ACEP Now

DECEMBER 11, 2023

Patients with severe agitation are frequently encountered in the emergency department (ED) setting. Emergency departments can be crowded and chaotic, further exacerbating mental health issues. A 2018 study by Klein et al., ACEP Policy statement: Use of droperidol in the emergency department.

Emergency Department 52

Emergency Department Pediatrics Research Hospitals 52

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. 2, 2018, pp.

Emergency Department 52

Emergency Department Administration EMS Dehydration 52

Pediatric EM Morsels

APRIL 19, 2024

Trauma season is at hand and like all other pediatric emergency departments 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.

Fractures 286

Fractures Pediatrics Best Practices Outcomes 286

PEMBlog

OCTOBER 31, 2024

every year, leading to emergency department visits and hospitalizations. A new study conducted by the Pediatric Emergency Care Applied Research Network (PECARN) aimed to determine whether LGG could reduce the severity of gastroenteritis in children. emergency departments. 2018 Nov 22;379(21):2002-2014.

Outcomes 105

Outcomes Pediatrics Emergency Department Research 105

EM Literature of Note

SEPTEMBER 13, 2024

These are each awful, of course, in their own way from a patient- and parent-oriented standpoint, but they’re also quite awful at the population level, overburdening limited pediatric and emergency department resources. “Nirsevimab and Acute Bronchiolitis Episodes in Pediatric Emergency Departments” [link] Tweet

Emergency Department 85

Emergency Department Pediatrics Administration Wellness 85

Pediatric EM Morsels

JUNE 7, 2024

Lucky for us, in 2020 there were some updates made to the NIH Asthma Management Guidelines and we’re going to discuss which ones can help us in the Emergency Department! You’re probably asking yourself… is this really important for us in the Emergency Department to know? 2018 Jun 19;6:170. No more SABA !

Pediatrics 268

Pediatrics Emergency Department Wellness EMS 268

The Skeptics' Guide to EM

OCTOBER 12, 2024

A national survey of children’s experiences and needs when attending Canadian pediatric emergency departments. June 2024 Date: Oct 1, 2024 Guest Skeptic: Dr. Andrew (Andy) Tagg is an Emergency Physician with a special interest in education and lifelong learning. Reference: Ma K et al. He is accompanied by his worried parents.

Emergency Department 91

Emergency Department Pediatrics Outcomes EMS 91

Emergency Medicine Journal

SEPTEMBER 25, 2024

Being a trauma team leader, emergency physician in charge or clinical lead all look very different and require a range of skills, but are all certainly forms of leadership that have a significant impact on the running of an emergency department, patient outcomes and, as is increasingly being recognised, staff well-being.

Leadership 52

Leadership Emergency Department Outcomes Wellness 52

The Trauma Pro

OCTOBER 18, 2024

Bottom line: I have visited a number of hospitals that successfully use the Nelson score to assist with admission service decision-making while the patient is still in the emergency department. Journal of Trauma Nursing, 25 (3), 192-195, 2018. The only gray zone is the score of 4 or 5. Am Surg, 88(7), 1537-1540, 2022.

Documentation/Coding 147

Documentation/Coding Emergency Department Hospitals 147

EB Medicine

FEBRUARY 1, 2018

We’ll be taking you through the February 2018 issue of Emergency Medicine Practice: Emergency Department Management of Patients with Thermal Burns. Welcome back to Emplify, the podcast corollary to EB Medicine’s Emergency Medicine Practice.

Burns 40

Burns Emergency Department 40

Emergency Medicine Journal

OCTOBER 23, 2024

In England, the rate of emergency department (ED) attendance in the first year of life is greater than at any other age, amounting to 122 visits per 100 000 population. This standard was updated in 2018 4 to recommend that all EDs treating children should have a PEM consultant.

Emergency Department 52

Emergency Department EMS 52

EB Medicine

MAY 1, 2018

Join hosts Jeff Nusbaum, MD, and Nachi Gupta, MD on this episode of EMplify as they take you through the May 2018 issue of Emergency Medicine Practice: Recognizing and Managing Emerging Infectious Diseases in the Emergency Department. This month’s issue was authored by Drs.

Infectious Diseases 40

Infectious Diseases Emergency Department 40

Emergency Medicine Journal

JANUARY 22, 2024

This is an Institutional Review Board-exempt retrospective review of de-identified ED data available for the state of Maryland through the Healthcare Cost and Utilization Project (HCUP) database from 2016 to 2018.

Outcomes 40

Outcomes Emergency Department Poisoning Documentation/Coding 40

EB Medicine

MARCH 1, 2018

Join hosts Jeff Nusbaum, MD, and Nachi Gupta, MD on this episode of EMplify as they take you through the March 2018 issue of Emergency Medicine Practice: Emergency Department Management of Smoke Inhalation Injuries in Adults.

Emergency Department 40

Emergency Department Burns 40

The Skeptics' Guide to EM

FEBRUARY 11, 2024

Diagnosis of Acute Aortic Syndrome in the Emergency Department (DAShED) study: an observational cohort study of people attending the emergency department with symptoms consistent with acute aortic syndrome. first appeared on The Skeptics Guide to Emergency Medicine. EMJ Nov 2023. EMJ Nov 2023. per 100,000. [4-8]

Emergency Department 121

Emergency Department Resuscitation Hospitals Research 121

Emergency Medicine Journal

MAY 23, 2023

Background Upper gastrointestinal bleeding (UGIB) is a medical emergency with an approximate mortality of 10%, which results in a high hospitalisation rate. The Glasgow-Blatchford score (GBS) is recommended to identify low-risk patients who can be discharged from the emergency department (ED).

Emergency Department 40

Emergency Department Blood Transfusions Hospitals Wellness 40

EB Medicine

APRIL 1, 2018

Join hosts Jeff Nusbaum, MD, and Nachi Gupta, MD on this episode of EMplify as they take you through the April 2018 issue of Emergency Medicine Practice: Jaundice in the Emergency Department: Meeting the Challenges of Diagnosis and Treatment.

Emergency Department 40

Emergency Department 40

Don't Forget the Bubbles

AUGUST 23, 2023

In most Emergency Departments, 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 Emergency Department, he initiated ‘ The Pause.’ & Liska, H.

Emergency Department 98

Emergency Department Resuscitation Documentation/Coding Best Practices 98

EB Medicine

JULY 1, 2018

Join Jeff, a former firefighter, and Nachi, a former mathematician, as they take you through the July 2018 issue of Emergency Medicine Practice: Emergency department management of dyspnea in the dying patient Most Important References 17. Reuben DB, Mor V. Dyspnea in terminally ill cancer patients. 1986;89(2):234-236.

Emergency Department 40

Emergency Department 40

EMDocs

JULY 9, 2024

The emergency department takes care of some of the highest risk patients with the worst access to health care and social services Over the past 20 years, many researchers have created and validated social needs screeners Some examples: iHELP, WE CARE, SEEK, USDA 2-item food insecurity questionnaire Does screening make a difference?

Pediatrics 71

Pediatrics Emergency Department Research Burns 71

Pediatric EM Morsels

AUGUST 9, 2024

Neonates presenting to the Emergency Department often cause a lot of uncertainty. Let’s review how Congenital Syphilis may present to our Emergency Departments: Congenital Syphilis : Basics Occurs when the spirochete Treponema pallidum is transmitted from mother to fetus. Is this scalp swelling normal?

Emergency Department 152

Emergency Department Hyperthermia / Hypothermia Seizures Pediatrics 152

EB Medicine

JUNE 1, 2018

Join hosts Jeff Nusbaum, MD, and Nachi Gupta, MD on this episode of EMplify as they take you through the June 2018 issue of Emergency Medicine Practice: Managing Shoulder Injuries in the Emergency Department Fracture, Dislocation, and Overuse.

Dislocations 40

Dislocations Emergency Department Fractures Research 40

Emergency Medicine Journal

NOVEMBER 28, 2023

Methods This multicentre randomised controlled trial was undertaken between December 2018 and July 2020 in the ED of four hospitals in the Netherlands. Manipulation performed under ultrasound guidance has the potential to decrease the number of reduction attempts.

Fractures 40

Fractures Ultrasounds Emergency Department Operations 40

Pediatric EM Morsels

NOVEMBER 17, 2023

Differences in intubation outcomes for pediatric patients between pediatric and general Emergency Departments. Intubation practice and outcomes among pediatric emergency departments: A report from National Emergency Airway Registry for Children (NEAR4KIDS). Acad Emerg Med. 2018 Mar;28(3):210-217.

Pediatrics 183

Pediatrics Emergency Department Outcomes Sepsis 183

ALiEM

MARCH 7, 2024

Facts and Literature Review Bladder volume estimation Measuring bladder volume via POCUS in pediatric patients has been studied, demonstrating a benefit on Emergency Department workflow and length of stay (Table 1). The pain is intermittent, sharp, severe, and associated with 2 episodes of nonbloody, nonbilious emesis. Dessie et al.,

Ultrasounds 70

Ultrasounds Pediatrics Radiology Radiology 70

Taming the SRU

FEBRUARY 5, 2024

Traumatic brain injury (TBI) accounts for millions of Emergency Department visits annually. While moderate and severe TBI is often managed on an inpatient basis, patients presenting with mild TBI, or concussion, are often managed solely by Emergency physicians. Patients should be educated on physical and cognitive rest.

Head Injuries 59

Head Injuries Emergency Department Seizures Pediatrics 59

EMDocs

DECEMBER 11, 2023

In October 2022, the American College of Cardiology released an updated expert consensus decision regarding the evaluation of chest pain in the emergency department. This included the addition several new STEMI equivalents [4] on ECG that warrant “prompt evaluation for emergency coronary angiography.” J Am Coll Cardiol.

EKG/ECG 110

EKG/ECG Emergency Department Academics Operations 110

EMDocs

SEPTEMBER 26, 2024

References : System-Level Process Change Improves Communication and Follow-Up for Emergency Department Patients With Incidental Radiology Findings. J Am Coll Rad 15:4;639-647, April 1, 2018. Baccei SJ et al. Tyler W et al.

Radiology 74

Radiology Radiology EKG/ECG Documentation/Coding 74

EMDocs

NOVEMBER 22, 2024

Upon his recovery he attempts to turn his experience into a teaching opportunity for the involved hospital and emergency department. Here are the arguments the physician hoped to share with hospital and ED staff: Emergency Physician and “Spine Consultant” : My symptoms warranted an MRI and lab work. 11, Nov 2018.

Hospitals 78

Hospitals Patient Safety Emergency Department 78

The Skeptics' Guide to EM

APRIL 13, 2024

He is an assistant professor in Emergency Medicine, Neurology, and Neurosurgery at the School of Medicine at the University of Washington. Case: A 70-year-old woman was brought into the emergency department by EMS after her family reported she was having trouble talking. hours from onset of symptoms.

Stroke 114

Stroke Documentation/Coding Emergency Department EMS 114

ALiEM

MARCH 18, 2024

Shortly after that, the finger turned purple, so she came to the Emergency Department for evaluation. 2018 Jun 27;40:1-2. After the popping sensation, she noticed a cool sensation of the finger and numbness to the entire finger. She denied pain in the hand and has had no problems moving the finger. No other complaints or issues.

Burns 122

Burns Academics Emergency Department 122

RebelEM

DECEMBER 5, 2023

At the time of discharge, thorough education and the availability of IM epinephrine for the patient is paramount to allow for prompt treatment of an unlikely biphasic reaction ( Pourmand 2018 , Shaker 2020 ). A naphylaxis – Emergency Medicine Updates 2. Read More: 1. Ali P, Robinson C, Syed W, Mazer-Amirshahi M.

Anaphylaxis 81

Anaphylaxis Allergic Reactions Emergency Department EMS 81

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? 2018 Jan;21(1):41-52. J Emerg Med. Ragab, A.R.,

Ultrasounds 92

Ultrasounds Emergency Department Hospitals Wellness 92

RebelEM

NOVEMBER 6, 2024

Elbow Dislocations in the Emergency Department: A Review of Reduction Techniques. J Emerg Med. 2018 Jun;54(6):849-854. Epub 2018 Apr 19. 2018 Apr 4;100(7):e46. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. PMID: 30521261 Gottlieb M, Schiebout J. doi: 10.1016/j.jemermed.2018.02.011. 2018.02.011.

Dislocations 59

Dislocations Fractures Soft Tissue Injuries Outcomes 59

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. Baloxavir is a new single-dose antiviral agent approved by the FDA in October 2018.

Emergency Department 40

Emergency Department CDC Infectious Diseases EMS 40

The Skeptics' Guide to EM

JUNE 9, 2018

[display_podcast] Date: June 8th, 2018 Reference: April MD, et al. Aromatherapy Versus Oral Ondansetron for Antiemetic Therapy Among Adult Emergency Department Patients: A Randomized Controlled Trial. display_podcast] Date: June 8th, 2018 Reference: April MD, et al.

Emergency Department 52

Emergency Department Academics Administration Operations 52

Greater Sydney Area HEMS

FEBRUARY 20, 2024

It is currently the subject of future research and publication in the emergency department setting. Anesthesiology 2018; 128 : 38–43. [v] Medicine 2018; 97 : e13661. At the very least, knowledge of it as an option in the armamentarium of retrieval and critical care providers is important. Green et al. October 2023. [vi]

Ultrasounds 98

Ultrasounds Shock Research Operations 98