Don't Forget the Bubbles

JANUARY 22, 2024

Choosing Wisely aims to help clinicians align with best practices by avoiding interventions that are not supported by evidence. Choosing Wisely in Paediatric Car e A trainee-led project in a UK tertiary paediatric emergency department looked at the usefulness of blood tests in 101 children. 2022 Sep 13;10:945540.

Emergency Department 90

Emergency Department Best Practices Radiology Radiology 90

ACEP Now

OCTOBER 9, 2024

Emergency physicians have long taken pride in delivering care every day of the week, every hour of the day. ACEP’s Emergency Department Accreditation program adds a layer to that, says Marianne Gausche-Hill, MD, FACEP, FAAP, FAEM, Chair of the program’s Board of Governors.

Emergency Department 52

Emergency Department Geriatric Emergencies Critical Access Ultrasounds 52

EMDocs

JUNE 16, 2023

And now we’re here at our destination, the place we know and love, the emergency room to talk about what we should be doing for the growing volume of children with mental health problems boarding in the emergency department.

Psychiatric 52

Psychiatric Pediatrics Emergency Department Best Practices 52

Taming the SRU

MARCH 12, 2024

In the context of increasing ED and hospital crowding as well as limited ICU availability, this study aimed to evaluate the impact of a subcutaneous insulin (SQuID) protocol in the treatment of DKA on emergency department length-of-stay (EDLOS) and ICU admissions. Acad Emerg Med 2023;30(8):800–8. If positive (>1.1

Operations 97

Operations Hospitals Best Practices Wellness 97

PEMBlog

AUGUST 30, 2023

System changes to electronic ordering have been shown to induce more permanent clinical practice change and continual updates to these systems are necessary to keep pace with knowledge evolution and best practice. 2022 Jan 1;149(1):e2021051405. Ramgopal S, Ambroggio L, Lorenz D, Shah SS, Ruddy RM, Florin TA. Pediatrics.

Pediatrics 52

Pediatrics Best Practices Hospitals Emergency Department 52

Mind The Bleep

MAY 16, 2023

Harvey S, “ How to Use the Bristol Stool Chart in Childhood Constipation ,” Archives of Disease in Childhood: Education & Practice, 2022. [3] LaznerM, “The Alex Emergency Department, Paediatric Practice Guideline. LaznerM, “The Alex Emergency Department, Paediatric Practice Guideline.

Dehydration 52

Dehydration Best Practices Documentation/Coding Emergency Department 52

Broome Docs

JUNE 20, 2023

BMJ Best Practice. PMID: 36996524 This is a qualitative study, based on interviews of 24 adult patients who presented to the emergency department with a presumptive diagnosis of cannabinoid hyperemesis syndrome. 2022 Aug;48(8):1009-1023. Epub 2022 May 13. Ann Emerg Med. Epub 2022 Oct 19.

Emergency Department 120

Emergency Department Sepsis Best Practices 120

Taming the SRU

SEPTEMBER 16, 2024

In the era of modern medicine, blood transfusions are commonplace, especially in the emergency department. While they are a lifesaving staple of medicine, they also come with risks that emergency providers must be aware of. 10, 19 May 2022, p. 2, July 2022, pp. 2859, [link] Afroz, Tamanna, et al. Accessed 8 Sept.

Blood Transfusions 90

Blood Transfusions Anaphylaxis Emergency Department Sepsis 90

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. 2022 Mar;175(3):399-415.

Radiology 94

Radiology Radiology Operations Best Practices 94

EMDocs

MAY 29, 2023

Louis); Marina Boushra (EM-CCM, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case A 54-year-old female with a past medical history of rheumatoid arthritis presents to the emergency department (ED) with generalized fatigue. Updated 2022 May 8]. Updated 2022 Jul 18]. J Emerg Med. PMID: 17654065. (9)

Infectious Diseases 58

Infectious Diseases Emergency Department EMS Hospitals 58

Don't Forget the Bubbles

SEPTEMBER 18, 2023

This blog post aims to help familiarise you with some of the most common reasons for prescribing antibiotics in the paediatric emergency department. Antibiotic Use for Common Infections in Pediatric Emergency Departments: A Narrative Review. 2022 Dec;41(12):947–52. 2022 Jun;58(6):1007–12. Karageorgos, S.;

Emergency Department 143

Emergency Department Infectious Diseases Pediatrics Sepsis 143

EM Literature of Note

OCTOBER 14, 2024

link] “Empathy and clarity in GPT-4-Generated Emergency Department Discharge Letters” The cold, unfeeling computer generates better feels than emergency clinicians. Bland treacle, no doubt, but generic bland treacle will beat the terse output of a distracted human any day.

Stroke 89

Stroke Emergency Department Resuscitation Best Practices 89

EMDocs

JANUARY 20, 2025

The latest Society of Critical Care Medicine (SCCM) sepsis guidelines from 2021 recommend giving patients with signs of hypoperfusion an initial 30 ml/kg bolus as a best practice statement 13 based on the PROCESS, 14 ARISE, 15 and PROMISE 16 trials. Does this dyspneic patient in the emergency department have congestive heart failure?

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

ACEP Now

OCTOBER 29, 2024

Our patient is a 33-year-old male with spastic quadriparesis due to cerebral palsy with chronic indwelling suprapubic catheter (SPC) who presented to the emergency department (ED) due to concern for Foley catheter obstruction. Emergency physicians commonly replace SPCs in the ED. Updated 2022 Nov 7]. Click to enlarge.)

Ultrasounds 52

Ultrasounds Best Practices Radiology Radiology 52