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. It did not perform as well which is not unusual for a clinical decision instrument [5]. AEM April 2024 Date: April 19, 2024 Guest Skeptic: Dr. Suchismita Datta.

Fractures 85

Fractures Ultrasounds Emergency Department CDC 85

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

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.

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CDC Operations Hospitals Wellness 76

EMDocs

SEPTEMBER 7, 2023

DGA concentrates in the kidney tissue and causes nephrotoxicity, as well as neurotoxicity. Elimination half-life data is not well established but increases in larger overdoses and as renal injury begins to occur. CDC’s Morbidity and Mortality Weekly Report. Metabolism of DEG adapted from Bessenhofer, et al. Schier, Capt.

Poisoning 84

Poisoning CDC Administration Emergency Department 84

ACEP Now

AUGUST 15, 2023

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? However, expressing genuine gratitude for yourself and others is powerful for your mental and physical well-being. However, they should not define our wellness. Cogn Ther Res.

Emergency Department 90

Emergency Department Military Resuscitation Wellness 90

ACEP Now

FEBRUARY 11, 2024

He noted spending about five days walking through a jungle, as well as traversing rivers. 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. Click to enlarge.)

Infectious Diseases 52

Infectious Diseases CDC Military Emergency Department 52

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. Susan had issues initially with ensuring the correct latch, but after a review with a lactation consultant, feeding is going well.

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Dehydration CDC Hospitals Wellness 98

ACEP Now

OCTOBER 3, 2023

Confounders to the GCS such as seizure and post-ictal phase, ingestions and drug overdose, as well as medications administered in the prehospital setting that impact GCS score should be documented. There are at least 600 TBI-related hospitalizations and 175 TBI-related deaths per day. Prehosp Emerg Care. Accessed 2022, [link].

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Fluid Resuscitation Documentation/Coding Resuscitation Pediatrics 98

SheMD

APRIL 24, 2023

Well there were two other ones that were in morula phase but needed to progress to blastocyst. Well that night, I had the residency over for a wellness Thanksgiving dinner. A colleague met me at the hospital and performed an ultrasound once more to confirm. according to CDC data. It was October.

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Ultrasounds Radiology Radiology Emergency Department 83

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

Total Medical ComplianceHIPAA

OCTOBER 9, 2024

This list is not all inclusive, there may be other challenges as well. 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. to run properly), and for dental unit waterlines.

Hazardous Materials 59

Hazardous Materials Infectious Diseases PPE Shock 59

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. We wanted to reach emergency physicians, nurses and others working in trauma as well as those at Health and Human Services and the Centers for Disease Control. Prescott, MD, another member of the committee. “We

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).

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Poisoning Administration Documentation/Coding Urgent Care 40

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.

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Sepsis Shock Hospitals Infectious Diseases 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.

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Airway Management EMS CDC Pediatrics 52

ACEP Now

OCTOBER 15, 2023

Patients were prescribed a schedule of twice-daily analgesia, and were allowed to increase the dose from 5 mg to 10 mg if pain was not initially well-controlled. Radecki I s an emergency physician and informatician with Christchurch Hospital in Christchurch, New Zealand. CDC website. US opioid dispensing rate map.

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Emergency Department Outcomes CDC Research 52

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. You’ve now created a patient who was previously a well person. Heart disease statistics can be mundane. But not this one.

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CDC Hospitals Outcomes Wellness 40

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.

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Documentation/Coding Forensics CDC Fractures 40

ACEP Now

JULY 6, 2023

Warfarin pills are inexpensive, but the associated hospital care is not. 5 Patients with acute ischemic strokes, STEMIs, and trauma, as well as many other diagnoses, have their workup largely completed, and even sometimes definitive therapy executed, before they leave the emergency department, rather than requiring inpatient units.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52

PEMBlog

JUNE 5, 2024

Sasser SM, Hunt RC, Faul M, Sugerman D, Pearson WS, Dulski T, Wald MM, Jurkovich GJ, Newgard CD, Lerner EB; Centers for Disease Control and Prevention (CDC). Infants can get a cervical spine injury during breech delivery or, unfortunately, during non accidental trauma as well. Lancet Child & Adolescent Health. MMWR Recomm Rep.

Fractures 52

Fractures Pediatrics Radiology Radiology 52

EB Medicine

MAY 3, 2019

Jeff: If those figures seem a bit high, another CDC study found that in a general population survey of a quarter million people between 2006-2008, 9% met the criteria for major depression. It’s also important to elicit any psychiatric history, including prior hospitalizations. Pretty big numbers. Let’s move on to the physical.

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Emergency Department Psychiatric Documentation/Coding Outcomes 40

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.

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Poisoning CDC Administration EMS 97

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.

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CDC Infectious Diseases Pediatrics Shock 164

PEMBlog

JULY 10, 2024

My name is Emily Labudde, and I’m a third year pediatric resident at Cincinnati Children’s Hospital, and I’ll be starting fellowship in pediatric emergency medicine this summer at Emory University Children’s Healthcare of Atlanta. Patients with neurologic complaints should undergo CSF testing as well.

Pediatrics 52

Pediatrics CDC Seizures Emergency Department 52

Pediatric EM Morsels

FEBRUARY 2, 2024

Hospitalization for travel-related illness are around 10% for both VFR and tourists (Leuthard 2015) Multiple studies have reported the most common travel infections in various countries. Infectious Disease Acquisition in Pediatric International Travelers: A 10-Year Review at a Canadian Tertiary Care Hospital. Pediatr Emerg Care.

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Infectious Diseases Pediatrics Sepsis Documentation/Coding 164

RebelEM

NOVEMBER 11, 2024

They analyzed the electronic health records of patients presenting to the ED who met modified Center for Disease Control and Prevention (CDC) sepsis surveillance criteria and received empiric treatment with either vancomycin/piperacillin-tazobactam or vancomycin/cefepime. 2021 Oct 13;13(10):e18742. 2023;330(16):1557–1567.

Sepsis 101

Sepsis Outcomes Administration Shock 101

PulmCCM

MARCH 4, 2024

While not IQ tests per se , the tests (branded as Cognitron ) purport to correlate well with, and to be indexed to, formal IQ tests. Thanks to the large data set, however, other demographics were well-represented and analyzable. Selection bias is baked into any self-selected survey sample such as this. favoring benefit).

Sepsis 52

Sepsis CDC Pediatrics Documentation/Coding 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. The pain is worse with activity but improves with rest. J R Soc Med.

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Emergency Department Fractures Burns EMS 105

Sensible Medicine

AUGUST 14, 2024

In popular (lay) understanding, SIDS represents a common danger that a well-cared for and apparently healthy baby will suddenly and terrifyingly be found dead in the morning. The CDC reports that in the US in 2020 there were 93 Sudden Unexpected Infant Deaths per 100,000 live births (Fig. Figure 2 From the CDC Website.

CDC 93

CDC Sepsis Research Pediatrics 93

PulmCCM

SEPTEMBER 28, 2023

There was a strong trend toward reduction in the combined endpoint of hospitalization or death, among patients randomized to inhaled budesonide. Outcomes tested were the time to sustained recovery (three days symptom-free, hazard ratio 1.01), hospitalizations (three in each group), or death by day 28 (there were none).

COPD 95

COPD Stroke Academics Urgent Care 95

PulmCCM

AUGUST 15, 2023

Well … EG.5.1 Wastewater is the primary means of monitoring Covid today, because most infections go untested and undetected, hospitalizations and deaths lag infections by weeks, and their surveillance suffers from limitations in data collection and attribution of causality—i.e., But aren’t hospitalizations going up?

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CDC Hospitals Wellness 98

EB Medicine

DECEMBER 1, 2018

The CDC estimates that epidemics cost 10 billion dollars per year. They also estimate that an epidemic is responsible for 3 million hospitalized days and 31 million outpatient visits each year. Not surprisingly, H3N2 dominant seasons are currently associated with the highest rates of influenza cases, hospitalizations, and death.

Emergency Department 40

Emergency Department CDC Infectious Diseases EMS 40

Taming the SRU

JANUARY 22, 2025

2,3] In 2020, the CDC estimates that asthma exacerbations accounted for almost 1,000,000 ED visits and almost 100,000 inpatient hospitalizations. [4] million emergency department (ED) visits and about 700,000 hospitalizations attributed to COPD exacerbations. [8] Annually, there are approximately 1.5

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COPD CDC Research Emergency Department 80

PulmCCM

OCTOBER 23, 2023

Among >2500 patients under age 50 in an observational cohort who contracted Covid-19 in the Omicron era, those taking Paxlovid had no fewer deaths, emergency department visits, or hospitalizations (as a composite) than those not treated with the drug , with the exception of those with cardiovascular disease or cancer.

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Hospitals COPD Emergency Department CDC 98

FEMinEM

JANUARY 26, 2021

And as he and his wife were physicians, I didn’t need to convince them of the hell that the pandemic had caused; they too had worked when patients with COVID-19 were quickly filling our hospital beds to capacity, when we were told to limit our mask use because our hospital faced shortages of personal protective equipment. We recovered.

CDC 52

CDC Research Hospitals PPE 52

PulmCCM

FEBRUARY 26, 2024

hours of their last time known to be well. Patients (n=120) who experienced severe Covid-19 in 2020 and 2021 (Delta era) were prospectively followed post-discharge and compared with 125 controls who had been hospitalized for myocardial infarctions or pneumonia, and 100 non-hospitalized healthy controls.

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Stroke Psychiatric Hospitals CDC 40