EB Medicine

NOVEMBER 1, 2021

EMplify – November 2021 Announcements: The EB Medicine app is live and available for free in the Apple Store. and get 20% of all orders at [link] Emergency Department Management of Rib Fractures Author: Patrick Maher, MD Episode Outline: Why rib fractures? Coming to Google Play soon. It is in Beta and your feedback is welcome.

Fractures 52

Fractures Documentation/Coding Emergency Department Operations 52

The Skeptics' Guide to EM

APRIL 16, 2022

BMJ 2021 Guest Skeptic: Dr. Matt Schmitz, Pediatric Orthopedics, Adolescent Sports Medicine and Young Adult Hip Preservation Surgeon at San Antonio Military Medical Center in Texas. It’s Not Always Hammer Time first appeared on The Skeptics Guide to Emergency Medicine. Date: April 16th, 2022 Reference: Blom et al.

Military 40

Military Operations Emergency Department Pediatrics 40

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. 2021; 9:e04871. Point-of-care ultrasound diagnosis of Stump appendicitis in the emergency department.

Ultrasounds 96

Ultrasounds Emergency Department Wellness 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. Intubation of the Critically Unwell Child in the Emergency Department.

Airway Management 98

Airway Management Teamwork Pediatrics Emergency Department 98

Taming the SRU

OCTOBER 23, 2023

THE CASE A female in her early 20s, G4P2012, presents to the emergency department (ED) with a 5 day history of left lower quadrant abdominal pain which has been worsening since onset. At this point, the patient is taken to the operating room for a diagnostic laparoscopy. Am J Emerg Med. 2021 Nov;49:226-232.

Ultrasounds 96

Ultrasounds Operations Radiology Radiology 96

RebelEM

APRIL 29, 2024

One may speculate that the US-guided CVC placement would have a higher first-pass success rate with fewer complications, however, this may potentially add time to the procedure depending on the operator and institution’s use of ultrasound during emergencies and maintaining sterile technique with the US probe. Crit Care Med.

Resuscitation 102

Resuscitation Administration Emergency Department Hospitals 102

EMDocs

AUGUST 12, 2023

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. Management consists of intravenous antibiotics , and hand surgery should be consulted to consider operative debridement. McGraw Hill; 2021.

EMS 69

EMS Fractures Operations Ultrasounds 69

EMDocs

DECEMBER 11, 2023

In October 2022, the American College of Cardiology released an updated expert consensus decision regarding the evaluation of chest pain in the emergency department. This included the addition several new STEMI equivalents [4] on ECG that warrant “prompt evaluation for emergency coronary angiography.” J Emerg Med.

EKG/ECG 110

EKG/ECG Emergency Department Academics Operations 110

The Skeptics' Guide to EM

JANUARY 23, 2021

Date: January 20th, 2021 Guest Skeptic: Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. and Physicians first appeared on The Skeptics Guide to Emergency Medicine. Diagnostic Testing Differences Between A.P.P.s

Research 52

Research Poisoning Documentation/Coding Outcomes 52

Downeast Emergency Medicine

DECEMBER 17, 2021

Since its early days of small and scattered residency programs, EM has burgeoned to nearly 3,000 residency positions according to the 2021 Report on Residents published by the Association of American Medical Colleges (AAMC). A Brief History of Emergency Medicine Residency Training. Retrieved October 30, 2021, from [link].

EMS 52

EMS Academics Emergency Department Operations 52

Don't Forget the Bubbles

JANUARY 17, 2024

Curious Ken is brought into your emergency department. 2021 A plain abdominal X-ray shows multiple dilated loops of bo wel. 2021 These beads, once hydrated inside the body, reached considerable sizes. They passed away a few days after a second operation. What are the risks of water beads? From Mullens et al.,

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

Taming the SRU

JANUARY 29, 2024

She was concerned that this was not improving and decided to come to the emergency department (ED). Hospital Course The patient was initiated on a therapeutic heparin drip in the emergency department with vascular surgery consultation. 2021 Oct;76:601.e7-601.e11. Epub 2021 Jun 25. 2021 Jun;36(5):392-400.

Emergency Department 91

Emergency Department Fractures Hospitals Operations 91

Taming the SRU

MAY 22, 2023

weight-bearing status, operative vs. non-operative) If necessary/helpful to ensure adequate follow-up At time of discharge: Counsel on expected course of injury, supportive care (e.g., Most frequent reasons for emergency department visits, 2018. A comparison between pre-operative ultrasonography and surgical findings.

Fractures 75

Fractures Dislocations Operations Radiology 75

EMDocs

JULY 17, 2023

7 While post-operative adhesive disease is also a risk factor, it is far less commonly implicated in LBO compared to SBO. Pearls -LBO is often associated with a serious underlying condition such as CRC and is not usually successfully managed with non-operative measures. -A Published 2021 Apr 22. World J Emerg Surg.

Operations 77

Operations EMS Fluid Resuscitation Resuscitation 77

Taming the SRU

MARCH 14, 2023

Case 1 Fussy 1 month old A 1-month-old (ex-34 week premature) infant comes to your emergency department for fussiness. Case 2 19 year old seizure A 19-year-old male is brought into your emergency department via EMS for witnessed seizure-like activity. More on this below as we work through a few cases….

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

SheMD

JULY 23, 2023

Some of the interview information may not be relevant during the 2020-2021 & 2021-2022 academic years. Therefore, he worked with the primary care innovation department and learned hospital administration and clinical operations during his residency. Disclaimer: This post was written before the COVID-19 pandemic.

Research 98

Research Academics Hospitals Administration 98

EMDocs

NOVEMBER 18, 2023

Liver Transplantation: Operative Techniques and Medical Management. McGraw Hill; 2021. Emergency department visits and unanticipated readmissions after liver transplantation: A retrospective observational study. The Journal of Emergency Medicine. Acad Emerg Med. Am J Transplant. 2022;22 Suppl 2:204-309.

EMS 69

EMS Ultrasounds Emergency Department Outcomes 69

EMDocs

SEPTEMBER 9, 2023

The Atlas of Emergency Medicine, 5e. McGraw Hill; 2021. 2021.0052 Emergency Department Management of Extensor Tendon Lacerations – Page 3 of 4. Ann Emerg Med. Emergency Medicine Residents’ Association; 2022:10-11. Extensor tendon repair in the emergency department. J Emerg Med.

EMS 78

EMS Fractures Soft Tissue Injuries Ultrasounds 78

Northwestern EM Blog

DECEMBER 20, 2021

Written by: Tommy Ng, MD (NUEM ‘24) Edited by: Patricia Bigach, MD (NUEM ‘22) Expert review by : Terese Whipple, MD '20 So your kid won’t walk One of the most common complaints in a pediatric Emergency Department is a child refusing or inability to ambulate. Management is orthopedic consultation for operative stabilization [12].

Pediatrics 52

Pediatrics Ultrasounds Emergency Department Radiology 52

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

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 183

Pediatrics Emergency Department Outcomes Sepsis 183

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.

Urgent Care 75

Urgent Care Emergency Department Documentation/Coding Patient Safety 75

EMDocs

SEPTEMBER 25, 2023

Improved Visualization: Video laryngoscopes allow for the use of standard or hyperangulated geometry, essentially allowing the operator to “look around the corner” on an anterior airway. Operators can manipulate the blade with less force to optimize the view, making it easier to identify and navigate the endotracheal tube into the trachea.

Emergency Department 65

Emergency Department Soft Tissue Injuries Operations Airway Management 65

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

Taming the SRU

MARCH 12, 2024

The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics. Acad Emerg Med 2023;30(8):800–8. The study’s primary outcomes were the operational impacts of the SQuID protocol on EDLOS and ICU admission rates. Acad Emerg Med 2023;30(8):800–8. Acad Emerg Med 2023;30(8):800–8.

Operations 95

Operations Hospitals Best Practices Wellness 95

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

The fire department, who operate at an EMT level in this municipality, arrived before us and administered 324 mg of baby aspirin to the patient due to concern for ACS. Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said "Nothing too exciting."

EKG/ECG 52

EKG/ECG Emergency Department Ultrasounds Hospitals 52

Taming the SRU

AUGUST 30, 2023

While PCT may be more specific for bacterial infections, it is flawed by still being rather non-specific and is not validated as a stand-alone diagnostic criteria for infection in the setting of the emergency department. 2021; 93: 4358–4369. In 7 studies with 4164 patients, PCT with a cut-off > 0.1 ng/mL, 0.25-0.5

Infectious Diseases 86

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 86

Don't Forget the Bubbles

JANUARY 31, 2024

Article 1: What predicts parental anxiety in the Paediatric Emergency Department? Predictors of parental anxiety in a paediatric emergency department. Emergency Medicine Journal. Scand J Trauma Resusc Emerg Med 29, 170 (2021) What’s it about? Martin, S.R., Heyming, T.W., Fortier, M.A. and Kain, Z.N.

Hospitals 72

Hospitals Ultrasounds Emergency Department Pediatrics 72

ALiEM

FEBRUARY 12, 2024

A 28-year-old female G3P2002 presented to the emergency department for one month of vaginal bleeding. The patient was seen in the emergency department one month earlier for vaginal bleeding in the first trimester of pregnancy. 2, 2021, pp. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide.

Ultrasounds 64

Ultrasounds Emergency Department Academics Operations 64

ACEP Now

SEPTEMBER 3, 2024

Still, this wave of private equity acquisitions in emergency medicine has come crashing down on the heads of many early-career physicians. As of 2022, 1 in 4 emergency departments in the United States were staffed by a private equity-owned physician group. Published May 31, 2021. References Pomorski C. The New Yorker.

Hospitals 69

Hospitals Radiology Radiology Administration 69

RebelEM

JANUARY 25, 2024

In many emergency departments (ED), US machines are readily available and can be used to rapidly assess and monitor patients with acute dyspnea at the bedside. What They Did: Design: Randomized, controlled, blinded-outcome trial Sites: Three emergency departments in Denmark Duration: October 9, 2019 to May 26, 2021.

Ultrasounds 122

Ultrasounds Outcomes COPD Hospitals 122

EMDocs

OCTOBER 17, 2023

American Gastroenterological Association (2021) Best Practice Advice 1: Computed tomography should be considered to confirm the diagnosis of diverticulitis in patients without a prior imaging-confirmed diagnosis and to evaluate for potential complications in patients with severe presentations. 2021 Mar 24;372:n72. Am Fam Physician.

Radiology 68

Radiology Radiology Operations Best Practices 68

Don't Forget the Bubbles

NOVEMBER 1, 2023

This month, Bubble Wrap has teamed up with Sheffield Children’s Hospital Emergency Department to have a look at what’s new in paediatric literature. Lactate as a screening tool for critical illness in a pediatric emergency department. Pediatric Emergency Care. 2023 Oct 1;39(10):735-8. What’s it about?

Emergency Department 140

Emergency Department Hospitals Resuscitation Administration 140

EMDocs

JUNE 3, 2023

In fact, the World Society of Emergency Surgery (WSES) classification assigns grades I-III depending on their Young-Burgess classification, but any patient hemodynamically unstable from their pelvic fracture is automatically WSES grade IV regardless of their fracture pattern.

Fractures 54

Fractures Resuscitation Operations EMS 54

ACEP Now

APRIL 4, 2024

3 The majority of those who arrive to the emergency department (ED) live for 2 hours or more, leaving a small window for surgical intervention. Other exceptions are patient refusal, patient death or immediate transfer to the operating room. Ann Surg 2021; 274: e160-e166. 5 Untreated, nearly all patients die. J Vasc Surg.

Operations 40

Operations Ultrasounds Emergency Department 40

The Skeptics' Guide to EM

NOVEMBER 20, 2021

Date: November 16th, 2021 Reference: Hammouda et al. Moving the Needle on Fall Prevention: A Geriatric Emergency Care Applied Research (GEAR) Network Scoping Review and Consensus Statement. She […] The post SGEM#351: How to Stop Geriatrics from Free Fallin’ first appeared on The Skeptics Guide to Emergency Medicine.

Geriatric Emergencies 52

Geriatric Emergencies Elder Abuse Research Academics 52

Northwestern EM Blog

SEPTEMBER 12, 2022

This post will discuss a brief overview of hospital planning and operational setup with key elements of a disaster response from events that cause high numbers of blunt trauma, penetrating trauma, burns or crush injuries that may be seen following explosive events, mass shootings, or large scale motor vehicle collisions, to name a few.

Mass Casualty Incidents 52

Mass Casualty Incidents Hospitals EMS Operations 52