PulmCCM

SEPTEMBER 20, 2024

When Retraction Watch started as a side project blog by Ivan Oransky and Adam Marcus in 2010, they wondered if they would have enough material. This process can’t be trusted to operate in China. The Prevalence of Fraud in Medical Research Fraud is widespread in biomedical research and publishing generally.

Academics 105

Academics Forensics Research Operations 105

ACEP Now

JUNE 14, 2024

Two years ago, an ACEP Now article covered the issue of transfer challenges resulting from early pandemic operations. 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 Department 52

Emergency Department Operations Hospitals Leadership 52

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 52

Ultrasounds Pediatrics Operations EMS 52

PHEM Cast

JULY 6, 2017

Cricothyrotomy performed with the Melker set or the QuickTrach kit: procedure times, learning curves and operators’ preference. Sottile, D., Del Vecchio, L., Merola, R., Il Giornale Di Chirurgia , 35 (7-8), 165–170. Woodall, N., & Frerk, C. Appendix 4 NAP4 Summary: major complications of airway management in the United Kingdom.

Airway Management 52

Airway Management Academics Operations Resuscitation 52

RebelEM

MARCH 9, 2023

Pompili 2010) However, >65% of patients who endorse suicidal ideation when intoxicated no longer endorse suicidal ideation once sober. 2010 Apr;7(4):1392-431. Epub 2010 Mar 29. Operational criteria for the classification of chronic alcoholics: identification of Wernicke’s encephalopathy. Alcohol Alcohol.

Psychiatric 52

Psychiatric Emergency Department Fractures Documentation/Coding 52

ACEP Now

SEPTEMBER 5, 2024

However, to stay static in today’s world is to fade into irrelevance and our country and our membership needs the voice and presence of emergency medicine.

Leadership 98

Leadership PPE EMS Wellness 98

Taming the SRU

OCTOBER 30, 2024

R4 Capstone with dr. wright Rural America is facing a worsening crisis in healthcare, including emergency care, with 140 rural hospitals closing since 2010 - and 700 more at risk of following suit. Your words matter, know how to avoid misgendering your patients and know how you will correct your team when it happens.

Hospitals 52

Hospitals Emergency Department EKG/ECG Documentation/Coding 52

PHEM Cast

DECEMBER 1, 2017

Journal of Special Operations Medicine : a Peer Reviewed Journal for SOF Medical Professionals , 13 (4), 53–58. Devices used for decompression: Dressings available for covering an open pneumothorax +/- thoracostomy in a spontaneously breathing patient: References Ball, C. Wyrzykowski, A. Kirkpatrick, A. Nicholas, J. Salomone, J. Branco, B.

Academics 52

Academics Radiology Radiology Resuscitation 52

Taming the SRU

JANUARY 29, 2024

Variations in sensitivity are thought to be related to operator technique, patient habitus, and difficulty evaluating the subclavian vein beneath the clavicle. [12] Epub 2010 Feb 6. 13] Ultimately, catheter-based venography is the gold-standard for diagnosis of thrombosis of the upper extremity deep veins. J Thromb Haemost.

Emergency Department 94

Emergency Department Fractures Hospitals Operations 94

PHEM Cast

APRIL 19, 2016

Remember this, especially when managing adolescents; children may not be as interactive or as co-operative as you would expect for their age. Lots of ambulance services (in 2010) did not have appropriate kit to deal with small humans– including 92% not having appropriate sized supraglottic devices. Patients had high cord injuries.

Head Injuries 52

Head Injuries Ambulance Services Hospitals Leadership 52

RebelEM

MARCH 27, 2023

First ED-based study to evaluate how operational effects such as crowding can affect patient care in the form of LPV Included ARDS criteria relating to the usage of LPV in the ED allowing evaluation as to whether patients with ARDS were more likely to receive LPV settings. 2011 Feb 15; Epub 2010 Aug 27. Am J Respir Crit Care Med.

Emergency Department 52

Emergency Department Operations Academics Documentation/Coding 52

Advanced Emergency Nursing from AENJ

MAY 3, 2014

Review of the Wellcome Library movies on YouTube (1945) [ links below in references ] is instructive as to resuscitative methods of the 1930s and 1940s: Manual methods; gas bag or bellows operated by hand or machine; an anesthesia gas machine; or iron lung. Evaluation: Manually Operated Resuscitators (1971) Emergency Care Research Institute.

Resuscitation 40

Resuscitation Military Operations Emergency Nursing 40

ACEP Now

SEPTEMBER 3, 2024

Private equity investment in health care has increased more than 20-fold since 2000, with 70 percent of this activity since 2010. While secrecy surrounds the operations of many PE-owned groups, Envision serves as a case study. Usually, they’ll get two or three every now and then, but if everybody is fresh, who’s teaching who?”

Hospitals 113

Hospitals Radiology Radiology Emergency Department 113

Northwestern EM Blog

SEPTEMBER 12, 2022

This post will discuss a brief overview of hospital planning and operational setup with key elements of a disaster response from events that cause high numbers of blunt trauma, penetrating trauma, burns or crush injuries that may be seen following explosive events, mass shootings, or large scale motor vehicle collisions, to name a few.

Mass Casualty Incidents 52

Mass Casualty Incidents EMS Hospitals Hazardous Materials 52

Pediatric Emergency Playbook

MARCH 1, 2016

Often children even with high-grade splenic and liver lacerations can be managed non-operatively. Unfortunately, a negative FAST cannot help with detecting or grading the laceration for non-operative management. CT Abdomen and Pelvis, IV contrast: helpful in grading splenic and liver lacerations with goal to manage non-operatively.

Resuscitation 40

Resuscitation Pediatrics Hyperthermia / Hypothermia Operations 40

Advanced Emergency Nursing from AENJ

DECEMBER 18, 2014

10 Commandments of Risk Management (Camp Operations) THE "20 Commandments" of EMTALA Ten Commandments For Malpractice Depositions The Top Ten Ways to Ensure Frustration, Miscommunication, and Poor Patient Care the Next Time You Provide (or Request) a Consult [N.B. PubMed PMID: 15261366. doi:10.1016/j.jemermed.2004.05.002

Mass Casualty Incidents 40

Mass Casualty Incidents Burns Urgent Care Pediatrics 40

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Farrington] Rebuilding of outdated hospitals put emergency rooms on ground level with nearby X-ray service, and, ideally, sometimes closer to the Blood Bank and the Operating Rooms. We applied to "The Golden Hour" the attitudes and abilities that led to a man on the moon. Anyone, anything, anytime: a history of emergency medicine.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

ALiEM

MAY 13, 2024

63M with an Erythematous Abdomen Limitations of POCUS As with all ultrasound applications, soft tissue POCUS is operator dependent. 2010 Nov;39(5):637-43. Di Coneybeare) For additional reading on ultrasounding necrotizing fasciitis, see these ALiEM articles: QI Series: Cellulitis vs Necrotizing Fasciitis Ultrasound For The Win! –

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

Taming the SRU

FEBRUARY 19, 2024

12) Axillary While axillary arterial line placement has been uncommon, in the age of facile ultrasound operators it may become a more advantageous and accessible site particularly in patients with high BMIs. They also found that when femoral lines did fail, they did so later in the patient’s clinical course. (12) Advance online publication.

Shock 59

Shock Resuscitation Ultrasounds Research 59

PHEM Cast

SEPTEMBER 6, 2017

2013;118(1):192-201. doi:10.1097/ALN.0b013e318278c8b6 0b013e318278c8b6 A Prolonged phase II, increased α angle, and steeper phase III suggest bronchospasm or airway obstruction.

CPR 52

CPR Resuscitation Operations Shock 52

Pediatric Emergency Playbook

JUNE 1, 2017

Fontan Operation and the Single Ventricle. 2010; 12(3): 3–8. 2010 Oct 1;33(10):821-42. Summary Acute MI is a challenging presentation in children: Easily missed: uncommon and atypical Varied etiology Respect vague symptoms with a non-reassuring H&P Try to detect it: CATH IT! References Congenital AboulHosn JA et al.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

EB Medicine

JULY 8, 2019

Additionally, back in 2010, it was estimated that 6.6% Nachi: Unfortunately this procedure is associated with a relatively high re-operation rate – one study found 20% of patients required removal or revision. Jeff: Even more shockingly, some series showed a 52% repeat operation rate. That’s almost half of the population.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Advanced Emergency Nursing from AENJ

MAY 27, 2014

St John History Volume 10 (2010-2011) **Australian review of Sparklet Resuscitators and CO2 therapy. The Therapeutic Use of Carbon Dioxid After Anesthesia and Operation. Select Bibliography: Fahey, D OStJ. The use of carbon dioxide in resuscitation. Link to photograph of Yandell Henderson, Ph. Biographical Memoirs, V. Haggard, H.

Resuscitation 40

Resuscitation Poisoning Research Administration 40

Taming the SRU

AUGUST 30, 2023

This finding was not significantly different among operators with different levels of experience, or between adults and children. Critical Care Medicine 38():p S26-S34, February 2010. | N Engl J Med. 2023 Feb 2;388(5):439-452. doi: 10.1056/NEJMra2206346. PMID: 36724330; PMCID: PMC9912245. Inflammation and coagulation. DOI: 10.1097/CCM.0b013e3181c98d21

Infectious Diseases 89

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

Dr. Smith's ECG Blog

NOVEMBER 24, 2017

JACC 55(9):934-947; 2010 ]. A receiver operating characteristic graph over all the different percentage cutoffs might help more formally make those tradeoffs. Plotting the Receiver Operating Characteristic (ROC) curve compared to each formula as the gold standard, and labeling the cutoffs (i.e.

EKG/ECG 52

EKG/ECG Outcomes Wellness Hospitals 52

Pediatric Emergency Playbook

APRIL 1, 2017

Steady the operating hand by placing your hypothenar eminence on the child’s zygoma or temporal scalp, to avoid jutting the instrument into the ear canal with sudden movement. A commonly available suction catheter is the Frazier suction tip ( right ), a single-use device used in the operating room. Pediatrics. 2013;132(2):275-281.

Pediatrics 52

Pediatrics CPR Operations Resuscitation 52

PEMBlog

JUNE 5, 2024

Epub 2010 Oct 29. That’s a spine or neurosurgery operation. Factors associated with cervical spine injury in children after blunt trauma. Ann Emerg Med. 2011 Aug;58(2):145-55. doi: 10.1016/j.annemergmed.2010.08.038. 2010.08.038. PMID: 21035905.

Fractures 52

Fractures Pediatrics Radiology Radiology 52

EB Medicine

AUGUST 1, 2018

From 2010 to 2011, the number of ED visits by children aged 12 to 17 years old due to synthetic cannabinoid use also has doubled. Make sure that the patient knows not to operate vehicles or heavy machinery under the influence of drugs. Discharge home should be in the care of a sober family member or friend.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

EMDocs

OCTOBER 17, 2023

CT is the most useful examination for patients with suspected complications of colonic diverticulitis because of its reproducibility, superior diagnostic accuracy (98%)m accuracy for alternative diagnoses with a similar presentation, risk-stratification of patients for operative versus nonoperative treatment, and inpatient versus outpatient triage.

Radiology 94

Radiology Radiology Operations Best Practices 94

Don't Forget the Bubbles

FEBRUARY 7, 2024

One systematic review of 1283 patients showed that if you got to the operating room within 6 hours, you had a 97% chance of saving the testicle. Urgent senior review, decision making and operation 31.3% This dropped to 79.3% by 18 hours, and if the diagnosis was delayed by more than 24 hours, the salvage rate was just 18.1%.

Pediatrics 111

Pediatrics Ultrasounds Operations Hospitals 111

ACEP Now

AUGUST 28, 2024

TeamHealth, which is a physician staffing and contract management company owned since 2010 by the private equity firm Blackstone, has managed the emergency department at Ascension St. With plenty of warning from the union, TeamHealth and the hospital implemented contingency staffing plans to keep the ED fully operational.

Emergency Department 98

Emergency Department Hospitals Patient Safety Leadership 98

Pediatric Emergency Playbook

JANUARY 1, 2017

Assessing and managing children’s pain can be challenging, because they may not exhibit typically recognized signs and symptoms ( Srouji 2010 ). Neonatal observational scales have been validated in the intensive care and post-operative settings; ED-specific quantitative scales are lacking. Knowing the context of the episode may help.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Dr. Smith's ECG Blog

APRIL 8, 2015

in 2010 EM Clinics of North America (full text link) For an Exhaustive Review of Syncope and its full management outside the ED environment, go to the 2009 European Society of Cardiology Guidelines (full text pdf). J Am Coll Cardiol, 2010; 55:713-721, doi:10.1016/j.jacc.2009.09.049 95% confidence interval [CI] = 3.0 95% CI = 1.9

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

Advanced Emergency Nursing from AENJ

SEPTEMBER 4, 2014

It wrongly frightened some medical personnel as it was operated by a 50 psi wall source or from a step-down regulator from a tank (some thought the patient received wall 50 psi or 1500 psig from the tank directly to the lung. The Demand Valve was the answer to this, appearing in 1964.Upon Pulmotor is 1907.

Resuscitation 40

Resuscitation CPR Documentation/Coding Military 40

EB Medicine

JANUARY 2, 2019

Jeff: Perhaps most importantly, no history or physical alone can rule in or out an ectopic pregnancy, for that you’ll need testing and imaging or operative findings. A 2010 Meta-Analysis found a NPV of 99.96% when an er doc identified an IUP on bedside ultrasound. Jeff: Up first is the urine pregnancy test.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

EMDocs

NOVEMBER 13, 2023

26 With regards to penetrating neck injuries, particularly those in which the platysma is violated, CTA of the neck has allowed a shift away from mandatory operative exploration of Zone 2 neck wounds (those in the mid-neck). Scand J Trauma Resusc Emerg Med 2010, 18 , 61. Am J Med Sci 2010, 339 (1), 25-30. Acquafresca, M.;

Stroke 105

Stroke Radiology Radiology Emergency Department 105

EMDocs

NOVEMBER 4, 2024

Prevalence and treatment of pain in EDs in the United States, 2000 to 2010. Pharmacologic therapy should only be utilized for chronic low back pain for patients who have not responded adequately to the aforementioned options. References: Chang HY, Daubresse M, Kruszewski SP, Alexander GC. Am J Emerg Med. May 2014;32(5):421-31.

Emergency Department 105

Emergency Department Fractures Burns EMS 105