Don't Forget the Bubbles

JANUARY 8, 2024

In paediatric emergency care, addressing the challenge of adolescent agitation is a complex and evolving task. Dr Elyssia Bourke, based at Ballarat Base Hospital, is actively engaged in this area through her ongoing PhD research. Organic Illnesses : Often overlooked, these can manifest as behavioural changes.

Research 105

Research Emergency Department Psychiatric Academics 105

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). This aligns with Royal College of Emergency Medicine Research Priority-10.

Emergency Department 40

Emergency Department Patient Safety Research 40

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

RebelEM

FEBRUARY 5, 2024

They concluded that more research of higher quality is needed to strengthen the evidence in favor of one technique over the other. Sites: Investigators recruited patients at 31 French emergency departments at university and nonuniversity hospitals Duration : June 1, 2009 to March 31, 2015.

Outcomes 104

Outcomes Hospitals Research Emergency Department 104

EMDocs

SEPTEMBER 27, 2023

The MIPS system was established in 2015 as part of an effort to combat the perverse incentive to provide more care in a traditional fee-for-service model. While laudable in theory, research has continued to show that in practice the program is bureaucratically burdensome costing $12,800 per physician and over 53 hours per year (6).

Emergency Department 88

Emergency Department Research Outcomes Hospitals 88

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 ). Nonetheless, research has consistently shown that healthcare environments demonstrate higher-than-average levels of workplace incivility.

Leadership 105

Leadership Resuscitation Teamwork Patient Safety 105

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 129

Ultrasounds Outcomes COPD Hospitals 129

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 97

Emergency Department Hospitals Outcomes EMS 97

The Skeptics' Guide to EM

OCTOBER 10, 2020

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 52

Emergency Department Research Wellness 52

The Skeptics' Guide to EM

NOVEMBER 20, 2021

Moving the Needle on Fall Prevention: A Geriatric Emergency Care Applied Research (GEAR) Network Scoping Review and Consensus Statement. She […] The post SGEM#351: How to Stop Geriatrics from Free Fallin’ first appeared on The Skeptics Guide to Emergency Medicine. Background: We looked at geriatric falls on an SGEM Xtra in 2015.

Geriatric Emergencies 52

Geriatric Emergencies Elder Abuse Research Academics 52

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

The Skeptics' Guide to EM

SEPTEMBER 10, 2022

Single-dose dexamethasone is not inferior to 2 doses in mild to moderate pediatric asthma exacerbations in the emergency department. Pediatr Emerg Care. 2022 Guest Skeptic: Dr. Harrison Hayward is a Pediatric Emergency Medicine fellow at Children’s National Hospital. Pediatr Emerg Care. Pediatr Emerg Care.

Pediatrics 52

Pediatrics Emergency Department Urgent Care Hospitals 52

PHEM Cast

APRIL 10, 2016

And from our buddies at HEFT EM CAST: [link] A bit more detail covering some of the research in an easy to understand way. These tables are used when assessing the usefulness of a test (or it’s sensitivity and specificity), and, when researching how useful tests are we need the majority of patients to fall into the green boxes.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 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. Am J Emerg Med. Best Practice & Research Clinical Obstetrics & Gynaecology, Volume 23, Issue 4, 2009. Am J Emerg Med.

Ultrasounds 98

Ultrasounds Operations Radiology Radiology 98

ACEP Now

OCTOBER 15, 2023

1 The emergency department remains an important frontier for work in judicious prescribing, but opiate analgesia remains a valuable tool for the initial treatment of a variety of presentations. Rather, the research protocol describes a prolonged six-week program of follow-up and repeated prescribing.

Emergency Department 52

Emergency Department Outcomes CDC Research 52

RCEM Learning

MAY 20, 2022

On paper Emergency Medicine (EM) research is flourishing. There is growing demand to understand how emergency services are used and there is an urgent need to ensure that the medications and treatments provided in the Emergency Department are effective. The specialty does need research leaders though.

Academics 52

Academics Research EMS Documentation/Coding 52

The Skeptics' Guide to EM

JANUARY 12, 2019

JAMA December 2018 Guest Skeptic: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City.

Emergency Department 40

Emergency Department Research Outcomes Hospitals 40

Don't Forget the Bubbles

MAY 29, 2023

Explored in seminal research, incivility is described as “ behaviours or mistreatment which violate the workplace norms of mutual respect “ Incivility isn’t just about obvious aggression but can take the form of passive aggression, public beratement, intimidation or habitual interruption. Should I do it?” from one of the team.

Leadership 98

Leadership Patient Safety Academics Research 98

ETM Course

JUNE 17, 2015

Joseph is a Consultant Emergency Physician with the inpatient Trauma Service and Emergency Department at the Alfred in Melbourne, and is also head of International Programs (South Asia) with the National Trauma Research Institute. Huang S, Vohora A, Russ M, Mathew J, Johnny C, Stevens J, Fitzgerald M.

Fractures 40

Fractures Emergency Department Resuscitation Research 40

RebelEM

MARCH 23, 2023

The 30-day emergency department readmission rate and all-cause 30-day readmission were significantly lower only when adjusted for propensity scores. of symptom-triggered phenobarbital versus symptom-triggered lorazepam in the emergency department (n=44). A randomized, blinded clinical trial (Hendey et al.)

Emergency Department 52

Emergency Department Burns Outcomes Hospitals 52

ACEP Now

OCTOBER 30, 2023

28, 2012, the Emirates Society of Emergency Medicine (ESEM) was established by a group of emergency physicians who recognized the necessity for a unified body dedicated to the advancement of emergency medicine practice and research. The UAE government’s support took the country to another level and on Aug.

Leadership 52

Leadership Emergency Department Ultrasounds CPR 52

The Skeptics' Guide to EM

MARCH 12, 2022

She is an emergency physician at Mount Sinai Hospital and a Clinician Scientist and the Deputy Director of the Schwartz-Reisman Emergency Medicine Institute. Dr. Varner’s research interests are in concussion and pregnancy care in the ED. This classic paper was published in Lancet 2001 and reviewed on SGEM#106.

Emergency Department 40

Emergency Department Head Injuries Pediatrics Research 40

Don't Forget the Bubbles

JANUARY 10, 2024

Let’s take the humble blood transfusion – used in emergency departments across the globe and playing a key role in critical care. The factorial design chosen by Dr Maitland and her research group means that several comparisons in transfusion practice could be carried out at the same time. What were the research questions?

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

Taming the SRU

MARCH 14, 2023

Case 1 Fussy 1 month old A 1-month-old (ex-34 week premature) infant comes to your emergency department for fussiness. VP Shunt - Courtesy of Cancer Research UK via wikimedia - CC-4.0 - [link] Case courtesy of Paul Simkin, Radiopaedia.org, rID: 30453 Case courtesy of Dr Ruslan Asadov, Radiopaedia.org, rID: 8401. Lancet Neurol.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

The Skeptics' Guide to EM

JULY 2, 2017

Kirsty did her residency in North West England and has a PhD in Health Services Research from Sheffield. Case: A 22-year-old patient presents to the emergency department with sudden onset shortness of breath. She did her Medical School at Manchester, with a History of Medicine BSc at the same time.

Fractures 40

Fractures Emergency Department Ultrasounds Outcomes 40

Advanced Emergency Nursing from AENJ

JANUARY 26, 2015

Preeclampsia/ Eclampsia - Emergency Department Resources. {3 abstracts} Luckett-Gatopoulos, S. Postpartum Emergencies. Emergency department evaluation and management of peripartum cardiomyopathy. Emergency, 129, 80-1. Journal of clinical and diagnostic research: JCDR, 8(10), FC05. Boringem.org.

OB/GYN 40

OB/GYN Ultrasounds Emergency Department Resuscitation 40

Don't Forget the Bubbles

MARCH 19, 2024

Becasue paediatric emergency departments are accessible out-of-hours they become the de facto place of safety with access to immediate support. Paediatric social admissions, unlike social determinants of health (SDOH) and adverse childhood experiences (ACEs) is under-researched. Journal of Health and Social Behavior, 30(2), 220.

Hospitals 52

Hospitals Psychiatric Documentation/Coding Pediatrics 52

Pediatric Emergency Playbook

DECEMBER 1, 2016

2015 Sep 12;386(9998):1041-8. Discharged on supplemental oxygen from an emergency department in patients with bronchiolitis. Management of bronchiolitis in the emergency department: impact of evidence-based guidelines? 2015 Sep 18;(9):CD006915. 2015 Mar;143(4):804-12. Pediatrics. Pediatrics.

Pediatrics 40

Pediatrics Emergency Department Hospitals Wellness 40

PEMBlog

JUNE 5, 2024

It was inspired by a hot-off-the-presses publication from the Pediatric Emergency Care Applied Research Network (PECARN) focused on clinical decision rules for cervical spine imaging in children. Acad Emerg Med. 2015 Apr;22(4):441-6. Epub 2015 Mar 16. Ann Emerg Med. Harding, M., Leonard, J. Sapien, R.

Fractures 52

Fractures Pediatrics Radiology Radiology 52

EM Guide Wire

NOVEMBER 2, 2020

Nebulized Mg sulfate treatment shows no significant effect on respiratory function or hospital admission High-Dose Magnesium Sulfate Infusion for Severe Asthma in the Emergency Department Efficacy Study All patients of 6–16 years old who failed to improve after 2 hours of standard therapy for asthma. doi: 10.5935/0103-507X.20150065

Pediatrics 52

Pediatrics Anaphylaxis Emergency Department Administration 52

Northwestern EM Blog

JANUARY 24, 2022

Critical Care Research and Practice. Revised National Estimates of Emergency Department Visits for Sepsis in the United States. The Use of Sodium Bicarbonate in the Treatment of Acidosis in Sepsis: A Literature Update on a Long Term Debate. 12) Wang H, Jones A, and Donnelly J. Critical Care Medicine. 2017; 45(9): 1443-1449.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

Don't Forget the Bubbles

JULY 26, 2023

Prioritise listening to the first 30 minutes which given a good overview of aetiology and treatment (53 mins) Basics of cardiac rhythm problems in the ED Palpitations are a common reason for children to present to the emergency department, the majority of these will be benign from a cardiac perspective and instead related to stress or anxiety.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

Dr. Smith's ECG Blog

MARCH 9, 2023

Sent by anonymous, written by Pendell Meyers A man in his 50s with no prior known medical history presented to the Emergency Department with severe intermittent chest pain. He denied any lightheadedness, shortness of breath, vomiting, or abdominal pain.

EKG/ECG 52

EKG/ECG Outcomes Emergency Department Research 52

EMDocs

NOVEMBER 16, 2024

9,23 Disposition: Dislocation : If successfully reduced in the emergency department may discharge with strict mobility restrictions and Orthopedic follow up. Rockville (MD): Agency for Healthcare Research and Quality (US); 2006 Feb-. 2015 Jun;27(2):63-71. Epub 2015 Jun 30. Hospitals, 2018. 2021 Aug 31. Hip Pelvis.

EMS 98

EMS Dislocations Fractures Operations 98

Taming the SRU

FEBRUARY 22, 2023

Paske et al.

Hospice 40

Hospice EKG/ECG Resuscitation Seizures 40

Dr. Smith's ECG Blog

NOVEMBER 24, 2017

Other Research: According to this study b y Batchvarov et al. , Acad Emerg Med 2015 Oct; 22(10):1139-44. Since the heart rate is most commonly above 60 in both normal and sick individuals , it would seem that the Bazett correction is too conservative and will identify too many patients as having a prolonged QT.

EKG/ECG 52

EKG/ECG Outcomes Wellness Hospitals 52

Dr. Smith's ECG Blog

APRIL 8, 2015

The ROSE (Risk Stratification of syncope in the emergency department) Study. 2009.09.049 Objectives: The aim of this study was to develop and validate a clinical decision rule (CDR) to predict 1-month serious outcome and all-cause death in patients presenting with syncope to the emergency department.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52