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

RebelEM

JANUARY 9, 2024

This finding persists when looking at a number of other infections including skin and soft tissue infections (SSTI) ( First10EM ), pyelonephritis ( Strohmeier 2014 ) and even bone and joint infections ( Li 2019 ). The use of oral temafloxacin compared with a parenteral cephalosporin in hospitalized patients with pneumonia.

Infectious Diseases 98

Infectious Diseases Pediatrics EMS Administration 98

ACEP Now

AUGUST 25, 2023

The Pediatric Pain Management Standard 1 for children was published this year to provide guidance to health organizations on how to deliver equitable and quality pain management across hospital settings. However, adopting IN fentanyl administration does not seem difficult and community hospitals may want to consider this treatment option.

Administration 97

Administration Pediatrics Emergency Department Outcomes 97

The Skeptics' Guide to EM

APRIL 20, 2024

She is an Assistant Professor and Director of Research in the Department of Emergency Medicine at the NYU Grossman Long Island Hospital Campus. A clinical decision tool called the STUMBL score was derived and validated by Battle et al in 2014 [3]. AEM April 2024 Date: April 19, 2024 Guest Skeptic: Dr. Suchismita Datta.

Fractures 87

Fractures Ultrasounds Emergency Department CDC 87

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

RebelEM

JANUARY 25, 2024

Interestingly, though not statistically significant, patients in the serial US group had a longer length of hospital stay compared to the control group (4d vs 3d). Additionally, the serial US group had higher hospital readmission rates on days 0-7 and 8-30 without improving hospital or 30-day mortality. 2014 Aug;2(8):638-46.

Ultrasounds 128

Ultrasounds Outcomes COPD Hospitals 128

Emergency Medicine Journal

FEBRUARY 20, 2024

Methods This is a retrospective review of 35 trauma centres from 2014 to 2021. Primary outcome includes rate of mortality/hospice at hospital discharge. Secondary outcomes include a composite of serious hospital complications. Secondary outcomes include a composite of serious hospital complications.

Hospice 74

Hospice Outcomes Hospitals 74

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

Don't Forget the Bubbles

NOVEMBER 20, 2023

Royal Children’s Hospital. Royal Children’s Hospital, Melbourne. December 2014 Soldes O, Yunger J, Hirschl R. Pediatric Neck Mass. International Journal of Pediatrics. Cervical Lymphadenopathy. April 2021 Russell F, Lowe D. Paediatric neck lumps (diagnosis and management). NHS Greater Glasgow and Clyde.

Pediatrics 124

Pediatrics Documentation/Coding Emergency Department Ultrasounds 124

Don't Forget the Bubbles

SEPTEMBER 27, 2023

There may be a role in viral respiratory panels for children admitted to the hospital or intensive care unit. Of note, during COVID-19 , some hospitals used RVPs to differentiate patients who had been infected with SARS-CoV-2 from other viral infections. 2014 Sep;134(3):555-62. Which children need a respiratory viral panel?

Emergency Department 84

Emergency Department Pediatrics Point-of-Care Testing Hospitals 84

PHARM

SEPTEMBER 21, 2023

We studied the quality of prehospital care in severe TBI patients by analyzing adherence to recommended target ranges for ventilation and blood pressure, prehospital time expenditure, and their effect on mortality, as well as quality of prehospital ventilation assessed by arterial partial pressure of CO2 (PaCO2) at hospital admission.

Hospitals 40

Hospitals Resuscitation Wellness Outcomes 40

Ken Grauer, MD

FEBRUARY 24, 2023

Hospital evaluation for this patient was negative for an acute coronary syndrome ( ie, CT coronary angiogram was normal — troponin was not elevated — and Echo was negative, with no sign of pericardial effusion ). In the following 5 Figures — I post written summary from my ECG-2014-ePub on the ECG diagnosis of A cute P ericarditis.

EKG/ECG 195

EKG/ECG Hospitals Wellness 195

Ken Grauer, MD

OCTOBER 27, 2023

My Immediate Impression — was that this elderly woman with a several week history of symptoms would most likely leave the hospital with a pacemaker. Section 2F ( 6 pages = the " short " Answer ) from my ECG-2014 Pocket Brain book provides quick written review of the AV Blocks.

EKG/ECG 250

EKG/ECG Resuscitation Hospitals Wellness 250

PHEM Cast

JULY 14, 2016

Out-of-hospital spinal immobilization: its effect on neurologic injury. 2014 Feb 11;7(4):251–5. 2014 Mar 15;31(6):531–40. Connor D, Greaves I, Porter K, Bloch M, consensus group Faculty of Pre-Hospital Care. Pre-hospital spinal immobilisation: an initial consensus statement. 2014 Jul 3;14(1):1–5.

Fractures 52

Fractures Hospitals Shock Research 52

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. Accessed 12 September 2023.

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. 2014; 36: 853-857. Top 10 (+1) tips to get started with in situ simulation in emergency and critical care departments. Bredmose PP, Habig K, Davies G, Grier G, Lockey D. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine.

Teamwork 52

Teamwork Burns Emergency Department Resuscitation 52

Northwestern EM Blog

MARCH 1, 2025

Maren Leibowitz, MD Critical Care Fellow Mount Sinai Hospital How To Cite This Post: [Peer-Reviewed, Web Publication] Goins, E. Ventilation Mortality benefits of prone positioning have primarily been observed in low-tidal volumes, which is defined as less than or equal to 8 ml/kg of predicted body weight (Beitler et. 2013; Mi et. Samanta, S.,

Emergency Department 52

Emergency Department Fractures EKG/ECG Wellness 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. link] Published January 2014. Epub 2014 Dec 4. 20 Prognosis: Despite advances in imaging and treatment options, BAO is associated with high morbidity and mortality. 2012;43(6):1484-1489.

EMS 97

EMS Stroke Outcomes Hospitals 97

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

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

Emergency Medicine Journal

SEPTEMBER 25, 2024

Background The number of asylum seekers awaiting decisions on their claims in the UK has more than tripled since 2014. Method A single-centre qualitative study in the form of semistructured interviews was conducted at the Queen Elizabeth University Hospital ED in Glasgow, Scotland, between January and March 2023.

Research 52

Research Hospitals Wellness 52

Don't Forget the Bubbles

SEPTEMBER 30, 2024

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. looked at “Did Not Wait” cases in a Queensland hospital and found an overall DNW rate of 4.3%. Simpson et al. Gaucher et al.

Emergency Department 89

Emergency Department Research Pediatrics Hospitals 89

RebelEM

MAY 11, 2023

History of liver disease, history of substance abuse disorder, and history of delirium tremens were also extracted from the hospital EMR. 11 of those were admitted to the hospital. N Engl J Med 2014 , 371 (22), 2109-2113. Strengths Investigators asked a clinically valuable question that is patient-oriented. 2) Schuckit, M.

Emergency Department 95

Emergency Department Administration Hospitals Academics 95

Pediatric Emergency Playbook

MARCH 1, 2017

An update on out-of-hospital airway management practices in the United States. 2014 Jul;85(7):885-92. 2014 Apr;112(4):742-8. 2014 Jan-Mar;18(1):106-15. 2014 Fall;61(3):113-8. How much force is required to dislodge an alternate airway? Prehosp Emerg Care. 2010 Jan-Mar;14(1):31-5. Diggs LA, Yusuf JE, De Leo G.

Airway Management 52

Airway Management Pediatrics Resuscitation Hospitals 52

PHEM Cast

FEBRUARY 7, 2022

Frostbite: a practical approach to hospital management. 2014; 3, 7. Wilderness & Environmental Medicine. 2001; 12(4): 248-255. Handford C, Buxton P, Russell K, Imray CEA, McIntosh SE, Freer L, Cochran A, Imray CHE. Extreme Physiology & Medicine. Magnan et al. 2021; 57(11): 1284.

Hospitals 52

Hospitals 52

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. Emergency psychiatric assessment, treatment, and healing (EmPATH) unit decreases hospital admission for patients presenting with suicidal ideation in rural America.

Psychiatric 52

Psychiatric Hospitals Academics Research 52

EMDocs

NOVEMBER 1, 2023

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

Operations 92

Operations Radiology Radiology Fluid Resuscitation 92

PHEM Cast

APRIL 10, 2016

Severe Sepsis in Pre-Hospital Emergency Care. 2014 Oct 28;:1–9. UK Sepsis Trust; 2014 Nov pp. Prehospital Sepsis Project (PSP): knowledge and attitudes of United States advanced out-of-hospital care providers. Parenteral penicillin for children with meningococcal disease before hospital admission: case-control study.

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. The New South Wales Doctors Orchestra ‘Musicus Medicus’ – 2014 An orchestra is a complex system with many moving parts. It’s a bit like the health system.

Leadership 136

Leadership Teamwork Hospitals Emergency Department 136

RebelEM

SEPTEMBER 22, 2022

Racial Differences in Detection of Fever Using Temporal vs Oral Temperature Measurements in Hospitalized Patients. Racial Differences in Detection of Fever Using Temporal vs Oral Temperature Measurements in Hospitalized Patients. to 0.05C; p = 0.18 Prevalence of fever in Black was 10.1% with a temporal thermometer and 13.2%

EMS 52

EMS Hospitals Outcomes Wellness 52

Dr. Smith's ECG Blog

DECEMBER 7, 2023

On hospital day 3, the patient had recurrence of symptoms and the following EKG was obtained. Dr. Frick's Interpretation of ECG #5 : CP did not recur during the remainder of the hospital stay. Buller, C. Starovoytov, A., Robinson, S., Vuurmans, T., Humphries, K., & & Mancini, G. Spontaneous coronary artery dissection.

EKG/ECG 123

EKG/ECG Poisoning Hospitals 123

Ken Grauer, MD

APRIL 23, 2023

A cknowledgment : My appreciation to Chaim Katalan ( Laniado Hospital, Israel ) for the case and this tracing. = = R elated E CG B log P osts to Today’s Case : ECG Blog #205 — Reviews my S ystematic A pproach to 12-lead ECG Interpretation. It did — and the patient recovered uneventfully. =

EKG/ECG 195

EKG/ECG Wellness Operations Hospitals 195

EMDocs

SEPTEMBER 27, 2023

This would be similar to how all other Medicare providers (long-term care facilities, hospital payments, etc.) Burleson (2014). One proposed solution is HR 2474 , which would establish a permanent annual increase in the Medicare physician fee schedule tied to the rise in costs of providing health care. are already reimbursed (5).

Emergency Department 86

Emergency Department Research Outcomes Hospitals 86

ACEP Now

NOVEMBER 7, 2023

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. Heart disease and stroke statistics—2014 update: a report from the American Heart Association. Circulation. N Engl J Med.

Resuscitation 52

Resuscitation Hospitals Shock CPR 52

The Skeptics' Guide to EM

NOVEMBER 20, 2021

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

Geriatric Emergencies 52

Geriatric Emergencies Elder Abuse Research Academics 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. As part of our education this month, I would encourage the enthusiastic ED nurse to read the following article. 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