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Best Practices for Upper Gastrointestinal Hemorrhage

ACEP Now

a Sengstaken-Blakemore tube) may be used as a temporizing measure for unstable UGIB but should not delay emergent esophagogastroduodenoscopy (EGD). However, a 2017 study of 34 patients suggests that balloon tamponade, when used as a bridge to EGD, improves patient mortality, with 59 percent of patients surviving to hospital discharge.

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A Safety Solution for Emergency Department Staff and Patients

ACEP Now

Physicians, nurses, and staff in emergency departments (EDs) across the country have encountered workplace violence for years. 1,2 In a 2018 study by ACEP, nearly half of emergency physicians polled reported a physical assault while at work. J Emerg Nurs. J Am Coll Emerg Physicians Open. J Emerg Nurs.

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Improving Care for Patients with a Non-English Language Preference (NELP)

EMDocs

12 How do we address these disparities in the emergency department? Train your staff on best practices for using phone interpreters. An implementation science approach improves language access in the emergency department. Annals of Emergency Medicine. Annals of Emergency Medicine. 45:446-458.

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Agitation Podcast Series Episode 3: Pharmacologic management of agitated children

PEMBlog

Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the Emergency Department: Consensus Statement of the American Association for Emergency Psychiatry. West J Emerg Med. Erratum in: West J Emerg Med. 2017 Sep;40(3):397-410. 2019 Mar;20(2):409-418.

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Case Report: A Male Patient with Iatrogenic Obstruction

ACEP Now

Our patient is a 33-year-old male with spastic quadriparesis due to cerebral palsy with chronic indwelling suprapubic catheter (SPC) who presented to the emergency department (ED) due to concern for Foley catheter obstruction. Emergency physicians commonly replace SPCs in the ED. Click to enlarge.) Hong Kong Med J.

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Paediatric Appendicitis

Don't Forget the Bubbles

7-year-old Tilly is brought to your emergency department at 11 p.m. Abdominal pain in children is common, accounting for over 1 in 20 attendances to paediatric emergency departments [1]. Clinical scoring tools have improved diagnostic performance in assessing suspected appendicitis in the emergency department.

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PEM Currents – Agitation in Children – Episode 3: Pharmacologic Management

EMDocs

Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the Emergency Department: Consensus Statement of the American Association for Emergency Psychiatry. Erratum in: West J Emerg Med. 2017 Sep;40(3):397-410. 2019 Jul;20(4):688-689. Acad Pediatr. 2023.03.005.