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.

Emergency Department 98

Emergency Department Resuscitation Documentation/Coding Best Practices 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. Pediatr Rev. J Emerg Med.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 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

Don't Forget the Bubbles

JANUARY 17, 2024

Curious Ken is brought into your emergency department. The liquids were chosen to “approximate a pediatric digestive environment.” 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. ” ( Ed.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

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. Emergency department overcrowding is a complex issue with multiple contributing factors. A 2011-2012 Australian study by Blake et al. Simpson et al. Simpson et al.

Emergency Department 89

Emergency Department Research Pediatrics Hospitals 89

The Skeptics' Guide to EM

SEPTEMBER 30, 2017

Natalie May trained as an emergency physician with subspecialty paediatric emergency medicine in the UK and worked in Manchester and Oxford before moving to Australia in 2015 to work for Sydney […] The post SGEM#190: Wee are the Champions of Pediatric Urine Samples first appeared on The Skeptics Guide to Emergency Medicine.

Pediatrics 52

Pediatrics Emergency Department Sepsis Wellness 52

Pediatric Emergency Playbook

APRIL 1, 2018

Pediatric Hypertensive Emergencies. Pediatric Hypertension in the Emergency Department. Ann Emerg Med. Pediatr Nephrol. 2012; 27:741-751. Hypertension Canada’s 2017 Guidelines for the Diagnosis, Assessment, Prevention, and Treatment of Pediatric Hypertension. Pediatrics.

Pediatrics 52

Pediatrics Emergency Department 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

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

EM Guide Wire

MAY 19, 2019

May 1, 2012. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8e New York, NY: McGraw-Hill; 2016. PEDIATRICS. Pediatrics in Review. PEDIATRICS. Pediatric Clinics of North America. Delayed Identification of Pediatric Abuse-Related Fractures. PEDIATRICS. PEDIATRICS.

Pediatrics 40

Pediatrics Soft Tissue Injuries Fractures Emergency Nursing 40

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

Pediatric Emergency Playbook

MARCH 1, 2018

Pediatr Rev. 2012; 33(7):332-3. Pediatrics. Emerg Med Clin North Am. Pediatrics. Pediatrics. Pediatric Opthalmology in the Emergency Department. Pediatrics. References Cohen GM, Albertini LW. Friedman SB et al. 2009; 123(3):841-8 Herman M, Le A. The crying infant.

Pediatrics 52

Pediatrics Emergency Department 52

PEMBlog

OCTOBER 16, 2023

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. 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. J Hum Reprod Sci.

Ultrasounds 69

Ultrasounds Emergency Department Pediatrics 69

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

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) Most pediatric and adult benzonatate case reports have ill-defined toxic dose ranges. Pediatr Emerg Care.

Poisoning 81

Poisoning Seizures Pediatrics EMS 81

PEMBlog

JULY 17, 2023

this is an updated version for July 2023 Replace a G-tube Gastrostomy tube dislodgment and malfunction are top causes for G-tube related ED visits in pediatric patients so it is important to understand how to replace a G-tube. Gastrostomy Tube-Related Complaints in the Pediatric Emergency Department.” 8, 2012, pp.

Pediatrics 52

Pediatrics Emergency Department Hospitals 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. Pediatrics.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 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

Pediatric Emergency Playbook

APRIL 1, 2016

Read on to go from bread-and-butter pediatric blood work to answer the question – what’s up with troponin, lactate, d-dimer, and BNP in kids? A fundamental tenet of emergency medicine: We balance our obligation to detect a dangerous condition with our suspicion of the disease in given patient. Cohen et al. Cohen et al.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 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. Acute rheumatic fever: case report and review for emergency physicians. J Emerg Med.

Pediatrics 40

Pediatrics Poisoning Hospitals Emergency Department 40

Downeast Emergency Medicine

FEBRUARY 14, 2023

THE CASE A 13-year-old boy is seen in the Emergency Department (ED) for a cough. The patient is diagnosed with pneumonia that has failed outpatient treatment and is started on ceftriaxone and admitted to the pediatric hospitalist service. One study from 2012 found lung ultrasound to be 93% sensitive for pneumonia [4].

Ultrasounds 52

Ultrasounds Emergency Department Pediatrics 52

Pediatric Emergency Playbook

DECEMBER 1, 2016

Two small studies, one by Caiulo et al in the European J or Pediatrics and one by Basile et al. in the BMC Pediatrics that show some preliminary data, but not enough to change practice yet. Levine et al in Pediatrics found an extremely low risk of serious bacterial illness in young febrile infants with RSV. Pediatrics.

Pediatrics 40

Pediatrics Emergency Department Hospitals Wellness 40

The Skeptics' Guide to EM

AUGUST 5, 2023

Computerized tomography (CT) is commonly used in the emergency department in the diagnosis of TBI. A CT scan does mean radiation to the pediatric brain which can increase the risk of leukemia or brain cancer later [1]. Annals of Emergency Medicine 2014. So, should we CT scan children with minor head injury?

Head Injuries 40

Head Injuries Pediatrics Fractures Outcomes 40

PEMBlog

MAY 11, 2023

Pediatr Emerg Care This randomized, double-blinded, placebo-controlled trial in infants 0-3 months old getting an LP, younger than 3 months, presenting to the ED meeting clinical criteria for LP. Pediatr Emerg Care. 2012 Jul;28(7):687-90. Acad Emerg Med. Let’s take a look at a couple of studies.

Documentation/Coding 52

Documentation/Coding Pediatrics Emergency Department Academics 52

EM Guide Wire

NOVEMBER 2, 2020

Nebulized Mg sulfate treatment shows no significant effect on respiratory function or hospital admission High-Dose Magnesium Sulfate Infusion for Severe Asthma in the Emergency Department Efficacy Study All patients of 6–16 years old who failed to improve after 2 hours of standard therapy for asthma. to -0.03, P =.04)

Pediatrics 52

Pediatrics Anaphylaxis Emergency Department Administration 52

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. More on this below as we work through a few cases….

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

Taming the SRU

AUGUST 30, 2023

While PCT may be more specific for bacterial infections, it is flawed by still being rather non-specific and is not validated as a stand-alone diagnostic criteria for infection in the setting of the emergency department. Raised inflammatory markers BMJ 2012; 344 :e454 doi:10.1136/bmj.e454 Gabay C, Kushner I. 2012 Jul 23;2(1):32.

Infectious Diseases 89

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

Pediatric Emergency Playbook

JANUARY 1, 2016

The International Society for Pediatric and Adolescent Diabetes (ISPAD) criteria for DKA : Hyperglycemia, with a blood glucose of >200 mg/dL (11 mmol/L) AND Evidence of metabolic acidosis, with a venous pH of less than 7.3 Pediatr Diabetes. Accuracy of a screening instrument to identify potential child abuse in emergency departments.

Head Injuries 40

Head Injuries Pediatrics Shock Sepsis 40

PEMBlog

JUNE 5, 2024

It was inspired by a hot-off-the-presses publication from the Pediatric Emergency Care Applied Research Network (PECARN) focused on clinical decision rules for cervical spine imaging in children. 2012 Jan 13;61(RR-1):1-20. Pediatrics. Evaluation of pediatric cervical spine injuries. Am J Emerg Med.

Fractures 52

Fractures Pediatrics Radiology Radiology 52

Advanced Emergency Nursing from AENJ

NOVEMBER 20, 2014

Ballistic injuries in the emergency department. Emergency medicine practice, 13(12), 1-30. 8, 2012 12:12 a.m. National Review Online December 16, 2012 4:00 PM Sincerely, Tom Trimble, RN CEN All opinions are solely those of the author. Mosely, Maj USA MC FS 20 Jun 05 Treatment Reviews Bruner, D.,

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

Pediatric Emergency Playbook

JUNE 1, 2016

Hypovolemic Shock The most common presentation of pediatric shock; look for decreased activity, decreased urine output, absence of tears, dry mucous membranes, sunken fontanelle. Cold shock is the most common presentation in pediatric septic shock, and is treated with epinephrine. Pediatrics. PE with symptoms: heparin.

Shock 40

Shock Sepsis Pediatrics Ultrasounds 40

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

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. Hosp Pediatr. Pediatrics. Pediatrics. Pediatr Infect Dis J.

Emergency Department 84

Emergency Department Pediatrics Point-of-Care Testing Hospitals 84

Pediatric Emergency Playbook

JANUARY 1, 2017

For example, a very anxious caregiver can easily transmit his or her anxiety to the child, which may either inhibit or amplify presentation of symptoms ( Bearden 2012 ). The guiding principles in pediatric pain assessment and management are: know the child; know the family; and know the physiology.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Downeast Emergency Medicine

MARCH 24, 2021

OVERVIEW Diarrhea is a common complaint for our pediatric patients in the emergency department. Most pediatric diarrhea is not life threatening, and usually is treated with supportive care. However, there are important red flags to consider when assessing a pediatric patient with diarrhea.

Pediatrics 52

Pediatrics Dehydration Emergency Department Wellness 52

Don't Forget the Bubbles

JANUARY 22, 2024

The campaign started in the United States in 2012, in Canada two years later, and in the United Kingdom in 2016. Choosing Wisely in Paediatric Car e A trainee-led project in a UK tertiary paediatric emergency department looked at the usefulness of blood tests in 101 children. Front Pediatr. 70% had liver function tests.

Emergency Department 90

Emergency Department Best Practices Radiology Radiology 90