ALiEM

SEPTEMBER 13, 2024

A 32-year-old male with no significant past medical history presented to the emergency department (ED) from an outside hospital for further management of right eye pain and vision loss sustained after he was struck by a metal wire while at work. Laboratory Data CT Orbits/Sella w/ IV Contrast : No acute orbital fracture.

Emergency Department 64

Emergency Department Academics Fractures Hospitals 64

The Skeptics' Guide to EM

APRIL 8, 2023

Reconfiguring emergency and acute services: time to pause and reflect. 2023 Apr Guest Skeptics: Dr. Louella Vaugh is an internist practising as a hospitalist physician at an academic centre in London, UK with a special interest in smaller, rural and remote healthcare. BMJ Qual Saf. BMJ Qual Saf. This is an SGEM Xtra episode.

Stroke 56

Stroke Emergency Department COPD Academics 56

The Injectable Orange

APRIL 4, 2017

There is a wealth of information relating to best practice in preventing falls and harm from falls, however there is little to guide the accurate prediction of future falls for geriatric patients presenting to the Emergency Department. Predicting Geriatric Falls Following an Episode of Emergency Department Care: A Systematic Review.

Emergency Department 52

Emergency Department Evidence-Based Practice Academics Documentation/Coding 52

EM Curious

JULY 24, 2015

It's a bit of a departure from what we've described above--he mainly goes right at a shaft fracture--but it's the same general idea: As always, these posts are for EDUCATIONAL PURPOSES ONLY. Academic Emergency Medicine, 20(6), 584–591. Ultrasound-Guided Three-In-One Nerve Block for Femur Fractures. doi:10.1111/acem.12154

Fractures 52

Fractures Ultrasounds Emergency Department Dislocations 52

The Skeptics' Guide to EM

JULY 17, 2018

AEM July 2018 Guest Skeptics: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine Case: You’re […] The post SGEM#225: NEXUS II – Validation of the Pediatric Head CT Decision Instrument first appeared on The Skeptics Guide to Emergency Medicine.

Pediatrics 52

Pediatrics Head Injuries Academics Emergency Department 52

Taming the SRU

AUGUST 30, 2023

While PCT may be more specific for bacterial infections, it is flawed by still being rather non-specific and is not validated as a stand-alone diagnostic criteria for infection in the setting of the emergency department. Evaluation of fever in the emergency department. ng/mL (strongly recommended against antibiotics), 0.1-0.25

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

Don't Forget the Bubbles

SEPTEMBER 5, 2024

Am J Emerg Med. In the emergency department resuscitation room, weight is usually estimated using an age-based formula until the child is stabilised and can be safely weighed. 2024 Aug;82:26-32. doi: 10.1016/j.ajem.2024.04.053. 2024.04.053. Epub 2024 May 3. PMID: 38759251. What’s it about?

Ultrasounds 52

Ultrasounds Research Emergency Department Outcomes 52

EMDocs

NOVEMBER 13, 2023

The use of CTA (computed tomography angiography) in the emergency department (ED) has increased dramatically in the past 20 years. 23 Blunt vertebral artery injury has been found to be associated with older age, female sex, lower GCS, presence of neck pain, cervical spine fracture, and blunt carotid injury.

Stroke 103

Stroke Radiology Radiology Emergency Department 103

Don't Forget the Bubbles

OCTOBER 4, 2023

In this issue of the Archives , we read a large retrospective study about gastric acid suppression in infancy and the increased risk of fractures. The intriguing finding of this study was the fact that non-fracture injuries increased, which could suggest that another factor (the temperament of the child rather than gastrin or VitB metabolism?)

Pediatrics 111

Pediatrics Fractures Outcomes Research 111

ACEP Now

MARCH 5, 2025

We think our programstrikes a perfect balance of providing incredible clinical training in an academic environment. This means that we get so much hands-on experience doing procedures like fracture/dislocation reductions, complex laceration repairs, ENT procedures, and advanced eye exams. Another huge draw is our pediatric training.

Dislocations 52

Dislocations Academics Pediatrics Research 52

Taming the SRU

JUNE 6, 2023

then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9, million presentation to ED’s throughout the US Usually occur due to falls Also commonly occur due to sports, MVC’s, etc.

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64