Don't Forget the Bubbles

AUGUST 23, 2023

In most Emergency Departments, staff are allotted little of that scarce resource, time, to begin processing what has just occurred. The Pause Jonathon Bartels worked as an Emergency Nurse in America in 2009. After the death of a young person in the Emergency Department, he initiated ‘ The Pause.’ & Liska, H.

Emergency Department 98

Emergency Department Resuscitation Documentation/Coding Best Practices 98

ACEP Now

NOVEMBER 14, 2023

But inside these charming historic walls is a research-driven, quaternary-care, academic, medical center. The emergency department (ED) at UVA was rebuilt in 2019 and the department had not fully optimized its operations when COVID-19 hit. They also developed standard work documents for each role.

Academics 52

Academics Emergency Department Leadership Operations 52

EMDocs

JULY 25, 2024

The nurse completes the Columbia-Suicide Severity Rating Scale (C-SSRS) and documents that the patient’s recent thoughts of killing himself and his detailed plan makes him “High Risk” for suicide. There is no documented handoff to the on-coming emergency physician (EP) who assumes care. ” (See reference #1 below.)

Documentation/Coding 105

Documentation/Coding Hospitals Patient Safety Emergency Department 105

PEMBlog

MARCH 4, 2025

Garcia T, Florin TA, Leonard J, Shah SS, Ruddy RM, Wallihan R, Desai AP, Alter S, El-Assal O, Marzec S, Keaton M, Yun KW, Leber AL, Mejias A, Cohen DM, Ramilo O, Ambroggio L; Childrens Hospitals Initiative for Research in Pneumonia (CHIRP). Pediatr Emerg Care. 2025 Feb 17. doi: 10.1097/PEC.0000000000003338. 0000000000003338.

Pediatrics 94

Pediatrics Military CDC Hospitals 94

EMDocs

JULY 9, 2024

The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. Acad Pediatr. 2018.11.009.

Pediatrics 75

Pediatrics Emergency Department Research Burns 75

Pediatric EM Morsels

JULY 5, 2024

We collected data directly from the bedside clinician which enabled us to gather pertinent patient symptoms and physical examination findings that may not be well documented in the medical record, but more accurately identify the child’s injuries.” Pediatr Emerg Care. Ann Emerg Med. 2018;34(10):677-686. PMID: 27749628.

Pediatrics 164

Pediatrics Head Injuries Dislocations Research 164

Don't Forget the Bubbles

JUNE 19, 2024

In adult trauma cases, there has been significant research to help decide which patients require X-ray or CT imaging for possible cervical spine injuries, leading to the development of the National Emergency X-Ray (NEXUS) prediction rule and the Canadian C-Spine Rule (CCR). Why is this study needed? Lancet Child Adolesc Health.

CPR 124

CPR Research Documentation/Coding Outcomes 124

EM Updates

JUNE 15, 2021

Maimonides Medical Center (MMC) is Brooklyn’s largest hospital, an academic quaternary care center with, in normal times, 711 total beds, 66 intensive care beds, and an Emergency Department that treats approximately 120,000 patients per year. On March 9, the first patient with a novel coronavirus infection was admitted to MMC.

Emergency Department 52

Emergency Department Hospitals Outcomes Wellness 52

Don't Forget the Bubbles

OCTOBER 10, 2024

Exploring communication preferences and risk thresholds of clinicians and parents of febrile infants under 90 days presenting to the emergency department: a qualitative study. In the project’s second phase, research leads were asked to submit the written discharge material routinely provided on discharge in their institution.

Emergency Department 75

Emergency Department Outcomes Research Operations 75

The Skeptics' Guide to EM

MARCH 22, 2019

Date: March 20th, 2019 Guest Skeptic: Dr.Katie Walker is an emergency physician in Melbourne, Australia. She is a clinical researcher at Cabrini Hospital and an Adjunct Clinical Associate Professor at Monash University. Case: The emergency department is backing up. Case: The emergency department is backing up.

Emergency Department 52

Emergency Department Dislocations Documentation/Coding Research 52

RebelEM

JULY 3, 2023

Impact of intravenous calcium with diltiazem for atrial fibrillation/flutter in the emergency department. Am J Emerg Med. What They Did: Researchers conducted a multicenter, retrospective cohort study in three community hospitals and two freestanding emergency departments.

Administration 98

Administration Outcomes Documentation/Coding Emergency Department 98

Taming the SRU

AUGUST 4, 2024

to teach you and your learner something new on shift skin adhesives WITH dr. hill Dermabond is a polymer (octyl cyanoacrylate) that can be used to repair lacerations in the Emergency Department faster than sutures, allowing the ED physician to be more efficient. It is better to finish early than rushing through your presentation

Dislocations 85

Dislocations Emergency Department Documentation/Coding Burns 85

ACEP Now

NOVEMBER 6, 2024

Native American emergency physicians make up 0.1 emergency departments, according to research published in 2020 in Annals of Emergency Medicine. It was written like a diary, detailing what he did during a weekend shift: codes, traumas, you name it. percent of physicians in U.S.

Military 98

Military Emergency Department Documentation/Coding Research 98

ACEP Now

AUGUST 1, 2023

“Emergency physicians can be incredibly proud of the contributions JACEP Open is making to advance medical research, health care, and public health since its launch just a few years ago,” said Henry Wang, MD, MS, editor in chief of JACEP Open. Read more at acep.org/boarding-briefing. Read more at acep.org/corporatizationSFR.

Documentation/Coding 52

Documentation/Coding Emergency Department Emergency Nursing Research 52

ACEP Now

JUNE 1, 2023

Advances in artificial intelligence (AI) and the development of LLMs, could assist emergency physicians in their daily practice and research endeavors. However, the implementation of these models also comes with potential risks and downsides. They can help draft research papers or grant proposals.

Best Practices 52

Best Practices Research Documentation/Coding Emergency Department 52

The Skeptics' Guide to EM

OCTOBER 1, 2022

Disparities in the emergency department management of pediatric migraine by race, ethnicity, and language preference. Guest Skeptic: Dr. Lauren Westafer is an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. AEM September 2022. AEM September 2022.

Pediatrics 52

Pediatrics Emergency Department Documentation/Coding Research 52

RebelEM

OCTOBER 5, 2023

Strengths: The investigators framed a research question centered on patient outcomes, ensuring the study’s relevance and practicality. The researchers employed a double-blind, placebo-controlled, randomized controlled trial design to minimize potential biases, enhancing the reliability of the results. In the placebo group, 20.5

Research 94

Research Outcomes Administration Shock 94

RCEM Learning

MAY 20, 2022

Author: Damian Roland / Editor: Govind Oliver / Code: / Published: 06/02/2020 There are many old and unhelpful stereotypes in medicines. The burly orthopaedic surgeon ignoring everything but the bone, the pipe-smoking, cardigan-wearing psychiatrist and the jack-of-all-trades emergency doctor just looking for the next cool gadget to play with.

Academics 52

Academics Research EMS Documentation/Coding 52

EB Medicine

MAY 3, 2019

This month, we’re moving into uncharted territories for the podcast… we’re talking psychiatry Nachi: Specifically, we’ll be discussing Depressed and Suicidal Patients in the emergency department. Routine serum testing and urine toxicology testing are not recommended for psychiatric patients presenting to the emergency department.

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

The Skeptics' Guide to EM

JANUARY 23, 2021

Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. She is the cofounder of FOAMcast and a pulmonary embolism and implementation science researcher. and Physicians first appeared on The Skeptics Guide to Emergency Medicine.

Poisoning 52

Poisoning Research Documentation/Coding Operations 52

Emergency Medicine Journal

NOVEMBER 28, 2023

This study aims to explore the views held by Emergency Care Providers (ECP) towards providing healthcare to Asylum Seekers and Refugees (ASR) in the UK. A literature search found no articles which researched this question in the UK, highlighting that this is not only an important but also an under-explored topic.

Documentation/Coding 40

Documentation/Coding Research Emergency Department 40

Dr. Smith's ECG Blog

AUGUST 9, 2024

Written by Colin Jenkins and Nhu-Nguyen Le with edits by Willy Frick and by Smith A 46-year-old male presented to the emergency department with 2 days of heavy substernal chest pain and nausea. He had no previously documented medical problems except polysubstance use. Circulation Research , 56 (2), 184–194. Bardoner, J.

EKG/ECG 107

EKG/ECG EMS Emergency Department Wellness 107

Don't Forget the Bubbles

DECEMBER 16, 2024

Research indicates that vaccine-induced antibodies persist for 412 years, while immunity from natural infection lasts between 4 and 20 years. Clear history taking In the Emergency Department, healthcare professionals should prioritise thorough history-taking when assessing potential suspected cases. Measles facts [Internet].

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

The Skeptics' Guide to EM

APRIL 24, 2021

Date: April 19th, 2021 Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine and Emergency Medicine Research Lead at Lancashire Teaching Hospitals Trust (North West England). Martel is a practicing emergency physician at Hennepin County medical center in Minneapolis, Minnesota since 2000.

Emergency Department 40

Emergency Department Research Outcomes Documentation/Coding 40

RebelEM

MARCH 13, 2024

This was not a Code 3 respiratory distress, fentanyl overdose with minimal response to Narcan or even an unconscious stroke patient with the blood pressure of a giraffe. How does thinking on the spectrum of more or less right impact our utilization of new research or of implementing a consultant’s recommendations?

Documentation/Coding 58

Documentation/Coding EMS Outcomes Stroke 58

ACEP Now

SEPTEMBER 5, 2024

While some issues are handled locally, many issues cannot be solved in our emergency department or hospital. As a community “pit doctor,” I believe I have a good understanding of the needs of emergency physicians. Emergency physicians that seek a network of colleagues may be inclined to join ACEP.

Leadership 98

Leadership PPE EMS Wellness 98

The Skeptics' Guide to EM

JULY 30, 2022

Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Case: A 63-year-old woman presents to your emergency department (ED) with two-day history of nausea, vomiting and constipation. Dr. Charles Brower is a second-year resident training in Emergency Medicine at the University of Cincinnati.

Ultrasounds 52

Ultrasounds Operations Documentation/Coding Outcomes 52

ACEP Now

JULY 8, 2024

Recently published experiments with LLMs in the emergency department fall into a handful of primary areas of interest. In a similar vein, another study evaluated the ability of an LLM to assess “clinical acuity” in the emergency department. J Am Coll Emerg Physicians Open. 2024;26(1):40-46. JAMA Netw Open.

Emergency Department 52

Emergency Department Operations Documentation/Coding EKG/ECG 52

The Skeptics' Guide to EM

NOVEMBER 16, 2019

NEJM Oct 2019 Guest Skeptic: Dr. Laura Melville (@lmelville535) is an emergency physician in Brooklyn, New York, is a part of the New York ACEP Research Committee, ALL NYC EM, and is the NYP-Brooklyn Methodist Resident Research Director. Do you continue with the ICE Code? What do you say?

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia EMS Research Documentation/Coding 40

ACEP Now

JULY 6, 2023

Emergency physicians have become leaders in achieving cost efficiency in health care, predominantly through implementation of new processes and research findings, enabling us to achieve significant financial savings. Emergency physicians help not only save lives, but also save significant sums of money, 24/7/365. Postgrad Med.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52

The Skeptics' Guide to EM

NOVEMBER 13, 2021

Neil Dasgupta is an emergency physician and ED intensivist from Long Island, NY, and currently an assistant clinical professor and Director of Emergency Critical Care at Nassau University Medical Center. Case: A code blue is called for a 71-year-old male in-patient that is boarding in the emergency department (ED).

Advances Cardiac Life Support (ACLS) 40

Advances Cardiac Life Support (ACLS) Hospitals Emergency Department Resuscitation 40

ACEP Now

DECEMBER 10, 2023

A middle-aged male with squamous cell carcinoma and extensive metastases is brought to the emergency department (ED) after being found unresponsive following a believed suicide attempt (SA) by methadone ingestion. He had a recent month-long hospital stay complicated by severe cancer-related pain.

Resuscitation 52

Resuscitation EKG/ECG Documentation/Coding Hospitals 52

Don't Forget the Bubbles

JULY 26, 2023

Prioritise listening to the first 30 minutes which given a good overview of aetiology and treatment (53 mins) Basics of cardiac rhythm problems in the ED Palpitations are a common reason for children to present to the emergency department, the majority of these will be benign from a cardiac perspective and instead related to stress or anxiety.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

The Skeptics' Guide to EM

DECEMBER 5, 2020

John’s Riverside Hospital Emergency Medicine Residency in Yonkers, New York. She is the New York ACEP liaison for the Research and Education Committee and is a past ALL NYC EM Resident Education Fellow. She has nystagmus but no other physical exam findings. We’ve even used it to help decide whether or not to get a head CT.

Stroke 40

Stroke Documentation/Coding Emergency Department Hospitals 40

ACEP Now

APRIL 2, 2024

An 18-year-old woman presented to the emergency department (ED) with symptoms of nausea, vomiting, diarrhea, and abdominal pain. 4 The association between ackee ingestion and the illness was initially recognized in 1875 and officially documented in 1904. Studies indicate that THS is primarily caused by the toxin hypoglycin A.

Poisoning 40

Poisoning Administration Urgent Care Documentation/Coding 40

ACEP Now

DECEMBER 10, 2023

Corneal injury and defects have been documented from direct contact of milkweed sap to the eye and any exposure should be immediately treated with copious water irrigation. Dr. Hack is chief of the division of medical toxicology and vice chair for research at East Carolina University in Greenville, North Carolina.

Poisoning 52

Poisoning Seizures Documentation/Coding Emergency Department 52

Advanced Emergency Nursing from AENJ

NOVEMBER 20, 2014

It is critically important to document the physical findings in a plain-seeing, plain-speaking, non-judgmental manner that will not color or taint future investigations. Accurate time entries are important to document. Ballistic injuries in the emergency department. Emergency medicine practice, 13(12), 1-30.

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40