EMDocs

OCTOBER 30, 2023

Pillai, MBBS (@sspillai01, EM Resident Physician, University of Kentucky) and Christopher N. 2 In response to the constrained availability of contrast media, emergency medicine (EM) and radiology departments were compelled to enact modifications in their imaging techniques. Authors: Saran S. 11 Table 1.

Radiology 99

Radiology Radiology Emergency Department Hospitals 99

Emergency Medicine Cases

APRIL 12, 2017

In 2014, the CDC reported that UTI antibiotic treatment was avoidable at least 39% of the time. Over-diagnosis and treatment results from the fact that asymptomatic bacteriuria is very common in all age groups, urine cultures are frequently ordered without an appropriate indication, and urinalysis results are often misinterpreted.

CDC 52

CDC EMS 52

Taming the SRU

OCTOBER 16, 2024

VTE is associated significantly with maternal mortality, and has been cited by the CDC to be up associated with 10.5% Amputations Distal to DIP may require revision amputation, which is in the purview of EM physicians. of all cases of maternal mortality. Antibiotics are not indicated. Consider antibiotics for high risk patients (e.g.,

Airway Management 74

Airway Management Fractures CDC Pediatrics 74

ACEP Now

JULY 6, 2023

Emergency medicine (EM) has evolved over time and has long passed a crossroads where previously unachievable capabilities should be celebrated and shared. CDC website : Sexually Transmitted Disease Guidelines 2021. References Herness J, Buttolph A, Hammer NC. Acute pyelonephritis in adults. Am Fam Physician. 2020;102:173-180.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52

Pediatric EM Morsels

JANUARY 19, 2024

CDC 2023] In 2021, there were over 2800 cases of congenital syphilis, tripled from 2017. CDC 2023] Pseudoparalysis of Parrot – Presentation and Exam Infant presents with lack of movement of one or both upper extremities, and will cry with palpation. The post Pseudoparalysis of Parrot appeared first on Pediatric EM Morsels.

Infectious Diseases 271

Infectious Diseases CDC Pediatrics Fractures 271

Pediatric EM Morsels

NOVEMBER 3, 2023

Another change is the CDC approved the use of IV artesunate for malaria treatment in the US in May 2022. This allowed US hospitals to stock the drug to ensure quick treatment of suspected severe cases, rather than having to ship it from the CDC under the prior expanded-access protocol (Thomas 2023). Treating malaria is an ART!

Seizures 281

Seizures Pediatrics CDC Infectious Diseases 281

Pediatric EM Morsels

MARCH 17, 2023

In the US, the venomous snakes include rattlesnakes , copperheads, cottonmouths/water moccasins , and coral snakes [ CDC, 2021 ] Rattlesnakes live all across the United State s Copperheads inhabit the eastern U.S. If you are managing a snake bite from a snake that does not typically reside in the U.S.,

CDC 130

CDC Poisoning Pediatrics Shock 130

RebelEM

FEBRUARY 29, 2024

Background: Ventilator-associated pneumonia (VAP), or what the CDC recently renamed infection-related ventilator-associated complication (IVAC), is defined as a nosocomial pneumonia occurring on day 3 of mechanical ventilation that was preceded by 2 days of stable or decreasing ventilator requirements. 4, 8 Paper: Dahyot-Fizelier, C.,

CDC 119

CDC Radiology Radiology Head Injuries 119

ACEP Now

OCTOBER 3, 2023

This guideline revision is particularly timely as EMS systems have shown their abilities to dramatically improve survival and neurologic outcome after cardiac arrest, STEMI, acute stroke, and other time-sensitive conditions. National Center for Health Statistics: Mortality Data on CDC WONDER. Prehosp Emerg Care. Accessed 2022, [link].

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98

EMDocs

AUGUST 15, 2023

Background: According to the Center for Disease Control (CDC), approximately 7,000-8,000 people in the United States (US) suffer envenomation by a snake each year. Venomous Snakes | NIOSH | CDC. What antivenoms are available to treat crotalid envenomation? What is the dosing schedule for antivenom? Treatment of snakebite poisoning.

Poisoning 98

Poisoning CDC Administration EMS 98

EMDocs

SEPTEMBER 7, 2023

2 Case Follow-up: Following an investigation, the Nigeria Field Epidemiology and Laboratory Training Program (N-FELTP), CDC, and the Food and Drug Administration (FDA) identified 57 cases of DEG poisoning among children £ 3 years old, of whom 54 died. CDC’s Morbidity and Mortality Weekly Report. References: Abubukar et al.

Poisoning 91

Poisoning CDC Administration Emergency Department 91

The Skeptics' Guide to EM

JANUARY 19, 2019

Justin Morgenstern is an emergency physician and the creator of the excellent #FOAMed project called First10EM.com Case: A 33-year-old man arrives via emergency medical services (EMS) after initially being […] The post SGEM#241: Wake Me Up Before You Go, Go – Using the HOUR Rule first appeared on The Skeptics Guide to Emergency Medicine.

EMS 52

EMS CDC Emergency Department Hospitals 52

ACEP Now

SEPTEMBER 13, 2023

Years before, he’d started his EM career as medical director of the ER at Memphis’ public hospital and Memphis Fire EMS. 1 “I remarked that EM was not even a specialty then, and suggested it might be an opportune time for an updated IOM report that examined the achievements and challenges of emergency care in the U.S.,”

EMS 45

EMS Research Academics Military 45

ACEP Now

FEBRUARY 11, 2024

According to the CDC, 30 percent of the population at some point during their lifetime will be diagnosed with shingles, and the emergency department can serve as the first point of contact for these patients.5 For instance, in one study, 83 percent of cases of valacyclovir neurotoxicity had concomitant acute renal dysfunction.

Emergency Department 52

Emergency Department CDC Hospitals EMS 52

Taming the SRU

OCTOBER 7, 2024

According to a CDC study, VTE contributes to 10.5% She is a graduate from the UC EM residency, class of 2018. In addition to discussing the diagnostic pathway and how it differs in pregnancy, we will discuss the treatment options available to both unstable and stable patients during pregnancy and the postpartum period.

Ultrasounds 64

Ultrasounds CDC Research Stroke 64

Advanced Emergency Nursing from AENJ

DECEMBER 18, 2014

Classic Advice to New Interns (Commentary upon 10 Commandments of EM) Ten Commandments of Emergency Medicine Luke & Cusack Cork Emergency Medicine 2014 The Derriford twelve commandments of emergency medicine: a model for good practice in a changing world, or a survival guide for new medical staff Smith, J. ."

Mass Casualty Incidents 40

Mass Casualty Incidents Burns Urgent Care Pediatrics 40

Critical Care Now

APRIL 5, 2022

Reading Time: 5 minutes Simon Taxel NRP, BA Simon is a paramedic, crew chief, and public safety diver with the Pittsburgh Bureau of EMS. According to CDC data , more than 64000 Americans died in 2020 from TBI, and many more experience long-term sequelae, making them one of the major causes of mortality and morbidity across all age groups.

Airway Management 52

Airway Management EMS CDC Pediatrics 52

EMDocs

NOVEMBER 4, 2024

Bhana, MD (EM Resident Physician, University of Massachusetts/UMass Chan Medical School); Clarence Kong, MD (Pain Fellow, Eastern Virginia Medical School – Virginia Health Sciences at Old Dominion University); Mani Hashemi, MD (EM Attending, HCA Florida Mercy Hospital); S.M. 2017.04.011 Witt CE, Bulger EM. Authors: Nikhil B.

Emergency Department 106

Emergency Department Fractures Burns EMS 106

Pediatric EM Morsels

APRIL 5, 2024

However, it is often overlooked that tickborne illnesses are among the most common travel-related illnesses globally (CDC Traveller’s Health 2017). CDC 2024) Generally, most ticks require >24 hours of attachment for there to be a risk of transfer of the infectious agent.

CDC 164

CDC Infectious Diseases Pediatrics Wellness 164

Pediatric EM Morsels

DECEMBER 6, 2024

link] Centers for Disease Control and Prevention (CDC). ” CDC , 20 May 2020, [link]. The post Parvovirus InfectionIn Children appeared first on Pediatric EM Morsels. .” The Lancet Infectious Diseases , vol. 6, 2008, pp. “Parvovirus B19.”

Blood Transfusions 164

Blood Transfusions Infectious Diseases CDC Pediatrics 164

RebelEM

NOVEMBER 11, 2024

4 The 2023 ACORN Trial ( covered here on REBEL EM ) randomized 2,511 patients requiring antipseudomonal coverage to receive either cefepime or piperacillin-tazobactam. appeared first on REBEL EM - Emergency Medicine Blog. In 2021, Buckley et. 3 The same year, Ross et. address in the article discussed below. N Engl J Med.

Sepsis 108

Sepsis Outcomes Administration Shock 108

ALiEM

DECEMBER 9, 2024

This clinical image depicts erythema migrans (EM), the classic rash seen in 70- 80% of early localized Lyme disease infections. This stage is characterized by the EM rash as well as fatigue, low-grade fevers, malaise, myalgias, and lymphadenopathy. Platelets : 223 Sodium : 139 Creatinine : 0.8

Emergency Department 60

Emergency Department CDC EMS Academics 60

Pediatric EM Morsels

FEBRUARY 2, 2024

PMID: 26368057 The post Travel-Related Illnesses in Children appeared first on Pediatric EM Morsels. Management of Children with Travel-related Illness Evaluated in a Pediatric Emergency Room. Pediatr Infect Dis J. 2015 Dec;34(12):1279-82.

Infectious Diseases 164

Infectious Diseases Pediatrics Sepsis Documentation/Coding 164

Pediatric EM Morsels

OCTOBER 6, 2023

Chiodini 2018) Use Azithromycin for travelers from areas of XDR Salmonella Typhi , per the CDC recommendation that currently refers to those with recent travels to Pakistan and Iraq. The CDC Yellow Book app 2018. PMID: 21622512 The post Typhoid Fever in Children appeared first on Pediatric EM Morsels. Clin Infect Dis.

Pediatrics 164

Pediatrics CDC Seizures Documentation/Coding 164

EMDocs

JULY 26, 2023

2 In 1996, the World Health Organization (WHO) called for the remaining stocks of variola virus to be destroyed or transferred to one of two designated biosafety level 4 facilities: the Center for Disease Control (CDC) in Atlanta, Georgia or the State Research Center of Virology and Biotechnology in Koltsovo, Russia.

CDC 94

CDC Research Pediatrics Wellness 94

Pediatric EM Morsels

FEBRUARY 28, 2025

Therefore, CDC does not recommend risk-factor-based screening. PMID:22615318 [link] [link] [link] [link] [link] The post Mycoplasma Genitalium(AKA Mgen) appeared first on Pediatric EM Morsels. Anyone who has unprotected sex is at risk for contracting an STI. Mycoplasma Genitalium is an emerging pathogen. J Infect Dis 2012;206:35765.

CDC 130

CDC Pediatrics Emergency Department EMS 130

PEMBlog

APRIL 4, 2025

And so I do encourage you to be familiar with some of the information provided by the CDC as long as it’s still online. Has a fever greater than 39, and is three to 36 months of age, are you working ’em up? And it can be hard to figure out what immuno competency by disease and vaccine status really means. Unfortunately.

Infectious Diseases 76

Infectious Diseases Pediatrics Emergency Department Wellness 76

EMDocs

NOVEMBER 25, 2024

Open-access image reference: By Giovanni Maki, derived from a CDC image at [link] – Basáñez M-G, Pion SDS, Churcher TS, Breitling LP, Little MP, et al. 0000000000000483 Opoku NO, Bakajika DK, Kanza EM, et al. Microfilariae persist in the human host for 3– 5 years, a much shorter period of time than the adult female worm.

Infectious Diseases 73

Infectious Diseases Emergency Department EMS Administration 73

EMDocs

MARCH 11, 2024

Authors: Gaston Omba, MD (EM Resident Physician, Makerere University); Jessica Pelletier, DO (EM Education Fellow, Washington University in St. Zinc therapy The Centers for Disease Control and Prevention (CDC) recommends starting zinc supplementation in children with cholera infection. Paediatr Int Child Health.

Dehydration 111

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 111

EMDocs

NOVEMBER 2, 2024

We’ll keep it short, while you keep that EM brain sharp. Neurosyphilis should be treated with aqueous crystalline penicillin G according to the CDC guidelines The Jarisch-Herxheimer reaction is expected in patients with high antibody titers. g/L but this varies between laboratories [23] CSF PCR for T. Treatment is supportive.

EMS 115

EMS Infectious Diseases CDC Research 115

EB Medicine

DECEMBER 1, 2018

The CDC estimates that epidemics cost 10 billion dollars per year. The CDC defines “influenza-like illness” as a temperature > 100 F, plus cough or sore throat, in the absence of a known cause other than influenza. Jeff: Of note, EMS providers should use face masks themselves and place them on patients as well.

Emergency Department 40

Emergency Department CDC Infectious Diseases EMS 40

EMDocs

NOVEMBER 6, 2024

2016.07.025 Pinkbook: Tetanus | CDC. J Emerg Med. 1990;8(3):321-325. doi:10.1016/0736-4679(90)90013-l Woldeamanuel YW, Andemeskel AT, Kyei K, Woldeamanuel MW, Woldeamanuel W. Case fatality of adult tetanus in Africa: Systematic review and meta-analysis. J Neurol Sci. 2016;368:292-299. doi:10.1016/j.jns.2016.07.025 Published August 17, 2021.

Poisoning 98

Poisoning Airway Management Dislocations Forensics 98

EMDocs

JANUARY 6, 2025

57 Emergency clinicians should strongly consider infectious disease (ID) consult or speaking with the Centers for Disease Control and Prevention (CDC) for treatment recommendations in cases of newly-diagnosed malaria given that malaria is not endemic in the US. In: CDC Yellow Book 2024. In: CDC Yellow Book 2024. 57 Table 2.

Infectious Diseases 75

Infectious Diseases CDC PPE Rapid Diagnostic Testing 75

EMDocs

MARCH 24, 2025

However, with the global evolution of emergency medicine (EM), more HIV patients now engage with EDs, often presenting with acute complications or in an undifferentiated state before receiving a formal diagnosis. x Centers for Disease Control and Prevention (CDC). link] Centers for Disease Control and Prevention (CDC).

CDC 91

CDC Blood Transfusions Infectious Diseases Sexual Assault 91

EMDocs

DECEMBER 9, 2024

Authors: Noah Kronk, MS-4 (University of Missouri-Columbia); Jessica Pelletier, DO, MHPE (APD, EM Attending Physician, University of Missouri-Columbia, USA) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case A 30-year-old female presents to the emergency department (ED) with fever, fatigue, and an extensive rash.

CDC 75

CDC Documentation/Coding Infectious Diseases Dehydration 75