Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives Research in the Emergency Department needs to be delivered in real time, within a specific clinical time-frame, and on a wide variety of conditions and states of emergency, on participants presenting in an unscheduled manner at any time.

Emergency Department 40

Emergency Department Research Outcomes Hospitals 40

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.

Emergency Department 152

Emergency Department Hyperthermia / Hypothermia Seizures Pediatrics 152

ACEP Now

OCTOBER 10, 2023

A 76-year-old female presents to the emergency department obtunded with left hemiplegia. Both INTERACT-2 and ATACH-2 showed no statistical difference in their primary outcome between intensively lowering the BP and a less-intensive strategy. 1,2 The 2022 AHA/ASA Guidelines give several recommendations on this topic.

Outcomes 52

Outcomes Stroke Hospitals Emergency Department 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives In recent years there has been a large increase in demand for emergency care across the country, particularly during winter. This study utilised 12 months’ of routinely collected data from Emergency Departments (EDs) and acute Admitted Patient Care Episodes (APCs) to understand trends in demand for emergency care.

Emergency Department 40

Emergency Department Hospitals Outcomes Research 40

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives Chest drains are commonly inserted in the Emergency Department (ED) with a complication rate of 30-40%. Training in chest drain insertion is essential in Emergency Medicine (EM) as approximately 25,000 patients undergo in England and Wales undergo this procedure annually.

Emergency Department 40

Emergency Department EMS Research Operations 40

Don't Forget the Bubbles

MAY 31, 2023

Children presenting with diabetes and diabetic ketoacidosis to Emergency Departments during the COVID-19 pandemic in the UK and Ireland: an international retrospective observational study. 2023 May 17:archdischild-2022-325280. doi: 10.1136/archdischild-2022-325280. What outcomes did they look at? Arch Dis Child.

Emergency Department 135

Emergency Department Research Documentation/Coding Outcomes 135

The Skeptics' Guide to EM

AUGUST 10, 2024

He is an assistant professor in Emergency Medicine, Neurology, and Neurosurgery at the School of Medicine at the University of Washington. Case: A 65-year-old man is brought into the emergency department (ED) by emergency medical services (EMS) after his family saw him slump over at the dinner table.

Stroke 73

Stroke Airway Management Outcomes Documentation/Coding 73

Emergency Medicine Journal

AUGUST 23, 2023

Methods We searched MEDLINE, Embase, Cochrane Central Register of Controlled Trials, other relevant trial registries, journals, and conference proceedings up to September 2022. The primary outcome was change in severity of nausea, measured by a validated scale. A secondary outcome was vomiting during the ED stay.

Emergency Department 40

Emergency Department Outcomes 40

EMDocs

AUGUST 22, 2024

12 How do we address these disparities in the emergency department? Certified interpreter use can improve communication and patient outcomes. An implementation science approach improves language access in the emergency department. One cohort study in a public ED found that 84.5% 45:446-458. Taira B, et al.

Documentation/Coding 82

Documentation/Coding Emergency Department Best Practices Federal Emergency Management Agency 82

The Skeptics' Guide to EM

APRIL 2, 2022

Date: March 31st, 2022 Reference: Butt et al. Take-Pause: Efficacy of mindfulness-based virtual reality as an intervention in the pediatric emergency department. Date: March 31st, 2022 Reference: Butt et al. Take-Pause: Efficacy of mindfulness-based virtual reality as an intervention in the pediatric emergency department.

Pediatrics 52

Pediatrics Emergency Department Outcomes Research 52

Taming the SRU

MARCH 27, 2024

The parent trial was conducted from October 2020 to July 2022 in the capital region of Denmark. The primary outcome was cumulative norepinephrine use during the first 48 hours of admission. That said, outcomes for these patients are generally poor and the use of steroids as a one-time dose likely has little risk. Hill, J.

Resuscitation 96

Resuscitation Outcomes CPR Hospitals 96

Broome Docs

JANUARY 30, 2023

2022 Nov 6. Am J Emerg Med. 2022 Nov;61:87-89. Epub 2022 Aug 28. Acad Emerg Med. 2022 Nov;29(11):1403-1404. Epub 2022 Aug 17. Association of Chest Pain Protocol-Discordant Discharge With Outcomes Among Emergency Department Patients With Modest Elevations of High-Sensitivity Troponin.

Emergency Department 52

Emergency Department Outcomes Ultrasounds Pediatrics 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Background Antibiotic stewardship in the ED is important given the increasing prevalence of multidrug resistance associated with poorer patient outcomes. Results Data demonstrated an upward trend in the number of monthly users of E*Drive from 1 April 2021 to 30 April 2022, with an average increase of 46 users per month. to 21.41)).

Clinical Decision Support Systems 40

Clinical Decision Support Systems Emergency Department Outcomes 40

The Skeptics' Guide to EM

SEPTEMBER 9, 2023

Case: It is a steady Saturday afternoon in your rural emergency department (ED). Tessa Davis covered the FORCE trial on SGEM #372 which looked at buckle fractures and compared immobilization in a cast or splint vs. a soft bandage and they found no difference in pain scores or functional outcomes. Reference: Snelling et al.

Fractures 126

Fractures Ultrasounds Pediatrics Outcomes 126

Don't Forget the Bubbles

OCTOBER 4, 2023

In the same journal , we learned that in fetuses with transposition of great arteries (TGA), a better prenatal diagnosis led to poorer early postoperative outcomes. A Randomized Controlled Trial of a NICU Language Intervention for Parents of Preterm Infants and Two-Year Language Outcomes. 2023 Sep 27:archdischild-2022-325239.

Pediatrics 111

Pediatrics Fractures Outcomes Research 111

RebelEM

JULY 24, 2023

This approach has been shown to benefit patients when agents like propofol and midazolam are used. ( Russotto 2022 , Choi 2004 ). Population: Patients > 14 years of age who underwent RSI with either etomidate or ketamine from the National Emergency Airway Registry (NEAR). Emerg Med J. Paper: Driver BE et al. mg/kg 1.33

Resuscitation 98

Resuscitation Outcomes Emergency Department EMS 98

The Skeptics' Guide to EM

DECEMBER 10, 2022

Date: November 30th, 2022 Reference: Johnson et al. One-year outcome of surgery compared with immobilization in a cast for adults with an undisplaced or minimally displaced scaphoid fracture: A meta-analysis of randomized controlled trials. Date: November 30th, 2022 Reference: Johnson et al.

Operations 52

Operations Fractures Military Emergency Department 52

EM Literature of Note

MARCH 2, 2023

First, and not least, the Annals of Emergency Medicine Podcast , the Ryan and Rory Show, recapping the articles from each month’s issue, available for free on your choice of streaming platforms: Apple Podcasts Google Podcasts Soundcloud Then, there’s always something to learn from ACEP Now!

Emergency Department 52

Emergency Department Resuscitation Shock EMS 52

Dr. Smith's ECG Blog

OCTOBER 18, 2023

If you were working in a busy emergency department, would you like to be interrupted to interpret these ECGs or can these patients safely wait to be seen because of the normal computer interpretation? Emergent cardiac outcomes in patients with normal electrocardiograms in the emergency department.

EKG/ECG 121

EKG/ECG Documentation/Coding Emergency Department Outcomes 121

The Skeptics' Guide to EM

JULY 30, 2022

Date: July 28th, 2022 Reference: Brower et al. AEM July 2022 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Date: July 28th, 2022 Reference: Brower et al. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals.

Ultrasounds 52

Ultrasounds Operations Outcomes Documentation/Coding 52

NIOSH Science Blog

JULY 22, 2022

Since early in the pandemic, reports have abounded of healthcare personnel (HCP) being infected, sometimes resulting in severe outcomes and death. As of July 20, 2022, there have been nearly 1 million COVID-19 cases and over 2,000 deaths reported to CDC among U.S. Emergency departments (EDs) are one care

CDC 40

CDC Emergency Department Outcomes 40

Taming the SRU

SEPTEMBER 25, 2023

Musculoskeletal injuries are a common occurrence, representing a substantial number of Emergency Department visits on an annual basis. 1) Oftentimes, Emergency Physicians are the first provider patients encounter after an injury. 2022 May 16;10(14):4684-4690. screws for medial malleolus. References 1. World J Clin Cases.

Fractures 99

Fractures Emergency Department Operations EMS 99

RebelEM

APRIL 29, 2024

Given AHA guidelines recommend early epinephrine administration in cardiac arrest, obtaining access is imperative for resuscitative efforts ( 9) When evaluating over 300,000 out-of-hospital cardiac arrests, a meta-analysis found no significant change in primary outcomes when IV and IO access were compared ( 10 ). 2022 PMID: 35206981 2.

Resuscitation 102

Resuscitation Administration Emergency Department Hospitals 102

EMDocs

SEPTEMBER 27, 2023

Additionally, a 2022 study in JAMA found no association between MIPS measures and any meaningful clinical outcomes and moreover physicians who cared for the most medically and socially vulnerable were more likely to receive worse scores (8). link] Bond, A. ” JAMA 328 (21): 2136-2146.

Emergency Department 63

Emergency Department Research Outcomes Hospitals 63

The Skeptics' Guide to EM

MARCH 18, 2023

Association of early oseltamivir with improved outcomes in hospitalized children with influenza, 2007-2020. She is also the […] The post SGEM #397: Give a Little Bit…of Oseltamivir to Pediatric Patients Admitted with Influenza first appeared on The Skeptics Guide to Emergency Medicine. JAMA Pediatr. JAMA Pediatr. JAMA Pediatr.

Pediatrics 40

Pediatrics Infectious Diseases Administration Outcomes 40

RebelEM

MARCH 23, 2023

The primary outcome, hospital length of stay, was significantly shorter both before and after propensity score adjustment for the phenobarbital group. The 30-day emergency department readmission rate and all-cause 30-day readmission were significantly lower only when adjusted for propensity scores.

Emergency Department 52

Emergency Department Outcomes Hospitals Burns 52

The Skeptics' Guide to EM

JULY 23, 2022

Date: July 22nd, 2022 Reference: Perry et al. Tessa Davis is a Paediatric Emergency Consultant at the Royal London Hospital, Senior Lecturer at Queen Mary University of London, Co-founder of Don’t Forget The […] The post SGEM#372: Use the FORCE for Buckle Wrist Fractures in Children first appeared on The Skeptics Guide to Emergency Medicine.

Fractures 52

Fractures Pediatrics Outcomes Emergency Department 52

The Skeptics' Guide to EM

FEBRUARY 5, 2022

Date: February 7th, 2022 Reference: Williams et al. JAMA Pediatrics 2022 Guest Skeptic: Dr. Dennis Ren is a pediatric emergency medicine fellow at Children’s National Hospital in Washington, DC. Date: February 7th, 2022 Reference: Williams et al. Reference: Williams et al.

Pediatrics 52

Pediatrics Emergency Department Hospitals Outcomes 52

JournalFeed

MARCH 26, 2022

The JournalFeed podcast for the week of March 21-25, 2022. For continued access to all the JournalFeed has to offer will require you to be a member as of April 4th, 2022. Check out journalfeed.org for details.

Documentation/Coding 40

Documentation/Coding Stroke Emergency Department Resuscitation 40

The Skeptics' Guide to EM

APRIL 8, 2023

There have been many “temporary” rural emergency department closures during the past last year. In Ontario alone there have been approximately 160 emergency departments (ED) temporarily closed since the beginning of 2022. It was a stepped-wedge reconfiguration of the entire Danish emergency healthcare system.

Stroke 55

Stroke Emergency Department Academics COPD 55

The Skeptics' Guide to EM

MARCH 4, 2023

Ann Emerg Med. 2022 Guest Skeptic: Dr. Dominique Trudel is a CCFP-EM resident in Ottawa, Ontario. Ann Emerg Med. 2022 Guest Skeptic: Dr. Dominique Trudel is a CCFP-EM resident in Ottawa, Ontario. Case: Jim is a 50-year-old male who presents to the emergency department with anterior epistaxis.

Outcomes 40

Outcomes EMS Emergency Department Hospitals 40

Don't Forget the Bubbles

DECEMBER 20, 2023

This talk, from Dr Eve Purdy, was given at our 2022 DFTB conference. The Hospital’s Cultural Landscape In the heart of the hospital, where medical emergencies unfold, and teams collaborate under intense pressure, the significance of culture becomes apparent.

Teamwork 52

Teamwork Leadership Emergency Department Hospitals 52

RebelEM

JANUARY 30, 2023

PSA, also referred to as intravenous sedation in this paper, requires considerable resources, including 1:1 nursing observation, and burdens the emergency department (ED). Heterogeneity (I 2 ) for the primary outcome was 69%, representing a moderate value. Paper: Sithamparapillai A, Grewal K, Thompson C, Walsh C, McLeod S.

Dislocations 55

Dislocations Outcomes Emergency Department Research 55

PulmCCM

NOVEMBER 6, 2023

open label) at 17 sites in Belgium in 2020-2022, 35% of those receiving plasma died at 28 days, vs. 45% of the usual care patients — a number needed to treat of 10 to save one life. The intervention took place in the emergency department, with device placement by ED physicians. Thromboelastometry (e.g.,

Blood Transfusions 98

Blood Transfusions Operations Resuscitation Infectious Diseases 98

EMDocs

JUNE 27, 2024

2022 Jul 5;328(1):57-68. Am J Emerg Med. 2022 Aug;58:235244. Epub 2022 Jun 11. Am J Emerg Med. 2022 Aug;58:235-244. Epub 2022 Jun 11. 2022 Aug 29;13:796837. Sickle Cell Disease: A Review. Pediatr Allergy Immunol Pulmonol. 2017 Dec 1;30(4):191-201. PMID: 35717760. Eur J Intern Med. Am J Hematol.

Pediatrics 75

Pediatrics EMS Dehydration Hospitals 75

Northwestern EM Blog

JANUARY 2, 2023

While this may be surprising, there is literature that shows that catastrophic events can be associated with increased social support and reduce suicidal outcomes [4]. A pediatric emergency department in Texas looked at the resulted of their routine suicide risk screenings for patients aged 11-21. JAMA Netw Open. 2020.34261 5.

Emergency Department 52

Emergency Department Research CDC Pediatrics 52

EMDocs

JANUARY 16, 2024

Louis) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case You are working in the trauma/critical care pod of your emergency department (ED). You receive a page for a cardiac arrest and take report from emergency medical services (EMS). Ann Emerg Med. doi: 10.1097/MAT.0000000000001518

Hyperthermia / Hypothermia 84

Hyperthermia / Hypothermia Resuscitation CPR EMS 84