RebelEM

NOVEMBER 6, 2024

Elbow Dislocations in the Emergency Department: A Review of Reduction Techniques. J Emerg Med. Anatomy, Shoulder and Upper Limb, Radial Nerve. 2023 Nov 5. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. PMID: 30521261 Gottlieb M, Schiebout J. 2018 Jun;54(6):849-854. doi: 10.1016/j.jemermed.2018.02.011.

Dislocations 114

Dislocations Fractures Soft Tissue Injuries Outcomes 114

ACEP Now

DECEMBER 11, 2023

The Emergency Department Benchmarking Alliance (EDBA) is a membership organization composed of high-performance emergency departments (EDs) that share a commitment to quality. The time interval referred to as ED boarding time has been part of the hospital’s required data submission to CMS since 2013. ED boarding.

Emergency Department 52

Emergency Department Hospitals EMS Operations 52

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 93

Emergency Department 93

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 271

Pediatrics Resuscitation Documentation/Coding Wellness 271

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 164

Pediatrics Blood Transfusions EMS Fractures 164

The Skeptics' Guide to EM

DECEMBER 30, 2023

Overnight stay in the emergency department and mortality in older patients, JAMA Intern Med 2023 Date: December 18, 2023 Guest Skeptic: Dr. Chris Carpenter, Vice Chair of Emergency Medicine at Mayo Clinic. The Canadian Association of Emergency Physicians ( CAEP ) flagged this issue 10 years ago in 2013.

Hospitals 111

Hospitals Emergency Department Fractures Dislocations 111

Emergency Medicine Journal

FEBRUARY 20, 2024

Since 2013, coroners in England and Wales have issued ‘Prevention of Future Deaths’ (PFD) reports to individuals or organisations if, following an inquest, they believe action should be taken to prevent further avoidable deaths. Using the Judiciary (England and Wales) website, 2277 unique reports were extracted for July 2013 to.

Emergency Department 40

Emergency Department Operations 40

EMDocs

JANUARY 11, 2025

Stercoral colitis in the emergency department: a review of the literature. International journal of emergency medicine, 17(1), 3. Stercoral Colitis in the Emergency Department: A Retrospective Review of Presentation, Management, and Outcomes. Annals of emergency medicine, 82(1), 3746. Stercoral Colitis.

EMS 98

EMS Sepsis Shock Fluid Resuscitation 98

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

FEBRUARY 24, 2025

RESUS SCENARIO Picture this: you just arrived at your shift at the local emergency department. July 2013; PMID: 23774337 Cavallaro, F et al: Diagnostic accuracy of passive leg raising for prediction of fluid responsiveness in adults: systematic review and meta-analysis of clinical studies. Mar 2004; PMID: 15090949.

Ultrasounds 75

Ultrasounds Shock Fluid Resuscitation Resuscitation 75

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

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 97

EMS Psychiatric Emergency Department Poisoning 97

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 139

Fractures Ultrasounds Pediatrics Outcomes 139

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 105

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 105

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 Pediatrics Hospitals 89

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 113

Pediatrics Outcomes Operations Emergency Department 113

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 108

CDC Hospitals EMS Emergency Department 108

EMergucate

JULY 11, 2013

A 53 year old male presents to your Emergency Department following an episode of collapse and this ECG.

EKG/ECG 40

EKG/ECG Emergency Department EMS 40

EMergucate

AUGUST 9, 2013

A 83 year old patient presents to your Emergency Department complaining of lethargy, nausea, and vomiting. This is his ECG.

EKG/ECG 40

EKG/ECG Emergency Department EMS 40

EMergucate

SEPTEMBER 8, 2013

A 47 yr old female with a history of cardiac failure presents to your emergency department with an unrelated injury, … Continue reading →

EKG/ECG 40

EKG/ECG Emergency Department EMS 40

EMergucate

DECEMBER 26, 2013

Following on from last week, this 58 yr old male is brought to your Emergency Department following an out-of-hospital cardiac … Continue reading →

EKG/ECG 40

EKG/ECG Emergency Department Hospitals EMS 40

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 Skeptics' Guide to EM

OCTOBER 20, 2018

Lauren is currently funded by an NHLBI K12 grant (1K12HL138049-01) studying the implementation of evidence-based diagnosis of pulmonary embolism in the emergency department. She presents to the emergency department with chest pain and some shortness of breath. Case: A 64-year-old woman with type-2 diabetes.

Emergency Department 73

Emergency Department Outcomes Pediatrics 73

EB Medicine

DECEMBER 30, 2019

Emergency Department Treatment Oxygen Keep O2 saturation >90% Clinicians may choose not to use continuous pulse oximetry (weak recommendation due to low-level evidence and reasoning) 1 Fluids IV or NG administration of fluids to combat dehydration, until respiratory distress and tachypnea resolve. All were UTIs.

Emergency Department 40

Emergency Department Allergic Reactions Dehydration Pediatrics 40

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

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

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 97

Ultrasounds Emergency Department Wellness 97

EMDocs

OCTOBER 9, 2023

Yoo, MD (Assistant Professor/Core Faculty, San Antonio, TX) // Reviewed by Brit Long, MD (@long_brit) Case An 18-year-old man with a history of asthma and medication noncompliance presents to the emergency department (ED) with acute onset shortness of breath. Published 2013 Aug 15. Which one do you select? 2013;9(1):30.

Basic Life Support 109

Basic Life Support CPR Fractures Emergency Department 109

EMDocs

SEPTEMBER 23, 2023

A 23-year-old man with no significant medical history presents to the emergency department for evaluation of a syncopal episode. ECGpedia , 22 May 2013, [link]. Patients should be counseled to avoid triggers such as fever, alcohol, and certain medications that may precipitate arrhythmias. Heart Rhythm. 2013;10(12):1932-1963.

EMS 105

EMS EKG/ECG Documentation/Coding Emergency Department 105

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. 2013 Feb;18(1):5-10. SpO2 is 88%. Pediatrics. J Clin Virol. 2022.105221.

Emergency Department 84

Emergency Department Pediatrics Point-of-Care Testing Hospitals 84

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

EMDocs

SEPTEMBER 25, 2023

Incidence and factors associated with cardiac arrest complicating emergency airway management. Resuscitation 2013; 84(11): 1500 – 4. actors Associated with the Occurrence of Cardiac Arrest after Emergency Tracheal Intubation in the Emergency Department. Int J Emerg Med. J Emerg Med. 2013): 71-78.

Emergency Department 93

Emergency Department Soft Tissue Injuries Airway Management Operations 93

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

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

PHEM Cast

JANUARY 4, 2017

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. 2013; 22: 468-477. Patterson MD, Geis GL, Falcone RA, LeMaster T, Wears RL. BMJ Quality & Safety. Boet S, Bould MD, Layat Burn C, Reeves S.

Teamwork 52

Teamwork Burns Emergency Department Resuscitation 52

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

Northwestern EM Blog

APRIL 15, 2024

While most of the immediate complications of tracheostomy will occur in the ICU, these patients still frequent our emergency department with and without tracheostomy related emergencies. ENT and airways in the emergency department: national survey of junior doctors’ knowledge and skills. Borrowed from: Morris, L.L.,

Emergency Department 98

Emergency Department Resuscitation Pediatrics Outcomes 98