The Skeptics' Guide to EM

FEBRUARY 22, 2020

Bringing value, balance and humanity to the emergency department: The Right Care Top 10 for emergency […] The post SGEM Xtra: Right, You’re Bloody Well Right, You’ve got the Bloody Right to Care first appeared on The Skeptics Guide to Emergency Medicine. Reference: Dorsett et al.

Wellness 52

Wellness Emergency Department EMS 52

Pediatric EM Morsels

APRIL 7, 2023

Observation, interaction with patient, as well as parent information is key to bring the whole picture together! Epub 2016 Oct 17. 2016 Dec 2;2016(1):625-631. J Stroke Cerebrovasc Dis. 2017 Jan;26(1):108-115. doi: 10.1016/j.jstrokecerebrovasdis.2016.08.038. 2016.08.038. PMID: 27765556. J Chronic Dis. 1985;38(6):495-505.

Stroke 130

Stroke Pediatrics Seizures Sepsis 130

Science Based Medicine

JUNE 19, 2023

It turns out, however, that that Dr. Buttar had not been a well man since 2016 and was as much a victim of quackery as his patients had been. Because he hadn't been vaccinated, antivaxxers struggled mightily to reconcile his death with their conspiracy theory about COVID-19 vaccines killing thousands "suddenly."

Wellness 90

Wellness 90

Pediatric EM Morsels

JULY 5, 2024

We collected data directly from the bedside clinician which enabled us to gather pertinent patient symptoms and physical examination findings that may not be well documented in the medical record, but more accurately identify the child’s injuries.” 2016; Published June 20, 2016. J Spinal Disord Tech. 2015;28(7). PMID: 26165728.

Pediatrics 161

Pediatrics Head Injuries Dislocations Research 161

Mind The Bleep

AUGUST 12, 2024

As you transition from medical school to your first year as an FY1 doctor, it’s important to recognise the challenges you’ll face and prioritize your well-being. It’s vital to monitor your well-being and recognise when you might be experiencing burnout. Prioritise it, and you’ll be well-equipped to handle the challenges ahead.

Wellness 52

Wellness 52

Ken Grauer, MD

SEPTEMBER 6, 2024

Alternatively — when a portion of the reentry circuit is made up of an AP ( A ccessory P athway ) — the retrograde P wave will typically manifest a moderately long RP' interval ( that occurs well after the QRS — usually within the latter part of the ST segment ). The October 31, 2016 post in Dr. Smith's ECG Blog.

EKG/ECG 248

EKG/ECG Administration Wellness Operations 248

Sensible Medicine

NOVEMBER 28, 2023

Being perfectly honest, not all the articles have aged well. 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 am actually embarrassed by a few of them and many are forgettable.

Stroke 83

Stroke Academics Outcomes Administration 83

ALiEM

SEPTEMBER 9, 2024

Past surgical history was significant for laparoscopic ventral hernia repair with mesh and lysis of adhesions (three years ago), as well as prior appendectomy, cholecystectomy, c-section, and right nephrectomy. C); BP 110/56; HR 64; RR 16; SpO2 100% General : No acute distress, well appearing. 2016 Dec 28;7(Suppl 44):S1150-S1153.

Sepsis 60

Sepsis Academics Operations Wellness 60

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

ALiEM

MAY 13, 2024

They may be well-circumscribed or may have irregular borders. Well-circumscribed abscess with heterogeneous debris C. Larger abscess with well-circumscribed borders D. Superficial abscess with well-circumscribed borders Table 1. 2016 Nov;23(11):1298-1306. Epub 2016 Nov 1. 2016 Feb;169:122-7.e1.

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

EMDocs

JULY 9, 2024

2016 Nov 7;170(11):e162521. Epub 2016 Nov 7. Addressing social determinants of health at well child care visits: a cluster RCT. 2016 Mar;16(2):168-74. 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 72

Pediatrics Emergency Department Research Burns 72

Sensible Medicine

MARCH 28, 2024

In 2016, Jonathan Reiner said this about Carrie Fisher’s mother, who died very shortly after her daughter. Just 3 examples: #1 #2 #3 Here is the problem: Adjuvant chemotherapy is a well described medical term, but preventive chemotherapy is a colloquialism.

Hospitals 91

Hospitals Outcomes Wellness 91

Pediatric EM Morsels

OCTOBER 6, 2023

(Forster, 2021) Transmission is by Fecal-Oral route (Chiodini 2018) Incubation period 6-30 days after exposure (Chiodini 2018) Salmonella typhi produces an endotoxin although its clinical significance is not yet well understood (Gibani 2019) Two typhoid vaccines are available for those > 6 m/o and are 50-80% effective. 2016; 15: 32.

Pediatrics 161

Pediatrics CDC Seizures Documentation/Coding 161

Dr. Smith's ECG Blog

FEBRUARY 6, 2024

Systolic function normal by visual assessment only, unable to visualize well for further characterization. The patient did well and was discharged. 2016, April 13). RV: Cavity size normal. 1900: RBBB and LAFB are almost fully resolved. 2300: QRS now within normal limits. No other significant injuries were found. Zangouri, V.,

EKG/ECG 109

EKG/ECG Wellness Fractures Hospitals 109

Pediatric EM Morsels

JUNE 21, 2024

Antibacterial ointments , like bacitracin, tend to be well tolerated and promote faster wound healing than silver sulfadiazine and other creams in partial thickness wounds. Ointment has shorter half-life, so should be cleansed and changed every 12 hours. Get the Goop! Halt the Hurt!

Burns 169

Burns Pediatrics Hospitals Wellness 169

Dr. Smith's ECG Blog

OCTOBER 12, 2024

The providers documented concern for ST elevation in the precordial and lateral leads as well as a concern for hyperkalemic T waves in the setting of succinylcholine administration. 2016 Nov;34(11):2182-2185. Epub 2016 Aug 27. Potassium resulted as 4.9, initial troponin I 0.05 Lee DH, Walsh B, Smith SW. Am J Emerg Med.

EKG/ECG 101

EKG/ECG Documentation/Coding Emergency Department COPD 101

Don't Forget the Bubbles

JANUARY 24, 2024

The first human trials for children with SRSE were conducted in 2014 where 2 patients responded well to the treatment and there have been encouraging results in open label adult trials more recently. 2016 Oct;41:62-5. Epub 2016 Jul 21. 2016 Dec 22;375(25):2457-2467. doi: 10.1016/j.seizure.2016.07.006. 2016.07.006.

Seizures 109

Seizures Pediatrics Outcomes Hyperthermia / Hypothermia 109

Emergency Medicine Journal

MAY 23, 2023

A modified GBS (mGBS) and CANUKA score have recently been proposed but have not been well studied. Methods A single-centre retrospective study was performed including patients with suspected UGIB visiting the ED of Saint-Antoine hospital (Paris, France) from January 2016 to December 2018. In-hospital mortality was also collected.

Emergency Department 40

Emergency Department Blood Transfusions Hospitals Wellness 40

SheMD

NOVEMBER 9, 2023

Step 2: Know your values Some of the biggest contributors to burnout are feeling ineffective and conflicts between action and personal values (Maslach and Leiter, 2016). Being well-rested is a value. What do I want to call my mom and tell her about when it’s going well? Getting paid is a value. Resources Maslach, C.

Leadership 52

Leadership Wellness Research 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Background While the role of Extended Focused Assessment with Sonography in Trauma (eFAST) is well defined in the management of severe blunt trauma, its performance in injuries caused by stab wounds has been poorly assessed.

Wellness 40

Wellness 40

EM SIM Cases

MAY 9, 2023

However, if you find yourself treating a drowning patient in the ED, this case will have you well prepared. WHY IT MATTERS Every year as the weather warms and more people take advantage of water sports and outdoor activities there is increased risk of drowning. When it comes to pediatric drowning, prevention is the best medicine.

Pediatrics 52

Pediatrics CPR Radiology Radiology 52

Taming the SRU

JANUARY 1, 2024

For laboratory testing, it is important to be aware that not all values obtained via an intraosseous line correlate well with peripheral venous samples (11). Additional Resources Please see a previous Taming the SRU post for extra tips and trouble-shooting tricks, as well as a video demonstration for IO access. 2016 Dec 14;20(1):102.

Emergency Department 91

Emergency Department Ultrasounds Administration Burns 91

EMDocs

JANUARY 23, 2024

Published February 15, 2016. Episode 93: BRASH syndrome Background: Brash syndrome has 5 components: bradycardia, renal failure, AV nodal blocker, shock, hyperkalemia. J Emerg Med. 2020 Aug;59(2):216-223. doi: 10.1016/j.jemermed.2020.05.001. 2020.05.001. BRASH syndrome: Bradycardia, Renal failure, Av blocker, Shock, and Hyperkalemia.

Shock 88

Shock Dehydration Sepsis EKG/ECG 88

Sensible Medicine

JUNE 21, 2024

“Well,” my friend advised, “if you’re feeling nervous right now, that is because the thing you are about to do might upset people, and that takes courage.” It was the night before a health ethics conference at a university. ” It felt like I was hearing this for the very first time. .”

Academics 73

Academics Research Burns Outcomes 73

EMDocs

JUNE 22, 2024

The newborn is doing well, but the mother is complaining of shortness of breath and chest pain. A 37-year-old G5P4 at 33 weeks presents to the ED after being brought in by ambulance. She had a precipitous delivery while the ambulance was pulling in. Triage vital signs (VS) include BP 88/45, HR 121, T 97.1, RR 28, SpO2 89% on 6L NC.

EMS 97

EMS Resuscitation Blood Transfusions Seizures 97

Taming the SRU

JUNE 24, 2024

Conduction Abnormalities AV blocks, which can also be seen in patients with MI, may require pacing as well, due to ischemia affecting the electrical pathways of the heart. Bektas, Firat, and Secgin Soyuncu. The efficacy of transcutaneous cardiac pacing in ED.” The American Journal of Emergency Medicine , vol. Circulation , vol.

Advances Cardiac Life Support (ACLS) 89

Advances Cardiac Life Support (ACLS) CPR Burns Resuscitation 89

CasesBlog

JUNE 27, 2021

It's a poignant moment in the life of a singer whose career spans 56 years and more than 100 million records sold; the passing of his wife, Linda, in 2016 after 59 years of marriage was devastating and resulted in the longest break between recordings of his career. His performance here brought me to tears and is well worth the wait."

Wellness 52

Wellness 52

Total Medical ComplianceHIPAA

NOVEMBER 7, 2022

Website owners are required to tell visitors what kind of cookies they use, as well as how they use and disclose the visitor’s information collected by their website. Cookies are like flags that allow a website to recognize and remember your device if you return to that site in the future.

Documentation/Coding 93

Documentation/Coding Wellness 93

Emergency Medicine Ireland

OCTOBER 30, 2023

Well, that time has come and it’s time to run through vasopressin. Well this is where the fun beings. A somewhat underwhelming start Second is the VANISH trial by Gordon et al, JAMA 2016. Jama 316 , 509–518 (2016). Well, that time has come and it’s time to run through vasopressin. How does it work?

Shock 52

Shock Sepsis Wellness Outcomes 52

Sensible Medicine

NOVEMBER 14, 2023

He also co-led the team whose work led the CDC to issue a major clarification of its 2016 opioid prescribing guideline and is currently a principal investigator of the only national study to examine individual suicides that occur after the reduction of prescribed opioids. . Criticism of these programs is both well-deserved and unfair.

Research 114

Research Psychiatric CDC Best Practices 114

Ken Grauer, MD

JULY 29, 2023

This young woman did well for a year — but unfortunately suffered another cardiac arrest, from which she could not be resuscitated. Epsilon waves are best seen in leads V1 , V2 — and a bit less well seen in V3,V4. MRI confirmed ARVC. About A RVC/ A RVD. ARVD is a genetic disorder of the myocardium.

EKG/ECG 370

EKG/ECG Resuscitation Documentation/Coding Hospitals 370

Taming the SRU

FEBRUARY 5, 2024

The LP is now a standard procedure and in 2010 well over 135,000 LPs were performed in Emergency Departments throughout the US (3). As may be seen in the table below, there are several themes as well a range of stringency. C., & ESCMID Study Group for Infections of the Brain (ESGIB) (2016). WHO - Who Needs an LP in the ED?

Infectious Diseases 97

Infectious Diseases Seizures Ultrasounds Sepsis 97

Mount Sinai EM

OCTOBER 11, 2024

2016 performed a Cochrane systematic review and meta-analysis of 11 studies (614 patients) that compared needle aspiration with incision and drainage. And well before the depth at which it would reach the carotid). Intraoral: Transcervical: Image Credit: Long et al., Then place the cut sheath back on your spinal needle.

Ultrasounds 100

Ultrasounds Wellness Outcomes Hospitals 100

The Injectable Orange

JUNE 20, 2017

While well evaluated, you see the residents go back to the shop floor and struggle to apply any of the lessons that the group agreed had been take homes from the previous sim session. How do they do it so well?” 2016 Mar;18(2):136-42. Well done”……. Debrief2Learn Sept 2016. Eppich (2016). Auerbach, A.

Head Injuries 52

Head Injuries Documentation/Coding Wellness Resuscitation 52

ACEP Now

FEBRUARY 13, 2024

See below: Fascia iliaca Serratus anterior Erector spinae The risks of opioid medications, especially in the elderly, has been well described. 2016 May;31(5):478-85. We have published how to perform these blocks previously at ACEP Now in Sound Advice , the column managed by Arun Nagdev, MD. J Patient Saf. 2023 Oct 1;19(6):379-385.

Ultrasounds 52

Ultrasounds Emergency Department Hospitals Wellness 52

ACEP Now

SEPTEMBER 11, 2023

While summitting Carstensz in Indonesia in October 2015, he and his wife led a Wild Med Kilimanjaro Expedition and summited Kili in March 2016. Elbrus, the highest peak in Europe, through contacts on his Indonesia expedition and summited in August of 2016. On that same trip, they put together a trip to Russia climbing Mt.

Wellness 126

Wellness 126

Emergency Medicine Journal

NOVEMBER 28, 2023

Method and Design Structured review of PEM studies published in three major journals between 2016-2021. Journals reviewed were Archives of Disease in Childhood, BMJ Emergency Medicine, and the Lancet Adolescent and Child Health; as well as published studies by the Paediatric Emergency Research in the UK and Ireland (PERUKI) Network.

Research 40

Research Burns Wellness 40