Don't Forget the Bubbles

JANUARY 31, 2024

As a Trauma Unit within the Thames Valley Trauma Network, Wexham Park Hospital hosts trainees from across the spectrum of acute specialties. Two really important patient groups were excluded – those who were admitted to hospital and families who were not fluent in English. the pre-hospital setting. Why does it matter?

Hospitals 72

Hospitals Ultrasounds Emergency Department Pediatrics 72

Don't Forget the Bubbles

MARCH 4, 2024

We have teamed up with the team from the Emergency Department at Bristol Royal Hospital, who have used this as a springboard for their journal club. (It’s The hospital is the Paediatric Major Trauma Centre for the South-West. It’s a great idea and maybe something for other centres to copy!) Paediatr Int Child Health.

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

EMDocs

NOVEMBER 19, 2024

He was extubated on hospital day 2 and was able to be discharged to psychiatry on hospital day 5. 2016 Dec;54(10):899-923. Potassium and magnesium were replenished, and the QTc interval improved to 440 within two hours. The patient gradually improved. Clin Toxicol (Phila). Stroup TS, Gray N. World Psychiatry. 2018;17(3):341-356.

Poisoning 111

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 111

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 135

Emergency Department Radiology Radiology Hospitals 135

EMDocs

DECEMBER 1, 2024

Treatment significantly shortens the duration of illness, and early initiation of therapy can prevent severe complications and reduce the length of hospitalization. 2016 Oct;29(5):433-9. However, some experts recommend doxycycline even in pregnant patients. pregnant patients). Curr Opin Infect Dis. Emerg Med Clin North Am.

EMS 104

EMS Infectious Diseases Shock Airway Management 104

PEMBlog

JUNE 27, 2023

In this episode, Dr. Ben Grebber, a pediatric resident at Boston Children’s Hospital/Tufts Children’s Hospital, discusses Bee Stings and Spider Bites. Bronstein, MD, 2016. It is summertime, so the bees and bugs are out! Pansare, M., Kamat, A., & Kamat, D. Pediatrics in Review, 41(7), 348-356.

Urgent Care 98

Urgent Care Pediatrics Emergency Department Hospitals 98

EMDocs

MARCH 4, 2025

HSV meningitis needs hospital admission. 2016 Jun;72 (6):768-769]. Give acyclovir If there is concern for HSV encephalitis (focal neurologic deficits, seizures, markedly depressed mental status, or immunocompromise) The mortality rate for HSV encephalitis is up to 70%. The benefits of giving acyclovir far outweigh any risks.

Infectious Diseases 81

Infectious Diseases Seizures Poisoning Sepsis 81

The Skeptics' Guide to EM

SEPTEMBER 2, 2023

She is an Assistant Professor and Director of Research in the Department of Emergency Medicine at the NYU Grossman Long Island Hospital Campus. She is an Assistant Professor and Director of Research in the Department of Emergency Medicine at the NYU Grossman Long Island Hospital Campus. Date: August 30, 2023 Reference: Griffey et al.

Diabetic Emergencies 110

Diabetic Emergencies Operations Hospitals Research 110

PulmCCM

MAY 27, 2024

There are limits to these benefits: neither the INTERACT2 trial (NEJM 2013) nor the ATACH-2 trial (NEJM 2016) showed c… Read more Standard practice is to rapidly reduce elevated blood pressure in patients with intracerebral hemorrhage.

Stroke 52

Stroke Hospitals 52

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. The main outcome measures were ambulance transport, lumbar imaging, opioid administration and hospital admission. to 1.29) than Native-English-speaking patients.

Emergency Department 40

Emergency Department Administration Hospitals Outcomes 40

The Trauma Pro

OCTOBER 4, 2024

years from 2013 to 2016. This was reduced based on our experience of no delayed complications and guidance from our sister pediatric trauma center at Children’s Hospital in Minneapolis. A pediatric multi-center study of study on adherence to activity restrictions was published last year. ” This means they probably did not.

Pediatrics 113

Pediatrics Operations Emergency Department Outcomes 113

RebelEM

APRIL 29, 2024

Many clinicians don’t consider IO placement while others consider it a last resort or only a pre-hospital procedure. Intravenous vs.intraosseous vascular access during out-of-hospital cardiac arrest – protocol for a randomized clinical trial. 2016 PMID:27075364 13 Astasio-Picado Á et al. PMID: 33350794 10 Meilandt C.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

Dr. Smith's ECG Blog

FEBRUARY 6, 2024

Between 81-95% of life-threatening ventricular dysrhythmias and acute cardiac failure occur within 24-48 hours of hospitalization. 2016, April 13). Ultimately, a normal ECG and normal troponin at 4-6 hours from initial traumatic incident is highly predictive of a lack of future cardiac complications in blunt chest trauma. Zangouri, V.,

EKG/ECG 114

EKG/ECG Wellness Fractures Emergency Department 114

Northwestern EM Blog

MARCH 1, 2025

Maren Leibowitz, MD Critical Care Fellow Mount Sinai Hospital How To Cite This Post: [Peer-Reviewed, Web Publication] Goins, E. 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.

Emergency Department 52

Emergency Department Fractures EKG/ECG Wellness 52

EMDocs

OCTOBER 21, 2023

In hospital mortality estimated at 30-40%. 17 65-78% of survivors have significant disability one month after hospital discharge. doi: 10.1136/neurintsurg-2016-012515. Epub 2016 Jul 15. Neurocrit Care 24, 172–179 (2016). Mortality in absence of reperfusion reach as high as 83-96%. J Neurointerv Surg.

EMS 97

EMS Stroke Outcomes Hospitals 97

Don't Forget the Bubbles

JANUARY 22, 2024

The campaign started in the United States in 2012, in Canada two years later, and in the United Kingdom in 2016. Choosing Wisely UK was launched in 2016 by the Academy of Medical Royal Colleges to identify tests, treatments, and procedures of questionable value. 2016 ;50(13):826-8. References Adamson J. Alasdair Munro.

Emergency Department 90

Emergency Department Best Practices Radiology Radiology 90

Emergency Medicine Journal

OCTOBER 23, 2024

2 King’s College Hospital (KCH) Trust employs a simple four-item risk assessment tool (the K4 score) ( figure 1 ), which was derived from local expert opinion and implemented in 2016. However, as the risk is low (0.6–2%), 1 Various VTE risk assessments for lower limb immobilisation exist.

Urgent Care 52

Urgent Care Hospitals 52

PulmCCM

JANUARY 23, 2025

Of course, they also have limitations you won’t likely learn from the marketers and hospital administrators eager to implement the latest advancements. Septicyte was cleared by FDA in 2021 for use in hospitalized patients with suspected sepsis. organ dysfunction plus suspected infection with or without evidence).

Sepsis 45

Sepsis Wellness Emergency Department Research 45

RebelEM

NOVEMBER 6, 2023

So with yet another confounding variable added (sicker patients at baseline in methylene blue group), the comparison of these two medications is yet again even more difficult There was no difference in ICU and hospital length of stays or hospital mortality between the two groups.

Shock 71

Shock Administration Academics Hospitals 71

PHEM Cast

FEBRUARY 7, 2022

From Cauchy et al, 2016. 2016; 27(1): 92-99. Frostbite: a practical approach to hospital management. This podcast is dedicated to the memory of Emmanuel Cauchy. George’s adventures! Grading frostbite Stages of frostbite. Grade 1 Grade 2 Grade 3 Grade 4 Stages of frostbite. From Cauchy et al. Cauchy et al. 2014; 3, 7.

Hospitals 52

Hospitals 52

EMDocs

AUGUST 22, 2024

3,4 Notably, institutions receiving federal funding (such as hospitals receiving Medicare reimbursement) must abide by Title VI of the 1964 Civil Rights Act, which entitles persons with NELP to language assistance. Improving patient safety systems for patients with limited English proficiency: a guide for hospitals. August 2016.

Documentation/Coding 104

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

PEMBlog

SEPTEMBER 23, 2024

This case was submitted by Dr. Andrea De Jesús Martínez Chief PEM Fellow at Baylor College of Medicine | Texas Children’s Hospital Instagram: @bcm_pemfellows Co-author: Benjamin Silva, MD, MPH The Case A 4-year-old male with no significant past medical history presents with headache and vomiting. 2016 (2016): 6964713.

Pediatrics 59

Pediatrics Radiology Radiology Research 59

The Skeptics' Guide to EM

NOVEMBER 11, 2017

Ann Emerg Med 2016 Guest Skeptic: Dr. Michael Falk is a Pediatric Emergency Medicine provider who works at Harlem Hospital Center in New York and Children’s […] The post SGEM#194: Highway to the Dexamethasone – For Pediatric Asthma Exacerbations first appeared on The Skeptics Guide to Emergency Medicine. mg/kg (max.

Pediatrics 52

Pediatrics Emergency Department Hospitals 52

PHEM Cast

JANUARY 4, 2017

Scenario based outdoor simulation in pre-hospital trauma care using a simple mannequin model. Top 10 (+1) tips to get started with in situ simulation in emergency and critical care departments. Bredmose PP, Habig K, Davies G, Grier G, Lockey D. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine.

Teamwork 52

Teamwork Burns Emergency Department Resuscitation 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. NEJM Dec 2016 Guest Skeptic: Dr. Neal Little is an Emergency Physician who works at Chelsea Hospital in Chelsea, Michigan. The paramedics report another seizure on route to the hospital.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Seizures Hospitals Stroke 40

PulmCCM

SEPTEMBER 23, 2024

2016 Sep 20;11(9):e0163293. Daily duration of long-term oxygen therapy and risk of hospitalization in oxygen-dependent COPD patients. doi: 10.1183/13993003.02426-2016. Long-Term Oxygen Therapy 24 vs 15 h/day and Mortality in Chronic Obstructive Pulmonary Disease. doi: 10.1371/journal.pone.0163293. 2018 Aug 28;13:2623-2628.

COPD 52

COPD Research Academics Hospitals 52

Taming the SRU

JANUARY 10, 2024

There are 38 states where it currently is a felony of some level to assault a healthcare worker BUT there is currently no federal law that protects hospital employees from assault or intimidation. Current bills in progress: US H.R.2663 2663 & S.1176 1176 focuses on violence prevention (introduced for the 3rd time 4/18/23); US H.R.2584

EKG/ECG 94

EKG/ECG Shock Fractures Dislocations 94

RebelEM

MAY 11, 2023

What They Did: Retrospective cohort study at a single academic medical center between July 1, 2016 to June 30, 2019. History of liver disease, history of substance abuse disorder, and history of delirium tremens were also extracted from the hospital EMR. 11 of those were admitted to the hospital.

Emergency Department 95

Emergency Department Administration Hospitals Academics 95

The Skeptics' Guide to EM

FEBRUARY 23, 2019

Association Between Early Intravenous Fluids Provided by Paramedics and Subsequent In-Hospital Mortality Among Patients With Sepsis. Association Between Early Intravenous Fluids Provided by Paramedics and Subsequent In-Hospital Mortality Among Patients With Sepsis. Date: February 22nd, 2019 Reference: Lane et al. Reference: Lane et al.

Sepsis 52

Sepsis Administration Documentation/Coding Hospitals 52

The Skeptics' Guide to EM

JUNE 24, 2017

Induction of Therapeutic Hypothermia During Out-of-Hospital Cardiac Arrest Using a Rapid Infusion of Cold Saline
The RINSE Trial (Rapid Infusion of Cold Normal Saline). Circulation 2016. Circulation 2016. Circulation 2016. Comparison: Standard care for OHCA * Outcome: * Primary Outcome: Survival to hospital discharge

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia CPR Resuscitation EMS 40

The Skeptics' Guide to EM

DECEMBER 7, 2019

Pediatrics 2019 Guest Skeptic: Dr. Katie Noorbakhsh is a pediatric emergency physician at the Children’s Hospital of Pittsburgh. Pediatrics 2019 Guest Skeptic: Dr. Katie Noorbakhsh is a pediatric emergency physician at the Children’s Hospital of Pittsburgh. The change in name took place in 2016.

Pediatrics 52

Pediatrics Seizures CPR Hospitals 52

The Skeptics' Guide to EM

AUGUST 14, 2021

Survival After Intravenous Versus Intraosseous Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Shock-Refractory Cardiac Arrest. Survival After Intravenous Versus Intraosseous Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Shock-Refractory Cardiac Arrest. This was the ALPS randomized control trial published in NEJM 2016.

Shock 52

Shock CPR Hyperthermia / Hypothermia EMS 52

RebelEM

JUNE 8, 2023

The relationship between ICU hypotension and in-hospital mortality and morbidity in septic patients. Emergency department hypotension predicts sudden unexpected in-hospital mortality: a prospective cohort study. PMID: 31270748 Maheshwari K, et al. Intensive Care Med. 2018;44(6):857–67. PMID: 29872882 Jones AE, et al. 2006;130(4):941–6.

Administration 98

Administration Emergency Department Outcomes Documentation/Coding 98

EMDocs

OCTOBER 30, 2023

1 The shortage in supply posed difficulties for hospitals that significantly depend on GE Healthcare as their supplier, which encompassed approximately 50% of hospitals in the United States (US). Preparation 9 Hospitals had to prepare for the impending contrast shortage as soon as potential shortage news occurred. 11 Table 1.

Radiology 99

Radiology Radiology Emergency Department Hospitals 99

Taming the SRU

JANUARY 29, 2024

Hospital Course The patient was initiated on a therapeutic heparin drip in the emergency department with vascular surgery consultation. She had improvement of the swelling in her left arm with return of sensation and function during her five-day hospital course. 2016 Feb;50(2):98-101. Epub 2016 Feb 11. Ann Plast Surg.

Emergency Department 95

Emergency Department Fractures Hospitals Operations 95

ACEP Now

OCTOBER 26, 2023

The parents only have a copy of the discharge instructions, and your hospital and Children’s General do not share electronic health records. And, when alerted of a bounce-back to another hospital, it’s in everyone’s best interest to know about and help rectify any possible previous mistakes as soon as possible. Published January 2016.

Infectious Diseases 52

Infectious Diseases Documentation/Coding Hospitals Emergency Department 52

Taming the SRU

FEBRUARY 5, 2024

2018) Epidemiology of lumbar punctures in hospitalized patients in the United States. C., & ESCMID Study Group for Infections of the Brain (ESGIB) (2016). Journal of the history of the neurosciences, 6(2), 147–153. Vickers A, Donnelly JP, Moore JX, Barnum SR, Schein TN, et al. PLOS ONE 13(12): e0208622. Glennie, L., Gaillemin, O.,

Infectious Diseases 98

Infectious Diseases Seizures Ultrasounds Sepsis 98