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. examined 977,907 first-time ED presentations by children aged 0-15 across thirteen acute hospital trusts (between April 2014 and March 2017), trying to figure out how many were non-urgent.

Emergency Department 89

Emergency Department Research Pediatrics Hospitals 89

RebelEM

APRIL 29, 2024

Many clinicians don’t consider IO placement while others consider it a last resort or only a pre-hospital procedure. The IO can actually be your “GO-TO” emergency line or your second choice after failed PIV access. World J Emerg Surg 2023 PMID: 36918947 3. Int J Emerg Med 2009 PMID: 20157465 4. 2012 PMID: 21893125.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

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. 1.91),p<0.001), longer time spent in department (mean difference 16 minutes (16-17 minutes), p<0.001), higher rate of hospital admission (60.1%

Emergency Department 40

Emergency Department Outcomes Hospitals 40

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

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]. She had a low-grade fever and an episode of vomiting before coming to the hospital. Hospital Admitted Patient Care Activity.

Emergency Department 105

Emergency Department Ultrasounds Pediatrics Best Practices 105

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

EMDocs

JULY 25, 2024

The brother’s wife calls the airport police who are able to locate him and send him to a nearby hospital. A lawsuit is filed by the patient’s family against the PA-C, the oncoming EP, both CC’s, and the hospital. Literature-based Recommendations for Suicide Assessment in the Emergency Department: A Review.

Documentation/Coding 100

Documentation/Coding Hospitals Patient Safety Emergency Department 100

EMDocs

MAY 26, 2023

Patients may be brought to hospital by police under restraint (e.g. 2012 Jan;109(3):27-32. Structured team approach to the agitated patient in the emergency department. Emerg Med Australas. West J Emerg Med. 2012 Feb;13(1):35-40. Deaths due to physical restraint. Dtsch Arztebl Int. PMC3272587.

Pediatrics 94

Pediatrics Emergency Department Psychiatric Documentation/Coding 94

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

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

Don't Forget the Bubbles

OCTOBER 10, 2024

This time the team from Bristol Royal Children’s Hospital ED tell us what is new in the world of paediatric literature… Led by Dr John Coveney a Paediatric Emergency Medicine Trainee in Bristol who has revived The Journal Club at Bristol Royal Children’s Hospital ED on a monthly basis. Arch Dis Child.

Emergency Department 75

Emergency Department Outcomes Research Operations 75

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. 2009;13(5):R167.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

ALiEM

OCTOBER 16, 2023

An otherwise healthy 34-year-old male presented to the Emergency Department with two weeks of anterior neck pain. Patients with Lemierre Syndrome will require surgical consultation and hospital admission. 2012 Oct;12(10):808-15. Epub 2012 May 25. References Kuppalli K, Livorsi D, Talati NJ, Osborn M.

Academics 60

Academics Wellness Emergency Department Hospitals 60

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. These patients are often admitted to the hospital.

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. Risk Factors for Opioid-Related Adverse Drug Events Among Older Adults After Hospitalization for Major Orthopedic Procedures. Opioid Prescribing at Hospital Discharge Contributes to Chronic Opioid Use. J Patient Saf. N Engl J Med.

Ultrasounds 52

Ultrasounds Emergency Department Hospitals Wellness 52

The Skeptics' Guide to EM

DECEMBER 17, 2022

AEM December 2022 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Case: A […] The post SGEM386: Blood on Blood – Massive Transfusion Protocols in Older Trauma Patients first appeared on The Skeptics Guide to Emergency Medicine. years ( 2 ).

Blood Transfusions 52

Blood Transfusions Fractures EMS Emergency Department 52

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. The patient was recently admitted to the hospital eight days prior to presentation for purulent urethral discharge where he received a course of topical antibiotics and was discharged. Calcinosis cutis.

Academics 60

Academics Seizures Hospitals Emergency Department 60

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

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

The Skeptics' Guide to EM

DECEMBER 12, 2020

AEM December 2020 Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine and Emergency Medicine Research Lead at Lancashire Teaching Hospitals Trust (North West England). Case: A 52-year-old previously healthy woman presents to your emergency department (ED) with an abscess on her left forearm.

Operations 52

Operations Outcomes Research Academics 52

Don't Forget the Bubbles

MAY 29, 2023

A qualitative study of 2,815 pre-hospital clinicians reported that nearly half of the respondents had experienced incivility from professional teams at least once a week. 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

Pediatric Emergency Playbook

AUGUST 1, 2017

One of our largest responsibilities in the Emergency Department is sorting out benign from surgical or medical causes of abdominal pain. Abdominal Surgical Emergencies in Children: A Relative Timeline General Advice Neonate (birth to one month) Necrotizing Enterocolitis Pneumatosis Intestinalis. J Emerg Med. J Emerg Med.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

Don't Forget the Bubbles

DECEMBER 16, 2024

Since January 2024, measles cases in the UK have surged, reaching 2,563 reported casesthe highest level since 2012. Following a 2012 outbreak, an emergency maternal pertussis vaccination programme was introduced in the UK, offering the vaccine to women in the third trimester of pregnancy.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

The Skeptics' Guide to EM

JUNE 5, 2021

Garreth Debiegun is an emergency physician at Maine Medical Center in Portland, ME and clinical assistant professor with Tufts University School of Medicine. He also works at an urgent care and a rural critical access hospital. first appeared on The Skeptics Guide to Emergency Medicine.

Urgent Care 52

Urgent Care Stroke Critical Access Outcomes 52

Urgent Care Ultrasounds

OCTOBER 24, 2018

This can be especially helpful for those working in isolated or primary care environments, without the support of formal hospital ultrasound programs. Two weeks prior she had been admitted to hospital for 4 days with hypotension, fever and abdominal pain related to acute EBV infection. 2012; 3(3):97-9. thanks, FOAMed!

Ultrasounds 52

Ultrasounds Urgent Care Emergency Department Hospitals 52

PEMBlog

JULY 17, 2023

At that point you can follow the step of inserting new G-tube Bonus Videos This video is by Nemours Children’s Hospital. Gastrostomy Tube-Related Complaints in the Pediatric Emergency Department.” Pediatric Emergency Care, vol. The American Journal of Emergency Medicine, vol. 8, 2012, pp. 11, 2009, pp.

Pediatrics 52

Pediatrics Emergency Department Hospitals 52

ACEP Now

SEPTEMBER 11, 2023

5 Pediatric discharges were reported by 2,784 hospitals in 2000 and the number of reporting hospitals increased to 4,179 in 2012. This database systematically and randomly samples pediatric discharges from participating hospitals. References Ilgenfritz S, Dowlatshahi C, Salkind A. Rheumatic fever: the way it was.

Pediatrics 40

Pediatrics Poisoning Hospitals Emergency Department 40

EMDocs

SEPTEMBER 23, 2023

Admit symptomatic patients to the hospital for further evaluation and EP studies. A 23-year-old man with no significant medical history presents to the emergency department for evaluation of a syncopal episode. 2012 May;9(5):752-9. The patient reports that he was doing light housework when he suddenly passed out.

EMS 102

EMS EKG/ECG Documentation/Coding Emergency Department 102

EM Guide Wire

NOVEMBER 2, 2020

3.08; P = 0.0008) and hospital admission (RR, 0.55; 95% CI, 0.31-0.95; Overall, the use of magnesium sulfate did not improve hospital admission rates. 2012 Cochrane Review - aminophylline is not significantly better than other bronchodilator drugs, and has more adverse effects. mg may be nebulized Q4-6 hours. 0.95; P = 0.03).

Pediatrics 52

Pediatrics Anaphylaxis Emergency Department Administration 52

The Skeptics' Guide to EM

MARCH 10, 2018

Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the Director of Simulation Education at Markham Stouffville Hospital in Ontario. He is the creator of […] The post SGEM#210: (Don’t) Let it Bleed – TXA for Epistaxis in Patients on Anti-Platelet Drugs first appeared on The Skeptics Guide to Emergency Medicine.

Blood Transfusions 40

Blood Transfusions Emergency Department Shock Hospitals 40

EMDocs

JANUARY 17, 2024

She had return of spontaneous resuscitation (ROSC) and was subsequently intubated and transported to the emergency department (ED). 5) From 2012 to 2019, pediatric benzonatate prescribing soared by 62%. (9) She received cardiopulmonary resuscitation (CPR) and standard advanced cardiovascular life support (ACLS).

Poisoning 81

Poisoning Seizures Pediatrics EMS 81

Don't Forget the Bubbles

JULY 26, 2023

Prioritise listening to the first 30 minutes which given a good overview of aetiology and treatment (53 mins) Basics of cardiac rhythm problems in the ED Palpitations are a common reason for children to present to the emergency department, the majority of these will be benign from a cardiac perspective and instead related to stress or anxiety.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

The Skeptics' Guide to EM

MARCH 4, 2023

Ann Emerg Med. Her interest is serving French minority communities delivering care at the Montfort Hospital in Ottawa. first appeared on The Skeptics Guide to Emergency Medicine. Her interest is serving French minority communities delivering care at the Montfort Hospital in Ottawa. He denies nose picking.

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 Anesth Analg. 2004 Aug;99(2):607-13, Hasegawa K et al. e2 Delson NJ et. Levitan RM et al.

Airway Management 40

Airway Management Resuscitation EMS Hospitals 40

Taming the SRU

AUGUST 30, 2023

In a small study involving 79 hospitalized children, PCT was found to be elevated in bacterial infections, with a decrease after appropriate antibiotic therapy, and decreased in viral infections [24]. . + Procalcitonin (PCT) Etiology: PCT was first discovered in 1984. However, it was not until a 1993 study that its significance was realized.

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

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. After a several week NICU stay for prematurity, the infant has been generally healthy and this is his first trip back to the hospital since discharge. More on this below as we work through a few cases….

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52