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

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

EMDocs

AUGUST 22, 2024

3,4 Notably, institutions receiving federal funding (such as hospitals receiving Medicare reimbursement) must abide by Title VI of the 1964 Civil Rights Act, which entitles persons with NELP to language assistance. 12 How do we address these disparities in the emergency department? Lion KC, et al. Pediatrics. 135:e709-e716.

Documentation/Coding 104

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 104

The Skeptics' Guide to EM

JULY 8, 2023

Evaluation of oseltamivir used to prevent hospitalization in outpatients with influenza: a systematic review and meta-analysis. Guest Skeptic: Dr. Anand Swaminathan is an Assistant Professor of Emergency Medicine at Staten Island University Hospital. Date: July 6, 2023 Reference: Hanula R et al. JAMA Int Med 2023.

CDC 108

CDC Hospitals EMS Emergency Department 108

The Skeptics' Guide to EM

SEPTEMBER 9, 2023

Casey currently splits his time between Broome, a small rural hospital in the remote Kimberley region of Western Australia, and a large tertiary ED in sunny Perth. Case: It is a steady Saturday afternoon in your rural emergency department (ED). He has been a guest skeptic on the SGEM multiple times.

Fractures 139

Fractures Ultrasounds Pediatrics Outcomes 139

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

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

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

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 104

Documentation/Coding Hospitals Patient Safety Emergency Department 104

RebelEM

JANUARY 25, 2024

In many emergency departments (ED), US machines are readily available and can be used to rapidly assess and monitor patients with acute dyspnea at the bedside. What They Did: Design: Randomized, controlled, blinded-outcome trial Sites: Three emergency departments in Denmark Duration: October 9, 2019 to May 26, 2021.

Ultrasounds 129

Ultrasounds Outcomes COPD Hospitals 129

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. There may be a role in viral respiratory panels for children admitted to the hospital or intensive care unit. 2013 Feb;18(1):5-10. SpO2 is 88%. cystic fibrosis).

Emergency Department 84

Emergency Department Pediatrics Point-of-Care Testing Hospitals 84

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

ACEP Now

AUGUST 1, 2023

How does that apply to the role of the board certified emergency physician? Fundamentally, I believe every patient coming to an emergency department is best served by care delivered by board certified emergency physicians. When those same fundamentals done right achieve great success, they aren’t little at all.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

EMDocs

OCTOBER 30, 2023

1 The shortage in supply posed difficulties for hospitals that significantly depend on GE Healthcare as their supplier, which encompassed approximately 50% of hospitals in the United States (US). 3 A study of CT use trends in the ED has shown increasing use of CTs by almost 60% from 2005 to 2013. 11 Table 1. 11 Table 1.

Radiology 99

Radiology Radiology Emergency Department Hospitals 99

PHEM Cast

JANUARY 4, 2017

Scenario based outdoor simulation in pre-hospital trauma care using a simple mannequin model. 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. BMJ Quality & Safety.

Teamwork 52

Teamwork Burns Emergency Department Resuscitation 52

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 108

Basic Life Support CPR Fractures Emergency Department 108

Don't Forget the Bubbles

AUGUST 7, 2023

This prospective cohort study included patients between 0-16 years old, who presented to one of four NHS hospital sites in Greater Manchester (a large metropolitan area in the North of England), consisting of an Urgent Care Centre and three Emergency Departments. 2013 Apr 1;131(4):e1150–7. Acad Emerg Med.

Sepsis 98

Sepsis Pediatrics Urgent Care Emergency Department 98

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. ECGpedia , 22 May 2013, [link]. Heart Rhythm. 2013;10(12):1932-1963. Circulation. 2005;112(22):3680-3687.

EMS 105

EMS EKG/ECG Documentation/Coding Emergency Department 105

EMDocs

JANUARY 16, 2024

Louis) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case You are working in the trauma/critical care pod of your emergency department (ED). You receive a page for a cardiac arrest and take report from emergency medical services (EMS). 2013 Jan 24;368(4):394]. Ann Emerg Med. N Engl J Med.

Hyperthermia / Hypothermia 109

Hyperthermia / Hypothermia Resuscitation CPR EMS 109

Taming the SRU

FEBRUARY 12, 2024

HISTORY OF PRESENT ILLNESS A female in her 30s arrives to the emergency department via emergency medical services. She initially agreed to be transported to the hospital by ambulance, but jumped from the moving vehicle and was subsequently struck and pinned under the fuselage for 10-15 minutes. Blood Coagul Fibrinolysis.

Administration 80

Administration Fractures Anaphylaxis Head Injuries 80

PHEM Cast

APRIL 10, 2016

One year mortality of patients treated with an emergency department based early goal directed therapy protocol for severe sepsis and septic shock: a before and after study. Severe Sepsis in Pre-Hospital Emergency Care. J Emerg Med. 2013 Jun;44(6):1116–25. 2013 Apr;28(2):104–6. Prehosp Emerg Care.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

The Skeptics' Guide to EM

JANUARY 19, 2019

Hospital Observation Upon Reversal (HOUR) With Naloxone: A Prospective Clinical Prediction Rule Validation Study. Hospital Observation Upon Reversal (HOUR) With Naloxone: A Prospective Clinical Prediction Rule Validation Study. Date: January 17th , 2019 Reference: Clemency et al. Date: January 17th , 2019 Reference: Clemency et al.

EMS 52

EMS CDC Emergency Department Hospitals 52

The Skeptics' Guide to EM

APRIL 24, 2021

Date: April 19th, 2021 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). Droperidol has been used widely, particularly in Australasia, for acute severe agitation. Reference: Martel et al.

Emergency Department 40

Emergency Department Research Outcomes Documentation/Coding 40

RebelEM

MARCH 23, 2023

REBEL Cast Ep115 – Phenobarbital vs Lorazepam in Alcohol Withdrawal Click here for Direct Download of the Podcast Clinical question : Is a phenobarbital-based or lorazepam-based alcohol detoxification protocol associated with a lower hospital length of stay compared to Ativan for alcohol withdrawal? Paper : Hawa F et al.

Emergency Department 52

Emergency Department Outcomes Burns Hospitals 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Several prognostic tools have been developed to predict the outcome of Major Trauma patients that present acutely to hospital. 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.

Hospitals 40

Hospitals Emergency Department Outcomes Research 40

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. It’s also important to elicit any psychiatric history, including prior hospitalizations. Talk to you next month! Reference book) 15.

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

Taming the SRU

SEPTEMBER 15, 2023

ultrasound grand rounds: bedside dvt studies - family presence in the ed/icu - r1 clinical knowledge: aicd - r3 small groups: difficult airway management Ultrasound grand rounds: DVT studies WITH Dr. minges Why should we perform bedside DVT studies in the ED? ETT onto a fiberoptic scope.

CPR 90

CPR Burns Airway Management Wellness 90

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

The Skeptics' Guide to EM

OCTOBER 28, 2017

Pediatrics 2017 Guest Skeptic: Dr. Anthony Crocco is a Pediatric Emergency Physician and is the Medical Director & Division Head of the Division of Pediatric Emergency at McMaster’s Children’s Hospital. Case: […] The post SGEM#193: Stop, In the Name of Love first appeared on The Skeptics Guide to Emergency Medicine.

Pediatrics 52

Pediatrics Documentation/Coding Emergency Department Hospitals 52

EMDocs

FEBRUARY 22, 2024

Authors: Katey DG Osborne, MD (EM Attending Physician: Tacoma, WA) and Rachel Bridwell, MD (EM Attending Physician: Tacoma, WA) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital); Brit Long, MD (@long_brit, EM Attending Physician, San Antonio, TX) Welcome to emDOCs revamp! 2013; 7362.

EMS 98

EMS Emergency Department Hospitals 98

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. References Tourette syndrome information pack | Great Ormond Street Hospital Ueda K. What are tics?

Emergency Department 59

Emergency Department Research Hospitals Wellness 59

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

EB Medicine

AUGUST 6, 2019

Interestingly, one retrospective study found limited agreement between EMS records and hospital documentation on current DOAC usage. Jeff: Also, worth mentioning here is the importance of hematology input in developing hospital-wide protocols for reversal agents, especially if availability of certain agents is limited.

Emergency Department 40

Emergency Department Stroke Wellness Outcomes 40

ACEP Now

OCTOBER 30, 2023

These initiatives aim to equip physicians with an evidence-based approach and effective management strategies for common emergency-department scenarios. ESEM hosted the second Global Network Collaborative Conference on Emergency Medicine in 2013 and organized its first large scientific conference in Dubai in December 2014.

Leadership 52

Leadership Emergency Department Ultrasounds CPR 52

EMDocs

JANUARY 29, 2024

Introduction: Neurologic emergencies are common in the Emergency Department (ED), and blood pressure management is critical to immediate management. Blood Pressure Variability Predicts Poor In-Hospital Outcome in Spontaneous Intracerebral Hemorrhage. 2013 Jul;44(7):1846-51. Epub 2013 May 23. PMID: 35579034.

Stroke 99

Stroke Outcomes EMS Seizures 99

Dr. Smith's ECG Blog

OCTOBER 20, 2013

in Vienna found that 27 of 765 (4%) of out of hospital cardiac arrests (OHCA) were due to SAH. Only 1 of 27 survived, after 45 days in the hospital, with a cerebral performance category of 2; this patient had ventricular fibrillation. Data collected included demographics, initial rhythm, EKG, emergency department (ED) CT and outcomes.

Resuscitation 52

Resuscitation EKG/ECG Hospitals Emergency Department 52

Downeast Emergency Medicine

MAY 16, 2022

The following three journal club articles sought to investigate the potential clinical benefits for the use of phenobarbital in the emergency department (ED) for the treatment of AWS. The Journal of Emergency Medicine. 3, pp 592-598, 2013.[ Articles reviewed 1. Staidle, et al. Rosenson, et al. Volume 44, No.

Outcomes 52

Outcomes Emergency Department Hospitals Wellness 52