Downeast Emergency Medicine

MARCH 3, 2021

Check out our podcast by clicking HERE In medicine we often draw a solid line between community and academic medicine, but this is likely a fallacy. In fact there is a huge amount of academia that can be found and thrive in a community hospital. Any Emergency Medicine (EM) provider. with FOAM). 4) It gives us a voice.

Academics 52

Academics Emergency Department EMS Hospitals 52

ACEP Now

NOVEMBER 14, 2023

In 1901, UVA opened its first hospital with 25 beds and three operating rooms. But inside these charming historic walls is a research-driven, quaternary-care, academic, medical center. While most academic EDs have lost pediatric volume, the UVA ED continues to see almost 20 percent pediatric patients.

Academics 52

Academics Emergency Department Leadership Operations 52

EMDocs

APRIL 3, 2025

This is Medic 929 coming in Priority 1, Hospital, do you copy? Go ahead Medic 929, this is the hospital Hey Doc, were about 7 minutes out from your location with an 87-year-old male coming in with weakness and on-and-off syncope for the past 3 hours. Please check it out. Without further ado, lets look at some ECGs! Ok, game time.

EKG/ECG 98

EKG/ECG Documentation/Coding Wellness EMS 98

Don't Forget the Bubbles

JANUARY 31, 2024

As a Trauma Unit within the Thames Valley Trauma Network, Wexham Park Hospital hosts trainees from across the spectrum of acute specialties. Two really important patient groups were excluded – those who were admitted to hospital and families who were not fluent in English. Academic Pediatrics 2024 24 1 51-58 What’s it about?

Hospitals 72

Hospitals Ultrasounds Emergency Department Pediatrics 72

Sensible Medicine

JUNE 28, 2024

A 76-year-old woman presents to a community hospital after waking with garbled speech and right-sided weakness. If I had it all to do again, there is no doubt that I would choose medicine in general and academic general internal medicine in particular, but occasionally we all have a bad week. The hospital does an excellent job.

Stroke 106

Stroke Academics EKG/ECG Hospitals 106

The Trauma Pro

JUNE 13, 2023

Ever wonder why your hospital won’t let pharma representatives sponsor lunches anymore? These can significantly improve one’s academic rank, job security, financial status, and more. .” Psychological research has demonstrated time and time again that human behavior is easily influenced. Or even give you a pen?

Research 189

Research Academics Operations Hospitals 189

ACEP Now

JUNE 21, 2023

2,3 In the 2021-2022 academic year, categorical (non-combined) EM residency lengths included 221 (80 percent) PGY 1-3 and 55 (20 percent) PGY 1-4 programs. A fourth year of EM training offers additional supervised clinical and academic experience. Residency length has varied since the inception of the specialty of emergency medicine.

EMS 114

EMS Academics Telemedicine Operations 114

RebelEM

OCTOBER 2, 2023

Mild to moderate DKA represents a subgroup of patients that often require admission to the ICU due to hospital policies not allowing insulin infusions outside of this clinical setting. However, it is unclear if all degrees (mild, moderate, severe) of DKA require the same intensive treatment. tests/hr (0.8 Traditional: 1.0 tests/hr (0.8

Operations 102

Operations Academics Fluid Resuscitation Outcomes 102

PulmCCM

JUNE 12, 2023

Temperature management (or fever avoidance) should begin immediately after cardiac arrest (ideally in the emergency department, for out-of-hospital arrests) and continued for at least 72 hours. with acetaminophen) until temperatures reached 37.8 °C who then received external cooling to maintain a target temperature of 37.5 °C.

Hyperthermia / Hypothermia 105

Hyperthermia / Hypothermia Academics Documentation/Coding Outcomes 105

ACEP Now

AUGUST 22, 2023

In an environment in which patients may have their entire work-up in the waiting room, or attend a critical access hospital staffed by non-emergency physicians, or lack the financial support to follow up with an appropriate specialist, a pragmatic approach to care is required. References Society for Academic Emergency Medicine.

Emergency Department 98

Emergency Department Academics Critical Access Research 98

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. The SCREEN Trial SCREEN was a stepped-wedge cluster randomized trial of an EMR alert for organ failure, conducted at 45 wards of 5 hospitals in Saudi Arabia from 2019 to 2021.

Sepsis 45

Sepsis Documentation/Coding Hospitals Outcomes 45

Northwestern EM Blog

MARCH 27, 2025

Mount Sinai Hospital Department of Anesthesia Perioperative Interactive Education. John Bailitz, MD Vice Chair for Academics, Department of Emergency Medicine Professor of Emergency Medicine, Feinberg School of Medicine Northwestern Memorial Hospital How To Cite This Post: [Peer-Reviewed, Web Publication] Premer-Barragan, C.,

Ultrasounds 52

Ultrasounds Dehydration Academics Hospitals 52

ACEP Now

AUGUST 25, 2023

The Pediatric Pain Management Standard 1 for children was published this year to provide guidance to health organizations on how to deliver equitable and quality pain management across hospital settings. The differences observed in this study make it uncertain if these findings can be generalized outside of these academic settings.

Administration 97

Administration Pediatrics Emergency Department Outcomes 97

EMDocs

SEPTEMBER 30, 2024

5 urban academic EDs, attending charts. The primary outcome was hospital admission rates. For the primary comparison, ICS + SCS reduced the risk of hospital admission compared with SCS; fixed-effects odds ratio (95% confidence interval) 0.73 (0.57-0.94). Excluded admitted, transferred, or expired patients during their ED visit.

Outcomes 105

Outcomes Academics Documentation/Coding Emergency Department 105

Sensible Medicine

FEBRUARY 12, 2024

Academic medicine sometimes gets it right. Along with a team of researchers at numerous hospitals, they randomized ≈1000 patients who had had stroke of unknown cause and evidence of atrial cardiopathy to either treatment with an oral anticoagulant (apixaban) vs aspirin. This is a positive story about a negative trial.

Wellness 132

Wellness Stroke EKG/ECG Academics 132

The Skeptics' Guide to EM

SEPTEMBER 23, 2017

Prehospital advanced cardiac life support for out-of-hospital cardiac arrest: a cohort study. Academic Emergency Medicine. Prehospital advanced cardiac life support for out-of-hospital cardiac arrest: a cohort study. Academic Emergency Medicine. vs. 18.0%, p<0.001) and improved survival to hospital admission (10.9%

CPR 52

CPR Academics Resuscitation Hospitals 52

Dr. Smith's ECG Blog

SEPTEMBER 27, 2023

The hospital stay was complicated by aspiration pneumonia, recurring ventricular tachycardia and a mural thrombus. Of academic interest — are the arrhythmias that developed. Is there OMI? How did the PM Cardio Queen of Hearts perform: OMI with high confidence. ECG#5 There was acute 100% occlusion of the proximal LAD.

EKG/ECG 131

EKG/ECG Resuscitation Academics EMS 131

EMDocs

OCTOBER 30, 2023

1 The shortage in supply posed difficulties for hospitals that significantly depend on GE Healthcare as their supplier, which encompassed approximately 50% of hospitals in the United States (US). Preparation 9 Hospitals had to prepare for the impending contrast shortage as soon as potential shortage news occurred. 11 Table 1.

Radiology 99

Radiology Radiology Emergency Department Hospitals 99

Sensible Medicine

SEPTEMBER 1, 2024

Finally, Adam Cifu weighs in in favor of physician political involvement but cautions that academic medical centers should not take political stances and that physicians should be careful not to allow politics to interfere with the doctor patient relationship. I suggest that this view of medicine and politics confuses the nature of both.

Academics 119

Academics Operations Hospitals Wellness 119

ACEP Now

JULY 7, 2024

My current practice is a hybrid of academic and community sites, and I have worked in myriad community hospitals from busy ones to single coverage critical access hospitals. If you have a difficult outcome, it is helpful to know what risk management support you have at your hospital. The past is the past.

Resuscitation 98

Resuscitation Risk Management Hospitals Critical Access 98

SheMD

JULY 23, 2023

Some of the interview information may not be relevant during the 2020-2021 & 2021-2022 academic years. One individual I knew wanted to run his own clinic or hospital. Therefore, he worked with the primary care innovation department and learned hospital administration and clinical operations during his residency.

Research 98

Research Academics Hospitals Operations 98

PulmCCM

APRIL 29, 2024

ICUs, and a popular research focus for academics, generating a steady stream of papers. government proposed adding VAP to its “hospital-acquired conditions” list—the ones that it won’t pay for. Hospital administrators put VAP on the kill list. It used to be highly prevalent in U.S. Just kidding!

Documentation/Coding 52

Documentation/Coding Academics Administration Research 52

EMDocs

JUNE 9, 2023

How do we manage the agitated child in the pre-hospital environment? After listening to this episode you will be able to: Identify unique aspects of the pre-hospital environment that impact assessment and treatment of agitated children Describe the role of EMS personnel and EMS director in the care of agitated children. mg/kg IN; 0.1-0.15

EMS 97

EMS Documentation/Coding Pediatrics Psychiatric 97

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. He had no other complaints and denied any other trauma or loss of consciousness during the event.

Emergency Department 64

Emergency Department Academics Fractures Hospitals 64

RCEM Learning

MAY 20, 2022

In that document, the NIHR proposed that, to build research capacity in key areas, it would develop a small number of networking structures, to be called “NIHR Incubators” The Incubators would support capacity building and multidisciplinary career development in priority areas with a low critical mass of clinical academics.

Academics 52

Academics Documentation/Coding Research Hospitals 52

Emergency Medicine Cases

APRIL 9, 2019

In anticipation of EM Cases Episode 123 Pediatric UTI Myths and Misconceptions, Dr. Olivia Ostrow, Pediatric Emergency Physician at Hospital for Sick Children, Assistant professor at the University of Toronto and a Medical Safety Leader with an academic focus in quality improvement, discusses a case that exemplifies how indiscriminate work up of pediatric (..)

Pediatrics 52

Pediatrics Academics EMS Outcomes 52

PulmCCM

JUNE 3, 2024

The ASTER Trial Ware et al conducted a phase 2b randomized trial from 2021 to 2023 among 447 patients admitted with sepsis and organ failure at 40 US academic hospitals. Patients received either 1 g of acetaminophen IV every six hours or placebo for five days.

Sepsis 52

Sepsis Outcomes Academics Hospitals 52

Taming the SRU

APRIL 17, 2024

3) Methods This study was a retrospective observational study at a single academic tertiary care facility in their medical intensive care unit (MICU). 1) Data comparing the accuracy between IABP and NIBP measurements are limited.

Sepsis 95

Sepsis Research Stroke Academics 95

RebelEM

NOVEMBER 6, 2023

So with yet another confounding variable added (sicker patients at baseline in methylene blue group), the comparison of these two medications is yet again even more difficult There was no difference in ICU and hospital length of stays or hospital mortality between the two groups.

Shock 71

Shock Administration Academics Hospitals 71

Sensible Medicine

MARCH 14, 2024

The analogy of a physical hospital expanding from its original isolated ward to become an interconnected quaternary care center may help. Like a disorganized hospital metropolis connected by haphazard networks of tunnels, skywalks, and parking garages, we cannot effectively navigate our day without becoming facile in each mode of connection.

Hospitals 103

Hospitals Wellness Academics Fractures 103

ALiEM

JANUARY 26, 2024

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. View other cases from this Clinical Image Series on ALiEM.

Academics 73

Academics Documentation/Coding EMS Hospitals 73

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

Angiography after Out-of-Hospital Cardiac Arrest without ST-Segment Elevation. 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? The TOMAHAWK Investigators. The TOMAHAWK Investigators.

EKG/ECG 52

EKG/ECG Academics EMS CPR 52

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. Your hospital performs COVID reverse transcriptase polymerase chain reaction (rt-PCR) nasal swabs on suspected patients, so you order this test and await the results. Reference: Carpenter et al.

Emergency Department 52

Emergency Department Academics Research Administration 52

Don't Forget the Bubbles

MAY 29, 2023

A qualitative study of 2,815 pre-hospital clinicians reported that nearly half of the respondents had experienced incivility from professional teams at least once a week. Bullying in Academic Medicine: Experiences of Women Physician Leaders. Academic Medicine [Internet] 2023: 98:2:255-263. link] Isn’t it just ‘part of the job?’

Leadership 98

Leadership Patient Safety Academics Research 98

SheMD

MAY 18, 2023

There is a shortage of female physicians in academic medicine, which may be contributed to by differences in work-life balance and child rearing. Childbearing leave policies at academic medical institutions may have an impact on gender differences in faculty retention. Read , our disclosure for more info. 2018 Dec 11;320(22):2372-2374.

Academics 52

Academics Pediatrics Outcomes Hospitals 52

The Skeptics' Guide to EM

MARCH 20, 2021

He is also the CME editor for Academic Emergency Medicine. He is also the CME editor for Academic Emergency Medicine. Background: Historically most patients with PEs have been admitted to the hospital in the USA. Date: March 16th, 2021 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia.

Academics 52

Academics Hospitals Wellness 52

The Skeptics' Guide to EM

JANUARY 29, 2022

He is also the CME editor for Academic Emergency Medicine. He is also the CME editor for Academic Emergency Medicine. That study investigated if a single-dose long-acting intravenous antibiotic could reduce hospitalization in patients with skin infections.

Emergency Department 52

Emergency Department Academics Hospitals Outcomes 52