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

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

ACEP Now

JULY 7, 2024

35-year-old man presents by EMS with seizures. He has been seizing for 30 minutes, despite treatment of intravenous lorazepam by EMS. 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).

Seizures 52

Seizures Emergency Department Outcomes EMS 52

Northwestern EM Blog

MAY 16, 2022

Finally, a burden on us as EM clinicians is training in and awareness of clinical practice guidelines and recommendations from specialties outside of EM. were hospitalizations during f/u period; 26.4% vs. Additionally, although rare, renal infarct can present with acute flank pain and is diagnosed with a contrast CT. Eggers, P.

Ultrasounds 52

Ultrasounds Radiology Radiology Outcomes 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

ACEP Now

OCTOBER 10, 2023

We have seen other bundles, in conditions like sepsis, that did not ultimately turn out to be better than usual care (ARISE, ProMISe and ProCESS). link] Published June 30, 2013. Bundle: The bundle treatment included addressing hypertension, hyperglycemia, pyrexia, and hypercoagulability. N Engl J Med. 2014;371(16):1496-506. Spiegel R.

Outcomes 52

Outcomes Stroke Emergency Department Hospitals 52

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. En route, EMS administered aspirin 325mg by mouth, but withheld nitroglycerin due to initial hypotension. N Engl J Med 2003; 348:1756-1763, 5/1/2013.

EKG/ECG 40

EKG/ECG Shock Fluid Resuscitation Documentation/Coding 40

RebelEM

MAY 15, 2024

Antibiotics are effectively the only thing standing between these patients and overwhelming sepsis. Pathogens ( Gudiol 2013 ) : The pathogens responsible for neutropenic fever have changed over time. Improving the immediate management of neutropenic sepsis in the UK: Lessons from a national audit. Warnick, J., Stretton, K.,

Infectious Diseases 101

Infectious Diseases Administration Sepsis Anaphylaxis 101

EMDocs

OCTOBER 17, 2023

These risk factors are immunosuppression, recent or current antibiotic use, signs of sepsis, symptoms > 5 days, unstable comorbidity, vomiting, CRP > 14 mg/dL or 140 mg/L, or if there are signs of perforation, bleeding, obstruction, or abscess. 2013 May 1;87(9):612-20. 2013 May;15(5):621-6. Am Fam Physician. Int J Surg.

Radiology 94

Radiology Radiology Operations Best Practices 94

EMDocs

OCTOBER 23, 2023

Author: Kristine Jeffers, MD ( EM Physician , San Antonio Uniformed Services Health Education Consortium) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. This may also predispose a patient to sepsis, peritonitis, or bowel infarction, which need to be recognized quickly. Clarke-Pearson D.

OB/GYN 93

OB/GYN Operations EMS Ultrasounds 93

EMDocs

JUNE 27, 2024

Critical Care Medicine 41(12):p A191, December 2013. Sundd P, Gladwin MT, Novelli EM. 2013 Jan-Mar;16(1):91-5. Epub 2013 Aug 7. smoke, high ozone levels, smog) Asthma/reactive airway disease (RAD) Diagnostic criteria 7,8 Respiratory symptoms +/- fever (at least 38.0 C or 100.4 mg/kg, max 0.4 2020 Feb 12;10(1):2470.

Pediatrics 97

Pediatrics Dehydration EMS Hospitals 97

Taming the SRU

JULY 21, 2023

In infants, this can represent a medical emergency as it can quickly lead to orbital cellulitis and sepsis. CASE 3 file Acute Angle Closure-glaucoma.jpg from Wiki EM through CC by 3.0 Louis in Emergency Medicine and a graduate of the UC EM Class of 2021. Jama 310.16 (2013): 1721. accessed June 11, 2023. and Neal P.

Emergency Department 88

Emergency Department EMS Burns Wellness 88

Pediatric EM Morsels

FEBRUARY 2, 2024

PMID: 26368057 The post Travel-Related Illnesses in Children appeared first on Pediatric EM Morsels. In the 1950’s travel accounted for 25 million international tourists. However, the destination of travel is also important as helminths have distinct geographical distribution. Pediatr Infect Dis J. 2015 Dec;34(12):1279-82.

Infectious Diseases 164

Infectious Diseases Pediatrics Sepsis Documentation/Coding 164

Don't Forget the Bubbles

SEPTEMBER 18, 2023

This is true in life-threatening conditions such as sepsis. However, when children do not have features of sepsis, oral antibiotics are equally effective. The take home is that although IV antibiotics are key in sepsis management, oral antibiotics are equally as effective as IV antibiotics for children without critical illness.

Emergency Department 143

Emergency Department Infectious Diseases Pediatrics Sepsis 143

Don't Forget the Bubbles

AUGUST 4, 2024

Neonatal bacterial sepsis. Water bead injuries by children presenting to emergency departments 2013-2023: An expanding issue. Edwards EM, et al. Diagnostic Performance of Machine Learning-based Models in Neonatal Sepsis: A Systematic Review. Beaulieu E, Beno S. Paediatr Child Health. 2024 Jul 22;29(4):255-269. Pediatrics.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Pediatrics Burns Sepsis 52

EMDocs

JANUARY 16, 2025

Authors: Kyle Smiley (EM Resident, BAMC, San Antonio, TX) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Welcome to Critical Kids, an emDOCs series focused on pediatric emergency medicine. Today we cover the Phoenix Sepsis Criteria. Today we cover the Phoenix Sepsis Criteria. but PPV ranges from 25.1-39.5%

Sepsis 95

Sepsis Pediatrics Shock Hospitals 95

Dr. Smith's ECG Blog

DECEMBER 23, 2024

Her family had not heard from her and called EMS. She was resuscitated and admitted to ICU for presumed sepsis. In an effort to reinforce these measures presented by Dr. Frick in his above discussion I've reproduced the following Section from my ACLS-2013-ePub. adapted from Grauer K: ACLS-2013-ePub Section 15, KG/EKG Press ).

EKG/ECG 114

EKG/ECG Shock Ultrasounds Sepsis 114

EMDocs

JANUARY 20, 2025

Sepsis There has been much controversy over the last two decades around the various nuances of volume resuscitation in ED patients with suspected sepsis, much of which goes beyond the scope of this limited review. In 2013 Richer et al. 9 In terms of assessing volume status in general, Joseph et al. 11 A study by Stephan et al.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

EMDocs

MARCH 24, 2025

However, with the global evolution of emergency medicine (EM), more HIV patients now engage with EDs, often presenting with acute complications or in an undifferentiated state before receiving a formal diagnosis. Those with sepsis should receive broad-spectrum antibiotics based on local hospital antibiograms. HIVHost Cell Interactions.

CDC 91

CDC Blood Transfusions Infectious Diseases Sexual Assault 91