Emergency Medicine Journal

JULY 24, 2023

Background Although frequent emergency department (ED) users have been widely studied in cross-sectional settings, there is some evidence suggesting that most frequent ED users do not remain frequent users over multiple consecutive years. million ED visits in the baseline year (2012). million patients, who accounted for 4.5

Emergency Department 40

Emergency Department Outcomes 40

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 Both conditions can range in severity from benign to life threatening (Wilkerson 2012). Angioedema in the Emergency Department: An Evidence Based Review.

Allergic Reactions 99

Allergic Reactions Airway Management Anaphylaxis Emergency Department 99

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. Association of limited English proficiency and increased emergency department waiting room lengths of stay. Annals of Emergency Medicine.

Documentation/Coding 94

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 94

Emergency Medicine Journal

NOVEMBER 28, 2023

Multimorbidity is likely to impact on care delivery in emergency department(ED) settings due to time-critical decision-making in the context of patient complexity. Aims and Objectives The prevalence of multimorbidity, the presence of two or more long-term conditions (LTCs) is increasing, and it is associated with poor health outcomes.

Emergency Department 40

Emergency Department Outcomes Hospitals 40

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 118

EKG/ECG Emergency Department Academics Operations 118

SheMD

OCTOBER 15, 2023

Yes, I am a woman, yes I am a feminist, yes I am a physician, yes I am in academic leadership for a well-known emergency department… The yes’s are many, but what do I have to say that is so meaningful or useful that people would want to publish it? Sitting down to write this, I cursed myself for volunteering in the first place.

Emergency Department 52

Emergency Department EMS Leadership Academics 52

Don't Forget the Bubbles

NOVEMBER 8, 2023

7-year-old Tilly is brought to your emergency department at 11 p.m. Abdominal pain in children is common, accounting for over 1 in 20 attendances to paediatric emergency departments [1]. Clinical scoring tools have improved diagnostic performance in assessing suspected appendicitis in the emergency department.

Emergency Department 105

Emergency Department Ultrasounds Pediatrics Best Practices 105

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

ACEP Now

DECEMBER 8, 2024

The Centers for Disease Control and Prevention (CDC) estimates of emergency department (ED) visits for 2022 were recently released. For quick comparison, ED visits in 2012 were about 131 million, which was 424 visits per 1,000 population. Estimates of Emergency Department Visits in the United States, 2016-2022.

CDC 52

CDC Emergency Department Hospitals 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.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

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 50

Emergency Department EKG/ECG 50

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

PEMBlog

MAY 24, 2023

2012 Jan;109(3):27-32. Emerg Med Clin North Am. Structured team approach to the agitated patient in the emergency department. Emerg Med Australas. Use and avoidance of seclusion and restraint: consensus statement of the american association for emergency psychiatry project Beta seclusion and restraint workgroup.

Emergency Department 59

Emergency Department Pediatrics Psychiatric Administration 59

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. 2012 Feb;26(2):212-7. American Academy of Ophthalmology. 2023, March 23).

Emergency Department 64

Emergency Department Fractures Academics Hospitals 64

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 102

Infectious Diseases Emergency Department Administration Academics 102

RebelEM

DECEMBER 17, 2024

Am J Resp Crit Care Med 2012; 185(10): 1088-1095. Fever in the Emergency Department predicts survival of patients with severe sepsis and septic shock admitted to the ICU. PMID: 26436473 Schortgen F et al. Fever control using external cooling in septic shock: a randomized controlled trial. PMID: 22366046 Sunden-Culberg J et al.

Sepsis 68

Sepsis Shock EMS Emergency Department 68

EMDocs

MAY 26, 2023

2012 Jan;109(3):27-32. Emerg Med Clin North Am. Structured team approach to the agitated patient in the emergency department. Emerg Med Australas. Use and avoidance of seclusion and restraint: consensus statement of the american association for emergency psychiatry project Beta seclusion and restraint workgroup.

Pediatrics 88

Pediatrics Psychiatric Emergency Department Documentation/Coding 88

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

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

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.

Emergency Department 87

Emergency Department EMS Burns Wellness 87

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 COPD Academics 55

Don't Forget the Bubbles

OCTOBER 10, 2024

Exploring communication preferences and risk thresholds of clinicians and parents of febrile infants under 90 days presenting to the emergency department: a qualitative study. Wilson K, Umana E, McCleary D, Waterfield T, Woolfall K. Arch Dis Child. 2024 Jul 10:archdischild-2023-326727. doi: 10.1136/archdischild-2023-326727.

Emergency Department 75

Emergency Department Outcomes Research Operations 75

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

PHEM Cast

APRIL 10, 2016

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine; 2012 Jun 27;20(1):1–1. The impact of emergency medical services on the ED care of severe sepsis. Am J Emerg Med. 2012 Jan;30(1):51–6. Severe Sepsis in Pre-Hospital Emergency Care. 2012 Dec 15;186(12):1264–71. Prehosp Emerg Care.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

EM Curious

JULY 29, 2015

MYTHBUSTING AZITHROMYCIN DOES NOT CAUSE TORSADES OR INCREASE MORTALITY [BLOG]: Since the 2012 NEJM article on azithromycin we have become quite fearful of the potential life threatening cardiac side effects. Download the screencast here.

Sepsis 52

Sepsis EMS Emergency Department Ultrasounds 52

EMDocs

DECEMBER 6, 2024

Published 2012 Jul 1. 2012 Aug;39(8):719-24. 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. Arch Pediatr Adolesc Med. 2005 Jun;159(6):557-60. doi: 10.1001/archpedi.159.6.557.

Poisoning 88

Poisoning Fluid Resuscitation Seizures Resuscitation 88

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 94

Documentation/Coding Hospitals Patient Safety Emergency Department 94

Taming the SRU

OCTOBER 31, 2024

Ann Emerg Med 2024; Study Design Validation of the qPS4 was performed as part of a retrospective cohort study of pediatric patients presenting to a tertiary academic emergency department between the ~9 year study period (01/01/2012 - 12/31/2021).

Sepsis 72

Sepsis Shock Pediatrics Administration 72

The Skeptics' Guide to EM

SEPTEMBER 30, 2017

Emlyn’s blog and podcast since 2012. Case: You are working the afternoon shift in the paediatric emergency department. Your shift is almost over and the department finally seems to be under control. She is a medical education enthusiast and has been an editor and regular contributor to the St.

Pediatrics 52

Pediatrics Emergency Department Sepsis 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

Mind The Bleep

JANUARY 28, 2025

per 1000 emergency department attendances in the UK (1). Epidemiology Pretibial lacerations may occur following minor trauma to the shin area, particularly in elderly individuals with fragile skin. The prevalence of these injuries is estimated at 5.2 fall, bump against an object). link] Singh, P., Hachach-Haram, N., link] Lo, S.,

Documentation/Coding 52

Documentation/Coding Head Injuries Fractures Emergency Department 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

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

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 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

The Skeptics' Guide to EM

JANUARY 7, 2018

Chris Carpenter is from Washington University, Deputy Editor of Academic Emergency Medicine and faculty member of Emergency Medicine and Critical Care course. Case: A 35-year-old female presents to your emergency department three-hours after the onset of a severe frontal headache.

Emergency Department 40

Emergency Department Academics Outcomes 40