ACEP Now

NOVEMBER 7, 2024

About three percent of emergency department (ED) visits are due to skin and soft tissue infections, but data are lacking on the contribution of chronic wounds to this number. Hydrogel dressings are preferred for minor burns, partial- and full-thickness wounds, wounds with necrosis, and deep wounds with tunneling or sinus tracts.

Burns 97

Burns Documentation/Coding Outcomes Emergency Department 97

ACEP Now

DECEMBER 17, 2024

We deal with difficult and traumatizing situations daily, and nowhere is this more apparent than in the emergency department, where sickness, violence, and death are routine. Physician burnout will burn all of us. Second, we pushed for better access to therapy and mental health benefits. died by suicide. The Washington Post.

Burns 105

Burns Hospitals Documentation/Coding Emergency Department 105

ACEP Now

MARCH 14, 2024

A 44 year-old male with unknown past medical history came by emergency medical services (EMS) to the emergency department (ED) for an electrical injury and fall from a high voltage electrical pole. Per EMS, the patient was found at the bottom of a high voltage line with diffuse burns and amputation of his left forearm.

Burns 52

Burns Fluid Resuscitation EKG/ECG EMS 52

Taming the SRU

AUGUST 27, 2024

The following are bullous skin disorders with indications for urgent/emergent intervention, and more likely to present to an Emergency Department. What can you do from the Emergency Department if suspected? What can you do from the Emergency Department if suspected?

Emergency Department 82

Emergency Department Dehydration Burns Sepsis 82

Taming the SRU

AUGUST 11, 2024

This was felt to be a necessary change in response to decreasing ITE scores and first-time board pass rates The written exam will still be required and is not changing The new certifying exam will be offered in-person in Raleigh, North Carolina with 9 sessions per year There will be two case types: clinical care cases and objective structured clinical (..)

Sepsis 88

Sepsis Burns Shock Operations 88

RebelEM

APRIL 29, 2024

World J Emerg Surg 2023 PMID: 36918947 3. Intraosseous vascular access in adults using the EZ-IO in an emergency department. Int J Emerg Med 2009 PMID: 20157465 4. Intraosseous versus central venous catheter utilization and performance during inpatient medical emergencies. Ngo AS, Oh JJ, Chen Y, Yong D, Ong MEH.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

PEMBlog

MAY 15, 2023

History and physical examination are critical components to any emergency department evaluation but are especially helpful in syncope patients. Discussing obtaining an ECG with patients and families Presentations to the emergency department for syncope can be stressful for families. References Burns, Ed, et al. “QT

Pediatrics 97

Pediatrics EKG/ECG Emergency Department Burns 97

PHEM Cast

JANUARY 4, 2017

In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. Boet S, Bould MD, Layat Burn C, Reeves S. Patterson MD, Geis GL, Falcone RA, LeMaster T, Wears RL. BMJ Quality & Safety. 2013; 22: 468-477. Medical Teacher. 2014; 36: 853-857.

Teamwork 52

Teamwork Burns Emergency Department Resuscitation 52

ALiEM

FEBRUARY 9, 2024

Intermediate-risk patients may be further stratified based on recent stress testing or coronary angiogram findings plus a modified HEART or Emergency Department Assessment of Chest Pain (EDACS) score. The discomfort has a burning character, though he has never been diagnosed with reflux before. It started 2 hours ago.

EKG/ECG 110

EKG/ECG Emergency Department Burns Wellness 110

Taming the SRU

AUGUST 4, 2024

to teach you and your learner something new on shift skin adhesives WITH dr. hill Dermabond is a polymer (octyl cyanoacrylate) that can be used to repair lacerations in the Emergency Department faster than sutures, allowing the ED physician to be more efficient.

Dislocations 84

Dislocations Emergency Department Documentation/Coding Burns 84

Taming the SRU

SEPTEMBER 15, 2023

ETT onto a fiberoptic scope.

CPR 88

CPR Burns Airway Management Wellness 88

The Skeptics' Guide to EM

OCTOBER 31, 2020

JAAD (2020) Case: A 35-year-old female arrives to the emergency department with a 3 cm laceration to the palmar surface of her left forearm sustained by a clean kitchen knife while emptying the dishwasher. The patient asks the practitioner if there is any chance, she can get a shot that “burns less” than her last one.

Burns 52

Burns Emergency Department EMS Wellness 52

Don't Forget the Bubbles

SEPTEMBER 11, 2024

I have been a doctor for half of my life, and my journey to burnout has been a 25-year slow burn that began the day I graduated. And so the slow burn continues… As you become increasingly exhausted, you lose self-control, making it harder to protect yourself from the demands of your job. There is still time to repair.

Burns 88

Burns Hospitals Emergency Department Wellness 88

EMDocs

JULY 9, 2024

The emergency department takes care of some of the highest risk patients with the worst access to health care and social services Over the past 20 years, many researchers have created and validated social needs screeners Some examples: iHELP, WE CARE, SEEK, USDA 2-item food insecurity questionnaire Does screening make a difference?

Pediatrics 55

Pediatrics Emergency Department Research Burns 55

PEMBlog

OCTOBER 17, 2023

This case was submitted by… A 6-year-old previously healthy female was brought to your emergency department with extremity pain. Patients often describe a sensation of burning or stinging pain rather than itching. This is the second of the four cases. 4 days earlier, she developed rhinorrhea, cough, and fever to Tmax 101F.

Urgent Care 69

Urgent Care Burns Pediatrics Emergency Department 69

ACEP Now

AUGUST 15, 2023

In the end, we may just realize the burden we feel is transient, like the ebb and flow of our emergency department census. Dr. Koo is an emergency physician and attending at MedStar Washington Hospital Center in Washington, and St. Burnout, depression, life and job satisfaction among Canadian emergency physicians.

Emergency Department 90

Emergency Department Military Resuscitation Wellness 90

Don't Forget the Bubbles

JULY 31, 2023

A Diagnostic Accuracy Study to Evaluate Standard Rapid Diagnostic Test (RDT) Alone to Safely Rule Out Imported Malaria in Children Presenting to UK Emergency Departments. Using quicker diagnostic tools for malarial infection could significantly reduce repeat attendance to emergency departments and laboratory time and equipment costs.

Rapid Diagnostic Testing 98

Rapid Diagnostic Testing Resuscitation Emergency Department Pediatrics 98

Taming the SRU

NOVEMBER 4, 2023

Eschars can form quickly and cause limited expansion of the torso and compartment syndrome of the extremities.

Hyperthermia / Hypothermia 83

Hyperthermia / Hypothermia Resuscitation Burns Emergency Department 83

ALiEM

NOVEMBER 18, 2024

A 48-year-old male with no significant past medical history presented to the Emergency Department with a left-sided facial rash and associated burning left eye pain that started four days prior. He also endorsed left-sided facial weakness and diplopia for the last eight days.

Burns 70

Burns Stroke Academics Emergency Department 70

RebelEM

MARCH 23, 2023

The 30-day emergency department readmission rate and all-cause 30-day readmission were significantly lower only when adjusted for propensity scores. of symptom-triggered phenobarbital versus symptom-triggered lorazepam in the emergency department (n=44). A randomized, blinded clinical trial (Hendey et al.)

Emergency Department 52

Emergency Department Outcomes Burns Hospitals 52

Don't Forget the Bubbles

AUGUST 4, 2024

The Journal of Pediatrics published an article on education interventions to reduce diagnostic errors in burned or bruised patients suspected of abuse. 2024 Jul 4:fetalneonatal-2024-327094 Deliberate Practice as an Effective Method for Reducing Diagnostic Error in Identifying Burn and Bruise Injuries Suspicious for an Abusive Injury.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Pediatrics Burns Sepsis 52

EB Medicine

APRIL 30, 2017

Hosts Jeff Nusbaum, MD, and Nachi Gupta, MD, cover all aspects of the acute management of this condition, from initial diagnosis and treatment in the emergency department to novel biomarkers and new and controversial therapies.

Outcomes 40

Outcomes Best Practices Burns Ultrasounds 40

ACEP Now

OCTOBER 10, 2024

On physical exam, you notice what appears to be a blister from a burn on her right palm (see photo on cover). When you are done, you tell the mother what you found and ask her if there is any way the child could have been burned. Case Resolution Given the location of the burn, pediatric burn surgery was consulted.

Forensics 40

Forensics Domestic Violence Burns Pediatrics 40

Pediatric Emergency Playbook

DECEMBER 1, 2015

Case 1: Toddler with an oral commissure burn An electrical burn to the angle of the mouth cauterizes superficial bleeding vessels, and hours later the wound becomes covered with a white layer of fibrin, surrounded by erythema. Most patients do well, and the burn heals by secondary intention. Acad Emerg Med. J Emerg Med.

Burns 40

Burns Emergency Department EKG/ECG Shock 40

Taming the SRU

JULY 21, 2023

Eye Pathology Now let’s dive back into some common eye disease processes you may see on a typical day in the emergency department. link] A patient presents with an itchy and burning feeling on their eyelids. saline eyedrops for “burning” or “gritty” feeling of discomfort. Accessed April 15, 2022. Microbial Keratitis.;

Emergency Department 86

Emergency Department EMS Burns Wellness 86

ACEP Now

AUGUST 29, 2023

Our program pairs training at one of the busiest emergency departments in the country at a nationally recognized county, safety-net, Level I Trauma and Regional Burn Center (MetroHealth) with a world-renowned quaternary academic referral center (Cleveland Clinic).

Academics 52

Academics Burns Emergency Department Ultrasounds 52

PHEM Cast

MARCH 17, 2016

video cast from Emergency Medicine colleagues in the States discussing and demonstrating techniques for optimal bag-valve-mask ventilation. References Wilmalasena Y, Burns B, Reid C, Ware S., Annals of Emergency Medicine. Preoxygenation, reoxygenation, and delayed sequence intubation in the Emergency Department.

Airway Management 52

Airway Management Burns Emergency Department Resuscitation 52

ACEP Now

AUGUST 29, 2023

Burns, professor of management at the Wharton School, University of Pennsylvania, will pull back the curtain on the evolving world of private equity in health care and how it is trending. 8—NFL Watch Party featuring the Dallas Cowboys vs. the San Francisco 49ers Oct. 9—Kickoff Party with a speakeasy theme at the Old Reading Terminal Oct.

Burns 52

Burns Emergency Department EMS 52

Northwestern EM Blog

DECEMBER 27, 2021

Despite previous black box warnings on droperidol causing it to fall out of favor, it is safe and well-tolerated at the doses typically used in an emergency department setting. Expert commentary is provided by Dr. Anne Lambert Wagner, medical director of the Burn and Frostbite Center at the University of Colorado Health.

Dislocations 52

Dislocations Emergency Department Burns Shock 52

Mind The Bleep

AUGUST 18, 2024

Facial trauma commonly presents in Emergency Departments and in primary care. More advanced facial trauma will be redirected to major trauma centres. Due to the proximity to vital structures, it is essential to be able to assess these injuries appropriately and escalate accordingly.

Fractures 91

Fractures Soft Tissue Injuries Burns Emergency Department 91

Northwestern EM Blog

FEBRUARY 28, 2022

As your post alludes to, sometimes patients remain hypoxemic despite our usual efforts and refractory hypoxemia can be an intimidating beast when you’ve got a busy ED burning down around you. Boarding of Critically Ill Patients in the Emergency Department. A primer on proning in the emergency department.

Emergency Department 52

Emergency Department Burns Resuscitation Outcomes 52

EMDocs

JUNE 14, 2023

He complains of eye irritation with redness with a burning sensation and tearing sometimes. Parenteral organophosphorus poisoning in a rural emergency department: a case report. He has been having difficulty walking and is having trouble manipulating tools he uses for work with his hands. link] Updated September 14, 2020.

PPE 70

PPE Poisoning Seizures Emergency Department 70

FEMinEM

MARCH 3, 2021

Arching backwards to shake the spasm and my thoughts back into reality, I took roster of the women in my emergency department that evening. My grandchildren no longer engage in conversation with me at the holiday dinner table and my daughter is afraid I’ll burn myself when I offer to help with the mash potatoes.

Emergency Department 52

Emergency Department Burns Stroke Hospitals 52

EMDocs

NOVEMBER 27, 2023

A 55-year-old male, with a previous medical history of hypertension, hyperlipidemia, and gout, presents to the emergency department for four days of fever and progressive rash. This series provides evidence-based updates to previous posts so you can stay current with what you need to know. and/or N-acetylcysteine (NAC).

EMS 71

EMS Sepsis EKG/ECG Burns 71

EMDocs

DECEMBER 4, 2023

Johnson, MD ( Community EM, Salina Regional Health Center) // Reviewed by: Joshua Lowe, MD (EM Attending Physician, USAF); Marina Boushra, MD (Cleveland Clinic Foundation, EM-CCM); Brit Long, MD (@long_brit) Case A 40-year-old woman presents to a rural emergency department (ED) with left leg pain and swelling for the past 5 days.

Ultrasounds 71

Ultrasounds Documentation/Coding Wellness EMS 71

Mind The Bleep

NOVEMBER 6, 2023

Sight Threatening Conditions in the Emergency Department Open globe injury Key signs without needing a slit lamp: Prolapse of intraocular contents (e.g. Accessed 11.10.22 < [link] > Gardiner (2022) Overview of eye injuries in the emergency department. EyeWiki, American Academy of Ophthalmology. UpToDate. <

Emergency Department 52

Emergency Department Dislocations Burns Fractures 52

Taming the SRU

AUGUST 30, 2023

However, PCT can be elevated in severe trauma, such as burns or surgery [5,25]. While PCT may be more specific for bacterial infections, it is flawed by still being rather non-specific and is not validated as a stand-alone diagnostic criteria for infection in the setting of the emergency department. ng/mL, 0.25-0.5 Perkins, J.,

Infectious Diseases 87

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 87