ACEP Now

JUNE 6, 2023

When considering an optimized environment for compassionate patient communication, the chaotic emergency department (ED) probably gives some clinicians pause. Studies show that less than half of hospitalized patients could identify their diagnosis or name their medications at discharge. Example: “My spouse said I should come in.”

Emergency Department 98

Emergency Department Hospitals Best Practices Shock 98

Total Medical ComplianceHIPAA

JULY 6, 2023

A recent settlement between the Office for Civil Rights (OCR) and Yakima Valley Memorial Hospital in Washington state highlights the importance of safeguarding sensitive data. Department of Health and Human Services, reached a $240,000 settlement with Yakima Valley Memorial Hospital following an investigation into a privacy breach.

Hospitals 52

Hospitals Best Practices Emergency Department Wellness 52

PEMBlog

MAY 17, 2023

Most children who present to Pediatric Emergency Departments these days with mental health concerns – including agitation – have a known psychiatric problem or diagnosis. Diagnostic yield of head CT in pediatric emergency department patients with acute psychosis or hallucinations. Pediatr Radiol 2019; 49:240.

Psychiatric 80

Psychiatric Pediatrics Emergency Department Best Practices 80

EMDocs

JUNE 2, 2023

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. West J Emerg Med. Erratum in: West J Emerg Med. Erratum in: West J Emerg Med. 2019 Mar;20(2):409-418.

Psychiatric 92

Psychiatric Pediatrics Emergency Department Administration 92

Don't Forget the Bubbles

NOVEMBER 8, 2023

7-year-old Tilly is brought to your emergency department at 11 p.m. Abdominal pain in children is common, accounting for over 1 in 20 attendances to paediatric emergency departments [1]. She had a low-grade fever and an episode of vomiting before coming to the hospital. Hospital Admitted Patient Care Activity.

Emergency Department 105

Emergency Department Ultrasounds Pediatrics Best Practices 105

ACEP Now

OCTOBER 9, 2024

Emergency physicians have long taken pride in delivering care every day of the week, every hour of the day. ACEP’s Emergency Department Accreditation program adds a layer to that, says Marianne Gausche-Hill, MD, FACEP, FAAP, FAEM, Chair of the program’s Board of Governors. There are five sets of domains.

Emergency Department 52

Emergency Department Critical Access Geriatric Emergencies Ultrasounds 52

Taming the SRU

MARCH 12, 2024

ED visits per 1000 adults with diabetes based on 2018 data resulting in over 500,000 annual hospital days. This amounts to annual hospital costs of $5.1 DKA accounts for approximately 223,000 ED visits annually or 8.9 If positive (>1.1

Operations 97

Operations Hospitals Best Practices Wellness 97

EMDocs

JUNE 16, 2023

Episode 4 covered management of the agitated child in the pre-hospital environment. And now we’re here at our destination, the place we know and love, the emergency room to talk about what we should be doing for the growing volume of children with mental health problems boarding in the emergency department.

Psychiatric 52

Psychiatric Pediatrics Emergency Department Best Practices 52

Don't Forget the Bubbles

JANUARY 22, 2024

Choosing Wisely aims to help clinicians align with best practices by avoiding interventions that are not supported by evidence. Repeated GP and hospital attendance might stimulate increased testing and unnecessary prescriptions. Tap it: trainee led initiative to reduce unnecessary blood testing in the emergency department.

Emergency Department 90

Emergency Department Best Practices Radiology Radiology 90

The Injectable Orange

APRIL 4, 2017

For many Australian hospitals, April is ‘No Falls Month’ This month we have a full-scale education attack against one of the most prevalent forms of in hospital patient harm – the fall. Predicting Geriatric Falls Following an Episode of Emergency Department Care: A Systematic Review. Avidan, M.

Emergency Department 52

Emergency Department Evidence-Based Practice Academics Documentation/Coding 52

ACEP Now

SEPTEMBER 5, 2024

In addition to offering practice support, advocacy, career development, and networking, ACEP must listen to needs of graduating residents and new attendings. With elimination of CME funding in many of our hospitals and groups, it is crucial to continue to add value and communicate that value to residents before graduation.

Leadership 98

Leadership PPE EMS Wellness 98

Taming the SRU

OCTOBER 23, 2023

THE CASE A female in her early 20s, G4P2012, presents to the emergency department (ED) with a 5 day history of left lower quadrant abdominal pain which has been worsening since onset. After a short period of recovery in the hospital, she is discharged home in stable condition with follow-up with OBGYN. Am J Emerg Med.

Ultrasounds 98

Ultrasounds Operations Radiology Radiology 98

PEMBlog

AUGUST 30, 2023

The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit Expert Contributors Michele Nypaver, MD University of Michigan Ann Arbor, MI, USA michelen@med.umich.edu Jennifer Thull-Freedman, MD Alberta Children’s Hospital Calgary, Alberta, Canada Jennifer.Thull-Freedman@albertahealthservices.ca

Pediatrics 52

Pediatrics Best Practices Hospitals Emergency Department 52

ACEP Now

NOVEMBER 7, 2023

2 Information blocking is any practice that is “likely to interfere with access, exchange, or use of [EHI].” 3 These regulations have led to widespread practices of EHI, such as test results and clinical documentation, being shared with patients in real time. Training opportunities for documentation best practices should be employed.

Documentation/Coding 52

Documentation/Coding Best Practices Ethical Issues Academics 52

ACEP Now

NOVEMBER 16, 2023

What is the best management of this condition? with 350,000 hospitalizations annually and a mortality rate of five to 10 percent. However, a 2017 study of 34 patients suggests that balloon tamponade, when used as a bridge to EGD, improves patient mortality, with 59 percent of patients surviving to hospital discharge.

Best Practices 52

Best Practices Resuscitation Fluid Resuscitation Outcomes 52

ACEP Now

APRIL 9, 2025

When I was an inpatient pharmacy manager in 2013, my hospital was visited by the California Department of Public Health (CDPH), concerned about droperidol and ECG monitoring, or rather, lack thereof. outcome of this is the removal of droperidol from the hospital formulary. West J Emerg Med. Guideline directed!) .”

Emergency Department 52

Emergency Department Administration EKG/ECG Resuscitation 52

Taming the SRU

SEPTEMBER 16, 2024

In the era of modern medicine, blood transfusions are commonplace, especially in the emergency department. While they are a lifesaving staple of medicine, they also come with risks that emergency providers must be aware of. Taming the SRU , www.tamingthesru.com/clinical-practice-guidelines. 10, 19 May 2022, p.

Blood Transfusions 90

Blood Transfusions Anaphylaxis Emergency Department Sepsis 90

SheMD

APRIL 24, 2023

I break bad news almost every shift in the emergency department. An email with a sad face to a woman jacked up hormones was not the best approach. A colleague met me at the hospital and performed an ultrasound once more to confirm. My husband left the fire station and rushed to the hospital to be with me.

Ultrasounds 83

Ultrasounds Radiology Radiology Emergency Department 83

Don't Forget the Bubbles

MARCH 31, 2025

The value of white blood cell count in predicting serious bacterial infections in children presenting to the emergency department: a multicentre observational study Archives of Disease in Childhood 2025;110:191196. Am J Emerg Med. The sepsis screening tool in paediatric emergency departments can help. 2025.01.054.

Sepsis 59

Sepsis Fluid Resuscitation Shock Resuscitation 59

EMDocs

OCTOBER 17, 2023

American Gastroenterological Association (2021) Best Practice Advice 1: Computed tomography should be considered to confirm the diagnosis of diverticulitis in patients without a prior imaging-confirmed diagnosis and to evaluate for potential complications in patients with severe presentations. Dis Colon Rectum. 2010 Jun;53(6):896-904.

Radiology 93

Radiology Radiology Operations Best Practices 93

EB Medicine

MAY 3, 2019

This month, we’re moving into uncharted territories for the podcast… we’re talking psychiatry Nachi: Specifically, we’ll be discussing Depressed and Suicidal Patients in the emergency department. It’s also important to elicit any psychiatric history, including prior hospitalizations. Talk to you next month!

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

Don't Forget the Bubbles

SEPTEMBER 18, 2023

This blog post aims to help familiarise you with some of the most common reasons for prescribing antibiotics in the paediatric emergency department. Antibiotic Use for Common Infections in Pediatric Emergency Departments: A Narrative Review. Conventionally IV antibiotics have been limited to in-hospital use.

Emergency Department 143

Emergency Department Infectious Diseases Pediatrics Sepsis 143

EMDocs

MAY 29, 2023

Authors: Rachel Kelly, MD (EM Resident Physician, Stony Brook University Hospital) and Robert Nocito, MD (EM Attending Physician, Stony Brook University Hospital) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. Inflammatory biomarkers in hospitalized adults with suspected infection.

Infectious Diseases 57

Infectious Diseases Emergency Department EMS Hospitals 57

ACEP Now

JANUARY 2, 2025

To tell an accurate story, when it comes to patient care in the emergency department (ED), you need much more, according to ED data experts and emergency physicians James Augustine, MD, FACEP, and Stephen Epstein, MD, MPP, FACEP. ACEP has developed 25 quality measures specific to emergency medicine and emergency physicians.

Best Practices 52

Best Practices Stroke Emergency Department Research 52

Pediatric Emergency Playbook

JANUARY 1, 2017

Committee on Bioethics and Committee on Hospital Care. Intranasal ketamine for analgesia in the emergency department: a prospective observational series. Acad Emerg Med. Acad Emerg Med. Is there a role for intravenous acetaminophen in pediatric emergency departments? Pediatr Emerg Care.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

ACEP Now

JANUARY 5, 2025

emergency departments (EDs) with asthma-related conditions. For patients well enough to be discharged from the ED, emergency physicians generally ensure patients have access to an albuterol rescue inhaler and often prescribe a short course of steroids; however, this is not the best practice. J Emerg Med.

Emergency Department 104

Emergency Department Best Practices Hospitals Pediatrics 104

American Medical Compliance

FEBRUARY 21, 2025

Triage of patients in an urgent/prompt care or an emergency department is based on their vital signs as it tells the physician the degree of derangement that is happening from the baseline. Patient safety depends on the early detection of clinical deterioration, whether in the emergency department or on the hospital floor.

Patient Safety 52

Patient Safety Best Practices Emergency Department Documentation/Coding 52

ACEP Now

DECEMBER 7, 2024

A 28-year-old female is brought to the emergency department (ED) by police after a sexual assault. Dr. Rozzi is an emergency physician, director of the Forensic Examiner Team at WellSpan York Hospital in York, Pa., Experience of emergency department use among persons with a history of adverse childhood experiences.

Sexual Assault 52

Sexual Assault Forensics Emergency Department Best Practices 52

EMDocs

JANUARY 20, 2025

The latest Society of Critical Care Medicine (SCCM) sepsis guidelines from 2021 recommend giving patients with signs of hypoperfusion an initial 30 ml/kg bolus as a best practice statement 13 based on the PROCESS, 14 ARISE, 15 and PROMISE 16 trials. Assessment of Volume Status in Hospitalized Patients With Chronic Heart Failure.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75