Pediatric EM Morsels

JULY 21, 2023

Interrater reliability of Glasgow Coma Scale scores in the emergency department. Ann Emerg Med. 2015 Feb;100(2):207-8. Systematic review showed 85% of studies with substantial reliability with kappa statistic >0.6 Nayana Prabha PC, Nalini P, Tiroumourougane Serane V. Indian Pediatr. 2003 Jul;40(7):620-5. Biradar, S.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

The Skeptics' Guide to EM

SEPTEMBER 10, 2017

Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non-inferiority trial. Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non-inferiority trial. [display_podcast] Date: September 7th, 2017 Reference: Cohen et al.

Emergency Department 52

Emergency Department Research 52

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 187

Pediatrics Emergency Department Outcomes Sepsis 187

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 135

Emergency Department Radiology Radiology Hospitals 135

RebelEM

FEBRUARY 24, 2025

RESUS SCENARIO Picture this: you just arrived at your shift at the local emergency department. Jan 2015; PMID: 25559473 Airapetian N, et al. Nov 2015; PMID: 26563768 Yartsev, Alex. Use M-mode Doppler to acquire information on IVC variability with at least three respiratory cycles. Echocardiogr.

Ultrasounds 75

Ultrasounds Shock Fluid Resuscitation Resuscitation 75

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 138

Stroke Documentation/Coding Emergency Department EMS 138

ACEP Now

NOVEMBER 7, 2024

Elizabeth Wharff was the director of emergency psychiatry at Boston’s Children’s Hospital in the late 1990s when she became concerned about what was, then, a new problem. Maura Kelly , a health writer, is a special contributor to Annals of Emergency Medicine. West J Emerg Med. Reference Nordstrom K, Berlin JS, Nash SS, et al.

Psychiatric 59

Psychiatric Pediatrics Hospitals Emergency Department 59

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

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

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 98

Sepsis Emergency Department 98

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 105

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 105

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

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 107

Emergency Department Research 107

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 75

Pediatrics Emergency Department Research Burns 75

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

ALiEM

OCTOBER 30, 2024

Bupe Allergy Buprenorphine induction has been the mainstay of emergency department treatment of opioid use disorder for more than a decade [11, 12]. Emergency department-initiated buprenorphine for opioid dependence with continuation in primary care: outcomes during and after intervention. 2015 Apr 28;313(16):1636-44.

Emergency Department 64

Emergency Department Operations Psychiatric Hospitals 64

Northwestern EM Blog

MARCH 1, 2025

While a randomized control trial should be done to evaluate the effect of early proning in a controlled environment, these studies suggest that we should consider using this in our Emergency Department for patients who present with hypoxia and concern for mild to moderate ARDS without urgent need for intubation. Crit Care Med.

Emergency Department 52

Emergency Department Fractures EKG/ECG Wellness 52

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 Pediatrics Hospitals 89

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 96

Infectious Diseases Fractures Radiology Radiology 96

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 105

Allergic Reactions Airway Management Anaphylaxis Emergency Department 105

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

EMDocs

MARCH 18, 2025

Am J Emerg Med. The emergency department evaluation and management of massive hemoptysis. Am J Emerg Med. 2015 Mar;45(3):756-64. High risk and low incidence diseases: Massive hemoptysis. 2024 Nov;85:179-185. Atchinson PRA, Hatton CJ, Roginski MA, Backer ED, Long B, Lentz SA. 2021 Dec;50:148-155. 2020;157(1):77-88.

COPD 82

COPD Radiology Radiology PPE 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 88

Emergency Department Pediatrics CPR Administration 88

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

Don't Forget the Bubbles

JANUARY 22, 2024

2015) highlighted that a poor understanding of statistics often results in a belief that screening is more beneficial than it actually is. Choosing Wisely in Paediatric Car e A trainee-led project in a UK tertiary paediatric emergency department looked at the usefulness of blood tests in 101 children. 2015 ;24(2):167-74.

Emergency Department 90

Emergency Department Best Practices Radiology Radiology 90

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

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 89

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

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

JUNE 8, 2024

A 32-year-old man presents to the emergency department with eye pain. However, it would be expected to emerge with reduced visual acuity or other visual disturbances such as diplopia. Overview of Eye Injuries in the Emergency Department.” Patients require follow up within 5-7 days for dilated eye exam. WikEM , Oct.

EMS 98

EMS Allergic Reactions Poisoning Emergency Department 98

EMDocs

MAY 11, 2024

Available from: [link] American College of Emergency Physicians Clinical Policies Subcommittee (Writing Committee) on Use of Intravenous tPA for Ischemic Stroke:; Brown MD, Burton JH, Nazarian DJ, Promes SB. Ann Emerg Med. 2015 Sep;66(3):322-333.e31. Erratum in: Ann Emerg Med. Nov 10 th , 2015. 2015.06.031.

Stroke 111

Stroke EMS EKG/ECG Radiology 111

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

RebelEM

JUNE 5, 2023

One study from a county in Massachusetts found that of all nonfatal opioid doses seen in the emergency department from 2011-2015, 1 in 20 patients subsequently died within one year of initial visit with 66% of these deaths being directly related to an opioid overdose (4). Ann Emerg Med. PMID 33392580. PMID 33392580.

Emergency Department 94

Emergency Department Hospitals Outcomes EMS 94

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

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