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

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 128

Ultrasounds Outcomes COPD Hospitals 128

EB Medicine

JUNE 1, 2018

Join hosts Jeff Nusbaum, MD, and Nachi Gupta, MD on this episode of EMplify as they take you through the June 2018 issue of Emergency Medicine Practice: Managing Shoulder Injuries in the Emergency Department Fracture, Dislocation, and Overuse. 2014(5):CD007121. 2014(5):CD007121. J Shoulder Elbow Surg.

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Dislocations Emergency Department Fractures Research 40

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. 2014 Sep;134(3):555-62. SpO2 is 88%. cystic fibrosis).

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Emergency Department Pediatrics Point-of-Care Testing Hospitals 84

Don't Forget the Bubbles

MARCH 19, 2024

This has coincided with a widespread shortage of specialist placements for children facing behavioural, psychiatric, and child protection challenges, leading to an over-reliance on the placement of these children in hospitals. A paediatric social admission is one where a child is admitted to the hospital but not for a medical reason.

Hospitals 52

Hospitals Psychiatric Documentation/Coding Pediatrics 52

Don't Forget the Bubbles

MAY 29, 2023

A qualitative study of 2,815 pre-hospital clinicians reported that nearly half of the respondents had experienced incivility from professional teams at least once a week. BMJ Quality & Safety [Internet] 2014; 23:106-115. Acad Med [Internet] 2014; 89:5:817-827. BMC Health Serv Res [Internet] 2014:14:61 (2014).

Leadership 98

Leadership Patient Safety Academics Research 98

Don't Forget the Bubbles

NOVEMBER 20, 2023

Neck lumps are a common presenting complaint to the paediatric emergency department with many aetiologies, sometimes resulting in a diagnostic conundrum. Royal Children’s Hospital. Royal Children’s Hospital, Melbourne. December 2014 Soldes O, Yunger J, Hirschl R. Pediatric Neck Mass. Cervical Lymphadenopathy.

Pediatrics 124

Pediatrics Documentation/Coding Emergency Department Ultrasounds 124

Emergency Medicine Journal

NOVEMBER 28, 2023

2014; 168 (11):1073-4. 2014; 5 (6):229-41. Overprescribing and inappropriate antibiotic selection for children with pharyngitis in the United States, 1997-2010. JAMA Pediatr. Llor C, Bjerrum L. Antimicrobial resistance: risk associated with antibiotic overuse and initiatives to reduce the problem. Ther Adv Drug Saf.

Emergency Department 40

Emergency Department Hospitals Pediatrics Research 40

EMDocs

JANUARY 3, 2024

The goal of these devices is to detect a heart failure decompensation early and to reduce hospital admissions. 2 These implantable devices offer physiological parameters to direct therapies and reduce hospitalizations. The device group experienced 39% fewer HF hospitalizations over the study period.

Allergic Reactions 112

Allergic Reactions Hospitals EMS Emergency Department 112

RebelEM

FEBRUARY 5, 2024

Sites: Investigators recruited patients at 31 French emergency departments at university and nonuniversity hospitals Duration : June 1, 2009 to March 31, 2015. Funding: The Cardinal Health Laboratory provided Turkel thoracentesis kits to two hospitals Trial Registry: Clinicaltrials.gov: NCT01008228.

Outcomes 103

Outcomes Hospitals Research Emergency Department 103

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. 2014; 36: 853-857. BMJ Quality & Safety.

Teamwork 52

Teamwork Burns Emergency Department Resuscitation 52

EMDocs

SEPTEMBER 27, 2023

This would be similar to how all other Medicare providers (long-term care facilities, hospital payments, etc.) As emergency medicine physicians, we are acutely aware of how being unable to afford chronic medications leads to severe life-threatening complications and preventable visits to our Emergency Departments.

Emergency Department 86

Emergency Department Research Outcomes Hospitals 86

RebelEM

MARCH 9, 2023

However, evaluating and managing patients with acute alcohol intoxication in the emergency department can be challenging. Prerost 2014) In a patient with chronic alcohol use, hallucinations should prompt consideration of acute intoxication, alcoholic hallucinosis, or delirium tremens (DT). Annals of Emergency Medicine.

Psychiatric 52

Psychiatric Emergency Department Fractures Documentation/Coding 52

The Skeptics' Guide to EM

JANUARY 14, 2018

Effectiveness of intravenous lidocaine versus intravenous morphine for patients with renal colic in the emergency department. Urology 2012 Guest Skeptics: Dr. Tony Seupaul is the Chairman of the Department of Emergency Medicine at the University of Arkansas. Of course we were skeptical and wanted to review the evidence.

Emergency Department 52

Emergency Department Ultrasounds Hospitals 52

The Injectable Orange

APRIL 4, 2017

For many Australian hospitals, April is ‘No Falls Month’ This month we have a full-scale education attack against one of the most prevalent forms of in hospital patient harm – the fall. Predicting Geriatric Falls Following an Episode of Emergency Department Care: A Systematic Review. Avidan, M.

Emergency Department 52

Emergency Department Evidence-Based Practice Academics Documentation/Coding 52

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 Burns Outcomes Hospitals 52

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. 2014 Oct 28;:1–9. UK Sepsis Trust; 2014 Nov pp. Am J Emerg Med. Prehosp Emerg Care.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

Don't Forget the Bubbles

SEPTEMBER 23, 2023

Facilitator-in-chief’ is my role when leading the ED Musos virtual choir and orchestra, and this also applies to my job in the hospital as Director of the Emergency Department. I love emergency medicine because, as Dan Sandberg once said, it is ‘ the most interesting 15 minutes of every other speciality ’.

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Leadership Teamwork Hospitals Emergency Department 136

The Skeptics' Guide to EM

FEBRUARY 26, 2022

Emergency psychiatric assessment, treatment, and healing (EmPATH) unit decreases hospital admission for patients presenting with suicidal ideation in rural America. She is […] The post SGEM#360: We Care a Lot – The EmPATH Study first appeared on The Skeptics Guide to Emergency Medicine. AEM February 2022. AEM February 2022.

Psychiatric 52

Psychiatric Hospitals Academics Research 52

EMDocs

OCTOBER 21, 2023

In hospital mortality estimated at 30-40%. 17 65-78% of survivors have significant disability one month after hospital discharge. Application of the ABCD2 score to identify cerebrovascular causes of dizziness in the emergency department. link] Published January 2014. Epub 2014 Dec 4. Arch Neurol. 114.007036.

EMS 97

EMS Stroke Outcomes Hospitals 97

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. Jan; 151(1): 127-138.

Administration 81

Administration Fractures Anaphylaxis Head Injuries 81

The Skeptics' Guide to EM

NOVEMBER 20, 2021

Moving the Needle on Fall Prevention: A Geriatric Emergency Care Applied Research (GEAR) Network Scoping Review and Consensus Statement. AEM November 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).

Geriatric Emergencies 52

Geriatric Emergencies Elder Abuse Research Academics 52

Don't Forget the Bubbles

JUNE 17, 2024

Introduction: Civility Matters Healthcare environments, particularly emergency departments, are characterised by high levels of Volatility, Uncertainty, Complexity, and Ambiguity ( VUCA ). Creating a culture of safety and respect through professional accountability: case study of the Ethos program across eight Australian hospitals.

Leadership 105

Leadership Resuscitation Teamwork Patient Safety 105

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

Taming the SRU

OCTOBER 23, 2023

THE CASE A female in her early 20s, G4P2012, presents to the emergency department (ED) with a 5 day history of left lower quadrant abdominal pain which has been worsening since onset. After a short period of recovery in the hospital, she is discharged home in stable condition with follow-up with OBGYN. Ultrasonography.

Ultrasounds 99

Ultrasounds Operations Radiology Radiology 99

The Skeptics' Guide to EM

JANUARY 12, 2019

He is also one of the world’s leading researchers on pain management in the emergency department and specifically the use of ketamine. We haver reviewed papers on pain management in the emergency department for many years on the SGEM. However, these were not patients recruited from the emergency department.

Emergency Department 40

Emergency Department Research Outcomes Hospitals 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

ACEP Now

NOVEMBER 7, 2023

A 67-year-old man presents to the emergency department (ED) in cardiac arrest. Out-of-hospital cardiac arrest unfortunately occurs relatively commonly and emergency physicians must be equipped to diagnose and treat this rapidly. The primary outcome was survival to hospital discharge. Circulation. N Engl J Med.

Resuscitation 52

Resuscitation Hospitals Shock CPR 52

PEMBlog

JULY 17, 2023

At that point you can follow the step of inserting new G-tube Bonus Videos This video is by Nemours Children’s Hospital. 18, 2014, doi:10.1056/nejmvcm1207131. Gastrostomy Tube-Related Complaints in the Pediatric Emergency Department.” Pediatric Emergency Care, vol. The American Journal of Emergency Medicine, vol.

Pediatrics 52

Pediatrics Emergency Department Hospitals 52

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 90

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 90

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. 2014 Apr;13(4):364-73. Epub 2014 Feb 13. doi: 10.1161/STR.0000000000000407.

Stroke 98

Stroke Outcomes EMS Seizures 98

The Skeptics' Guide to EM

SEPTEMBER 7, 2018

Guest Skeptic: Dr. Ben Lawton is a paediatric emergency physician in Brisbane Australia. He divides his time between a tertiary children’s hospital and a community hospital that is busy enough to have its own paediatric […] The post SGEM#228: Winds of Change – High Flow Nasal Oxygen for Acute Bronchiolitis? NEJM March 2018.

Dehydration 40

Dehydration Pediatrics Hospitals Academics 40

The Skeptics' Guide to EM

DECEMBER 16, 2017

NEJM Dec 2016 Guest Skeptic: Dr. Neal Little is an Emergency Physician who works at Chelsea Hospital in Chelsea, Michigan. He is also a Faculty member of the Emergency Medicine and Acute Care Series 1986 to present. He is also a Faculty member of the Emergency Medicine and Acute Care Series 1986 to present.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Seizures Hospitals Stroke 40

Pediatric Emergency Playbook

DECEMBER 1, 2016

Pros and Cons in Audio; the 2006 AAP Guidelines and the 2014 AAP Guidelines use same data to come to divergent recommendations. There were no differences in length of hospital stay between the placebo and treatment groups, and so they concluded that for inpatients, nebulized epinephrine is not worth the hassle. 2014 May;133(5):769-75.

Pediatrics 40

Pediatrics Emergency Department Hospitals Wellness 40

RebelEM

DECEMBER 1, 2022

Background: Pneumothorax management is a common clinical condition in the emergency department (ED) occurring in patients of varying ages and caused by multiple etiologies, including spontaneous, traumatic, and iatrogenic pneumothorax. Regardless of the cause, a thoracostomy is often required for treatment (Currie 2007 ). Air is Air?

Outcomes 52

Outcomes Hospitals Research Critical Access 52

Advanced Emergency Nursing from AENJ

NOVEMBER 20, 2014

Ballistic injuries in the emergency department. Emergency medicine practice, 13(12), 1-30. BULLETIN-HOSPITAL FOR JOINT DISEASES NEW YORK, 64(3/4), 139. Spinal Cord (2014) 52, 504–510; doi:10.1038/sc.2014.56; PMID: 24350154 [PubMed] PMCID: PMC3860682 Tactical Combat Casualty Care (ppt) Dan S. Gustafson, C.

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

Pediatric Emergency Playbook

AUGUST 1, 2017

One of our largest responsibilities in the Emergency Department is sorting out benign from surgical or medical causes of abdominal pain. Abdominal Surgical Emergencies in Children: A Relative Timeline General Advice Neonate (birth to one month) Necrotizing Enterocolitis Pneumatosis Intestinalis. J Pediatr Surg 2014; 49:1619.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52