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 103

Operations Outcomes Emergency Department Academics 103

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% vs 31.6%, p=0.12).

Leadership 52

Leadership Academics Operations Administration 52

ALiEM

OCTOBER 30, 2023

The same goes for clinical operations and research – interesting, but there hasn’t been any “a ha” moment to illuminate her calling. Senior faculty face entirely different challenges; once-sharp clinical skills may have dulled over time, or the academic career hits a dead end – be it through stagnation, boredom, or waning interests.

Academics 64

Academics Leadership Wellness Research 64

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 Administration Operations 52

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 88

Sepsis Resuscitation Emergency Department Wellness 88

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.

Academics 102

Academics Operations Hospitals Wellness 102

Dr. Smith's ECG Blog

JUNE 13, 2024

After being transferred to an academic center, she was taken to the cath lab: Proximal RCA occlusion (causing inferior and RV OMI) Unfortunately, she continued to decline despite aggressive measures. They sued the the county-operated EMS service for allegedly not dispatching the call fast enough.

EKG/ECG 88

EKG/ECG Documentation/Coding EMS Burns 88

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

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 Fractures Academics Hospitals 64

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 97

Ultrasounds Operations Radiology Radiology 97

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 Administration 98

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 Outcomes 105

The Skeptics' Guide to EM

MAY 11, 2019

His practice is in trauma, emergency general surgery, and critical care with an academic interest in ultrasound and medical simulation. His practice is in trauma, emergency general surgery, and critical care with an academic interest in ultrasound and medical simulation. Reference: Sceats et al.

Documentation/Coding 40

Documentation/Coding Operations Academics Ultrasounds 40

Sensible Medicine

MAY 31, 2024

At most academic medical centers, doctors are salaried. Some of these disagreements will be critical: what drug needs to be given, does this person need to go the operating room, does JD need a chest tube? I recall a surgeon taking a patient of mine to the operating room. How are these disagreements resolved?

Operations 57

Operations Wellness Academics Ultrasounds 57

PHEM Cast

JULY 6, 2017

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine , 22 (8), 908–914. Cricothyrotomy performed with the Melker set or the QuickTrach kit: procedure times, learning curves and operators’ preference. E., & Chima, R. link] Bennett, J. C., & Sankar, A. Sottile, D.,

Airway Management 52

Airway Management Academics Operations Resuscitation 52

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

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 72

Shock Administration Academics Hospitals 72

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

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 110

EKG/ECG Emergency Department Academics Operations 110

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 Administration Operations 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

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

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 84

Dislocations Emergency Department Documentation/Coding Burns 84

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 Documentation/Coding Academics 52

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

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

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 74

Hospitals Wellness Fractures Academics 74

ACEP Now

SEPTEMBER 13, 2023

Dr. Prescott, currently retired, was Chief Academic Officer of the Association of American Medical Colleges from 2008-2021 where he says he worked with “every single school of medicine in the U.S.,” National Academics. There was no center at the NIH that looks at emergency care as a specialty.” Accessed August 21, 2023.

EMS 45

EMS Research Academics Military 45

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 73

Radiology Radiology Emergency Department Hospitals 73

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 71

EKG/ECG Resuscitation Academics Operations 71