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. 2016 Feb;30(1):3-11.

Pediatrics 187

Pediatrics Emergency Department Outcomes Sepsis 187

ACEP Now

APRIL 8, 2025

Previous conferences have been held in Taipei, Taiwan (2024); Amsterdam, Netherlands (2023); Melbourne, Australia (2022); Dubai, UAE (2021, virtual); Seoul, South Korea (2019); Mexico City, Mexico (2018); and Cape Town, South Africa (2016). Are you worried about the boarding crisis in emergency departments in the United States?

Emergency Department 52

Emergency Department Ultrasounds Pediatrics EMS 52

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 164

Pediatrics Head Injuries Dislocations Research 164

EMDocs

DECEMBER 23, 2024

Its narrow indication for stable VT means many emergency departments may not routinely stock the medication. Best Clinical Practice: Emergency Medicine Management of Stable Monomorphic Ventricular Tachycardia. J Emerg Med. Epub 2016 Oct 15. His initial EKG is the following: What do you think? 2016.09.010.

EKG/ECG 75

EKG/ECG Shock Wellness EMS 75

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

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

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. With EMS, patient had a GCS of 3 and was saturating 60% on room air. Vital signs were within normal limits on arrival to the Emergency Department. Am J Emerg Med.

EKG/ECG 114

EKG/ECG Documentation/Coding Emergency Department COPD 114

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 73

Pediatrics Emergency Department Research Burns 73

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. Abstract 2061 Figure 1

Emergency Department 40

Emergency Department EMS Research 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

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 104

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 104

The Skeptics' Guide to EM

FEBRUARY 8, 2020

Stroke 2019 Guest Skeptic: Dr. Rory Spiegel is an EM/CC doctor who splits his time in the Emergency Department and Critical Care department. He also has this amazing #FOAMed blog called EM Nerd. He also has this amazing #FOAMed blog called EM Nerd. It is associated with nausea, vomiting and photophobia.

Emergency Department 52

Emergency Department Stroke EMS Academics 52

EMDocs

OCTOBER 30, 2023

Pillai, MBBS (@sspillai01, EM Resident Physician, University of Kentucky) and Christopher N. 2 In response to the constrained availability of contrast media, emergency medicine (EM) and radiology departments were compelled to enact modifications in their imaging techniques. West J Emerg Med. Authors: Saran S.

Radiology 99

Radiology Radiology Emergency Department Hospitals 99

Taming the SRU

NOVEMBER 27, 2023

These patients may be discharged with close outpatient follow-up, and should be instructed to return to the Emergency Department if they develop worsening and/or spreading pain and swelling, as this may be indicative of an infectious process. Tintinalli’s emergency medicine: A comprehensive study guide (Ninth edition.).

Soft Tissue Injuries 96

Soft Tissue Injuries Emergency Department EMS Fractures 96

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. References Alborzi, Z., Zangouri, V., Ziaeian, B.,

EKG/ECG 114

EKG/ECG Wellness Fractures Emergency Department 114

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

The Skeptics' Guide to EM

FEBRUARY 22, 2020

Richelle Cooper is a Professor of Emergency Medicine at the UCLA Department of Emergency Medicine. Dr. Maia Dorsett is an Emergency and EMS Physician at the University of Rochester Medical Center. Richelle Cooper is a Professor of Emergency Medicine at the UCLA Department of Emergency Medicine.

Wellness 52

Wellness Emergency Department EMS 52

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. Am J Emerg Med. J Med Toxicol.

Administration 98

Administration Emergency Department Outcomes Documentation/Coding 98

JournalFeed

JANUARY 17, 2022

Today, we are talking about race in EM with the authors of a recent op-ed in Annals of Emergency Medicine. We tackle some tough questions about racism and how we can be better allies as EM colleagues. 2016 Jan;99(1):117-24. Ann Emerg Med. It’s a special edition of the JournalFeed Podcast. Patient Educ Couns.

EMS 52

EMS Emergency Department 52

EMDocs

JANUARY 29, 2024

Authors: Sameer Desai, MD (EM Attending Physician, University of Kentucky); Omar Abbas Ahmed Malik, MBBS (Patients’ Aid Foundation, Jinnah Postgraduate Medical Center) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University School of Medicine in St. 2016 Sep 15;375(11):1033-43. Epub 2016 Jun 8.

Stroke 98

Stroke Outcomes EMS Seizures 98

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%. I hope everybody enjoyed a fantastic conference. Jeff: Well that’s kind worrisome.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

The Skeptics' Guide to EM

AUGUST 14, 2021

Circulation 2020 Guest Skeptic: Missy Carter is a PA practicing in emergency medicine in the Seattle area and an adjunct faculty member with the Tacoma Community College paramedic program. This was the ALPS randomized control trial published in NEJM 2016. The issue of amiodarone vs lidocaine has also been covered on SGEM#162.

Shock 52

Shock CPR Hyperthermia / Hypothermia EMS 52

PHEM Cast

APRIL 10, 2016

It is obviously a huge topic and there is lots of information to cover; a couple of other recently released podcasts are available which are produced with the Emergency Medicine community in mind, but will no doubt expand your knowledge. March 2016. The impact of emergency medical services on the ED care of severe sepsis.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

ALiEM

MAY 13, 2024

Case Introduction: Child with abdominal pain Wendy is a 7-year-old girl who comes into the emergency department with redness, swelling, and pain on her left calf. J Emerg Med 2018 [6] 327 Prospective cohort study of children 6mo-18yrs comparing clinical assessment to POCUS 90.3% (83.4-94.7%) Pediatr Emerg Care.

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

RebelEM

MARCH 8, 2023

Emergency Department Management: Emergency ophthalmology consultation. Emergency surgical management indicated if concomitant retinal tear, vitreous hemorrhage, or retinal detachment. Ophthalmology, in Marx J et al (eds): Rosens Emergency Medicine: Concepts and Practice, ed 9. >10 floaters, (+) LR 8.1-36

Stroke 52

Stroke Emergency Department Ultrasounds Outcomes 52

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. Phenobarbital Versus Lorazepam for Management of Alcohol Withdrawal Syndrome: A Retrospective Cohort Study.

Emergency Department 52

Emergency Department Burns Outcomes Hospitals 52

The Skeptics' Guide to EM

DECEMBER 16, 2017

NEJM Dec 2016 Guest Skeptic: Dr. Neal Little is an Emergency Physician who works at Chelsea Hospital in Chelsea, Michigan. He is also a Faculty member of the Emergency Medicine and Acute Care Series 1986 to present. He is also a Faculty member of the Emergency Medicine and Acute Care Series 1986 to present.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Seizures Hospitals Stroke 40

EMDocs

JUNE 16, 2023

And now we’re here at our destination, the place we know and love, the emergency room to talk about what we should be doing for the growing volume of children with mental health problems boarding in the emergency department. McEnany, Olutosin Ojugbele, Julie R. Doherty, Jennifer L. McLaren, JoAnna K. 10.1542/peds.2020-1174

Psychiatric 52

Psychiatric Pediatrics Emergency Department Best Practices 52

The Skeptics' Guide to EM

JULY 30, 2022

Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Case: A 63-year-old woman presents to your emergency department (ED) with two-day history of nausea, vomiting and constipation. She is also the creator of all those wonderful Paper in a Pictures.

Ultrasounds 52

Ultrasounds Operations Documentation/Coding Outcomes 52

Don't Forget the Bubbles

MAY 29, 2023

OJIN: The Online Journal of Issues in Nursing [Internet] 2016 :21:3. Workplace Incivility Among Nationally Certified EMS Professionals and Associations with Workforce-Reducing Factors and Organizational Culture, Prehospital Emergency Care. Bad manners in the Emergency Department: Incivility among doctors.

Leadership 98

Leadership Patient Safety Academics Research 98

RebelEM

FEBRUARY 22, 2023

difficult to see due to corneal edema) Emergency Department Management All patients should get emergency ophthalmologic consultation Start with eye drops (see table below) and add systemic medications if severe or refractory symptoms/IOP. Decreased visual acuity, Cup to disc ratio >0.6 Cup to disc ratio >0.6

Emergency Department 52

Emergency Department EMS Wellness 52

RebelEM

JANUARY 23, 2023

Noninferiority trials, covered here on REBEL EM , are helpful when the experimental treatment offers a distinct advantage over the standard treatment. Benadryl (diphenhydramine hydrochloride injection,USP) [package insert] New Brunswick , NJ: Johnson & Johnson; 2016. Patients were randomized in a 1:1 ratio. Allergy Asthma Proc.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

Downeast Emergency Medicine

JULY 17, 2021

Background Renal colic is a commonly encountered diagnosis in the emergency department that is known to cause significant pain. Comparison of intravenous ketorolac at three doses for treating renal colic in the emergency department: A noninferiority randomized controlled trial. Acad Emerg Med. Ann Emerg Med.

Emergency Department 52

Emergency Department Wellness Administration EMS 52

RebelEM

MARCH 9, 2023

However, evaluating and managing patients with acute alcohol intoxication in the emergency department can be challenging. Barr 2016 , Trevejo-Nunez 2015) Patients are at high risk of bleeding from the GI tract due to clotting factor impairment or devastating hemorrhage from esophageal varices in the setting of portal hypertension.

Psychiatric 52

Psychiatric Emergency Department Fractures Documentation/Coding 52

The Skeptics' Guide to EM

NOVEMBER 2, 2019

Annals of EM 2019 Guest Skeptic: Martha Roberts is a critical and emergency care, triple certified nurse practitioner, currently living and working in western Massachusetts. She […] The post SGEM#273: My Buddy (Tape) for Boxer’s Fractures first appeared on The Skeptics Guide to Emergency Medicine. A Randomized Controlled Trial.

Fractures 40

Fractures EMS Emergency Department Outcomes 40

ALiEM

MARCH 7, 2024

Facts and Literature Review Bladder volume estimation Measuring bladder volume via POCUS in pediatric patients has been studied, demonstrating a benefit on Emergency Department workflow and length of stay (Table 1). Point-of-care ultrasound for the detection of hydronephrosis in emergency department patients with suspected renal colic.

Ultrasounds 70

Ultrasounds Pediatrics Radiology Radiology 70

ACEP Now

NOVEMBER 7, 2023

A 67-year-old man presents to the emergency department (ED) in cardiac arrest. EMS physicians report he was found in ventricular fibrillation. Simon EM, Tanaka K. He was found by bystanders after he collapsed and 911 was called. Multiple attempts at defibrillation, epinephrine, and amiodarone have been unsuccessful.

Resuscitation 52

Resuscitation Hospitals Shock CPR 52