Pediatric EM Morsels

NOVEMBER 17, 2023

Differences in intubation outcomes for pediatric patients between pediatric and general Emergency Departments. Intubation practice and outcomes among pediatric emergency departments: A report from National Emergency Airway Registry for Children (NEAR4KIDS). Acad Emerg Med. Epub 2015 Aug 22.

Pediatrics 183

Pediatrics Emergency Department Outcomes Sepsis 183

ACEP Now

MARCH 13, 2024

Emergency departments (EDs) provide the essential service of evaluating patients with unscheduled, acute, undifferentiated, and decompensated conditions. Dr. Kluesner is an emergency physician in Iowa City, Iowa, at UnityPoint Health-Iowa Methodist Medical Center. Academic Emergency Medicine 22.2 2015):157-165.

Ethical Issues 52

Ethical Issues Emergency Department Operations Hospitals 52

Downeast Emergency Medicine

DECEMBER 1, 2021

While the ongoing COVID-19 pandemic has contributed to overdose deaths and taxed constrained Emergency Department (ED) resources, it has also clarified the important role that emergency physicians have in expanding access to life-saving medications to treat opioid use disorder. 2015; 313(16):1636-1644.[ D’Onofrio, et al.

Emergency Department 52

Emergency Department Documentation/Coding Leadership Administration 52

PEMBlog

OCTOBER 31, 2024

every year, leading to emergency department visits and hospitalizations. A new study conducted by the Pediatric Emergency Care Applied Research Network (PECARN) aimed to determine whether LGG could reduce the severity of gastroenteritis in children. emergency departments. N Engl J Med 2018; 379:2015-2026.

Outcomes 105

Outcomes Pediatrics Emergency Department Research 105

RebelEM

DECEMBER 4, 2024

Ann Emerg Med 2015; 65(5): 532-9. Ann Emerg Med 2011; 57(1): 32-3. Managing reent-onset atrial fibrillation in the emergency department. Ann Emerg Med 2011; 57(1): 31-2. Ann Emerg Med 2015; 65(5): 532-9. Cardioversion of paroxysmal atrial fibrillation in the emergency department.

Emergency Department 86

Emergency Department Stroke EMS Shock 86

The Skeptics' Guide to EM

DECEMBER 8, 2017

A Prospective Randomized, Double-Dummy Trial Comparing Intravenous Push Dose of Low Dose Ketamine to Short Infusion of Low Dose Ketamine for Treatment of Moderate to Severe Pain in the Emergency Department. Guest Skeptic: Dr. Salim Rezaie is a faculty physician at Greater San Antonio Emergency Physicians (GSEP) in San Antonio, Texas.

Emergency Department 52

Emergency Department Fractures EMS 52

PEMBlog

JUNE 14, 2023

Thousands of children and adolescents spend days at time in Emergency Departments waiting for definitive mental health disposition. West J Emerg Med. Mental Health Revisits at US Pediatric Emergency Departments. Prolonged emergency department length of stay for US pediatric mental health visits (2005-2015).

Psychiatric 98

Psychiatric Emergency Department Pediatrics Best Practices 98

The Skeptics' Guide to EM

APRIL 13, 2024

He is an assistant professor in Emergency Medicine, Neurology, and Neurosurgery at the School of Medicine at the University of Washington. Case: A 70-year-old woman was brought into the emergency department by EMS after her family reported she was having trouble talking. hours from onset of symptoms.

Stroke 113

Stroke Documentation/Coding Emergency Department EMS 113

RebelEM

DECEMBER 17, 2024

One side argues that fever places additional physiological stress on patients, who are already ill ( Young 2015 ). On the other hand, fever may serve as a protective role by enhancing immune cell function and inhibiting pathogen growth and spread ( Young 2015 ). NEJM 2015; 373(23): 2215-24. PMID: 26436473 Schortgen F et al.

Sepsis 72

Sepsis Shock EMS Emergency Department 72

The Skeptics' Guide to EM

OCTOBER 21, 2023

Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Date: October 20, 2023 Reference: Cai et al.

Emergency Department 104

Emergency Department Radiology Radiology Hospitals 104

Don't Forget the Bubbles

AUGUST 19, 2024

Sione, a young Pacific Islander boy, is brought to the emergency department with a 3-day history of acute onset, progressively worsening central chest pain. of child emergency department presentations. 2015 Apr;34(4):e92-e101. 2015 Sep;35(6):634-9. He points to his sternum when you ask him where the pain is.

Infectious Diseases 104

Infectious Diseases Pediatrics Emergency Department Hospitals 104

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. Emergency department overcrowding is a complex issue with multiple contributing factors. Learning about international trends sparked our curiosity about our own department.

Emergency Department 89

Emergency Department Research Hospitals Pediatrics 89

EMDocs

DECEMBER 18, 2024

A 36-year-old male presents to the emergency department after being found down at home by his spouse. Emerg Med Pract. 2015; 17(6): 1-19. Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE-4): Alcohol use disorder and cannabinoid hyperemesis syndrome management in the emergency department.

Seizures 88

Seizures Emergency Department Hyperthermia / Hypothermia EMS 88

RebelEM

SEPTEMBER 13, 2023

patients that take ACE inhibitors (but 20-30% of all angioedema presentations to the Emergency Department) 3 times more common in Black Americans ( Kostis 2005 ) 0.01 2015; 372(5):418-25. J Emerg Med 2013; 44 (4): 764-772. Angioedema in the Emergency Department: An Evidence Based Review. N Engl J Med.

Allergic Reactions 103

Allergic Reactions Airway Management Anaphylaxis Emergency Department 103

RebelEM

APRIL 29, 2024

In these situations, the American Heart Association (AHA) and the European Resuscitation Council (ERC) of 2015 recommend the intraosseous (IO) route after the peripheral route and before the central venous route ( 1). World J Emerg Surg 2023 PMID: 36918947 3. Int J Emerg Med 2009 PMID: 20157465 4. Ong MEH, Chan YH, Oh JJ, et al.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

RebelEM

AUGUST 30, 2023

Most common organism is Staph Aureus (36-67% of cases) ( Boody 2015 ). Executive Summary: 2015 Infectious Disease Society of America (IDSA) Clinical Practice Guidelines for the Diagnosis and Treatment of Native Vertebral Osteomyelitis in Adults. Clin Infect Dis 2015 Sept 15;61(6):859-63. Other pathogens include: E.

Infectious Diseases 90

Infectious Diseases Fractures Radiology Radiology 90

EMDocs

JUNE 15, 2024

Source Shifts in Diagnostic Testing for Headache in the Emergency Department, 2015 to 2021. The post Journal Feed Weekly Wrap-Up appeared first on emDOCs.net - Emergency Medicine Education. JAMA Netw Open. 2024 Apr 1;7(4):e247373. doi: 10.1001/jamanetworkopen.2024.7373. PMID: 38639937; PMCID: PMC11031686.

Sepsis 75

Sepsis Emergency Department 75

The Skeptics' Guide to EM

OCTOBER 28, 2023

Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. He is also one of the world’s leading researchers on pain management in the emergency department, specifically the use of ketamine. His twitter handle is @PainFreeED.

Emergency Department 87

Emergency Department Research 87

EMDocs

AUGUST 22, 2024

have limited English proficiency according to the 2015 U.S. 12 How do we address these disparities in the emergency department? An implementation science approach improves language access in the emergency department. Annals of Emergency Medicine. Annals of Emergency Medicine. Lion KC, et al.

Documentation/Coding 82

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 82

Taming the SRU

JULY 2, 2023

End-Tidal CO2 monitoring has a variety of uses in the Emergency Department. Capnography in the emergency department: a review of uses, waveforms, and limitations." The Journal of emergency medicine 53.6 Pediatric emergency care 12.4 Circulation 132.18_suppl_2 (2015): S315-S367. 2017): 829-842.

Emergency Department 87

Emergency Department Pediatrics CPR Administration 87

Don't Forget the Bubbles

JULY 19, 2023

Trends and Clinical Characteristics of Pediatric Patients Presenting to an Ophthalmology Emergency Department with an Initial Diagnosis of Optic Nerve Head Elevation. 2015 ) found an incidence of true papilloedema of 25% and 6%, respectively, in children referred to tertiary ophthalmology departments with suspected optic disc swelling.

Pediatrics 98

Pediatrics Emergency Department Outcomes Wellness 98

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives This qualitative study aims to establish the existence and impact of patient-to-staff incivility on staff wellbeing and patient care in the Emergency Department (ED). However, incivility can occur between any group of persons, including between staff and patients.

Emergency Department 40

Emergency Department Patient Safety Research 40

ALiEM

APRIL 12, 2023

emDOCs.net – Emergency Medicine Education. Author information Ivan Ivanov, DO Resident Physician Emergency Department South Brooklyn Health | The post Trick of the Trade: Gel-free ultrasound-guided peripheral IV technique appeared first on ALiEM. Accessed April 5, 2023. Alerhand S, Singh M, editors.

Ultrasounds 103

Ultrasounds Emergency Department Resuscitation Wellness 103

RebelEM

NOVEMBER 6, 2024

Elbow Dislocations in the Emergency Department: A Review of Reduction Techniques. J Emerg Med. 2015 Jan;38(1):42-4. Anatomy, Shoulder and Upper Limb, Radial Nerve. 2023 Nov 5. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. PMID: 30521261 Gottlieb M, Schiebout J. 2018 Jun;54(6):849-854.

Dislocations 109

Dislocations Fractures Soft Tissue Injuries Outcomes 109

Emergency Medicine Journal

DECEMBER 22, 2023

The Centre for Urgent and Emergency Care research database patient-level database (May 2015–April 2016), secondary literature and expert elicitation were used to inform the model. Methods Discrete event simulation was used to model a large urban teaching hospital in the UK, as a case study, with a colocated GP service.

Emergency Department 52

Emergency Department Research Outcomes Hospitals 52

Mind The Bleep

AUGUST 18, 2024

Problems with salivary glands are often seen at GPs and in emergency departments. It is important to be able to differentiate between different causes of facial pain and swelling. Anatomy There are 6 main salivary glands (3 pairs); parotid, submandibular and sublingual. These patients should be referred to the appropriate specialty.

Emergency Department 90

Emergency Department Ultrasounds 90

EMDocs

JULY 9, 2024

The emergency department takes care of some of the highest risk patients with the worst access to health care and social services Over the past 20 years, many researchers have created and validated social needs screeners Some examples: iHELP, WE CARE, SEEK, USDA 2-item food insecurity questionnaire Does screening make a difference?

Pediatrics 55

Pediatrics Emergency Department Research Burns 55

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

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. They recommended synovial fluid analysis as essential to the diagnosis [30].

Infectious Diseases 87

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 87

Taming the SRU

OCTOBER 28, 2024

When should I get a consultant involved in the emergency department? 2015 Feb;7(Suppl 1):S44-9. 2015 May;166(5):1317-1317.e1. West J Emerg Med. 2015 Mar;16(2):321-4. Pneumomediastinum Diagnosed on Ultrasound in the Emergency Department: A Case Report. 2015 Summer;19(3):e122-4.

COPD 77

COPD Pediatrics Emergency Department Ultrasounds 77

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. In: Kimberlin DW, Brady MT, Jackson MA, Long SS, eds. Studdiford JS, Valko GP, Belin LJ, Stonehouse AR.

Infectious Diseases 64

Infectious Diseases Pediatrics Academics Emergency Department 64

Broome Docs

MARCH 28, 2024

A non-inferiority randomized controlled trial comparing nebulized ketamine to intravenous morphine for older adults in the emergency department with acute musculoskeletal pain. Casey wrote a protocol for peripheral noradrenaline 9 years ago… in 2015! Nebulized ketamine: the solution to a non-existent problem? Age Ageing.

PPE 107

PPE Ultrasounds Resuscitation Administration 107

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 ). Riskin (2015) showed that rudeness accounted for a 12% reduction in diagnostic and procedural performance in a simulated resuscitation.

Leadership 105

Leadership Resuscitation Teamwork Patient Safety 105

PEMBlog

MAY 15, 2023

History and physical examination are critical components to any emergency department evaluation but are especially helpful in syncope patients. Discussing obtaining an ECG with patients and families Presentations to the emergency department for syncope can be stressful for families. 6% of pediatric syncope.

Pediatrics 97

Pediatrics EKG/ECG Emergency Department Burns 97

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 126

Ultrasounds Outcomes COPD Hospitals 126

PHEM Cast

DECEMBER 12, 2016

For an entertaining and insightful discussion about the impact of undertaking thoracotomy, listen to Dr John Hinds talk from SMACC 2015. Journal of the Royal Society of Medicine 2015. Emergency thoracotomy: “how to do it”. Emergency thoracotomy in thoracic trauma: a review. World Journal of Emergency Surgery; 2006: 1:4.

Military 52

Military Resuscitation Emergency Department Documentation/Coding 52

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 Outcomes 105