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 74

Pediatrics Emergency Department Research Burns 74

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. Some special patients (burns and trauma) were not described in the study. Am J Emerg Med. Whats it about?

Sepsis 59

Sepsis Fluid Resuscitation Shock Resuscitation 59

RebelEM

APRIL 29, 2024

CVC vs PIV The critically ill patient is often associated with pathology that makes IV access difficult such as shock state, hypovolemia, obesity, IV drug abuse, end-stage renal disease, cardiac arrest, as well as other conditions. World J Emerg Surg 2023 PMID: 36918947 3. Int J Emerg Med 2009 PMID: 20157465 4. Crit Care Med.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

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 96

Ultrasounds Documentation/Coding Wellness EMS 96

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. Pulses are well felt in all four limbs. Low-risk patients do not routinely require stress testing in the ED. J Am Coll Cardiol.

EKG/ECG 110

EKG/ECG Emergency Department Burns Wellness 110

ACEP Now

AUGUST 15, 2023

Emergency physicians spend only 5 to 10 percent of their time for personal activities on shift. While there has been ample discussion of “the practice of mindfulness” in health care workers that improves mental well-being, when do we have this time? 13-15 Even the thought of gratitude can positively influence mental wellness.

Emergency Department 90

Emergency Department Military Resuscitation Wellness 90

Taming the SRU

AUGUST 4, 2024

We discussed some practices to push learners outside of their comfort zone and promote learning, based on their level as well as their goals for the shift.

Dislocations 85

Dislocations Emergency Department Documentation/Coding Burns 85

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

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. Focusing on the job in front of them became harder, and this sense of depletion lasted well beyond leaving the office. But after every great burn, there is a space for growth. That I was not fine.

Burns 88

Burns Hospitals Emergency Department Wellness 88

The Skeptics' Guide to EM

OCTOBER 31, 2020

Date: October 29th, 2020 Guest Skeptic: Martha Roberts is a critical and emergency care, triple-certified nurse practitioner currently living and working in Sacramento, California. She is the host of EM Bootcamp in Las Vegas, as well as a usual speaker and faculty member for The Center for Continuing Medical Education (CCME).

Burns 52

Burns Emergency Department EMS Wellness 52

Taming the SRU

NOVEMBER 4, 2023

D Thompson and Goel C-spine Imaging: NEXUS is a large, well-done study validating criteria for low-risk of cervical injury that are easy to remember and use at the bedside, and is used in our clinical decision guidelines on AgileMD. Eschars can form quickly and cause limited expansion of the torso and compartment syndrome of the extremities.

Hyperthermia / Hypothermia 84

Hyperthermia / Hypothermia Resuscitation Burns Emergency Department 84

Don't Forget the Bubbles

JULY 31, 2023

Our team have scoured what’s new (well, mostly new!) 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. Febrile children are a common sight in the paediatric emergency department.

Rapid Diagnostic Testing 98

Rapid Diagnostic Testing Resuscitation Emergency Department Pediatrics 98

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 96

EMS Sepsis Burns EKG/ECG 96

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). How should potential applicants learn more about your program?

Academics 52

Academics Burns Emergency Department Ultrasounds 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 Burns Best Practices Ultrasounds 40

Pediatric Emergency Playbook

DECEMBER 1, 2015

Victims of electrical injuries present either in extremis or as the seeming well patient with insidious, developing disease. Most patients do well, and the burn heals by secondary intention. Most patients do well, and the burn heals by secondary intention. Injury from electrical burns can be subtle.

Burns 40

Burns Emergency Department EKG/ECG Shock 40

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

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

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. The child should be undressed, and the exam conducted in a well-lit room.

Forensics 40

Forensics Domestic Violence Burns Pediatrics 40

Mind The Bleep

AUGUST 18, 2024

Facial trauma commonly presents in Emergency Departments and in primary care. They commonly present with a ‘flattened cheekbone’ and can involve orbital rim as well. More advanced facial trauma will be redirected to major trauma centres. History If the patient is stable, it is important to start with a thorough history.

Fractures 91

Fractures Soft Tissue Injuries Burns Emergency Department 91

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

Resus Review

SEPTEMBER 9, 2015

The traditional bronchoscope (600mm length) can be used, but often is not readily available in the emergency department and comes on a cart or tower that is cumbersome to use. Lidocaine is very well absorbed through mucosal tissues, so consider any that you give or apply as completely absorbed. Preoxygenate as usual.

Burns 52

Burns Wellness Emergency Department Hospitals 52

PEMBlog

OCTOBER 2, 2024

Children with respiratory conditions and chronic lung disease like asthma are more prone to GERD as well. It’s a burning sensation in the chest or epigastrium, and that is the classic symptom in this age group. Now, in the pediatric emergency department, the diagnosis of reflux is primarily clinical. difficile.

Pediatrics 52

Pediatrics Emergency Department Ultrasounds Wellness 52

Taming the SRU

AUGUST 30, 2023

As the name would suggest, inflammatory markers are biological markers of, well, inflammation. However, PCT can be elevated in severe trauma, such as burns or surgery [5,25]. They are used clinically to detect pathological inflammation or measure response to treatment [1-2]. ng/mL (strongly recommended against antibiotics), 0.1-0.25

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

ACEP Now

DECEMBER 10, 2023

When she took a new job as the chair and professor of emergency medicine at Mount Sinai Beth Israel, she brought this model of intervention with her. Her new community has a higher prevalence of Hepatitis C than HIV, so they began screening for that in the ED as well.

Research 52

Research Point-of-Care Testing Burns Academics 52

ALiEM

JULY 17, 2023

as well as an analysis of the 2023 Match by Pupazan and Cook in Emergency Medicine News [3,4]. Ann Emerg Med. Murano T, Weizberg M, Burns B, Hopson LR. Deciphering a Changing Match Environment in Emergency Medicine and Identifying Residency Program Needs. West J Emerg Med. 2023 Jul 11:S0196-0644(23)00429-8.

EMS 52

EMS Burns Emergency Department Shock 52

Northwestern EM Blog

SEPTEMBER 12, 2022

This post will discuss a brief overview of hospital planning and operational setup with key elements of a disaster response from events that cause high numbers of blunt trauma, penetrating trauma, burns or crush injuries that may be seen following explosive events, mass shootings, or large scale motor vehicle collisions, to name a few.

Mass Casualty Incidents 52

Mass Casualty Incidents EMS Hospitals Hazardous Materials 52

Northwestern EM Blog

JANUARY 24, 2022

Due to its extremely high morbidity and mortality as well as high healthcare costs, the prompt recognition, diagnosis and resuscitation of shock is key. To reverse these effects as well as refractory hypotension, hydrocortisone is the preferred agent due to both its glucocorticoid and mineralocorticoid properties.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

ACEP Now

OCTOBER 11, 2024

But I’m optimistic that there are many people, a lot of expertise, a lot of folks who want to do this work well. We know that most things that make people unhealthy have nothing to do with what we do inside the walls of an emergency department. But I always had this burning fire to want to have an impact at scale.

Leadership 52

Leadership Operations Burns Emergency Department 52

ACEP Now

JULY 7, 2023

Per discussion with family over the phone it was determined she had mild dementia, but had been feeling well prior to her mechanical fall. The impact of a soiled airway on intubation success in the emergency department when using the GlideScope or the direct laryngoscope. Acad Emerg Med. 2017;24(5):628-636.

Airway Management 45

Airway Management EMS Burns Operations 45

PEMBlog

JUNE 5, 2024

PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study. PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study.

Fractures 52

Fractures Pediatrics Radiology Radiology 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives Early identification of patients at higher risk of death and hospital admission is an important problem in emergency departments. BURN 478 0 35 7.3 SOCIAL PROBLEM (MEDICALLY WELL) 58 1 27 46.6 Most triage scales were developed before current electronic healthcare records were developed. 0.65 , 2.7]

Documentation/Coding 40

Documentation/Coding Sexual Assault Hyperthermia / Hypothermia Head Injuries 40

Pediatric Emergency Playbook

APRIL 1, 2017

11 Beware the “double-ring” sign: this is a button battery13 This is an emergency: the electrolyte-rich mucosa conducts a focal current from the narrow negative terminal of the battery, rapidly causing burn, necrosis, and possibly perforation. Emergent removal is required. Am J Emerg Med. 2004;22(4):310-314.

Pediatrics 52

Pediatrics CPR Operations Resuscitation 52

EMDocs

JULY 15, 2023

She has had pruritus and swelling to the site accompanied by a painful burning sensation and a couple “painful knots” on her right inguinal region. The patient reported feeling better, pain and other symptoms were well controlled 24 hours after starting antibiotics and pain medication.

EMS 92

EMS Infectious Diseases Shock Ultrasounds 92

Pediatric Emergency Playbook

JANUARY 1, 2017

Tachycardia, tachypnea, and a change in behavior can be indicators not only to the presence of pain, but possibly to its etiology as well. For children greater than one year who are preverbal, a well performing scale is the FLACC score: Face, Legs, Activity, Cry, Consolability ( Table 3 ).

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Downeast Emergency Medicine

MARCH 24, 2021

OVERVIEW Diarrhea is a common complaint for our pediatric patients in the emergency department. Just like other patients in the emergency department, the child should be recognized as “sick” or “not sick.” Overall, pediatric patients with diarrhea for the most part have a good prognosis and do well with oral hydration.

Pediatrics 52

Pediatrics Dehydration Emergency Department Wellness 52

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. Patients will often have objective visual acuity impairment as well as a fever or leukocytosis.

Emergency Department 88

Emergency Department EMS Burns Wellness 88