Pediatric EM Morsels

SEPTEMBER 20, 2024

Diarrhea is one of the most common complaints in the pediatric emergency department, especially in the summer and early fall. Predicting Adverse Outcomes for Shiga Toxin-Producing Escherichia coli Infections in Emergency Departments. 2021 May;232:200-206.e4. Epub 2021 Jan 5. doi: 10.1016/j.jpeds.2020.12.077.

Pediatrics 164

Pediatrics Ultrasounds Dehydration Emergency Department 164

Emergency Medicine Journal

AUGUST 21, 2024

It was performed in our non-academic ED in the Netherlands from July 2021 to April 2022. This study evaluated if a package of noise-reducing interventions altered workload, physical complaints, productivity and room acoustics. Methods This was an observational pre-post implementation study.

Wellness 98

Wellness Emergency Department Academics 98

ACEP Now

DECEMBER 8, 2024

The Centers for Disease Control and Prevention (CDC) estimates of emergency department (ED) visits for 2022 were recently released. Persons aged 75 and older had 660 visits per 1,000 population in 2021. Estimates of Emergency Department Visits in the United States, 2016-2022. This explanation has been published.

CDC 52

CDC Emergency Department Hospitals 52

Emergency Medicine Journal

AUGUST 23, 2023

Background High emergency department (ED) usage by older individuals for non-emergencies is a global concern. The evaluation took place between September 2021 and September 2022. ED avoidance initiatives have proven effective in addressing this issue. This study assessed the acceptability of the service among its users.

Emergency Department 75

Emergency Department Urgent Care Hospitals 75

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. 2021 Feb 5;14(2):e240532.

Hyperthermia / Hypothermia 154

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 154

Pediatric EM Morsels

NOVEMBER 17, 2023

Differences in intubation outcomes for pediatric patients between pediatric and general Emergency Departments. 2021 Jun;31(6):713-719. Epub 2021 Apr 11. Intubation practice and outcomes among pediatric emergency departments: A report from National Emergency Airway Registry for Children (NEAR4KIDS).

Pediatrics 187

Pediatrics Emergency Department Outcomes Sepsis 187

ACEP Now

JUNE 7, 2023

The role of emergency physicians has been made dramatically more important due to the pandemic. The performance of EDs in 2020 and into 2021 changed abruptly, and that carried through into 2022. Commercial payers aggressively abused the No Surprises Act as a method to delay, downcode, and deny payment for emergency services.

Emergency Department 52

Emergency Department Documentation/Coding Operations EMS 52

ACEP Now

DECEMBER 11, 2023

The Emergency Department Benchmarking Alliance (EDBA) is a membership organization composed of high-performance emergency departments (EDs) that share a commitment to quality. In the year 2021, the ED boarding time was 167 minutes, and in 2022 it soared to the 190-minute mark. percent in 2021, 2.8

Emergency Department 52

Emergency Department Hospitals EMS Operations 52

ALiEM

JANUARY 13, 2025

The patient was discharged from the emergency department with tobradex ointment and ophthalmology follow-up in one week Case Discussion Take-Home Points Immediate reduction of a luxed globe is paramount. Available at: [link] (Accessed: 04 January 2024). Available at: [link] (Accessed: 04 January 2024).

Academics 67

Academics Emergency Department 67

Don't Forget the Bubbles

AUGUST 30, 2023

The parents of 9-month-old Josie bring her into the Emergency Department with coryzal symptoms and difficulty breathing. A secondary analysis of a nationwide study of Emergency Department attendance in America from 2006 to 2008 found that CXRs increase the average length of stay by 27 minutes. Am J Emerg Med.

Emergency Department 131

Emergency Department Pediatrics Infectious Diseases Research 131

Don't Forget the Bubbles

NOVEMBER 29, 2023

You are the Paediatric doctor on call and receive a call for an incoming patient to the emergency department. Tragically, several attempts at resuscitation upon arrival at the emergency department were unsuccessful. Pediatric Endotracheal Intubations for Airway Management in the Emergency Department.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

EMDocs

JANUARY 11, 2025

Stercoral colitis in the emergency department: a review of the literature. International journal of emergency medicine, 17(1), 3. Stercoral Colitis: When Constipation is an Emergency. Stercoral Colitis in the Emergency Department: A Retrospective Review of Presentation, Management, and Outcomes. Carlson, J.

EMS 98

EMS Sepsis Shock Fluid Resuscitation 98

RebelEM

JULY 1, 2024

Comparison of BPAP S/T and Average Volume-Assured Pressure Support Modes for Hypercapnic Respiratory Failure in the Emergency Department: A Randomized Controlled Trial. Balkan Med J 2021. Balkan Med J 2021. Cureus 2021. There are very limited studies however in the literature on the AVAPS mode of NIPPV.

COPD 132

COPD Emergency Department Outcomes EMS 132

ACEP Now

NOVEMBER 7, 2024

About three percent of emergency department (ED) visits are due to skin and soft tissue infections, but data are lacking on the contribution of chronic wounds to this number. Emergency Medicine News 2004;26(13):19. 2020;95(9):2021-2034. The post How to Best Inspect, Protect, and Dress Wounds in the Emergency Dept.

Burns 97

Burns Documentation/Coding Outcomes Emergency Department 97

EB Medicine

MAY 4, 2021

EMplify - May 2021 Announcements: The Clinical Decision Making in the Emergency Department conference is June 23-27 live and virtual. More information here: [link] Be on the lookout for an announcement regarding the new EB Medicine app, coming to an App Store near you this summer !!

Emergency Department 52

Emergency Department EKG/ECG 52

EMDocs

NOVEMBER 19, 2024

of exposures reported to poison control centers in 2021 were related to antipsychotics or sedative-hypnotics with the majority of those exposures occurring in patients 20 years of age or older. 2021 Annual Report of the National Poison Data System © (NPDS) from America’s Poison Centers: 39th Annual Report. Front Psychiatry.

Poisoning 111

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 111

EB Medicine

MARCH 1, 2021

EMplify - March 2021 Management of Acute Urinary Retention in the Emergency Department An algorithmic approach to urinary retention. EMplify - March 2021Management of Acute Urinary Retention in the Emergency Department * An algorithmic approach to urinary retention.*

Emergency Department 52

Emergency Department Airway Management 52

Downeast Emergency Medicine

DECEMBER 1, 2021

Background Recent data from the National Center for Health Statistics reveal that in the 12-month period ending in April 2021, more than 100,000 Americans died of an overdose, a staggering increase of nearly 30% the prior year. Emergency Department-Initiated Buprenorphine/Naloxone Treatment for Opioid Dependence: A Randomized Clinical Trial.

Emergency Department 52

Emergency Department Documentation/Coding Leadership Administration 52

ACEP Now

MAY 9, 2024

The procedure has soared in popularity as beauty standards have shifted and cosmetic surgery has become increasingly transparent on social media platforms, with reported cases in the United States increasing from 614 in 2002 to 61,387 by 2021, a nearly 10,000 percent increase. Aesthetic Plastic Surgery National Databank Statistics 2020–2021.

Emergency Department 52

Emergency Department Operations Ultrasounds Shock 52

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. 2021;(7):1278-1287.

Emergency Department 52

Emergency Department Documentation/Coding Psychiatric Best Practices 52

Northwestern EM Blog

DECEMBER 27, 2021

Congratulations to all of the authors with the most popular posts of 2021! Despite previous black box warnings on droperidol causing it to fall out of favor, it is safe and well-tolerated at the doses typically used in an emergency department setting. Dr. Seth Trueger, NUEM faculty, provides expert commentary.

Dislocations 52

Dislocations Emergency Department Burns Shock 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

MARCH 10, 2025

1,2 Approximately 2 percent of emergency department (ED) patients in the United States leave prior to evaluation or AMA. Understanding Against Medical Advice, Informed Consent, and Emergency Medical Treatment and Labor Act. Emerg Med Clin North Am. BMC Emerg Med. Ann Emerg Med. Acad Emerg Med.

Documentation/Coding 52

Documentation/Coding Emergency Department Psychiatric Risk Management 52

Emergency Medicine Journal

AUGUST 23, 2023

Method Semistructured telephone interviews were conducted with ED/UCC practitioners across England between October 2020 and July 2021 as part of a larger multimethod study examining the impact of NHS 111 online. This paper examines ED and urgent care centre (UCC) staff experiences of NHS 111 First.

Emergency Department 75

Emergency Department Urgent Care Documentation/Coding Patient Safety 75

Pediatric EM Morsels

JULY 21, 2023

Gag reflex is much better predictor (45% vs 6%) [Conzelmann 2021] Positive predictive value of GCS indicating aspiration in intoxication was only 3%. Interrater reliability of Glasgow Coma Scale scores in the emergency department. Ann Emerg Med. BMJ Open 2021; 11: e053619. 2021 Jan 1;90(1):21-26. J Surg Res.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

EM Literature of Note

AUGUST 25, 2024

It’s NHAMCS – so it is representative data being transformed into rough weighted estimates – between 2010-2021, but we see its use increasing from 3.5% emergency departments” [link] Tweet of asthma visits to 17.3% – and the rates are over double that in children.

Emergency Department 94

Emergency Department Administration Wellness Pediatrics 94

Emergency Medicine Journal

AUGUST 21, 2024

The Clinical Frailty Scale (CFS) is a 9-point frailty assessment instrument that has shown promise to identify frail emergency department (ED) patients at increased risk of adverse outcomes.

Emergency Department 52

Emergency Department Hospitals Outcomes Wellness 52

EB Medicine

JANUARY 7, 2021

EMplify January 2021 Evaluation and Management of ST-Segment Elevation Myocardial Infarction in the Emergency Department Authors Marshall Frank, DO, MPH, FACEP Carson Sanders, BS, NRP, CCEMT-P Bryan P.

Emergency Department 52

Emergency Department EKG/ECG 52

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. ACEP Policy statement: Use of droperidol in the emergency department. Published January, 2021. Ann Emerg Med.

Emergency Department 52

Emergency Department Pediatrics Research Hospitals 52

ACEP Now

MARCH 13, 2024

Emergency departments (EDs) provide the essential service of evaluating patients with unscheduled, acute, undifferentiated, and decompensated conditions. Dr. Kluesner is an emergency physician in Iowa City, Iowa, at UnityPoint Health-Iowa Methodist Medical Center. Academic Emergency Medicine 22.2 Published online 2021:26.

Ethical Issues 52

Ethical Issues Emergency Department Operations Hospitals 52

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. Association of limited English proficiency and increased emergency department waiting room lengths of stay. Annals of Emergency Medicine.

Documentation/Coding 105

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 105

The Skeptics' Guide to EM

APRIL 20, 2024

Efficacy and safety of ultrasound-guided erector spinae plane block compared to sham procedure in adult patients with rib fractures presenting to the emergency department: A randomized controlled trial. Background: We have covered rib fractures once before on the Skeptics’ Guide to Emergency Medicine.

Fractures 87

Fractures Ultrasounds Emergency Department CDC 87

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 87

Emergency Department Pediatrics Administration Wellness 87

ALiEM

NOVEMBER 17, 2023

A 4-year-old female with no significant past medical history is brought to the Emergency Department by her grandmother for concern for two days of progressive vaginal bleeding. It often presents to the emergency department with complaints of vaginal bleeding, difficulty urinating, or dysuria. link] Published 2021.

Pediatrics 100

Pediatrics Emergency Department Academics OB/GYN 100

Northwestern EM Blog

MARCH 1, 2025

While a randomized control trial should be done to evaluate the effect of early proning in a controlled environment, these studies suggest that we should consider using this in our Emergency Department for patients who present with hypoxia and concern for mild to moderate ARDS without urgent need for intubation. Crit Care Med.

Emergency Department 52

Emergency Department Fractures EKG/ECG Wellness 52

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

EMDocs

JUNE 15, 2024

Source Shifts in Diagnostic Testing for Headache in the Emergency Department, 2015 to 2021. The post Journal Feed Weekly Wrap-Up appeared first on emDOCs.net - Emergency Medicine Education. JAMA Netw Open. 2024 Apr 1;7(4):e247373. doi: 10.1001/jamanetworkopen.2024.7373. PMID: 38639937; PMCID: PMC11031686.

Sepsis 98

Sepsis Emergency Department 98