EMDocs

MAY 11, 2024

We’ll keep it short, while you keep that EM brain sharp. A 74-year-old female with a past medical history of hypertension, diabetes, recent basilar artery stent placement with a 20 pack-year smoking history presents to the ED via EMS for altered mental status and episodes of apnea. Ann Emerg Med. Erratum in: Ann Emerg Med.

Stroke 110

Stroke EMS EKG/ECG Radiology 110

EMDocs

JUNE 8, 2024

We’ll keep it short, while you keep that EM brain sharp. A 32-year-old man presents to the emergency department with eye pain. However, it would be expected to emerge with reduced visual acuity or other visual disturbances such as diplopia. Overview of Eye Injuries in the Emergency Department.” 2021 Oct 7.

EMS 98

EMS Allergic Reactions Poisoning Emergency Department 98

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

EMDocs

AUGUST 12, 2023

We’ll keep it short, while you keep that EM brain sharp. He presented to the emergency department because he is having numbness distal to the site of injury, as well as constant bleeding and some difficulty with flexing his finger. The Atlas of Emergency Medicine, 5e. McGraw Hill; 2021. November 9, 2021.

EMS 95

EMS Fractures Operations Ultrasounds 95

EMDocs

APRIL 27, 2024

We’ll keep it short, while you keep that EM brain sharp. A 67-year-old man with a history of hypertension and diabetes presents to the emergency department with right ear pain for 2 weeks. link] The post EM@3AM: Malignant/Necrotizing Otitis Externa appeared first on emDOCs.net - Emergency Medicine Education.

EMS 105

EMS Infectious Diseases Radiology Radiology 105

EMDocs

NOVEMBER 4, 2023

We’ll keep it short, while you keep that EM brain sharp. McGraw Hill; 2021. aureus infections among patients in the emergency department. Skin and Soft Tissue Infections in the Emergency Department. Emerg Med Clin North Am. Managing a Cutaneous Abscess in the Emergency Department.

EMS 94

EMS Ultrasounds Emergency Department Infectious Diseases 94

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

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

EMDocs

NOVEMBER 18, 2023

We’ll keep it short, while you keep that EM brain sharp. McGraw Hill; 2021. Emergency department visits and unanticipated readmissions after liver transplantation: A retrospective observational study. The Journal of Emergency Medicine. Acad Emerg Med. Accessed April 21, 2023. In: Post T, ed. Waltham, Mass.:

EMS 95

EMS Ultrasounds Emergency Department Outcomes 95

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

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 133

COPD Emergency Department Outcomes EMS 133

Pediatric EM Morsels

JULY 21, 2023

In emergency medicine, we often use illness scripts and protocols to help drive our decision-making. We had just received a young child from EMS who was post-ictal with decreased mentation. Interrater reliability of Glasgow Coma Scale scores in the emergency department. Ann Emerg Med. BMJ Open 2021; 11: e053619.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

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. EMS arrivals increased; many of those patients (35 percent) were admitted. percent in 2021, 2.8 percent in 2020 and 2.7 ED boarding.

Emergency Department 52

Emergency Department Hospitals EMS Operations 52

RebelEM

NOVEMBER 15, 2023

. “The ED-AWARENESS study: A prospective, observational cohort study of awareness with paralysis in mechanically ventilated patients admitted from the emergency department.” ” Annals of emergency medicine 77.5 2021): 532-544.

EMS 105

EMS Emergency Department 105

ALiEM

OCTOBER 30, 2024

Case A patient arrives via EMS from the bus station complaining of fever, vomiting, and back pain. Bupe Allergy Buprenorphine induction has been the mainstay of emergency department treatment of opioid use disorder for more than a decade [11, 12]. 2021 Aug 1;94:103086. I am happy to help how I can. 2023 Jan 1;53(1):140-2.

Emergency Department 64

Emergency Department Operations Psychiatric Hospitals 64

ALiEM

AUGUST 7, 2023

A 10-year-old male with no past medical history presents to the Emergency Department (ED) by EMS for evaluation of an injury sustained while playing tackle football. The patient was forcibly hit by another child against a tree. View other cases from this Clinical Image Series on ALiEM.

Dislocations 98

Dislocations Academics Fractures Emergency Department 98

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 104

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 104

EMDocs

JANUARY 16, 2024

Authors: Christian Gerhart, MD (EM Resident Physician, Washington University in St. Louis); Dr. Jessica Pelletier, DO (EM Attending Physician, Washington University in St. You receive a page for a cardiac arrest and take report from emergency medical services (EMS). Per EMS he was very cold to touch. Resuscitation.

Hyperthermia / Hypothermia 109

Hyperthermia / Hypothermia Resuscitation CPR EMS 109

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. Annals of Emergency Medicine, 75(2), 261–262. 2021, October 28). Emergency Medicine Procedures, 2e. 2023, October 9). link] Harrison, C.

Ultrasounds 96

Ultrasounds Emergency Department EMS 96

The Skeptics' Guide to EM

JULY 10, 2021

Date: July 1st, 2021 Guest Skeptic #1: Dr. Chris Carpenter is Professor of Emergency Medicine at Washington University in St. Louis and a member of their Emergency Medicine Research Core. Date: July 1st, 2021 Guest Skeptic #1: Dr. Chris Carpenter is Professor of Emergency Medicine at Washington University in St.

Emergency Department 40

Emergency Department Academics Research EMS 40

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 97

Emergency Department Hospitals Outcomes EMS 97

The Skeptics' Guide to EM

JANUARY 9, 2021

Date: January 5th, 2021 Reference: Grunau et al. JAMA 2020 Guest Skeptic: Mike Carter is a former paramedic and current PA practicing in pulmonary and critical care as well as an adjunct professor of emergency medical services […] The post SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC?

EMS 52

EMS Resuscitation CPR Hyperthermia / Hypothermia 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives Patients with End-of-Life (EOL) care needs present to the emergency department (ED) frequently, and at times it can be difficult to provide a high standard of care. Method and Design This was a cross-sectional electronic survey study of EM doctors working across 23 of the 29 EDs in the Republic of Ireland.

Emergency Department 40

Emergency Department EMS Research 40

ALiEM

OCTOBER 26, 2023

The Problem: Emergency Medicine (EM) in Pakistan has moved from developing to developed stage in the last decade [1]. It is an innovation that is based on a community of practice merged with the need-based assessment of a young EM residency program in a developing country. The program started in April 2021.

EMS 64

EMS Academics Evidence-Based Practice Emergency Department 64

EMDocs

SEPTEMBER 25, 2023

Personal take: While discussing this approach with many EM physicians whom we respect, one recurring critique was “We fought so hard to get the right to use paralytics in the ED, why would you want to go backwards.” actors Associated with the Occurrence of Cardiac Arrest after Emergency Tracheal Intubation in the Emergency Department.

Emergency Department 92

Emergency Department Soft Tissue Injuries Airway Management Operations 92

RebelEM

FEBRUARY 12, 2024

There are greater than 2 million annual emergency department 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. Am J Emerg Med. 2021 Sep;47:70-73. Epub 2021 Mar 22. appeared first on REBEL EM - Emergency Medicine Blog.

Radiology 77

Radiology Radiology Emergency Department Ultrasounds 77

ACEP Now

AUGUST 1, 2023

How does that apply to the role of the board certified emergency physician? Fundamentally, I believe every patient coming to an emergency department is best served by care delivered by board certified emergency physicians. When those same fundamentals done right achieve great success, they aren’t little at all.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

EMDocs

DECEMBER 11, 2023

As we all know, a critical concern for emergency physicians is identifying patients with heart tissue-threatening ischemia that could benefit from percutaneous catheterization via stent deployment by an interventional cardiologist. J Emerg Med. 2021 Mar;60(3):273-284. He underwent serial ECGs, which are shown below.

EKG/ECG 119

EKG/ECG Emergency Department Academics Operations 119

Don't Forget the Bubbles

JUNE 30, 2023

In 2021, Evans and colleagues (1) compared adolescent mortality rates in adult, children’s and mixed major trauma centres across the UK. In 2021, Kulvatunyou, Bauman and colleagues compared the insertion of traditional 28-32Fr chest tubes with 14Fr pigtail catheters for drainage of traumatic haemothorax. Is he going to be OK?

Resuscitation 139

Resuscitation Operations Sepsis Pediatrics 139

EMDocs

JUNE 2, 2023

Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the Emergency Department: Consensus Statement of the American Association for Emergency Psychiatry. Erratum in: West J Emerg Med. Pediatric Agitation in the Emergency Department: A Survey of Pediatric Emergency Care Coordinators.

Psychiatric 93

Psychiatric Pediatrics Emergency Department Administration 93

EMDocs

JULY 9, 2024

The emergency department takes care of some of the highest risk patients with the worst access to health care and social services Over the past 20 years, many researchers have created and validated social needs screeners Some examples: iHELP, WE CARE, SEEK, USDA 2-item food insecurity questionnaire Does screening make a difference?

Pediatrics 74

Pediatrics Emergency Department Research Burns 74

JournalFeed

JANUARY 17, 2022

Today, we are talking about race in EM with the authors of a recent op-ed in Annals of Emergency Medicine. We tackle some tough questions about racism and how we can be better allies as EM colleagues. Policed Patients: How the Presence of Law Enforcement in the Emergency Department Impacts Medical Care.

EMS 52

EMS Emergency Department 52

RebelEM

APRIL 29, 2024

World J Emerg Surg 2023 PMID: 36918947 3. Intraosseous vascular access in adults using the EZ-IO in an emergency department. Int J Emerg Med 2009 PMID: 20157465 4. Intraosseous versus central venous catheter utilization and performance during inpatient medical emergencies. 2021 PMID: 34273470 12 Petitpas F et al.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

EMDocs

FEBRUARY 22, 2024

Authors: Katey DG Osborne, MD (EM Attending Physician: Tacoma, WA) and Rachel Bridwell, MD (EM Attending Physician: Tacoma, WA) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital); Brit Long, MD (@long_brit, EM Attending Physician, San Antonio, TX) Welcome to emDOCs revamp!

EMS 98

EMS Emergency Department Hospitals 98

EB Medicine

DECEMBER 1, 2021

EMplify – December 2021 Announcements: The EB Medicine app is live and available for free in the Apple Store. Risk Factors Prehospital Care – what should EMS be looking for? Risk Factors* Prehospital Care – what should EMS be looking for? * Coming to Google Play soon. It is in Beta and your feedback is welcome.

EKG/ECG 52

EKG/ECG Emergency Department EMS Shock 52

Downeast Emergency Medicine

DECEMBER 17, 2021

Emergency medicine (EM) was first recognized as a specialty by the American Medical Association (AMA) in 1972. Since that time, EM residencies have grown and evolved to provide academic support and training for graduating medical students interested in pursuing a career in the field.

EMS 52

EMS Academics Operations Emergency Department 52

EMDocs

AUGUST 15, 2023

Published online April 2021. link] The post ToxCard: Crotalid Envenomation Part 1: Management of the Crotalid Envenomation appeared first on emDOCs.net - Emergency Medicine Education. His father confirmed the snake was a copperhead. link] Antivenom administration North American Crotalinae snakebites – UpToDate.

Poisoning 98

Poisoning CDC Administration EMS 98