ACEP Now

MAY 9, 2024

When seven South Florida gluteal AFT patients died tragically in one year alone, the Florida Board of Medicine issued an emergency regulation restricting fat injection to the subcutaneous space rather than injecting into muscle. The post Brazilian Butt Lift Procedure Can Result in Emergency Department Visits appeared first on ACEP Now.

Emergency Department 52

Emergency Department Operations Ultrasounds Shock 52

ACEP Now

NOVEMBER 14, 2023

The emergency department (ED) at UVA was rebuilt in 2019 and the department had not fully optimized its operations when COVID-19 hit. These real-time strategies being employed at UVA Health are cutting-edge operations and not yet embedded into many emergency department operations.

Academics 52

Academics Emergency Department Leadership Operations 52

PEMBlog

JUNE 14, 2023

Thousands of children and adolescents spend days at time in Emergency Departments waiting for definitive mental health disposition. West J Emerg Med. 2019 Jul 22;20(5):690-695. Mental Health Revisits at US Pediatric Emergency Departments. Children’s Mental Health Emergency Department Visits: 2007-2016.

Psychiatric 98

Psychiatric Emergency Department Pediatrics Best Practices 98

Emergency Medicine Journal

AUGUST 21, 2024

Methods Qualitative study; informal interviews of junior doctors, consultants and nursing staff and direct observation of clinical interactions, induction and training in a single ED in an English Emergency Department between August and October 2019. We used constant comparison to identify and develop themes.

Patient Safety 98

Patient Safety Emergency Department Research 98

RebelEM

MARCH 27, 2023

Over the past few years, there has been an increase in emergency department (ED) volumes and lengths of stay. The effect of emergency department crowding on lung-protective ventilation utilization for critically ill patients. Paper: Owyang CG, et al. J Crit Care. N Engl J Med. 2000 May 4; PMID: 10793162 Harvey CE, et al.

Emergency Department 52

Emergency Department Operations Documentation/Coding Academics 52

The Skeptics' Guide to EM

APRIL 11, 2020

Justin Morgenstern is an emergency physician and the creator of the excellent #FOAMed project called First10EM.com Case: It has been a hard shift. You wish you […] The post SGEM#289: I Want a Dog to Relieve My Stress in the Emergency Department first appeared on The Skeptics Guide to Emergency Medicine.

Emergency Department 52

Emergency Department Resuscitation Wellness 52

Emergency Medicine Journal

OCTOBER 23, 2024

It will not be news to readers that the emergency department (ED) population is ageing. A systematic review of older patients’ experiences published in the EMJ in 2019 found that older patients felt vulnerable in the ED, and they wanted holistic care, support with decision-making, prompt waiting times and clear communication.

Emergency Department 52

Emergency Department 52

Emergency Medicine Journal

JULY 22, 2024

The year 2019 had the highest number of incidents. The rate of violent events in Mexico, especially in hospital settings, has increased since 2006, but has become more evident in 2018. Guanajuato State, located in central Mexico, is among the states most affected by the wave of violence, especially active shooter events.

Emergency Department 52

Emergency Department Documentation/Coding Hospitals 52

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?

Hyperthermia / Hypothermia 152

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 152

EMDocs

AUGUST 22, 2024

12 How do we address these disparities in the emergency department? An implementation science approach improves language access in the emergency department. April 2019. Department of Health and Human Services. Annals of Emergency Medicine. Annals of Emergency Medicine. Pediatric Emergency Care.

Documentation/Coding 94

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 94

Dr. Smith's ECG Blog

OCTOBER 20, 2024

The patient was rushed to the nearest emergency department (non-PCI facility) for stabilization. On arrival in the emergency department, invasive blood pressure was 35/15mmHg and the patient was in profound cardiogenic shock with severe confusion secondary to brain hypoperfusion.

EKG/ECG 131

EKG/ECG Shock Emergency Department Ambulance Services 131

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. 2022 Sep 7.

Emergency Department 52

Emergency Department Administration EMS Dehydration 52

EMergucate

MAY 15, 2019

A 39 year old woman with no significant medical history is brought to the emergency department in an acute confusional … Continue reading →

EKG/ECG 52

EKG/ECG Emergency Department 52

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

Broome Docs

OCTOBER 6, 2024

PMID: 39025092 Is early CT actually 100% sensitivity for SAH (Of course not) Roberts et al, Subarachnoid haemorrhage in the emergency department (SHED): a prospective, observational, multicentre cohort study. Emergency Medicine Journal Published Online First: 12 September 2024. 2019 Nov 5;322(17):1722. 2018.15583.

Emergency Department 102

Emergency Department EMS Research Outcomes 102

Emergency Medicine Journal

NOVEMBER 28, 2023

Multimorbidity is likely to impact on care delivery in emergency department(ED) settings due to time-critical decision-making in the context of patient complexity. Aims and Objectives The prevalence of multimorbidity, the presence of two or more long-term conditions (LTCs) is increasing, and it is associated with poor health outcomes.

Emergency Department 40

Emergency Department Outcomes Hospitals 40

ACEP Now

DECEMBER 6, 2024

Morhaim spent more than two decades in the Maryland House of Delegates, fighting for legislation to protect health care workers and patients before his final legislative term ended in 2019. Dr. Morhaim has been assigned to a state commission to address emergency department wait times. Click to enlarge.)

Emergency Department 98

Emergency Department Hospitals Wellness 98

ACEP Now

JULY 11, 2024

Deaths from drinking increased 25 percent from 2019 to 2020 and another 10 percent in 2021. 2 Although the opiate epidemic is certainly worthy of attention, it accounts for only about half of the number of deaths annually and only around a quarter of the number of emergency department visits annually relative to alcohol use.

Emergency Department 98

Emergency Department Psychiatric Outcomes Wellness 98

Dr. Smith's ECG Blog

OCTOBER 18, 2023

If you were working in a busy emergency department, would you like to be interrupted to interpret these ECGs or can these patients safely wait to be seen because of the normal computer interpretation? Emergent cardiac outcomes in patients with normal electrocardiograms in the emergency department. Am J Emerg Med.

EKG/ECG 122

EKG/ECG Documentation/Coding Emergency Department Outcomes 122

Don't Forget the Bubbles

SEPTEMBER 13, 2023

The parents of 18-month-old Susie brought her to the Emergency Department after she had a seizure at home. 2019-0134 Hirtz D, Ashwal S, Berg A, et al. The role of brain computed tomography in evaluating children with new onset of seizures in the emergency department. ACR Appropriateness Criteria® Seizures-Child.

Seizures 131

Seizures Pediatrics Emergency Department Radiology 131

Taming the SRU

JULY 22, 2024

INDICATIONS Arthrocentesis is a common procedure performed in the Emergency Department, in which a needle is inserted into a joint to withdraw fluid from the joint capsule. 2019, April 30). emDOCs.net - Emergency Medicine Education. Emergency Medicine Procedures, 2e. 2023, October 9). 2022, February 25).

Ultrasounds 96

Ultrasounds Emergency Department EMS 96

Don't Forget the Bubbles

JULY 19, 2023

Trends and Clinical Characteristics of Pediatric Patients Presenting to an Ophthalmology Emergency Department with an Initial Diagnosis of Optic Nerve Head Elevation. It does not usually need emergency treatment to relieve symptoms and preserve visual function. 2019 Dec 1;54(6):653–8. Clin Ophthalmol. 2020 and Hyde et al.

Pediatrics 98

Pediatrics Emergency Department Outcomes Wellness 98

ACEP Now

SEPTEMBER 28, 2023

In August 2021, an article published in the Annals of Emergency Medicine projected a surplus of more than 7,800 emergency physicians in 2030 based on multiple scenarios, including patterns of supply and demand for emergency physicians at that time. percent of graduates in 2019.

Academics 98

Academics Emergency Department EMS 98

ALiEM

APRIL 12, 2023

Egan, Pharmacology and Physiology for Anesthesia (Second Edition), Elsevier, 2019, Pages 390-411, ISBN 9780323481106. emDOCs.net – Emergency Medicine Education. PMID: 35049577 ; PMCID: PMC8774352 Suzuko S, Peter G, Philipp L. 20 – Local Anesthetics, Ed(s): Hugh C. Hemmings, Talmage D. Alerhand S, Singh M, editors.

Ultrasounds 103

Ultrasounds Emergency Department Resuscitation Wellness 103

EMergucate

MAY 14, 2019

A 39 year old woman with no significant medical history is brought to the emergency department by ambulance in an acute confusional state. An ECG is performed as part of her assessment.

EKG/ECG 40

EKG/ECG Emergency Department 40

Emergency Medicine Journal

DECEMBER 22, 2023

Study design Secondary analysis of a prospective cohort study in 18 emergency departments (EDs) in the Pediatric Emergency Care Applied Research Network from 2016 to 2019. We sought to describe the features associated with radiographic pneumonias in young febrile infants.

Emergency Department 40

Emergency Department Pediatrics Research 40

Northwestern EM Blog

FEBRUARY 4, 2025

The patient was ultimately discharged from the Emergency Department with primary care and neurology referrals along with seizure precautions and advised to abstain from Kratom use. Treating Kratom toxicity varies based upon the clinical presentation as well as severity of symptoms. References 1. Pharmacotherapy, 39(7), 775-777 2.

Seizures 72

Seizures Poisoning Forensics Emergency Department 72

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives Identifying means to optimise trainee retention and recruitment is an Emergency Medicine (EM) research priority. This study aimed to understand how increasingly crowded Emergency Departments (EDs) are impacting EM training in the United Kingdom. Worthwhile training opportunities are central to this.

Emergency Department 40

Emergency Department EMS Research 40

Dr. Smith's ECG Blog

JUNE 21, 2023

You can subscribe for news and early access (via participating in our studies) to the Queen of Hearts here: [link] queen-form This EMS ECG was transmitted to the nearby Emergency Department where it was remotely reviewed by a physician, who interpreted it as normal, or at least without any features of ischemia or STEMI.

Urgent Care 98

Urgent Care EKG/ECG EMS Emergency Department 98

The Skeptics' Guide to EM

JULY 27, 2019

Date: July 22nd, 2019 Reference: Yadav et al. A Multifaceted Intervention Improves Prescribing for Acute Respiratory Infection for Adults and Children in Emergency Department and Urgent Care Settings. AEM July 2019 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and clinical lecturer in Calgary.

Urgent Care 52

Urgent Care Emergency Department Academics Pediatrics 52

The Skeptics' Guide to EM

NOVEMBER 23, 2019

Date: November 21st, 2019 Reference: Daley et al. Increased Sensitivity of Focused Cardiac Ultrasound for Pulmonary Embolism in Emergency Department Patients With Abnormal Vital Signs. AEM November 2019 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. Reference: Daley et al.

Ultrasounds 52

Ultrasounds Emergency Department Academics Outcomes 52

RebelEM

JUNE 8, 2023

If pre-made syringes are not financially feasible then the creation of these medications should be done by a dedicated emergency department pharmacist. Clinical Bottom Line: Acute hypotension must be treated emergently in order to decrease morbidity and mortality. Epub 2019 Jul 3. Am J Emerg Med. J Med Toxicol.

Administration 97

Administration Emergency Department Outcomes Documentation/Coding 97

RebelEM

JUNE 5, 2023

from 2019 to 2021 (from 48,000 to 81,400 annual deaths), which includes prescription opioids (natural and semi-synthetic opioids and methadone), heroin, and synthetic opioids other than methadone including fentanyl (1). Microdosing and standard‐dosing take‐home buprenorphine from the Emergency Department: A feasibility study.

Emergency Department 84

Emergency Department Hospitals Outcomes EMS 84

The Skeptics' Guide to EM

JUNE 15, 2024

Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage: The UK-REBOA Randomized Clinical Trial. The SGEM bottom line in 2019 was that REBOA is currently an intervention of uncertain benefit. Reference: Jansen et al. vs. 18.9%, p=0.01).

Resuscitation 92

Resuscitation Patient Safety Operations Emergency Department 92

ALiEM

AUGUST 26, 2024

A 27-year-old male with no past medical history presents to the Emergency Department with right eye pain. Iridodialysis Traumatic iridodialysis is an uncommon ocular emergency with very distinct findings that we can encounter in the Emergency Department. In The Atlas of Emergency Medicine (p. Agarwal, D.,

Emergency Department 70

Emergency Department Academics Ultrasounds 70

The Skeptics' Guide to EM

SEPTEMBER 14, 2019

Date: September 10th, 2019 Reference: Fournier et al. Emergency Medicine Journal 2019. Guest Skeptics: Dr. Sarah Berg is a PGY-3 resident in Emergency Medicine at Washington University School of Medicine in St. Date: September 10th, 2019 Reference: Fournier et al. Emergency Medicine Journal 2019.

Head Injuries 52

Head Injuries Emergency Department Seizures EMS 52

The Skeptics' Guide to EM

SEPTEMBER 21, 2019

Date: September 18th, 2019 Reference: Scheuermeyer et al. AEM Sept 2019 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and clinical lecturer in Calgary. Electrical First Cardioversion first appeared on The Skeptics Guide to Emergency Medicine. Date: September 18th, 2019 Reference: Scheuermeyer et al.

Emergency Department 52

Emergency Department Stroke Academics Shock 52