Pediatric EM Morsels

JUNE 16, 2023

2021) Morel-Lavallee lesion , Orthobullets. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment.

Soft Tissue Injuries 154

Soft Tissue Injuries Dehydration Fractures Operations 154

Emergency Medicine Journal

NOVEMBER 28, 2023

Background The regional emergency medical service (EMS) in Lombardy (Italy) developed clinical algorithms based on operator-based interviews to detect patients with COVID-19 and refer them to the most appropriate hospitals. Results The training set includes 264 976 patients, median age 74 (IQR 55–84).

Operations 52

Operations EMS Hospitals Outcomes 52

RebelEM

APRIL 17, 2023

A repeat search was completed in May 2021 & November 2022. While operator dependent, the dynamic ability of POCUS augments bedside diagnosis and can assist with drainage. 2021 May 12:34894211015590. Published on October 25, 2021. Accessed on December 3, 2021. AJR Am J Roentgenol. 2015 May;204(5):1064-8.

Ultrasounds 130

Ultrasounds Radiology Radiology Operations 130

American Medical Compliance

MARCH 18, 2024

Requirements Specific to Missouri By August 28, 2021, any hospital licensed under the Missouri chapter, excluding any department of mental health-operated psychiatric hospital, must implement a workplace violence prevention plan to protect healthcare employees and other hospital personnel from aggressive and violent behavior.

Psychiatric 105

Psychiatric Operations Hospitals Wellness 105

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

Don't Forget the Bubbles

NOVEMBER 29, 2023

Awake fiberoptic intubation where the patient consents, co-operative AND the airway is prepared with local anaesthesia. 2021 May;77(5):532-544. Epub 2021 Jan 21. Tragically, several attempts at resuscitation upon arrival at the emergency department were unsuccessful. This article is based on: Mayberry, H., Burgart, A.M.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

Pediatric EM Morsels

APRIL 28, 2023

In general, non-operative treatment is reserved for Type I fractures and type II. Non-operative management is appropriate if extensor mechanism is intact and the avulsed fragment is displaced less than 2 mm or able to be reduced (hyperextension at the knee) to an acceptable degree of displacement. October 26, 2021.

Fractures 130

Fractures Pediatrics Operations Wellness 130

Taming the SRU

MARCH 12, 2024

The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics. The study’s primary outcomes were the operational impacts of the SQuID protocol on EDLOS and ICU admission rates. The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics.

Operations 97

Operations Hospitals Best Practices Wellness 97

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. Risk stratification is performed by EMS personnel using preHEART, HEART, T-MACS and POC-troponin.

EMS 97

EMS EKG/ECG Operations Hospitals 97

PulmCCM

NOVEMBER 6, 2023

patients infected with the Wuhan/Delta variants in 2020-2021). I recall very well my (unjustified) negative view on convalescent plasma in 2020 and 2021 — it was probably minimally effective, and I would never spontaneously offer it. The trial is impressive for having been conducted at all.

Blood Transfusions 98

Blood Transfusions Operations Resuscitation Infectious Diseases 98

RebelEM

OCTOBER 2, 2023

The SQuID Protocol (Subcutaneous Insulin in /diabetic Ketoacidosis): Impacts on ED Operational Metrics. No statistical differences in safety between groups Operational Impact Median ED LOS (PRIMARY OUTCOME): SQuID: 8.9hrs (6.5 The SQuID Protocol (Subcutaneous Insulin in /diabetic Ketoacidosis): Impacts on ED Operational Metrics.

Operations 103

Operations Academics Fluid Resuscitation Outcomes 103

PulmCCM

JANUARY 6, 2025

A 2021 analysis of Epic’s sepsis model revealed atrocious false positive and negative rates. The SCREEN Trial SCREEN was a stepped-wedge cluster randomized trial of an EMR alert for organ failure, conducted at 45 wards of 5 hospitals in Saudi Arabia from 2019 to 2021. 2021 Aug 1;181(8):1065-1070. 2021 Aug 1;181(8):1144.

Sepsis 45

Sepsis Documentation/Coding Hospitals Outcomes 45

ACEP Now

JUNE 21, 2023

2,3 In the 2021-2022 academic year, categorical (non-combined) EM residency lengths included 221 (80 percent) PGY 1-3 and 55 (20 percent) PGY 1-4 programs. Therefore, applicant, funding, and operational factors may influence programs to offer a particular curriculum length. 1 Curricula with non-EM internships (i.e., Ann Emerg Med.

EMS 114

EMS Academics Telemedicine Operations 114

ALiEM

OCTOBER 30, 2024

Your patient ultimately is diagnosed with a spinal epidural abscess requiring operative care. 2021 Aug 1;94:103086. I am happy to help how I can. References Reuter P, Pardo B, Taylor J. Imagining a fentanyl future: Some consequences of synthetic opioids replacing heroin. International Journal of Drug Policy. 2023 Jan 1;53(1):140-2.

Emergency Department 64

Emergency Department Operations Psychiatric Hospitals 64

Total Medical ComplianceHIPAA

JANUARY 12, 2023

The NPRM was published in 2021 for public comments. Many comments to the NPRM noted that this would be an operational and compliance risk issue for providers. The new year will most certainly bring the finalization of the Proposed Rule that will make changes to the HIPAA Privacy Rule (“NPRM”).

Operations 104

Operations Best Practices Documentation/Coding Administration 104

EMDocs

FEBRUARY 7, 2024

3 Increasing Strikes and Unions Labor actions in healthcare can disrupt normal hospital operations, potentially impacting costs and threatening patient quality of care. there were 31 recorded healthcare strikes in 2021, 39 recorded healthcare strikes in 2022, and 37 healthcare strikes in 2023 as of November 3rd. Frequency : In the U.S.,

Hospitals 98

Hospitals Research Patient Safety Wellness 98

EMDocs

AUGUST 12, 2023

Management consists of intravenous antibiotics , and hand surgery should be consulted to consider operative debridement. McGraw Hill; 2021. November 9, 2021. Inoculation usually occurs by penetrating injury , which seeds the tendon sheath. Unrecognized or persistent infection can lead to necrosis of the tendon. In: StatPearls.

EMS 96

EMS Fractures Operations Ultrasounds 96

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

JournalFeed

OCTOBER 23, 2021

It’s the JournalFeed Podcast for the week of October 18-22, 2021. We cover intubating angioedema patients, inhaled steroids for COVID-19, non-operative management of appendicitis, part-time physician outcomes, and ECG diagnosis of wide complex tachycardia.

Operations 52

Operations EKG/ECG Outcomes 52

American Medical Compliance

OCTOBER 3, 2024

According to NSC Injury Facts, workplace injuries cost businesses $167 billion in 2021. Dental practices must maintain radiation safety protocols and provide radiation safety training for staff operating radiographic equipment. The importance of safety should be emphasized in all aspects of patient care and practice operations.

PPE 105

PPE Hazardous Materials Documentation/Coding Operations 105

PulmCCM

APRIL 18, 2024

The real world success rates by operators experienced with intubation remained unknown. In the relatively few studies comparing video to direct laryngoscopy, intubations were usually performed by inexperienced trainees, and sample sizes were small.

Airway Management 98

Airway Management Operations EMS Research 98

Don't Forget the Bubbles

APRIL 22, 2024

Occasionally, lacrimal probing does not work, and an operation is needed. 2021 Jan 2;40(1):18-23. 2021 Dec;21(1):1-7. 2021 Feb 15;37(5):482-7. After applying a topical anaesthetic, a small probe is inserted into the lower punctum of the lacrimal canal to relieve the obstruction. Isaza G, Arora S. 2013 Jun 1:E158-62.

Infectious Diseases 85

Infectious Diseases Sepsis Pediatrics Operations 85

Taming the SRU

OCTOBER 23, 2023

At this point, the patient is taken to the operating room for a diagnostic laparoscopy. She was taken to the operating room and found to have a right tubal ectopic pregnancy with a pseudogestational sac. 2021 Nov;49:226-232. Epub 2021 Jun 9. In this same population, free fluid in the hepatorenal recess had a 99.5%

Ultrasounds 98

Ultrasounds Operations Radiology Radiology 98

Don't Forget the Bubbles

JANUARY 17, 2024

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. By 2 AM, he had begun to vomit , and his parents, remembering your advice, brought him straight back. From Mullens et al.,

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

EMDocs

MAY 25, 2024

McGraw Hill; 2021. Am Fam Physician. 2014;89(11):882-888. Jauch EC, Hall G, Knoop KJ. Sialadenitis. In: Knoop KJ, Stack LB, Storrow AB, Thurman R. The Atlas of Emergency Medicine, 5e. Accessed June 22, 2023. link] Haidar H, Menon A, Al Duhirat E. Diseases of the salivary glands. In: Textbook of Clinical Otolaryngology.

EMS 98

EMS Dehydration Operations Hospitals 98

PulmCCM

MAY 16, 2024

FDA approved the tool in part based on a 2021 study concluding that among 1400 patients at two Illinois hospitals, the score had an area under the receiver operating curve (AUROC) of 0.83 for diagnosis of sepsis was 0.83. Hey, that’s pretty good! Compared to what reference standard?

Sepsis 52

Sepsis Operations Hospitals 52

ACEP Now

JUNE 7, 2023

The performance of EDs in 2020 and into 2021 changed abruptly, and that carried through into 2022. Software attacks crippled operations in large hospital chains, and physical assaults on ED staff continued unabated. Patient volume losses in 2020 reversed in 2021. EDs weathered attacks from a variety of sources in recent years.

Emergency Department 52

Emergency Department Documentation/Coding Operations EMS 52

PulmCCM

SEPTEMBER 20, 2024

This process can’t be trusted to operate in China. Reason , July 2021 The first layer of protection against fabricated data comes from the nearby peers and colleagues at a researcher’s own institution or competing institutions. Second, the Chinese government ultimately controls research production there.

Academics 105

Academics Forensics Research Operations 105

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 93

Emergency Department Soft Tissue Injuries Airway Management Operations 93

The Skeptics' Guide to EM

NOVEMBER 20, 2021

Date: November 16th, 2021 Reference: Hammouda et al. AEM November 2021 Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine and Emergency Medicine Research Lead at Lancashire Teaching Hospitals Trust (North West England). Date: November 16th, 2021 Reference: Hammouda et al.

Geriatric Emergencies 52

Geriatric Emergencies Elder Abuse Research Academics 52

Don't Forget the Bubbles

MAY 10, 2023

A study in Denmark in 2021 explored barriers to effective resuscitation in over 900 in-hospital resuscitations across six hospitals in Denmark. Then the patient is rapidly moved to the operating theatre. 2021; 164: 70-78. StatPearls Publishing, Treasure Island (FL) ; 2021. But crowd control can still be an issue.

Emergency Department 91

Emergency Department Resuscitation Documentation/Coding Teamwork 91

EB Medicine

NOVEMBER 1, 2021

EMplify – November 2021 Announcements: The EB Medicine app is live and available for free in the Apple Store. Coming to Google Play soon. It is in Beta and your feedback is welcome. Also, this month use code ACEP21!

Fractures 52

Fractures Documentation/Coding Operations Emergency Department 52

Emergency Medicine Journal

MAY 23, 2023

Methods Traditional and grey-literature searches were performed on 1 June 2021. We report overall sensitivity, specificity, positive and negative predictive values, and the hierarchical summary receiver operating characteristic curve for LUS. Meta-analysis was carried out using established open-source packages in R.

Ultrasounds 52

Ultrasounds Operations Research Hospitals 52

RebelEM

AUGUST 22, 2024

Moreover, there are multiple operational and patient-specific barriers rendering timely thrombolytic administration difficult. What They Did: Retrospective review of consecutive RAO cases managed as part of a remote ophthalmology consult protocol activated on May 1, 2021, at three stroke centers across a health system. Clin Ophthalmol.

Stroke 85

Stroke Administration Outcomes Documentation/Coding 85

Emergency Medicine Journal

MAY 28, 2024

Methods Adult patients brought by ambulance to the ED at both locations of the Amsterdam UMC, a level 1 trauma centre, were prospectively included between 11 March and 28 October 2021. Accuracy in predicting critical illness was assessed using the area under the receiver operating characteristics curve (AUROC).

Operations 52

Operations 52

PulmCCM

SEPTEMBER 4, 2024

OP is operating point, the operating point defines the cardiac output on the y-axis and Pra on the x-axis; Rcardiac is cardiac resistance (i.e., OP1 is operating point 1 at baseline. With tamponade, operating point 2 (OP2) is formed. Argaiz ER, (2021) VExUS Nexus: Bedside Assessment of Venous Congestion.

Ultrasounds 84

Ultrasounds Operations Research Outcomes 84

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. Point-of-care ultrasound (PoCUS) is inherently operator-dependent, which may have led to inconsistencies in the quality and findings of the ultrasound exams across different operators.

Ultrasounds 129

Ultrasounds Outcomes COPD Hospitals 129