RebelEM

NOVEMBER 6, 2024

2012 Apr;20(4):223-32. 2012 Feb 1;94(3):240-5. 2012 Apr 18;2012(4):CD007908. J Emerg Med. 2018 Jun;54(6):849-854. doi: 10.1016/j.jemermed.2018.02.011. 2018.02.011. Epub 2018 Apr 19. PMID: 29681420 Gottschalk HP, Eisner E, Hosalkar HS. Medial epicondyle fractures in the pediatric population. J Am Acad Orthop Surg.

Dislocations 118

Dislocations Fractures Soft Tissue Injuries Outcomes 118

Dr. Smith's ECG Blog

MAY 5, 2024

Pendell Meyers had not started medical school by summer of 2012, but he had read every one of my blog posts over the preceding 4 years. By the summer of 2012, he could read an ECG for OMI better than any doctor I knew. Such proficient interpreters include health care assistants and EKG technicians. He was a paramedic at the time.

EKG/ECG 122

EKG/ECG Wellness 122

Emergency Live

MARCH 20, 2024

Established by the United Nations General Assembly in 2012, this observance aims to promote happiness as a fundamental right for every individual. […] The post Happiness and health, a perfect combination appeared first on Emergency Live.

98

98

Pediatric EM Morsels

JULY 19, 2024

Since the original morsel ( way back in 2012 ), the literature has shown that there are a few extra ingredients that we can add to our morsel recipe when we care for children with post-tonsillectomy hemorrhage.

Pediatrics 286

Pediatrics Airway Management Wellness Administration 286

The Trauma Pro

FEBRUARY 16, 2024

J Trauma 72(1):302-305, 2012. Although I am a little concerned that the authors’ results were so perfect, it’s certainly worth a try! Reference: Percutaneous extraction of deeply-embedded radiopaque foreign bodies using a less-invasive technique under image guidance.

Wellness 147

Wellness 147

RebelEM

SEPTEMBER 13, 2023

Both conditions can range in severity from benign to life threatening (Wilkerson 2012). 2012; 14(11). Hereditary Angioedema (presents in childhood) and Acquired C1 Inhibitor Deficiency (adulthood) Both involve abnormalities in the level or function of the C1 inhibitor. J Allergy Clin Immune Tract 2017; 5(5): 1402-9. EBMedicine.net.

Allergic Reactions 105

Allergic Reactions Airway Management Anaphylaxis Emergency Department 105

The Trauma Pro

JUNE 14, 2024

Radiology 265(3):678–693, 2012. PMID: 35830194; PMCID: PMC9280606. CT findings of traumatic bucket-handle mesenteric injuries. Am J Radiol 209:W360-@364, 2017. Multidetector CT of blunt abdominal trauma.

Operations 147

Operations Radiology Radiology Hospitals 147

Don't Forget the Bubbles

NOVEMBER 29, 2023

A 2012 study on paediatric patients showed that approximately 42% were intubated without medications, and 2% were intubated with paralysis only in the ED. Pediatric Emergency Care 28(11): p 1129-1131, November 2012. | What are the only exceptions? Pediatric Endotracheal Intubations for Airway Management in the Emergency Department.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

Sensible Medicine

JUNE 9, 2024

I trained at Northwestern Medical Center in Chicago between 2009 and 2012 in internal medicine. Its incredible how times have changed. If I ever called out “fake” sick, my program director would give me a “real” ass-kicking.

Wellness 125

Wellness 125

Ken Grauer, MD

JULY 29, 2023

Insight into this question is provided by 2 Hoffmayer et al manuscripts ( JACC 58(8):831-838, 2011 — and — Front Physiol 3:23, 2012 ). Among those patients who are successfully resuscitated — the question arises as to IF it is possible to diagnose ARVD as the cause from QRS morphology on the ECG obtained during the episode of sustained VT?

EKG/ECG 370

EKG/ECG Resuscitation Documentation/Coding Hospitals 370

Dr. Smith's ECG Blog

JUNE 5, 2024

Uncontrolled coronary spasm may be associated with serious arrhythmias , including cardiac arrest ( Looi et al — Postgrad Med, 2012 ; Tan et al — Eur Heart J Case Rep, 2018 ; Chevalier et al — JACC, 1998 ; Rodriguez-Manero — EP Europace, 2018 ). As a result — an ICD may need to be considered in selected cases.

EKG/ECG 115

EKG/ECG Outcomes 115

Don't Forget the Bubbles

AUGUST 9, 2023

2012 Aug;97(8):2732-40. Epub 2012 Jun 20. J Clin Endocrinol Metab. 99:2697–703. doi: 10.1210/jc.2014-1761 Crisafulli, C., Subclinical hypothyroidism in children: is it always subclinical? Ital J Pediatr 44 , 25 (2018). link] Gharib H, Tuttle RM, Baskin HJ, Fish LH, Singer PA, McDermott MT. J Clin Endocrinol Metab. doi: 10.1210/jc.2012-1663.

Ultrasounds 98

Ultrasounds Pediatrics Wellness 98

Don't Forget the Bubbles

OCTOBER 11, 2023

An informal survey of North American Society of Paediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) members in Spring 2012 identified significant morbidity in >80 magnet ingestions, which resulted in 39 endoscopies, 26 surgeries, 26 bowel perforations, and three bowel resections. 2012 Sep 1;55(3):239-42.

Pediatrics 116

Pediatrics Operations Radiology Radiology 116

PEMBlog

OCTOBER 11, 2023

Epub 2012 Nov 19. Tasian GE, Bagga HS, Fisher PB, McCulloch CE, Cinman NM, McAninch JW, Breyer BN. Pediatric genitourinary injuries in the United States from 2002 to 2010. 2013 Jan;189(1):288-93. doi: 10.1016/j.juro.2012.09.003. 2012.09.003. PubMed PMID: 23174237; PubMed Central PMCID: PMC3565612. Guttmann I, Kerr HA. Blunt bladder injury.

Fractures 98

Fractures Pediatrics 98

The Trauma Pro

MARCH 8, 2024

We instituted a trauma team EMS timeout process in 2012, which persists to this day. Should EMS utilize a standardized handoff at the arrival of trauma patients versus the current process without a standardized handoff to help reduce clinical complications, handoff errors, medical errors, and preventable adverse events?

EMS 113

EMS Wellness 113

Don't Forget the Bubbles

AUGUST 23, 2023

2012) “Professional burnout, vicarious trauma, secondary traumatic stress, and compassion fatigue”. 2012) “Implementation of a Rapid Post-Code Debrief Quality Improvement Project in a Community Emergency Department Setting”. Newell, J. & & MacNeil, G. Best Practices in Mental Health. 2 (57-68). O Malley P. 134 (1), pp.

Emergency Department 98

Emergency Department Resuscitation Documentation/Coding Best Practices 98

Don't Forget the Bubbles

JANUARY 17, 2024

Mirza and Sheikh reported perhaps the first unfortunate case in 2012. In 2012, one brand of SAP beads – Water Balz – was recalled by the U.S. 2012 Jan;3(1):6. Around 80% of those reported pass spontaneously, with another 10-20% requiring endoscopic removal and only 1% requiring surgical intervention. Krisch et al.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

RebelEM

NOVEMBER 13, 2024

cefazolin or cefuroxime) If risk factors for MRSA present, use agent with activity against MRSA (i.e. vancomycin) If significant soft tissue injury, add gram negative coverage like late generation cephalosporin, extended-spectrum penicillin, or aminoglycoside (i.e.

Soft Tissue Injuries 105

Soft Tissue Injuries Fractures EMS 105

ALiEM

SEPTEMBER 1, 2023

2012 Oct;55(7):930-9. Epub 2012 Jun 19. Cheng NC, Yu YC, Tai HC, Hsueh PR, Chang SC, Lai SY, Yi WC, Fang CT. Recent trend of necrotizing fasciitis in Taiwan: focus on monomicrobial Klebsiella pneumoniae necrotizing fasciitis. Clin Infect Dis. doi: 10.1093/cid/cis565. PMID: 22715175.

Academics 64

Academics Hospitals 64

Ken Grauer, MD

FEBRUARY 13, 2023

NOTE: References I used for my above discussion of BiDirectional VT were — Ali et al ( J Coll Phys and Surgeons Pakistan 23(5):347-349, 2013 ) — and — Femenia, Baranchuk et al ( Indian Pacing Electrophysiol J 12(2):65-68, 2012 ).

EKG/ECG 195

EKG/ECG Poisoning 195

PulmCCM

JULY 7, 2024

The statement relaxes only slightly SCCM’s 2012 guidelines that advised tighter glucose control based on the incorrect findings of early intensive glucose control trials. In April 2024, the Society of Critical Care Medicine (SCCM) issued new guidelines for glycemic control in critically ill patients.

52

52

ALiEM

NOVEMBER 22, 2024

2012 Sep;28(9):842-4. The classic “bullseye sign” was seen on this patient’s ultrasound. References Mandeville K, Chien M, Willyerd FA, Mandell G, Hostetler MA, Bulloch B. Intussusception: clinical presentations and imaging characteristics. Pediatr Emerg Care. doi: 10.1097/PEC.0b013e318267a75e. 0b013e318267a75e.

Ultrasounds 73

Ultrasounds Pediatrics Academics Hospitals 73

Ken Grauer, MD

MARCH 12, 2023

For those wanting a more advanced review regarding AFlutter — Check Out this article by García-Cosío F et al ( Clinical Approach to ATach and AFlutter , Rev Esp Cardiol 65(4):363-375, 2012).

EKG/ECG 195

EKG/ECG Administration Wellness 195

ALiEM

JANUARY 29, 2024

2012 Dec;33(7):E263-E267. Epub 2012 Sep 21. The retrobulbar “spot sign” as a discriminator between vasculitic and thrombo-embolic affections of the retinal blood supply. Ultraschall Med. doi: 10.1055/s-0032-1312925. PMID: 23023446. Nedelmann, Matt et al.

Stroke 64

Stroke Ultrasounds Academics Outcomes 64

Ken Grauer, MD

JANUARY 20, 2024

While acknowledging that a certain amount of variation in P wave morphology is often seen with sinus rhythms — there usually is not as much variation as is seen in Figure-2 ( ie, from the fairly tall and pointed P wave before beat #5 — compared to the tiny, flat P wave in front of beat #6 ).

EKG/ECG 238

EKG/ECG 238

PEMBlog

APRIL 24, 2024

Retrospective use has been shown to be valid and reliable in one cross-sectional study ( Beslow 2012 ).This Review the tool at MD Calc, the direct link is – [link] – MD Calc Pediatric NIH Stroke Scale Important notes The overall true predictive value of the Pediatric NIH stroke scale continues to be studied.

Stroke 59

Stroke Pediatrics Blood Transfusions Radiology 59

RebelEM

MAY 25, 2023

Shock 2012. mental status, urine output, capillary refill) is more important than an actual goal PERMISSIVE HYPOTENSTION IN PTS WITH TBI Brotfain E et al. PMID: 31461138 Brotfain E et al. PMID: 23143053 Spaite DW, Hu C, Bobrow BJ, et al. Association of out-of- hospital hypotension depth and duration with traumatic brain injury mortality.

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

Pediatric Emergency Playbook

APRIL 1, 2018

2012; 27:741-751. 2012; 4:85-92. Curr Hypertens Rep. 2014; 16:456. Pediatric Hypertension in the Emergency Department. Ann Emerg Med. 2008; 51(3):21-24. Chandar J et al. Hypertensive crisis in children. Pediatr Nephrol. Dionne JM et al. Canadian J Cardiol. J Hypertens. 2016; 34:1-35. Patel NH et al. Open Access Emergency Medicine.

Pediatrics 52

Pediatrics Emergency Department 52

Sensible Medicine

SEPTEMBER 11, 2023

Then in 2012, the same authors of ECLS-SHOCK, presented results of the IABP-SHOCK II Trial. This led to the idea of mechanical circulatory support—which is a way to support the failing heart while muscle is recovering. The first attempt at this sort of support is with an intra-aortic balloon pump. Answer: no difference.

Shock 115

Shock Outcomes 115

PDC Healthcare

OCTOBER 22, 2020

Founded in 2012 by two emergency medicine physicians, Ideal Option’s mission is to provide underserved populations with low-barrier access to evidence-based addiction treatment – […].

52

52

AENJ: Current Issue

MAY 8, 2024

However, typical NSVT presentation in the emergency department (ED) includes palpitations, near-syncope, dizziness, skipped beats, chest pain, and/or dyspnea (Katritsis et al., In some instances, NSVT can present with elevated or slightly elevated troponin from demand ischemia.

Emergency Department 51

Emergency Department EKG/ECG 51

ALiEM

JANUARY 8, 2024

2012 Jul;51(7):1278-84. Epub 2012 Feb 29. The diagnostic utility of anti-melanoma differentiation-associated gene 5 antibody testing for predicting the prognosis of Japanese patients with DM. Rheumatology (Oxford). doi: 10.1093/rheumatology/ker518. PMID: 22378718. Moghadam-Kia S, Oddis CV, Sato S, Kuwana M, Aggarwal R.

Academics 60

Academics Hospitals Outcomes 60

PEMBlog

AUGUST 7, 2023

Pediatrics September 2012; 130 (3): 576–584. 2012-1671 Katz ES, Marcus CL. Schechter , Stephen Howard Sheldon , Karen Spruyt , Sally Davidson Ward , Christopher Lehmann , Richard N. Shiffman; Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome. 10.1542/peds.2012-1671 Elsevier Saunders. 197-210; 2005.

Pediatrics 52

Pediatrics 52

Sensible Medicine

DECEMBER 11, 2023

This is a picture I made in 2012. Current thinking holds that the way to ablate AF is to electrically isolate the muscle bundles going in and out of the pulmonary veins. Think of it as building an electric fence around the pulmonary veins. We use different energy sources to ablate the tissue. The colored tubes are the PVs. It is an absolute.

Operations 112

Operations Hospitals 112

Pediatric Emergency Playbook

AUGUST 1, 2017

2012; 43(1):49-51. BMJ 2012; 345:e5521. 2012; 3:247-250. 2012; 92:527-39. 2012; 30:426-431. 2012; 29:231-236 Blakely ML et al. 2012; 10:4255-428. 2012; 10:115-119. Intestinal Malrotation – Not Just the Pediatric Surgeon’s Problem. J Am Coll Surg. 2004; 199(4):628-635. Lee HC et al. Int J Surg.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

ALiEM

OCTOBER 25, 2024

Epub 2012 Nov 30. Lane JC, Mabvuure NT, Hindocha S, Khan W. Current concepts of prophylactic antibiotics in trauma: a review. Open Orthop J. 2012;6:511-7. doi: 10.2174/1874325001206010511. PMID: 23248721; PMCID: PMC3522105.

Academics 70

Academics Radiology Radiology 70

Sensible Medicine

JUNE 28, 2023

In 2012, outgoing editor-in-chief, Dr. Harlan Krumholz, titled this essay in Hitchens-esque fashion: A Note to My Younger Colleagues…Be Brave. Then I found this: Ultimately, our success as a profession will depend on our ability to engage in debate, acknowledge different opinions, and seek answers through science.

Academics 84

Academics Outcomes 84