The Skeptics' Guide to EM

JULY 8, 2023

Evaluation of oseltamivir used to prevent hospitalization in outpatients with influenza: a systematic review and meta-analysis. Guest Skeptic: Dr. Anand Swaminathan is an Assistant Professor of Emergency Medicine at Staten Island University Hospital. Date: July 6, 2023 Reference: Hanula R et al. JAMA Int Med 2023. JAMA Int Med 2023.

CDC 107

CDC Hospitals EMS Emergency Department 107

Sensible Medicine

AUGUST 7, 2024

This is an astounding difference in the quality of sleep, and to this day, premature infants in the hospital are slept on their stomachs. In 2022 the CDC paid the AAP to form an expert working group to revise its developmental surveillance checklists. Let’s look at 1967 vs. 2022 for the DDST and the CDC: Table 2.

CDC 114

CDC Documentation/Coding Research Pediatrics 114

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 111

CDC Radiology Radiology Head Injuries 111

NIOSH Science Blog

JUNE 16, 2020

Introduction During times of increased demand for N95 filtering facepiece respirators (FFRs), hospitals or other medical facilities may want to protect these devices from surface contamination in order to prolong their use.

CDC 75

CDC Hospitals Infectious Diseases 75

PulmCCM

DECEMBER 11, 2023

Vitamin C did not improve outcomes among patients hospitalized with Covid-19. LOVIT-COVID and REMAP-CAP ) Twice-daily oral zinc reduced mortality, ICU admission rate, and hospital length of stay in patients with Covid-19 in Tunisia in 2022. It’s the first treatment to appear to do so.

Sepsis 94

Sepsis Stroke Shock Infectious Diseases 94

Sensible Medicine

NOVEMBER 14, 2023

He also co-led the team whose work led the CDC to issue a major clarification of its 2016 opioid prescribing guideline and is currently a principal investigator of the only national study to examine individual suicides that occur after the reduction of prescribed opioids. They are not regulated as tightly as hospitals.

Research 133

Research Psychiatric CDC Best Practices 133

PulmCCM

JUNE 5, 2023

veterans’ hospitals did not show a mortality reduction from low-dose methylprednisolone. Patients receiving hydrocortisone required more insulin, but did not have higher observed rates of hospital-acquired infections or gastrointestinal bleeding. iatrogenic or hospital-acquired) were excluded.

Advances Cardiac Life Support (ACLS) 96

Advances Cardiac Life Support (ACLS) Documentation/Coding CPR Shock 96

Medagadget

JUNE 26, 2023

BBy , a medtech company based in New York, has developed a spray drying method that hospitals can use to process human breast milk into a shelf-stable powder. Even though breast milk is best for NICU infants, a 2020 CDC report said that 13% of U.S. hospital NICUs don’t have stocks of donated breast milk.

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CDC Hospitals Research Wellness 84

The Skeptics' Guide to EM

APRIL 20, 2024

She is an Assistant Professor and Director of Research in the Department of Emergency Medicine at the NYU Grossman Long Island Hospital Campus. AEM April 2024 Date: April 19, 2024 Guest Skeptic: Dr. Suchismita Datta.

Fractures 85

Fractures Ultrasounds Emergency Department CDC 85

PulmCCM

SEPTEMBER 3, 2023

Those with falsely high pulse ox readings (of any race) were slightly less likely to receive early treatment for Covid-19, and more likely to be later readmitted to the hospital. Darker-skinned patients were more likely to have misleadingly normal pulse oximetry readings. There was no clear signal of increased mortality.

CDC 98

CDC Hospitals 98

American Medical Compliance

JANUARY 25, 2024

The CDC’s FluSurv-NET system, a sentinel network of healthcare facilities, documented over 104,000 flu-related hospitalizations across 13 states during past flu seasons. The year 2024 marks another significant chapter in the healthcare industry’s ongoing battle against infectious diseases, and the numbers speak volumes.

Infectious Diseases 111

Infectious Diseases PPE CDC Documentation/Coding 111

Medagadget

AUGUST 25, 2023

The CDC recently released new recommendations for higher air replacement rates and the use of active air purification equipment in crowded spaces. LumaFlo’s technology can more efficiently decontaminate airborne contaminants in schools, hospitals, shopping centers, office buildings, airports, buses, etc.

CDC 76

CDC Operations Hospitals Wellness 76

American Medical Compliance

MAY 16, 2024

The opioid crisis strains emergency services, hospitals, and healthcare providers who are often on the front lines of treating overdose patients. The CDC guidelines emphasize the legal importance of discussing treatment goals, potential benefits, and the inherent risks of opioid therapy.

CDC 52

CDC Evidence-Based Practice Best Practices Administration 52

ACEP Now

FEBRUARY 11, 2024

There was concern for possible cutaneous leishmaniasis (CL), therefore he was admitted to the hospital for infectious-disease and surgical consultations, as well as to complete a punch biopsy the following day. million cases of CL per year globally; however, CL is not a reportable disease to the CDC, so there is no reliable way to track U.S.

Infectious Diseases 52

Infectious Diseases CDC Military Emergency Department 52

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 84

Poisoning CDC Administration Emergency Department 84

Don't Forget the Bubbles

DECEMBER 13, 2023

It is commonly seen in the first couple of years of life and accounts for 1-5% of paediatric hospital admissions for those under two. CDC growth charts are commonly used for children two years or older. ‘Failure to thrive’ is common “Failure to thrive” occurs when a child has slow weight gain. It is not a diagnosis.

Dehydration 98

Dehydration CDC Hospitals Wellness 98

ACEP Now

OCTOBER 9, 2024

We understand there are large community hospitals, academic centers and rural hospitals with vastly different resources and needs. A June CDC report found that, although medications for opioid use disorder substantially reduce mortality, they are underused. There are five sets of domains.

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Emergency Department Critical Access Geriatric Emergencies Ultrasounds 52

ACEP Now

OCTOBER 3, 2023

There are at least 600 TBI-related hospitalizations and 175 TBI-related deaths per day. 2,3 TBI outcomes are profoundly linked to the timing and quality of care provided before patients reach the hospital. 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

American Medical Compliance

JANUARY 9, 2024

The Centers for Disease Control and Prevention (CDC) reported that over 47,000 people took their own lives in 2019. Suicide is the second most common cause of death for young people in the United States between the ages of 10 and 24, raising serious concerns about public health.

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CDC Hospitals 52

The Skeptics' Guide to EM

JANUARY 19, 2019

Hospital Observation Upon Reversal (HOUR) With Naloxone: A Prospective Clinical Prediction Rule Validation Study. Hospital Observation Upon Reversal (HOUR) With Naloxone: A Prospective Clinical Prediction Rule Validation Study. Date: January 17th , 2019 Reference: Clemency et al. Date: January 17th , 2019 Reference: Clemency et al.

EMS 52

EMS CDC Emergency Department Hospitals 52

ACEP Now

AUGUST 15, 2023

Dr. Koo is an emergency physician and attending at MedStar Washington Hospital Center in Washington, and St. Mary’s Hospital in Leonardtown, Maryland. CDC Website.Updated April 28,2023. In the end, we may just realize the burden we feel is transient, like the ebb and flow of our emergency department census.

Emergency Department 90

Emergency Department Military Resuscitation Wellness 90

EMDocs

OCTOBER 30, 2023

1 The shortage in supply posed difficulties for hospitals that significantly depend on GE Healthcare as their supplier, which encompassed approximately 50% of hospitals in the United States (US). Preparation 9 Hospitals had to prepare for the impending contrast shortage as soon as potential shortage news occurred. 11 Table 1.

Radiology 92

Radiology Radiology Emergency Department Hospitals 92

American Medical Compliance

NOVEMBER 30, 2022

For example, perioperative nurses were forced to sterilize water themselves in hospitals due to a shortage of sterilized water. New CDC data indicates that an increased number of patients need central lines, ventilators, and catheters, all of which have been associated with the recent spike in HAIs.

Patient Safety 52

Patient Safety CDC Operations Outcomes 52

PulmCCM

OCTOBER 16, 2023

hospitals, between roughly one and four central line-associated bloodstream infections (CLABSI) occur per 1,000 days with a central line in place (catheter-days). Central line infections result in excess mortality, hospital stays, and cost (although the magnitude of all three are debated). How Often Do Central Lines Become Infected?

CDC 52

CDC Hospitals Ultrasounds Documentation/Coding 52

SheMD

APRIL 24, 2023

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. I got wheeled through the hospital corridors to radiology, in a patient gown, past residents, past firefighters, past a lot of puzzled faces. according to CDC data.

Ultrasounds 83

Ultrasounds Radiology Radiology Emergency Department 83

Total Medical ComplianceHIPAA

OCTOBER 9, 2024

Clean and disinfect surfaces with an EPA registered hospital level disinfectant. The resources used for this article were the CDC, OSHA, EPA, and The Association for Dental Safety. OSHA would expect adequate restrooms for employees. Supplies and equipment need to be inspected for any water damage. TMC is here to help and guide.

Hazardous Materials 59

Hazardous Materials Infectious Diseases PPE Shock 59

ACEP Now

FEBRUARY 11, 2024

She was admitted to the hospital for AKI and suspected valacyclovir-associated neurotoxicity in the setting of an AKI. Her valacyclovir was discontinued during her hospitalization and her myoclonus resolved. She was discharged at her baseline mental status.

Emergency Department 52

Emergency Department CDC Hospitals EMS 52

PulmCCM

OCTOBER 30, 2023

If clinicians don’t consistently comply, hospitals get “dinged” with public reporting of their supposedly low quality of sepsis care. CMS has added SEP-1 to its “value-based purchasing” program for 2024, meaning hospitals will face financial penalties for noncompliance. The stakes are going up.

Sepsis 52

Sepsis Shock Hospitals Infectious Diseases 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. Working closely with the CDC, I came to know a lot about rural medicine and how to improve it,” he says, guessing he may have been tapped for the committee through his work as principal investigator on more than $6.1

EMS 45

EMS Research Academics Military 45

ACEP Now

APRIL 2, 2024

Under their recommendation, the patient was admitted to the hospital for observation on an intravenous dextrose infusion. Francis Hospital and Medical Center, as well as an assistant professor at University of Connecticut School of Medicine and Quinnipiac University School of Medicine. Centers for Disease Control (CDC).

Poisoning 40

Poisoning Administration Documentation/Coding Urgent Care 40

Don't Forget the Bubbles

DECEMBER 16, 2024

To meet CDC and WHO diagnostic criteria for pertussis, suspected cases must exhibit a cough lasting at least two weeks, creating a prolonged period during which patients may be infectious before a diagnosis is confirmed.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

Advanced Emergency Nursing from AENJ

AUGUST 2, 2016

These include, but are not limited to the following: · Persons dying within 24 hours of admission to the hospital, or not medically attended by a physician within 24-hours of the time of death, unless the attending physician has established a natural cause of death. · Searchable statute from commercial site. Accessed 07/25/2016.

Documentation/Coding 40

Documentation/Coding Forensics CDC Fractures 40

Stop and Think

DECEMBER 4, 2022

Off the main stage, at the American Heart Association meeting last month, Dr. Rebecca Woodruff, a scientist from CDC, presented a study that found a spike in deaths due to heart disease in 2020. When you (or your hospital or professional society) promote these scans, over time, you may create a societal or cultural feeling of healthism.

CDC 40

CDC Hospitals Outcomes Wellness 40

ACEP Now

OCTOBER 15, 2023

Radecki I s an emergency physician and informatician with Christchurch Hospital in Christchurch, New Zealand. CDC website. He is the Annals of Emergency Medicine podcast co-host and Journal Club editor and can be found on Twitter @emlitofnote. References Centers for Disease Control and Prevention. US opioid dispensing rate map.

Emergency Department 52

Emergency Department Outcomes CDC Research 52

ACEP Now

JULY 6, 2023

Warfarin pills are inexpensive, but the associated hospital care is not. Gaddis is a “PGY-37” who has stepped away from full-time employment after a 32-year full-time career in academic emergency medicine, and now works a limited number of shifts in a rural Critical Access hospital in Missouri. Acute pyelonephritis in adults.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52

Critical Care Now

APRIL 5, 2022

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. In 2020 the EPIC4Kids study was published and the findings among pediatric TBI patients were similar to that of adults.

Airway Management 52

Airway Management EMS CDC Pediatrics 52

American Medical Compliance

FEBRUARY 27, 2023

Employees may go to their primary care physicians or an Urgent Care or Hospital for consultation. OSHA Exposure Control Requirements Organizations such as OSHA and the CDC require that facilities revisit and updat exposure controls annually. This training also gives tips on how needle-stick incidents can be prevents.

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EMS PPE Administration Urgent Care 52