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Trauma season is at hand and like all other pediatric emergencydepartments in the country, we find our ED breaking ( pun intended ) at the seams with orthopedic injuries. 2018;Volume 00(00):DOI:10.1097/BPO.0000000000001169. We see all different flavors of upper extremity injuries. Clin Orthop Relat Res. 1984 Sep;(108):103-111.
13 A 2018 meta-analysis found that terlipressin is comparable with somatostatin, octreotide, and vasopressin in the control of bleeding. Am J Emerg Med. The emergency medicine evaluation and management of the patient with cirrhosis. Am J Emerg Med. 2018:36(4):689-698. Acad Emerg Med. 2019:37(2):277-280.
Physicians, nurses, and staff in emergencydepartments (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. References Workplace Violence in Healthcare, 2018. Published 2018.
In most EmergencyDepartments, staff are allotted little of that scarce resource, time, to begin processing what has just occurred. The Pause Jonathon Bartels worked as an Emergency Nurse in America in 2009. After the death of a young person in the EmergencyDepartment, he initiated ‘ The Pause.’ & Liska, H.
When patients with DMD present in the EmergencyDepartment (ED), an understanding of the nuanced aspects of their care is essential for optimal management. Below are key considerations based on current bestpractices. 2018 Oct;142(Suppl 2):S72-S81. 2018-0333I. Pediatrics. doi: 10.1542/peds.2018-0333I.
ED visits per 1000 adults with diabetes based on 2018 data resulting in over 500,000 annual hospital days. Background Diabetic ketoacidosis (DKA) is a common and resource-intensive condition contributing to significant morbidity and mortality among patients with diabetes mellitus. This amounts to annual hospital costs of $5.1
THE CASE A female in her early 20s, G4P2012, presents to the emergencydepartment (ED) with a 5 day history of left lower quadrant abdominal pain which has been worsening since onset. Diaz is a PGY-4 resident in Emergency Medicine at the University of Cincinnati and the current Resident Editor of Ultrasound of the Month.
In the era of modern medicine, blood transfusions are commonplace, especially in the emergencydepartment. While they are a lifesaving staple of medicine, they also come with risks that emergency providers must be aware of. Adverse reactions to transfusion of blood products and BestPractices for Prevention.”
Choosing Wisely aims to help clinicians align with bestpractices by avoiding interventions that are not supported by evidence. Choosing Wisely in Paediatric Car e A trainee-led project in a UK tertiary paediatric emergencydepartment looked at the usefulness of blood tests in 101 children. 2018 Oct 15;7(4):e000372.
A 2018 risk score incorporates the presence of abdominal guarding, WBC, and CRP. Those with abdominal guarding, WBC over 20,000, and CRP over 25 mg/dL demonstrated a risk of complicated diverticulitis of over 85% (Bolkenstein 2018). A clinical decision rule to establish the diagnosis of acute diverticulitis at the emergencydepartment.
This blog post aims to help familiarise you with some of the most common reasons for prescribing antibiotics in the paediatric emergencydepartment. Antibiotic Use for Common Infections in Pediatric EmergencyDepartments: A Narrative Review. Periorbital Cellulitis in Paediatric Emergency Medicine Department Patients.
The latest Society of Critical Care Medicine (SCCM) sepsis guidelines from 2021 recommend giving patients with signs of hypoperfusion an initial 30 ml/kg bolus as a bestpractice statement 13 based on the PROCESS, 14 ARISE, 15 and PROMISE 16 trials. Does this dyspneic patient in the emergencydepartment have congestive heart failure?
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