Taming the SRU

JULY 24, 2024

Population Patients were adult (18 or older) patients at a single academic emergency department who were triaged to a resuscitation bay and were not classified as a trauma, STEMI, stroke, cardiac arrest, or active labor. The gold standard comparison was a final discharge diagnosis of sepsis that was marked as present at time of admission.

Sepsis 89

Sepsis Resuscitation Emergency Department Wellness 89

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

ACEP Now

NOVEMBER 16, 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. Academic career preparation for residents – are we on the right track?

Academics 52

Academics EMS Telemedicine Research 52

Taming the SRU

OCTOBER 23, 2023

At this point, the patient is taken to the operating room for a diagnostic laparoscopy. She was taken to the operating room and found to have a right tubal ectopic pregnancy with a pseudogestational sac. 2007), Free Fluid in Morison's Pouch on Bedside Ultrasound Predicts Need for Operative Intervention in Suspected Ectopic Pregnancy.

Ultrasounds 98

Ultrasounds Operations Radiology Radiology 98

ALiEM

SEPTEMBER 13, 2024

An emergent ophthalmology consult is needed to plan for operative repair. 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. Endophthalmitis following open-globe injuries. Eye (Lond).

Emergency Department 64

Emergency Department Academics Fractures Hospitals 64

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

NOVEMBER 21, 2020

He is also the CME editor for Academic Emergency Medicine. He is also the CME editor for Academic Emergency Medicine. Clinical Question: How does the productivity of advanced practice providers compare to emergency physicians and what is its impact on emergency department operations? Reference: Pines et al. AEM November 2020.

Emergency Department 52

Emergency Department Telemedicine Academics Outcomes 52

ALiEM

SEPTEMBER 9, 2024

General surgery and neurosurgery should be consulted emergently for further operative interventions. 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. Interdisciplinary Neurosurgery, 13, 66-70.

Sepsis 60

Sepsis Academics Operations Emergency Department 60

PHEM Cast

DECEMBER 1, 2017

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine , 11 (2), 211–213. Journal of Special Operations Medicine : a Peer Reviewed Journal for SOF Medical Professionals , 13 (4), 53–58. Needle thoracostomy: implications of computed tomography chest wall thickness. link] Harcke, H.

Academics 52

Academics Radiology Radiology Resuscitation 52

The Skeptics' Guide to EM

DECEMBER 12, 2020

AEM December 2020 * Population: Patients of any age undergoing ED drainage of skin abscesses * Exclusions: Patient with abscess located on hand, foot, or face or if they required admission and/or operative intervention. Dr. Ladde is in an active academic emergency physician working at Orlando R.

Operations 52

Operations Outcomes Research Academics 52

EMDocs

DECEMBER 11, 2023

In addition to a posterior ECG, the ACC’s new recommendations emphasize consideration of an emergent TTE, though lack clarity in defining who should be the operator, stating “a clinician qualified in echocardiography” is necessary, without providing specific definitions. Notably, only 0.5mm of elevation is necessary in V7-9 to meet criteria.

EKG/ECG 120

EKG/ECG Emergency Department Academics Operations 120

PulmCCM

JANUARY 6, 2025

Rather, CMS should seek counsel from leaders in systems-based processes of care, teamed with frontline emergency physicians and intensivists from academic centers and the community, who could call for briefing and expertise from other sources as appropriate.

Sepsis 45

Sepsis Documentation/Coding Hospitals Outcomes 45

ACEP Now

JUNE 7, 2023

Software attacks crippled operations in large hospital chains, and physical assaults on ED staff continued unabated. Executive Summary of ED Operations in 2022 Volume was up from 2021. Processing of ED patients to inpatient units is crippling ED operations. Academic Emergency Medicine. Maame Y, et al. 2020;27:600–611.

Emergency Department 52

Emergency Department Documentation/Coding Operations EMS 52

ALiEM

NOVEMBER 27, 2023

One case report published in 1993 used RUQ abdominal ultrasound to identify septations (violin-string adhesions) and ascites to ultimately diagnose FHCS, later confirmed by serologic and operative evidence [2]. Diagnosis of Fitz-Hugh-Curtis syndrome by ultrasound. Eur J Obstet Gynecol Reprod Biol. 1993 Jul;50(2):159-62. PMID: 8405645.

Ultrasounds 64

Ultrasounds Academics Operations OB/GYN 64

RebelEM

NOVEMBER 6, 2023

Methylene Blue for Vasoplegic Syndrome After Cardiac Operation: Early Administration Improves Survival. to 1mg/kg/hr) Information regarding the vasopressors used in the study is as follows: Norepinephrine equivalents = norepinephrine mcg/kg/min + (phenylephrine mcg/kg/min/10) + epinephrine mcg/kg/min + (vasopressin units/min x2.5)

Shock 71

Shock Administration Academics Hospitals 71

Sensible Medicine

MARCH 14, 2024

We are no longer exceptional because we work long hours, study hard, or think of a diagnosis that no one else did; we are exceptional because we operate seamlessly within a team, navigate novelty with precision, and know when and how to ask for help. It’s time we talk about our identity because that’s what hangs in the balance.

Hospitals 107

Hospitals Wellness Academics Fractures 107

The Skeptics' Guide to EM

JUNE 9, 2018

She’s been a contributor for the Academic Life in Emergency Medicine and Emergency Medicine PharmD blogs and is a member of the ALiEMU Capsules team. A new Cochrane Review by Hines et al published in 2018 looked at aromatherapy for post-operative nausea and vomiting.

Emergency Department 52

Emergency Department Academics Operations Administration 52

The Skeptics' Guide to EM

NOVEMBER 20, 2021

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. You wonder if any emergency department (ED)-based interventions would help her and people like her be safe. Background: We looked at geriatric falls on an SGEM Xtra in 2015.

Geriatric Emergencies 52

Geriatric Emergencies Elder Abuse Research Academics 52

ACEP Now

MARCH 13, 2024

Unfortunately, many tertiary hospitals routinely operate at censuses of greater than 100 percent capacity, due to factors including insufficient acute care bed capacity, a shortage of nursing care, and misaligned incentive structures for health care more generally. Academic Emergency Medicine 22.2 Click to enlarge. 2012): 2470-2478.

Ethical Issues 52

Ethical Issues Emergency Department Operations Hospitals 52

Mind The Bleep

OCTOBER 22, 2024

Research remains encouraged within cardiology, and there will be an opportunity to develop a range of academic interests. There are often outpatient echo lists to scan a variety of patients from a range of specialities; from pre-operative patients, pre-chemotherapy patients to chronic cardiology conditions.

Evidence-Based Practice 52

Evidence-Based Practice Academics Operations Hospitals 52

EMDocs

OCTOBER 30, 2023

Relative proportions of reported diagnostic indications versus clinical outcomes in a retrospective analysis of all CT imaging in 3 EDs over 1 year at an academic center. Under standard operating protocols, residual contrast materials are usually wasted, according to current CDC and JC standards. West J Emerg Med. 2017;18(5):835-845.

Radiology 101

Radiology Radiology Emergency Department Hospitals 101

Taming the SRU

AUGUST 4, 2024

The largest retrospective cohort study to date (Beyde et al.) shows that most will improve with empiric antibiotics.

Dislocations 85

Dislocations Emergency Department Documentation/Coding Burns 85

RebelEM

MARCH 27, 2023

What They Did: Retrospective, observational cohort study in a single high-volume academic hospital The ED had a 5 bed area used for ongoing management and resuscitation of patients who clinically deteriorate while boarding or while actively undergo a workup in other sections of the ED. J Crit Care.

Emergency Department 52

Emergency Department Operations Academics Documentation/Coding 52

RebelEM

JUNE 8, 2023

PMID: 36108346 Clinical Question: What is the efficacy and safety of peripherally administered push dose pressors for the treatment of acute hypotension?

Administration 98

Administration Emergency Department Outcomes Documentation/Coding 98

Downeast Emergency Medicine

DECEMBER 17, 2021

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. Emergency medicine (EM) was first recognized as a specialty by the American Medical Association (AMA) in 1972.

EMS 52

EMS Academics Operations Emergency Department 52

PulmCCM

APRIL 1, 2024

Authors also had no information on operators’ experience levels. Such studies are usually conducted at academic medical centers, where a large proportion of CVC placements are done by comparatively inexperienced residents and fellows (with experienced non-physician providers performing many as well).

Ultrasounds 40

Ultrasounds Operations Outcomes Research 40

RebelEM

DECEMBER 19, 2022

While many healthcare systems across the world operate in a similar fashion, the United States does not. If you work in a tertiary academic center with a catheterization lab and/or ECMO immediately available, the application of a second defibrillator may not be immediately needed. REFERENCES: Cheskes S, et al.

EMS 52

EMS CPR Shock Resuscitation 52

Advanced Emergency Nursing from AENJ

OCTOBER 8, 2017

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. Academic Emergency Medicine, 10: 798–804. Schriver, J. Talmadge, R., and Hedges, J. July 2003), Emergency Nursing: Historical, Current, and Future Roles. doi:10.1197/aemj.10.7.798

Emergency Nursing 40

Emergency Nursing Emergency Department Hospitals Academics 40

Dr. Smith's ECG Blog

SEPTEMBER 16, 2024

That said — rhythm interpretation here is more of an academic interest — as the most striking findings are the widespread T-wave inversions and QT prolongation. Note: The patient while on telemetry had alternating atrial fibrillation, sinus rhythm with 1st degree AV block and also periods of Wenckebach conduction.

EKG/ECG 67

EKG/ECG Resuscitation Academics Operations 67

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. That’s when her desire to help people was born, and that desire still motivates her. It also allows her to get more underrepresented individuals involved in the program.

Research 52

Research Point-of-Care Testing Burns Academics 52

Don't Forget the Bubbles

JANUARY 31, 2024

This was compared to a mixed reference standard that included the results of ultrasound by radiologists, intra-operative findings, and clinical follow-up. Academic Pediatrics 2024 24 1 51-58 What’s it about? The index test was POCUS by a clinician. to 99.8%) and specificity 97.2% (95% CI 87.2% Meyer EJ, Correa ET, Monuteaux MC et al.

Hospitals 72

Hospitals Ultrasounds Emergency Department Pediatrics 72

ACEP Now

NOVEMBER 7, 2023

Dr. Bookman is professor and vice chair of operations, department of emergency medicine at the University of Colorado School of Medicine and senior director of informatics for UCHealth, in Aurora, Colo. Defaulting to the automatic release of EHI should be maintained and exceptions should adhere to regulatory criteria. ONS Health IT website.

Documentation/Coding 52

Documentation/Coding Best Practices Ethical Issues Academics 52

EB Medicine

JULY 8, 2019

Jeff: And while it’s not exactly core EM, we’re going to briefly discuss indications for bariatric surgery, as this is something we don’t often review even in academic training programs. Nachi: Unfortunately this procedure is associated with a relatively high re-operation rate – one study found 20% of patients required removal or revision.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

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. They recommend synovial joint aspiration and analysis for bacteria (and leukocytes) to diagnose SANJO [28].

Infectious Diseases 89

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

Sensible Medicine

SEPTEMBER 18, 2023

Surgeons can operate on TR to either repair or replace the valve. But it’s a tough operation with high risk to the patient. Design of the Experiment: An important question in cardiology is if and when to operate on patients with TR. Sham operations are tough to do because of the ethical challenges.

Operations 133

Operations Academics Shock Outcomes 133

Taming the SRU

SEPTEMBER 22, 2023

million adults undergo tracheal intubation outside of the operating room each year in the United States. The operator reported a subjective assessment of the anticipated difficulty. of operators being either emergency medicine residents or critical care fellows. Background More than 1.5

Operations 105

Operations Outcomes Emergency Department Academics 105

The Skeptics' Guide to EM

SEPTEMBER 18, 2021

His practice is in trauma, […] The post SGEM#345: Checking In, Checking Out for Non-Operative Treatment of Appendicitis first appeared on The Skeptics Guide to Emergency Medicine. His practice is in trauma, emergency general surgery, and critical care with an academic interest in ultrasound and medical simulation.

Operations 52

Operations Academics Ultrasounds Hospitals 52