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The Broselow-Luten System

Pediatric EM Morsels

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.

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Grand Rounds Recap 2.14.24

Taming the SRU

non-invasive positive pressure ventilation and IV nitroglycerin infusion have been shown to reduce morbidity (intubation rates, ICU admission) & mortality.

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Did Not Wait – DNW

Don't Forget the Bubbles

Emergency department overcrowding in the United States: an emerging threat to patient safety 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.

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ACEP Launches Pilot Phase of Its Emergency Dept. Accreditation Program

ACEP Now

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.”

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Contrast Media Shortage of 2022 – Lessons Learned

EMDocs

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.

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The 84th Bubble Wrap

Don't Forget the Bubbles

Comparing the performance of pediatric weight estimation methods. Front Pediatr. This approach prevents severe complications and improves patient safety 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.

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Episode 30 - Emergency Department Management of Patients With Complications of Bariatric Surgery

EB Medicine

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 patient safety and efficacy. Obesity (Silver Spring). Metabolism.