Pediatric EM Morsels

JUNE 2, 2023

Admission to hospital depending on severity of symptoms and need for further hydration Moral of the Morsel Diseases, just like our patients, are unique and varied! 2021 Nov 29;92(S7):e2021518. It may sound silly (“FPIES”), but it can be serious! Update on Food protein-induced enterocolitis syndrome (FPIES). Acta Biomed.

Dehydration 196

Dehydration Shock Pediatrics Emergency Department 196

Emergency Medicine Journal

MARCH 25, 2025

Methods This is a retrospective observational study from the EMERGENCY NGO hospital for civilian war victims in Kabul, Afghanistan. Data were gathered for all adults and children with war-related TBIs admitted between June and November 2021. In-hospital mortality occurred in 35 patients (26.9%), including 15 do-not-resuscitate cases.

Military 52

Military Resuscitation Hospitals 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. He was extubated on hospital day 2 and was able to be discharged to psychiatry on hospital day 5. The patient gradually improved.

Poisoning 111

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 111

Greater Sydney Area HEMS

APRIL 15, 2023

It is a rare but confronting situation where a pre-hospital and retrieval medicine team are presented with a sick newborn. As a pre-hospital and retrieval service, it’s rare for us to even be around in the first few minutes of a baby’s life, but as our colleagues described, not impossible. Place a sats probe on the right hand.

Hospitals 85

Hospitals Resuscitation Hyperthermia / Hypothermia Teamwork 85

ACEP Now

DECEMBER 8, 2024

Persons aged 75 and older had 660 visits per 1,000 population in 2021. Because older patients are admitted to the hospital more often, they disproportionately affect ED staff time and work. The ED is clearly perceived as serving the needs of patients and as the front door to the hospital. In line with the aging U.S. and 8 a.m.

CDC 52

CDC Emergency Department Hospitals 52

The Skeptics' Guide to EM

FEBRUARY 20, 2021

Date: February 19th, 2021 This is an SGEM Xtra episode. I had the honour of presenting at the Lehigh Valley Health Network Grand Rounds on February 4th, 2021. Date: February 19th, 2021 This is an SGEM Xtra episode. I had the honour of presenting at the Lehigh Valley Health Network Grand Rounds on February 4th, 2021.

Fractures 52

Fractures Outcomes Hospitals 52

ACEP Now

JANUARY 11, 2024

The wave of increasing hospital closures and service line cutbacks continues to sweep the United States. hospitals that are closing clinical departments or ending or reducing services. 2 Of these 56 additional hospitals, many are not rural; thus, this specter is expanding. physicians quit in 2021 alone. References Cass A.

Hospitals 52

Hospitals Administration Documentation/Coding Research 52

Don't Forget the Bubbles

JANUARY 31, 2024

As a Trauma Unit within the Thames Valley Trauma Network, Wexham Park Hospital hosts trainees from across the spectrum of acute specialties. Two really important patient groups were excluded – those who were admitted to hospital and families who were not fluent in English. the pre-hospital setting. Why does it matter?

Hospitals 72

Hospitals Ultrasounds Emergency Department Pediatrics 72

Medical Law

NOVEMBER 2, 2021

Cottage Rehabilitation Hospital (CRH) was one of four local organizations honored during the 16 th annual Santa Barbara Mayor’s Award ceremony by Mayor Cathy Murillo on Thursday, October 28, 2021. CRH, along with the CRH Foundation, received the 2021 Design/Accessibility Award. The CRH Foundation.

Hospitals 52

Hospitals Stroke 52

PulmCCM

JANUARY 6, 2025

With financial penalties coming for noncompliance with the new rule, hospital administrators rapidly deployed the alerts to fire on all eligible inpatients. A 2021 analysis of Epic’s sepsis model revealed atrocious false positive and negative rates. And have they fired. But for whom, and to what end? Epic disputed the findings.)

Sepsis 45

Sepsis Documentation/Coding Hospitals Outcomes 45

RebelEM

JULY 1, 2024

Balkan Med J 2021. Balkan Med J 2021. Cureus 2021. Comparison of BPAP S/T and Average Volume-Assured Pressure Support Modes for Hypercapnic Respiratory Failure in the Emergency Department: A Randomized Controlled Trial. AVAPS: 0.07 P = 0.015 PaCO2 Excretion in 1 st Hour BPAP S/T: 4.75 AVAPS: 10.20 AVAPS: 0.07 AVAPS: 10.20

COPD 132

COPD Emergency Department Outcomes EMS 132

ACEP Now

NOVEMBER 8, 2024

Historically, the endotracheal tube (ETT) has been considered the definitive airway of choice in both the prehospital and in-hospital setting. 1 Prehospital endotracheal intubation and EGAs are typically placed without paralytics and are reserved for unconscious, apneic, and out-of-hospital cardiac arrest patients. DOT HS 813 151).

Airway Management 40

Airway Management EMS Hospitals Administration 40

EMDocs

JANUARY 11, 2025

May 18, 2023) Stercoral Colitis: A Diagnostic Challenge and Therapeutic Approach in an Elderly Patient With Chronic Constipation. Cureus 15(5): e39179. doi:10.7759/cureus.39179 39179 Panneerselvam, S., Carlson, J. J., & Lin, D. Stercoral Colitis: When Constipation is an Emergency. The American journal of the medical sciences, 361(6), e61e62.

EMS 98

EMS Sepsis Shock Fluid Resuscitation 98

EM Literature of Note

JANUARY 9, 2022

link] Effect of Moderate vs Mild Therapeutic Hypothermia on Mortality and Neurologic Outcomes in Comatose Survivors of Out-of-Hospital Cardiac Arrest 31°C was no better than 34°C for improving neurologic outcomes following OHCA. the subsequent hospitalization rate was around 10%.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Stroke Emergency Department Outcomes 40

Don't Forget the Bubbles

AUGUST 19, 2024

References Children’s Health Queensland Hospital and Health Service. link] The Royal Children’s Hospital Melbourne. The Royal Children’s Hospital Melbourne. 2021 Sep 23;10(8):801-844. Differentials of Paedatric Chest Pain. Sept 5, 2022. Accessed Jul 1, 2023. Chest Pain. Accessed Jul 2, 2023. J Pediatr Orthop.

Infectious Diseases 104

Infectious Diseases Pediatrics Emergency Department Hospitals 104

Emergency Medicine Journal

AUGUST 21, 2024

Methods This was a multicentre, parallel-group, open-label, feasibility RCT in seven hospitals in England and Scotland. Results Between October 23, 2021 and October 7, 2022, 206 patients were eligible, of whom 100 (median age 83 years; IQR 74–88) were randomised; 48 to lidocaine patches and 52 to standard care.

Fractures 97

Fractures Research Outcomes Hospitals 97

American Medical Compliance

MARCH 18, 2024

Although anyone working at a hospital can be a victim of violence, nurses and aides who have the most direct contact with patients are especially vulnerable. To become certified, please visit us at: American Medical Compliance (AMC). Reach out for other courses by visiting the AMC Course Library. Who is at Risk for Workplace Violence?

Psychiatric 105

Psychiatric Operations Hospitals Wellness 105

Don't Forget the Bubbles

MARCH 19, 2024

This has coincided with a widespread shortage of specialist placements for children facing behavioural, psychiatric, and child protection challenges, leading to an over-reliance on the placement of these children in hospitals. A paediatric social admission is one where a child is admitted to the hospital but not for a medical reason.

Hospitals 52

Hospitals Psychiatric Documentation/Coding Pediatrics 52

EMDocs

AUGUST 22, 2024

3,4 Notably, institutions receiving federal funding (such as hospitals receiving Medicare reimbursement) must abide by Title VI of the 1964 Civil Rights Act, which entitles persons with NELP to language assistance. Improving patient safety systems for patients with limited English proficiency: a guide for hospitals. Lion KC, et al.

Documentation/Coding 105

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

Emergency Medicine Journal

SEPTEMBER 25, 2024

Methods Prespecified analysis from a prospective, multicentre, cohort study in patients with suspected NSTE-ACS who were transported to an ED between April 2021 and December 2022 in the Netherlands. The primary end point was the hospital diagnosis of NSTE-ACS. and NPV of 92.3% (95% CI 88.3 to 95.1).

EMS 97

EMS EKG/ECG Operations Hospitals 97

Emergency Medicine Journal

JANUARY 22, 2024

Methods This was an open-label randomised control trial conducted in a tertiary care teaching hospital in India from 11 November 2021 to 30 November 2022. The low-dose group had longer median hospital stay (12 hours vs 72 hours), more frequent MACE (3.8% The primary outcome was symptom resolution at 6 hours and 12 hours.

Outcomes 75

Outcomes Hospitals 75

RebelEM

APRIL 17, 2023

A repeat search was completed in May 2021 & November 2022. 2021 May 12:34894211015590. Published on October 25, 2021. Accessed on December 3, 2021. Two investigators independently assessed and screened all studies for eligibility. AJR Am J Roentgenol. 2015 May;204(5):1064-8. PMID: 25905942. Ann Otol Rhinol Laryngol.

Ultrasounds 129

Ultrasounds Radiology Radiology Operations 129

ACEP Now

MAY 10, 2024

Stegeman is an Ultrasound Fellow at Alameda Health System / Highland Hospital. Dr. Mikell is an Ultrasound Fellow at Alameda Health System / Highland Hospital. Dr. Martin is the Ultrasound Fellowship Director at Alameda Health System / Highland Hospital. 52, 196 (2021). 2021 Oct;61(4):416-419. Epub 2021 Jun 25.

Ultrasounds 92

Ultrasounds Emergency Department Hospitals Wellness 92

EMDocs

APRIL 18, 2024

He arrives in the ED of his small community hospital about 30 minutes later. He arrives, admits the patient and spends the rest of the night in the hospital monitoring the patient’s condition. A lawsuit is filed against the EP and hospital. Updat-ed Jun 23 2021. Right now!” A small volar incision reveals blue paint.

Patient Safety 106

Patient Safety Hospitals Documentation/Coding EMS 106

Don't Forget the Bubbles

NOVEMBER 20, 2023

Royal Children’s Hospital. Royal Children’s Hospital, Melbourne. April 2021 Russell F, Lowe D. DOI: 10.1016/j.joms.2006.11.039 2006.11.039 Fanous A, Morcrette G, Fabre M et al. Diagnostic Approach to Congenital Cystic Masses of the Neck from a Clinical and Pathological Perspective. Dermatopathology. Physician Assistant Clinics.

Pediatrics 124

Pediatrics Documentation/Coding Emergency Department Ultrasounds 124

RebelEM

SEPTEMBER 7, 2023

However, guidelines offer no strong recommendations for its use, specifically in spontaneous ICH ( Fang 2021 ). The study ran for 34 months at 3 hospitals, but investigators recruited less than 1 patient per month, indicating the presence of selection bias. Epub 2021 Jul 20. The study is markedly underpowered. Neurocrit Care.

Seizures 130

Seizures Stroke Outcomes Research 130

Pediatric EM Morsels

AUGUST 18, 2023

Ross 2021) Predisposing risk factors including older age , trauma to tendons or joints , and a family history of MAEs. Etminan 2019) In Belgium between 2010 – 2013, of the 262 children treated with fluroquinolones while hospitalized, only 17% were used for labelled indications. There was an increased risk of tendon rupture (1.9

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

The Skeptics' Guide to EM

NOVEMBER 13, 2021

Date: November 10th, 2021 Reference: Andersen, et al: Effect of Vasopressin and Methylprednisolone vs Placebo on Return of Spontaneous Circulation in Patients With In-Hospital Cardiac Arrest. JAMA Sept 2021. JAMA Sept 2021. Epinephrine is provided and you quickly place an advanced airway.

Advances Cardiac Life Support (ACLS) 40

Advances Cardiac Life Support (ACLS) Hospitals Emergency Department Resuscitation 40

Don't Forget the Bubbles

AUGUST 30, 2023

A Single-Institution Experience in the Use of Chest Radiographs for Hospitalized Children Labeled as Asthma Exacerbation. Published 2021 Oct 22. doi:10.1136/bmj-2021-064132 Kocher KE, Meurer WJ, Desmond JS, et al. AlDhanhani, H., Mouhssine, M., AlNuaimi, H. Hamdoun, O., Alabdouli, A., Alsamri, M. Ghatasheh, G. Pediatrics.

Emergency Department 131

Emergency Department Pediatrics Infectious Diseases Research 131

Taming the SRU

MARCH 12, 2024

ED visits per 1000 adults with diabetes based on 2018 data resulting in over 500,000 annual hospital days. This amounts to annual hospital costs of $5.1 DKA accounts for approximately 223,000 ED visits annually or 8.9 The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics. 10.1111/acem.14685

Operations 98

Operations Hospitals Best Practices Wellness 98

RebelEM

JANUARY 25, 2024

What They Did: Design: Randomized, controlled, blinded-outcome trial Sites: Three emergency departments in Denmark Duration: October 9, 2019 to May 26, 2021. Interestingly, though not statistically significant, patients in the serial US group had a longer length of hospital stay compared to the control group (4d vs 3d).

Ultrasounds 128

Ultrasounds Outcomes COPD Hospitals 128

PulmCCM

JANUARY 23, 2025

Of course, they also have limitations you won’t likely learn from the marketers and hospital administrators eager to implement the latest advancements. Septicyte was cleared by FDA in 2021 for use in hospitalized patients with suspected sepsis. organ dysfunction plus suspected infection with or without evidence).

Sepsis 45

Sepsis Wellness Emergency Department Research 45

Emergency Medicine Journal

JULY 24, 2023

A single community non-prescribing pharmacist was recruited to participate in CED care during weekdays (10:00–18:00) over a 12-week period (17 November 2021 to 11 February 2022, excluding bank holidays).

Emergency Department 75

Emergency Department Hospitals 75

Emergency Medicine Journal

FEBRUARY 20, 2024

Methods This is a retrospective review of 35 trauma centres from 2014 to 2021. Primary outcome includes rate of mortality/hospice at hospital discharge. Secondary outcomes include a composite of serious hospital complications. Secondary outcomes include a composite of serious hospital complications.

Hospice 74

Hospice Outcomes Hospitals 74

Emergency Medicine Journal

SEPTEMBER 27, 2023

In our tertiary medical centre in Northern Taiwan, we collected data on approximately 600 out-of-hospital cardiac arrest (OHCA) incidents transferred to our hospital that occurred in public areas of New Taipei City, using the onset of the major local COVID-19 outbreak in 2021 as the demarcation point between pre-pandemic.

Resuscitation 40

Resuscitation Hospitals CPR Research 40

Emergency Medicine Journal

SEPTEMBER 25, 2024

However, in England, ambulance on-scene times (OSTs) (from when the ambulance arrives at the patients’ location to when it leaves for the hospital) have increased in recent years 1 and appear extended compared with international services.

Stroke 52

Stroke Ambulance Services Hospitals 52

RebelEM

APRIL 29, 2024

Many clinicians don’t consider IO placement while others consider it a last resort or only a pre-hospital procedure. Intravenous vs.intraosseous vascular access during out-of-hospital cardiac arrest – protocol for a randomized clinical trial. 2021 PMID: 34273470 12 Petitpas F et al. Resusc Plus. Resuscitation.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105