The Skeptics' Guide to EM

NOVEMBER 28, 2020

Date: November 25th, 2020 Guest Skeptic: Dr. Joe Vipond has worked as an emergency physician for twenty years, currently at the Rockyview General Hospital. Date: November 25th, 2020 Guest Skeptic: Dr. Joe Vipond has worked as an emergency physician for twenty years, currently at the Rockyview General Hospital.

Infectious Diseases 52

Infectious Diseases Operations Wellness Outcomes 52

Advanced Emergency Nursing from AENJ

JUNE 16, 2015

Ordinary hospital practice would be for admission orders to specify Isolation Cart, to ensure that the ward would have one delivered and restocked daily until no longer needed. That is to say, I would need a “Positive Air Pressure Respirator” [Powered Air-Purifying Respirator] or “PAPR.”

PPE 40

PPE Infectious Diseases Emergency Nursing Operations 40

EMDocs

NOVEMBER 16, 2024

Infections For stable patients, obtain microbiologic samples prior to antibiotics (per the American Academy of Orthopedic surgery and The Infectious Diseases Society of America). Hospitals, 2018. 2015 Jun;27(2):63-71. Epub 2015 Jun 30. 7,8 Majority are managed operatively. 2021 Aug 31. EFORT Open Rev. Hip Pelvis.

EMS 97

EMS Dislocations Fractures Operations 97

ACEP Now

APRIL 14, 2025

It has accumulated a significant evidence base, with clear data linking its use with decreased overdose risk, decreased harmful recreational use, decreased transmission of infectious disease, and increased treatment engagement when compared with non-pharmacologic treatment options alone. 2015 Mar 8. 2014 Apr 9.

Research 52

Research Infectious Diseases Hospitals Administration 52

RebelEM

FEBRUARY 29, 2024

1, 2 Its occurrence often portends worse outcomes in intubated patients, whose projected hospital course was already tenuous. Stratified by center (different hospital practices may affect results) and GCS (<8 or ≥8) (higher VAP risk inherent to lower GCS). 4, 8 Paper: Dahyot-Fizelier, C.,

CDC 119

CDC Radiology Radiology Head Injuries 119

RebelEM

MAY 15, 2024

Follow your hospital’s protocol (if available). High Risk Patients will need hospitalization and IV antibiotics. Clinical practice guideline for the use of antimicrobial agents in neutropenic patients with cancer: 2010 update by the infectious diseases society of america, Clinical Infectious Diseases, 2011, 52(4):e56-93.

Infectious Diseases 98

Infectious Diseases Administration Sepsis Anaphylaxis 98

Don't Forget the Bubbles

MARCH 18, 2024

The Royal Children’s Hospital in Melbourne summarises them in an easy-to-follow flow diagram (figure 1). Think about nutrition References The Royal Children’s Hospital Melbourne. Clinical Infectious Diseases [Internet]. Disease severity of Shiga toxin-producingE. 2015 Nov;46(5):586–9. Rch.org.au.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

PulmCCM

OCTOBER 30, 2023

Professional Medical Societies Call for Elimination of SEP-1 The Infectious Diseases Society of America (IDSA), along with societies for emergency medicine physicians and hospitalists, are again speaking up about the ongoing policy experiment known as the Centers for Medicare and Medicaid Severe Sepsis/Septic Shock Management Bundle (SEP-1).

Sepsis 52

Sepsis Shock Hospitals Infectious Diseases 52

Don't Forget the Bubbles

JANUARY 10, 2024

Severe anaemia is a common and life-threatening cause of hospital admission in children in sub-Saharan Africa. 8% die in hospital, with a further 12% dying in the six months following discharge. Population 6171 children from three hospitals in Uganda and one in Malawi were assessed for eligibility.

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

Don't Forget the Bubbles

SEPTEMBER 18, 2023

Conventionally IV antibiotics have been limited to in-hospital use. However, the Intravenous ceftriaxone at home versus intravenous flucloxacillin in hospital for children with cellulitis” ( CHOICE ) randomised control trial challenged this dogma. Randel A, Infectious Disease Society of America. 2020 Nov 18;m4238.

Emergency Department 143

Emergency Department Infectious Diseases Pediatrics Sepsis 143

EMDocs

MAY 29, 2023

Authors: Rachel Kelly, MD (EM Resident Physician, Stony Brook University Hospital) and Robert Nocito, MD (EM Attending Physician, Stony Brook University Hospital) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2015 Nov.

Infectious Diseases 57

Infectious Diseases Emergency Department EMS Hospitals 57

Pediatric EM Morsels

FEBRUARY 2, 2024

Hospitalization for travel-related illness are around 10% for both VFR and tourists (Leuthard 2015) Multiple studies have reported the most common travel infections in various countries. In the 1950’s travel accounted for 25 million international tourists. A study of swiss tourists found they compromised 53.4%

Infectious Diseases 164

Infectious Diseases Pediatrics Sepsis Documentation/Coding 164

PEMBlog

OCTOBER 31, 2024

every year, leading to emergency department visits and hospitalizations. N Engl J Med 2018; 379:2015-2026. Introduction Acute gastroenteritis affects millions of children in the U.S. However, for pediatric gastroenteritis, the evidence suggests they do not provide significant benefits. N Engl J Med. 2018 Nov 22;379(21):2002-2014.

Outcomes 105

Outcomes Pediatrics Emergency Department Research 105

Don't Forget the Bubbles

JANUARY 20, 2025

Leprosy, also known as Hansen’s disease, is a chronic infectious disease caused by Mycobacterium leprae. The disease is named after Dr. Gerhard Armauer Hansen, who discovered the causative bacterium in 1873. Leprosaria, or leper hospitals, were established to isolate and care for people with leprosy.

Infectious Diseases 59

Infectious Diseases Research Documentation/Coding Hospitals 59

Mind The Bleep

JANUARY 24, 2025

Pre-hospital management including intubation, IV fluids, cardiac monitoring, analgesia etc. Pathophysiology and burden of infection in patients with diabetes mellitus and peripheral vascular disease: focus on skin and soft-tissue infections. International journal of molecular sciences. UK Health Security Agency.

Dislocations 52

Dislocations Fractures Soft Tissue Injuries Infectious Diseases 52

Don't Forget the Bubbles

SEPTEMBER 18, 2024

Another useful study showing the distribution of viral infection in different ages and household setups comes from the BIG LoVE study (2015) where households had viral PCR swabs completed weekly for a year. Adapted from: Byington et al (2015, Clinical Infectious Disease, [link] ) When to think about primary immunodeficiency?

Emergency Department 98

Emergency Department Wellness Infectious Diseases Pediatrics 98

Mind The Bleep

SEPTEMBER 17, 2024

Epidemiology The number of animal bites presented to A&E is largely underestimated, as many who are bit don’t present to receive medical care 1 or won’t receive treatment in a hospital setting so they are not counted in the statistics for bites 2. Nevertheless, approximately 1-2% of attendances per year to A&E are from bites 3.

Fractures 52

Fractures Infectious Diseases Documentation/Coding Hospitals 52

Don't Forget the Bubbles

SEPTEMBER 23, 2024

You are working in the paediatric emergency department of a busy District General Hospital. Infections are the most common reason for hospitalization within the first two years of transplant and are much more likely than rejection. Have there been any previous episodes of hospitalization since receiving the transplant?

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

EMDocs

NOVEMBER 2, 2024

Neurology is consulted, treatment is started, and the patient is admitted to the hospital for further management. Consultation with an infectious disease and neurology specialist can be considered to guide treatment and proper disposition. Sexually transmitted disease surveillance 2018. Neurosyphilis.” doi:10.1212/CON.0000000000000982

EMS 115

EMS Infectious Diseases CDC Research 115

Don't Forget the Bubbles

FEBRUARY 24, 2025

Two-month-old Isla presents to their local hospital following a prolonged apnoea at home. Between 2002 and 2015, 200 infants with pertussis were placed on ECMO, but only 56 survived, representing a survival rate of just 28%. The Pediatric Infectious Disease Journal 37(3):p 202-205, March 2018. Pediatrics. Nieves et al.

Pediatrics 59

Pediatrics Outcomes Blood Transfusions Sepsis 59

EB Medicine

DECEMBER 1, 2018

Jeff: The information contained in this article comes from articles found on pubmed, the cochrane database, center for disease control, and the world health organization. Additionally, guidelines were reviewed from the american college of emergency physicians, infectious disease society of america, and the american academy of pediatrics.

Emergency Department 40

Emergency Department CDC Infectious Diseases EMS 40

EMDocs

MARCH 24, 2025

1 Over the decades, HIV has transitioned from being a terminal illness to a manageable chronic condition for many individuals due to improved knowledge in the diagnosis and treatment of the disease globally. They should be notified that if any testing for other sexually transmitted diseases (i.e., World Health Organization; 2015.

CDC 91

CDC Blood Transfusions Infectious Diseases Sexual Assault 91