EMDocs

AUGUST 3, 2024

Source Serious outcomes among emergency department patients with presyncope: A systematic review. Acad Emerg Med. Source Trends in Initial Anticoagulation Among US Patients Hospitalized With Acute Pulmonary Embolism 2011-2020. Ann Emerg Med. 2024 Jun 9. doi: 10.1111/acem.14943. Online ahead of print. 2024.05.009.

Emergency Department 98

Emergency Department Outcomes Hospitals 98

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 Academics Documentation/Coding 52

Pediatric EM Morsels

JULY 21, 2023

Interrater reliability of Glasgow Coma Scale scores in the emergency department. Ann Emerg Med. 2011 Apr;48(4):331-2. J Surg Res. 2019 Sep;241:112-118. doi: 10.1016/j.jss.2019.03.038. 2019.03.038. Epub 2019 Apr 22. PMID: 31022676. Gill MR, Reiley DG, Green SM. 2004;43:215-223. Rowley G, Fielding K. 1991;337:535-538.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Don't Forget the Bubbles

SEPTEMBER 30, 2024

In the UK, as in most developed countries, more patients are presenting to Emergency Departments (EDs) with minor illnesses or injuries. Emergency department overcrowding is a complex issue with multiple contributing factors. A 2011-2012 Australian study by Blake et al. Simpson et al. Simpson et al.

Emergency Department 89

Emergency Department Research Pediatrics Hospitals 89

The Skeptics' Guide to EM

AUGUST 17, 2019

Opioid Use and Misuse Three Months After Emergency Department Visit for Acute Pain. AEM August 2019 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Opioid Use and Misuse Three Months After Emergency Department Visit for Acute Pain.

Emergency Department 52

Emergency Department Academics Fractures Outcomes 52

The Skeptics' Guide to EM

OCTOBER 14, 2023

Case: A 5-year-old boy presents to the emergency department (ED) with his parents for fever and fatigue. That episode reviewed the 2011 Fleming et al systematic review for the normal ranges of HR and RR in children from birth to 18 years of age. He has had three days of high fevers at home. Does he have sepsis?”

Pediatrics 105

Pediatrics Sepsis Urgent Care Emergency Department 105

ALiEM

OCTOBER 30, 2024

Bupe Allergy Buprenorphine induction has been the mainstay of emergency department treatment of opioid use disorder for more than a decade [11, 12]. 2011 Dec;6:1-4. Emergency department-initiated buprenorphine for opioid dependence with continuation in primary care: outcomes during and after intervention.

Emergency Department 64

Emergency Department Operations Psychiatric EMS 64

EMDocs

DECEMBER 6, 2024

Tintinallis Emergency Medicine: A Comprehensive Study Guide, 8e. Pediatric Emergency Care, 27 (10), 978-985. A partner at bedside reports recent depressed mood, abdominal pain, and vomiting yesterday. The patient woke up confused this morning, and has had a worsening mental status throughout the day today. McGraw Hill; 2016.

Poisoning 98

Poisoning Fluid Resuscitation Seizures Resuscitation 98

Taming the SRU

JULY 2, 2023

End-Tidal CO2 monitoring has a variety of uses in the Emergency Department. Capnography in the emergency department: a review of uses, waveforms, and limitations." The Journal of emergency medicine 53.6 2011): 544-549. 2011): 189-196. Annals of emergency medicine 63.2 2017): 829-842.

Emergency Department 88

Emergency Department Pediatrics CPR Administration 88

EMDocs

JANUARY 25, 2025

A 45-year-old outdoor enthusiast presents to the emergency department with fever, headache, myalgias, and malaise. 2011 Feb 15;52(4):e56-93. Management is directed based on underlying etiology, but consider fluid resuscitation, antipyretics, and antibiotics as indicated. No rash is identified. Clin Infect Dis. PMID: 21258094.

EMS 96

EMS Infectious Diseases Allergic Reactions Fluid Resuscitation 96

EMDocs

AUGUST 22, 2024

12 How do we address these disparities in the emergency department? An implementation science approach improves language access in the emergency department. February 2011. Department of Health and Human Services. Annals of Emergency Medicine. Pediatric Emergency Care. Pediatric Emergency Care.

Documentation/Coding 105

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 105

Taming the SRU

SEPTEMBER 25, 2023

Musculoskeletal injuries are a common occurrence, representing a substantial number of Emergency Department visits on an annual basis. 1) Oftentimes, Emergency Physicians are the first provider patients encounter after an injury. 2011 Jan-Feb;50(1):62-7. References 1. J Am Acad Orthop Surg Glob Res Rev. J Foot Ankle Surg.

Fractures 101

Fractures Operations Emergency Department EMS 101

EMDocs

JUNE 13, 2024

References : “Sign Right Here and You’re Good to Go”: A Content Analysis of Audiotaped Emergency Department Discharge Instructions. EM, April 2011. A record that the patient acknowledged receipt of discharge instructions is a valuable defense. Vashi A, Rhodes K. emDOCs Podcast – C. Medscape eMedicine.

Documentation/Coding 98

Documentation/Coding Patient Safety Emergency Department Hospitals 98

Emergency Medicine Journal

JANUARY 22, 2024

We assessed safety and efficacy data from 10 years (2011–2021) of our N 2 O PPS programme. Methods Prospectively collected data from a sedation registry at a paediatric emergency department (PED) were reviewed. Analgesic potency could be increased by combining N 2 O and intranasal fentanyl (INF).

Emergency Department 40

Emergency Department Outcomes 40

PulmCCM

JANUARY 23, 2025

Septicyte Rapid was validated using banked blood from 356 critically ill patients in multiple observational studies on sepsis (in 2011-2016), and prospectively in 63 critically ill patients in 2021. emergency departments. Acad Emerg Med. About one hour, according to the manufacturer. How Was It Validated? PMID: 38643433.

Sepsis 45

Sepsis Wellness Emergency Department Research 45

RebelEM

SEPTEMBER 13, 2023

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. of people who take NSAIDs ( Nzeako 2010 ).

Allergic Reactions 105

Allergic Reactions Airway Management Anaphylaxis Emergency Department 105

RebelEM

JUNE 5, 2023

One study from a county in Massachusetts found that of all nonfatal opioid doses seen in the emergency department from 2011-2015, 1 in 20 patients subsequently died within one year of initial visit with 66% of these deaths being directly related to an opioid overdose (4). Ann Emerg Med. PMID 33392580. PMID 33392580.

Emergency Department 97

Emergency Department Hospitals Outcomes EMS 97

ALiEM

JANUARY 22, 2024

A 40-year-old male, tailor by occupation, was brought to the Emergency Department with complaints of high-grade fever for the past 11 days. 2011 Oct 18;183(15):E1152. Epub 2011 Sep 12. Fever was documented to be 102°F and was not associated with any chills or rigors. Curr Infect Dis Rep. 2009 Jan;11(1):66-72.

Academics 64

Academics Documentation/Coding Emergency Department Hospitals 64

PulmCCM

JUNE 12, 2023

Temperature management (or fever avoidance) should begin immediately after cardiac arrest (ideally in the emergency department, for out-of-hospital arrests) and continued for at least 72 hours.

Hyperthermia / Hypothermia 105

Hyperthermia / Hypothermia Academics Documentation/Coding Outcomes 105

The Skeptics' Guide to EM

JANUARY 20, 2024

Ellie Hill is a pediatric emergency medicine physician at Children’s National Hospital in Washington, DC and Assistant Professor of Pediatrics and Emergency Medicine at George Washington University School of Medicine and Health Sciences. Case: A 4-year-old girl comes to the emergency department complaining of pain with urination.

Pediatrics 75

Pediatrics Anaphylaxis Emergency Department Outcomes 75

ALiEM

SEPTEMBER 13, 2024

A 32-year-old male with no significant past medical history presented to the emergency department (ED) from an outside hospital for further management of right eye pain and vision loss sustained after he was struck by a metal wire while at work. Epub 2011 Dec 2. Endophthalmitis following open-globe injuries. Eye (Lond).

Emergency Department 64

Emergency Department Fractures Academics Hospitals 64

ALiEM

AUGUST 28, 2023

A 44-year-old female presented to the emergency department with the complaint of a “stone under [her] tongue.” Larger, more superficial sialoliths may benefit from excision in the emergency department. The emergency physician made a single 1 cm incision over the calculus and a 0.5 2011 Dec;145(6):935-9.

Dehydration 52

Dehydration Emergency Department Academics Hospitals 52

RebelEM

FEBRUARY 12, 2024

There are greater than 2 million annual emergency department visits for suspected renal colic in the US, and Ct scanning is performed for more than 90% of patients who receive a diagnosis of kidney stone. 2011; 18(7):699-707. What Your Gut Says: We need a CT report to diagnose a kidney stone. 2002; 225(2):441-449.

Radiology 77

Radiology Radiology Emergency Department Ultrasounds 77

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. N Engl J Med. Sep 8; 365(10): 883-91.

Administration 80

Administration Fractures Anaphylaxis Head Injuries 80

Greater Sydney Area HEMS

FEBRUARY 20, 2024

It is currently the subject of future research and publication in the emergency department setting. 2011; 106 : 732–737. [iv] At the very least, knowledge of it as an option in the armamentarium of retrieval and critical care providers is important. i] Leibowitz A, Oren-Grinberg A, Matyal R. The Lancet.

Ultrasounds 98

Ultrasounds Shock Research Operations 98

The Skeptics' Guide to EM

JUNE 15, 2018

Implementation of a Novel Algorithm to Decrease Unnecessary Hospitalizations in Patients Presenting to a Community Emergency Department With Atrial Fibrillation. AEM June 2018 Guest Skeptic: Dr. Morgenstern is an emergency physician and the Director of Simulation Education at Markham Stouffville Hospital in Ontario.

Emergency Department 52

Emergency Department Fluid Resuscitation Sepsis Hospitals 52

PHEM Cast

DECEMBER 12, 2016

Emergency thoracotomy in thoracic trauma: a review. Emergency Department thoracotomy for the critically injured patient: Objectives, indications, and outcomes. World Journal of Emergency Surgery; 2006: 1:4. Survival after Emergency Department thoracotomy: review of published data for last 25 years.

Military 52

Military Resuscitation Emergency Department Documentation/Coding 52

Dr. Smith's ECG Blog

MAY 20, 2024

Diagnosis of Type I vs. Type II Myocardial Infarction in Emergency Department patients with Ischemic Symptoms (abstract 102). Annals of Emergency Medicine 2011; Suppl 58(4): S211. The only study I'm aware of that looked at this was mine, in which 4% of Type II MI had New ST Elevation. Murakami MM.

EKG/ECG 126

EKG/ECG Hospitals Wellness Emergency Department 126

EMDocs

JANUARY 3, 2024

10 Evidence For nearly a decade, the only randomized controlled trial with insight into the effectiveness of CardioMEMS TM was the 2011 CHAMPION trial. Case Conclusion Your patient is given an IV dose of furosemide and improves after diuresis over the next few hours in the emergency department. 2011 Feb 19;377(9766):658-66.

Allergic Reactions 114

Allergic Reactions Hospitals EMS Emergency Department 114

Don't Forget the Bubbles

AUGUST 7, 2023

The controversy around what is ‘normal’ in infants’ and children’s vitals was demonstrated in a 2011 systematic review by Fleming et al. Evaluating the Pediatric Early Warning Score (PEWS) System for Admitted Patients in the Pediatric Emergency Department. Acad Emerg Med. What did previous studies show? Pediatrics.

Sepsis 98

Sepsis Pediatrics Urgent Care Emergency Department 98

ACEP Now

AUGUST 1, 2023

How does that apply to the role of the board certified emergency physician? Fundamentally, I believe every patient coming to an emergency department is best served by care delivered by board certified emergency physicians. When those same fundamentals done right achieve great success, they aren’t little at all.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

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 94

Emergency Department Pediatrics Wellness Fractures 94

Don't Forget the Bubbles

MAY 29, 2023

Bad manners in the Emergency Department: Incivility among doctors. Burnout and Workplace Incivility Among Emergency Medical Services Practitioners: A Preliminary Report , Prehospital Emergency Care [Internet] 2023 Okuyama A, Wagner C, Bijnen B. Internet] 2011:41(1):41-47. BMJ Open [Internet] 2020;10: e035471.

Leadership 98

Leadership Patient Safety Academics Research 98

EMDocs

AUGUST 12, 2023

He presented to the emergency department because he is having numbness distal to the site of injury, as well as constant bleeding and some difficulty with flexing his finger. Emergency Medicine Residents’ Association; 2022:10-11. Emergency Medicine News 33(12):p 8,9, December 2011. | In: EMRA Antibiotic Guide.

EMS 96

EMS Fractures Operations Ultrasounds 96

The Skeptics' Guide to EM

JULY 17, 2021

Case: Six-year-old Morten comes into your emergency department (ED) with what looks like pneumonia. This is because most pneumonias in this age-group are caused by viral pathogens ( Bradley et al 2011 ). Bradley et al 2011 ). He is the co-founder of website lead of Don’t Forget the Bubbles ( DFTB ).

Pediatrics 52

Pediatrics Emergency Department Wellness 52

RebelEM

SEPTEMBER 11, 2023

1 It is a quickly deployable and easily interpreted study that can be done in real time to guide decisions in the Emergency Department. Point of care biliary ultrasound in the emergency department (BUSED) predicts final surgical management decisions. Acad Emerg Med. 2011 Mar;18(3):227-35. PMID: 21401784.

Ultrasounds 68

Ultrasounds Radiology Radiology Emergency Department 68

ACEP Now

JANUARY 13, 2024

As a member of the Air Force, deployed to Afghanistan in 2011, I have seen war where I should have seen it—in a designated war zone. As an emergency medicine resident, I have seen the toll that workplace violence is taking on our specialty, our patients, and our entire medical community. Ann Emerg Med , 2021;78(4):S8.

Emergency Department 52

Emergency Department Resuscitation Patient Safety Hospitals 52