Don't Forget the Bubbles

JANUARY 8, 2024

Dr Bourke’s work is not only about deepening academic understanding but also about forging practical approaches to help healthcare professionals navigate the nuanced and often uncertain waters of adolescent care in emergency settings. Recent studies have indicated a significant rise in mental health disorders among young people.

Research 105

Research Emergency Department Psychiatric Academics 105

EMDocs

MAY 25, 2023

population at large Enrollment was terminated at an interim analysis due to predefined futility criteria that suggested that there was a 1% chance that carrying the trial to completion would demonstrate a most effect or least effective treatment.

Seizures 91

Seizures Administration Anaphylaxis Outcomes 91

The Skeptics' Guide to EM

JUNE 9, 2018

Aromatherapy Versus Oral Ondansetron for Antiemetic Therapy Among Adult Emergency Department Patients: A Randomized Controlled Trial. Ann Emerg Med 2018 Guest Skeptic: Meghan Groth is a pharmacist who has been practicing in emergency medicine for the past six years. We covered that paper on the SGEM in Episode #144.

Emergency Department 52

Emergency Department Academics Operations Administration 52

ALiEM

DECEMBER 4, 2023

A 49-year-old male presented to the emergency department of an academic hospital with the chief concern of penile pain. 2015 Jul;66(1):133-46. Epub 2015 May 7. link] Nigwekar SU, Kroshinsky D, Nazarian RM, Goverman J, Malhotra R, Jackson VA, Kamdar MM, Steele DJ, Thadhani RI. Am J Kidney Dis. doi: 10.1053/j.ajkd.2015.01.034.

Academics 60

Academics Seizures Hospitals Emergency Department 60

Taming the SRU

AUGUST 30, 2023

While PCT may be more specific for bacterial infections, it is flawed by still being rather non-specific and is not validated as a stand-alone diagnostic criteria for infection in the setting of the emergency department. Synovial aspirate with > 50,000 WBC and 90% neutrophils strongly suggests a bacterial source [29].

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

The Skeptics' Guide to EM

APRIL 21, 2018

AEM April 2018 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine (AEM). AEM April 2018 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine (AEM).

Emergency Department 52

Emergency Department Academics EKG/ECG Research 52

Emergency Medicine Journal

MAY 23, 2023

Methods In this retrospective study, we included all adult patients who visited the ED of a single urban academic tertiary-care university hospital in South Korea for five consecutive years (1 January 2015 to 31 December 2019).

Outcomes 40

Outcomes Emergency Department Academics Operations 40

ALiEM

MARCH 7, 2024

Facts and Literature Review Bladder volume estimation Measuring bladder volume via POCUS in pediatric patients has been studied, demonstrating a benefit on Emergency Department workflow and length of stay (Table 1). The pain is intermittent, sharp, severe, and associated with 2 episodes of nonbloody, nonbilious emesis. Dessie et al.,

Ultrasounds 70

Ultrasounds Pediatrics Radiology Radiology 70

EMDocs

SEPTEMBER 25, 2023

actors Associated with the Occurrence of Cardiac Arrest after Emergency Tracheal Intubation in the Emergency Department. WJEM 2015; 16(7): 1109 – 17. Okubo M, Gibo K, Hagiwara Y, Nakayama Y, Hasegawa K; Japanese Emergency Medicine Network Investigators. Int J Emerg Med. J Emerg Med. 2017 Dec;10(1):1.

Emergency Department 93

Emergency Department Soft Tissue Injuries Airway Management Operations 93

ALiEM

SEPTEMBER 11, 2023

A 29-year-old female with a past medical history of migraine headaches presented to the emergency department (ED) for several hours of bilateral eye pain, redness, and decreased visual acuity. 2015 Aug 21;64(32):865-70. The patient is a contact lens wearer. MMWR Morb Mortal Wkly Rep. doi: 10.15585/mmwr.mm6432a2.

Administration 60

Administration Academics Emergency Department 60

Don't Forget the Bubbles

MAY 29, 2023

Bullying in Academic Medicine: Experiences of Women Physician Leaders. Academic Medicine [Internet] 2023: 98:2:255-263. Bad manners in the Emergency Department: Incivility among doctors. Organizational Dynamics [Internet] 2015:44:4: 258-265. Cochrane Database of Systematic Reviews [Internet] 2017, Issue 1.

Leadership 98

Leadership Patient Safety Academics Research 98

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

Guest Skeptic: Dr. Stephen Meigher is the EM Chief Resident training with the Jacobi and Montefiore Emergency Medicine Residency Training Program. He heads curriculum and conference for the academic year and is passionate about resident […] The post SGEM#344: We Will…We Will Cath You – But should We After An OHCA Without ST Elevations?

EKG/ECG 52

EKG/ECG Academics EMS CPR 52

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. Academic Emergency Medicine, 14: 755-758. Am J Emerg Med. 2015 Jun;33(6):743-8. Epub 2015 Feb 21. Ultrasonography.

Ultrasounds 98

Ultrasounds Operations Radiology Radiology 98

Taming the SRU

JULY 24, 2023

THE CASE A male in his 60s presented to the emergency department for right upper quadrant abdominal pain. General surgery was consulted, and given the patient's significant comorbidities, he was transferred to a tertiary care academic center for further evaluation and management. 2015 Oct;16(5):509-12. Epub 2015 Sep 16.

Ultrasounds 79

Ultrasounds Sepsis Radiology Radiology 79

PHEM Cast

APRIL 10, 2016

The impact of emergency medical services on the ED care of severe sepsis. Am J Emerg Med. 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. Academic Emergency Medicine. Am J Emerg Med.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

The Skeptics' Guide to EM

NOVEMBER 20, 2021

You wonder if any emergency department (ED)-based interventions would help her and people like her be safe. Background: We looked at geriatric falls on an SGEM Xtra in 2015.

Geriatric Emergencies 52

Geriatric Emergencies Elder Abuse Research Academics 52

EB Medicine

JULY 8, 2019

This month, we are sticking in the abdomen for another round of evidence-based medicine, focusing on Emergency Department Management of Patients With Complications of Bariatric Surgery. Nachi: Recent estimates from 2015-2016 put the prevalence of obesity of those 2 years old to 19 years old at about 19%. First up, the kids.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives This project was supported by the RCEM Dragon’s Den event in 2014, the inaugural Young Investigator’s Award in 2015, and extensive input from college academics. It was funded by the NIHR RfPB.

Academics 40

Academics Emergency Department Administration 40

EMDocs

JUNE 16, 2023

And now we’re here at our destination, the place we know and love, the emergency room to talk about what we should be doing for the growing volume of children with mental health problems boarding in the emergency department. These populations may need to be prioritized in our efforts to address this problem.

Psychiatric 52

Psychiatric Pediatrics Emergency Department Best Practices 52

ALiEM

APRIL 17, 2023

A 29 year-old-male with a past medical history of left eye enucleation secondary to a gunshot wound several years prior presents to the Emergency Department (ED) for blurry vision, redness, and concern for a deformity to his right eye. Published 2015 Dec 11. Corneeal Hydrops: A Complication of Keratoconus.

Academics 52

Academics Emergency Department Wellness 52

Don't Forget the Bubbles

MAY 6, 2024

The study included academic NICUs, which may reduce the generalisability of the results. The data was collected from a cohort from 2011- 2015 (nearly ten years ago). The retrospective nature of the study cannot preclude potential selection bias. The rationale for the decision to change the intubator or equipment was unknown.

Sepsis 75

Sepsis Pediatrics Outcomes Documentation/Coding 75

ALiEM

JULY 17, 2023

In fact, the average number of applicants between 2015-2020 and 2022-2023 were relatively similar, with the latter demonstrating 122 more applicants (2,801 vs 2,923). However, between 2015 and 2023, the number of available EM positions grew, with an annual addition of 149 PGY1 positions.

EMS 52

EMS Burns Emergency Department Shock 52

ACEP Now

NOVEMBER 7, 2023

The 2015 Edition Cures Act sought to promote “transparency, modern standards, and enhanced health IT capabilities by fostering innovation in the health care technology ecosystem to deliver better information to patients, clinicians, and other users.” 2015 Edition Cures Update fact sheet. HealthIT.gov website. Public law 114–255—Dec.

Documentation/Coding 52

Documentation/Coding Best Practices Ethical Issues Academics 52

Advanced Emergency Nursing from AENJ

NOVEMBER 7, 2015

In my opinion, hypnosis is a little-understood but potentially valuable technique for the emergency department. Why isn't hypnosis used more in emergency departments? Hypnosis in the treatment of acute pain in the emergency department setting. Hypnosis in the emergency department.

Emergency Department 40

Emergency Department Pediatrics Emergency Nursing Seizures 40

Dr. Smith's ECG Blog

APRIL 8, 2015

Academic Emergency Medicine., The ROSE (Risk Stratification of syncope in the emergency department) Study. Methods: This was a single center, prospective, observational study of adults presenting to the emergency department with syncope. Thiruganasambandamoorthy, V., Sivilotti, M., Mukarram, M., Baumann, B.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

Don't Forget the Bubbles

SEPTEMBER 18, 2023

This blog post aims to help familiarise you with some of the most common reasons for prescribing antibiotics in the paediatric emergency department. Antibiotic Use for Common Infections in Pediatric Emergency Departments: A Narrative Review. 2015 May 19;12(5):e1001825. 2015 Feb;20(2):55–60. Karageorgos, S.;

Emergency Department 143

Emergency Department Infectious Diseases Pediatrics Sepsis 143

EMDocs

NOVEMBER 13, 2023

The use of CTA (computed tomography angiography) in the emergency department (ED) has increased dramatically in the past 20 years. Pearls and Pitfalls CT Angiography has become a more readily available tool for diagnosis in the emergency department though requires an understanding of its specific uses and indications.

Stroke 105

Stroke Radiology Radiology Emergency Department 105

ALiEM

DECEMBER 20, 2024

Red Book: 2015 Report of the Committee on Infectious Diseases. Elk Grove Village, IL: American Academy of Pediatrics; 2015:432445. Eczema herpeticum: making the diagnosis in the emergency department. J Emerg Med. J Emerg Med. In: Kimberlin DW, Brady MT, Jackson MA, Long SS, eds. 2011 Feb;40(2):167-9.

Infectious Diseases 64

Infectious Diseases Pediatrics Academics Emergency Department 64