The Trauma Pro

JUNE 14, 2024

The authors called out the usual culprits: Fluid between loops of bowel Active bleeding in the mesentery Bowel wall perfusion defects But they also noted that traumatic abdominal wall hernias were highly associated with seat belt sign as well. With newer scanners, radiologists are better able to detect subtle areas of hypoperfusion as well.

Operations 147

Operations Radiology Radiology Hospitals 147

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). Menoza 2024) Diagnosis depends on high clinical suspicion as well as testing of both serum and CSF. 2017 Nov 3;11(11):e0006062. Omsk Hemorrhagic Fever. Tickborne Disease Abroad.

CDC 161

CDC Infectious Diseases Pediatrics Wellness 161

Emergency Medicine Ireland

OCTOBER 14, 2024

Similarly loculations can be very easily seen with ultrasound, better than CT it seems but again don’t necessarily correlate that well with empyema. Well, adding extra or bigger drains is all very reasonable and it would seem wise to involve a thoracic surgeon at some point. 153, e129–e146 (2017). What are your options?

Wellness 52

Wellness Ultrasounds 52

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

Mind The Bleep

OCTOBER 17, 2024

This is also based on where you live and what resources are already available, as well as how you get on with your PHECC. Sandpiper provides responders with the ‘Sandpiper Bag’ – a unique approach to packaging emergency medical equipment, as well as automated external defibrillators (AEDs).

Ambulance Services 52

Ambulance Services Hospitals Anaphylaxis Wellness 52

Sensible Medicine

MAY 28, 2024

The adoption of depression screening is, of course, well-intentioned. In a 2017 Lancet trial , 10,190 personnel from the UK military were randomized to post-deployment depression screening or no screening. The benefit of screening is just too small to be detected by well-designed trials. fold (NNH=14, p= 0.01 ).

Outcomes 140

Outcomes Military Psychiatric Wellness 140

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. 2017 Feb 16;376(7):663-673. 2017 Nov;17(8):1097-1104. We have published how to perform these blocks previously at ACEP Now in Sound Advice , the column managed by Arun Nagdev, MD.

Ultrasounds 52

Ultrasounds Emergency Department Hospitals Wellness 52

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. “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.”

Academics 75

Academics Research Burns Outcomes 75

The Skeptics' Guide to EM

JULY 8, 2023

She looks well enough to go home but asks if she should be prescribed oseltamivir (Tamiflu) because some of her friends have been given it recently by their doctors. Safety issues popped up soon after widespread use of the drug including neuropsychiatric effects as well as the more common adverse effects of nausea and vomiting.

CDC 95

CDC Hospitals EMS Emergency Department 95

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. 2017 Sep-Oct;50(5):561-569. Epub 2017 Apr 19. Potassium resulted as 4.9, initial troponin I 0.05 J Electrocardiol. doi: 10.1016/j.jelectrocard.2017.04.005.

EKG/ECG 98

EKG/ECG Documentation/Coding Emergency Department COPD 98

The Skeptics' Guide to EM

MAY 14, 2022

He denies numbness or paresthesia in both lower extremities, as well as bowel or bladder dysfunctions. These include: acetaminophen ( Williams et al Lancet 2014), steroids ( Balakrishnamoorthy et al Emerg Med J 2014) and benzodiazepines ( Friedman et al Ann Emerg Med 2017).

Emergency Department 52

Emergency Department Research Wellness 52

Cook County EM Blog

MAY 1, 2023

Findings suggestive of septic bursitis include complex fluid in the bursa with septations (as seen in this case), as well as hyperemia on color flow doppler or gas. 2017 Oct;53(4):475-484. 2017 Dec;45(6):781-786. Ultrasound is often a more useful imaging modality and is readily available at the bedside. J Emerg Med. emDocs.net.

Ultrasounds 52

Ultrasounds Emergency Department Hospitals Outcomes 52

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. 2017 May 25;376(21):2011-2020. 2017 Sep;82(3):342-352. Epub 2017 Sep 11. N Engl J Med. doi: 10.1056/NEJMoa1611618.

Seizures 111

Seizures Pediatrics Outcomes Hyperthermia / Hypothermia 111

ALiEM

APRIL 12, 2023

The thin alcohol layer serves to eliminate any air bubbles under the adhesive cover as well as minimizes residual adhesive material sticking to the probe when removing the cover. The adhesive cover itself serves as a sterile barrier and a slick surface to improve probe maneuverability. Alerhand S, Singh M, editors.

Ultrasounds 103

Ultrasounds Emergency Department Resuscitation Wellness 103

American Medical Compliance

MARCH 30, 2023

In 2017, OSHA published a directive with information about how to respond to complaints of workplace violence towards healthcare employees. It is important to review existing measures and assess how well they function in one of these instances. Despite this, OSHA prioritizes the safety of healthcare professionals.

Administration 52

Administration Wellness 52

American Medical Compliance

NOVEMBER 3, 2022

noted, “While the worst days of COVID-19 pandemic are hopefully behind us, there is an urgent need to attend to physicians who put everything into our nation’s response to COVID-19, too often at the expense of their own well-being.” in 2017, 54.4% Jack Resneck Jr. doctors was 62.8%. These numbers have increased from 38.2%

Telemedicine 52

Telemedicine Wellness 52

Pediatric EM Morsels

APRIL 7, 2023

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

Stroke 130

Stroke Pediatrics Seizures Sepsis 130

ALiEM

DECEMBER 18, 2023

2017 Jun 9;18(6):1243. Of note, she reported that her dose of lamotrigine has been slowly uptitrated, most recently two days prior changing from 50 mg BID to 75 mg BID. Additional Images Physical Exam Vitals : T 39.6°C; Corticosteroids are the mainstay of treatment with gradual tapering over multiple months. Int J Mol Sci.

Academics 70

Academics Emergency Department Wellness 70

SheMD

MAY 11, 2023

Transcripts were coded to sort data into “leadership occurrences” or “unrelated to leadership” as well as critical treatment decisions. There was a significant increase in female contribution to leadership statements after behavioral intervention (53% vs 69%, p=0.011) as well as in critical treatment decisions (57% vs 73%, 0.029).

Leadership 52

Leadership Documentation/Coding Teamwork CPR 52

Don't Forget the Bubbles

SEPTEMBER 11, 2023

Willow is normally fit and well. pii: bcr-2017-220473. You take a careful history from Willow’s mum and establish that she has been aware of Willow scratching her bottom for a few days. Willow mentioned seeing “wiggly white things” in her poo the other day. She has no past medical history. BMJ Case Rep.

Wellness 116

Wellness 116

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

ACEP Now

JULY 11, 2024

The United States Preventive Services Task Force (USPSTF) recommends screening for problem drinking in the primary setting, but we know that patients who present to the ED are twice as likely to engage in dangerous drinking, so arguably the ED is an important venue for screening as well. Anton RF, O’Malley SS, Ciraulo DA, et al.

Emergency Department 98

Emergency Department Psychiatric Outcomes Wellness 98

The Skeptics' Guide to EM

SEPTEMBER 16, 2017

[display_podcast] Date: September 12th, 2017 Reference: Sinert et al. J Allergy Clin Immunol Pract 2017. display_podcast] Date: September 12th, 2017 Reference: Sinert et al. J Allergy Clin Immunol Pract 2017. J Allergy Clin Immunol Pract 2017. Reference: Sinert et al.

Anaphylaxis 52

Anaphylaxis Administration EMS Emergency Department 52

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

Mount Sinai EM

OCTOBER 11, 2024

2017 of three RCTS totaling 153 patients (unable to pool given heterogeneity) administered adjuvant steroids after PTA drainage, showed statistically significant improvement in body temperature in all three RCTs. And well before the depth at which it would reach the carotid). Then place the cut sheath back on your spinal needle.

Ultrasounds 100

Ultrasounds Wellness Outcomes Hospitals 100

The Skeptics' Guide to EM

OCTOBER 28, 2017

[display_podcast] Date: October 24th, 2017 Reference: Harrison et al. Pediatrics 2017 Guest Skeptic: Dr. Anthony Crocco is a Pediatric Emergency Physician and is the Medical Director & Division Head of the Division of Pediatric Emergency at McMaster’s Children’s Hospital. Anthony is also the creator of SketchyEBM.

Pediatrics 52

Pediatrics Documentation/Coding Emergency Department Hospitals 52

Sensible Medicine

NOVEMBER 14, 2023

Criticism of these programs is both well-deserved and unfair. As of 2017, just 15% of patients admitted to residential programs with opioid use disorder received any of the medications approved by the US Food and Drug Administration for treatment opioid use disorder – this despite the fact that those medicines save lives.

Research 117

Research Psychiatric CDC Best Practices 117

SheMD

AUGUST 24, 2023

How they measured things: The study measured the number of female vs male award recipients from published recognition award lists from medical specialty societies in 2017. They included dermatology, neurology, orthopaedics, otolaryngology, PM&R, neurosurgery, plastic surgery, physiatry and anesthesiology in the study.

Leadership 52

Leadership Academics Outcomes Wellness 52

American Medical Compliance

MAY 13, 2024

As a dental professional, your role in managing pain and prescribing medications is crucial, not only for the immediate comfort of your patients but also for their long-term health and well-being. The Opioid Epidemic As of October 16, 2017, the US government officially declared the opioid epidemic a public health emergency.

Evidence-Based Practice 52

Evidence-Based Practice Best Practices Patient Safety Wellness 52

The Skeptics' Guide to EM

SEPTEMBER 3, 2017

[display_podcast] Date: September 2nd, 2017 Reference: Caputo et al. 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).

Emergency Department 52

Emergency Department Resuscitation Operations EMS 52

Emergency Medicine Journal

NOVEMBER 28, 2023

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. 2017; 25 (2):112. Brodeur M, Herrick J, Guardioloa J, Richman P. Acta Inform Medica. Murray S, Buller AM.

Research 40

Research Burns Wellness 40

Pediatric Emergency Playbook

SEPTEMBER 1, 2021

Premature babies are at higher risk as well. 2017 Dec;44(4):865-877 Brandt ML. 2017 Mar;31(3):1461-1468. Most indirect hernias are in boys (10-fold risk), and on the right (60%). 15% are bilateral. Hernias often bulge further with crying. For infants, in supine position, gently restrain their feet on the gurney. Clin Perinatol.

Pediatrics 40

Pediatrics Wellness 40

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 Hospitals Administration 40

The Skeptics' Guide to EM

NOVEMBER 18, 2017

[display_podcast] Date: November 11th, 2017 Reference: Sundén-Cullberg et al. Critical Care Medicine 2017. display_podcast] Date: November 11th, 2017 Reference: Sundén-Cullberg et al. Critical Care Medicine 2017.

Sepsis 52

Sepsis Emergency Department Seizures Pediatrics 52

RebelEM

JUNE 26, 2023

4F-PCC contains factors II, VII, IX, X as well as Proteins S and C. Lancet Haematol 2017. Some clinicians have advocated for early administration of 4-factor prothrombin complex concentrate (4F-PCC) based on limited observational data. High-quality studies are needed to determine the utility of this intervention. to 3.33; P = 0.72

Administration 145

Administration Outcomes Resuscitation Radiology 145

RebelEM

JULY 20, 2023

This can be plotted as a Forgetting Curve (Figure 2), the slope of which depends on many things – the quality of the teacher, if stress is included in the training, if you’re well fed, have good sleep, etc. This is the idea of learning something so well you bring yourself well above the line of competence.

EMS 75

EMS Burns Airway Management Wellness 75

Ken Grauer, MD

DECEMBER 23, 2023

This is perhaps best seen in lead V1 ( but also well seen in leads V3,V4,V6 ). 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