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The Broselow-Luten System

Pediatric EM Morsels

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. Prehosp Emerg Care. Pediatrics.

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Improving Care for Patients with a Non-English Language Preference (NELP)

EMDocs

12 How do we address these disparities in the emergency department? As providers, we must advocate for systemic and individual changes to improve care for NELP patients. Improving patient safety systems for patients with limited English proficiency: a guide for hospitals. Annals of Emergency Medicine.

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Did Not Wait – DNW

Don't Forget the Bubbles

In the UK, as in most developed countries, more patients are presenting to Emergency Departments (EDs) with minor illnesses or injuries. Critically unwell or injured patients are prioritised, whereas those who are felt to be less unwell wait longer for clinical review. Simpson et al. Simpson et al.

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Medical Malpractice Insights: The challenge of suicide evaluation in the ED

EMDocs

The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. Assessment of Patients’ Competence to Consent to Treatment. Literature-based Recommendations for Suicide Assessment in the Emergency Department: A Review. Blogpost, June 2013.

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Contrast Media Shortage of 2022 – Lessons Learned

EMDocs

Background and Context Contrast-enhanced computed tomography (CECT) is of paramount importance in the emergency department (ED) due to its indispensable role in facilitating precise diagnostic outcomes. 3 A study of CT use trends in the ED has shown increasing use of CTs by almost 60% from 2005 to 2013. West J Emerg Med.

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2023 ACEP Elections Preview: Meet the President-Elect and Council Officer Candidates

ACEP Now

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.

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Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

This has been shown to increase the first pass success rate in these challenging scenarios, reducing the risk of complications and optimizing patient safety (23). Case Resolution: The patient was placed on NIPPV. The patient was placed in a semi-fowler’s position and given 0.4mg/kg of midazolam. Int J Emerg Med.