EMDocs

MAY 25, 2023

mg/kg or 10 mg Seizures must persist for at least 5 minutes after administration of the prespecified benzodiazepines. In light of these data, I will give levetiracetam due to its less severe side effects and ease of administration. mg/kg or 10 mg Intravenous lorazepam 0.1 mg/kg or 4 mg Intravenous midazolam 0.2

Seizures 81

Seizures Administration Anaphylaxis Outcomes 81

RebelEM

OCTOBER 2, 2023

PMID: 36775281 Clinical Question: In adult patients with mild to moderate DKA, does a subcutaneous insulin protocol reduce ED length of stay compared to a traditional IV infusion DKA protocol? tests/hr (0.8 Traditional: 1.0 tests/hr (0.8 Pre-Intervention: 1.0 tests/hr (0.9 to 1.2); No Reduction/Increase 0.0% Pre-COVID: 1.0 tests/hr (0.8

Operations 97

Operations Academics Fluid Resuscitation Outcomes 97

RebelEM

NOVEMBER 6, 2023

ug/kg/min of norepinephrine equivalent at time of hydroxocobalamin or methylene blue administration Exclusion Criteria: Administration of hydroxocobalamin or methylene blue for non-VS indications Hydroxocobalamin or methylene blue given > 48 hours after CPB Pre-intervention cardiac index < 2.0 J Cardiothorac Vasc Anesth.

Shock 71

Shock Administration Academics Hospitals 71

EMDocs

SEPTEMBER 30, 2024

5 urban academic EDs, attending charts. The primary comparison was between administration of ICS in addition to systemic corticosteroids (SCS) and to SCS alone. Clinical question: In adult patients with asthma discharged from the ED, what are prescription rates for ICS? 4000 visits amount 3000 patients.

Outcomes 101

Outcomes Academics Documentation/Coding Emergency Department 101

PulmCCM

APRIL 29, 2024

ICUs, and a popular research focus for academics, generating a steady stream of papers. Hospital administrators put VAP on the kill list. Then, in 2009, the condition disappeared completely. Just kidding! In 2008, the U.S. Its incidence was closely tracked, and nonprofit organizations provided bundles for how to eradicate it.

Documentation/Coding 52

Documentation/Coding Academics Administration Research 52

Sensible Medicine

JUNE 15, 2024

These essays will be about how institutions, particularly academic medical leaders, fail doctors in training. They would rather hire more compliance officers and mid-level administrators. Let me discuss the ways in which medical school fails students. Future posts will be about residency and fellowship, and perhaps even junior faculty.

Research 144

Research Wellness Academics Administration 144

The Skeptics' Guide to EM

MAY 21, 2017

He is also the host of EMToxCast and gave a talk at the Association of Academic Chairs of Emergency Medicine Annual Retreat […] The post SGEM#179: Chase the Dragon and Naloxone first appeared on The Skeptics Guide to Emergency Medicine. display_podcast] Date: May 19th, 2017 Reference: Willman et al. Reference: Willman et al.

Emergency Department 52

Emergency Department Administration Academics EMS 52

JournalFeed

APRIL 15, 2023

Ketamine ICP Safety Spoon Feed This retrospective study of thirty-three pediatric patients with severe traumatic brain injury (sTBI) demonstrated no increase in intracranial pressure (ICP) after administration of ketamine.

Academics 52

Academics Pediatrics Operations Emergency Department 52

ALiEM

MARCH 15, 2024

Treatment usually involves the administration of steroidal and cycloplegic ophthalmic drops. Retrieved January 11, 2023, from [link] 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.

Academics 64

Academics Administration Wellness 64

PulmCCM

JANUARY 6, 2025

With financial penalties coming for noncompliance with the new rule, hospital administrators rapidly deployed the alerts to fire on all eligible inpatients. Administratively, CMS could convert SEP-1 to a “process”-based or “intermediate outcome measure” or another type. And have they fired.

Sepsis 45

Sepsis Documentation/Coding Hospitals Outcomes 45

SheMD

MAY 4, 2023

80% of department chair roles in academic medicine are held by men. Article Summary What they looked at: This article aimed to look at career trajectory differences between genders in faculty who have attained academic chair roles in emergency medicine. Similar Articles For further reading on the topic, check out these articles!

Leadership 52

Leadership Academics Operations Emergency Department 52

Cook County EM Blog

APRIL 27, 2022

2019.09.007 What : Retrospective cohort study of all droperidol administrations between January 2012 and April 2018 at an academic and pediatric emergency department in the US with 77,000 annual visits. Zero deaths were attributed to droperidol administration. Zero deaths were attributed to droperidol administration.

Administration 52

Administration EKG/ECG Emergency Department EMS 52

Sensible Medicine

MAY 9, 2024

But times have changed, and the tobacco industry is now held accountable for its research by the Food and Drug Administration. Many remember the 1994 congressional hearing where top executives of seven major tobacco companies asserted, one after the other, that nicotine was not addictive.

Research 98

Research COPD Academics Administration 98

The Skeptics' Guide to EM

SEPTEMBER 23, 2017

Academic Emergency Medicine. He is also the CME editor for Academic Emergency Medicine and the associate editor for emergency medicine simulation at the […] The post SGEM#189: Bring Me To Life in OHCA first appeared on The Skeptics Guide to Emergency Medicine. Academic Emergency Medicine. September 2017. September 2017.

CPR 52

CPR Academics Resuscitation Hospitals 52

ALiEM

SEPTEMBER 11, 2023

Timely administration of antibiotic drops and ophthalmology evaluation is crucial to prevent progression to corneal ulcer and the need for corneal transplant. Food and Drug Administration. Case Discussion Take-Home Points Corneal abrasions can occur in both eyes at once. Cont Lens Anterior Eye. 2021 Apr;44(2):330-367. 2021.02.010.

Administration 60

Administration Academics Emergency Department 60

ACEP Now

NOVEMBER 7, 2024

Still, all academic programs and health care organizations should recognize both American Red Cross and AHA certifications. Dr. Kellermann is an emergency physician, former medical school dean, and former academic health system CEO. Those that do can onboard new hires without requiring them to retake time-consuming coursework.

Advances Cardiac Life Support (ACLS) 74

Advances Cardiac Life Support (ACLS) Military CPR Basic Life Support 74

The Skeptics' Guide to EM

AUGUST 22, 2020

He is also the CME editor for Academic Emergency Medicine. He is also the CME editor for Academic Emergency Medicine. The US Federal Drug Administration (FDA) allowed for emergency development and use of rt-PCR assays, and dozens of companies released assay kits. Reference: Carpenter et al. Reference: Carpenter et al.

Emergency Department 52

Emergency Department Academics Research Administration 52

SheMD

JULY 23, 2023

Some of the interview information may not be relevant during the 2020-2021 & 2021-2022 academic years. Therefore, he worked with the primary care innovation department and learned hospital administration and clinical operations during his residency. Disclaimer: This post was written before the COVID-19 pandemic.

Research 98

Research Academics Hospitals Operations 98

ALiEM

OCTOBER 26, 2023

In order to avoid connectivity issues with Wifi, the event administrators broadcasted from an ethernet-connected computer. The selection of the presenters was based on their published FOAM resources and scores of each were reviewed on an objective grading system that was adopted from Academic Life in Emergency Medicine (ALiEM) [2].

EMS 64

EMS Academics Evidence-Based Practice Emergency Department 64

Don't Forget the Bubbles

MAY 29, 2023

Bullying in Academic Medicine: Experiences of Women Physician Leaders. Academic Medicine [Internet] 2023: 98:2:255-263. JONA: The Journal of Nursing Administration. Cochrane Database of Systematic Reviews [Internet] 2017, Issue 1. Iyer MS, Way DP, MacDowell DJ, Overholser BM, Spector MS, Nancy D, Reshma J. Smokler LP, Malecha A.

Leadership 98

Leadership Patient Safety Academics Research 98

RebelEM

MAY 11, 2023

3, 4 Much of the appeal of phenobarbital lies in its ability to stave off severe alcohol withdrawal symptoms days after administration, without the necessity of daily redosing. What They Did: Retrospective cohort study at a single academic medical center between July 1, 2016 to June 30, 2019. 5 Paper: Lebin J et al.

Emergency Department 89

Emergency Department Administration Hospitals Academics 89

The Skeptics' Guide to EM

JANUARY 20, 2018

She has contributed to the Academic Life in Emergency Medicine and EM PharmD blogs, […] The post SGEM#203: Let Me Clear My Sore Throat with a Corticosteroid first appeared on The Skeptics Guide to Emergency Medicine. She has contributed to the Academic Life in Emergency Medicine and EM PharmD blogs, and is a part of the ALiEM Capsules Team.

Academics 52

Academics Emergency Department EMS Administration 52

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

He heads curriculum and conference for the academic year and is passionate about resident […] The post SGEM#344: We Will…We Will Cath You – But should We After An OHCA Without ST Elevations? Guest Skeptic: Dr. Stephen Meigher is the EM Chief Resident training with the Jacobi and Montefiore Emergency Medicine Residency Training Program.

EKG/ECG 52

EKG/ECG Academics EMS CPR 52

The Skeptics' Guide to EM

APRIL 29, 2023

He is also the CME editor for Academic Emergency Medicine. He is also the CME editor for Academic Emergency Medicine. Case: You are moonlighting at the Veterans Administration emergency department (ED) and are caring for an Iraq veteran complaining of post-traumatic stress disorder (PTSD) and severe anxiety.

Psychiatric 40

Psychiatric Emergency Department Urgent Care Academics 40

PulmCCM

DECEMBER 10, 2023

Answering this research question has been made more difficult by pip-tazo’s possible status as a pseudo-nephrotoxin (elevating creatinine levels in the blood without harming the kidneys) and frequent co-administration with vancomycin, a known nephrotoxin.

Seizures 52

Seizures Sepsis Academics Administration 52

The Skeptics' Guide to EM

FEBRUARY 26, 2022

Population: Adults presenting to a single academic tertiary referral ED in Iowa with suicidal ideation or after a suicide attempt – determined using administrative data. Emergency psychiatric assessment, treatment, and healing (EmPATH) unit decreases hospital admission for patients presenting with suicidal ideation in rural America.

Psychiatric 52

Psychiatric Hospitals Research Academics 52

Don't Forget the Bubbles

JUNE 30, 2023

But remember – although the academic debate is great fun, don’t let it delay neuro-protective measures while debating the evidence! Tranexamic acid administration to pediatric trauma patients in a combat setting: the pediatric trauma and tranexamic acid study (PED-TRAX). The TIC-TOC trial will give us more answers.

Head Injuries 145

Head Injuries Seizures Pediatrics Outcomes 145

The Skeptics' Guide to EM

JUNE 9, 2018

She’s been a contributor for the Academic Life in Emergency Medicine and Emergency Medicine PharmD blogs and is a member of the ALiEMU Capsules team. Ann Emerg Med 2018 Guest Skeptic: Meghan Groth is a pharmacist who has been practicing in emergency medicine for the past six years.

Emergency Department 52

Emergency Department Academics Operations Administration 52

RebelEM

FEBRUARY 2, 2023

Unfortunately, the exact dose and time of administration of first line medications was not reported before a second line medication was given. Clinical Bottom Line: Numerically, amiodarone may be a better medication for rate and rhythm control. Therefore, no definitive conclusions can be made about this trial. References Mason JM, et al.

Emergency Department 52

Emergency Department Administration Dehydration EMS 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives This project was supported by the RCEM Dragon’s Den event in 2014, the inaugural Young Investigator’s Award in 2015, and extensive input from college academics. Salbutamol has the benefits of parenteral administration, rapid onset of action, and the ability to be used as an outpatient in inhaled form.

Academics 40

Academics Emergency Department Administration 40

Dr. Smith's ECG Blog

JULY 21, 2024

Distinction of PMVT vs VFib is an academic one in this case ). Administration of Procainamide is 10-17 mg/kg at 20 mg/min. The arrhythmia starts with a PVC having a short coupling interval. The R-R intervals of the VT are less than 200ms and ventricular rate > 300 bpm! Both PMVT and VFib occurred multiple times.

EKG/ECG 132

EKG/ECG Shock Hospitals Sepsis 132

EMDocs

JUNE 9, 2023

These protocols are often developed in collaboration with multiple stakeholders that can include EMS staff and administration, legal counsel, community members, law enforcement. A truly agitated patient may be better served being stabilized at the nearest hospital rather than longer transport to an academic children’s hospital.

EMS 95

EMS Documentation/Coding Pediatrics Psychiatric 95

Taming the SRU

FEBRUARY 24, 2024

Early recognition and prompt treatment is key. non-invasive positive pressure ventilation and IV nitroglycerin infusion have been shown to reduce morbidity (intubation rates, ICU admission) & mortality.

Leadership 94

Leadership EMS Pediatrics Stroke 94

EMDocs

OCTOBER 30, 2023

Relative proportions of reported diagnostic indications versus clinical outcomes in a retrospective analysis of all CT imaging in 3 EDs over 1 year at an academic center. A 12% reduction in CECTs performed was recorded after EHR interventions in a large health system encompassing 12 hospitals including academic and community medical centers.

Radiology 92

Radiology Radiology Emergency Department Hospitals 92

Sensible Medicine

MARCH 8, 2024

In 2022, I gave up didactic teaching and administrative roles in our medical school, so it made sense that I would soon step away from this course. I needed to find funding to support my time if I was going to develop an academic career. This puts me in the minority in the world of academic medicine.

Academics 50

Academics Administration Research Wellness 50

RebelEM

FEBRUARY 29, 2024

Limited to academic hospitals in one country, which may call generalizability into question. Baseline chest X-ray before randomization was not part of study protocol, so pneumonia prior to VAP diagnosis possible.

CDC 111

CDC Radiology Radiology Head Injuries 111

Dr. Smith's ECG Blog

SEPTEMBER 10, 2023

Academic Emergency Medicine 27(S1): S220; May 2020. Setting – large, academic, suburban ED. DISCUSSION: The administration of opioid analgesia prior to cath in patients with concern for ACS is associated with longer door-to-balloon times, and greater peak troponin levels. Abstract 556.

EKG/ECG 79

EKG/ECG Outcomes Academics Documentation/Coding 79