ACEP Now

MARCH 10, 2025

You work as the medical director at a suburban, community emergency department (ED). At your monthly meeting with the chief medical officer (CMO) and chief nursing officer (CNO), they inform you of the hospitals plan to start a Sexual Assault Nurse Examiner (SANE) Program. As expected, you have several questions.

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Sexual Assault Forensics Leadership Pediatrics 52

PEMBlog

MARCH 4, 2025

Garcia T, Florin TA, Leonard J, Shah SS, Ruddy RM, Wallihan R, Desai AP, Alter S, El-Assal O, Marzec S, Keaton M, Yun KW, Leber AL, Mejias A, Cohen DM, Ramilo O, Ambroggio L; Childrens Hospitals Initiative for Research in Pneumonia (CHIRP). Pediatr Emerg Care. 2025 Feb 17. doi: 10.1097/PEC.0000000000003338. 0000000000003338.

Pediatrics 94

Pediatrics Military CDC Hospitals 94

ACEP Now

JANUARY 5, 2025

A young woman, 13 days post-tonsillectomy, comes into your rural emergency department (ED) coughing up blood. Fibrinogen levels should also be obtained, where available, if severe hemorrhage suggests the potential need for administration of fibrinogen concentrate. and youre three hours from the nearest tertiary care center.

Airway Management 98

Airway Management Operations Resuscitation Pediatrics 98

ACEP Now

OCTOBER 13, 2023

The CHRISTUS Health-Texas A&M Spohn Emergency Medicine Residency Program announced Friday that its program will close in June 2026 after the current emergency medicine residents complete their training. We feel that this decision was made without adequate assessment of the negative impacts this WILL have on our patients.

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Patient Safety Emergency Department Administration EMS 132

EMDocs

JANUARY 11, 2025

A) Administration of IV morphine for pain control B) Admission to general surgery for IV antibiotics C) Discharge home on lactulose D) Emergent surgical consultation for exploratory laparotomy E) Manual disimpaction Correct answer: E Although uncommon, stercoral colitis is a potentially life-threatening complication of chronic constipation.

EMS 94

EMS Sepsis Shock Fluid Resuscitation 94

Don't Forget the Bubbles

NOVEMBER 29, 2023

You are the Paediatric doctor on call and receive a call for an incoming patient to the emergency department. Tragically, several attempts at resuscitation upon arrival at the emergency department were unsuccessful. Pediatric Endotracheal Intubations for Airway Management in the Emergency Department.

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Airway Management Emergency Department Resuscitation Psychiatric 135

ACEP Now

JUNE 7, 2023

Software attacks crippled operations in large hospital chains, and physical assaults on ED staff continued unabated. The preliminary results of the 2022 Emergency Department Benchmarking Alliance performance measures survey found a significant deterioration in patient processing due to inpatient boarding.

Emergency Department 52

Emergency Department Documentation/Coding Operations EMS 52

EB Medicine

JUNE 12, 2024

Eckler, MD interview Corey Hazekamp, MD, MS, one of authors of the June 2024 Emergency Medicine Practice article, Managing Emergency Department Patients With Opioid Use Disorder Current State of Opioid Epidemic Overview of overdose deaths and trends. Anecdotal insights on changing naloxone administration dosages.

Emergency Department 84

Emergency Department Administration EMS Research 84

EMDocs

NOVEMBER 19, 2024

He was extubated on hospital day 2 and was able to be discharged to psychiatry on hospital day 5. Second-generation antipsychotic medications: Pharmacology, administration, and side effects. His roommate found an empty pill bottle on the floor next to him. The patient gradually improved. Innov Clin Neurosci. 2018;15(7-8):20-22.

Poisoning 108

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 108

Don't Forget the Bubbles

OCTOBER 12, 2024

doi: 10.1136/archdischild-2023-326773 Two-year-old Moyo is brought to the emergency department because her parents were concerned about noisy breathing. Most children can be discharged from the emergency department after a dose of corticosteroids and an appropriate safety net. Published Online First: 15 April 2024.

Airway Management 85

Airway Management Emergency Department Administration Hospitals 85

Downeast Emergency Medicine

DECEMBER 1, 2021

While the ongoing COVID-19 pandemic has contributed to overdose deaths and taxed constrained Emergency Department (ED) resources, it has also clarified the important role that emergency physicians have in expanding access to life-saving medications to treat opioid use disorder. Annals of Emergency Medicine. Hawk, et al.

Emergency Department 52

Emergency Department Documentation/Coding Leadership Administration 52

PEMBlog

JUNE 7, 2023

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.

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Pediatrics Psychiatric Emergency Department EMS 123

Northwestern EM Blog

JULY 15, 2024

Edmonson and Adler for this infographic that concisely emphasizes key concepts for the recognition and initial management of acute respiratory distress syndrome (ARDS) in the Emergency Department. Chest imaging and an arterial blood gas are essential to establishing the diagnosis and severity of disease. 2024, Jul 15).

Resuscitation 98

Resuscitation Burns Emergency Department Sepsis 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. Article 1: What predicts parental anxiety in the Paediatric Emergency Department? Predictors of parental anxiety in a paediatric emergency department. Martin, S.R.,

Hospitals 72

Hospitals Ultrasounds Emergency Department Pediatrics 72

RebelEM

JUNE 8, 2023

The retrospective design of this study omitted assessment of ventricular dysrhythmias related to push dose pressor administration, as they were reliant on information in the EMR. Assessed clinical practice, outcome, length of stay, safety, and efficacy of both phenylephrine and epinephrine peripherally administered through a push dose.

Administration 98

Administration Emergency Department Outcomes Documentation/Coding 98

RebelEM

APRIL 29, 2024

Many clinicians don’t consider IO placement while others consider it a last resort or only a pre-hospital procedure. The IO can actually be your “GO-TO” emergency line or your second choice after failed PIV access. In cardiac arrest, a delay in IV access subsequently results in a delay in epinephrine administration. Resusc Plus.

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Resuscitation Administration Emergency Department Ultrasounds 105

The Skeptics' Guide to EM

OCTOBER 19, 2024

Comparison of Nebulized Ketamine to Intravenous Subdissociative Dose Ketamine for Treating Acute Painful Conditions in the Emergency Department: A Prospective, Randomized, Double-Blind, Double-Dummy Controlled Trial. Case: You’re working your usual day shift in the emergency department (ED) from 9 am to 5 pm on a Tuesday.

Emergency Department 94

Emergency Department EMS Research Administration 94

ACEP Now

OCTOBER 30, 2024

ACEP Now : Boarding What obstacles exist in Congress to address hospital boarding? We don’t incentivize experience in our systems and our laws – both the provider’s experience as well as the patient’s experience, so when it comes to hospital boarding, it falls right in line with that. ACEP MEMBER TIMOTHY C.

Telemedicine 40

Telemedicine Critical Access Emergency Department Hospitals 40

The Trauma Pro

AUGUST 15, 2023

One of the most creative solutions I’ve seen is the use of a hospital security officer. They know the hospital layout cold, including that obscure corner where the blood bank is located. In the emergency department, the surgeon or emergency physician can do this. Think about it.

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Documentation/Coding Best Practices Resuscitation Emergency Department 130

PEMBlog

MAY 31, 2023

Department of Health and Human Services (HHS) as part of an award (U07MC37471) totaling $3M with 0 percent financed with nongovernmental sources. Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the Emergency Department: Consensus Statement of the American Association for Emergency Psychiatry.

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Psychiatric Emergency Department Pediatrics Administration 93

RebelEM

FEBRUARY 2, 2023

Background Information: Atrial fibrillation with rapid ventricular rate (RVR) is one of the many tachydysrhythmias we encounter in the Emergency Department (ED). Amiodarone versus digoxin for acute rate control of atrial fibrillation in the emergency department. Am J Emerg Med.

Emergency Department 52

Emergency Department Administration Dehydration EMS 52

Pediatric EM Morsels

MAY 24, 2024

IAI Rule – The Validation A multicenter prospective validation was planned at hospitals distinct from those where the initial derivation was performed. Ann Emerg Med. If all patients with a score of 1 were scanned, 53% of the study participants would’ve had an abdominal CT. This concerned clinicians. 2013;62:107-116. 2012.11.009.

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Pediatrics Blood Transfusions EMS Fractures 164

ACEP Now

OCTOBER 10, 2024

McCormick earned his Master of Business Administration from National University and medical degree from Morehouse School of Medicine in Atlanta. He completed residency in emergency medicine through Emory while training at Grady Hospital in Atlanta. Overburden the other hospital systems. House Georgia District 7.

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Telemedicine Critical Access Hospitals Emergency Department 105

ALiEM

JUNE 1, 2023

Are you using phenobarbital instead of benzodiazepines as the first-line monotherapy for patients in alcohol withdrawal in the Emergency Department (ED)? Administration of benzodiazepines or barbiturates to these patients risk inducing a prolonged comatose state. The Journal of Emergency Medicine. Open Access Emerg Med.

Emergency Department 98

Emergency Department Administration Seizures Hospitals 98

RebelEM

SEPTEMBER 29, 2022

Background: Standard emergency department management of acute pancreatitis has focused on aggressive hydration, analgesia and investigation for an underlying reversible cause (eg gallstones). The aggressive fluid administration arm is far less aggressive than what was historically recommended for pancreatitis.

Administration 52

Administration Fluid Resuscitation Resuscitation Outcomes 52

ACEP Now

NOVEMBER 7, 2023

And in our comment letter responding to the FTC and Department of Justice’s proposed updates to health care merger guidelines, ACEP urged the agencies to finalize these changes that would bring more scrutiny to health care mergers and slow down consolidation. He practices clinically at Grady Memorial Hospital in Atlanta.

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Leadership Administration Research Risk Management 98

ACEP Now

DECEMBER 6, 2024

Repeat ECG following return of spontaneous circulation after administration of intravenous nitroglycerin. The decision was made to communicate directly with the on-call interventional cardiologist with specific and direct intent to discuss the administration of intravenous (IV) NTG. and at Naples Community Hospital in Naples, Fla.

Resuscitation 98

Resuscitation EKG/ECG Documentation/Coding COPD 98

RebelEM

JULY 3, 2023

Impact of intravenous calcium with diltiazem for atrial fibrillation/flutter in the emergency department. Am J Emerg Med. What They Did: Researchers conducted a multicenter, retrospective cohort study in three community hospitals and two freestanding emergency departments. received CaCl 89.3%

Administration 91

Administration Outcomes Documentation/Coding Emergency Department 91

The Skeptics' Guide to EM

SEPTEMBER 2, 2023

She is an Assistant Professor and Director of Research in the Department of Emergency Medicine at the NYU Grossman Long Island Hospital Campus. This is the last show for […] The post SGEM#414: The SQuID Protocol first appeared on The Skeptics Guide to Emergency Medicine. Date: August 30, 2023 Reference: Griffey et al.

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Diabetic Emergencies Operations Hospitals Research 102

ACEP Now

JULY 7, 2023

CASE A 30-year-old woman presents to the emergency department with left arm pain from a chronic wound. Her last hospitalization was one month ago for a similar wound, at which time she received intravenous antibiotics and was subsequently discharged. US Department of Justice, Drug Enforcement Administration.

Forensics 98

Forensics Airway Management Emergency Department Administration 98

EMDocs

DECEMBER 6, 2024

In 1997, the Food and Drug Administration (FDA) mandated unit-dose packaging for all iron-containing products with more than 30 milligrams of elemental iron. Iron Ingestion: an Evidence-Based Consensus Guideline for Out-of-Hospital Management. link] The post ToxCard: Iron appeared first on emDOCs.net - Emergency Medicine Education.

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Poisoning Fluid Resuscitation Seizures Resuscitation 94

The Skeptics' Guide to EM

FEBRUARY 25, 2023

2022 Date: February 15, 2023 Guest Skeptic: Dr. Carlie Myers is Pediatric Critical Care Attending at Cincinnati Children’s Hospital Medical Center. Case: A 6-month-old boy presents to […] The post SGEM#394: Say Bye Bye Bicarb for Pediatric In-Hospital Cardiac Arrest first appeared on The Skeptics Guide to Emergency Medicine.

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Pediatrics Hospitals CPR Resuscitation 52

EM Updates

JUNE 15, 2021

Maimonides Medical Center (MMC) is Brooklyn’s largest hospital, an academic quaternary care center with, in normal times, 711 total beds, 66 intensive care beds, and an Emergency Department that treats approximately 120,000 patients per year. On March 9, the first patient with a novel coronavirus infection was admitted to MMC.

Emergency Department 52

Emergency Department Hospitals Outcomes Wellness 52

ACEP Now

OCTOBER 26, 2023

Using Maryland state law as a guide, the American College of Emergency Physicians (ACEP) and the Emergency Department Practice Management Association (EDPMA) lobbied for passage of federal protections beginning in the mid-1990s. The provision similarly downcoded hospital facility fees.

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Documentation/Coding Hospitals Emergency Department Administration 124

ACEP Now

SEPTEMBER 3, 2024

Hahnemann University Hospital in Philadelphia closed in 2019, a year and a half after it was acquired along with St. Christopher’s Hospital for Children by private equity (PE) firm Paladin Healthcare Capital for 170 million dollars. 14 Dr. Stinson remembers what it was like to work for a PE-owned hospital early in her career. “I

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Hospitals Radiology Radiology Emergency Department 113

Emergency Medicine Journal

NOVEMBER 28, 2023

Introduction Most Irish emergency departments (EDs) do not record diagnosis in a standardised way at the conclusion of each patient care episode. This lack of data hampers service planning and the transformation of ED funding from a block grant system to one based on activity.

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Documentation/Coding Emergency Department Operations Administration 40

RebelEM

JULY 17, 2023

Background: Standard rapid sequence intubation (RSI) in the emergency department involves administration of an induction agent and a neuroblocking agent in quick succession. appeared first on REBEL EM - Emergency Medicine Blog.

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Outcomes Emergency Department Administration Resuscitation 93