30, 2023

In a small study involving 79 hospitalized children, PCT was found to be elevated in bacterial infections, with a decrease after appropriate antibiotic therapy, and decreased in viral infections [24]. . + Procalcitonin (PCT) Etiology: PCT was first discovered in 1984. However, it was not until a 1993 study that its significance was realized.

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

Pediatric EM Morsels

SEPTEMBER 20, 2024

Diarrhea is one of the most common complaints in the pediatric emergency department, especially in the summer and early fall. Timing and utility of ultrasound in diarrhea-associated hemolytic uremic syndrome: 7-year experience of a large tertiary care hospital. 2010 May;49(5):418-21. Epub 2010 Jan 13. Bergmann, K.,

Pediatrics 164

Pediatrics Ultrasounds Dehydration Emergency Department 164

ACEP Now

AUGUST 28, 2024

A 24-hour labor strike, starting on the afternoon of April 18 and called by the union representing emergency physicians and advanced practitioners at Ascension St. John Hospital in Detroit, MI, did not resolve their concerns about working conditions, staffing levels, or patient safety. John and five other hospital sites in Detroit.

Emergency Department 98

Emergency Department Hospitals Patient Safety Leadership 98

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. May be considered first line in the future however results may be dependent upon provider training and hospital resources [17].

Fractures 96

Fractures COPD Hospitals Emergency Department 96

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 97

EMS Psychiatric Emergency Department Poisoning 97

RebelEM

MAY 15, 2024

Follow your hospital’s protocol (if available). High Risk Patients will need hospitalization and IV antibiotics. Comparison of the MASCC and CISNE scores for identifying low-risk neutropenic fever patients: analysis of data from three emergency departments of cancer centers in three continents. Support Care Cancer.

Infectious Diseases 98

Infectious Diseases Administration Sepsis Anaphylaxis 98

RebelEM

MAY 22, 2023

Furthermore, many emergency medicine clinicians are apprehensive about treating elderly patients with opiates out of fear of untoward side effects. In 2010, the United States Food and Drug Administration (FDA) granted approval for intravenous (IV) acetaminophen as a pain management option. The Canadian Journal of Hospital Pharmacy.

Emergency Department 90

Emergency Department Administration Dislocations Hospitals 90

ACEP Now

SEPTEMBER 3, 2024

Hahnemann University Hospital in Philadelphia closed in 2019, a year and a half after it was acquired along with St. Christopher’s Hospital for Children by private equity (PE) firm Paladin Healthcare Capital for 170 million dollars. 14 Dr. Stinson remembers what it was like to work for a PE-owned hospital early in her career. “I

Hospitals 113

Hospitals Radiology Radiology Emergency Department 113

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

EMDocs

JUNE 1, 2023

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. Bradycardia: 18.8% Average ventilator days (8.3 Bradycardia: 18.8% Average ventilator days (8.3 Bradycardia: 18.8% Average ventilator days (8.3 Bradycardia: 18.8%

Hyperthermia / Hypothermia 83

Hyperthermia / Hypothermia Outcomes Hospitals Emergency Department 83

EMDocs

JULY 30, 2024

His neurologic symptoms resolved fully by hospital day 2. Elsevier; 2010:2153-2217. The father reported the patient was in his usual state of health approximately two hours ago. Case Follow-up: The patient was admitted to the pediatric intensive care unit. References: Pelfrène AF. Rodenticides. In: Krieger R, ed. Clinical Pediatrics.

Poisoning 74

Poisoning Seizures Fluid Resuscitation Pediatrics 74

EMDocs

OCTOBER 17, 2023

Patients with complicated acute diverticulitis should be admitted to the hospital. 2010 Mar;12(3):179-86. A clinical decision rule to establish the diagnosis of acute diverticulitis at the emergency department. 2010 Jun;53(6):896-904. Erratum in: Ann Intern Med. 2023 Apr;176(4):584. Colorectal Dis.

Radiology 93

Radiology Radiology Operations Best Practices 93

Dr. Smith's ECG Blog

OCTOBER 20, 2013

We studied this and published the abstract below in 2010. in Vienna found that 27 of 765 (4%) of out of hospital cardiac arrests (OHCA) were due to SAH. Only 1 of 27 survived, after 45 days in the hospital, with a cerebral performance category of 2; this patient had ventricular fibrillation. Chicago November 2010.

Resuscitation 52

Resuscitation EKG/ECG Hospitals Emergency Department 52

The Skeptics' Guide to EM

JANUARY 19, 2019

Hospital Observation Upon Reversal (HOUR) With Naloxone: A Prospective Clinical Prediction Rule Validation Study. Hospital Observation Upon Reversal (HOUR) With Naloxone: A Prospective Clinical Prediction Rule Validation Study. Wave 2: Rapid increase in overdose deaths involving heroin starting in 2010.

EMS 52

EMS CDC Emergency Department Hospitals 52

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. Upon review of the history, several of the patients had been exposed to a liquid acetaminophen-based teething medication. Accessed August 2022.

Poisoning 91

Poisoning CDC Administration Emergency Department 91

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 89

Poisoning Seizures Pediatrics EMS 89

Northwestern EM Blog

SEPTEMBER 12, 2022

Written by: August Grace, MD (NUEM ‘24) Edited by: Andrew Rogers, MD, MBA (NUEM ‘22) Expert Commentary by : Andra Farcas, MD (NUEM ‘21) Introduction In the setting of trauma, most hospitals are adept at treating and managing patients with a variety of injuries. Time begins after the first patient arrives at the hospital [8].

Mass Casualty Incidents 52

Mass Casualty Incidents EMS Hospitals Hazardous Materials 52

EMDocs

APRIL 22, 2024

1-3 VTE is responsible for hospitalizing over 250,000 Americans every year, and there are an estimated 100,000 deaths annually associated with these conditions. 4 In an emergency department (ED) presentation of cardiac arrest, the diagnosis of PE is challenging without the use of CT angiography. 2010 Apr;38(4 Suppl):S495-501.

Ultrasounds 98

Ultrasounds Advances Cardiac Life Support (ACLS) EKG/ECG Resuscitation 98