EMDocs

DECEMBER 2, 2023

2014 May;7(2):103-4. He has no known medical history and has never been to the doctor. Rosh Review Website Link FOAM Reading [link] [link] [link] References: Diyora B, Kukreja S, Nayak N, Kamble H, Sharma A. Complete third nerve palsy: Only presenting sign of extradural hematoma in an awake patient. Oman J Ophthalmol. doi: 10.4103/0974-620X.137177.

EMS 67

EMS Operations Pediatrics Emergency Department 67

Mind The Bleep

SEPTEMBER 17, 2024

Regular medications. Lewis, K., & Pay, J. Wound Irrigation. In StatPearls. StatPearls Publishing. Rowley, Stephen & Clare, Simon. Wounds International. Wounds International. Malahias, M., S., & Hindocha, S. Suppl 1: Bite Injuries to the Hand: Microbiology, Virology and Management. The Open Orthopaedics Journal, 8, 157-161.

Fractures 52

Fractures Infectious Diseases Documentation/Coding Hospitals 52

Taming the SRU

OCTOBER 23, 2023

At this point, the patient is taken to the operating room for a diagnostic laparoscopy. She was taken to the operating room and found to have a right tubal ectopic pregnancy with a pseudogestational sac. 2007), Free Fluid in Morison's Pouch on Bedside Ultrasound Predicts Need for Operative Intervention in Suspected Ectopic Pregnancy.

Ultrasounds 97

Ultrasounds Operations Radiology Radiology 97

Dr. Smith's ECG Blog

AUGUST 4, 2024

A DDENDUM ( 8/3/2024 ) : In the following 5 Figures — I post written summary from my ECG-2014-ePub on the ECG diagnosis of A cute P ericarditis. Bottom Line: Attention to details in the history relative to any of the above potential etiologies of pericarditis — is essential for making this diagnosis.

EKG/ECG 92

EKG/ECG Wellness Operations Emergency Department 92

EMDocs

MARCH 25, 2024

o Difficulty obtaining biliary views due to patient body habitus or pain o Operator dependent o Consultants requesting radiology performed ultrasound How to Perform a Biliary Ultrasound The preferred ultrasound probe for biliary ultrasound is the curvilinear probe due to its wider field of view and lower frequency. Acad Emerg Med.

Ultrasounds 88

Ultrasounds Radiology Radiology Operations 88

PHEM Cast

JULY 6, 2017

Cricothyrotomy performed with the Melker set or the QuickTrach kit: procedure times, learning curves and operators’ preference. Clinical Anatomy (New York, NY) , 17 (6), 478–486. link] Buonopane, C. Sottile, D., Del Vecchio, L., Merola, R., Il Giornale Di Chirurgia , 35 (7-8), 165–170. Woodall, N., & Frerk, C. link] Hubert, V.,

Airway Management 52

Airway Management Academics Operations Resuscitation 52

Don't Forget the Bubbles

MAY 24, 2023

Airway complications are also more likely to occur in the emergency department (ED) than in the operating theatre. It can also able to be applied in multiple scenarios, not just the operating theatre, and it more accurately depicts real-world practice. 2014 Jan;42(1):169–78 Krishna SG, Bryant JF, Tobias JD. Why is it important?

Airway Management 98

Airway Management Teamwork Pediatrics Emergency Department 98

Don't Forget the Bubbles

MARCH 11, 2024

Craniosynostosis needs urgent referral and is usually corrected operatively before a child’s first birthday. Craniosynostosis can lead to raised intracranial pressure and failure to thrive. and can worsen and become harder to correct over time. This can lead to intracranial hypertension and neurodevelopmental delay. link] van Wijk, R.

Radiology 59

Radiology Radiology Pediatrics Documentation/Coding 59

EMDocs

SEPTEMBER 21, 2024

Published 2014 Sep 19. 7 See ALiEM for guide on this procedure Always obtain post-reduction imaging to evaluate for any underlying fractures and test for any joint, ligament or tendon injuries PIP dorsal : Apply traction, then hyperextend at the PIP joint while the other hand applies dorsal pressure to the proximal phalanx. doi:10.1016/j.hcl.2017.12.005

Dislocations 75

Dislocations EMS Fractures Operations 75

Greater Sydney Area HEMS

APRIL 26, 2023

Although remember, as is observed intra-operatively from tourniquet application, muscle can tolerate hours of hypoxia. Halliwill JR, Sieck DC, Romero SA, Buck TM, Ely MR (2014) Blood pressure regulation X: what happens when the muscle pump is lost? This occurs via inadequate muscle perfusion. ST mechanisms can occur before then.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Shock Research Operations 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

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. Erratum in Mouth-to-Airway [adjunct] 4/22/2014. Reviewed and revised 4 December 2014. Trimble, Tom, RN CEN. Advanced Emergency Nursing Blog.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

Cook County EM Blog

MARCH 20, 2023

2014 Jan;22(1):38-45. Ulus Travma Acil Cerrahi Derg. 2020 Nov;26(6):899-904. doi: 10.14744/tjtes.2020.26751. 2020.26751. PMID: 33107958. Rosenwasser MP, Wei DH. High-pressure injection injuries to the hand. J Am Acad Orthop Surg. doi: 10.5435/JAAOS-22-01-38. PMID: 24382878. Lozano-Calderón SA, Mudgal CS, Mudgal S, Ring D.

Documentation/Coding 52

Documentation/Coding Fractures Operations Research 52

Advanced Emergency Nursing from AENJ

NOVEMBER 20, 2014

Spinal Cord (2014) 52, 504–510; doi:10.1038/sc.2014.56; 2014.56; published online 29 April 2014 Evolution of Care and Survival In Medical Triumph, Homicides Fall Despite Soaring Gun Violence By Gary Fields and Cameron McWhirter. Spinal Cord (2014) 52, 504–510; doi:10.1038/sc.2014.56; de Barros Filho, T. Cristante, A.

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

Pediatric Education

NOVEMBER 12, 2023

Pierre-Robin Sequence) and post-operative congenital heart disease. 2014-3527 Davis NL, Shah N. Babies recommended to be tested are infants < 37 weeks gestation, with some hospital protocols including babies at risk for cardiorespiratory problems such as hypotonia (e.g. neuromuscular problems, Down syndrome), micrognathia (e.g.

Pediatrics 40

Pediatrics Poisoning Hospitals Documentation/Coding 40

Pediatric Emergency Playbook

MARCH 1, 2016

Often children even with high-grade splenic and liver lacerations can be managed non-operatively. Unfortunately, a negative FAST cannot help with detecting or grading the laceration for non-operative management. CT Abdomen and Pelvis, IV contrast: helpful in grading splenic and liver lacerations with goal to manage non-operatively.

Resuscitation 40

Resuscitation Pediatrics Hyperthermia / Hypothermia Operations 40

Advanced Medical Reviews

SEPTEMBER 15, 2017

A Manatt Health study funded by the Robert Wood Johnson Foundation found that the total number of such clinics grew 900 percent between 2006 and 2014 , to 1,800 nationwide. Responding to millennial influence on healthcare technology and operations.

Operations 56

Operations Research Wellness Hospitals 56

PHEM Cast

DECEMBER 1, 2017

Journal of Special Operations Medicine : a Peer Reviewed Journal for SOF Medical Professionals , 13 (4), 53–58. [link] Harcke, H. L., & Mazuchowski, E. Needle thoracentesis decompression: observations from postmortem computed tomography and autopsy. Branco, B. Eckstein, M., Martin, M. link] Rathinam, S., Grobler, S., Bleetman, A.,

Academics 52

Academics Radiology Radiology Resuscitation 52

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. Di Coneybeare) For additional reading on ultrasounding necrotizing fasciitis, see these ALiEM articles: QI Series: Cellulitis vs Necrotizing Fasciitis Ultrasound For The Win! –

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

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

Don't Forget the Bubbles

NOVEMBER 29, 2023

Awake fiberoptic intubation where the patient consents, co-operative AND the airway is prepared with local anaesthesia. 2014 May;32(5):452-6. Epub 2014 Jan 15. 2014 Oct;113(4):549-59. Epub 2014 Sep 9. When there is an immediate threat to life (e.g., What are the potential physiological sequelae? DOI: 10.1097/PEC.0b013e3182713316

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

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. overall, these surgeries are relatively safe with one 2014 review publishing a 10-17% overall complication rate and a perioperative 30 day mortality of less than 1%. Nachi: So we have a lot to cover!

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Pediatric Emergency Playbook

JANUARY 1, 2017

Neonatal observational scales have been validated in the intensive care and post-operative settings; ED-specific quantitative scales are lacking. CRIES ( Table 1 ) was validated for post-operative patients; to adapt its use for the ED, the most conservative approach is to substitute “preoperative baseline” with normal range for age.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 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. Try these situations. Pediatric Laryngospasm.

Airway Management 40

Airway Management Pediatrics Resuscitation Documentation/Coding 40

Advanced Emergency Nursing from AENJ

SEPTEMBER 13, 2016

Safar's work, in a series of studies and papers, validated manual methods of opening the airway, in use by anesthesiologists but relatively unknown outside the operating room, as effective and able to be taught and used by lay people. April 8, 2014, for additional background history. April 8, 2014. May 3, 2014.

Resuscitation 40

Resuscitation CPR Emergency Nursing Basic Life Support 40

Dr. Smith's ECG Blog

SEPTEMBER 9, 2020

However, on occasion — dual AV nodal pathways physiology may be operative ( Mani BC & Pavri BB: Dual AV Nodal Pathways Physiology — Indian Pacing Electrophysiol 14[1]:12-25, 2014 ). P.S.: I fully acknowledge that my proposed mechanism for the laddergram in Figure-5 is not the only possible theory.

EKG/ECG 52

EKG/ECG Blood Transfusions Operations Hospitals 52

Advanced Emergency Nursing from AENJ

FEBRUARY 27, 2015

February 16, 2014. December 14, 2014. December 15, 2014. President Eisenhower's Operation for Regional Enteritis A Footnote to History. ." March 15 is the anniversary of the assassination of Julius Caesar. And, too, bear in mind the old injunction " Memento mori." DuPont, Drew, MD, MSPH. "Illness

Stroke 40

Stroke COPD Emergency Nursing Sepsis 40

RebelEM

JANUARY 25, 2023

Late findings Fever Abdominal distension (+) LR: 5.64 – 16.8 (-) LR: 0.34 – 0.43 Absent bowel sounds Peritoneal signs (i.e. rebound and guarding) Diagnostics Laboratory Tests Commonly ordered lab tests (i.e. 2.3 – 5.4) (-) LR: 0.18 (0.09 – 0.35) Ultrasound Findings Dilated loops of bowel (diameter > 2.5

Operations 52

Operations Sepsis Resuscitation Ultrasounds 52

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

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

PulmCCM

OCTOBER 16, 2024

Animal studies have suggested that the body could be prepped or trained to better withstand ischemic-reperfusion injury, by inducing mild ischemia in another tissue bed before the operation. The mechanism is unclear. Patients received RIPC after induction of anesthesia and before the initial incision.

Outcomes 52

Outcomes Operations Research Hospitals 52

Ken Grauer, MD

FEBRUARY 9, 2024

Awareness of this common association made me instantly suspect that some type of Wenckebach conduction is probably operative in today's rhythm — even though I admittedly do not see any pattern of consistent group beating, or any repetitive PR intervals that typically clue me in to Mobitz I conduction defects.

EKG/ECG 266

EKG/ECG Operations Wellness 266

Advanced Emergency Nursing from AENJ

APRIL 8, 2014

Artificial Respiration by Mouth-to-Mask Method — A Study of the Respiratory Gas Exchange of Paralyzed Patients Ventilated by Operator's Expired Air. Vintage Rescue Mouth 2 Mouth Breathing Venti-Breather Emergency Kit 1960 Cross ebay.com; accessed 4/7/2014 **Photographs (3) of Venti-Breather® device. S., & Elder Jr, J. Sands Jr, R.

Resuscitation 40

Resuscitation Ambulance Services Research Military 40

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 66

Emergency Department Soft Tissue Injuries Operations Airway Management 66

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

Don't Forget the Bubbles

JUNE 17, 2024

2014 Jun 26;23(12):653-9. Exposure to incivility hinders clinical performance in a simulated operative crisis. The Fearless Organization. John Wiley & Sons, 2018 Edward KL, Ousey K, Warelow P, Lui S. Nursing and aggression in the workplace: a systematic review. British journal of nursing. Journal of General Internal Medicine.

Leadership 105

Leadership Resuscitation Teamwork Patient Safety 105

EMDocs

OCTOBER 23, 2023

Operative complications requiring surgical intervention or hospitalization occur in about 3-6% of all hysterectomies (5). difficile infection, and post-operative hemorrhage. Abscess and Infected Hematoma : This condition is typically delayed, occurring most commonly 10-14 days post-operatively.

OB/GYN 67

OB/GYN Operations EMS Ultrasounds 67