Northwestern EM Blog

JUNE 16, 2024

For example, hypothyroidism, adrenal insufficiency, sepsis, neuromuscular disease, malnutrition, thiamine deficiency, hypoglycemia can all lead to hypothermia [11-13]. Operational definition of normal sinus heart rate. 2021, October 1). Bishop, R. L., & Rifkin, R. The American Journal of Cardiology , 69 (14), 1245–1246.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Infectious Diseases Stroke Poisoning 52

RebelEM

NOVEMBER 3, 2022

What They Did: Performed a search of the following databases: Pubmed, Embase, Cochrane, and ClinicalTrials.gov up to and including June 1, 2021. The environment, operator-related factors, and equipment are different in a pre-hospital vs. ED setting. Patients were excluded with pre-induction hypotension defined as SBP <100 mmHg.

Outcomes 52

Outcomes Emergency Department Sepsis Operations 52

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

DECEMBER 18, 2023

Introduction Sepsis and septic shock are life-threatening conditions characterized by severe systemic inflammation and organ dysfunction due to a dysregulated host response to infection. 3,4 Prompt recognition and management of sepsis and septic shock are paramount for the ED clinician.

Sepsis 75

Sepsis Fluid Resuscitation Resuscitation Shock 75

Pediatric EM Morsels

NOVEMBER 17, 2023

2021 Jun;31(6):713-719. Epub 2021 Apr 11. 0.41), p < 0.001. References : To YH, Ong YG, Chong SL, Ang PH, Bte Zakaria ND, Lee KP, Pek JH. Differences in intubation outcomes for pediatric patients between pediatric and general Emergency Departments. Paediatr Anaesth. doi: 10.1111/pan.14185. PMID: 33774880. Acad Emerg Med.

Pediatrics 183

Pediatrics Emergency Department Outcomes Sepsis 183

Taming the SRU

AUGUST 30, 2023

This finding was not significantly different among operators with different levels of experience, or between adults and children. Sepsis PCT may have some utility in guiding posttest probability for sepsis when the diagnosis is unclear. 2021; 93: 4358–4369. Procalcitonin and sepsis in the Emergency Department: an update.

Infectious Diseases 88

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 88

Mind The Bleep

SEPTEMBER 17, 2024

Always consider management as per ATLS protocol and SEPSIS 6 if relevant. Sci Rep 11, 1767 (2021). Regular medications. Management The management is guided by the examination findings which are covered in the respective chapter, this section will delve into the importance of a number of those steps, as well as further long-term care.

Fractures 52

Fractures Infectious Diseases Documentation/Coding Hospitals 52

Don't Forget the Bubbles

NOVEMBER 1, 2023

The study included all patients (aged 0-17 years) admitted to Copenhagen University Hospital’s PED between 1st Jan 2019 and 1 Jan 2021. This study strengthens the recommendation in a 2021 Cochrane review casting doubt on the effectiveness of IV Mg in severe asthma exacerbations. Picard C, Abbo O, Munzer C, et al.

Emergency Department 140

Emergency Department Hospitals Resuscitation Administration 140

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 79

Radiology Radiology Operations Best Practices 79

Don't Forget the Bubbles

SEPTEMBER 23, 2024

suprapubic catheters, gastrostomy tubes, haemodialysis or peritoneal dialysis lines – may have been left in situ in the initial post-operative period), and central vascular catheters. Look for scars indicating previous central lines, peritoneal dialysis catheters or operations. Consider sepsis and treat it accordingly.

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

Don't Forget the Bubbles

JANUARY 13, 2025

Often, these babies are managed as more common neonatal illnesses initially, such as persistent pulmonary hypertension of the newborn, sepsis, or respiratory distress syndrome. Neonates with significant obstructed TAPVD will require intubation, ventilation and inotropic support pre-operatively. An echo is generally diagnostic.

Operations 59

Operations Outcomes Pediatrics EKG/ECG 59

Don't Forget the Bubbles

DECEMBER 9, 2024

Clinical recommendations for pain, sedation, withdrawal, and delirium assessment in critically ill infants and children Pediatric Acute Lung Injury and Sepsis Investigators ( PALISI ). 2021 Oct;10(10):2814-2824. 2021 Apr 23;10(9):1847. Published 2021 Jun 8. Am J Respir Crit Care Med. 2023;207(1):17-28. doi:10.1164/rccm.202204-0795SO

Pediatrics 59

Pediatrics Hospitals Sepsis Administration 59