RebelEM

MARCH 9, 2023

Prerost 2014) In a patient with chronic alcohol use, hallucinations should prompt consideration of acute intoxication, alcoholic hallucinosis, or delirium tremens (DT). Hamilton 2014) Patients with alcohol intoxication have an extremely high risk of intracranial pathology, and the threshold for obtaining head imaging should be very low.

Psychiatric 52

Psychiatric Emergency Department Fractures Documentation/Coding 52

PHEM Cast

DECEMBER 1, 2017

For example, here are the locations identified as ‘2nd ICS mid clavicular line’ amongst 25 EM physicians in a 2005 EMJ paper. Journal of Special Operations Medicine : a Peer Reviewed Journal for SOF Medical Professionals , 13 (4), 53–58. Note – again please do not use this location! link] Harcke, H. Branco, B.

Academics 52

Academics Radiology Radiology Resuscitation 52

Advanced Emergency Nursing from AENJ

NOVEMBER 20, 2014

Police officers have poor hit probability, ricochets may occur, suppressive fire may be used (“keep ‘em pinned down”), or even ‘spray and pray.” Spinal Cord (2014) 52, 504–510; doi:10.1038/sc.2014.56; New CPRC Report: Errors in Bloomberg’s latest report on Mass Shootings October 2, 2014 Crime Prevention Research Center Lott, John R.,

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

Advanced Emergency Nursing from AENJ

SEPTEMBER 17, 2014

If it is a large public event, with foreseeable risks, and admission is charged of other value exchanged, then it may be wise to contract for needed services from licensed and insured providers: Venue operators, Security firm; event medical crews or EMS stand-by providers; to provide some shielding to your group as to liability.

Operations 40

Operations Emergency Nursing Hospitals Pediatrics 40

Advanced Emergency Nursing from AENJ

JULY 9, 2015

They may be entrapped; have limited access; may be midway in an operating position that can’t be changed; may need to be sitting due to pulmonary edema, morbid obesity, aspiration prevention or for awake intubation. Video] Sep 15, 2014. Mar 27, 2014. Video] Feb 11, 2014. YouTube.com [Time=33’11” Presentation] EMS World.

Airway Management 40

Airway Management Pediatrics Resuscitation Emergency Nursing 40

ALiEM

MAY 13, 2024

63M with an Erythematous Abdomen Limitations of POCUS As with all ultrasound applications, soft tissue POCUS is operator dependent. 2014 Feb;15(1):111-3. Lam SHF, Sivitz A, Alade K, Doniger SJ, Tessaro MO, Rabiner JE, Arroyo A, Castillo EM, Thompson CA, Yang M, Mistry RD. The ultrasound can only see what is scanned. 2020.01.004.

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

EB Medicine

JULY 8, 2019

Jeff: A 2014 study even showed an up to 80% reduction in the likelihood of developing DM2 postoperatively at the 7-year mark. 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.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

EMDocs

SEPTEMBER 21, 2024

We’ll keep it short, while you keep that EM brain sharp. Published 2014 Sep 19. The post EM @3AM: Phalanx Dislocation appeared first on emDOCs.net - Emergency Medicine Education. 2018;34(2):149-165. doi:10.1016/j.hcl.2017.12.005 2017.12.005 Chung S, Sood A, Lee E. 2014;14:ic33. Ahn L, Blomberg J. Phalanx dislocations.

Dislocations 97

Dislocations EMS Fractures Operations 97

EMDocs

SEPTEMBER 25, 2023

Improved Visualization: Video laryngoscopes allow for the use of standard or hyperangulated geometry, essentially allowing the operator to “look around the corner” on an anterior airway. Operators can manipulate the blade with less force to optimize the view, making it easier to identify and navigate the endotracheal tube into the trachea.

Emergency Department 91

Emergency Department Soft Tissue Injuries Airway Management Operations 91

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. Operative complications requiring surgical intervention or hospitalization occur in about 3-6% of all hysterectomies (5).

OB/GYN 92

OB/GYN Operations EMS Ultrasounds 92

EMDocs

OCTOBER 17, 2023

CT is the most useful examination for patients with suspected complications of colonic diverticulitis because of its reproducibility, superior diagnostic accuracy (98%)m accuracy for alternative diagnoses with a similar presentation, risk-stratification of patients for operative versus nonoperative treatment, and inpatient versus outpatient triage.

Radiology 93

Radiology Radiology Operations Best Practices 93

Don't Forget the Bubbles

JUNE 30, 2023

A recent review was conducted on Trauma Quality Improvement Program data between 2014 and 2016. These procedures require an experienced operator. These procedures require an experienced operator. These procedures require an experienced operator. 2014 Sep;45(9):1287-95. Really, in a 14-year-old? You are not sure.

Resuscitation 139

Resuscitation Operations Sepsis Pediatrics 139

PHEM Cast

JULY 6, 2017

[link] The West Midlands surgical skills course offers cadaveric training for PHEM and EM practitioners on rare life saving procedures. Cricothyrotomy performed with the Melker set or the QuickTrach kit: procedure times, learning curves and operators’ preference. Click here to go straight to their page. Frerk et al. Sottile, D.,

Airway Management 52

Airway Management Academics Operations Resuscitation 52

Northwestern EM Blog

MAY 16, 2022

Follow up CT should depend on the patient and ultrasound operator. Lastly the POCUS operators were ED physicians with training “recommended by ACEP.” This is a great summary of the landmark randomized trial published in NEJM in 2014 assessing CT vs two types of US for patients with suspected renal colic in the ED setting.

Ultrasounds 52

Ultrasounds Radiology Radiology Outcomes 52

Advanced Emergency Nursing from AENJ

DECEMBER 18, 2014

Classic Advice to New Interns (Commentary upon 10 Commandments of EM) Ten Commandments of Emergency Medicine Luke & Cusack Cork Emergency Medicine 2014 The Derriford twelve commandments of emergency medicine: a model for good practice in a changing world, or a survival guide for new medical staff Smith, J.

Mass Casualty Incidents 40

Mass Casualty Incidents Burns Urgent Care Pediatrics 40

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Farrington] Rebuilding of outdated hospitals put emergency rooms on ground level with nearby X-ray service, and, ideally, sometimes closer to the Blood Bank and the Operating Rooms. Advocacy for Trauma Care and EMS Development. Development of EM Residencies. EM begins to "Own the Airway" (emergent). EDNA->ENA.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

EMDocs

DECEMBER 18, 2023

Today, she would not get out of bed, prompting the facility to call EMS. When analyzing the receiver operating characteristic (ROC) curve of the pooled data, optimal diagnostic accuracy of MDW for sepsis prediction was seen (pooled sensitivity of 0.838 and specificity of 0.704 for Sepsis-3 criteria). She had a fever of 38.7 °C

Sepsis 90

Sepsis Fluid Resuscitation Resuscitation Shock 90

Don't Forget the Bubbles

MAY 3, 2023

Because of the retrospective nature of the study, the decision to use the bougie was operator-dependent. EMS Use and Success Rates of Intraosseous Infusion for Pediatric Resuscitations: A Large Regional Health System Experience. This could be explained by less experienced personnel dealing with the paediatric airway. Garabon et al.

CPR 52

CPR Airway Management Emergency Department Resuscitation 52

Advanced Emergency Nursing from AENJ

MAY 3, 2014

Review of the Wellcome Library movies on YouTube (1945) [ links below in references ] is instructive as to resuscitative methods of the 1930s and 1940s: Manual methods; gas bag or bellows operated by hand or machine; an anesthesia gas machine; or iron lung. Resuscitation set, Europe, 1801-1850 - Science Museum, London. Fell-O’Dwyer Apparatus.

Resuscitation 40

Resuscitation Military Operations Emergency Nursing 40

Advanced Emergency Nursing from AENJ

SEPTEMBER 4, 2014

It wrongly frightened some medical personnel as it was operated by a 50 psi wall source or from a step-down regulator from a tank (some thought the patient received wall 50 psi or 1500 psig from the tank directly to the lung. Accessed July 28, 2014 **Quoting original documents of fascinating history. Grainge, C. Filbrun, T.,

Resuscitation 40

Resuscitation CPR Documentation/Coding Military 40

Pediatric Emergency Playbook

FEBRUARY 1, 2016

REBOA If you have access to resuscitative endovascular balloon occlusion of the aorta or REBOA, this may be an option to temporize the child to get him to the relative control of the operating room. 2014 Apr;133(4):e1104-16. Withholding or termination of resuscitation in pediatric out-of-hospital traumatic cardiopulmonary arrest.

Resuscitation 40

Resuscitation Pediatrics Fractures Emergency Department 40

Advanced Emergency Nursing from AENJ

APRIL 8, 2014

Implementation and care directives for "EMS" mouth-to-airway. Artificial Respiration by Mouth-to-Mask Method — A Study of the Respiratory Gas Exchange of Paralyzed Patients Ventilated by Operator's Expired Air. Training in Ambulance and Emergency Programs McMahon, Martin C. S., & Elder Jr, J. Sands Jr, R.

Resuscitation 40

Resuscitation Ambulance Services Research Military 40

EMDocs

NOVEMBER 4, 2024

Bhana, MD (EM Resident Physician, University of Massachusetts/UMass Chan Medical School); Clarence Kong, MD (Pain Fellow, Eastern Virginia Medical School – Virginia Health Sciences at Old Dominion University); Mani Hashemi, MD (EM Attending, HCA Florida Mercy Hospital); S.M. 2017.04.011 Witt CE, Bulger EM. Authors: Nikhil B.

Emergency Department 106

Emergency Department Fractures Burns EMS 106

EMDocs

NOVEMBER 13, 2023

Authors: Mary Hamblen, DO (EM Resident Physician, TX); Justin Hacnik, MD (EM Resident Physician, TX); Katherine Spencer, MD (EM Resident Physician, TX); J.D. J Neurosurg 2014, 121 (1), 24-31. CTA of the Brain is a Reasonable Option to Consider to Help Rule out Subarachnoid Hemorrhage in Select Patients ; AAEM, 2014.

Stroke 105

Stroke Radiology Radiology Emergency Department 105

RebelEM

DECEMBER 18, 2024

2014; 47(6):676-81. Philadelphia: Elsevier Saunders, 2014. Rezaie, MD (Twitter/X: @srrezaie ) The post REBEL Core Cast 133.0 – TMJ Dislocation appeared first on REBEL EM - Emergency Medicine Blog. GorchynskiJ et al. J Emerg Med. PMID 25278137 Marx JA et al. Rosens Emergency Medicine: Concepts and Clinical Practice, 7 ed.

Dislocations 52

Dislocations Fractures Operations EMS 52

Taming the SRU

MAY 22, 2023

As an EM physician, it is important to have an understanding of the spectrum of ankle injuries and how these are appropriately evaluated. weight-bearing status, operative vs. non-operative) If necessary/helpful to ensure adequate follow-up At time of discharge: Counsel on expected course of injury, supportive care (e.g.,

Fractures 77

Fractures Dislocations Operations Radiology 77

Taming the SRU

MAY 23, 2023

As an EM physician, it is important to have an understanding of the spectrum of foot injuries and how these are appropriately evaluated. weight-bearing status, operative vs. non-operative) If necessary/helpful to ensure adequate follow-up At time of discharge Counsel on expected course of injury, supportive care (e.g.,

Fractures 57

Fractures Dislocations Operations EMS 57

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. 2014 Oct;31(e1):e19-24. Pediatric emergencies are challenging. Today we cover the Phoenix Sepsis Criteria. 0.38 (95% CI 0.20-0.39)

Sepsis 94

Sepsis Pediatrics Shock Hospitals 94

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

They also proved that only expired air resuscitation guaranteed sufficient inflation volumes; that exhaled air was a suitable resuscitating gas; and that the operator would have continuous feedback from each breath. Ontario EMS Nasal Tracheal Intubation Video on the YouTube Channel of Ontario EMS. Brown III, MD, Ali S.

Resuscitation 40

Resuscitation Airway Management EMS CPR 40