Pediatric EM Morsels

JULY 19, 2024

If bleeding, the only lab that is needed in the Emergency Department is a type and cross. 2022 Sep-Oct;43(5):103582. Epub 2022 Aug 6. Am J Emerg Med. 2022 Mar 4;14(3):e22857. The post Post-Tonsillectomy Hemorrhage: ReBaked Morsel appeared first on Pediatric EM Morsels. Am J Otolaryngol. 2022.103582.

Airway Management 290

Airway Management Pediatrics Wellness Operations 290

EMDocs

OCTOBER 30, 2023

Pillai, MBBS (@sspillai01, EM Resident Physician, University of Kentucky) and Christopher N. ” – Musings of an American ED resident in July 2022 when US healthcare was affected simultaneously by supply chain issues from GE Healthcare (contrast media) and Abbott Laboratories (Similac baby formula). Authors: Saran S.

Radiology 99

Radiology Radiology Emergency Department Hospitals 99

EMDocs

MAY 11, 2024

We’ll keep it short, while you keep that EM brain sharp. A 74-year-old female with a past medical history of hypertension, diabetes, recent basilar artery stent placement with a 20 pack-year smoking history presents to the ED via EMS for altered mental status and episodes of apnea. Ann Emerg Med. Erratum in: Ann Emerg Med.

Stroke 110

Stroke EMS EKG/ECG Radiology 110

ACEP Now

JUNE 7, 2023

The role of emergency physicians has been made dramatically more important due to the pandemic. The performance of EDs in 2020 and into 2021 changed abruptly, and that carried through into 2022. Commercial payers aggressively abused the No Surprises Act as a method to delay, downcode, and deny payment for emergency services.

Emergency Department 52

Emergency Department Documentation/Coding Operations EMS 52

RebelEM

NOVEMBER 6, 2024

2022 Aug 2. Elbow Dislocations in the Emergency Department: A Review of Reduction Techniques. J Emerg Med. PMID: 31082090 Post Peer Reviewed By: Anand Swaminathan MD, MPH (Insta @EMSwami) The post Elbow Dislocations appeared first on REBEL EM - Emergency Medicine Blog. J Am Acad Orthop Surg. Shoulder Elbow.

Dislocations 116

Dislocations Fractures Soft Tissue Injuries Outcomes 116

Pediatric EM Morsels

AUGUST 23, 2024

Concussions are commonly encountered in the Emergency Department. Consensus statement on concussion in sport: the 6th International Conference on Concussion in Sport-Amsterdam, October 2022. The post Return to Learn / Return to Sport after Concussion appeared first on Pediatric EM Morsels. Br J Sports Med.

Seizures 281

Seizures Pediatrics Academics Emergency Department 281

EMDocs

MARCH 30, 2024

We’ll keep it short, while you keep that EM brain sharp. Answer : Thoracic and Lumbar Spine Trauma Epidemiology: Approximately half of the vertebral injuries that are seen in the emergency department are thoracic and lumbar injuries. A 27-year-old man was brought into the emergency department via EMS after being stabbed.

EMS 105

EMS Fractures Emergency Department Dislocations 105

EMDocs

JULY 29, 2023

We’ll keep it short, while you keep that EM brain sharp. A 75-year-old male with past history of HTN, CVA, DM II presents to the emergency department with right facial swelling since last night. WikEM, The Global Emergency Medicine Wiki. Emergency Medicine Residents’ Association; 2022. Wilson M, Pandey S.

EMS 96

EMS Dehydration Ultrasounds Emergency Department 96

RebelEM

MAY 11, 2023

Background: The emergency department is frequently visited by patients suffering from symptomatic alcohol withdrawal, and the traditional management has been dominated by repeated doses of benzodiazepines. Return Encounters in Emergency Department Patients Treated with Phenobarbital Versus Benzodiazepines for Alcohol Withdrawal.

Emergency Department 97

Emergency Department Administration Hospitals Academics 97

Pediatric EM Morsels

JULY 21, 2023

In emergency medicine, we often use illness scripts and protocols to help drive our decision-making. We had just received a young child from EMS who was post-ictal with decreased mentation. Jain 2022] Now used for critically ill trauma and medical patients in >75 countries. Less than 8, intubate!

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Pediatric EM Morsels

NOVEMBER 17, 2023

Differences in intubation outcomes for pediatric patients between pediatric and general Emergency Departments. 2022 May 11;10:864766. Intubation practice and outcomes among pediatric emergency departments: A report from National Emergency Airway Registry for Children (NEAR4KIDS). Acad Emerg Med.

Pediatrics 187

Pediatrics Emergency Department Outcomes Sepsis 187

EMDocs

AUGUST 12, 2023

We’ll keep it short, while you keep that EM brain sharp. 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. Ann Emerg Med. Emergency Medicine Residents’ Association; 2022:10-11.

EMS 95

EMS Fractures Operations Ultrasounds 95

ACEP Now

JANUARY 5, 2025

A young woman, 13 days post-tonsillectomy, comes into your rural emergency department (ED) coughing up blood. Special thanks to Dr. Kevin Wasko, guest expert on the EM Cases podcast on this topic, who inspired this column. Dr. Helman is an emergency physician at North York General Hospital in Toronto. Wall JJ, Tay KY.

Airway Management 98

Airway Management Operations Resuscitation Pediatrics 98

Pediatric EM Morsels

AUGUST 9, 2024

Neonates presenting to the Emergency Department often cause a lot of uncertainty. Let’s review how Congenital Syphilis may present to our Emergency Departments: Congenital Syphilis : Basics Occurs when the spirochete Treponema pallidum is transmitted from mother to fetus. 2022 Dec 27;14(12):e33009.

Hyperthermia / Hypothermia 154

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 154

EMDocs

DECEMBER 2, 2023

We’ll keep it short, while you keep that EM brain sharp. Updated 2022 Jul 4]. Available from: [link] yousef, CC BY-SA 4.0 <[link] via Wikimedia Commons The post EM@3AM: Oculomotor Nerve Palsy appeared first on emDOCs.net - Emergency Medicine Education. Arch Ophthalmol. 1994 Jul;112(7):961-6. doi: 10.1001/archopht.1994.01090190109029.

EMS 93

EMS Operations Pediatrics Emergency Department 93

EMDocs

JUNE 17, 2023

We’ll keep it short, while you keep that EM brain sharp. Acute Periorbital Infections: Who Needs Emergent Imaging? 2009-1709 The post EM@3AM: Periorbital Cellulitis appeared first on emDOCs.net - Emergency Medicine Education. Parents report the swelling has progressively worsened and is greater in the upper eyelid.

EMS 96

EMS Infectious Diseases Pediatrics Emergency Department 96

EMDocs

OCTOBER 21, 2023

We’ll keep it short, while you keep that EM brain sharp. Updated 2022 Dec 22]. Updated 2022 Oct 15]. Application of the ABCD2 score to identify cerebrovascular causes of dizziness in the emergency department. doi:10.1136/neurintsurg-2022-018715 Jorgensen H, Nakayama H, Raaschou H, Larsen K, Hubbe P, Olsen T.

EMS 97

EMS Stroke Outcomes Hospitals 97

ACEP Now

DECEMBER 11, 2023

The Emergency Department Benchmarking Alliance (EDBA) is a membership organization composed of high-performance emergency departments (EDs) that share a commitment to quality. Thus, the survey included data for about one-third of all patients seen in US ED’s in 2022. The pandemic saw the time interval increase.

Emergency Department 52

Emergency Department Hospitals EMS Operations 52

ALiEM

APRIL 14, 2023

After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Social Media Index, the ALiEM AIR Team is proud to present the highest quality online content related to related to procedures in the Emergency Department. More specifically, we identified 2 AIR and 4 Honorable Mentions.

EMS 98

EMS Ultrasounds Academics Fractures 98

RebelEM

APRIL 3, 2024

Monica Saxena is a practicing emergency physician and assistant professor at Stanford University School of Medicine. Her research focuses on reproductive justice and women’s health in the emergency department setting. REBEL Cast – EMTALA + Reproductive Health Click here for Direct Download of the Podcast.

Emergency Department 125

Emergency Department EMS Research Hospitals 125

ALiEM

OCTOBER 30, 2024

Case A patient arrives via EMS from the bus station complaining of fever, vomiting, and back pain. Bupe Allergy Buprenorphine induction has been the mainstay of emergency department treatment of opioid use disorder for more than a decade [11, 12]. Drug Checking Quarterly Report (Q3 2022). 2022; 06/26/2023.

Emergency Department 64

Emergency Department Operations Psychiatric EMS 64

RebelEM

MARCH 27, 2023

Over the past few years, there has been an increase in emergency department (ED) volumes and lengths of stay. The effect of emergency department crowding on lung-protective ventilation utilization for critically ill patients. 2022 Feb 8; PMID: 35156050 Higgins TL et al. 2022 Feb 24;7(1):29603. J Crit Care.

Emergency Department 52

Emergency Department Operations Academics Documentation/Coding 52

RebelEM

FEBRUARY 2, 2023

Background Information: Atrial fibrillation with rapid ventricular rate (RVR) is one of the many tachydysrhythmias we encounter in the Emergency Department (ED). Amiodarone versus digoxin for acute rate control of atrial fibrillation in the emergency department. Am J Emerg Med. Am J Emerg Med. 2022 Sep 7.

Emergency Department 52

Emergency Department Administration EMS Dehydration 52

Broome Docs

OCTOBER 31, 2022

Etomidate versus ketamine for emergency endotracheal intubation: a randomized clinical trial. 2022 Jan;48(1):78-91. PMID: 34904190 Not surprisingly, this paper has been covered by basically everyone who talks about research, so if you want to hear some other opinions, check out the SGEM , REBEL EM , or St. Emerg Med Australas.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Fluid Resuscitation Seizures Emergency Department 52

ALiEM

FEBRUARY 5, 2024

After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Digital Impact Factor [1], the ALiEM AIR Team is proud to present the highest quality online content related to related to toxicology in the Emergency Department. More specifically, we identified 3 AIR and 5 Honorable Mentions.

EMS 86

EMS Emergency Department 86

EMDocs

DECEMBER 11, 2023

As we all know, a critical concern for emergency physicians is identifying patients with heart tissue-threatening ischemia that could benefit from percutaneous catheterization via stent deployment by an interventional cardiologist. 2022 Nov 15;80(20):1925-1960. He underwent serial ECGs, which are shown below. J Am Coll Cardiol.

EKG/ECG 119

EKG/ECG Emergency Department Academics Operations 119

EMDocs

SEPTEMBER 19, 2023

Episode 86: Tricky Cases Part 2 Case 3: 56-year-old female with history of seizures, actively seizing, EMS called. Patient seized for approximately 20 minutes prior to EMS arrival. 2022 Nov 15;80(20):1925-1960. They administer two doses of 10 mg midazolam IM. J Am Coll Cardiol.

Seizures 98

Seizures Documentation/Coding EKG/ECG Emergency Department 98

EB Medicine

MARCH 7, 2022

Episode 67 – Managing Postpartum Complications in the Emergency Department – An Interview with Dr. Nicole Yuzuk, Dr. Joseph Bove, and Dr. Riddhi Desai EMplify – March 2022 Interview with the Authors: Nicole Yuzuk, DO, Joseph Bove, DO, and Riddhi Desai, DO Episode Outline: 1.Why Why is this an important topic in EM?

Emergency Department 52

Emergency Department Seizures EMS EKG/ECG 52

Broome Docs

OCTOBER 6, 2024

Mols EM, Haak H, Holland M, Schouten B, Ibsen S, Merten H, Christensen EF, Nanayakkara PWB, Nickel CH, Weichert I, Kellett J, Subbe CP, Kremers MNT; Safer@Home Research Consortium. Emerg Med J. doi: 10.1136/emermed-2022-213000. Emergency Medicine Journal Published Online First: 12 September 2024. A scoping review.

Emergency Department 102

Emergency Department EMS Research Outcomes 102

EMDocs

AUGUST 15, 2023

Published April 15, 2022. Accessed May 7, 2022. StatPearls Publishing; 2022. Accessed May 17, 2022. Accessed May 7, 2022. Accessed May 7, 2022. Accessed May 7, 2022. Accessed May 7, 2022. His father confirmed the snake was a copperhead. Treatment of snakebite poisoning. Am J Hosp Pharm.

Poisoning 98

Poisoning CDC Administration EMS 98

EMDocs

OCTOBER 2, 2024

These are commonly encountered in the emergency department, so being able to correctly identify the rhythm is extremely important. The post ECG Pointers: A Dynamic Approach to Tachydysrhythmias appeared first on emDOCs.net - Emergency Medicine Education. Let’s dive in! EKG Teaching Rounds.

EKG/ECG 105

EKG/ECG EMS Emergency Department 105

ALiEM

JULY 20, 2023

After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Social Media Index, the ALiEM AIR Team is proud to present the highest quality online content related to related to infectious diseases in the Emergency Department. More specifically, we identified 1 AIR and 5 Honorable Mentions.

Infectious Diseases 75

Infectious Diseases EMS Academics Emergency Department 75

ALiEM

NOVEMBER 3, 2023

After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Digital Impact Factor [1], the ALiEM AIR Team is proud to present the highest quality online content related to related to trauma in the Emergency Department. More specifically, we identified 3 AIR and 5 Honorable Mentions.

Blood Transfusions 84

Blood Transfusions EMS Emergency Department Resuscitation 84

EMDocs

SEPTEMBER 26, 2024

An attorney is consulted and a lawsuit filed against the hospital, the first ED physician, the EM group, and the PCP. References : System-Level Process Change Improves Communication and Follow-Up for Emergency Department Patients With Incidental Radiology Findings. 3 : September 2022. Baccei SJ et al. Tyler W et al.

Radiology 97

Radiology Radiology EKG/ECG Documentation/Coding 97

EMDocs

JANUARY 16, 2024

Authors: Christian Gerhart, MD (EM Resident Physician, Washington University in St. Louis); Dr. Jessica Pelletier, DO (EM Attending Physician, Washington University in St. You receive a page for a cardiac arrest and take report from emergency medical services (EMS). Per EMS he was very cold to touch.

Hyperthermia / Hypothermia 109

Hyperthermia / Hypothermia Resuscitation CPR EMS 109

Taming the SRU

JULY 22, 2024

INDICATIONS Arthrocentesis is a common procedure performed in the Emergency Department, in which a needle is inserted into a joint to withdraw fluid from the joint capsule. 2022, August 29). 2022, February 25). Joint Arthrocentesis in the Emergency Department” Emergency Medicine Reports, October; 38(19):217-231.

Ultrasounds 96

Ultrasounds Emergency Department EMS 96

ALiEM

OCTOBER 14, 2023

After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Digital Impact Factor [1], the ALiEM AIR Team is proud to present the highest quality online content related to related to respiratory diseases in the Emergency Department. Ann Emerg Med. Reference Lin M, Phipps M, Chan TM, et al.

EMS 67

EMS Academics Emergency Department Hospitals 67