ACEP Now

NOVEMBER 14, 2023

In 1901, UVA opened its first hospital with 25 beds and three operating rooms. The emergency department (ED) at UVA was rebuilt in 2019 and the department had not fully optimized its operations when COVID-19 hit. While most academic EDs have lost pediatric volume, the UVA ED continues to see almost 20 percent pediatric patients.

Academics 52

Academics Emergency Department Leadership Operations 52

AED Leader

JUNE 11, 2024

When faced with a life-threatening situation, every second counts, and having a defibrillator that is easy to operate can make a significant difference. Philips defibrillators are equipped with long-lasting batteries that provide extended operational life. These pads deliver a lower energy shock and are suitable for pediatric patients.

CPR 52

CPR Shock Resuscitation Operations 52

AED Leader

JULY 3, 2024

This durability is essential, particularly for businesses operating in demanding or outdoor environments. Yes, Cardiac Science AEDs have pediatric capabilities. They come equipped with pediatric pads or electrodes that are specifically designed for use on children. Q4: Can Cardiac Science AEDs be used on children?

CPR 52

CPR Resuscitation Pediatrics Operations 52

Taming the SRU

AUGUST 4, 2024

Know your audience, and tailor your presentation to them in terms of humor, pop culture references, and dress code Err on the side of making your presentation slightly shorter than the alloted time to allow room for questions. The largest retrospective cohort study to date (Beyde et al.) shows that most will improve with empiric antibiotics.

Dislocations 85

Dislocations Emergency Department Documentation/Coding Burns 85

Advanced Emergency Nursing from AENJ

AUGUST 2, 2016

" [Coroners Society] King Richard I (the Lionheart) needed vast sums of money for the Third Crusade, operation of the kingdom, and for his ransom fro m Duke Leopold of Austria. All efforts to identify the decedent by hospital staff, law enforcement agencies or social service agencies should be well documented in the medical records.

Documentation/Coding 40

Documentation/Coding Forensics CDC Fractures 40

Don't Forget the Bubbles

JULY 26, 2023

Claudius et al, Pediatrics 2007 here a US-based study showed that of all admitted patients only 14% had a subsequent clinical course requiring admission. The Fontan circulation was an operation initially developed around 50 years ago to treat tricuspid atresia. Do all infants with ALTEs need to be admitted?

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

Don't Forget the Bubbles

MARCH 11, 2024

Craniosynostosis needs urgent referral and is usually corrected operatively before a child’s first birthday. References The ISPN Guide to Pediatric Neurosurgery (USA): Positional Plagiocephaly in Children Homepage. New York, USA: The International Society for Pediatric Neurosurgery, 2024 (Accessed January 9, 2024). Vladusic, S.

Radiology 59

Radiology Radiology Pediatrics Documentation/Coding 59

Taming the SRU

JULY 31, 2024

morbidity and mortality - faculty case follow-up - R4 Capstone - high-risk, low prevalence diseases in pediatrics morbidity and mortality WITH dr. moulds Syncope Complete heart block is a rare but important cause of syncope P waves outnumbering QRS complexes should clue to you to high grade heart block Triage EKGs are often obtained to screen for cardiac (..)

EKG/ECG 52

EKG/ECG Sepsis Documentation/Coding Stroke 52

Taming the SRU

OCTOBER 30, 2024

Debrief codes and odd encounters for yourself, your team, and your hospital system. Increased distance to emergency care has real consequences for patients living in rural America, increasing rates of morbidity and mortality for emergent, life-threatening conditions for adult and pediatric patients alike.

Hospitals 52

Hospitals Emergency Department EKG/ECG Documentation/Coding 52

Advanced Emergency Nursing from AENJ

MAY 3, 2014

Review of the Wellcome Library movies on YouTube (1945) [ links below in references ] is instructive as to resuscitative methods of the 1930s and 1940s: Manual methods; gas bag or bellows operated by hand or machine; an anesthesia gas machine; or iron lung. Evaluation: Manually Operated Resuscitators (1971) Emergency Care Research Institute.

Resuscitation 40

Resuscitation Military Operations Emergency Nursing 40

Pediatric Emergency Playbook

JUNE 1, 2017

The best documented cormorbidity is sickle cell disease, although other pro-thrombotic conditions also put the child at risk. Fontan Operation and the Single Ventricle. J Curr Pediatr. World Journal for Pediatric Congenital Heart Surgery. Pediatr Cardiol. Pediatr Rev. Congenit Heart Dis. 2007; 2:2-11.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Pediatric Education

NOVEMBER 12, 2023

No specific documentation regarding the duration of the car seat testing could be identified in the medical records. Pierre-Robin Sequence) and post-operative congenital heart disease. Pediatrics. Pediatrics. Pediatrics. D’Alessandro, MD Professor of Pediatrics, University of Iowa doi:10.1542/peds.2009-0559

Pediatrics 40

Pediatrics Poisoning Hospitals Documentation/Coding 40

Northwestern EM Blog

MAY 16, 2022

Follow up CT should depend on the patient and ultrasound operator. Lastly the POCUS operators were ED physicians with training “recommended by ACEP.” pediatrics, pregnancy, solitary kidney, fever, unstable/critically ill, unrelenting pain, atypical features, etc). In this study, 40.7% J Urol 2019. 202(3):475-483.

Ultrasounds 52

Ultrasounds Radiology Radiology Outcomes 52

Taming the SRU

MAY 30, 2023

hours earlier and went to OR 3.5 Each airline generally has their own protocol. mg/mL) single-dose 2*-mL ampule or equivalent, 2 Lidocaine injection, 20-mg/mL single-dose 5-mL ampule or equivalent, 2 Nitroglycerin, 0.4-mg

OB/GYN 52

OB/GYN Ultrasounds Pediatrics Resuscitation 52

Advanced Emergency Nursing from AENJ

JULY 9, 2015

Pull out the manikins (or use a volunteer; BVM only) and run some awkward codes! They may be entrapped; have limited access; may be midway in an operating position that can’t be changed; may need to be sitting due to pulmonary edema, morbid obesity, aspiration prevention or for awake intubation. [link] “zmorgan morgan” Laryngospasm.

Airway Management 40

Airway Management Pediatrics Resuscitation Emergency Nursing 40

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. Natural psycho-physiological responses may alter perceptions during the life-threatening event. 8, 2012 12:12 a.m.

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Farrington] Rebuilding of outdated hospitals put emergency rooms on ground level with nearby X-ray service, and, ideally, sometimes closer to the Blood Bank and the Operating Rooms. EMS in America: The Foundation Documents. We applied to "The Golden Hour" the attitudes and abilities that led to a man on the moon.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

EB Medicine

JULY 8, 2019

Nachi: Unfortunately this procedure is associated with a relatively high re-operation rate – one study found 20% of patients required removal or revision. Jeff: Even more shockingly, some series showed a 52% repeat operation rate. Vitamin D, B12, Calcium, foate, iron, and thiamine deficiencies are all well documented complications.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Advanced Emergency Nursing from AENJ

MAY 27, 2014

This is a cased kit of a Sparklet Resuscitator (J size), with pressure chamber, regulator, tubing, reservoir bag, flow stopcock, and funnel mask, with associated documents. The Therapeutic Use of Carbon Dioxid After Anesthesia and Operation. ©Tom Trimble, RN CEN; object from Author’s Collection CLICK FOR LARGER IMAGE. Henderson , Y.,

Resuscitation 40

Resuscitation Poisoning Research Administration 40

Advanced Emergency Nursing from AENJ

SEPTEMBER 4, 2014

It wrongly frightened some medical personnel as it was operated by a 50 psi wall source or from a step-down regulator from a tank (some thought the patient received wall 50 psi or 1500 psig from the tank directly to the lung. Accessed July 28, 2014 **Quoting original documents of fascinating history. Grainge, C. Copass, M.

Resuscitation 40

Resuscitation CPR Documentation/Coding Military 40

EB Medicine

AUGUST 1, 2018

In fact, cannabis use has been documented for medical use dating as far back as 600 BC in West and Central Asia. Jeff: For more on synthetic intoxications in the ED, be sure to take a look at the recent May 2018 issue of Pediatric Emergency Medicine Practice on Synthetic Drug Intoxication in Children if you haven’t already read it.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

Taming the SRU

SEPTEMBER 1, 2023

to divert the plane).

Sepsis 95

Sepsis Fractures Documentation/Coding Administration 95

Don't Forget the Bubbles

JANUARY 1, 2024

This retrospective cohort study in JAMA Pediatrics looked at the impact of the COVID-19 pandemic on the socioemotional development of infants and toddlers. A randomized clinical trial, the Pediatric Adenotonsillectomy Trial for Snoring ( PATS ), evaluated adenotonsillectomies in children with snoring or mild obstructive sleep apnoea (OSA).

Pediatrics 98

Pediatrics Ultrasounds Blood Transfusions Sepsis 98

Don't Forget the Bubbles

JULY 5, 2023

Afro-Caribbean patients should be screened for sickle cell before anaesthesia for possible pre-operative transfusion. However, there are documented adverse events such as haemorrhagic cerebrovascular accidents or recurrence of VOC after drug withdrawal, which represent a drawback in its regular use. Anemia ; 2015.DOI:10.1155/2015/791498.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

Mind The Bleep

DECEMBER 6, 2024

Initial Management (whilst Urology team are on their way) Bloods FBC, U/Es, CRP, Coagulation screen, Blood glucose levels, Blood cultures IV Antibiotics as per Trust guidelines (may be under section for Necrotising fasciitis) Urethral catheter- this will help with monitoring urine output and help identify the urethra during the operation.

Documentation/Coding 52

Documentation/Coding Operations Ultrasounds Hospitals 52

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

They also proved that only expired air resuscitation guaranteed sufficient inflation volumes; that exhaled air was a suitable resuscitating gas; and that the operator would have continuous feedback from each breath. Some have succeeded with slow full rotation (360°). Always be gentle! How simple. G., Schnabel, K.,

Airway Management 40

Airway Management Resuscitation EMS CPR 40

Don't Forget the Bubbles

DECEMBER 9, 2024

Clinical recommendations for pain, sedation, withdrawal, and delirium assessment in critically ill infants and children Pediatric Acute Lung Injury and Sepsis Investigators ( PALISI ). Implementation of a Risk-Stratified Opioid and Benzodiazepine Weaning Protocol in a Pediatric Cardiac ICU. Pediatr Crit Care Med. Transl Pediatr.

Pediatrics 59

Pediatrics Sepsis Hospitals Administration 59