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Diagnosis of Acute Aortic Syndrome in the EmergencyDepartment (DAShED) study: an observational cohort study of people attending the emergencydepartment 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]
cats and dogs have their own GCS scores [Lapsley 2019, Ash 2018] Moral of the Morsel Modified can make it Merrier! Borgialli DA, Mahajan P, Hoyle JD Jr, Powell EC, Nadel FM, Tunik MG, Foerster A, Dong L, Miskin M, Dayan PS, Holmes JF, Kuppermann N; Pediatric Emergency Care Applied Research Network (PECARN). Acad Emerg Med.
Neonates presenting to the EmergencyDepartment often cause a lot of uncertainty. Let’s review how Congenital Syphilis may present to our EmergencyDepartments: Congenital Syphilis : Basics Occurs when the spirochete Treponema pallidum is transmitted from mother to fetus. Is this scalp swelling normal?
The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. Epub 2018 Nov 22.
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.
Patients with severe agitation are frequently encountered in the emergencydepartment (ED) setting. Emergencydepartments 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 emergencydepartment.
Wearing a cut-up trauma sheet as a hijab, she walked out of our emergencydepartment several hours later, intact and not traumatized. Dr. Lebold is an emergency medicine resident and physician scientist at Stanford University in Stanford, Calif., Chicago, IL: American College of Surgeons; 2018.
It is currently the subject of future research and publication in the emergencydepartment setting. Its use in the prehospital environment is not well known or studied and may be an interesting area for future research. [i] Anesthesiology 2018; 128 : 38–43. [v] Medicine 2018; 97 : e13661. Green et al.
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 EmergencyDepartment Fracture, Dislocation, and Overuse.
[display_podcast] Date: May 16, 2018 Reference: Freund et al. Effect of the Pulmonary Embolism Rule-Out Criteria on Subsequent Thromboembolic Events Among Low-Risk EmergencyDepartment Patients: The PROPER Randomized Clinical Trial. JAMA February 2018. display_podcast] Date: May 16, 2018 Reference: Freund et al.
[display_podcast] Date: April 12th, 2018 Reference: Ohle R et al. AEM April 2018 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine (AEM). display_podcast] Date: April 12th, 2018 Reference: Ohle R et al. Reference: Ohle R et al.
[display_podcast] Date: June 15th, 2018 Reference: Silva et al. Safety and Efficacy of Intravenous Lidocaine for Pain Management in the EmergencyDepartment: A Systematic Review. Ann Emerg Med. first appeared on The Skeptics Guide to Emergency Medicine. display_podcast] Date: June 15th, 2018 Reference: Silva et al.
While laudable in theory, research has continued to show that in practice the program is bureaucratically burdensome costing $12,800 per physician and over 53 hours per year (6). Medicare and Budget Sequestration, Congressional Research Service. The goal was to promote quality instead of quantity. link] American Medical Assoication.
Five-year-old Ginny presents to the EmergencyDepartment with a syncopal episode. Arguably, more robust research is neither feasible nor ethical to conduct in such a rare and time-critical emergency. Given that the study is now nearly 20 years old, newer research is needed to further back up current guidelines.
[display_podcast] Date: July 16th, 2018 Reference: Gupta M et al. AEM July 2018 Guest Skeptics: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. display_podcast] Date: July 16th, 2018 Reference: Gupta M et al. AEM July 2018 Guest Skeptics: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia.
[display_podcast] Date: January 25th, 2018 Reference: Hawkins et al. Peripheral Intravenous Cannula Insertion and Use in the EmergencyDepartment: An Intervention Study. AEM Jan 2018 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency.
There is less research in the utility of ultrasound in identifying strangulation, however findings such as lack of peristalsis, edema of the bowel wall, and lack of blood flow on Doppler all seem to be suggestive of strangulation. (8) 8) “Ultrasound may decrease the emergency surgery rate of incarcerated inguinal hernia” by Chen et al. (1)
Direct-access physiotherapy to help manage patients with musculoskeletal disorders in an emergencydepartment: Results of a randomized controlled trial. Case: A forty-year-old woman presents to the emergencydepartment […] The post SGEM#342: Should We Get Physical, Therapy for Minor Musculoskeletal Disorders in the ED?
A 68-year-old man presents to the emergencydepartment (ED) with altered mental status and fever. Is the Evidence from This Research Sufficient to Change Practice? Techniques, success, and adverse events of emergencydepartment adult intubations [published correction appears in Ann Emerg Med. Ann Emerg Med.
There are greater than 2 million annual emergencydepartment visits for suspected renal colic in the US, and Ct scanning is performed for more than 90% of patients who receive a diagnosis of kidney stone. ” The Journal of Urology 199.4S (2018): e683-e684. What Your Gut Says: We need a CT report to diagnose a kidney stone.
Single-dose dexamethasone is not inferior to 2 doses in mild to moderate pediatric asthma exacerbations in the emergencydepartment. Pediatr Emerg Care. 2022 Guest Skeptic: Dr. Harrison Hayward is a Pediatric Emergency Medicine fellow at Children’s National Hospital. Pediatr Emerg Care. Pediatr Emerg Care.
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 emergencydepartment and specifically the use of ketamine. His twitter handle is @PainFreeED.
A 2018 systematic review and meta-analysis of 25 studies focusing on the accuracy of emergency lung ultrasound showed sensitivity of 85-95% and specificity of 75-90% for pneumonia, sensitivity of 78% and specificity of 94% for COPD/asthma, and sensitivity of 75-90% and specificity of 80-90% for acute heart failure [4].
JAMA December 2018 Guest Skeptic: Dr. 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 emergencydepartment and specifically the use of ketamine.
[display_podcast] Date: February 6th, 2018 Reference: Foster SJ et al. Lancet January 2018 Guest Skeptic: Dr. Tessa Davis is a Pediatrician specialising in Pediatric Emergency Medicine and currently practicing in a central London hospital. display_podcast] Date: February 6th, 2018 Reference: Foster SJ et al.
In Japan, researcher used a cross-sectional study to analyze national suicide rates during the COVID-19 pandemic. The researchers point to a sense of shared purpose, connections via video platforms, anticipated government aid, and mental health awareness campaigns as possible explanations for the stable rate of suicide deaths [3].
Andrew Worster is a staff Emergency Physician and Professor of Emergency Medicine and Health Research Methods, Evidence, and Impact at McMaster University. He is the current Director and Editor-in-Chief of the not-for-profit, international knowledge translation project, Best Evidence in Emergency Medicine ( BEEM ).
Case: A 32-year-old woman with no previous medical history calls you while a passenger on a […] The post SGEM#284: Might as Well Jump, but We would Recommend a Parachute first appeared on The Skeptics Guide to Emergency Medicine. Date: February 11th, 2020 Reference: Yeh et al. Guest Skeptic: Marcus Prescott is a nurse in Norway.
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.
Effectiveness and safety of droperidol in a United States emergencydepartment. Am J Emerg Med. 2019.09.007 What : Retrospective cohort study of all droperidol administrations between January 2012 and April 2018 at an academic and pediatric emergencydepartment in the US with 77,000 annual visits.
ED visits per 1000 adults with diabetes based on 2018 data resulting in over 500,000 annual hospital days. Further, the authors speculate that this protocol may be appropriate for sicker patient populations though further research is needed. DKA accounts for approximately 223,000 ED visits annually or 8.9
Explored in seminal research, incivility is described as “ behaviours or mistreatment which violate the workplace norms of mutual respect “ Incivility isn’t just about obvious aggression but can take the form of passive aggression, public beratement, intimidation or habitual interruption. 2018 13(3): e0194933.
Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Case: A 63-year-old woman presents to your emergencydepartment (ED) with two-day history of nausea, vomiting and constipation. Dr. Charles Brower is a second-year resident training in Emergency Medicine at the University of Cincinnati.
Civil Monetary Penalties Resulting from Violations of the Emergency Medical Treatment and Labor Act (EMTALA) Involving Psychiatric Emergencies, 2002 to 2018. AEM May 2019 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine.
In 2018, that number dropped to just 34 percent. Sixty percent of nurses report being victims of sexual assault and less than half of emergencydepartment doctors have been victims of physical violence. Research often examines patient trust in doctors, but not doctors’ trust in patients.
[display_podcast] Date: January 31st, 2018 Reference: Frohlich LC, et al. Guest Skeptic: Dr. Melissa Langhan is an Associate Professor of Pediatric Emergency Medicine at Yale University in New Haven, CT. display_podcast] Date: January 31st, 2018 Reference: Frohlich LC, et al. AEM Dec 2017. AEM Dec 2017.
Introduction: Civility Matters Healthcare environments, particularly emergencydepartments, are characterised by high levels of Volatility, Uncertainty, Complexity, and Ambiguity ( VUCA ). Nonetheless, research has consistently shown that healthcare environments demonstrate higher-than-average levels of workplace incivility.
Date: October 2nd, 2020 Guest Skeptic: Dr.Barbra Backus is an emergency physician at the EmergencyDepartment of the Erasmus University Medical Center in Rotterdam, the Netherlands. She is the creator of the HEART Score and an enthusiastic researcher. She is the creator of the HEART Score and an enthusiastic researcher.
EmergencyDepartment Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage: The UK-REBOA Randomized Clinical Trial [published online ahead of print, 2023 Oct 12]. Researchers randomly assigned 90 eligible patients over ≈ 4.5 Paper: Jansen JO, Hudson J, Cochran C, et al.
The 30-day emergencydepartment readmission rate and all-cause 30-day readmission were significantly lower only when adjusted for propensity scores. Phenobarbital Versus Lorazepam for Management of Alcohol Withdrawal Syndrome: A Retrospective Cohort Study.
Background: Pneumothorax management is a common clinical condition in the emergencydepartment (ED) occurring in patients of varying ages and caused by multiple etiologies, including spontaneous, traumatic, and iatrogenic pneumothorax. 153,5 (2018): 1201-1212. Article: Chang, Su-Huan et al. “A
Beyond the emergencydepartment, where else can a SonoPro scan for increased ICP?: Aside from patients in the emergencydepartment, POCUS for elevated ICP can be used in critically ill children in the PICU, adults in the Neurocritical ICU, and on the battlefield with handheld ultrasounds in combat medicine.
Second-generation H1 antihistamines (cetirizine, loratadine, and fexofenadine) do not cross the blood-brain barrier as easily (Bernstein J 2018). Philadelphia: Wolters Kluwer Health; 2018. Multicenter study of emergencydepartment visits for insect sting allergies. Patients were randomized in a 1:1 ratio. Antihistamines.
PMID: 34904190 Not surprisingly, this paper has been covered by basically everyone who talks about research, so if you want to hear some other opinions, check out the SGEM , REBEL EM , or St. 2018 Sep 11;362:k3843. Emerg Med J. Intensive Care Med. 2022 Jan;48(1):78-91. doi: 10.1007/s00134-021-06577-x. Epub 2021 Dec 14.
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