EM Ottawa

FEBRUARY 22, 2024

Lacerations are a common presenting complaint to emergency department. In 2013, in the United States there were 7 million visits to the emergency department (ED) for lacerations making up a total of 5.2% of ED visits(1).

Emergency Department 89

Emergency Department 89

Emergency Medicine Journal

OCTOBER 23, 2024

In England, the rate of emergency department (ED) attendance in the first year of life is greater than at any other age, amounting to 122 visits per 100 000 population. 1 Children aged 0–16 accounted for 23% of ED attendances (more than 5.4 million children) in 2022/2023, with children aged 0–4 accounting for 11%.

Emergency Department 52

Emergency Department EMS 52

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. Learning about international trends sparked our curiosity about our own department.

Emergency Department 89

Emergency Department Research Hospitals Pediatrics 89

Pediatric EM Morsels

MAY 24, 2024

Low Risk Intra-Abdominal (IAI) Trauma – Derivation of the Rule The PECARN Group first released their derivation of a pediatric prediction rule for intra-abdominal injury in 2013. 2013 Aug 1;167(8):700-707. Lancet Child Adolesc Health. 2024;8:339-344. Miglioretti DL, Johnson E, Williams A, et al. JAMA Pediatr. 2013.311.

Pediatrics 161

Pediatrics Blood Transfusions EMS Fractures 161

Taming the SRU

DECEMBER 11, 2023

1,2] Patients at risk for suicide often interact with emergency medical care. Suicide-related behavior (SRB) accounts for 1% of all Emergency Department (ED) visits; additionally, greater than 8% of patients visiting emergency departments are likely experiencing suicidal ideation at the time of the encounter.[3-5]

EMS 96

EMS Psychiatric Emergency Department Poisoning 96

The Skeptics' Guide to EM

FEBRUARY 18, 2023

Rising high-acuity emergency care services independently billed by advanced practice providers, 2013 to 2019. AEM Feb 2023 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and Assistant Professor at the University of Calgary. Date: February 17, 2023 Reference: Gettel et al.

Emergency Department 52

Emergency Department EMS Administration 52

The Trauma Pro

OCTOBER 4, 2024

years from 2013 to 2016. Clinical outcomes assessed at 60 days included an unplanned return to the emergency department (ED), re-admission, complications, and development of new bleeding confirmed by surgery, ultrasound, or computed tomography (CT) at 60 days post-injury. ” This means they probably did not.

Pediatrics 147

Pediatrics Outcomes Operations Emergency Department 147

The Skeptics' Guide to EM

DECEMBER 2, 2023

Case: A 4-year-old girl presents to your emergency department (ED) with fever and nasal drainage. The latest clinical practice guidelines from the American Academy of Pediatrics (AAP) on the diagnosis and management of acute bacterial sinusitis in children was published in 2013 [1]. Her vaccinations are all up to date.

Pediatrics 119

Pediatrics Infectious Diseases Emergency Department Research 119

Don't Forget the Bubbles

NOVEMBER 29, 2023

You are the Paediatric doctor on call and receive a call for an incoming patient to the emergency department. Tragically, several attempts at resuscitation upon arrival at the emergency department were unsuccessful. Pediatric Endotracheal Intubations for Airway Management in the Emergency Department.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

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 J Emerg Med 2013; 44 (4): 764-772. Optimizing Emergent Surgical Cricothyrotomy for Austere Environments. Emergency Medicine Practice.

Allergic Reactions 105

Allergic Reactions Airway Management Anaphylaxis Emergency Department 105

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. Department of Health and Human Services, Office of Civil Rights. The limited English proficiency population in the United States in 2013. 45:446-458.

Documentation/Coding 81

Documentation/Coding Emergency Department Best Practices Federal Emergency Management Agency 81

ALiEM

NOVEMBER 10, 2023

A 33-year-old male presented to the emergency department with a diffuse pruritic rash that appeared several days after starting Trimethoprim/Sulfamethoxazole (TMP-SMX) for a dental infection. 2013 Apr;168(4):726-32. Epub 2013 Feb 16. Progression stopped after discontinuing TMP-SMX. Br J Dermatol. doi: 10.1111/bjd.12133.

Academics 64

Academics Emergency Department 64

Emergency Medicine Journal

JULY 22, 2024

For those patients who had formal ultrasound, direct and indirect findings of ultrasound were abstracted from the ultrasound report.

Ultrasounds 52

Ultrasounds Radiology Radiology Emergency Department 52

Taming the SRU

MARCH 11, 2024

Acute knee dislocations are rare orthopedic injuries that have high morbidity and need to be recognized quickly by the emergency physician; if unrecognized or inadequately treated, these injuries can lead to vascular and limb compromise (1,2). He works in both the emergency department as well as the sports medicine clinic.

Dislocations 107

Dislocations Emergency Department Fractures Operations 107

Don't Forget the Bubbles

OCTOBER 21, 2024

Olivia, 7, has been brought to the emergency department. Her mother has brought her to the emergency department because she is worried that Olivia is doing the movements more frequently and would like a brain scan. Over the last couple of weeks, Olivia has been having episodes of rapid blinking and grimacing.

Emergency Department 59

Emergency Department Research Hospitals Wellness 59

Pediatric EM Morsels

OCTOBER 27, 2023

Most emergency drugs except for amiodarone and succinylcholine are based on ideal body weight [Emergency Medical Services for Children, Luten 2007] Epinephrine, dopamine, fentanyl, ketamine based on what child should weigh. PAWPER [Wells 2013, Silvagni 2022] Takes into account body habitus. Int J Emerg Med. J Emerg Med.

Pediatrics 269

Pediatrics Resuscitation Documentation/Coding Wellness 269

ALiEM

AUGUST 30, 2024

A 5-year-old female presented to the emergency department (ED) with a one-year history of gradually increasing anterior neck swelling. 2013 Mar;34(3):115-24; quiz 125. The patient had no significant past medical history. She also endorsed three weeks of cough and congestion, and one day of muffled voice. Pediatric neck masses.

Pediatrics 64

Pediatrics Ultrasounds Academics Emergency Department 64

Taming the SRU

OCTOBER 28, 2024

When should I get a consultant involved in the emergency department? 2013 Aug;5(8):460-4. 2013 Dec;206(6):1001-6; discussion 1006. West J Emerg Med. Pneumomediastinum Diagnosed on Ultrasound in the Emergency Department: A Case Report. Pediatr Emerg Care. 2013 Sep;29(9):988-91.

COPD 78

COPD Pediatrics Emergency Department Ultrasounds 78

Taming the SRU

AUGUST 27, 2024

The following are bullous skin disorders with indications for urgent/emergent intervention, and more likely to present to an Emergency Department. What can you do from the Emergency Department if suspected? What can you do from the Emergency Department if suspected? J Invest Dermatol 2013; 133:1197.

Emergency Department 83

Emergency Department Dehydration Burns Sepsis 83

ACEP Now

OCTOBER 3, 2023

Even figuring out which medical practice staffs a particular emergency department is challenging. As job boards post only about one-fifth of emergency department jobs at any given time, the emergency-physician application process often still relies heavily on word of mouth. Ann Emerg Med. References Kane L.

EMS 52

EMS Emergency Department Wellness 52

The Skeptics' Guide to EM

SEPTEMBER 9, 2023

Case: It is a steady Saturday afternoon in your rural emergency department (ED). This includes SGEM#19 way back in 2013 reporting a bandage wrap is a safe alternative to traditional casting for children with greenstick fractures. He has been a guest skeptic on the SGEM multiple times.

Fractures 124

Fractures Ultrasounds Pediatrics Outcomes 124

EB Medicine

JULY 8, 2019

This month, we are sticking in the abdomen for another round of evidence-based medicine, focusing on Emergency Department Management of Patients With Complications of Bariatric Surgery. I’m Jeff Nusbaum and I’m back with Nachi Gupta for the 30 th episode of EMplify and the first Post-Ponte Vedra Episode of 2019.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

ACEP Now

JULY 7, 2024

1 History and physical examination have been the cornerstone of seizure diagnosis in the emergency department (ED). 2 A study of routine EEG in the ED in 2013 found that five percent of ED patients with altered mental status had nonconvulsive seizures (of whom 75 percent were in nonconvulsive status epilepticus). Ann Emerg Med.

Seizures 52

Seizures Emergency Department Outcomes EMS 52

Taming the SRU

JULY 22, 2024

INDICATIONS Arthrocentesis is a common procedure performed in the Emergency Department, in which a needle is inserted into a joint to withdraw fluid from the joint capsule. Joint Arthrocentesis in the Emergency Department” Emergency Medicine Reports, October; 38(19):217-231. Emergency Medicine Procedures, 2e.

Ultrasounds 96

Ultrasounds Emergency Department EMS 96

The Skeptics' Guide to EM

AUGUST 28, 2021

Direct-access physiotherapy to help manage patients with musculoskeletal disorders in an emergency department: Results of a randomized controlled trial. Case: A forty-year-old woman presents to the emergency department […] The post SGEM#342: Should We Get Physical, Therapy for Minor Musculoskeletal Disorders in the ED?

Emergency Department 52

Emergency Department Research Outcomes 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims The aim is to assess the prognostic accuracy of the qSOFA score in both the Pre-Hospital and Emergency Department (ED) setting in predicting mortality in Major Trauma patients. Patients that were discharged between September 1st 2013 and December 31st 2021 were eligible for inclusion.

Hospitals 40

Hospitals Emergency Department Outcomes Research 40

Taming the SRU

FEBRUARY 14, 2024

THE CASE A female in her 20’s presented to the emergency department with concern for oral swelling. One factor contributing to this increased cost is the increased usage of computed tomography (CT) in the emergency department to confirm the diagnosis prior to incision and drainage. 2013; 31(1):267.e1-3.

Ultrasounds 96

Ultrasounds Emergency Department Wellness 96

Pediatric Emergency Playbook

SEPTEMBER 1, 2020

2013 November ; 29(4): 569–578 Yeh PC et al. 2013 November ; 29(4): 569–578 Mallet finger in splint. 2013 November ; 29(4): 569–578 Pattni A et al. Seymour Fracture Nellans et al. Pediatric Hand Injuires. Pediatric Hand Fractures. Techniques in Orthopaedics. Nellans et al. Pediatric Hand Injuires. Yeh PC et al. Stat Pearls.

Fractures 52

Fractures Pediatrics Emergency Department 52

Emergency Medicine Journal

NOVEMBER 28, 2023

All NHS111 calls made in the entire Yorkshire region between 1/4/2013-31/3/2017 concerning paediatric patients (1,155,310 calls) were linked with subsequent visits to emergency departments (EDs) within 48 hours. Method and Design We performed a retrospective observational analysis using a large, linked routine UEC dataset.

Emergency Department 40

Emergency Department Research 40

The Skeptics' Guide to EM

JULY 8, 2023

Case: A 57-year-old woman with hypertension, hyperlipidemia and type-2 diabetes mellitus presents to the emergency department (ED) with fever, cough, myalgias, headache and congestion. Managing editor of EM:RAP and Associate Editor at REBEL EM. It’s flu season and you’ve already seen 15 people with the same symptoms.

CDC 95

CDC Hospitals EMS Emergency Department 95

Mind The Bleep

NOVEMBER 6, 2023

Sight Threatening Conditions in the Emergency Department Open globe injury Key signs without needing a slit lamp: Prolapse of intraocular contents (e.g. Sight Threatening Conditions in the Emergency Department Open globe injury Key signs without needing a slit lamp: Prolapse of intraocular contents (e.g. Serrano et al.

Emergency Department 52

Emergency Department Dislocations Burns Fractures 52

ALiEM

DECEMBER 18, 2023

A 19-year-old female with a past medical history of epilepsy presented to the emergency department for evaluation of rash and fever. 2013 Jun;6(6):31-7. Two days prior to presentation she began to experience fevers with a Tmax of 103°F. The patient endorsed associated pruritus and cervical lymphadenopathy with the rash.

Academics 70

Academics Emergency Department Wellness 70

RebelEM

MARCH 8, 2023

Emergency Department Management: Emergency ophthalmology consultation. Emergency surgical management indicated if concomitant retinal tear, vitreous hemorrhage, or retinal detachment. et al, Emergency Medicine Clinical Essentials ed 2. Philadelphia: Elsevier, 2013 (Ch) 26: p.

Stroke 52

Stroke Emergency Department Ultrasounds Outcomes 52

EB Medicine

MAY 3, 2019

This month, we’re moving into uncharted territories for the podcast… we’re talking psychiatry Nachi: Specifically, we’ll be discussing Depressed and Suicidal Patients in the emergency department. Routine serum testing and urine toxicology testing are not recommended for psychiatric patients presenting to the emergency department.

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

The Skeptics' Guide to EM

APRIL 24, 2021

Randomized Double-blind Trial Intramuscular Droperidol, Ziprasidone and Lorazepam for Acute Undifferentiated Agitation in the Emergency Department. Way back in 2013 we looked at haloperidol for agitation due to psychosis ( SGEM#45 ) and concluded that it was an effective treatment but had common side effects.

Emergency Department 40

Emergency Department Research Outcomes Documentation/Coding 40

Pediatric EM Morsels

FEBRUARY 2, 2024

Internationally Acquired Severe Systemic Infections in Febrile Pediatric Travelers Presenting to the Emergency Department. Pediatr Emerg Care. In the 1950’s travel accounted for 25 million international tourists. 2021 Dec 1;37(12):e1315-e1320. PMID: 31977776 Lalos S, Farrar D, Science M, Morris S.

Infectious Diseases 161

Infectious Diseases Pediatrics Sepsis Documentation/Coding 161

EMDocs

JUNE 7, 2023

Parenteral organophosphorus poisoning in a rural emergency department: a case report. 2013; 6:524. Published 2013 Dec 9. Clin Toxicol (Phila) 51: 838, 2013. She is speaking one word at a time and constantly coughing. She complains of dizziness, nausea, and abdominal cramps. Iran Red Crescent Med J 16: e5072, 2014.

Poisoning 83

Poisoning Airway Management Seizures PPE 83