Taming the SRU

SEPTEMBER 15, 2023

Limited availability of radiology-performed US services in certain hospitals, especially overnight Can avoid unnecessary anticoagulation in patients Reduce time in ED to disposition In terms of workflow, when there is suspicion for a DVT, you need to first calculate a Wells’ Score for a DVT If low/moderate risk, can start with a D-dimer prior to committing (..)

CPR 89

CPR Burns Airway Management Wellness 89

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

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.

Emergency Department 84

Emergency Department Dislocations Documentation/Coding Burns 84

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

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 Hospitals 105

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 Wellness Resuscitation 90

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 83

Hyperthermia / Hypothermia Resuscitation Burns Emergency Department 83

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 70

Ultrasounds Documentation/Coding Wellness EMS 70

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

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

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 52

Burns Hospitals Emergency Department Wellness 52

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

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

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

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 87

Emergency Department EMS Burns Wellness 87

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

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 Burns EKG/ECG 71

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 EKG/ECG Emergency Department Shock 40

EMDocs

JUNE 14, 2023

He complains of eye irritation with redness with a burning sensation and tearing sometimes. This leads to an enhanced, as well as a prolonged predominant cholinergic effect. Parenteral organophosphorus poisoning in a rural emergency department: a case report. Along with this, he has had worsening leg cramps. 2013;6:524.

PPE 70

PPE Poisoning Seizures Emergency Department 70

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 Outcomes 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

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

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

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 52

Fractures Soft Tissue Injuries Burns Emergency Department 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 Operations 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

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 87

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

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

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 59

Airway Management EMS Burns Administration 59

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

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

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

Don't Forget the Bubbles

JANUARY 4, 2024

We have teamed up with the team from Chelsea and Westminster Paediatric Emergency Department to give you 5 reviews of recent studies. Given the well-understood potential harms of ionizing radiation exposure in children (particularly lifetime cancer risk), adherence to diagnostic imaging protocols is crucial. What’s it about?

Burns 129

Burns Academics Hospitals Outcomes 129

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

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

Taming the SRU

JUNE 6, 2023

then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9, then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9, then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9,

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64

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 65

EMS Infectious Diseases Shock Ultrasounds 65