Taming the SRU

OCTOBER 23, 2023

At this point, the patient is taken to the operating room for a diagnostic laparoscopy. She was taken to the operating room and found to have a right tubal ectopic pregnancy with a pseudogestational sac. 2007), Free Fluid in Morison's Pouch on Bedside Ultrasound Predicts Need for Operative Intervention in Suspected Ectopic Pregnancy.

Ultrasounds 97

Ultrasounds Operations Radiology Radiology 97

ACEP Now

DECEMBER 11, 2023

The overall length of stay for all ED patients increased to 211 minutes in 2022, up from 194 minutes in 2021, 184 minutes in 2020, and 182 minutes in 2019. Patients who require inpatient boarding remain a significant challenge to ed operations. percent in 2019. percent in 2019, to 2.7 percent in 2021, 2.8 percent in 2022.

Emergency Department 52

Emergency Department Hospitals EMS Operations 52

NIOSH Science Blog

MAY 14, 2020

This year has seen nurses all over the world step up and battle coronavirus disease 2019 (COVID-19) fearlessly, often while navigating evolving guidance and operating under difficult conditions with strained resources. None of us could have anticipated how prescient that would be.

Wellness 52

Wellness Operations 52

Mind The Bleep

JUNE 21, 2024

This will not be an issue if oil is used, though this will require another operation to be removed and gain full visual potential. Laser/cryotherapy is applied to seal the break intra-operatively. Note: vitrectomy is associated with a very rapid post-operative progression/development of a cataract which will then necessitate surgery.

Operations 52

Operations Emergency Department Ultrasounds 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Method and Design We undertook a retrospective diagnostic cohort study involving adult medical cases transported to hospital by emergency ambulance in 2019. We aimed to determine the accuracy of early warning scores alongside paramedic diagnostic impression to identify sepsis requiring urgent treatment.

Sepsis 40

Sepsis Ambulance Services Operations Hospitals 40

ACEP Now

JUNE 21, 2023

Therefore, applicant, funding, and operational factors may influence programs to offer a particular curriculum length. Association of American Medical Colleges; 2019:1-12. The 2019 model of the clinical practice of emergency medicine. 15 Some of these training opportunities previously considered unique (i.e., J Emerg Med.

EMS 114

EMS Academics Telemedicine Research 114

PulmCCM

APRIL 18, 2024

The real world success rates by operators experienced with intubation remained unknown. In the relatively few studies comparing video to direct laryngoscopy, intubations were usually performed by inexperienced trainees, and sample sizes were small. The results seem to hold for both major video laryngoscopes (GlideScope and McGrath).

Airway Management 98

Airway Management Operations EMS Research 98

Emergency Medicine Journal

DECEMBER 22, 2023

This retrospective study included adult patients suspected of having BSI (defined by at least one BC collection) from two European ED between 1 January 2017 and 31 December 2019. The primary end point was the BSI rate in the validation cohort for patients with a negative Bacteremia Rule Out Criteria (BAROC) score.

Emergency Department 40

Emergency Department Operations 40

ACEP Now

MAY 9, 2024

A search for Brazilian Butt Lift (BBL) on any social media platform will yield thousands of before-and-after images, faja sales, operating room videos, recovery tips, and patients praising their plastic surgeon. 1 The Rise of the Miami BBL An entire industry has emerged around gluteal AFTs in Miami.

Emergency Department 52

Emergency Department Operations Ultrasounds Hospitals 52

The Skeptics' Guide to EM

MAY 11, 2019

Date: May 6th, 2019 Reference: Sceats et al. Date: May 6th, 2019 Reference: Sceats et al. This is an example of why things in evidence-based medicine can be “complicated” ( SGEM#115 and SGEM#180 Clinical Question: Operative treatment or non-operative treatment of acute Grade 1 (uncomplicated) appendicitis?

Documentation/Coding 52

Documentation/Coding Operations Academics Ultrasounds 52

Sensible Medicine

DECEMBER 11, 2023

Standard meaning the operators spent time checking to make sure the vein was isolated. The Struggle to Publish The authors presented this data at the European Heart Rhythm Association meeting in 2019. The team from Imperial College London randomized about 300 patients with paroxysmal AF to one of three arms. One arm got AF drugs.

Operations 104

Operations Hospitals 104

PulmCCM

APRIL 24, 2024

Perc trachs do not require operating room time or a surgeon, and can significantly shorten ICU stays. It looks like this: FDA Clearance and Initial Adoption According to Dr. Tropello, the new system was FDA cleared in April 2019 based on animal testing and lab data.

Ultrasounds 52

Ultrasounds Hospitals Operations Outcomes 52

The Skeptics' Guide to EM

APRIL 16, 2022

An update was published by Fanaroff et al in JAMA 2019. Clinical Question: What is the effectiveness of common elective orthopaedic procedures compared with no treatment, placebo, or non-operative care? They found 53 guidelines with 7,196 recommendations. There were 26 guidelines with 2,930 recommendations. Reference: Blom et al.

Military 40

Military Operations Emergency Department Pediatrics 40

PulmCCM

APRIL 1, 2024

Both a 2019 meta-analysis and a large 2022 trial by the ANZICS group raised concerns about increased adverse events among patients receiving intensive physical therapy in the ICU. Authors also had no information on operators’ experience levels. Any longer-term benefits remain unknown, due to a paucity of research. Is this safe?

Ultrasounds 40

Ultrasounds Operations Outcomes Research 40

ACEP Now

NOVEMBER 16, 2023

Therefore, applicant, funding, and operational factors may influence programs to offer a particular curriculum length. Published 2019. The 2019 model of the clinical practice of emergency medicine. government. Emergency medicine’s body of knowledge as reflected by the Model of the Clinical Practice of EM is ever-expanding.

Academics 52

Academics EMS Telemedicine Research 52

Dr. Smith's ECG Blog

DECEMBER 19, 2023

Unfortunately, we do not have those images for review, but the operators described a ruptured LAD plaque and they stented this area, which ensures the stability of the plaque. From My Comment in the November 14, 2019 post in Dr. Smith's ECG Blog: A subject well worth periodic review — is the concept of Terminal QRS Distortion ( T-QRS-D ).

EKG/ECG 113

EKG/ECG EMS Wellness Operations 113

Taming the SRU

MAY 13, 2024

Acute stump appendicitis without evidence of perforation or abscess (Figure 1) HOSPITAL Course Acute Care Surgery was consulted from the ED and recommended admission for operative resection of a 3 cm remnant of the appendix. No free intraperitoneal air. Stump appendicitis, a rare but serious complication of appendectomy: A case report.

Ultrasounds 97

Ultrasounds Emergency Department Wellness Operations 97

RebelEM

FEBRUARY 1, 2024

What they Did : Investigator-initiated, Multicenter, Parallel-ground, Open-label, Registry-linked, Randomized, Controlled, Non-Inferiority trial 22 Canadian Primary and Comprehensive Stroke Centers from December 2019 to January 2022 Eligible ischemic stroke patients randomized 1:1 to receive intravenous tenecteplase (0.25 vs Alteplase 34.8%

Stroke 134

Stroke Blood Transfusions Outcomes EMS 134

The Skeptics' Guide to EM

FEBRUARY 16, 2019

Date: February 15th, 2019 Reference: Gottileb, Holladay and Peksa. AEM January 2019. Date: February 15th, 2019 Reference: Gottileb, Holladay and Peksa. AEM January 2019. In the hands of experienced operators, indirect ophthalmoscopy has an LR+ 44 and LR- of 0.23. Remember, you need a LR- of less than 0.01

Ultrasounds 52

Ultrasounds Operations Emergency Department 52

American Medical Compliance

JANUARY 15, 2024

dollars in global market value in 2019 to nearly 460 billion U.S. In recent years, telemedicine has surged in popularity, offering a convenient and efficient way for patients to access healthcare services remotely. According to Statista, the telemedicine market is forecasted to grow significantly, from 50 billion U.S. dollars by 2030.

Telemedicine 52

Telemedicine Operations Administration Hospitals 52

Intensive Blog

AUGUST 17, 2023

Diagnostic and Interventional Imaging, 2019, 100(6), 337-345, ISSN 2211-5684, [link]. The many causes of anaemia include: Decreased production Malnutrition Bone marrow suppression (e.g., Interventional treatment of bleeding complications due to percutaneous acannulation for peripheral extracorporeal membrane oxygenation.

Blood Transfusions 52

Blood Transfusions Operations Wellness 52

Don't Forget the Bubbles

OCTOBER 14, 2024

Introduction Whilst our news headlines may no longer filled with pictures of rubber dinghies arriving on the shores of the Mediterranean, the migrant crisis not only persists but continues to deteriorate, with numbers arriving in Greece in the first quarter of 2024, the highest they have seen since 2019. Harbingers’ Magazine. The BMJ.

Documentation/Coding 59

Documentation/Coding Hospitals Wellness Operations 59

Dr. Smith's ECG Blog

AUGUST 4, 2024

An additional criterion that has sometimes been cited as helpful for making the diagnosis of acute Pericarditis — is the ST/T Wave Ratio in Lead V6 ( Please see My Comment at the BOTTOM of the page in the December 13, 2019 post of Dr. Smith's ECG Blog ).

EKG/ECG 92

EKG/ECG Wellness Operations Emergency Department 92

Greater Sydney Area HEMS

APRIL 26, 2023

In 2019 the first experimental randomised crossover trial (7) into ST found: – Of the suspended trial participants that developed pre-syncope, all showed rapid recovery following immediate rescue to supine position. Although remember, as is observed intra-operatively from tourniquet application, muscle can tolerate hours of hypoxia.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Shock Research Operations 52

Mind The Bleep

FEBRUARY 5, 2024

The optic nerve (CN II), which is covered by the meninges and is supplied by the ophthalmic artery (functionally operating as an extension of the forebrain), exits the eye and enters the middle cranial fossa through the optic canal in the lesser wing of the sphenoid bone. Neuroanatomy, Visual Pathway. online] PubMed. Visual Field Test.

Stroke 52

Stroke Operations 52

Intensive Blog

MARCH 11, 2024

They are staffed by Ambulance attendants to help operate specialized bariatric equipment. Moving a patient on ECMO, a ventilator and 6 infusions brings it’s own challenges if you have nowhere to secure your equipment. CPAVs are a scarce resource scattered across the state.

Hospitals 69

Hospitals Radiology Radiology Sepsis 69

The Skeptics' Guide to EM

MAY 9, 2020

In co-operation with other specialties and committees, CAEP also plays a vital role in the development of national standards and clinical guidelines. Steroids * Surviving Sepsis Campaign : guidelines on the management of critically ill adults with Coronavirus Disease 2019 (COVID-19). Intensive Care Med. 2020 Mar 28. Wilson et al.

Sepsis 40

Sepsis EMS Research Operations 40

Don't Forget the Bubbles

JANUARY 17, 2024

They passed away a few days after a second operation. A six-month-old infant presented with sub-acute obstruction and needed an enterostomy. Unfortunately, the anastomosis broke down. Insertion It’s not just fingers that children like to stick in their noses or ears. It’s beads, too! Darracq, M.A., Rentmeester, L., Cantrell, F.L.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

Mind The Bleep

JANUARY 19, 2024

Patients will be advised to posture in a particular position pre-operatively to reduce the risk further progression. (1) Retinal detachments will require urgent surgery to prevent progression/ involvement of the macula and to preserve central vision. C53730:PVD and retinal detachment, an optometric approach-management. Mark Allen Group.

Operations 52

Operations Ultrasounds 52

The Skeptics' Guide to EM

MARCH 5, 2022

The definitions used for each level of evidence are as follows: An update was published by Fanaroff et al in JAMA 2019. The comparison was the clinical efficacy of the most common orthopaedic procedures with no treatment, placebo, or non-operative care. There were 26 guidelines with 2,930 recommendations.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Research Pediatrics Outcomes 40

PulmCCM

JANUARY 8, 2024

Twenty-five ICUs in Canada were switched to small-volume blood collection tubes at randomly assigned times (a so-called stepped-wedge cluster design) from 2019-2021. The Red Cross funds a large portion of its operations through its ~$2 billion transfusion business , and would seem to be unlikely to advocate for reducing its size.

Blood Transfusions 96

Blood Transfusions Hospitals Outcomes Operations 96

Don't Forget the Bubbles

MAY 24, 2023

Airway complications are also more likely to occur in the emergency department (ED) than in the operating theatre. It can also able to be applied in multiple scenarios, not just the operating theatre, and it more accurately depicts real-world practice. 2019 Oct 1;131(4):818–29 Kanaris C, Murphy PC. Why is it important?

Airway Management 98

Airway Management Teamwork Pediatrics Emergency Department 98

Cook County EM Blog

MARCH 20, 2023

2019 Nov 16;8(11):2000. 2019 Dec 18;6(1):153-158. Vitale E, Ledda C, Adani R, Lando M, Bracci M, Cannizzaro E, Tarallo L, Rapisarda V. Management of High-Pressure Injection Hand Injuries: A Multicentric, Retrospective, Observational Study. J Clin Med. doi: 10.3390/jcm8112000. PMID: 31744068; PMCID: PMC6912633.

Documentation/Coding 52

Documentation/Coding Fractures Operations Research 52

Don't Forget the Bubbles

MAY 22, 2023

In 2019, there were 2,383 LTV patients in the UK. These can be operated and maintained by patients and their families at home. There has been a 2.5x increase in the use of LTV in children in the UK over the last 10 years. Advances in technology have also led to more portable ventilators.

Radiology 98

Radiology Radiology Hospitals Wellness 98

Northwestern EM Blog

JUNE 16, 2024

Operational definition of normal sinus heart rate. Bishop, R. L., & Rifkin, R. The American Journal of Cardiology , 69 (14), 1245–1246. link] UpToDate. Www.uptodate.com. link] Spodick, D. Normal sinus heart rate: Sinus tachycardia and sinus bradycardia redefined. Hamilton, R. Joglar, J. Marine, J. McLeod, C. Patton, K. Pellegrini, C.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Infectious Diseases Stroke Poisoning 52

Don't Forget the Bubbles

MAY 10, 2023

Then the patient is rapidly moved to the operating theatre. The effects of aviation-style non-technical skills training on technical performance and outcome in the operating theatre. doi:10.1136/emermed-2019-208830 The post Learning about human factors in the emergency department appeared first on Don't Forget the Bubbles.

Emergency Department 91

Emergency Department Resuscitation Documentation/Coding Teamwork 91

EM SIM Cases

AUGUST 23, 2022

We all know that simulation is a useful tool; it’s impact and utility depend on who is using it and how well they know how to operate it. Chicago: JAMA Surg; 2019 Sep. This means she was aware beforehand that she would be having this experience. The other trainees watched the case. This is particularly true for this case.

Operations 40

Operations Resuscitation Wellness Hospitals 40