ALiEM

MARCH 7, 2024

Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric renal and bladder ultrasonography. Facts and Literature Review Bladder volume estimation Measuring bladder volume via POCUS in pediatric patients has been studied, demonstrating a benefit on Emergency Department workflow and length of stay (Table 1).

Ultrasounds 70

Ultrasounds Pediatrics Radiology Radiology 70

ACEP Now

JUNE 7, 2023

The preliminary results of the 2022 Emergency Department Benchmarking Alliance performance measures survey found a significant deterioration in patient processing due to inpatient boarding. Preliminary results of the survey are being released to help emergency physicians understand that current challenges are occurring nationwide.

Emergency Department 52

Emergency Department Documentation/Coding Operations EMS 52

The Skeptics' Guide to EM

JULY 17, 2018

Validation of the Pediatric NEXUS II Head Computed Tomography Decision Instrument for Selective Imaging of Pediatric Patients with Blunt Head Trauma. AEM July 2018 Guest Skeptics: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. [display_podcast] Date: July 16th, 2018 Reference: Gupta M et al.

Pediatrics 52

Pediatrics Head Injuries Academics Emergency Department 52

Don't Forget the Bubbles

SEPTEMBER 30, 2024

In the UK, as in most developed countries, more patients are presenting to Emergency Departments (EDs) with minor illnesses or injuries. Emergency department overcrowding is a complex issue with multiple contributing factors. Learning about international trends sparked our curiosity about our own department.

Emergency Department 89

Emergency Department Research Pediatrics Hospitals 89

EMDocs

JUNE 9, 2023

If you have restraints in your ambulance, are those restraints appropriately sized for pediatric patients? If pharmacologic or physical restraints are used, it is very helpful to notify the receiving emergency department prior to arrival so they can be prepared.

EMS 95

EMS Documentation/Coding Pediatrics Psychiatric 95

The Skeptics' Guide to EM

MAY 7, 2017

Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine and the associate editor for emergency medicine simulation […] The post SGEM#177: POCUS – A New Sensation for Diagnosing Pediatric Fractures first appeared on The Skeptics Guide to Emergency Medicine.

Fractures 40

Fractures Pediatrics Ultrasounds Academics 40

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

ACEP Now

OCTOBER 9, 2024

Emergency physicians have long taken pride in delivering care every day of the week, every hour of the day. ACEP’s Emergency Department Accreditation program adds a layer to that, says Marianne Gausche-Hill, MD, FACEP, FAAP, FAEM, Chair of the program’s Board of Governors.

Emergency Department 52

Emergency Department Critical Access Geriatric Emergencies Ultrasounds 52

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. Authors of one study clearly felt the same way and implemented a direct admission program across three pediatric health systems.

Sepsis 40

Sepsis Research Airway Management Outcomes 40

ACEP Now

NOVEMBER 7, 2023

The Council consists of members representing ACEP’s 53 chapters, 39 sections of membership, the Association of Academic Chairs of Emergency Medicine, the Council of Emergency Medicine Residency Directors, the Emergency Medicine Residents’ Association, and the Society for Academic Emergency Medicine.

Academics 52

Academics Emergency Department Critical Access Pediatrics 52

EMDocs

JUNE 16, 2023

And now we’re here at our destination, the place we know and love, the emergency room to talk about what we should be doing for the growing volume of children with mental health problems boarding in the emergency department. Challenges while Boarding The length of stay for pediatric mental health visits has increased.

Psychiatric 52

Psychiatric Pediatrics Emergency Department Best Practices 52

ALiEM

OCTOBER 7, 2024

A 52-year-old female with a past medical history of hypertension and prediabetes presented to the emergency department with double vision that started one day prior to arrival. Etiology and treatment of pediatric sixth nerve palsy. She stated that her double vision improved when she closed one eye. 2010 Dec;14(6):502-5.

Academics 64

Academics Emergency Department Pediatrics Wellness 64

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. Increased Computed Tomography Utilization in the Emergency Department and Its Association with Hospital Admission.

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.

Dislocations 85

Dislocations Emergency Department Documentation/Coding Burns 85

Don't Forget the Bubbles

MAY 6, 2024

Acad Pediatr. The study included academic NICUs, which may reduce the generalisability of the results. Pediatric Critical Care Medicine , 25 (3), pp.e117-e128. Article 1: Positive urine cultures without pyuria Wang ME, Jones VG, Kane M, et al. 2024;24(1):111-118. doi:10.1016/j.acap.2023.06.023 2023.06.023 What’s it about?

Sepsis 75

Sepsis Outcomes Pediatrics Documentation/Coding 75

The Skeptics' Guide to EM

JULY 27, 2019

A Multifaceted Intervention Improves Prescribing for Acute Respiratory Infection for Adults and Children in Emergency Department and Urgent Care Settings. AEM July 2019 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and clinical lecturer in Calgary. Date: July 22nd, 2019 Reference: Yadav et al.

Urgent Care 52

Urgent Care Emergency Department Academics Pediatrics 52

Cook County EM Blog

APRIL 27, 2022

Effectiveness and safety of droperidol in a United States emergency department. Am J Emerg Med. 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.

Administration 52

Administration EKG/ECG Emergency Department EMS 52

EM Curious

JULY 24, 2015

A Comparison of Ultrasound-guided Three-in-one Femoral Nerve Block Versus Parenteral Opioids Alone for Analgesia in Emergency Department Patients With Hip Fractures: A Randomized Controlled Trial. Academic Emergency Medicine, 20(6), 584–591. Pediatric Emergency Care,30(4), 227–229. P., & Liebmann, O.

Fractures 52

Fractures Ultrasounds Emergency Department Dislocations 52

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. ASMBS pediatric committee best practice guidelines. I hope everybody enjoyed a fantastic conference. 2015;25(4):622-627. Surg Obes Relat Dis.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

The Skeptics' Guide to EM

MAY 28, 2022

Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE) 2: Low-Risk, Recurrent Abdominal Pain in the Emergency Department. Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE) 2: Low-Risk, Recurrent Abdominal Pain in the Emergency Department.

Emergency Department 40

Emergency Department EMS Academics Pediatrics 40

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. Patterns and Predictors of Health Care Utilization After Pediatric Concussion: A Retrospective Cohort Study. Martin, S.R.,

Hospitals 72

Hospitals Ultrasounds Emergency Department Pediatrics 72

PEMBlog

MAY 11, 2023

Pediatr Emerg Care This randomized, double-blinded, placebo-controlled trial in infants 0-3 months old getting an LP, younger than 3 months, presenting to the ED meeting clinical criteria for LP. Pediatr Emerg Care. Acad Emerg Med. Let’s take a look at a couple of studies. 2012 Jul;28(7):687-90.

Documentation/Coding 52

Documentation/Coding Pediatrics Emergency Department Academics 52

The Skeptics' Guide to EM

SEPTEMBER 7, 2018

Ben Lawton is a paediatric emergency physician in Brisbane Australia. He divides his time between a tertiary children’s hospital and a community hospital that is busy enough to have its own paediatric emergency department. He is part of the Don’t Forget the Bubbles team.

Dehydration 40

Dehydration Pediatrics Hospitals Academics 40

ACEP Now

JULY 6, 2023

Emergency physicians have earned the right to “re-brand” ourselves as indispensable, money-saving change agents in the health care enterprise. Of course, the bill for any episode of emergency department (ED) care can be substantial, exceeding the billed charges for equivalent care provided in some primary care offices.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52

Advanced Emergency Nursing from AENJ

NOVEMBER 7, 2015

In my opinion, hypnosis is a little-understood but potentially valuable technique for the emergency department. Why isn't hypnosis used more in emergency departments? Hypnosis in the treatment of acute pain in the emergency department setting. BMC pediatrics, 2(1), 11. [ This is difficult to modify.

Emergency Department 40

Emergency Department Pediatrics Emergency Nursing Seizures 40

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. July 2003), Emergency Nursing: Historical, Current, and Future Roles. Academic Emergency Medicine, 10: 798–804.

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

Don't Forget the Bubbles

SEPTEMBER 5, 2024

Comparing the performance of pediatric weight estimation methods. 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. Front Pediatr. 2024 Aug;82:26-32. doi: 10.1016/j.ajem.2024.04.053.

Ultrasounds 52

Ultrasounds Research Emergency Department Outcomes 52

ACEP Now

AUGUST 1, 2023

How does that apply to the role of the board certified emergency physician? Fundamentally, I believe every patient coming to an emergency department is best served by care delivered by board certified emergency physicians. If that sounds distinctly definitive, then point purposefully made. Another point purposefully made.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

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. Pediatric radiology , 48 , pp.735-744. Pediatrics , 102 (1), pp.73-76.

Pediatrics 111

Pediatrics Ultrasounds Operations Hospitals 111

Don't Forget the Bubbles

MAY 3, 2023

Insulin Infusion Dosing in Pediatric Diabetic Ketoacidosis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. The Pediatric Bougie for the First Tracheal Intubation Attempt in Critically Ill Children [published online ahead of print, 2023 Feb 23]. Ann Emerg Med. Prehosp Emerg Care. Crit Care Explor.

CPR 52

CPR Airway Management Emergency Department Resuscitation 52

ACEP Now

AUGUST 25, 2023

Intranasal Fentanyl for Sickle Cell Vaso-Occlusive Pain Case A 15-year-old female with sickle cell disease (SCD) presents to your emergency department (ED) with a vaso-occlusive pain episode (VOE) of her legs and back. IN fentanyl has been safely used to treat pain in pediatric patients. She has a history of similar episodes.

Administration 97

Administration Pediatrics Emergency Department Outcomes 97

ALiEM

OCTOBER 2, 2023

A 6-year-old male presented to the pediatric emergency department (PED) for scalp lesions. Pediatr Emerg Care. 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.

Ultrasounds 75

Ultrasounds Pediatrics Academics Emergency Department 75

EMDocs

NOVEMBER 25, 2023

Source Intranasal fentanyl and discharge from the emergency department among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: Am J Hematol. 2023 Apr;98(4):620-627. doi: 10.1002/ajh.26837.

Sepsis 63

Sepsis Emergency Department Pediatrics Academics 63

The Skeptics' Guide to EM

APRIL 6, 2024

He is the designer of Empiric Game, a medical editor and contributor to Pediatrics Reviews and Perspectives (PedsRAP) and the […] The post SGEM #435: Don’t Stop Believing…A Vaccine can Work for RSV first appeared on The Skeptics Guide to Emergency Medicine. N Engl J Med.

Pediatrics 53

Pediatrics Hospitals Research Academics 53

Don't Forget the Bubbles

SEPTEMBER 18, 2023

This blog post aims to help familiarise you with some of the most common reasons for prescribing antibiotics in the paediatric emergency department. Antibiotic Use for Common Infections in Pediatric Emergency Departments: A Narrative Review. Pediatr Infect Dis J. JAMA Pediatr. Karageorgos, S.;

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Emergency Department Infectious Diseases Pediatrics Sepsis 143

JournalFeed

NOVEMBER 18, 2023

Friday Spoon Feed In this large, multi-center retrospective study of academic pediatric emergency departments across the US and Canada, researchers found that children presenting with sickle cell disease vaso-occlusive events had nine times (900%) greater adjusted odds of discharge home if given intranasal fentanyl (INF).

Academics 52

Academics Emergency Department Pediatrics Research 52