Don't Forget the Bubbles

MAY 17, 2023

2023 Apr 17. 2023 Apr 25;329(16):1386-1398. 2023 Apr 29. 2023 Apr 24. 2023 Apr 12. Post-operative pain in children: Comparison of pain scores between parents and children. 2023 Apr 28. 2023 Apr 25. 2023 Apr 25. 2023 Apr 25. 2023 Apr 24. 2023 Apr 18:S0890-8567(23)00185-5.

Pediatrics 72

Pediatrics X-Ray Interpretation Sepsis Fractures 72

Pediatric EM Morsels

JUNE 30, 2023

I know we already know this, but it especially true when you are talking about trying to obtain images on a wiggling fetus somewhere around the size of a banana.

Ultrasounds 281

Ultrasounds Pediatrics Operations EMS 281

Emergency Live

SEPTEMBER 28, 2023

FROG.PRO presents its RESCUE line: innovation and quality for emergencies In a world where unpredictable events require fast and efficient solutions, FROG.PRO, with a decade of experience in the field of military operations, lands at REAS 2023.

Military 59

Military Operations 59

Emergency Live

MAY 30, 2024

How Case Studies Can Improve Rescue Operations Some successfully handled incident case studies can serve as excellent foundations for better preparing future rescues and organizing updates and new guidelines for rescuers. Let’s analyze some.

Operations 97

Operations 97

Emergency Live

SEPTEMBER 28, 2023

Sinora Srl takes the field at the 2023 edition of REAS with the latest mission- and business-critical technology at the service of industry operators The 22nd International Emergency Exhibition is just around the corner.

Operations 105

Operations 105

PulmCCM

NOVEMBER 17, 2023

Kenny MD [ @heart_lung ] In part 1 , right atrial pressure [P ra ] and cardiac output/venous return [CO/VR] were considered as two hemodynamic measures bound at the operating point [OP] of the circulatory system. OP is operating point. Shows what happens when Ppc, Pmsf, Rcardiac and Rvr all vary [grey operating points].

Operations 132

Operations Ultrasounds Resuscitation Blood Transfusions 132

RebelEM

NOVEMBER 6, 2024

Elbow Dislocation Definition: Disarticulation of the proximal radius & ulna bones from the humerus Epidemiology: Incidence Second most common joint dislocation (after shoulder) in adults Most commonly dislocated joint in children Accounts for 10-25% of all injuries to the elbow ( Cohen 1998 ) Posterolateral is the most common type of dislocation (..)

Dislocations 109

Dislocations Fractures Soft Tissue Injuries Outcomes 109

Pediatric EM Morsels

NOVEMBER 17, 2023

2023 Apr 28;24(3):579-587. 0.41), p < 0.001. Paediatr Anaesth. 2018 Mar;28(3):210-217. doi: 10.1111/pan.13340. PMID: 29436138. Kim JH, Ahn JH, Chae YJ. Pediatric Application of Cuffed Endotracheal Tube. West J Emerg Med. doi: 10.5811/westjem.59560. PMID: 37278787; PMCID: PMC10284523. Shah A, Carlisle JB. Anaesthesia. doi: 10.1111/anae.14787.

Pediatrics 183

Pediatrics Emergency Department Outcomes Sepsis 183

The Trauma Pro

JUNE 13, 2023

And even if you firmly believe you can’t be swayed, you can’t change the basic operating system in your brain. 0000000000004024, 2023. Believe it or not, these little things can change your attitude regarding their product. Your behavior will change. What if the gift is not so small? What about a research grant?

Research 189

Research Academics Operations Hospitals 189

Pediatric EM Morsels

MARCH 1, 2024

Chest CT Demonstrates parenchymal disease better Allows for operative planning (if needed) Lung Abscess in Children: Management Rarity of the condition affects what is known (no randomized control trials on therapeutic options). Patients with immunocompromised conditions are at risk of Fungal infections.

Ultrasounds 169

Ultrasounds Pediatrics Operations Hospitals 169

Total Medical ComplianceHIPAA

NOVEMBER 13, 2023

They are: Health IT developers of certified health IT Entities offering certified health IT Health information exchanges Health information networks These penalties began on September 1, 2023, and OIG will not be imposing penalties for any blocking conduct that happened prior to that date. Supply appropriate personal monitoring (e.g.,

Operations 52

Operations 52

Pediatric EM Morsels

JUNE 16, 2023

Available at: [link] (Accessed: 12 June 2023). Available at: [link] (Accessed: 12 June 2023). Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Arch Gen Med. 1863;1:20-38, 172-200, 300-332 Sharareh, B. and Taylor, B. 2021) Morel-Lavallee lesion , Orthobullets.

Soft Tissue Injuries 152

Soft Tissue Injuries Dehydration Fractures Operations 152

RebelEM

APRIL 17, 2023

2023 Jan 10. Furthermore, another small retrospective study found that approximately 30% of patients with CT-diagnosed PTA lacked purulence on drainage attempts (Eliason 2023). While operator dependent, the dynamic ability of POCUS augments bedside diagnosis and can assist with drainage. 2023 Feb 9;15(2):e34820.

Ultrasounds 129

Ultrasounds Radiology Radiology Operations 129

ACEP Now

JANUARY 5, 2025

Secondary hemorrhage occurs between days five and 14 post-operatively, peaking around days five to seven. The literature suggests that approximately 85 percent of these cases require procedural source control in the operating room, highlighting the importance of expediting transport arrangements. Published November 2023.

Airway Management 90

Airway Management Operations Resuscitation Pediatrics 90

ACEP Now

JUNE 21, 2023

For example, applicant interest in EM significantly declined after the EM workforce report was published resulting in a final count of 132 unfilled programs in 2023. Therefore, applicant, funding, and operational factors may influence programs to offer a particular curriculum length. Advanced Data Tables 2023 Main Residency Match.

EMS 114

EMS Academics Telemedicine Operations 114

Taming the SRU

SEPTEMBER 22, 2023

389, 418–429 (2023). million adults undergo tracheal intubation outside of the operating room each year in the United States. The operator reported a subjective assessment of the anticipated difficulty. of operators being either emergency medicine residents or critical care fellows. Background More than 1.5

Operations 103

Operations Outcomes Emergency Department Academics 103

Don't Forget the Bubbles

JANUARY 1, 2024

Data from the Nurse-Family Partnership program involving 60,171 families were analysed across four cohorts, including pre-pandemic and three pandemic cohorts (from July 2022 to October 2023). However, children who had an operation experienced improvements in behaviour, symptoms, and quality of life and had lower blood pressure.

Pediatrics 98

Pediatrics Ultrasounds Blood Transfusions Sepsis 98

RebelEM

OCTOBER 2, 2023

The SQuID Protocol (Subcutaneous Insulin in /diabetic Ketoacidosis): Impacts on ED Operational Metrics. Acad Emerg Med 2023. No statistical differences in safety between groups Operational Impact Median ED LOS (PRIMARY OUTCOME): SQuID: 8.9hrs (6.5 Acad Emerg Med 2023. Paper: Griffey RT et al. tests/hr (0.8 Traditional: 1.0

Operations 99

Operations Academics Outcomes Fluid Resuscitation 99

ACEP Now

MARCH 6, 2024

The Sisyphean task remains to try to keep up—and, in that vein—here is a light round of the emergency medicine literature from 2023. 7 The operators involved in the trial were mostly emergency medicine residents or critical care fellows, but this fact does not diminish the generalizability of these observations. All bleeding stops.

Research 52

Research Airway Management Stroke Outcomes 52

The Skeptics' Guide to EM

SEPTEMBER 2, 2023

Date: August 30, 2023 Reference: Griffey et al. The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics. AEM August 2023 Guest Skeptic: Dr. Suchismita Datta. Date: August 30, 2023 Reference: Griffey et al. AEM August 2023 Guest Skeptic: Dr. Suchismita Datta.

Operations 79

Operations Diabetic Emergencies Hospitals Research 79

Pediatric EM Morsels

APRIL 28, 2023

In general, non-operative treatment is reserved for Type I fractures and type II. Non-operative management is appropriate if extensor mechanism is intact and the avulsed fragment is displaced less than 2 mm or able to be reduced (hyperextension at the knee) to an acceptable degree of displacement.

Fractures 130

Fractures Pediatrics Operations Wellness 130

Don't Forget the Bubbles

JUNE 30, 2023

These procedures require an experienced operator. A joint statement released by the American College of Surgeons/American College of Emergency Physicians recommends that zone 1 REBOA should only be performed if the anticipated time to start the operation is less than 15 minutes. These procedures require an experienced operator.

Resuscitation 139

Resuscitation Operations Sepsis Pediatrics 139

Taming the SRU

MAY 22, 2023

weight-bearing status, operative vs. non-operative) If necessary/helpful to ensure adequate follow-up At time of discharge: Counsel on expected course of injury, supportive care (e.g., Accessed March 5, 2023. Updated 2023 Apr 22]. A comparison between pre-operative ultrasonography and surgical findings. 9(1):31-36.

Fractures 76

Fractures Dislocations Operations Radiology 76

PulmCCM

SEPTEMBER 4, 2024

OP is operating point, the operating point defines the cardiac output on the y-axis and Pra on the x-axis; Rcardiac is cardiac resistance (i.e., OP1 is operating point 1 at baseline. With tamponade, operating point 2 (OP2) is formed. Pmsa and Pra do not correlate (inset, upper right). cardiac function).

Ultrasounds 84

Ultrasounds Operations Research Outcomes 84

EMDocs

JANUARY 11, 2025

Operative management is necessary for signs of peritonitis, evidence of perforation, extensive bowel involvement >40cm, or after failed medical management. 2-4, 6, 8, 9, 12, 13, 14 Operative intervention typically consists of emergency laparotomy with bowel resection, colostomy formation, and Hartmann pouch creation. In StatPearls.

EMS 72

EMS Sepsis Shock Fluid Resuscitation 72

EMDocs

FEBRUARY 7, 2024

Despite a plateau in overall union membership of around 10% in 2023 1 , major labor actions shook the U.S. 3 Increasing Strikes and Unions Labor actions in healthcare can disrupt normal hospital operations, potentially impacting costs and threatening patient quality of care. October 16, 2023. 2023 October 9.

Hospitals 77

Hospitals Research Patient Safety Wellness 77

EMDocs

MAY 25, 2024

Ferri’s clinical advisor 2023. 01/01/2023:1391-1392.e1. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Accessed June 22, 2023. Treasure Island (FL): StatPearls Publishing; September 26, 2022. Insalaco LF. Sialadenitis. doi: 10.1016/B978-0-323-75573-3.00837-4. Adhikari R, Soni A. Updated 2022 Aug 8].

EMS 80

EMS Dehydration Operations Hospitals 80

The Trauma Pro

MAY 26, 2023

Possible interventions were none, operation, angioembolization, or blood transfusion. J Trauma Nurs 30(3), 135–141, 2023. The retrospectively reviewed patients with liver or spleen injury over five years. They examined how often serial hemoglobin determinations influenced management during the study period.

Blood Transfusions 100

Blood Transfusions Operations Pediatrics Hospitals 100

Emergency Live

AUGUST 19, 2024

27% in più rispetto al 2023 The summer of 2024 proved to be particularly demanding for the Italian fire brigade. Oltre 531.000 interventi dall’inizio dell’anno, in particolare dovuti agli incendi.

Operations 52

Operations 52

Broome Docs

APRIL 30, 2024

2023 Feb 8:S0735-6757(23)00066-9. 2023 Mar 6;5(3):e0855. Video Laryngoscopy vs Direct Laryngoscopy for Endotracheal Intubation in the Operating Room: A Cluster Randomized Clinical Trial. 2023 Aug 17;389(7):e12. Epub 2023 Aug 12. J Trauma Acute Care Surg. 2022 Aug 1;93(2):157-165. doi: 10.1097/TA.0000000000003554.

Poisoning 70

Poisoning Dislocations Operations Ultrasounds 70

ACEP Now

SEPTEMBER 3, 2024

6,17-18 In a 2023 systematic review, no studies showed decreased costs to patients or payors, and the effect of PE ownership on quality of care measures was “mixed to harmful,” a pattern that has continued in subsequent studies. While secrecy surrounds the operations of many PE-owned groups, Envision serves as a case study.

Hospitals 113

Hospitals Radiology Radiology Administration 113

Don't Forget the Bubbles

NOVEMBER 22, 2023

They concluded that propofol is safe, particularly in short-term sedation, but should be used with caution outside of the operating room, given some of the potentially severe adverse events (including PRIS) seen. 2023) ‘Propofol’, in StatPearls. Available at: [link] (Accessed: 14 September 2023). References Bray RJ. Folino, T.B.

Pediatrics 126

Pediatrics Research EKG/ECG Operations 126

Ken Grauer, MD

SEPTEMBER 6, 2024

Depending on which of above considerations is operative — the differential diagnosis of the rhythm in ECG #1 will be between: i ) A reentry SVT rhythm with retrograde atrial conduction; ii ) ATach ( A trial T achycardia ) ; — or — iii ) Junctional Tachycardia. It finally responded to high-dose IV Verapamil.

EKG/ECG 245

EKG/ECG Administration Wellness Operations 245

RebelEM

MAY 27, 2024

mg/kg) or starting at 12 mg might be more effective for certain populations (Deck 2023, Cabalag 2010). Published 2023 Mar 10. Evidence suggests that a weight-based dosing approach (0.1 Additionally, robust evidence supports using calcium channel blockers, which may have a more favorable side effect profile (Holdgate 2006).

Outcomes 135

Outcomes Research Hospitals Operations 135

EMDocs

NOVEMBER 1, 2023

Accessed September 30, 2023. Accessed September 30, 2023. Accessed October 1, 2023. Answer : Esophageal Perforation 1-6 Epidemiology : Most frequent etiology is iatrogenic injury from instrumentation accounting for 60% of cases (e.g. upper endoscopy, transesophageal echo, etc.). McGraw-Hill Education; 2014. Am J Emerg Med.

Operations 67

Operations Radiology Radiology Fluid Resuscitation 67

The Skeptics' Guide to EM

JUNE 15, 2024

2023 Date: June 10, 2024 Guest Skeptic: Dr. Rob Leeper is an intensivist, trauma surgeon, and general surgeon at Western University where he also serves as the director of the Royal College Surgical Foundations program. These approaches hold the possibility of enhancing our ability to save patient’s lives.

Resuscitation 89

Resuscitation Patient Safety Operations Emergency Department 89

ALiEM

SEPTEMBER 13, 2024

An emergent ophthalmology consult is needed to plan for operative repair. 2023, March 23). Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. Consult ophthalmology emergently.

Emergency Department 64

Emergency Department Fractures Academics Hospitals 64