Pediatric EM Morsels

AUGUST 18, 2023

None of the patients were documented to have joint disease at follow up. Etminan 2019) In Belgium between 2010 – 2013, of the 262 children treated with fluroquinolones while hospitalized, only 17% were used for labelled indications. PMID: 29356761 The post Fluoroquinolone Use In Children appeared first on Pediatric EM Morsels.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

RebelEM

JANUARY 29, 2024

Am J Cardiol 2013. appeared first on REBEL EM - Emergency Medicine Blog. A Randomized Trial of the Optimum Duration of Acoustic Pulse Thrombolysis Procedure in Acute Intermediate-Reisk Pulmonary Embolism: The OPTALYSE PE Trial. JACC Cardiovasc Interv 2018. PMID: 30025734 Sharifi M et al. PMID: 23102885 Aykan AC et al.

Stroke 136

Stroke Outcomes Hospitals Administration 136

ACEP Now

AUGUST 1, 2023

Factoring such, an order to transfer the patient immediately by ground or air EMS is the only actual support per se these non-physicians receive. Recent data published in Annals showed that between 2013 and 2019, the percentage of clinicians working in rural areas who were emergency physicians actually dropped slightly.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

The Skeptics' Guide to EM

APRIL 24, 2021

On investigating you find a collection of nursing, EMS and hospital security personnel surrounding an obviously agitated patient with blood on his head who is attempting to punch them. Exclusions: Prisoners or those in police custody, pregnant or breast-feeding, or with documented allergy to any study medications.

Emergency Department 40

Emergency Department Research Outcomes Documentation/Coding 40

SheMD

OCTOBER 8, 2023

As I transitioned from medical student to resident to faculty member and first started interviewing applicants for our EM residency program, I was so nervous about questions I COULD NOT ask. In 2013, a large survey with 7,028 respondents found that 64.8% I did not know what those questions were.

Leadership 105

Leadership Best Practices Academics Documentation/Coding 105

RebelEM

AUGUST 12, 2024

2020 Mar 14; PMID: 32183395 Post Peer Reviewed By : Salim Rezaie, MD (Twitter/X: @Srrezaie ) The post The PROTECTION Trial – A Randomized Trial of Intravenous Amino Acids for Kidney Protection appeared first on REBEL EM - Emergency Medicine Blog. Rev Bras Ter Intensiva. PMID: 24553510 Iacone R, et al.

Outcomes 81

Outcomes Hospitals Operations Shock 81

Northwestern EM Blog

SEPTEMBER 12, 2022

In most events, hospitals have communication with EMS personnel that are on scene allowing them to have some sort of estimation of the scale of the event and type of disaster encountered. This can be gauged by the type of disaster encountered and with assistance from EMS personnel at the scene. EMS Mass Casualty Management.”

Mass Casualty Incidents 52

Mass Casualty Incidents EMS Hospitals Hazardous Materials 52

PHEM Cast

APRIL 21, 2021

Guidance documents College of Paramedics Statement on Intubation, available here. Difficult prehospital endotracheal intubation – predisposing factors in a physician based EMS. Int J Emerg Med 6, 38 (2013). Difficult prehospital endotracheal intubation – predisposing factors in a physician based EMS. 20(12);681-686.

Airway Management 40

Airway Management Resuscitation EMS Hospitals 40

Advanced Emergency Nursing from AENJ

NOVEMBER 20, 2014

It is critically important to document the physical findings in a plain-seeing, plain-speaking, non-judgmental manner that will not color or taint future investigations. Accurate time entries are important to document. Natural psycho-physiological responses may alter perceptions during the life-threatening event. Khoshdel, A.

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Advocacy for Trauma Care and EMS Development. Development of EM Residencies. Organized EM supporting Rapid Sequence Intubation and other airway advances. Organized EM supporting Rapid Sequence Intubation and other airway advances. EM begins to "Own the Airway" (emergent). 10/20/2013. EDNA->ENA.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

Advanced Emergency Nursing from AENJ

JULY 9, 2015

Pull out the manikins (or use a volunteer; BVM only) and run some awkward codes! Video] Sep 15, 2013. YouTube.com [Time=33’11” Presentation] EMS World. Video] Nov 19, 2013. How versatile are your airway skills? Oh, sure, you can handle any supine situations! Gather everyone. Face to Face Orotracheal Intubation.

Airway Management 40

Airway Management Pediatrics Resuscitation Emergency Nursing 40

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

It was edited by Smith CASE : A 52-year-old male with a past medical history of hypertension and COPD summoned EMS with complaints of chest pain, weakness and nausea. Clinical Course The paramedic activated a “Code STEMI” alert and transported the patient nearly 50 miles to the closest tertiary medical center. What do you see?

EKG/ECG 40

EKG/ECG Shock Fluid Resuscitation Documentation/Coding 40

Advanced Emergency Nursing from AENJ

MAY 3, 2014

Relatively early account of then status of prehospital care, before EMS movement took place. Documents improvements in BVMs previously investigated and found deficient in FIO2. Classic pre-EMS document describing rescue care by rural volunteer squads. Ambulances and emergency medical care. Safar, P., & Brose, R.

Resuscitation 40

Resuscitation Military Operations Emergency Nursing 40

EMDocs

NOVEMBER 16, 2024

We’ll keep it short, while you keep that EM brain sharp. Posterior – Shortened, adducted, internally rotated 5,6 Anterior – Shortened, abducted, externally rotated 5,6 As with all dislocations, perform and document distal neurovascular exam before and after management. 8 Perform and document distal neurovascular exam.

EMS 98

EMS Dislocations Fractures Operations 98

Northwestern EM Blog

MAY 16, 2022

Please ensure that you document and discuss with the patient accordingly. Finally, a burden on us as EM clinicians is training in and awareness of clinical practice guidelines and recommendations from specialties outside of EM. References Fwu, C. Eggers, P. Kimmel, P. W., & Kirkali, Z. Kidney international , 83 (3), 479-486.

Ultrasounds 52

Ultrasounds Radiology Radiology Outcomes 52

Dr. Smith's ECG Blog

JANUARY 30, 2019

She was ventilated by bag-valve-mask by EMS on arrival and was quickly intubated with etomidate and succinylcholine. Our patient had a Brugada Type 1 pattern elicited by an elevated core temperature, which is also a documented phenomenon. She was obtunded, not following commands, hypoxic, and in respiratory distress.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia EKG/ECG Wellness Documentation/Coding 52

EB Medicine

JULY 8, 2019

Jeff: And while it’s not exactly core EM, we’re going to briefly discuss indications for bariatric surgery, as this is something we don’t often review even in academic training programs. Which again reiterates why this is such an important topic for us as EM clinicians to be well-versed in.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Dr. Smith's ECG Blog

NOVEMBER 28, 2022

Cardiology emergently came down to see the patient and took her immediately to the cath lab for a pericardiocentesis (if the cardiologist and cath lab had not been immediately available, then the EM team would have needed to perform pericardiocentesis). 2013 Sep;26(9):965-1012.e15. J Am Soc Echocardiogr. doi: 10.1016/j.echo.2013.06.023.

EKG/ECG 40

EKG/ECG Ultrasounds Documentation/Coding COPD 40

EB Medicine

AUGUST 6, 2019

Interestingly, one retrospective study found limited agreement between EMS records and hospital documentation on current DOAC usage. PA’s and NP’s - make sure to use the code APP4 at checkout to save 50%. Natalie Kreitzer from the University of Cincinnati, and Dr. Isaac Tawil from the University of New Mexico.

Emergency Department 40

Emergency Department Stroke Wellness Resuscitation 40

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. 2013 May;14(3):212-7. PMID: 21814105 (24) Vohra T, Paxton J. 2012.3.6905.

Emergency Department 98

Emergency Department Resuscitation COPD Shock 98

RebelEM

MAY 15, 2024

Pathogens ( Gudiol 2013 ) : The pathogens responsible for neutropenic fever have changed over time. Epub 2011 Apr 22 Coyne CJ, Le V, Brennan JJ, Castillo EM, Shatsky RA, Ferran K, Brodine S, Vilke GM. Clin Microbiol Infect 2013; 19:474 Klastersky J. Coding for Mucositis. British Journal of Haematology. doi: 10.1111/j.1365-2141.2011.08693.x.

Infectious Diseases 101

Infectious Diseases Administration Sepsis Anaphylaxis 101

ACEP Now

OCTOBER 9, 2023

Physicians should document the interpreter’s name and identification number if available in the patient’s chart. Documentation Providing patient-facing documentation such as procedural consent forms, discharge instructions, and medication prescriptions in the appropriate language can provide a distinct challenge. Annals of EM.

Emergency Department 64

Emergency Department Documentation/Coding EMS Wellness 64

Pediatric EM Morsels

FEBRUARY 2, 2024

In one ED study, ALL cases of missed travel-related illness did not have a documented travel history in their ED note , whereas 90% of the identified travel-related illnesses had a provider documented travel history (Greenky 2022) Those who are visiting friends and relatives (VFR) are typically at highest risk. Pediatr Infect Dis J.

Infectious Diseases 164

Infectious Diseases Pediatrics Sepsis Documentation/Coding 164

EB Medicine

JANUARY 2, 2019

I know this is a HOTLY debated topic among EM Docs. This corresponds nicely to a 2013 retrospective study demonstrating a bHCG threshold for the fetal pole to be just below 1400. For a completed abortion, you would expect a closed OS with no IUP on ultrasound with a previously documented IUP. Jeff: Oh it certainly is.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

RebelEM

DECEMBER 23, 2024

saline (NS) solutions are both isotonic crystalloids widely used for intravenous fluid resuscitation across many contexts and disease states ( Myburgh 2013 ). appeared first on REBEL EM - Emergency Medicine Blog. Lactated Ringer (LR) and 0.9%

Fluid Resuscitation 129

Fluid Resuscitation Resuscitation Documentation/Coding Outcomes 129

ACEP Now

OCTOBER 29, 2024

EMS found the patient pulseless and apneic, with an initial rhythm showing ventricular fibrillation (see figure 1). Figure 1: The EMS rhythm strip. There was no family history of syncope or sudden death. He was defibrillated twice and received two doses of epinephrine, with return of spontaneous circulation. Click to enlarge.)

Pediatrics 52

Pediatrics EKG/ECG Documentation/Coding Hospitals 52