Pediatric EM Morsels

OCTOBER 27, 2023

Rosenburg 2010] B-L system is designed for 12yo and younger, patients up to 80 lbs, height 46-143 cm [Meguerdichian 2012] Estimates the 50%ile weight for height (Length vs Ideal Body Weight). Sinha 2012] It is useful in the prehospital setting , correlating well with actual weight and ED Broselow weight. Int J Emerg Med.

Pediatrics 268

Pediatrics Resuscitation Documentation/Coding Wellness 268

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

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., NSVT is often asymptomatic depending on its burden percentage.

Emergency Department 61

Emergency Department EKG/ECG 61

Don't Forget the Bubbles

AUGUST 23, 2023

In most Emergency Departments, staff are allotted little of that scarce resource, time, to begin processing what has just occurred. The Pause Jonathon Bartels worked as an Emergency Nurse in America in 2009. After the death of a young person in the Emergency Department, he initiated ‘ The Pause.’ Cunningham T.

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Emergency Department Resuscitation Documentation/Coding Best Practices 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. If bleeding, the only lab that is needed in the Emergency Department is a type and cross.

Pediatrics 285

Pediatrics Airway Management Wellness Administration 285

Don't Forget the Bubbles

SEPTEMBER 18, 2023

This blog post aims to help familiarise you with some of the most common reasons for prescribing antibiotics in the paediatric emergency department. Antibiotic Use for Common Infections in Pediatric Emergency Departments: A Narrative Review. 2012 Jun 11;172(11):847–52. Karageorgos, S.; Hibberd, O.; Mullally, P.J.W.;

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Emergency Department Infectious Diseases Pediatrics Sepsis 142

Taming the SRU

FEBRUARY 5, 2024

Traumatic brain injury (TBI) accounts for millions of Emergency Department visits annually. While moderate and severe TBI is often managed on an inpatient basis, patients presenting with mild TBI, or concussion, are often managed solely by Emergency physicians. Annals of Emergency Medicine , vol. 5, 2023, pp. 4, 2020, pp.

Head Injuries 59

Head Injuries Emergency Department Seizures Pediatrics 59

ACEP Now

FEBRUARY 13, 2024

A 77-year-old man presented to the emergency department (ED) with hip pain following a fall. Trends in opioid prescriptions among part D medicare recipients from 2007 to 2012. Opioid-Prescribing Patterns of Emergency Physicians and Risk of Long-Term Use. On ED presentation, he was experiencing 10 out of 10 pain level.

Ultrasounds 52

Ultrasounds Emergency Department Hospitals Wellness 52

ALiEM

OCTOBER 16, 2023

An otherwise healthy 34-year-old male presented to the Emergency Department with two weeks of anterior neck pain. 2012 Oct;12(10):808-15. Epub 2012 May 25. Symptoms began with several days of pain in his mandibular molars, progressing to pain and swelling in the neck. References Kuppalli K, Livorsi D, Talati NJ, Osborn M.

Wellness 60

Wellness Academics Emergency Department Hospitals 60

The Skeptics' Guide to EM

APRIL 8, 2023

John Brown PhD is a Professor of Health Services Research in Ireland who has been studying rural healthcare issues since 2012. There have been many “temporary” rural emergency department closures during the past last year. It was a stepped-wedge reconfiguration of the entire Danish emergency healthcare system.

Stroke 55

Stroke Emergency Department Academics COPD 55

Pediatric Emergency Playbook

APRIL 1, 2018

Pediatric Hypertensive Emergencies. Pediatric Hypertension in the Emergency Department. Ann Emerg Med. 2012; 27:741-751. Blood pressure measurements on children in the emergency department. Emergency Medicine Australasia. Open Access Emergency Medicine. 2012; 4:85-92. Pediatrics.

Pediatrics 52

Pediatrics Emergency Department 52

Don't Forget the Bubbles

SEPTEMBER 27, 2023

The parents of two-year-old, previously healthy, Jamie bring him to the Emergency Department with coryzal symptoms, wheezing and difficulty breathing. Respiratory viral panel testing did not reduce antibiotic use in the emergency department. doi: 10.1136/eb-2012-100645. SpO2 is 88%. Pediatrics. J Clin Virol.

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Emergency Department Pediatrics Point-of-Care Testing Hospitals 84

PEMBlog

OCTOBER 16, 2023

This case was submitted by… A 12-year-old female was brought to your emergency department by her mother for 1 month of diffuse abdominal and back pain. 2012 Jan;5(1):67-70. This is the first of the four cases. During that initial visit, her physical exam was notable for generalized abdominal tenderness. J Hum Reprod Sci.

Ultrasounds 69

Ultrasounds Emergency Department Pediatrics 69

EMDocs

DECEMBER 11, 2023

In October 2022, the American College of Cardiology released an updated expert consensus decision regarding the evaluation of chest pain in the emergency department. This included the addition several new STEMI equivalents [4] on ECG that warrant “prompt evaluation for emergency coronary angiography.” Ann Emerg Med.

EKG/ECG 110

EKG/ECG Emergency Department Academics Operations 110

ACEP Now

OCTOBER 30, 2023

Like many other countries around the world, emergency medicine has proven to be one of the fastest-growing specialties, including in the United Arab Emirates (UAE). The official inauguration of ESEM occurred during the 10th Middle East Emergency Medicine Conference in Abu Dhabi on Oct.

Leadership 52

Leadership Emergency Department Ultrasounds CPR 52

RebelEM

APRIL 29, 2024

World J Emerg Surg 2023 PMID: 36918947 3. Intraosseous vascular access in adults using the EZ-IO in an emergency department. Int J Emerg Med 2009 PMID: 20157465 4. Comparison of intraosseous versus central venous vascular access in adults under resuscitation in the emergency department with inaccessible peripheral veins.

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Resuscitation Administration Emergency Department Hospitals 102

EB Medicine

MARCH 1, 2019

This month, after a few months of primarily medical topics, we’re talking trauma, specifically Blunt Cardiac Injury: Emergency Department Diagnosis and Management. Ann Emerg Med. I’m Jeff Nusbaum, and I’m back with my co-host, Nachi Gupta. TEE should be saved for those in whom a optimal TTE study isn’t feasible. topics.php?paction=showTopic&topic_id=597)

Emergency Department 40

Emergency Department EKG/ECG Operations Fractures 40

PHEM Cast

MARCH 3, 2019

Ketamine-propofol combination (ketofol) versus propofol alone for emergency department procedural sedation and analgesia: a randomized double-blind trial. Ann Emerg Med. 2012 Jun 1;59(6):504–12.e1–2. Ann Emerg Med. 2012 Jan 11. Emerg Med J. Emerg Med J. Ann Emerg Med. Emerg Med J.

Emergency Department 52

Emergency Department Head Injuries Hospitals Pediatrics 52

The Skeptics' Guide to EM

JANUARY 14, 2018

Effectiveness of intravenous lidocaine versus intravenous morphine for patients with renal colic in the emergency department. Urology 2012 Guest Skeptics: Dr. Tony Seupaul is the Chairman of the Department of Emergency Medicine at the University of Arkansas. A study from Bindman et al.

Emergency Department 52

Emergency Department Ultrasounds Hospitals 52

RebelEM

MARCH 8, 2023

Emergency Department Management: Emergency ophthalmology consultation. Emergency surgical management indicated if concomitant retinal tear, vitreous hemorrhage, or retinal detachment. Symptoms Floaters > flashers No change in visual fields May have decreased visual acuity. >10 floaters, (+) LR 8.1-36

Stroke 52

Stroke Emergency Department Ultrasounds Outcomes 52

Northwestern EM Blog

SEPTEMBER 26, 2022

Written by: Diana Halloran (NUEM ‘24) & Andrew Long (NUEM ‘25) Edited by: Nick Wleklinski (NUEM ‘22) Expert Commentary by : John Bailitz, MD Introduction The Emergency Department is a challenging work environment for a variety of reasons. Promoting hot debriefing in an emergency department. Www.Heart.Org. Walker, C.

Resuscitation 52

Resuscitation Emergency Department Academics Wellness 52

Cook County EM Blog

APRIL 27, 2022

Effectiveness and safety of droperidol in a United States emergency department. Am J Emerg Med. 2019.09.007 What : Retrospective cohort study of all droperidol administrations between January 2012 and April 2018 at an academic and pediatric emergency department in the US with 77,000 annual visits.

Administration 52

Administration EKG/ECG Emergency Department EMS 52

PEMBlog

JULY 17, 2023

“Gastrostomy Tube-Related Complaints in the Pediatric Emergency Department.” Pediatric Emergency Care, vol. The American Journal of Emergency Medicine, vol. 8, 2012, pp. The American Journal of Emergency Medicine, vol. 8, 2012, pp. Western Journal of Emergency Medicine, vol. 11, 2009, pp.

Pediatrics 52

Pediatrics Emergency Department Hospitals 52

Don't Forget the Bubbles

JANUARY 17, 2024

Curious Ken is brought into your emergency department. 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. What are the risks of water beads? Unfortunately, the anastomosis broke down.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

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 98

Infectious Diseases Emergency Department Administration Academics 98

ALiEM

OCTOBER 20, 2023

A 50-year-old Caucasian female with a history of hypertension, coronary artery disease, and insulin-dependent diabetes mellitus presents to the emergency department with a complaint of painful sores on the top of her left foot. 2012 Jul;16(4):614-20. Available from: [link] PMID:29083569. Indian J Endocrinol Metab.

Academics 64

Academics Emergency Department Wellness Research 64

Pediatric Emergency Playbook

MARCH 1, 2018

2012; 33(7):332-3. Emerg Med Clin North Am. Pediatric Opthalmology in the Emergency Department. [Details in Audio] This post and podcast are dedicated to Henry Goldstein, B.Pharm, MBBS for his tireless dedication to all things #FOAMed, #FOAMped, and #MedEd. You are awesome. Make sure to visit Don't Forget the Bubbles!

Pediatrics 52

Pediatrics Emergency Department 52

The Skeptics' Guide to EM

SEPTEMBER 25, 2021

Most emergency department patients meeting sepsis criteria are not diagnosed with sepsis at discharge. Guest Skeptic: Dr. Jess Monas is a Consultant in the Department of Emergency Medicine at the Mayo Clinic Hospital, Phoenix, Arizona. Background: We have covered sepsis many times on the SGEM since 2012.

Sepsis 40

Sepsis Emergency Department COPD Hospitals 40

Mind The Bleep

NOVEMBER 6, 2023

2012) The epidemiology of chemical eye injuries. 46(7); 605-606 Gardiner (2022) Overview of eye injuries in the emergency department. Reference article, Radiopaedia.org (Accessed on 26.09.23) [link] Blackburn et al. Curr Eye Res. 37(9):787-93 Cobb, Murthy, Saiet et al (2008) The tear-drop sign: a trap door for the unwary?

Fractures 52

Fractures Radiology Radiology Emergency Department 52

Downeast Emergency Medicine

FEBRUARY 14, 2023

THE CASE A 13-year-old boy is seen in the Emergency Department (ED) for a cough. One study from 2012 found lung ultrasound to be 93% sensitive for pneumonia [4]. Lung ultrasound is an accurate diagnostic tool for the diagnosis of pneumonia in the emergency department. Emerg Med J. Published 2015 Jun 24.

Ultrasounds 52

Ultrasounds Emergency Department Pediatrics 52

ALiEM

MAY 19, 2023

A heavy alcohol drinker, who is well known to your Emergency Department, presents with altered mental status, except that he looks different this time. In our emergency department, the RTs do not spend a lot of time going around measuring cuff pressures and usually save that until the patient reaches the ICU.

Emergency Department 98

Emergency Department Ultrasounds Wellness EMS 98

The Skeptics' Guide to EM

JULY 4, 2020

BMJ Evidence Based Medicine 2020 Case: A 65-year-old man arrives from home to the emergency department by EMS with right-sided weakness beginning three hours prior. The Lancet 2012 * Truth, thinking and thrombolysis. EMA 2012 * Don’t Just Do Something, Stand There! Thrombolysis with alteplase 3–4.5

Stroke 52

Stroke Research Hospitals Emergency Department 52

Taming the SRU

JULY 21, 2023

Eye Pathology Now let’s dive back into some common eye disease processes you may see on a typical day in the emergency department. October 2012 revision. Knowing these spaces can be helpful when differentiating peri-orbital vs orbital cellulitis. patients should follow up with ophthalmology within a few days. O’Brien TP.

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Emergency Department EMS Burns Wellness 81

ALiEM

DECEMBER 4, 2023

A 49-year-old male presented to the emergency department of an academic hospital with the chief concern of penile pain. Calciphylaxis: a systematic review of existing and emerging therapies. Penile calciphylaxis is a rare finding that often portends a poor prognosis with a high mortality rate. References Nunley JR.

Academics 60

Academics Seizures Hospitals Emergency Department 60

EMDocs

JULY 25, 2024

Literature-based Recommendations for Suicide Assessment in the Emergency Department: A Review. Oct 04, 2012. Assessment of Patients’ Competence to Consent to Treatment. Applebaum PS. N Eng J Med 2007;357:1834-40 3. Ronquillo L et al. Handoffs Pilcher C. Blogpost, June 2013. Medscape, January 08, 2019.

Documentation/Coding 81

Documentation/Coding Hospitals Patient Safety Emergency Department 81

The Skeptics' Guide to EM

MARCH 4, 2023

Case: Jim is a 50-year-old male who presents to the emergency department with anterior epistaxis. The episode included the Dundee protocol for adult epistaxis management from 2012. Dominique Trudel is a CCFP-EM resident in Ottawa, Ontario. He reported it started last night in his bedroom where he used a space heater.

Outcomes 40

Outcomes EMS Emergency Department Hospitals 40

The Skeptics' Guide to EM

OCTOBER 3, 2020

Date: October 2nd, 2020 Guest Skeptic: Dr.Barbra Backus is an emergency physician at the Emergency Department of the Erasmus University Medical Center in Rotterdam, the Netherlands. She is the creator of the HEART Score and an enthusiastic researcher. Reference: Claiborne Johnston S et al. Reference: Claiborne Johnston S et al.

Stroke 40

Stroke Emergency Department Research Wellness 40