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Bob Luten, a PEM physician in Jacksonville, FL , designed the Broselow-Luten color-coded length-based system to help estimate a child’s weight, and thereby offload the cognitive burden of medication dosing and choice of equipment sizes in pediatric resuscitations. DeBoer 2020] Now seen as industry standard in pediatric emergency care.
non-invasive positive pressure ventilation and IV nitroglycerin infusion have been shown to reduce morbidity (intubation rates, ICU admission) & mortality.
Emergency department overcrowding in the United States: an emerging threat to patientsafety and public health. Relationship between the National ED Overcrowding Scale and the number of patients who leave without being seen in an academic ED. Pediatr Emerg Care. Emerg Med J. 2003 Sep 1;20(5):402. Am J Emerg Med.
We understand there are large community hospitals, academic centers and rural hospitals with vastly different resources and needs. However, when a patient walks through the door, they want to know there are resources available for that ED to delivery high quality care.”
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. A 12% reduction in CECTs performed was recorded after EHR interventions in a large health system encompassing 12 hospitals including academic and community medical centers.
Comparing the performance of pediatric weight estimation methods. Front Pediatr. This approach prevents severe complications and improves patientsafety by enabling timely catheter adjustments. Am J Emerg Med. 2024 Aug;82:26-32. doi: 10.1016/j.ajem.2024.04.053. 2024.04.053. Epub 2024 May 3. PMID: 38759251. 2023.1225087.
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. The history of metabolic and bariatric surgery: development of standards for patientsafety and efficacy. Obesity (Silver Spring). Metabolism.
The weighting must strongly be on patientsafety and on expanding the opportunities for board certified emergency physicians. We must always work against a balance. ACEP advocacy, both nationally and increasingly through state chapter support, is more important than ever in achieving these goals.
Have the UK Pediatric Trauma Protocols resulted in a reduction in chest computed tomography imaging for children presenting with major blunt trauma? It also evaluates the real-life impact of the RCR protocols on clinical practice, with a focus on improving patientsafety. JACEP Open. 2023; 4:e13041. link] What’s it about?
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