JournalFeed

APRIL 15, 2023

Bougie First Spoon Feed The use of a bougie for pediatric intubation was not associated with increased first pass success or increased complication rates compared to an endotracheal tube (ETT) with a stylet at an academic emergency department where operators are facile with the bougie.

Academics 52

Academics Pediatrics Operations Emergency Department 52

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. Female chairs obtained more advanced degrees (47.4%

Leadership 52

Leadership Academics Operations Emergency Department 52

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. An emergent ophthalmology consult is needed to plan for operative repair.

Emergency Department 64

Emergency Department Fractures Academics Hospitals 64

Don't Forget the Bubbles

JANUARY 8, 2024

Dr Bourke’s work is not only about deepening academic understanding but also about forging practical approaches to help healthcare professionals navigate the nuanced and often uncertain waters of adolescent care in emergency settings. Mulraney, M., Coghill, D., Sciberras, E., and Sawyer, M.,

Research 105

Research Emergency Department Psychiatric Academics 105

The Skeptics' Guide to EM

NOVEMBER 21, 2020

Date: November 19th, 2020 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. The impact of advanced practice provider staffing on emergency department care: productivity, flow, safety, and experience. Reference: Pines et al.

Emergency Department 52

Emergency Department Telemedicine Academics Outcomes 52

Taming the SRU

OCTOBER 23, 2023

THE CASE A female in her early 20s, G4P2012, presents to the emergency department (ED) with a 5 day history of left lower quadrant abdominal pain which has been worsening since onset. At this point, the patient is taken to the operating room for a diagnostic laparoscopy. Academic Emergency Medicine, 14: 755-758.

Ultrasounds 98

Ultrasounds Operations Radiology Radiology 98

The Skeptics' Guide to EM

JUNE 9, 2018

Aromatherapy Versus Oral Ondansetron for Antiemetic Therapy Among Adult Emergency Department Patients: A Randomized Controlled Trial. Ann Emerg Med 2018 Guest Skeptic: Meghan Groth is a pharmacist who has been practicing in emergency medicine for the past six years. We covered that paper on the SGEM in Episode #144.

Emergency Department 52

Emergency Department Academics Operations Administration 52

RebelEM

JUNE 8, 2023

If pre-made syringes are not financially feasible then the creation of these medications should be done by a dedicated emergency department pharmacist. Clinical Bottom Line: Acute hypotension must be treated emergently in order to decrease morbidity and mortality. J Med Toxicol. Epub 2019 Jul 3. Intensive Care Med.

Administration 98

Administration Emergency Department Outcomes Documentation/Coding 98

ACEP Now

JANUARY 5, 2025

The PREOXI trial compared oxygen mask pre-oxygenation versus noninvasive positive-pressure ventilation (NIPPV) in patients requiring intubation in emergency departments (EDs) and intensive care units. Effectiveness of direct admission compared to admission through the emergency department: a stepped-wedge cluster-randomized trial.

Sepsis 40

Sepsis Research Airway Management Stroke 40

EMDocs

OCTOBER 30, 2023

Background and Context Contrast-enhanced computed tomography (CECT) is of paramount importance in the emergency department (ED) due to its indispensable role in facilitating precise diagnostic outcomes. Retrospective study done by Monash University in Melbourne (largest radiology department in Australia) (Average daily scans plotted).

Radiology 92

Radiology Radiology Emergency Department Hospitals 92

Taming the SRU

AUGUST 4, 2024

to teach you and your learner something new on shift skin adhesives WITH dr. hill Dermabond is a polymer (octyl cyanoacrylate) that can be used to repair lacerations in the Emergency Department faster than sutures, allowing the ED physician to be more efficient. The largest retrospective cohort study to date (Beyde et al.)

Dislocations 85

Dislocations Emergency Department Documentation/Coding Burns 85

EMDocs

SEPTEMBER 25, 2023

Improved Visualization: Video laryngoscopes allow for the use of standard or hyperangulated geometry, essentially allowing the operator to “look around the corner” on an anterior airway. Operators can manipulate the blade with less force to optimize the view, making it easier to identify and navigate the endotracheal tube into the trachea.

Emergency Department 84

Emergency Department Soft Tissue Injuries Airway Management Operations 84

Emergency Medicine Journal

MAY 23, 2023

Methods In this retrospective study, we included all adult patients who visited the ED of a single urban academic tertiary-care university hospital in South Korea for five consecutive years (1 January 2015 to 31 December 2019). The data set was randomly split into train and test sets (1:1) for internal validation.

Outcomes 40

Outcomes Emergency Department Academics Operations 40

ALiEM

SEPTEMBER 9, 2024

A 61-year-old female with a past medical history of hypertension, hyperlipidemia, type 2 diabetes, and normal pressure hydrocephalus s/p VP shunt (last revision nine months ago) presented to the Emergency Department (ED) for evaluation after noticing a “string” coming out of her anus today. Interdisciplinary Neurosurgery, 13, 66-70.

Sepsis 60

Sepsis Academics Operations Emergency Department 60

EB Medicine

JULY 8, 2019

This month, we are sticking in the abdomen for another round of evidence-based medicine, focusing on Emergency Department Management of Patients With Complications of Bariatric Surgery. Jeff: Even more shockingly, some series showed a 52% repeat operation rate. These patients often require emergent operative intervention.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

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

The Skeptics' Guide to EM

DECEMBER 12, 2020

She is Chair of the Royal College of Emergency Medicine Women in Emergency Medicine group and involved with the RCEM Public Health and Informatics groups. Case: A 52-year-old previously healthy woman presents to your emergency department (ED) with an abscess on her left forearm.

Operations 52

Operations Outcomes Research Academics 52

The Skeptics' Guide to EM

NOVEMBER 20, 2021

You wonder if any emergency department (ED)-based interventions would help her and people like her be safe. Back then we found that at one academic site older adults attending ED with falls didn’t receive guideline-based assessment, risk stratification or management. There are three other GEAR 1.0

Geriatric Emergencies 52

Geriatric Emergencies Elder Abuse Research Academics 52

Don't Forget the Bubbles

JANUARY 31, 2024

Article 1: What predicts parental anxiety in the Paediatric Emergency Department? Predictors of parental anxiety in a paediatric emergency department. Emergency Medicine Journal. Academic Pediatrics 2024 24 1 51-58 What’s it about? Martin, S.R., Heyming, T.W., Fortier, M.A. and Kain, Z.N. 40:715–720.

Hospitals 72

Hospitals Ultrasounds Emergency Department Pediatrics 72

Downeast Emergency Medicine

DECEMBER 17, 2021

Emergency medicine (EM) was first recognized as a specialty by the American Medical Association (AMA) in 1972. Since that time, EM residencies have grown and evolved to provide academic support and training for graduating medical students interested in pursuing a career in the field.

EMS 52

EMS Academics Operations Emergency Department 52

Advanced Emergency Nursing from AENJ

OCTOBER 8, 2017

However, what is unique in Emergency Nurses , is the ability to confront, decisively and actively, any emergency, regardless of medical specialty; to do so instantly, and without initial direction. Or another, at which the ambulance crew would have to call the hospital's telephone operator to send someone to unlock the door at night.

Emergency Nursing 40

Emergency Nursing Emergency Department Hospitals Academics 40

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

ACEP Now

DECEMBER 10, 2023

Today Dr. Calderon is known for her research into HIV and Hepatitis C prevention, but she didn’t start off on an academic track. It can be overwhelming work, she agrees, but she prefers to take a methodical approach to health equity problems, similar to the “organized chaos” she’s used to from the emergency department.

Research 52

Research Point-of-Care Testing Burns Academics 52

ACEP Now

NOVEMBER 7, 2023

In turn, concerns have arisen regarding when information blocking is appropriate and what ethical issues emergency department (ED) physicians must consider prior to information blocking. 2 Information blocking is any practice that is “likely to interfere with access, exchange, or use of [EHI].” ONS Health IT website. 2019;21(6):e13791.

Documentation/Coding 52

Documentation/Coding Ethical Issues Best Practices Academics 52

Don't Forget the Bubbles

FEBRUARY 7, 2024

My first real encounter with the healthcare system took place when I was about seven years old and had to go into hospital for an orchidopexy, so I can empathize with all the young people who come through our emergency department with acute testicular pain. Urgent senior review, decision making and operation 31.3%

Pediatrics 111

Pediatrics Ultrasounds Operations Hospitals 111

Don't Forget the Bubbles

MAY 3, 2023

Ann Emerg Med. This single-centre academic urban institution in the United States (US) undertook a 10-year retrospective observational study of paediatric intubation and bougie use in their emergency department (ED). Because of the retrospective nature of the study, the decision to use the bougie was operator-dependent.

CPR 52

CPR Airway Management Emergency Department Resuscitation 52

RebelEM

DECEMBER 19, 2022

While many healthcare systems across the world operate in a similar fashion, the United States does not. The fragility index of these findings found to be 1 for VC and 9 for DED Obtaining a second defibrillator in the emergency department or intensive care unit can be very easy to do. REFERENCES: Cheskes S, et al.

EMS 52

EMS CPR Shock Resuscitation 52

Dr. Smith's ECG Blog

APRIL 8, 2015

Academic Emergency Medicine., The ROSE (Risk Stratification of syncope in the emergency department) Study. Methods: This was a single center, prospective, observational study of adults presenting to the emergency department with syncope. Thiruganasambandamoorthy, V., Sivilotti, M., Mukarram, M., Baumann, B.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 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. Pearls and Pitfalls CT Angiography has become a more readily available tool for diagnosis in the emergency department though requires an understanding of its specific uses and indications.

Stroke 103

Stroke Radiology Radiology Emergency Department 103

ALiEM

FEBRUARY 12, 2024

A 28-year-old female G3P2002 presented to the emergency department for one month of vaginal bleeding. The patient was seen in the emergency department one month earlier for vaginal bleeding in the first trimester of pregnancy. Her estimated gestational age was six weeks by last menstrual period. Gynecologic Oncology, vol.

Ultrasounds 64

Ultrasounds Emergency Department Academics Operations 64

EM Literature of Note

JANUARY 4, 2025

Well, “yes” and “of course not” In this demonstration project, these authors set up a mobile phone video camera at the foot of patients’ beds in the emergency department. Patients were instructed to perform a series of simple tasks (touch your nose, answer questions, etc.) while being recorded.

Emergency Department 88

Emergency Department Academics Operations Hospitals 88

Don't Forget the Bubbles

JANUARY 6, 2025

They all used different ultrasound devices with varying levels of operator training. Reviewed by : Shaza Gaafar Article 4: Thunderstorm Asthma Charles G Stewart, Ayushi Mahesh, Claire Mulvenna – Thunderstorm asthma: a paediatric emergency department experience in London: BMJ Paediatrics Open 2024;8:e002572.

Dislocations 59

Dislocations CPR Ultrasounds Resuscitation 59