Emergency Medicine Journal

JUNE 20, 2024

Methods A retrospective chart review of ED visits of patients on ICI from 15 December 2016 to 6 December 2020 was performed. Secondary objectives describe the therapeutic management and determine 7 and 30-day mortality. Clinical presentation, cancer characteristics and type of ICI were extracted by a single abstractor.

Outcomes 70

Outcomes Emergency Department 70

Pediatric EM Morsels

JULY 21, 2023

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. 2016 Aug;23(8):878-84. Epub 2016 Aug 1. Academic emergency medicine 12.9 Ann Emerg Med. J Surg Res.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

RebelEM

NOVEMBER 6, 2024

2016 Jan 6;17:6-11. 2016 Jul;24(7):413-23. Elbow Dislocations in the Emergency Department: A Review of Reduction Techniques. Multiple Concomitant Injuries in One Upper Extremity: A Case Report. Am J Case Rep. doi: 10.12659/ajcr.894984. PMID: 26732673 Akhondi H, Varacallo M. Anterior Interosseous Syndrome. 2023 Aug 4.

Dislocations 118

Dislocations Fractures Soft Tissue Injuries Outcomes 118

PEMBlog

JUNE 27, 2023

A very common pediatric summer complaint in emergency departments, urgent cares, and primary care offices, this episode covers common signs and symptoms, some pathophysiology, and recommended treatments. Bronstein, MD, 2016. Pansare, M., Kamat, A., & Kamat, D. Summer buzz: All you need to know about insect sting allergies.

Urgent Care 98

Urgent Care Pediatrics Emergency Department Hospitals 98

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

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

RebelEM

FEBRUARY 2, 2023

Background Information: Atrial fibrillation with rapid ventricular rate (RVR) is one of the many tachydysrhythmias we encounter in the Emergency Department (ED). Amiodarone versus digoxin for acute rate control of atrial fibrillation in the emergency department. Am J Emerg Med. Am J Emerg Med. 2022 Sep 7.

Emergency Department 52

Emergency Department Administration EMS Dehydration 52

EMDocs

DECEMBER 18, 2024

A 36-year-old male presents to the emergency department after being found down at home by his spouse. 2016; 83(1): 67-79. 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 73

Seizures Emergency Department Hyperthermia / Hypothermia EMS 73

Pediatric EM Morsels

JULY 5, 2024

Emerg Radiol. 2016; Published June 20, 2016. PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study. J Spinal Disord Tech. 2015;28(7). PMID: 26165728. Cui LW, Probst MA, Hoffman JR, Mower WR.

Pediatrics 161

Pediatrics Head Injuries Dislocations Research 161

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. Population: Adults attending at continuously-staffed EDs in a health network covering 15 states, 2016-19.

Emergency Department 103

Emergency Department Radiology Radiology Hospitals 103

Don't Forget the Bubbles

AUGUST 23, 2023

In most Emergency Departments, staff are allotted little of that scarce resource, time, to begin processing what has just occurred. The Pause Jonathon Bartels worked as an Emergency Nurse in America in 2009. After the death of a young person in the Emergency Department, he initiated ‘ The Pause.’ & Liska, H.

Emergency Department 98

Emergency Department Resuscitation Documentation/Coding Best Practices 98

Emergency Medicine Journal

OCTOBER 23, 2024

Methods A retrospective cohort study was carried out of C&YP (≤17) attending an ED in the Yorkshire and Humber region of the UK following contact with NHS 111 between 1 April 2016 and 31 March 2017. This linked-data study examined NHS 111 calls and ED outcomes.

Emergency Department 52

Emergency Department Outcomes 52

The Trauma Pro

OCTOBER 4, 2024

years from 2013 to 2016. Clinical outcomes assessed at 60 days included an unplanned return to the emergency department (ED), re-admission, complications, and development of new bleeding confirmed by surgery, ultrasound, or computed tomography (CT) at 60 days post-injury. ” This means they probably did not.

Pediatrics 113

Pediatrics Outcomes Operations Emergency Department 113

ACEP Now

DECEMBER 8, 2024

The Centers for Disease Control and Prevention (CDC) estimates of emergency department (ED) visits for 2022 were recently released. The Emergency Department Benchmarking Alliance (EDBA) data survey found that about 69 percent of hospital inpatients are processed through the ED. National Center for Health Statistics.

CDC 52

CDC Emergency Department Hospitals 52

EB Medicine

JANUARY 10, 2020

Show Notes Please click here and take our listener survey Emergency Department management of Non-St Segment Elevation Myocardial Infarction, by Drs Julianna Jung and Sharon Bord. Chest pain is the second most common complaint Over 6.4 million visits to US EDs annually include chest pain.

Emergency Department 40

Emergency Department EKG/ECG Shock Sepsis 40

EB Medicine

SEPTEMBER 20, 2019

Kirelik is the Medical Director of the Rocky Mountain Pediatric OrthoONE Center for Concussion and is an attending pediatric emergency medicine physician at the Rocky Mountain Hospital for Children in Denver, Colorado. The Berlin 2016 process: a summary of methodology for the 5th International Consensus Conference on Concussion in Sport.

Emergency Department 40

Emergency Department Head Injuries Pediatrics Hospitals 40

Emergency Medicine Journal

DECEMBER 22, 2023

Study design Secondary analysis of a prospective cohort study in 18 emergency departments (EDs) in the Pediatric Emergency Care Applied Research Network from 2016 to 2019. We sought to describe the features associated with radiographic pneumonias in young febrile infants.

Emergency Department 40

Emergency Department Pediatrics Research 40

RebelEM

SEPTEMBER 9, 2024

A newborn boy presents to the emergency department shortly after a home delivery. Fleisher & Ludwig’s Textbook of Pediatric Emergency Medicine. Philadelphia, PA: Wolters Kluwer; 2016:27–54. The mother had routine prenatal care and reports that he was due in 2 days. His heart rate is 80 bpm.

Resuscitation 58

Resuscitation Emergency Department Pediatrics EMS 58

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives Identifying means to optimise trainee retention and recruitment is an Emergency Medicine (EM) research priority. This study aimed to understand how increasingly crowded Emergency Departments (EDs) are impacting EM training in the United Kingdom. Worthwhile training opportunities are central to this.

Emergency Department 40

Emergency Department EMS 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

Emergency Medicine Journal

JANUARY 22, 2024

This is an Institutional Review Board-exempt retrospective review of de-identified ED data available for the state of Maryland through the Healthcare Cost and Utilization Project (HCUP) database from 2016 to 2018.

Outcomes 40

Outcomes Emergency Department Poisoning Documentation/Coding 40

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

Pediatric Emergency Playbook

APRIL 1, 2018

Pediatric Hypertensive Emergencies. Pediatric Hypertension in the Emergency Department. Ann Emerg Med. Blood pressure measurements on children in the emergency department. Emergency Medicine Australasia. 2016; 34:1-35. Open Access Emergency Medicine. References Baracco R et al.

Pediatrics 52

Pediatrics Emergency Department 52

The Skeptics' Guide to EM

NOVEMBER 11, 2017

A Randomized Trial of Single-Dose Oral Dexamethasone Versus Multidose Prednisolone for Acute Exacerbations of Asthma in Children Who Attend the Emergency Department. A Randomized Trial of Single-Dose Oral Dexamethasone Versus Multidose Prednisolone for Acute Exacerbations of Asthma in Children Who Attend the Emergency Department.

Pediatrics 52

Pediatrics Emergency Department Hospitals 52

Emergency Medicine Journal

MAY 23, 2023

Background Upper gastrointestinal bleeding (UGIB) is a medical emergency with an approximate mortality of 10%, which results in a high hospitalisation rate. The Glasgow-Blatchford score (GBS) is recommended to identify low-risk patients who can be discharged from the emergency department (ED).

Emergency Department 40

Emergency Department Blood Transfusions Hospitals Wellness 40

RebelEM

APRIL 29, 2024

World J Emerg Surg 2023 PMID: 36918947 3. Intraosseous vascular access in adults using the EZ-IO in an emergency department. Int J Emerg Med 2009 PMID: 20157465 4. Intraosseous versus central venous catheter utilization and performance during inpatient medical emergencies. Ngo AS, Oh JJ, Chen Y, Yong D, Ong MEH.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

Dr. Smith's ECG Blog

FEBRUARY 6, 2024

Written by Pendell Meyers A teenager was involved in a motor vehicle collision and presented to the Emergency Department via EMS altered and potentially critically ill. 2016, April 13). He was intubated for altered mental status. Chest trauma was suspected on initial exam. Here is his initial ECG around 1330: What do you think?

EKG/ECG 112

EKG/ECG Wellness Fractures Hospitals 112

Dr. Smith's ECG Blog

OCTOBER 12, 2024

A man in his 90s with a history of HTN, CKD, COPD, and OSA presented to the emergency department after being found unresponsive at home. Vital signs were within normal limits on arrival to the Emergency Department. Am J Emerg Med. 2016 Nov;34(11):2182-2185. Epub 2016 Aug 27. or basilar ischemia.

EKG/ECG 103

EKG/ECG Documentation/Coding Emergency Department COPD 103

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. This data was collected over a five-year period (2016-2020) had true papilloedema. Perhaps this recent retrospective review provides the best evidence.

Pediatrics 98

Pediatrics Emergency Department Outcomes Wellness 98

EB Medicine

MARCH 4, 2020

No 1996 AAP guidelines, 2016 ACG guidelines, and 2017 IDSA guidelines all note diarrhea illness but may be vomiting predominant. Specifically, Salmonella, shigella, Campylobacter, and Yersinia 2016 ACG guidelines recommend them for patients with watery diarrhea and moderate to severe illness with fever for at least 72 hours.

Emergency Department 40

Emergency Department Dehydration Poisoning Allergic Reactions 40

EMDocs

AUGUST 22, 2024

12 How do we address these disparities in the emergency department? An implementation science approach improves language access in the emergency department. Association of limited English proficiency and increased emergency department waiting room lengths of stay. Annals of Emergency Medicine.

Documentation/Coding 82

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

Taming the SRU

JANUARY 10, 2024

89% agree that violence in the emergency department has harmed patient care. None of the physicians in the study believe that the rate of violence has decreased at all.

EKG/ECG 92

EKG/ECG Shock Fractures Emergency Department 92

EB Medicine

JULY 8, 2019

This month, we are sticking in the abdomen for another round of evidence-based medicine, focusing on Emergency Department Management of Patients With Complications of Bariatric Surgery. While it was < 15% in 1990, by 2016 it reached 40%. Jeff: And we also have the AspireAssist siphon, which was approved in 2016.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Dr. Smith's ECG Blog

MAY 27, 2024

2022 ACC expert consensus decision pathway on the evaluation and disposition of acute chest pain in the emergency department: a report of the American College of Cardiology solution set oversight committee. Am J Emerg Med 2016 5. Kontos et al. J Am Coll Cardiol 2022 4. Bischof et al. Meyers et al.

EKG/ECG 124

EKG/ECG Documentation/Coding Emergency Department 124

PHEM Cast

JANUARY 4, 2017

Top 10 (+1) tips to get started with in situ simulation in emergency and critical care departments. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. Bredmose PP, Habig K, Davies G, Grier G, Lockey D. BMJ Quality & Safety.

Teamwork 52

Teamwork Burns Emergency Department Resuscitation 52

ALiEM

MAY 19, 2023

A heavy alcohol drinker, who is well known to your Emergency Department, presents with altered mental status, except that he looks different this time. In our emergency department, the RTs do not spend a lot of time going around measuring cuff pressures and usually save that until the patient reaches the ICU.

Emergency Department 98

Emergency Department Ultrasounds Wellness EMS 98

RebelEM

JUNE 8, 2023

If pre-made syringes are not financially feasible then the creation of these medications should be done by a dedicated emergency department pharmacist. Clinical Bottom Line: Acute hypotension must be treated emergently in order to decrease morbidity and mortality. Am J Emerg Med. J Med Toxicol. Epub 2019 Jul 3.

Administration 98

Administration Emergency Department Outcomes Documentation/Coding 98