ACEP Now

MAY 5, 2023

What is your role as the emergency physician? Introduction Law enforcement officers frequently accompany emergency department (ED) trauma patients or patients who are under arrest or require assistance. Law enforcement gathering in the emergency department: Legal and ethical background and practical approaches.

Emergency Department 52

Emergency Department Documentation/Coding 52

The Skeptics' Guide to EM

DECEMBER 8, 2017

[display_podcast] Date: November 28th, 2017 Reference: Motov S et al. A Prospective Randomized, Double-Dummy Trial Comparing Intravenous Push Dose of Low Dose Ketamine to Short Infusion of Low Dose Ketamine for Treatment of Moderate to Severe Pain in the Emergency Department.

Emergency Department 52

Emergency Department Fractures EMS 52

Emergency Medicine Journal

APRIL 22, 2024

In this edition of the Emergency Medicine Journal , Dr Cooper and her colleagues explore the facilitators and barriers to the effectiveness of different general practitioner service models in or alongside EDs (GP-ED). 1 The findings are not surprising, as they align with international experience.

Emergency Department 52

Emergency Department Urgent Care Hospitals 52

Advanced Emergency Nursing from AENJ

OCTOBER 8, 2017

​ Emergency Nursing Week 2017 Throughout human existence, a need for 'emergency nursing' has always existed. However, what is unique in Emergency Nurses , is the ability to confront, decisively and actively, any emergency, regardless of medical specialty; to do so instantly, and without initial direction.

Emergency Nursing 40

Emergency Nursing Emergency Department Hospitals Academics 40

ACEP Now

NOVEMBER 13, 2023

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.

Emergency Department 52

Emergency Department Documentation/Coding Psychiatric Best Practices 52

Don't Forget the Bubbles

NOVEMBER 29, 2023

You are the Paediatric doctor on call and receive a call for an incoming patient to the emergency department. Tragically, several attempts at resuscitation upon arrival at the emergency department were unsuccessful. Pediatric Endotracheal Intubations for Airway Management in the Emergency Department.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

The Skeptics' Guide to EM

OCTOBER 28, 2023

Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. He is also one of the world’s leading researchers on pain management in the emergency department, specifically the use of ketamine. His twitter handle is @PainFreeED.

Emergency Department 87

Emergency Department Research 87

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

PEMBlog

MAY 31, 2023

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. doi: 10.5811/westjem.2019.1.41344.

Psychiatric 93

Psychiatric Emergency Department Pediatrics Administration 93

RebelEM

DECEMBER 23, 2024

Background: Sickle cell disease (SCD) affects an estimated 300,000 infants born worldwide each year and has a total estimated prevalence of 100,000 in the United States alone ( Piel 2017 ). VOE is often complicated by hypovolemia, making fluid administration a common intervention ( Lovett 2017 ). Lactated Ringer (LR) and 0.9%

Fluid Resuscitation 123

Fluid Resuscitation Resuscitation Documentation/Coding Outcomes 123

Don't Forget the Bubbles

AUGUST 19, 2024

Sione, a young Pacific Islander boy, is brought to the emergency department with a 3-day history of acute onset, progressively worsening central chest pain. of child emergency department presentations. 2017 Sep;49(3):223-226. Epub 2017 May 23. He points to his sternum when you ask him where the pain is.

Infectious Diseases 104

Infectious Diseases Pediatrics Emergency Department Hospitals 104

Don't Forget the Bubbles

SEPTEMBER 30, 2024

In the UK, as in most developed countries, more patients are presenting to Emergency Departments (EDs) with minor illnesses or injuries. examined 977,907 first-time ED presentations by children aged 0-15 across thirteen acute hospital trusts (between April 2014 and March 2017), trying to figure out how many were non-urgent.

Emergency Department 89

Emergency Department Research Hospitals Pediatrics 89

Emergency Medicine Journal

OCTOBER 23, 2024

Methods A retrospective cohort study was carried out of C&YP (≤17) attending an ED in the Yorkshire and Humber region of the UK following contact with NHS 111 between 1 April 2016 and 31 March 2017. This linked-data study examined NHS 111 calls and ED outcomes.

Emergency Department 52

Emergency Department Outcomes 52

ACEP Now

JULY 11, 2024

2 Although the opiate epidemic is certainly worthy of attention, it accounts for only about half of the number of deaths annually and only around a quarter of the number of emergency department visits annually relative to alcohol use. He returned to the emergency department, and you had the great privilege of saving his life.

Emergency Department 98

Emergency Department Psychiatric Outcomes Wellness 98

Taming the SRU

DECEMBER 11, 2023

1,2] Patients at risk for suicide often interact with emergency medical care. Suicide-related behavior (SRB) accounts for 1% of all Emergency Department (ED) visits; additionally, greater than 8% of patients visiting emergency departments are likely experiencing suicidal ideation at the time of the encounter.[3-5]

EMS 95

EMS Psychiatric Emergency Department Poisoning 95

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 ). Fever in the Emergency Department predicts survival of patients with severe sepsis and septic shock admitted to the ICU.

Sepsis 72

Sepsis Shock EMS Emergency Department 72

The Skeptics' Guide to EM

SEPTEMBER 3, 2017

[display_podcast] Date: September 2nd, 2017 Reference: Caputo et al. EmergeNcy Department use of Apneic Oxygenation versus usual care during rapid sequence intubation: A randomized controlled trial (The ENDAO Trial). display_podcast] Date: September 2nd, 2017 Reference: Caputo et al. Reference: Caputo et al.

Emergency Department 52

Emergency Department Resuscitation Operations EMS 52

ALiEM

APRIL 12, 2023

emDOCs.net – Emergency Medicine Education. Author information Ivan Ivanov, DO Resident Physician Emergency Department South Brooklyn Health | The post Trick of the Trade: Gel-free ultrasound-guided peripheral IV technique appeared first on ALiEM. US Probe: Ultrasound Water Bath for Distal Extremity Evaluation.

Ultrasounds 103

Ultrasounds Emergency Department Resuscitation Wellness 103

ACEP Now

MAY 10, 2024

Patients often seek care in the emergency department (ED) setting when flares of pain affect their ability to ambulate, climb stairs, or even stand up from sitting. Presentation of Knee Osteoarthritis in the Emergency Department: A Problem Worth Mentioning? 2017 Dec 22;31:277-284. J Emerg Med. Ragab, A.R.,

Ultrasounds 92

Ultrasounds Emergency Department Hospitals Wellness 92

Dr. Smith's ECG Blog

OCTOBER 18, 2023

If you were working in a busy emergency department, would you like to be interrupted to interpret these ECGs or can these patients safely wait to be seen because of the normal computer interpretation? Acad Emerg Med. 2017 ; 24 ( 1 ): 120 - 124 2. Am J Emerg Med. Am J Emerg Med. Am J Emerg Med.

EKG/ECG 118

EKG/ECG Documentation/Coding Emergency Department Outcomes 118

The Skeptics' Guide to EM

JULY 16, 2017

[display_podcast] Date: July 11th, 2017 Reference: Bookman K et al. Embedded Clinical Decision Support in Electronic Health Record Decreases Use of High-cost Imaging in the Emergency Department: EmbED study. AEM July 2017. display_podcast] Date: July 11th, 2017 Reference: Bookman K et al. AEM July 2017.

Emergency Department 52

Emergency Department Head Injuries Academics Hospitals 52

The Skeptics' Guide to EM

OCTOBER 14, 2023

Case: A 5-year-old boy presents to the emergency department (ED) with his parents for fever and fatigue. Time to change the reference ranges of children’s physiological observations in emergency care? He has had three days of high fevers at home. A prospective study. J Paediatr Child Health.

Pediatrics 87

Pediatrics Sepsis Urgent Care Emergency Department 87

Pediatric Emergency Playbook

APRIL 1, 2018

Pediatric Hypertension in the Emergency Department. Ann Emerg Med. Hypertension Canada’s 2017 Guidelines for the Diagnosis, Assessment, Prevention, and Treatment of Pediatric Hypertension. 2017; 140(3):e20171904 Gilhotra Y et al. Blood pressure measurements on children in the emergency department.

Pediatrics 52

Pediatrics Emergency Department 52

The Skeptics' Guide to EM

MAY 21, 2017

[display_podcast] Date: May 19th, 2017 Reference: Willman et al. Clinical Toxicology 2017. Guest Skeptic: Dr. Richard Hamilton (@RJHamiltonMD) is Chair of the Department of Emergency Medicine at Drexel University College of Medicine. display_podcast] Date: May 19th, 2017 Reference: Willman et al.

Administration 52

Administration Emergency Department Academics EMS 52

The Skeptics' Guide to EM

NOVEMBER 18, 2017

[display_podcast] Date: November 11th, 2017 Reference: Sundén-Cullberg et al. Fever in the Emergency Department Predicts Survival of Patients With Severe Sepsis and Septic Shock Admitted to the ICU. Critical Care Medicine 2017. display_podcast] Date: November 11th, 2017 Reference: Sundén-Cullberg et al.

Sepsis 52

Sepsis Emergency Department Seizures Pediatrics 52

Don't Forget the Bubbles

NOVEMBER 8, 2023

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.

Emergency Department 105

Emergency Department Ultrasounds Pediatrics Best Practices 105

RebelEM

SEPTEMBER 13, 2023

patients that take ACE inhibitors (but 20-30% of all angioedema presentations to the Emergency Department) 3 times more common in Black Americans ( Kostis 2005 ) 0.01 J Allergy Clin Immune Tract 2017; 5(5): 1402-9. Angioedema in the Emergency Department: An Evidence Based Review. Emergency Medicine Practice.

Allergic Reactions 103

Allergic Reactions Airway Management Anaphylaxis Emergency Department 103

EB Medicine

DECEMBER 1, 2018

Nachi: And just last year we saw the 2017-2018 influenza epidemic with record-breaking ED visits. The 2017-2018 vaccine was only 40% effective, but this still translates to 40% less severe cases and a subsequent decrease in hospitalizations and death. This was the deadliest season since 1976 with at least 80,000 deaths.

Emergency Department 40

Emergency Department CDC Infectious Diseases EMS 40

The Skeptics' Guide to EM

JULY 8, 2023

Case: A 57-year-old woman with hypertension, hyperlipidemia and type-2 diabetes mellitus presents to the emergency department (ED) with fever, cough, myalgias, headache and congestion. Wallach et al JAMA Intern Med 2017 , previously reported that subgroup claims are often not corroborated by subsequent studies and rarely confirmed.

CDC 94

CDC Hospitals EMS Emergency Department 94

RebelEM

FEBRUARY 21, 2024

The ceiling pain relief dose for ketorolac is 15 mg IV ( Motov 2017 ). Can J Emerg Med 2007; 9(1): 30-2. NSAID use and efficacy in the emergency department: single doses of oral ibuprofen versus intramuscular ketorolac. Ann Emerg Med 1995;26:117-20. Acad Emerg Med; 1998; 5(2): 118-122.PMID:

Administration 63

Administration Emergency Department EMS Research 63

Taming the SRU

JULY 2, 2023

End-Tidal CO2 monitoring has a variety of uses in the Emergency Department. Capnography in the emergency department: a review of uses, waveforms, and limitations." The Journal of emergency medicine 53.6 2017): 829-842. Clinical policy: procedural sedation and analgesia in the emergency department."

Emergency Department 87

Emergency Department Pediatrics CPR Administration 87

PEMBlog

MAY 15, 2023

History and physical examination are critical components to any emergency department evaluation but are especially helpful in syncope patients. Discussing obtaining an ECG with patients and families Presentations to the emergency department for syncope can be stressful for families. 2017): 189-198. PEMBlog, 8 Feb.

Pediatrics 97

Pediatrics EKG/ECG Emergency Department Burns 97

Pediatric EM Morsels

JULY 21, 2023

Interrater reliability of Glasgow Coma Scale scores in the emergency department. Ann Emerg Med. J Surg Res. 2019 Sep;241:112-118. doi: 10.1016/j.jss.2019.03.038. 2019.03.038. Epub 2019 Apr 22. PMID: 31022676. Gill MR, Reiley DG, Green SM. 2004;43:215-223. Rowley G, Fielding K. 1991;337:535-538.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

The Skeptics' Guide to EM

NOVEMBER 11, 2017

[display_podcast] Date: November 9th, 2017 Reference: Cronin JJ et al. A Randomized Trial of Single-Dose Oral Dexamethasone Versus Multidose Prednisolone for Acute Exacerbations of Asthma in Children Who Attend the Emergency Department. display_podcast] Date: November 9th, 2017 Reference: Cronin JJ et al. mg/kg (max.

Pediatrics 52

Pediatrics Emergency Department Hospitals 52

EB Medicine

MARCH 4, 2020

No 1996 AAP guidelines, 2016 ACG guidelines, and 2017 IDSA guidelines all note diarrhea illness but may be vomiting predominant. No 1996 AAP guidelines, 2016 ACG guidelines, and 2017 IDSA guidelines all note diarrhea illness but may be vomiting predominant. Hemoglobin and platelets are helpful if HUS is suspected.

Emergency Department 40

Emergency Department Dehydration Poisoning Allergic Reactions 40

Taming the SRU

JULY 22, 2024

INDICATIONS Arthrocentesis is a common procedure performed in the Emergency Department, in which a needle is inserted into a joint to withdraw fluid from the joint capsule. Joint Arthrocentesis in the Emergency Department” Emergency Medicine Reports, October; 38(19):217-231. Emergency Medicine Procedures, 2e.

Ultrasounds 95

Ultrasounds Emergency Department EMS 95

Don't Forget the Bubbles

JULY 17, 2023

Evaluating the Impact of the 2017 Dutch Neonatal Early-Onset Sepsis Guideline. 2023 Jun 1;76(6):731-736 The Association Between Media-Based Exposure to Nonsuicidal Self-Injury and Emergency Department Visits for Self-Harm. coli urine tract infections in children treated in primary care and emergency department.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98