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.” This process can’t be trusted to operate in China. ” At that time, the average salary for a university professor was $8,600 per year.

Academics 105

Academics Forensics Research Operations 105

ACEP Now

JUNE 21, 2023

Therefore, applicant, funding, and operational factors may influence programs to offer a particular curriculum length. American board of emergency medicine report on residency and fellowship training information (2017-2018). 15 Some of these training opportunities previously considered unique (i.e., Ann Emerg Med. Jul 2022;80(1):74-83.e8.

EMS 114

EMS Academics Telemedicine Operations 114

PHEM Cast

APRIL 27, 2023

Further reading Matt has kindly provided a list of references from his Trauma Care talk which this podcast is based on: Peri-operative and critical care management of the brain – current evidence. – Wiles – 2017 – Anaesthesia Blood pressure management in trauma: from feast to famine? Anaesthesia: Vol 77, No S1.

Resuscitation 52

Resuscitation Shock Operations Hospitals 52

EMDocs

DECEMBER 2, 2023

2017 Jan 1;135(1):23-28. He has no known medical history and has never been to the doctor. BMC Neurol 11 , 8 (2011). link] Fang C, Leavitt JA, Hodge DO, Holmes JM, Mohney BG, Chen JJ. Incidence and Etiologies of Acquired Third Nerve Palsy Using a Population-Based Method. JAMA Ophthalmol. doi: 10.1001/jamaophthalmol.2016.4456.

EMS 93

EMS Operations Pediatrics Emergency Department 93

ACEP Now

JULY 7, 2023

One operator should perform defibrillation in the anterolateral position, followed by another operator providing a second shock in the anteroposterior position after a delay of less than one second. Heart disease and stroke statistics-2017 update: A report from the American Heart Association. N Engl J Med. 1999;341(12):871-878.

Resuscitation 98

Resuscitation Shock Stroke Hospitals 98

RebelEM

MAY 27, 2024

What they did: Prospective randomized controlled trial, unblinded, multicenter study Conducted from January 2017 to December 2022 Patients with confirmed PSVT were randomly assigned to receive MVM, IV Adenosine, or combined therapy.

Outcomes 137

Outcomes Research Operations Hospitals 137

Taming the SRU

OCTOBER 23, 2023

At this point, the patient is taken to the operating room for a diagnostic laparoscopy. She was taken to the operating room and found to have a right tubal ectopic pregnancy with a pseudogestational sac. 2007), Free Fluid in Morison's Pouch on Bedside Ultrasound Predicts Need for Operative Intervention in Suspected Ectopic Pregnancy.

Ultrasounds 98

Ultrasounds Operations Radiology Radiology 98

The Skeptics' Guide to EM

MAY 28, 2017

[display_podcast] Date: May 24th, 2017 Reference: Georgiou et al. Pediatrics 2017. display_podcast] Date: May 24th, 2017 Reference: Georgiou et al. Pediatrics 2017. This is called Non Operative Treatment of Appendicitis (N.O.T.A). Clinical Question: Is non-operative treatment (N.O.T.) Pediatrics 2017.

Pediatrics 40

Pediatrics Operations Emergency Department Ultrasounds 40

ACEP Now

APRIL 5, 2024

There was no analysis of operator experience or expertise. As with any procedural device, operator expertise is an important component of its successful use. 2017 May;69(5):540]. Some important limitations of this analysis should be recognized. Some argue that bougie should be used routinely to improve success rate.

Airway Management 73

Airway Management Operations Emergency Department Research 73

Advanced Medical Reviews

FEBRUARY 13, 2019

A recent study of 4,197 practicing physicians in Rhode Island in 2017 published by the Journal of the American Medical Informatics Association (JAMIA) reported the following results: Approximately 70 percent of respondents reported HIT-related stress, especially primary care physicians.

Documentation/Coding 64

Documentation/Coding Administration Operations Research 64

The Skeptics' Guide to EM

NOVEMBER 25, 2017

[display_podcast] Date: November 24th, 2017 Reference: Roldan et al. AEM November 2017 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the Director of Simulation Education at Markham Stouffville Hospital in Ontario. display_podcast] Date: November 24th, 2017 Reference: Roldan et al. AEM November 2017.

Psychiatric 40

Psychiatric Emergency Department Operations Hospitals 40

Advanced Emergency Nursing from AENJ

SEPTEMBER 8, 2017

Both occupations, it must be said, are creatures of law whose licensed/appointed employment is created, regulated, and disciplined by operation of law; and those with high professional tenets swear an oath to perform at awesome ethical levels. Updated: 5/25/2017 4:52 PM. September 01, 2017. " 09/01/2017.

Emergency Nursing 40

Emergency Nursing Hospitals Operations Administration 40

The Skeptics' Guide to EM

FEBRUARY 2, 2018

AEM Dec 2017. AEM Dec 2017. Might his examination be enough to convince the urologists to take him straight to the operating room without a preceding diagnostic ultrasound? AEM Dec 2017. [display_podcast] Date: January 31st, 2018 Reference: Frohlich LC, et al. Your index of suspicion for testicular torsion is high.

Pediatrics 40

Pediatrics Ultrasounds Emergency Department Research 40

Emergency Medicine Journal

DECEMBER 22, 2023

This retrospective study included adult patients suspected of having BSI (defined by at least one BC collection) from two European ED between 1 January 2017 and 31 December 2019. The primary end point was the BSI rate in the validation cohort for patients with a negative Bacteremia Rule Out Criteria (BAROC) score.

Emergency Department 40

Emergency Department Operations 40

Advanced Medical Reviews

SEPTEMBER 15, 2017

As of August 2017, 21 states granted nurse practitioners full prescriptive authority to diagnose, treat and prescribe medicines for patients, free of physician oversight. Responding to millennial influence on healthcare technology and operations.

Operations 56

Operations Research Wellness Hospitals 56

RebelEM

NOVEMBER 6, 2023

Methylene Blue for Vasoplegic Syndrome After Cardiac Operation: Early Administration Improves Survival. Epub 2017 May 24. J Cardiothorac Vasc Anesth. 2023 Jul 19. Epub ahead of print. PMID: 37586951 Mehaffey JH, et al. Ann Thorac Surg. PMID: 28551045 Bak MA, et al. 2022 Aug 22.

Shock 71

Shock Administration Academics Hospitals 71

RebelEM

MARCH 9, 2023

Osna 2017) Alcohol can contribute to pancreatitis, CKD, epilepsy, and countless other conditions. Sanvisens 2017) Consideration of WE when conducting a physical exam can be lifesaving. 2017 Jul 1;52(4):466-471. Operational criteria for the classification of chronic alcoholics: identification of Wernicke’s encephalopathy.

Psychiatric 52

Psychiatric Emergency Department Fractures Documentation/Coding 52

Taming the SRU

AUGUST 30, 2023

A 2017 review in the American Journal of Emergency Medicine reiterates that no single inflammatory markers (including CRP, ESR, and PCT) can be used as a stand-alone test to confirm or exclude infection, but instead advocates for using the tests as adjunctive information for emergency physicians to shape their pre-test probability of infection [26].

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

ACEP Now

NOVEMBER 16, 2023

Therefore, applicant, funding, and operational factors may influence programs to offer a particular curriculum length. American Board of Emergency Medicine report on residency and fellowship training information (2017-2018). government. 13 Some of these training opportunities previously considered unique (i.e., Jul 2022;80(1):74-83.e8.

Academics 52

Academics EMS Telemedicine Research 52

Medical Law

FEBRUARY 4, 2021

As of 2017, all E-bikes in California are required to have a label that describes its type, top assisted speed, and motor wattage. For example, all E-bike operators need to be 16 years or older and all Class 3 riders must wear a helmet regardless of age. Vehicle Code Section 312.5(1)-(3)). Vehicle Code Section 312.5(c)).

Documentation/Coding 52

Documentation/Coding Legal Issues Operations 52

RebelEM

NOVEMBER 3, 2022

In 2017, a single-centered, retrospective study found a lower incidence of clinical hypotension with ketamine compared to etomidate following endotracheal intubation in septic patients. ( Van Berkel 2017) In 2020 the NEAR study reported peri-intubation hypotension rates of 18.3% in the ketamine cohort compared to 12.4%

Outcomes 52

Outcomes Emergency Department Sepsis Operations 52

ALiEM

AUGUST 9, 2023

The lung POCUS is also operator-dependent, and it has a steep learning curve. 2017 Nov;36(11):2325-2328. Limitations Lung pathology may be missed without a complete lung POCUS scanning protocol, as you will only see pathology located directly under the probe. 2016 Jul;150(1):131-8. PMID: 26923626 Milliner BHA, Tsung JW.

Ultrasounds 98

Ultrasounds Pediatrics Emergency Department Operations 98

Dr. Smith's ECG Blog

SEPTEMBER 16, 2024

The clinical significance of this concept extends beyond the episode of Torsades presented in today's post — in that the key principle implicated in pause-dependent Torsades is the same key principle operative in the commonly cited ( but all-too-frequently misunderstood ) Ashman phenomenon.

EKG/ECG 67

EKG/ECG Resuscitation Academics Operations 67

Don't Forget the Bubbles

MARCH 4, 2024

This study retrospectively identified 1,414 children, presenting to 15 UK EDs (2016 -2017), who had been screened for malaria. Participants were randomised to enhanced suctioning with a battery-operated device or minimal suction with a bulb device for 72 hours before all feeds. Paediatr Int Child Health. 2024 Jan 11:1-7.

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

Dr. Smith's ECG Blog

DECEMBER 13, 2019

The next morning the patient went for his routine echocardiogram, where the operator noticed a dilated aortic root at 5.47 I’ve excerpted in Figure-1 , relevant paragraphs from a 2017 ESC ( European Society of Cardiology ) article on this subject by Xanthopoulos & Skoularigis ( ESC: Vol. 15-9/6/2017 ).

EKG/ECG 52

EKG/ECG Operations Ultrasounds Wellness 52

ALiEM

MAY 13, 2024

63M with an Erythematous Abdomen Limitations of POCUS As with all ultrasound applications, soft tissue POCUS is operator dependent. Epub 2017 Oct 27. Di Coneybeare) For additional reading on ultrasounding necrotizing fasciitis, see these ALiEM articles: QI Series: Cellulitis vs Necrotizing Fasciitis Ultrasound For The Win! –

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

Northwestern EM Blog

DECEMBER 20, 2021

Management is orthopedic consultation for operative stabilization [12]. Published 2017 Jul 18. Presentation is classically chronic hip pain with antalgic gait however may present with knee pain. Physical exam classically shows external rotation and abduction of the hip during hip flexion. References Smith E, Anderson M, Foster H.

Pediatrics 52

Pediatrics Ultrasounds Emergency Department Radiology 52

EB Medicine

JULY 8, 2019

Nachi: Taken all together, the rising rates of obesity and the rising success and availability of bariatric procedures has led to an increased number of bariatric procedures, with 228,000 performed in the US in 2017. In 2017, these were performed 60%, 18%, and 3% of the time. Patients present with abd pain, n/v, and peritonitis.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Pediatric EM Morsels

JUNE 30, 2023

I know we already know this, but it especially true when you are talking about trying to obtain images on a wiggling fetus somewhere around the size of a banana. Leblanc C, Baron M, Desselas, E, Phan, MH, Rybak A, Thouvenin G, Lauby C, Irtan S. Congential pulmonary airway malformations: state-of-the-art review for pediatrician’s use. Eur J Pediatr.

Ultrasounds 284

Ultrasounds Pediatrics Operations EMS 284

EMDocs

NOVEMBER 16, 2024

4 Pain is the most common reason for presentation in the early post operative period. 5 Highest risk of dislocation early in the post operative course due to laxity of the soft tissue after surgery. 6 Hip flexion or adduction in the early post-operative period can cause atraumatic dislocations (typically avoided for 6 weeks post-op).

EMS 97

EMS Dislocations Fractures Operations 97

The Trauma Pro

JUNE 14, 2024

But without a more convincing exam, it is difficult to convince yourself to operate immediately on these patients. If the exam worsens, operate. Am J Radiol 209:W360-@364, 2017. There may be some “dirty mesentery”, which is contused and has a hematoma within it. 2022 Sep 1;157(9):771-778. doi: 10.1001/jamasurg.2022.2770.

Operations 147

Operations Radiology Radiology Hospitals 147

Taming the SRU

JULY 25, 2024

Femoral nerve block case review - morbidity & mortality - community practice - r2 Clinical pathologic case - visual diagnosis - when time matters - operational aspects of stroke care Femoral nerve Block Case Review WITH dr. stolz Why do we care about regional anesthesia, specifically femoral nerve blocks?

Stroke 98

Stroke Fractures Operations Outcomes 98

Don't Forget the Bubbles

JANUARY 27, 2025

2017) Pediatric Ovarian Torsion, Surg Clin North Am, 97(1):209-221. How unstable is this patient? Do they need to be in the bay in front of your nursing station or in resus? Available from: [link] Sanfilippo J.S, Mansuria S.M, Donnellan N.M 2015) Surgical problems in the paediatric patient, Clinical Gynaecology, 2 nd edition, p578-579.

Ultrasounds 76

Ultrasounds Emergency Department Pediatrics Dehydration 76

EMDocs

OCTOBER 17, 2023

Systematic review found increasing age, diffuse rather than localized abdominal pain, guarding or pain with rebound, initial episode of diverticulitis, steroid use, fever, constipation and vomiting, elevated CRP, and elevated WBC count were associated with greater risk of complication such as abscess or perforation (Bolkenstein 2017).

Radiology 93

Radiology Radiology Operations Best Practices 93

Medagadget

AUGUST 4, 2023

In fact, since 2017, the prevalence of uterine cancer amongst African American women has increased 8% year-over-year and 5-6% in Hispanic women. My chief operating officer and partner, Erich Dreyer, is such an important piece of our puzzle. I think it is truly the saying “can’t see the forest for the trees.”

Operations 92

Operations Urgent Care Outcomes OB/GYN 92

EMDocs

SEPTEMBER 25, 2023

Improved Visualization: Video laryngoscopes allow for the use of standard or hyperangulated geometry, essentially allowing the operator to “look around the corner” on an anterior airway. Operators can manipulate the blade with less force to optimize the view, making it easier to identify and navigate the endotracheal tube into the trachea.

Emergency Department 91

Emergency Department Soft Tissue Injuries Airway Management Operations 91

EMDocs

OCTOBER 23, 2023

Operative complications requiring surgical intervention or hospitalization occur in about 3-6% of all hysterectomies (5). difficile infection, and post-operative hemorrhage. Abscess and Infected Hematoma : This condition is typically delayed, occurring most commonly 10-14 days post-operatively.

OB/GYN 92

OB/GYN Operations EMS Ultrasounds 92