Taming the SRU

OCTOBER 16, 2024

VTE is associated significantly with maternal mortality, and has been cited by the CDC to be up associated with 10.5% Pregnant patients are inherently higher risk for VTE, and because of this are excluded from normal clinical decision tools like Wells Criteria that would normally be able to help guidance our clinical decisions.

Airway Management 74

Airway Management Fractures CDC Pediatrics 74

Pediatric Education

JANUARY 21, 2024

7YOs can: Gross motor Rides a 2-wheel bike well Can perform most activities of daily living almost independently but may need occasional help with difficult clothing, etc. Accessed October 2, 2023. Child Development: Middle Childhood (6-8 years old) | CDC. Accessed October 2, 2023. Accessed October 2, 2023.

Pediatrics 40

Pediatrics CDC Wellness 40

ACEP Now

OCTOBER 15, 2023

Patients were prescribed a schedule of twice-daily analgesia, and were allowed to increase the dose from 5 mg to 10 mg if pain was not initially well-controlled. CDC website. Accessed September 17, 2023. He is the Annals of Emergency Medicine podcast co-host and Journal Club editor and can be found on Twitter @emlitofnote.

Emergency Department 52

Emergency Department Outcomes CDC Research 52

ACEP Now

JULY 6, 2023

5 Patients with acute ischemic strokes, STEMIs, and trauma, as well as many other diagnoses, have their workup largely completed, and even sometimes definitive therapy executed, before they leave the emergency department, rather than requiring inpatient units. In 2023 we must move beyond that title. Accessed June 10, 2023.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52

Pediatric EM Morsels

NOVEMBER 3, 2023

Another change is the CDC approved the use of IV artesunate for malaria treatment in the US in May 2022. This allowed US hospitals to stock the drug to ensure quick treatment of suspected severe cases, rather than having to ship it from the CDC under the prior expanded-access protocol (Thomas 2023). Third times the charm!

Seizures 281

Seizures Pediatrics CDC Infectious Diseases 281

Pediatric EM Morsels

JANUARY 19, 2024

Unfortunately, the possibility of congenital infections always looms large as well, including congenital syphilis. CDC 2023] In 2021, there were over 2800 cases of congenital syphilis, tripled from 2017. Hussain 2023] With proper treatment, bone lesions and periostitis resolve within 6 weeks or so and full recovery can be made.

Infectious Diseases 271

Infectious Diseases CDC Pediatrics Fractures 271

Pediatric EM Morsels

MARCH 17, 2023

In the US, the venomous snakes include rattlesnakes , copperheads, cottonmouths/water moccasins , and coral snakes [ CDC, 2021 ] Rattlesnakes live all across the United State s Copperheads inhabit the eastern U.S. If you are managing a snake bite from a snake that does not typically reside in the U.S.,

CDC 130

CDC Poisoning Pediatrics Shock 130

PulmCCM

AUGUST 7, 2023

Circulation) Yet CDC was claiming precisely the opposite in its Morbidity and Mortality Weekly Report around the same time. Some have even suggested that CDC was aware of the concerning European data, and chose to publish an alternative narrative that better supported universal vaccination. (To health systems. university campuses.

CDC 98

CDC Hospitals Administration Research 98

ACEP Now

OCTOBER 3, 2023

In April 2023, the third edition of the Brain Trauma Foundation’s evidence-based guidelines for the prehospital management of traumatic brain injury (TBI) was published in Prehospital Emergency Care. 2023; [link] Centers for Disease Control and Prevention. National Center for Health Statistics: Mortality Data on CDC WONDER.

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98

EMDocs

SEPTEMBER 7, 2023

DGA concentrates in the kidney tissue and causes nephrotoxicity, as well as neurotoxicity. Elimination half-life data is not well established but increases in larger overdoses and as renal injury begins to occur. CDC’s Morbidity and Mortality Weekly Report. 2023 Mar 3;72(9):217-222. References: Abubukar et al.

Poisoning 91

Poisoning CDC Administration Emergency Department 91

ACEP Now

AUGUST 15, 2023

While there has been ample discussion of “the practice of mindfulness” in health care workers that improves mental well-being, when do we have this time? However, expressing genuine gratitude for yourself and others is powerful for your mental and physical well-being. However, they should not define our wellness. Cogn Ther Res.

Emergency Department 90

Emergency Department Military Resuscitation Wellness 90

Medical Law

JUNE 20, 2023

Bicycle Helmet Safety Standards According to the Center for Disease Control and Prevention (CDC), nearly 1000 Americans die, and over 130,000 are injured annually in bicycle crashes and falls. The defective Giro helmets were sold at various retail outlets between September 2021 and January 2023 and retailed for about $220.

Documentation/Coding 52

Documentation/Coding CDC Research Wellness 52

ACEP Now

SEPTEMBER 13, 2023

We wanted to reach emergency physicians, nurses and others working in trauma as well as those at Health and Human Services and the Centers for Disease Control. as well as working closely on behalf of the association on projects with the White House and the Departments of Veterans Affairs, Defense, and Health and Human Services.

EMS 45

EMS Research Academics Military 45

PulmCCM

OCTOBER 30, 2023

This made VAP hard to track, so CDC invented an odd new epidemiologic entity called “ ventilator-associated events ” (which do not require microbiology or chest film interpretation) as a proxy for actual VAPs. .” This trial was a triumph of international cooperation studying a low-cost drug at hundreds of sites.

Sepsis 52

Sepsis Shock Hospitals Infectious Diseases 52

EMDocs

NOVEMBER 4, 2024

She denies any trauma, swelling, or redness in the joints, as well as fever or weight loss. 2023 Nov;82(5):615-623. Epub 2023 May 13. CDC Guideline for Prescribing Opioids for Chronic Pain–United States, 2016. The pain is worse with activity but improves with rest. Feb 2016;56(2):331-40. doi:10.1111/head.12767

Emergency Department 106

Emergency Department Fractures Burns EMS 106

RebelEM

NOVEMBER 11, 2024

4 The 2023 ACORN Trial ( covered here on REBEL EM ) randomized 2,511 patients requiring antipseudomonal coverage to receive either cefepime or piperacillin-tazobactam. Learning to recognize a strong instrumental variable, as well as the inherent limitations, will likely become increasingly high yield. In 2021, Buckley et.

Sepsis 108

Sepsis Outcomes Administration Shock 108

ALiEM

DECEMBER 9, 2024

Physical Exam Vitals : BP 128/84; HR 88; Temp 98F; RR 18; SpO2 (on RA) 100% General : Well appearing HEENT : No conjunctival injection Cardiovascular : S1, S2; no murmurs, rubs, or gallops Skin : Erythematous patch with central clearing in left popliteal fossa Laboratory Data WBC : 5.1 Platelets : 223 Sodium : 139 Creatinine : 0.8

Emergency Department 60

Emergency Department CDC EMS Academics 60

PEMBlog

APRIL 4, 2025

Well, we’re gonna compare the clinical presentation of bacterial infections in unvaccinated and unvaccinated children versus fully immunized children in the emergency department, and we will assess the need for empiric antibiotics and diagnostic testing in this challenging population. So as of the 2023-24 school year, about 3.3%

Infectious Diseases 76

Infectious Diseases Pediatrics Emergency Department Wellness 76

Pediatric EM Morsels

OCTOBER 6, 2023

(Forster, 2021) Transmission is by Fecal-Oral route (Chiodini 2018) Incubation period 6-30 days after exposure (Chiodini 2018) Salmonella typhi produces an endotoxin although its clinical significance is not yet well understood (Gibani 2019) Two typhoid vaccines are available for those > 6 m/o and are 50-80% effective. Clin Infect Dis.

Pediatrics 164

Pediatrics CDC Seizures Documentation/Coding 164

Taming the SRU

JANUARY 22, 2025

2,3] In 2020, the CDC estimates that asthma exacerbations accounted for almost 1,000,000 ED visits and almost 100,000 inpatient hospitalizations. [4] Armed with algorithms and with albuterol in hand, remember to take a deep breath and help your patients to do so as well! Epidemiology of Chronic Obstructive Pulmonary Disease.

COPD 80

COPD CDC Research Emergency Department 80

EMDocs

NOVEMBER 25, 2024

volvulus as well as improvements in the diagnosis and treatment of this morbid disease. Open-access image reference: By Giovanni Maki, derived from a CDC image at [link] – Basáñez M-G, Pion SDS, Churcher TS, Breitling LP, Little MP, et al. Updated 2023 Aug 25]. 13 Figure 1. volvulus life cycle. PLoS Med 3(9): e371.

Infectious Diseases 73

Infectious Diseases Emergency Department EMS Administration 73

PulmCCM

OCTOBER 23, 2023

Add to these a large retrospective observational study (in JAMA 2023), which used propensity matching among 6866 Canadian patients (median age 70) with Covid-19 in the Omicron era, comparing the rate of emergency department visit, hospitalization, or death from any cause (composite outcome) for those who received Paxlovid with those who did not.

Hospitals 98

Hospitals COPD Emergency Department CDC 98

EMDocs

MARCH 11, 2024

Zinc therapy The Centers for Disease Control and Prevention (CDC) recommends starting zinc supplementation in children with cholera infection. Zinc therapy The Centers for Disease Control and Prevention (CDC) recommends starting zinc supplementation in children with cholera infection. Published online August 7, 2023. 32 Table 3.

Dehydration 111

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 111

PulmCCM

SEPTEMBER 28, 2023

In most of these studies, diagnostic imaging was only performed on patients at higher pretest probability for PE according to Wells criteria or other risk stratification. Prevalence of pulmonary embolism was 17%, and overall prevalence of deep venous thrombosis or PE was 25%. Covid-associated hospitalizations are lower than last month.

COPD 95

COPD Stroke Academics Urgent Care 95

Sensible Medicine

MAY 17, 2023

Moreover, the CDC found that through September 24 th , 2022 only 83/25,038 (0.3%) cases were in those under 18. Well done, Benjamin Ryan. Their messages were discordant with the evidence and may have created undue anxiety as well as led to unnecessary spending and energy spent trying to prevent Mpox spread in grade schools.

CDC 98

CDC Administration Wellness 98

Sensible Medicine

JULY 27, 2023

Specifically MedRxiv and SSRN have been reluctant to post articles critical of the CDC, mask and vaccine mandates, and the Biden administration’s health care policies. Ironically, two of them refused to post this article as well! In it, we reveal a startling pattern of censorship and inconsistent standards from pre-print servers.

CDC 98

CDC Administration Research Hospitals 98

EMDocs

NOVEMBER 2, 2024

The CSF studies return positive for CSF VDRL as well as for CSFfluorescent treponemal antibody-absorption test (FTA-ABS), with 75 WBCs/microL and a CSF protein of 60 mg/dL and elevated opening pressures. Cerebrospinal fluid (CSF) studies are obtained in the recumbent position for opening pressures. Treatment is supportive.

EMS 115

EMS Infectious Diseases CDC Research 115

EMDocs

JANUARY 6, 2025

She receives IV calcium gluconate and bicarbonate as well as oral potassium binders for hyperkalemia. 1 By the end of 2023, 117.3 4,5 Of particular concern is the Sudanese conflict, which began in April 2023, and which has caused the largest internal displacement of a population in documented history. of the global population.

Infectious Diseases 75

Infectious Diseases CDC PPE Rapid Diagnostic Testing 75

Sensible Medicine

NOVEMBER 26, 2024

A 2023 meta-analysis targeting six studies found that Black patients were physically restrained in the emergency room more often than patients of other racial groups. The CDC deems racism “a public health threat” because it leads to disparities. This paper is certainly not an isolated example.

Research 99

Research Outcomes CDC Hospitals 99

Sensible Medicine

JANUARY 11, 2025

Here, he gives clear guidance for how the CDC can work to restore the trust that the agency forfeited with idiotic guidance, such as: 2 year olds should wear a mask, and kids should sit 6 feet apart on the bus. During the covid pandemic, several of the CDC’s most controversial recommendations were anonymous.

CDC 117

CDC Administration Wellness Research 117

Sensible Medicine

DECEMBER 5, 2024

The most recent example I found was a 2023 interview with FOX News where he stated, " I do believe that autism does come from vaccines. In some instances Dr. Fauci and the CDC ignored the data and made policies that were effectively anti-science. I can predict the counter-arguments. The establishment is just as bad.

CDC 113

CDC Research Documentation/Coding Hospitals 113