EB Medicine

OCTOBER 8, 2020

EMplify October 2020 Management of Deep Vein Thrombosis in the Emergency Department Authors: Shane R. EMplify October 2020 Management of Deep Vein Thrombosis in the Emergency Department Authors: Shane R. Write us at emplify@ebmedicine.net.

Emergency Department 52

Emergency Department Ultrasounds 52

EB Medicine

DECEMBER 8, 2020

Don’t forget about the $50 Amazon card with any order over $300 through 12/31/20.

Emergency Department 52

Emergency Department Documentation/Coding Hospitals 52

EB Medicine

MARCH 1, 2021

EMplify - March 2021 Management of Acute Urinary Retention in the Emergency Department An algorithmic approach to urinary retention. 8-9pm, EST Look for the "Key Points And Pearls From 2020" coming to your inbox or mailbox next month !

Emergency Department 52

Emergency Department Airway Management 52

PEMBlog

JUNE 14, 2023

Thousands of children and adolescents spend days at time in Emergency Departments waiting for definitive mental health disposition. Pediatrics October 2020; 146 (4): e20201174. 2020-1174 AAP-AACAP-CHA Declaration of a National Emergency in Child and Adolescent Mental Health Jennifer A. West J Emerg Med.

Psychiatric 98

Psychiatric Emergency Department Pediatrics Best Practices 98

Emergency Medicine Journal

AUGUST 23, 2023

In 2020, 111 First was introduced to triage patients before entry to the ED and to offer direct booking for patients needing ED or urgent care into same-day arrival time slots. Background NHS 111 is a phone and online urgent care triage and assessment system that aims to reduce UK ED demand.

Emergency Department 75

Emergency Department Urgent Care Documentation/Coding Patient Safety 75

The Skeptics' Guide to EM

APRIL 11, 2020

Date: April 9th, 2020 Reference: Kline et al. Randomized trial of therapy dogs versus deliberative coloring (art therapy) to reduce stress in emergency medicine providers. 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

ACEP Now

JULY 7, 2023

Last month’s article focused on ACEP’s efforts and resources to support EDs and patients with psychiatric emergencies. Emergency departments (EDs) focus on rapid initiation of medical treatment. Clinical Policy: Critical Issues in the Diagnosis and Management of the Adult Psychiatric Patient in the Emergency Department.

Emergency Department 52

Emergency Department Psychiatric Administration Best Practices 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. doi: 10.1136/bcr-2020-240532.

Hyperthermia / Hypothermia 152

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 152

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.

Emergency Department 119

Emergency Department Resuscitation Hospitals Research 119

ACEP Now

MAY 9, 2024

Complications of Gluteal AFT The pale, prone patient with multiple surgical drains and a constrictive faja has become a common site in the Jackson Memorial Hospital Emergency Department. Nearly half of all post-AFT patients presenting to our emergency departments required admission and six percent required ICU admission.

Emergency Department 52

Emergency Department Operations Ultrasounds Hospitals 52

Don't Forget the Bubbles

MAY 31, 2023

Children presenting with diabetes and diabetic ketoacidosis to Emergency Departments during the COVID-19 pandemic in the UK and Ireland: an international retrospective observational study. During the COVID-19 pandemic , we noticed a change in the type of patients presenting to the Emergency Department. Arch Dis Child.

Emergency Department 135

Emergency Department Research Documentation/Coding Outcomes 135

ACEP Now

NOVEMBER 13, 2023

Physicians, nurses, and staff in emergency departments (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. J Emerg Nurs. J Am Coll Emerg Physicians Open. 2020;(5):898-907.

Emergency Department 52

Emergency Department Documentation/Coding Psychiatric Best Practices 52

Emergency Medicine Journal

JUNE 20, 2024

Methods A retrospective chart review of ED visits of patients on ICI from 15 December 2016 to 6 December 2020 was performed. Secondary objectives describe the therapeutic management and determine 7 and 30-day mortality. Clinical presentation, cancer characteristics and type of ICI were extracted by a single abstractor.

Outcomes 70

Outcomes Emergency Department 70

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 132

EKG/ECG Shock Emergency Department Ambulance Services 132

EM Updates

JUNE 15, 2021

Maimonides Medical Center (MMC) is Brooklyn’s largest hospital, an academic quaternary care center with, in normal times, 711 total beds, 66 intensive care beds, and an Emergency Department that treats approximately 120,000 patients per year. On March 9, the first patient with a novel coronavirus infection was admitted to MMC.

Emergency Department 52

Emergency Department Hospitals Outcomes Wellness 52

Downeast Emergency Medicine

DECEMBER 1, 2021

While the ongoing COVID-19 pandemic has contributed to overdose deaths and taxed constrained Emergency Department (ED) resources, it has also clarified the important role that emergency physicians have in expanding access to life-saving medications to treat opioid use disorder. Annals of Emergency Medicine. Hawk, et al.

Emergency Department 52

Emergency Department Documentation/Coding Leadership Hospitals 52

ALiEM

FEBRUARY 9, 2024

Intermediate-risk patients may be further stratified based on recent stress testing or coronary angiogram findings plus a modified HEART or Emergency Department Assessment of Chest Pain (EDACS) score. Let’s apply the ESC 2020 0/1 hour pathway [2], with some modifications based on the 2022 ACC guidelines [1]: Figure 1.

EKG/ECG 110

EKG/ECG Emergency Department Burns Wellness 110

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. The two “COVID seasons” of 2020-21 and 2021-22 were excluded from their comparisons.

Emergency Department 85

Emergency Department Pediatrics Administration Wellness 85

ACEP Now

JULY 11, 2024

Deaths from drinking increased 25 percent from 2019 to 2020 and another 10 percent in 2021. The percentage of suicides while intoxicated with alcohol has increased, particularly among women, and traffic fatalities in 2020 were at their highest point in over a decade. 2020:8;279. West J Emerg Med. Front Public Health.

Emergency Department 98

Emergency Department Psychiatric Outcomes Wellness 98

Pediatric EM Morsels

JULY 21, 2023

Orso 2020] One pediatric study in this systematic review, and the intubated patients had worse outcome than non-intubated Early airway protection = lower rates of complications (in TRAUMA), but this is not always true with medical patients. Interrater reliability of Glasgow Coma Scale scores in the emergency department.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

PEMBlog

JUNE 27, 2023

A very common pediatric summer complaint in emergency departments, urgent cares, and primary care offices, this episode covers common signs and symptoms, some pathophysiology, and recommended treatments. Available from: [link] Bond, G. Snake, spider, and scorpion envenomation in North America. Pediatrics in review, 20(5), 147-151.

Urgent Care 98

Urgent Care Pediatrics Emergency Department Hospitals 98

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 90

Emergency Department Pediatrics Outcomes EMS 90

Emergency Medicine Journal

APRIL 22, 2024

Objective We sought to validate the clinical performance of a rapid assessment pathway incorporating the Siemens Atellica IM high sensitivity cardiac troponin I (hs-cTnI) assay in patients presenting to the emergency department (ED) with suspected acute myocardial infarction (AMI).

Emergency Department 98

Emergency Department Outcomes EKG/ECG Hospitals 98

EB Medicine

NOVEMBER 17, 2020

Write us at emplify@ebmedicine.net.

Emergency Department 40

Emergency Department Shock Resuscitation CPR 40

EMergucate

OCTOBER 20, 2020

A 50 year old woman presents to the Emergency Department complaining of a two week history of progressive limb weakness, … Continue reading →

EKG/ECG 52

EKG/ECG Emergency Department 52

ALiEM

MARCH 18, 2024

Shortly after that, the finger turned purple, so she came to the Emergency Department for evaluation. 2020 Apr;87(4):194. Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved.

Burns 122

Burns Academics Emergency Department 122

EMergucate

OCTOBER 21, 2020

A 50 year old woman presents to the Emergency Department complaining of a two week history of progressive limb weakness, … Continue reading →

Emergency Department 52

Emergency Department EKG/ECG 52

Taming the SRU

SEPTEMBER 25, 2023

Musculoskeletal injuries are a common occurrence, representing a substantial number of Emergency Department visits on an annual basis. 1) Oftentimes, Emergency Physicians are the first provider patients encounter after an injury. 2020 Feb 12;4(2):e20.00005. 2020 Dec;12(6):1644-1651. Epub 2020 Sep 7.

Fractures 101

Fractures Operations Emergency Department EMS 101

PEMBlog

OCTOBER 18, 2024

Duchenne Muscular Dystrophy (DMD) is a complex and progressive disease requiring highly specialized care, especially in emergency situations. When patients with DMD present in the Emergency Department (ED), an understanding of the nuanced aspects of their care is essential for optimal management. 2020 Jun 5;15(1):141.

Emergency Department 52

Emergency Department Fractures Best Practices Documentation/Coding 52

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. Reaffirmed October 17, 2020 Jaffe M, Bar-Joseph G, Tirosh E. The role of brain computed tomography in evaluating children with new onset of seizures in the emergency department. 2000; 55(5):616-623.

Seizures 131

Seizures Pediatrics Emergency Department Radiology 131

Emergency Medicine Journal

NOVEMBER 21, 2024

of self-injury-related ED visits in 2020 and 2021, respectively (pandemic years), compared with an average of 8.4% The adjusted incidence rate ratio for self-injury-related ED visits was 3.14 (95% CI 2.05 to 4.83) for individuals experiencing homelessness compared with housed individuals. in the previous years.

Emergency Department 52

Emergency Department Outcomes Hospitals 52

RebelEM

DECEMBER 5, 2023

While the evidence is not strong, those who have been undertreated, experienced delays in treatment, or required multiple injections of epinephrine are more prone to experience a recurrence of symptoms ( Ellis 2007 , Liu 2020 ). A naphylaxis – Emergency Medicine Updates 2. Read More: 1. Biphasic Anaphylactic Reactions.

Anaphylaxis 81

Anaphylaxis Allergic Reactions Emergency Department EMS 81

PulmCCM

NOVEMBER 6, 2023

The therapy was approved for emergency use in 2020 by FDA after an observational study of 10 patients showed likely benefit (yes, 10, which should remind us of our collective desperation). patients infected with the Wuhan/Delta variants in 2020-2021). Only 19 patients in the intervention arm (of 46) underwent balloon insertion.

Blood Transfusions 98

Blood Transfusions Operations Resuscitation Infectious Diseases 98

ALiEM

MAY 29, 2023

Published Dec 9, 2020 Author information Mohamed Elhadi Abdelhameed, MD Emergency Medicine Physician Emergency Department Ibrahim Malik Teaching Hospital | The post Trick of Trade: Dual Foley catheter to control massive epistaxis appeared first on ALiEM. Interested in Other Tricks of the Trade? Reference Goralnick E.

Blood Transfusions 98

Blood Transfusions Emergency Department Shock Hospitals 98

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. This data was collected over a five-year period (2016-2020) had true papilloedema. 2020 and Hyde et al. 2020 Oct [cited 2023 May 14];10:966–7.

Pediatrics 98

Pediatrics Emergency Department Outcomes Wellness 98

ACEP Now

NOVEMBER 8, 2024

First, research suggests a higher number of emergency department visits among individuals with ASD. About 30 percent of children with ASD need treatment in an emergency department, and this number increases to nearly 70 percent for those aged 15–18. Published August 5, 2020. Emergency Medicine Australasia.

Emergency Department 52

Emergency Department Leadership Research 52

ACEP Now

JULY 7, 2023

CASE A 30-year-old woman presents to the emergency department with left arm pain from a chronic wound. Since 2020 to 2021, the Drug Enforcement Administration has reported a sharp rise in xylazine use across the U.S., percent of all overdose deaths in 2020. US Department of Justice, Drug Enforcement Administration.

Forensics 98

Forensics Airway Management Administration Emergency Department 98