Don't Forget the Bubbles

JUNE 30, 2023

She has a right parietal-occipital region haematoma, and you think you might be able to feel a step – you’re pretty convinced she has a palpable skull fracture. But remember – although the academic debate is great fun, don’t let it delay neuro-protective measures while debating the evidence! Pupils are equal and reactive.

Head Injuries 145

Head Injuries Seizures Pediatrics Outcomes 145

ALiEM

SEPTEMBER 13, 2024

Laboratory Data CT Orbits/Sella w/ IV Contrast : No acute orbital fracture. 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. Visual acuity: able to count fingers. Extraocular movements intact.

Emergency Department 64

Emergency Department Academics Fractures Hospitals 64

ALiEM

FEBRUARY 28, 2024

Both bone forearm fracture with dorsal displacement AP. Academic Life in Emergency Medicine blog. Example: Mason J. Accessed February 20, 2024. CorePendium. Blogs Last Name First Initial. Article Title. Blog Title blog. Date Published. Date Accessed. Example: Park A.

Radiology 52

Radiology Radiology Academics Fractures 52

The Skeptics' Guide to EM

APRIL 8, 2023

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. Reconfiguring emergency and acute services: time to pause and reflect. BMJ Qual Saf. BMJ Qual Saf. Her main job is working for a think tank.

Stroke 56

Stroke Emergency Department COPD Academics 56

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

Sensible Medicine

JULY 31, 2023

Here is what Sanjay Kaul, Andrew Foy, and I wrote in an academic review. When these partial blockages are just there (stable), we don’t know that they will fracture and cause MI. In real life, you don’t know if a positive stress test will turn out to have left main disease.

Academics 94

Academics Fractures Outcomes Resuscitation 94

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

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. AEM July 2018 Guest Skeptics: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia.

Pediatrics 52

Pediatrics Head Injuries Academics Emergency Department 52

The Skeptics' Guide to EM

AUGUST 17, 2019

He is also the CME editor for Academic Emergency Medicine. He is also the CME editor for Academic Emergency Medicine. Case: You are taking care of a 56-year-old woman who presented to the emergency department with a Jones fracture. Opioid Use and Misuse Three Months After Emergency Department Visit for Acute Pain.

Emergency Department 52

Emergency Department Academics Fractures Outcomes 52

EM SIM Cases

DECEMBER 15, 2023

Clinical Vignette A 46-year-old woman pinned between truck and car has been resuscitated in ED and multiple injuries were identified, including bilateral rib fractures with flail chest, liver laceration and unstable T5-6 fractures with reduction of canal diameter.

Fractures 40

Fractures Resuscitation Academics Shock 40

The Injectable Orange

APRIL 4, 2017

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine , 21 (10), 1069–1082. The x-ray of her left shoulder is negative for any fracture. Fowler, S. A., & Lo, A. 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

Sensible Medicine

MARCH 14, 2024

A more inquisitive approach would seek to understand why the educational bargain feels more fractured now despite ACGME work hours being more “protective” than ever before. ” It would be lazy and irresponsible to chalk up the gamut of perspectives to generational “differences” in work ethic.

Hospitals 96

Hospitals Wellness Academics Fractures 96

Don't Forget the Bubbles

SEPTEMBER 30, 2024

Patients were excluded from the total if it was clearly noted that they had made another appointment (like seeing an out-of-hours GP), had an upcoming outpatient appointment (such as a fracture clinic visit for a known injury), or if the issue had already been resolved (for example, a foreign object removed by the patient or parent while waiting).

Emergency Department 89

Emergency Department Research Pediatrics Hospitals 89

Urgent Care Ultrasounds

MAY 15, 2018

There was no chest tenderness at the site of the pain to indicate a rib fracture and no clinically detectable signs of pneumothorax. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. A man in his 80’s tripped and fell, landing on his chest. 2016; 23(10):1170-1175.

Ultrasounds 40

Ultrasounds Academics Fractures Wellness 40

Pediatric Emergency Playbook

MARCH 1, 2016

He sustained a femur fracture, splenic laceration, and blunt head trauma – the so-called Waddell’s triad. Fox et al in Academic Emergency Medicine found a sensitivity of 52%; with a 95% confidence interval [CI] = 31% to 73%. Rib fractures on CXR predict pulmonary contusions. He decompensates and needs blood.

Resuscitation 40

Resuscitation Pediatrics Hyperthermia / Hypothermia Operations 40

Don't Forget the Bubbles

SEPTEMBER 5, 2024

A recent systematic review found that children with obesity at school entry are more likely to experience back pain, slipped capital femoral epiphysis or fractures during childhood. PMID: 38759251. What’s it about? 361,755 children (<18 years) were included in the study.

Ultrasounds 52

Ultrasounds Research Emergency Department Outcomes 52

Taming the SRU

AUGUST 30, 2023

A 2011 meta-analysis in the journal of Academic Emergency Medicine found ESR, CRP, and PCT were not acutely useful in the diagnosis of septic arthritis due to wildly varying sensitivities and specificities between studies. Identifying serious causes of back pain: cancer, infection, fracture. Cleve Clin J Med. 2008 Aug;75(8):557-66.

Infectious Diseases 89

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

Don't Forget the Bubbles

AUGUST 2, 2023

We know that fractures are the precipitating event in about 5–14% of cases and surgical procedures in 10–15%. Children and their families should undergo a psychological assessment to understand and properly address possible individual, familial, social or academic issues.

Psychiatric 98

Psychiatric Pediatrics Outcomes Academics 98

PHEM Cast

SEPTEMBER 14, 2022

Unfortunately these techniques take significant amounts of time (30 minutes plus); this delays access to potentially lifesaving treatments for injuries.

Fractures 52

Fractures Operations Outcomes Academics 52

EMDocs

NOVEMBER 13, 2023

23 Blunt carotid injury is more likely in patients with at least one of the following: Glasgow Coma Scale (GCS) ≤ 6, fracture of petrous bone, presence of diffuse axonal brain injury, and LeFort II/III fractures. 23 BCVI should be suspected with any high-energy trauma or any fractures of the maxilla or mandible. 24) Kelts, G.;

Stroke 103

Stroke Radiology Radiology Emergency Department 103

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.

Dislocations 52

Dislocations Academics Pediatrics Research 52

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

Taming the SRU

JUNE 6, 2023

then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9,

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64

Pediatric Education

JANUARY 12, 2025

Other therapy to address side effects also includes treatment for hypertension, glucose management, bone fractures and psychological treatment. It is not uncommon for at least 1 year of continued academic and other problems before there may be some resolution.

Pediatrics 40

Pediatrics Academics Fractures Wellness 40