Pediatric EM Morsels

OCTOBER 27, 2023

Shah 2017] In Turkey, it has a “reliable correlation.” Gültekingil-Keser 2017] Broselow out-performed age-based formulas (Theron, APLS, and Shann) in New Zealand, estimating within 10% of actual weight 73% of the time. 2017), Evaluation of the accuracy of common weight estimation formulae in a Zambian paediatric surgical population.

Pediatrics 269

Pediatrics Resuscitation Documentation/Coding Wellness 269

The Trauma Pro

JUNE 4, 2024

J Trauma 83(1):182-189, 2017. Just be aware that vented seals with drainage channels perform much better than those that rely on a one-way valve. Reference: Do vented chest seals differ in efficacy? An experimental evaluation using a swine hemopneumothorax model.

Administration 214

Administration Research Wellness 214

The Trauma Pro

OCTOBER 3, 2023

J Clin Neurosci 45:33-39, 2017. Listed in 2017, to be completed Nov 2026. Evaluation of postoperative bracing on unstable traumatic lumbar fractures after pedicle screw fixation. Int J Burns Trauma 12(4):168-174, 2022. Is postoperative bracing after pedicle screw fixation of spine fractures necessary? NCT03097081.

Fractures 203

Fractures Dislocations Operations Burns 203

The Trauma Pro

DECEMBER 6, 2024

e5-1386, 2017. References: Incidental appendicectomy with laparotomy for trauma. Br J Surg 62(6):487-9, 1975 Appendicitis following blunt abdominal trauma. Am J Emerg Med 35(9):1386.e5-1386, Systematic review of blunt abdominal trauma as a cause of acute appendicitis. Ann R Coll Surg Engl 92(6):477-82, 2010.

Operations 147

Operations Administration Wellness 147

Emergency Live

JANUARY 19, 2024

The Commemoration of the Tragic Event that Shook Italy The Remembrance of the Tragedy and its Unfolding On January 18, 2017, a devastating avalanche struck the Rigopiano Hotel, located in the municipality of Farindola, at the foot of the Gran Sasso mountain.

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Pediatric EM Morsels

APRIL 5, 2024

However, it is often overlooked that tickborne illnesses are among the most common travel-related illnesses globally (CDC Traveller’s Health 2017). 2017 Nov 3;11(11):e0006062. We frequently ask children and their parents if they have had recent tick bites when they present for fever after a recent camping activity.

CDC 161

CDC Infectious Diseases Pediatrics Wellness 161

Emergency Live

DECEMBER 20, 2023

In the United States, in 2017, 33% of critical care fellows and 26% of critical care physicians were women, highlighting a significant […] The post Women Anesthesiologists and Intensivists: Their Crucial Role appeared first on Emergency Live.

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The Trauma Pro

AUGUST 29, 2023

The University of Arizona at Tucson group analyzed the Trauma Quality Improvement Program (TQIP) database on withdrawal of care from 2017-2019. Is it possible to identify the common factors that predict appropriate withdrawal of care? The authors included only patients aged 65 and older.

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Ken Grauer, MD

DECEMBER 23, 2023

Clinically: Initial treatment of AFlutter is the same, regardless of whether the rotation direction is CW or CCW — so this distinction is not important to the emergency provider ( Cosio — Arrhythmia & EP Review 6(2):55-62, 2017 ).

EKG/ECG 441

EKG/ECG Wellness 441

Emergency Medicine Journal

JUNE 20, 2024

In 2017, a LAD average population was ~170 000. Conclusion Austerity policies implemented in 2010 impacted less deprived local authorities, where emergency admissions and inequalities between neighbourhoods increased, while in the most deprived areas, emergency admissions were unchanged, remaining high and persistent.

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The Trauma Pro

JUNE 14, 2024

Am J Radiol 209:W360-@364, 2017. 2022 Sep 1;157(9):771-778. doi: 10.1001/jamasurg.2022.2770. PMID: 35830194; PMCID: PMC9280606. CT findings of traumatic bucket-handle mesenteric injuries. Multidetector CT of blunt abdominal trauma. Radiology 265(3):678–693, 2012.

Operations 147

Operations Radiology Radiology Hospitals 147

Sensible Medicine

OCTOBER 18, 2023

2017 Nov 16;377(20):1943-1953. Here are three pertinent articles he has published—note the first is from NEJM. Landry CH, Allan KS, Connelly KA, Cunningham K, Morrison LJ, Dorian P; Rescu Investigators. Sudden Cardiac Arrest during Participation in Competitive Sports. N Engl J Med. doi: 10.1056/NEJMoa1615710.

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Ken Grauer, MD

JULY 29, 2023

That said — ARVD appears to be an underestimated cause of SCD ( S udden C ardiac D eath ) , especially among younger adults , in whom it accounts for ~20% of SCDs in those under 35 ( Mu et al — Medicine 96(47):e8808, 2017 ). KEY Point: All-too-often the diagnosis of ARVD is only made postmortem.

EKG/ECG 370

EKG/ECG Resuscitation Documentation/Coding Hospitals 370

PulmCCM

SEPTEMBER 20, 2024

According to a 2017 article in the MIT Technology Review , “scientists who publish in the top Western journals can earn in excess of $100,000 per paper.” ” At that time, the average salary for a university professor was $8,600 per year. Please share your opinion on this challenging issue below.

Academics 105

Academics Forensics Research Operations 105

The Skeptics' Guide to EM

OCTOBER 28, 2023

. * Acetaminophen ( Williams et al Lancet 2014) * Muscle relaxants ( Friedman et al JAMA 2015) * NSAIDs ( Machado et al Ann Rheum Dis 2017) * Steroids ( Balakrishnamoorthy et al Emerg Med J 2014) * Benzodiazepines ( Friedman et al Ann Emerg Med 2017) Many non-pharmacologic therapies have also been tried with limited efficacy.

Emergency Department 87

Emergency Department Research 87

Don't Forget the Bubbles

AUGUST 19, 2024

2017 Sep;49(3):223-226. Epub 2017 May 23. Jang YN, Sohn HS, Cho SY, Choi SM. Primary Sternal Osteomyelitis caused by Staphylococcus aureus in an Immunocompetent Adult. Infect Chemother. doi: 10.3947/ic.2017.49.3.223. 2017.49.3.223. PMID: 28608656; PMCID: PMC5620390. Street M, Puna R, Huang M, Crawford H. J Pediatr Orthop.

Infectious Diseases 104

Infectious Diseases Pediatrics Emergency Department Hospitals 104

Don't Forget the Bubbles

JANUARY 24, 2024

2017 May 25;376(21):2011-2020. 2017 Sep;82(3):342-352. Epub 2017 Sep 11. Devinsky O, Cross JH, Laux L, Marsh E, Miller I, Nabbout R, Scheffer IE, Thiele EA, Wright S; Cannabidiol in Dravet Syndrome Study Group. Trial of Cannabidiol for Drug-Resistant Seizures in the Dravet Syndrome. N Engl J Med. doi: 10.1056/NEJMoa1611618.

Seizures 111

Seizures Pediatrics Outcomes Hyperthermia / Hypothermia 111

RebelEM

DECEMBER 17, 2024

A large observational study of > 2000 patients found an association with fever at presentation and ICU survival for patients with severe sepsis or septic shock ( Sunden-Culberg 2017 ). Crit Care Med 2017; 45(4): 591-9. This may suggest a protective mechanism for fever. PMID: 22366046 Sunden-Culberg J et al.

Sepsis 55

Sepsis Shock EMS Emergency Department 55

RebelEM

JANUARY 9, 2024

Pneumonia 2017. Even better would be to see studies comparing one route to the other. Thorax 2007; 62(12): 1102-6. PMID: 17567657 Rae N et al. Oral versus intravenous clarithromycin in moderate to severe community-acquired pneumonia: an observational study. PMID: 28702304 Rojas MX, Granados C. Cochrane Database Syst Rev 2006(2).

Infectious Diseases 99

Infectious Diseases Pediatrics EMS Administration 99

Sensible Medicine

JUNE 21, 2024

” I, then a 50-year-old associate professor of medicine, said those words over the phone to a friend late one night in 2017. By 2017, I had started to take a position that was uncomfortable for me, not because I didn’t believe it but because I knew it displeased others. . “I’m nervous. Why was I unsettled?

Academics 77

Academics Research Burns Outcomes 77

PulmCCM

FEBRUARY 12, 2024

The Society of Critical Care Medicine (SCCM) expanded its prior 2017 guidance, now recommending strongly that corticosteroids be given for severe community-acquired pneumonia, and also suggesting steroids for patients with acute respiratory distress syndrome (ARDS) and septic shock of any severity.

Shock 52

Shock Administration Sepsis Fractures 52

ALiEM

APRIL 12, 2023

DOI 10.1016/B978-0-444-53632-7.01010-8 LeDonne S, Sengupta D. US Probe: Ultrasound Water Bath for Distal Extremity Evaluation. Alerhand S, Singh M, editors. emDOCs.net – Emergency Medicine Education.

Ultrasounds 103

Ultrasounds Emergency Department Resuscitation Wellness 103

Emergency Medicine Journal

JULY 24, 2023

Methods Prospectively collected nationwide, population-based records concerning 166 538 working-age individuals (men, 20–68 years; women, 20–62 years) with OHCA between 2017 and 2020 were assessed. Results Among 149 300 OHCA cases, 1-month survival (2020, 11.2%; 2017–2019, 11.1% (crude OR (cOR) 1.00, 95% CI 0.97

Resuscitation 52

Resuscitation Outcomes CPR Hospitals 52

Taming the SRU

JULY 3, 2023

2017-3068). 2017-0695) WBC count Absolute neutrophil count Procalcitonin (one model done without procal and one with) They repeated the same model for factors associated with IBI in febrile infants with UTIs. This definition of a positive UA and UTI were based on a prior PECARN study (doi.org/10.1542/peds.2017-3068).

Pediatrics 91

Pediatrics Research Outcomes 91

Sensible Medicine

MAY 28, 2024

In a 2017 Lancet trial , 10,190 personnel from the UK military were randomized to post-deployment depression screening or no screening. Similar mental health services were available to both groups.

Military 139

Military Outcomes Psychiatric Wellness 139

Pediatric EM Morsels

APRIL 7, 2023

2017 Jan;26(1):108-115. 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. doi: 10.1016/j.jstrokecerebrovasdis.2016.08.038. 2016.08.038.

Stroke 130

Stroke Pediatrics Seizures Sepsis 130

PulmCCM

SEPTEMBER 23, 2024

2017 Jul 13;7(7):CD004104. 2017 Aug 31;50(2):1602426. JAMA 2010 Retraction Watch The Truth about China’s Cash-for-Publication Policy, MIT Technology Review , July 2017 “Why Fake Research Is Rampant in China,” The Economist, February 2024 The End of Publish or Perish? Cochrane Database Syst Rev. Eur Respir J.

COPD 52

COPD Research Academics Hospitals 52

Core Medical Group

DECEMBER 27, 2022

Editor's Note: This post was originally published in April 2017 and has been updated for accuracy and comprehensiveness. These 3 simple lessons will help you land the best travel nursing job ever – whether it’s your first time or fifteenth time!

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Don't Forget the Bubbles

SEPTEMBER 11, 2023

pii: bcr-2017-220473. Selected references Dunphy L, Clark Z, Raja MH. Enterobius vermicularis (pinworm) infestation in a child presenting with symptoms of acute appendicitis: a wriggly tale! BMJ Case Rep. link] [link] The post Threadworms appeared first on Don't Forget the Bubbles.

Wellness 116

Wellness 116

Pediatric EM Morsels

MAY 12, 2023

2017 Mar;24(3):308-314. PMID: 26297697; PMCID: PMC4680174. Ide K, Uematsu S, Tetsuhara K, Yoshimura S, Kato T, Kobayashi T. External Validation of the PECARN Head Trauma Prediction Rules in Japan. Acad Emerg Med. doi: 10.1111/acem.13129. PMID: 27862642.

Head Injuries 130

Head Injuries Fractures Pediatrics EMS 130

Taming the SRU

SEPTEMBER 8, 2023

2017 May;66(5):1047-1081. 2017 Feb;152(3):644-647. 2017 Feb;152(3):644-647. Epub 2017 Jan 2. 2017 May;37(5):473-482. EASL Clinical Practical Guidelines on the management of acute (fulminant) liver failure. doi: 10.1016/j.jhep.2016.12.003. 2016.12.003. PMID: 28417882. Gastroenterology. doi: 10.1053/j.gastro.2016.12.026.

Radiology 59

Radiology Radiology Ultrasounds EMS 59

PulmCCM

DECEMBER 12, 2024

that were not associated with any research study) between 2017 and 2023, according to CMS. However, embolized patients had nominally higher rates of death at 90 days (5% vs ~3%), functional deterioration (~12% vs ~10%), and disabling stroke (2 patients), leading authors to suggest caution while awaiting further safety data on the procedure.

Stroke 52

Stroke Operations Research 52

RebelEM

MAY 25, 2023

Ann Emerg Med 2017 [6] This was a retrospective database review of 7521 traumatic brain injury patients SBP target ≥90mmHg resulted in a mortality of 7.8% vs SBP target <90mmHg which resulted in a mortality of 33.4% Shock 2012. PMID: 23143053 Spaite DW, Hu C, Bobrow BJ, et al. Ann Emerg Med. PMID: 28559036 Holcomb JB et al.

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

Emergency Medicine Journal

APRIL 22, 2024

1 The availability of these services in the UK expanded in response to a 2017 budget commitment of £100 million to enhance A&E services including the colocation of on-site GP services. 1 The findings are not surprising, as they align with international experience.

Emergency Department 52

Emergency Department Urgent Care Hospitals 52

ALiEM

JUNE 15, 2023

Elsevier; 2017. Convallatoxin, the primary cardiac glycoside in lily of the valley (Convallaria majalis), induces tissue factor expression in endothelial cells. Vet Med Sci. 2021 Nov;7(6):2440-2444. PMID 34469053 Graeme KA. Toxic plant ingestions. Auerbach’s wilderness medicine, 7e. Nelson LS, Shih RD, Balick MJ. In: Individual plants.

Poisoning 98

Poisoning EKG/ECG Hospitals 98

The Skeptics' Guide to EM

JULY 8, 2023

Wallach et al JAMA Intern Med 2017 , previously reported that subgroup claims are often not corroborated by subsequent studies and rarely confirmed. A subgroup analysis of the Lancet RCT showed that older, sicker patients with comorbidities and longer previous symptom duration recovered 2–3 days sooner.

CDC 93

CDC Hospitals EMS Emergency Department 93

Dr. Smith's ECG Blog

OCTOBER 12, 2024

2017 Sep-Oct;50(5):561-569. Epub 2017 Apr 19. A new 4-variable formula to differentiate normal variant ST segment elevation in V2-V4 (early repolarization) from subtle left anterior descending coronary occlusion - Adding QRS amplitude of V2 improves the model. J Electrocardiol. doi: 10.1016/j.jelectrocard.2017.04.005. 2017.04.005.

EKG/ECG 106

EKG/ECG Documentation/Coding Emergency Department COPD 106