EMDocs

DECEMBER 18, 2024

2016; 83(1): 67-79. fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold Management of drug and alcohol withdrawal. N Engl JMed. 2003; 348:1786-1795. Gortney J, Raub J, Patel P, et al. Alcohol withdrawal syndrome in medical patients. Cleve Clin J Med. Muncie H, Yasinian Y, Oge L.

Seizures 105

Seizures Hyperthermia / Hypothermia Emergency Department EMS 105

The Trauma Pro

OCTOBER 3, 2023

The first was published in 2016 and examined papers comparing postop bracing vs. no postop bracing. World Neurosurg 93:221-228, 2016. So I would like to concentrate on some papers that examined the use of back braces on patients who underwent pedicle screw fixation of their thoracic and/or lumbar spine fractures. First, the reviews.

Fractures 203

Fractures Dislocations Operations Burns 203

Pediatric EM Morsels

AUGUST 18, 2023

Jackson 2016) Ciprofloxacin was the first fluoroquinolone approved by the FDA in the 1980’s as a broad-spectrum antibiotic. Jackson 2016) It can also be used in UTIs , but is typically reserved for special cases where the infectious bacteria is found to be multidrug resistant or in complicated UTIs. 2016 138(5):e20162706.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

Ken Grauer, MD

SEPTEMBER 8, 2023

ECG Criteria for the diagnosis of MBBB are described by Dhanse et al ( J Clin Diag Research: 10(9), 2016 ) — and Buttner and Cadogan ( LITFL, 2021 ) — and include the following: An ECG pattern consistent with RBBB in the chest leads ( ie, with a widened, predominantly positive QRS in lead V1 ).

EKG/ECG 296

EKG/ECG Research 296

Pediatric EM Morsels

OCTOBER 27, 2023

Bowen 2016] Moral of the Morsel: Weight Matters! [Khouli 2015] In South Sudan, the Broselow system overestimated weight by 26.6% in malnourished children and by 16.6% in non-malnourished children. The authors recommended alternate methods to estimate weights and doses of medications in low to middle income countries. x exp[0.02 x exp[0.02

Pediatrics 271

Pediatrics Resuscitation Documentation/Coding Wellness 271

Pediatric EM Morsels

JULY 21, 2023

2016 Aug;23(8):878-84. Epub 2016 Aug 1. Borgialli DA, Mahajan P, Hoyle JD Jr, Powell EC, Nadel FM, Tunik MG, Foerster A, Dong L, Miskin M, Dayan PS, Holmes JF, Kuppermann N; Pediatric Emergency Care Applied Research Network (PECARN). Acad Emerg Med. doi: 10.1111/acem.13014. PMID: 27197686. Holmes, James F et al. 2005): 814–819.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Pediatric EM Morsels

APRIL 7, 2023

Epub 2016 Oct 17. 2016 Dec 2;2016(1):625-631. Impact of the New American Heart Association/American Stroke Association Definition of Stroke on the Results of the Stenting and Aggressive Medical Management for Preventing Recurrent Stroke in Intracranial Stenosis Trial. J Stroke Cerebrovasc Dis. 2017 Jan;26(1):108-115. 2016.08.038.

Stroke 130

Stroke Pediatrics Seizures Sepsis 130

Ken Grauer, MD

AUGUST 16, 2024

On occasion — such anterior lead ST elevation ( instead of T wave inversion ) can be seen with acute PE ( Zhan et al — Ann Noninvasive Electrocardiol 19(6):543-551, 2014 — and — Omar HR — Eur Heart J: Acute Cardiovascu Care (5(8): 579-586, 2016 ). Right-sided leads such as leads III , aVR and V1 — face the anterior region of the RV.

EKG/ECG 380

EKG/ECG Wellness Shock 380

Pediatric EM Morsels

MAY 12, 2023

However clinical judgement was more specific in this same group (54% vs 92%) [ Atabaki, 2016 ]. 2016 May;23(5):566-75. Epub 2016 Apr 20. When we discussed this topic previously , we concluded with “Clinical Guidelines are never perfect, but this one is pretty good”. Acad Emerg Med. doi: 10.1111/acem.12923. PMID: 26825755.

Head Injuries 130

Head Injuries Fractures Pediatrics EMS 130

Ken Grauer, MD

SEPTEMBER 6, 2024

For a more intricate analysis: See Katritsis and Josephson — Arrhythm Electrophys Rev 5(2):130-135, 2016. The October 31, 2016 post in Dr. Smith's ECG Blog. Editorial Comment: The intricacies of reentry SVT rhythms is a complex subject that I have simplified to facilitate practical understanding.

EKG/ECG 248

EKG/ECG Administration Operations Wellness 248

Mind The Bleep

FEBRUARY 2, 2025

Further reading For more information on potential biases, read Thinking Fast and Slow by Daniel Kahneman For more information on clinical decision making, see: Trimble M & Hamilton P (2016). The thinking doctor: clinical decision making in contemporary medicine.

Dehydration 97

Dehydration Documentation/Coding Wellness 97

Emergency Live

MARCH 12, 2024

Since 2016, HikMicro has channeled its expertise in thermal technology, becoming a key player in creating IoT solutions […] The post HikMicro: Thermal Innovation in the Service of Security and Rescue appeared first on Emergency Live.

98

98

EMDocs

MARCH 4, 2025

2016 Jun;72 (6):768-769]. The UK joint specialist societies guideline on the diagnosis and management of acute meningitis and meningococcal sepsis in immunocompetent adults [published correction appears in J Infect. 2016;72(4):405-438. PMID: 26845731 van de Beek D, Cabellos C, Dzupova O, et al.

Infectious Diseases 82

Infectious Diseases Seizures Poisoning Sepsis 82

Pediatric EM Morsels

JULY 5, 2024

2016; Published June 20, 2016. J Spinal Disord Tech. 2015;28(7). PMID: 26165728. Cui LW, Probst MA, Hoffman JR, Mower WR. Sensitivity of plain radiography for pediatric cervical spine injury. Emerg Radiol. doi:10.1007/s10140-016-1417-y. Easter JS, Barkin R, Rosen CL, Ban K.

Pediatrics 164

Pediatrics Head Injuries Dislocations Research 164

EMDocs

DECEMBER 1, 2024

2016 Oct;29(5):433-9. State of the art of diagnosis of rickettsial diseases: the use of blood specimens for diagnosis of scrub typhus, spotted fever group rickettsiosis, and murine typhus. Curr Opin Infect Dis. Perera P, Mailhot T, Riley D, Mandavia D. The RUSH exam: Rapid Ultrasound in SHock in the evaluation of the critically lll.

EMS 104

EMS Infectious Diseases Shock Airway Management 104

Emergency Medicine Journal

JUNE 22, 2023

Methods This is a retrospective review of medical records of the ED of three public hospitals in Sydney, New South Wales, Australia from January 2016 to October 2021. Our objective was to compare care delivery for low back pain in Australian EDs between culturally and linguistically diverse (CALD) and non-CALD patients.

Emergency Department 40

Emergency Department Administration Hospitals Outcomes 40

PEMBlog

JUNE 27, 2023

Bronstein, MD, 2016. Pansare, M., Kamat, A., & Kamat, D. Summer buzz: All you need to know about insect sting allergies. Pediatrics in Review, 41(7), 348-356. Shireen Banerji, PharmD, Alvin C. “Envenomations”, American Academy of Pediatrics Textbook of Pediatric Care, Thomas K. McInerny, MD, FAAP, Henry M.

Urgent Care 98

Urgent Care Pediatrics Emergency Department Hospitals 98

EMDocs

SEPTEMBER 6, 2023

2016 study published in American Journal of Emergency Medicine , “ Urinary obstruction is an important complicating factor in patients with septic shock due to urinary infection ” by Reyner et al. 2016 Apr;34(4):694-6. CT shows occlusive right ureteral stone, pyelonephritis. Arterial line started. Am J Emerg Med.

Anaphylaxis 96

Anaphylaxis Shock Sepsis Stroke 96

PulmCCM

OCTOBER 7, 2024

Observational Trials of Midodrine in the ICU At least six observational studies on midodrine in the ICU were published between 2016 and 2021. What’s the evidence for this practice, in terms of efficacy, outcomes, and safety? All but one were retrospective.

Shock 98

Shock Outcomes 98

The Skeptics' Guide to EM

OCTOBER 21, 2023

Population: Adults attending at continuously-staffed EDs in a health network covering 15 states, 2016-19. Implementation of a Clinical Management Tool for Spinal Epidural Abscess Early Diagnosis. AEM October 2023.

Emergency Department 134

Emergency Department Radiology Radiology Hospitals 134

Mount Sinai EM

JANUARY 11, 2023

Print publication year: 2016 Sports Medicine for the Emergency Physician A Practical Handbook, pp. 242 – 272 DOI: [link] in a new window]. Publisher: Cambridge University Press.

Radiology 130

Radiology Radiology Fractures Dislocations 130

NIOSH Science Blog

JUNE 18, 2020

In a 2016 study, NIOSH surveyed health care personnel who were exposed to surgical smoke. Since the 1990s the Association of Perioperative Registered Nurses (AORN) has recommended the evacuation of all surgical smoke. Yet, surgical smoke is still inhaled daily by nurses in the operating room.

Operations 81

Operations 81

EMDocs

NOVEMBER 19, 2024

2016 Dec;54(10):899-923. Gosselin S, Hoegberg LC, Hoffman RS, Graudins A, Stork CM, Thomas SH, Stellpflug SJ, Hayes BD, Levine M, Morris M, Nesbitt-Miller A, Turgeon AF, Bailey B, Calello DP, Chuang R, Bania TC, Mégarbane B, Bhalla A, Lavergne V. Evidence-based recommendations on the use of intravenous lipid emulsion therapy in poisoning.

Poisoning 111

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 111

ACEP Now

NOVEMBER 7, 2024

A 2016 multicenter prospective study evaluated 1,036 pediatric patients for shunt failure who received CSF shunts over a four-year period. The author found the VP shunt revision rate to be 11.9 percent (40 of 336 children). Similarly, 70 percent of VP revisions occurred within the first six months after surgery.

Pediatrics 59

Pediatrics Poisoning Research Outcomes 59

ACEP Now

DECEMBER 8, 2024

Estimates of Emergency Department Visits in the United States, 2016-2022. Augustine is a member of the ACEP Now Editorial Board, clinical professor of emergency medicine at Wright State University in Dayton, Ohio, and vice president of the Emergency Department Benchmarking Alliance. References Centers for Disease Control and Prevention.

CDC 52

CDC Emergency Department Hospitals 52

Ken Grauer, MD

JULY 29, 2023

In contrast — a broader passband ( typically from 0.05 Hz to 150 H z) — is recommended for diagnostic mode , where more accurate ST segment analysis is essential.

EKG/ECG 370

EKG/ECG Resuscitation Documentation/Coding Hospitals 370

Pediatric EM Morsels

NOVEMBER 17, 2023

2016 Feb;30(1):3-11. Anaesthesia. 2019 Sep;74(9):1186-1190. doi: 10.1111/anae.14787. Epub 2019 Jul 16. PMID: 31313280. Shi F, Xiao Y, Xiong W, Zhou Q, Huang X. Cuffed versus uncuffed endotracheal tubes in children: a meta-analysis. doi: 10.1007/s00540-015-2062-4. Epub 2015 Aug 22. PMID: 26296534.

Pediatrics 187

Pediatrics Emergency Department Outcomes Sepsis 187

EMDocs

NOVEMBER 13, 2024

2016; 63:1299-1309. Piano S, Fasolato S, Salinas F, et al. The empirical antibiotic treatment of nosocomial spontaneous bacterial peritonitis: results of a randomized, controlled clinical trial. Hepatology. Sasidharan Nair GV, Mathen PG, Pillai MG, et al. Int J Crit Illn Inj Sci. 2019 Oct-Dec;9(4):187-190.

Hyperthermia / Hypothermia 105

Hyperthermia / Hypothermia Ultrasounds Shock Hospitals 105

Sensible Medicine

NOVEMBER 28, 2023

One of these was an article that Vinay Prasad and I wrote back in 2016: Wearables, Smartphones and Novel Anticoagulants: We Will Treat More Atrial Fibrillation, but Will Patients Be Better Off? I’ll end this piece in the same way Vinay and I finished our article in 2016. There are some, however, that I remain proud of.

Stroke 97

Stroke Academics Outcomes Administration 97

Northwestern EM Blog

MARCH 1, 2025

Proning makes the heart rest against the sternum, and the diaphragm is displaced inferiorly. This change in positioning of mediastinal structures allows for increased distention of the posterior lung (Koulouras et. Should we prone non-intubated patients in the ED? 2020; Koulouras et.

Emergency Department 52

Emergency Department Fractures EKG/ECG Wellness 52

Mount Sinai EM

DECEMBER 27, 2022

Print publication year: 2016 Print Publication year: 2022 Sports Medicine for the Emergency Physician A Practical Handbook , pp. 273 – 310. DOI: [link] in a new window]. Publisher: Cambridge University Press.

Dislocations 130

Dislocations Fractures Operations Radiology 130

EMDocs

DECEMBER 6, 2024

McGraw Hill; 2016. Hernandez SH, Nelson LS. In: Tintinalli JE, Stapczynski J, Ma O, Yealy DM, Meckler GD, Cline DM. Tintinallis Emergency Medicine: A Comprehensive Study Guide, 8e. & Rangan, C. Iron Poisoning: A Literature-Based Review of Epidemiology, Diagnosis, and Management. Pediatric Emergency Care, 27 (10), 978-985.

Poisoning 97

Poisoning Fluid Resuscitation Seizures Resuscitation 97

EMDocs

JULY 9, 2024

2016 Nov 7;170(11):e162521. Epub 2016 Nov 7. 2016 Mar;16(2):168-74. Gottlieb LM, Hessler D, Long D, Laves E, Burns AR, Amaya A, Sweeney P, Schudel C, Adler NE. Effects of Social Needs Screening and In-Person Service Navigation on Child Health: A Randomized Clinical Trial. JAMA Pediatr. doi: 10.1001/jamapediatrics.2016.2521.

Pediatrics 74

Pediatrics Emergency Department Research Burns 74

Sensible Medicine

MARCH 28, 2024

In 2016, Jonathan Reiner said this about Carrie Fisher’s mother, who died very shortly after her daughter. I always find it shameless when a celebrity becomes ill and armchair doctors chime in about their condition. But his comment turned out to be not only in poor taste, but also incorrect.

Hospitals 111

Hospitals Outcomes Wellness 111

PEMBlog

JULY 14, 2023

2016 Feb 1;93(3):183-91. The risk of treatment failure and delay in return to sports were significantly greater in those managed with casting alone. References Bica D, Sprouse RA, Armen J. Diagnosis and Management of Common Foot Fractures. Am Fam Physician. PMID: 26926612. Herrera-Soto JA, Scherb M, Duffy MF, Albright JC. J Pediatr Orthop.

Fractures 98

Fractures Pediatrics 98

Don't Forget the Bubbles

JULY 24, 2023

2016 Apr 9;17. It can reduce diagnostic delay and can identify adjacent inflammatory lesions requiring prolonged treatment +/- surgical intervention. It is also used to monitor improvement/resolution. Radiological resolution can take time. Adapted from Alghamdi, A., Discitis in children. Neurosciences Journal , 21 (3), pp.283-285.

Radiology 98

Radiology Radiology Infectious Diseases Pediatrics 98

Mind The Bleep

AUGUST 12, 2024

For doctors on the 2016 England Contract, the BMA provides useful guidance on breaks here. It’s essential to prioritise breaks during your shifts to rest and recharge. Hydrate, eat, and take a moment to clear your mind – your body and mind will thank you.

Wellness 96

Wellness 96