ACEP Now

JULY 7, 2023

Last month’s article focused on ACEP’s efforts and resources to support EDs and patients with psychiatric emergencies. Emergency departments (EDs) focus on rapid initiation of medical treatment. Clinical Policy: Critical Issues in the Diagnosis and Management of the Adult Psychiatric Patient in the Emergency Department.

Emergency Department 52

Emergency Department Psychiatric Administration Best Practices 52

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? So the answer to the million dollar question: how to be happy as a woman in EM?

Emergency Department 52

Emergency Department EMS Leadership Academics 52

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 101

Allergic Reactions Airway Management Anaphylaxis Emergency Department 101

RebelEM

FEBRUARY 24, 2025

RESUS SCENARIO Picture this: you just arrived at your shift at the local emergency department. Oct 2012; PMID: 23043910 Kumar A, et al. For more than just the correctness of terminology, the distensibility index should then be calculated. Youre told they were in respiratory distress, febrile, and borderline hypotensive.

Ultrasounds 74

Ultrasounds Shock Fluid Resuscitation Resuscitation 74

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 100

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 100

EMDocs

DECEMBER 11, 2023

As we all know, a critical concern for emergency physicians is identifying patients with heart tissue-threatening ischemia that could benefit from percutaneous catheterization via stent deployment by an interventional cardiologist. Ann Emerg Med. 2012 Dec;60(6):766-76. He underwent serial ECGs, which are shown below.

EKG/ECG 119

EKG/ECG Emergency Department Academics Operations 119

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

EM Curious

JULY 29, 2015

The idea of the FOAMed review is to give you a digestible selection of reliable content from the online EM/CC world that you can fit into your busy weekly schedule. Over a year's span we will be sure to include topics from all core EM content areas.even the ones that may not be the coolest. Read the post from EM Nerd here.

Sepsis 52

Sepsis EMS Emergency Department Ultrasounds 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

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 94

Pediatrics Emergency Department Psychiatric Documentation/Coding 94

PHEM Cast

APRIL 10, 2016

It is obviously a huge topic and there is lots of information to cover; a couple of other recently released podcasts are available which are produced with the Emergency Medicine community in mind, but will no doubt expand your knowledge. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine; 2012 Jun 27;20(1):1–1.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

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 56

Stroke Emergency Department COPD Academics 56

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.

Head Injuries 59

Head Injuries Emergency Department Seizures Pediatrics 59

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

The Skeptics' Guide to EM

MARCH 6, 2021

Anand Swaminathan is an Assistant Professor of Emergency Medicine at St. Managing editor of EM:RAP and Associate Editor at REBEL EM. Ann Emerg […] The post SGEM#321: The Times they are a Changin’ for TXA in Epistaxis? Anand Swaminathan is an Assistant Professor of Emergency Medicine at St. Reference: Reuben A et al.

EMS 52

EMS Emergency Department Outcomes 52

The Skeptics' Guide to EM

DECEMBER 17, 2022

Case: A 71-year-old man is brought to your emergency department (ED) by emergency medical serviced (EMS) having fallen two steps at home. EMS have already splinted an obvious mid-shaft femoral fracture, but he continues to be tachycardic and hypotensive. years ( 2 ).

Blood Transfusions 52

Blood Transfusions Fractures EMS Emergency Department 52

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. Jeff: And don’t forget to get the crash details from the EMS crew before they depart! Ann Emerg Med. Jeff: Great point. Prospective; 333 patients) 73.*

Emergency Department 40

Emergency Department EKG/ECG Operations Fractures 40

EMDocs

JANUARY 17, 2024

When emergency medical services (EMS) arrived, she was in asystole with an empty, recently full, bottle of benzonatate 100 mg capsules. She had return of spontaneous resuscitation (ROSC) and was subsequently intubated and transported to the emergency department (ED). Cardiac Arrest Due to Benzonatate Overdose.

Poisoning 81

Poisoning Seizures Pediatrics EMS 81

RebelEM

AUGUST 30, 2023

New Delhi: JP Brothers Medical Ltd; 2012 Della-Guistina, D. Evaluation and Treatment of Acute Back Pain in the Emergency Department. Orthopedic Emergencies 2015 May; 33(2) 311-26. J Spinal Disord Tech. 2015 Jul;28(6):E316-27 PMID: 26079841 Chowdhury V, Gupta A, Khandelwal N. PMID: 25892724 Gouliouris T, et al.

Infectious Diseases 88

Infectious Diseases Fractures Radiology Radiology 88

RebelEM

MARCH 8, 2023

Emergency Department Management: Emergency ophthalmology consultation. Emergency surgical management indicated if concomitant retinal tear, vitreous hemorrhage, or retinal detachment. Rapid diagnosis and emergency referral improves outcomes of ophthalmologic interventions. >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.

Resuscitation 52

Resuscitation Emergency Department Academics Wellness 52

Don't Forget the Bubbles

MAY 29, 2023

Workplace Incivility Among Nationally Certified EMS Professionals and Associations with Workforce-Reducing Factors and Organizational Culture, Prehospital Emergency Care. Bad manners in the Emergency Department: Incivility among doctors. Journal of Business Ethics [Internet] 2012:109:3:275–287. PLoS ONE [Internet].

Leadership 98

Leadership Patient Safety Academics Research 98

The Skeptics' Guide to EM

MARCH 4, 2023

Ann Emerg Med. 2022 Guest Skeptic: Dr. Dominique Trudel is a CCFP-EM resident in Ottawa, Ontario. Ann Emerg Med. 2022 Guest Skeptic: Dr. Dominique Trudel is a CCFP-EM resident in Ottawa, Ontario. Case: Jim is a 50-year-old male who presents to the emergency department with anterior epistaxis.

Outcomes 40

Outcomes EMS Emergency Department Hospitals 40

PHEM Cast

APRIL 21, 2021

Association Between Repeated Intubation Attempts and Adverse Events in Emergency Departments: An Analysis of a Multicenter Prospective Observational Study. Annals of Emergency Medicine 2012; Volume 60, Issue 6, Pages 749–754.e2 Int J Emerg Med 6, 38 (2013). Anesth Analg. 2004 Aug;99(2):607-13, Hasegawa K et al.

Airway Management 40

Airway Management Resuscitation EMS Hospitals 40

EM Guide Wire

MAY 19, 2019

May 1, 2012. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8e New York, NY: McGraw-Hill; 2016. Detection of child abuse and neglect in the emergency room. 2012; 171: 877-885. Teeuw AH, Hoytema van Konijnenburg EM, Sieswerda-Hoogendoorn T, et al. Journal of Emergency Nursing.

Pediatrics 40

Pediatrics Soft Tissue Injuries Fractures Emergency Nursing 40

Taming the SRU

MARCH 14, 2023

Case 1 Fussy 1 month old A 1-month-old (ex-34 week premature) infant comes to your emergency department for fussiness. Case 2 19 year old seizure A 19-year-old male is brought into your emergency department via EMS for witnessed seizure-like activity. Pediatr Emerg Care. Neurol Med Chir (Tokyo).

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

Advanced Emergency Nursing from AENJ

NOVEMBER 20, 2014

Police officers have poor hit probability, ricochets may occur, suppressive fire may be used (“keep ‘em pinned down”), or even ‘spray and pray.” Ballistic injuries in the emergency department. Emergency medicine practice, 13(12), 1-30. 8, 2012 12:12 a.m. Gustafson, C. G., & Visintainer, C. By John Fund.

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

Northwestern EM Blog

MAY 16, 2022

1 Low-dose non-contrast abdominal CT has become the gold standard for diagnosis as it has become readily available in emergency departments nationwide, with some studies touting sensitivity and specificity of 97% and 95%, respectively.2 The estimated incidence over the past two decades is up to 340 visits per 100,000 individuals.1

Ultrasounds 52

Ultrasounds Radiology Radiology Outcomes 52

ACEP Now

MARCH 15, 2024

A 20-year-old man presents to the emergency department (ED) directly from the scene of a fall from a bicycle, where he lost balance and landed on his outstretched hand. Many thanks to Dr. Arun Sayal and Dr. Matt Distefano for their tag-teamed contributions to the EM Cases podcast which inspired this column. Sound familiar?

Fractures 52

Fractures Dislocations EMS Emergency Department 52

Taming the SRU

OCTOBER 7, 2024

epidemiology of venous thromboembolism in pregnancy VTE is not only important to understand because it is the number one cause of mortality for pregnant patients, but also because it is common and will show up in your Emergency Department likely frequently throughout your career. Epub 2012 Oct 12. references Mulhotra, A.

Ultrasounds 64

Ultrasounds CDC Research Stroke 64

EMDocs

NOVEMBER 16, 2024

We’ll keep it short, while you keep that EM brain sharp. 9,23 Disposition: Dislocation : If successfully reduced in the emergency department may discharge with strict mobility restrictions and Orthopedic follow up. Emergency department visits following total joint arthroplasty: do revisions present a higher burden?

EMS 94

EMS Dislocations Fractures Operations 94

EMDocs

FEBRUARY 12, 2024

Authors: Rachel Kelly, MD ( EM Resident Physician, Stony Brook University Hospital); Robert Nocito, MD (EM Attending Physician, Stony Brook University Hospital) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. Int J Emerg Med. Eur J Emerg Med. Emerg Med J. 140.11.1122.

Emergency Department 98

Emergency Department Resuscitation COPD Shock 98

EMDocs

OCTOBER 5, 2024

We’ll keep it short, while you keep that EM brain sharp. A 62-year-old female patient with a history of recurrent urinary tract infections (UTIs) presents to the emergency department with fever, chills, and dysuria. They are found primarily in hospital specimens but are increasing in frequency in samples from the community.

EMS 93

EMS Infectious Diseases Sepsis Hospitals 93

ACEP Now

OCTOBER 9, 2023

emergencies, patient’s request). However, actual increases in available services in emergency departments based on prior state-level requirements have been mixed. Annals of EM. 2012; 60(5): 545-553. Google translate as a tool for emergency department discharge instructions? Annals of EM.

Emergency Department 64

Emergency Department Documentation/Coding EMS Wellness 64

EMDocs

JULY 3, 2023

Authors: Mikalah Ward, MD (EM Resident Physician, University of Kentucky); Susan Owens, MD (EM Attending Physician, University of Kentucky) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. 2012 Jun;14(2):84-9. His last known normal was 5 hours prior to ED presentation.

Seizures 98

Seizures Stroke Outcomes 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

ACEP Now

AUGUST 25, 2023

Case A critically ill patient presents to the emergency department (ED) requiring an emergent, definitive airway. However, a 2012 systematic review and meta-analysis (SRMA) reported that etomidate was associated with adrenal insufficiency and increased mortality in septic patients.

Outcomes 52

Outcomes Emergency Department Sepsis Hospitals 52