The Trauma Pro

NOVEMBER 12, 2024

References: The National Pediatric Readiness Project website (pedsready.org) Download a copy of the assessment In my next post, I’ll review a paper published last week that looks at the real-world implications of pediatric readiness vs. the lack thereof. This is of significance to both trauma and non-trauma hospitals.

Pediatrics 113

Pediatrics Emergency Nursing Hospitals Resuscitation 113

ACEP Now

AUGUST 12, 2024

6-8 Hopefully you are following my reasoning that since emergency physicians can benefit from mindfulness practices, and birding is one form of mindfulness, that therefore emergency physicians can benefit from birding. Now let me take it one step further and tell you why emergency physicians in particular make excellent birders.

Ultrasounds 116

Ultrasounds Emergency Department Wellness 116

RebelEM

FEBRUARY 21, 2024

REBEL Core Cast 118.0 – IM vs PO NSAIDs Click here for Direct Download of the Podcast Bottom Line Up Top: There is no difference in analgesic efficacy between oral and intramuscular NSAIDs. Can J Emerg Med 2007; 9(1): 30-2. Ann Emerg Med 1995;26:117-20. Acad Emerg Med; 1998; 5(2): 118-122.PMID:

Administration 63

Administration Emergency Department EMS Research 63

RebelEM

SEPTEMBER 13, 2023

patients that take ACE inhibitors (but 20-30% of all angioedema presentations to the Emergency Department) 3 times more common in Black Americans ( Kostis 2005 ) 0.01 patients that take ACE inhibitors (but 20-30% of all angioedema presentations to the Emergency Department) 3 times more common in Black Americans ( Kostis 2005 ) 0.01

Allergic Reactions 103

Allergic Reactions Airway Management Anaphylaxis Emergency Department 103

EM SIM Cases

OCTOBER 19, 2022

They were directed to go to the emergency department. DOWNLOAD CASE HERE bronchiolitis Download Source = [link] When it did not go away after a couple of hours, Zarah’s parents called 811 for advice.

Pediatrics 52

Pediatrics Emergency Department EMS Resuscitation 52

RebelEM

JUNE 5, 2023

One study from a county in Massachusetts found that of all nonfatal opioid doses seen in the emergency department from 2011-2015, 1 in 20 patients subsequently died within one year of initial visit with 66% of these deaths being directly related to an opioid overdose (4). Ann Emerg Med. PMID 33392580. PMID 33392580.

Emergency Department 90

Emergency Department Hospitals Outcomes EMS 90

EM SIM Cases

NOVEMBER 15, 2022

Case Summary This is a case of a 57-year-old male with former smoking history, COPD on home O2, atrial fibrillation on anticoagulation coming into a community emergency department (ED) with symptoms consistent with COPD exacerbation. The patient is coming from home, where he was found sitting in his couch in mild respiratory distress.

COPD 52

COPD Military Emergency Department EMS 52

RebelEM

JULY 17, 2023

Background: Standard rapid sequence intubation (RSI) in the emergency department involves administration of an induction agent and a neuroblocking agent in quick succession. Click here for Direct Download of the Podcast Paper: Knack SKS et al. appeared first on REBEL EM - Emergency Medicine Blog.

Outcomes 95

Outcomes Administration Emergency Department Resuscitation 95

EM SIM Cases

NOVEMBER 14, 2023

Clinical Vignette A 25-year old man presents to the emergency department after intentionally ingesting a significant amount of acetaminophen. Acetaminophen Overdose with Uncooperative Patient Download From Life in the Fast Lane, ECG Library for normal sinus rhythm.

Emergency Department 52

Emergency Department EMS EKG/ECG 52

The Skeptics' Guide to EM

APRIL 2, 2022

Take-Pause: Efficacy of mindfulness-based virtual reality as an intervention in the pediatric emergency department. AEM March 2022 Guest Skeptic: Dr. Lauren Westafer is an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. Reference: Butt et al.

Pediatrics 52

Pediatrics Emergency Department Outcomes Research 52

Don't Forget the Bubbles

SEPTEMBER 18, 2024

Case 1 focuses on a case seen in the emergency department and explores the common parental query of a “weak immune system” in a young child who has had several recurrent upper respirator tract infections back-to-back but is otherwise well. A 3 year old boy is brought to emergency department and treated for viral induced wheeze.

Emergency Department 98

Emergency Department Wellness Infectious Diseases Pediatrics 98

RebelEM

MARCH 8, 2023

Rapid diagnosis and emergency referral improves outcomes of ophthalmologic interventions. REBEL Core Cast 97.0 – Acute Vision Loss II Click here for Direct Download of the Podcast Definition: Decrease of visual acuity due to a non-traumatic cause. Emergency Department Management: Emergency ophthalmology consultation.

Stroke 52

Stroke Emergency Department Ultrasounds Outcomes 52

EMDocs

JUNE 2, 2023

Podcast: Play in new window | Download (Duration: 19:53 — 27.3MB) Subscribe: Apple Podcasts | Google Podcasts | RSS Pharmacologic Management In episode 1 of this series, we discussed differentiating organic vs psychiatric causes of agitation in children. Erratum in: West J Emerg Med. 2019 Jul;20(4):688-689. Acad Pediatr.

Psychiatric 66

Psychiatric Pediatrics Emergency Department Administration 66

EM SIM Cases

JANUARY 10, 2023

His academic interests are in education, simulation, and translational simulation; including where simulation can improve hospital and emergency department preparedness. For both junior and senior learners, the patient progresses from threatened limb (requiring emergent investigation) to a pulseless limb (requiring emergent OR).

Academics 40

Academics Emergency Department Hospitals Resuscitation 40

EM SIM Cases

AUGUST 8, 2023

Her interests include harm reduction, the use of simulation for difficult conversations and procedural preparedness, and the use of osteopathic manipulation for pain control in the emergency department. CASE SUMMARY A 29-year-old male presents to the emergency department (ED) after falling in the shower while intoxicated.

Leadership 40

Leadership Emergency Department Outcomes Wellness 40

EM Curious

JULY 29, 2015

Download the screencast here. More FOAMed THE AORTA WILL F*&% YOU UP AORTIC DISSECTION [SCREENCAST]: EM Basic brings us a high yield review of aortic dissection, including both common and uncommon presentation, imaging, treatment and more.

Sepsis 52

Sepsis EMS Emergency Department Ultrasounds 52

EM SIM Cases

MAY 9, 2023

EHS arrived, provided oxygen supplementation, and brought them to your tertiary emergency department, with access to PICU. Pediatric Drowning Download Hon, K. , Pediatric Emergency Care,32 (9), 623-626. When the child was brought to the surface, they were unconscious and coughing up foam. Cheung, H. &

Pediatrics 52

Pediatrics CPR Radiology Radiology 52

EMDocs

JUNE 9, 2023

Podcast: Play in new window | Download (Duration: 15:51 — 21.8MB) Subscribe: Apple Podcasts | Google Podcasts | RSS Safe prehospital transport of the agitated child In episode 1 of this series, we discussed differentiating organic vs psychiatric causes of agitation in children.

EMS 77

EMS Documentation/Coding Pediatrics Psychiatric 77

EM SIM Cases

DECEMBER 13, 2022

Today, she developed new confusion today and was taken to the local emergency department where a CT scan showed “SAH with hydrocephalus”. Download Case Here Critical Care Case 1- Subarachnoid Hemorrhage Download Clinical Vignette EMS has brought a direct transfer to Neurosurgery from surrounding hospital for SAH.

Airway Management 40

Airway Management Academics Emergency Department Hospitals 40

RebelEM

AUGUST 30, 2023

REBEL Core Cast 107.0 – Vertebral Osteomyelitis Click here for Direct Download of the Podcast Definition Inflammation of the vertebrae due to a pyogenic, fungal or mycobacterial organism. Evaluation and Treatment of Acute Back Pain in the Emergency Department. Orthopedic Emergencies 2015 May; 33(2) 311-26.

Infectious Diseases 90

Infectious Diseases Fractures Radiology Radiology 90

EMDocs

JUNE 16, 2023

Podcast: Play in new window | Download (Duration: 13:57 — 19.2MB) Subscribe: Apple Podcasts | Google Podcasts | RSS Management of the child with mental health problems who is boarding in the ED In episode 1 of this series, we discussed differentiating organic vs psychiatric causes of agitation in children.

Psychiatric 52

Psychiatric Pediatrics Emergency Department Best Practices 52

The Skeptics' Guide to EM

JUNE 14, 2017

Copies of the slides can be downloaded from this link: KT in Digital Age PDF. Criticism of social media dating back 2,500 years were discussed ( Tom Standage ). A short list, not a complete list, of some quality FOAMed sites were provided. Talk II: Five SGEM Episodes The second talk was five SGEM episodes selected by Dr. Manrique Umana.

Emergency Department 52

Emergency Department Research 52

The Skeptics' Guide to EM

SEPTEMBER 12, 2020

All the slides from this CPSO presentation can be downloaded and shared from this link. It was an opportunity to share my journey and give an important message about kindness. Much of this taking place in the context of the COVID19 global pandemic. The CPSO video recorded the presentation and it should be available soon. Shanafelt et al.

Emergency Department 52

Emergency Department Wellness 52

RebelEM

MARCH 13, 2024

REBEL Reflections Episode 5: Thinking in Bets – Making Better Decisions When You Don’t Have All the Facts Click here for Direct Download of the Podcast Think back to the last time someone asked you a difficult question regarding a patient on shift. How sure were you about your decision?

Documentation/Coding 58

Documentation/Coding Outcomes EMS Stroke 58

EMDocs

MAY 26, 2023

Podcast: Play in new window | Download (Duration: 17:49 — 24.5MB) Subscribe: Apple Podcasts | Google Podcasts | RSS Non-Pharmacologic Management In episode 1 of this series, we discussed differentiating organic vs psychiatric causes of agitation in children. Emerg Med Clin North Am. Emerg Med Australas. PMC3272587.

Pediatrics 76

Pediatrics Emergency Department Psychiatric Documentation/Coding 76

EM SIM Cases

AUGUST 17, 2023

CASE SUMMARY A 70 y/o male post LVAD implantation presents to the emergency department with a chief complaint of shortness of the breath. lvad-pump-thrombosis Download The team will need to progress through the initial assessment of an LVAD patient, ultimately leading to a diagnosis of pump thrombosis.

Emergency Department 40

Emergency Department EMS Hospitals Resuscitation 40

RebelEM

MARCH 23, 2023

REBEL Cast Ep115 – Phenobarbital vs Lorazepam in Alcohol Withdrawal Click here for Direct Download of the Podcast Clinical question : Is a phenobarbital-based or lorazepam-based alcohol detoxification protocol associated with a lower hospital length of stay compared to Ativan for alcohol withdrawal?

Emergency Department 52

Emergency Department Outcomes Burns Hospitals 52

Downeast Emergency Medicine

JULY 17, 2021

Background Renal colic is a commonly encountered diagnosis in the emergency department that is known to cause significant pain. Comparison of intravenous ketorolac at three doses for treating renal colic in the emergency department: A noninferiority randomized controlled trial. Acad Emerg Med. Ann Emerg Med.

Emergency Department 52

Emergency Department Wellness Administration EMS 52

The Skeptics' Guide to EM

DECEMBER 25, 2021

JAMA 2021 This was an SGEM Journal Club and all the slides from the presentation can be downloaded using this LINK. The patient is transported to the emergency department with vital signs absent (VSA). As a reminder, here are the five rules for SGEM JC. CPR is continued while a supraglottic airway is placed successfully.

CPR 52

CPR Administration Outcomes Hospitals 52

PHEM Cast

APRIL 10, 2016

There are toolkits available to download, including one specifically written for the prehospital environment with the College of Paramedics, which summarises the recognition and management of sepsis. The impact of emergency medical services on the ED care of severe sepsis. Am J Emerg Med. Emergency Medicine Journal.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

The Skeptics' Guide to EM

MAY 29, 2021

If you would like a copy of the slides from the presentation you can download them free open access at this LINK. The patient is an adult male with a gunshot wound to the chest, and they’re combative with emergency medical services (EMS). Case: You receive a call on the Biocom for an incoming Type A trauma, three minutes out.

Emergency Department 52

Emergency Department EMS Research 52

RebelEM

FEBRUARY 22, 2023

difficult to see due to corneal edema) Emergency Department Management All patients should get emergency ophthalmologic consultation Start with eye drops (see table below) and add systemic medications if severe or refractory symptoms/IOP. Transient vision loss defined as vision loss <24 hours. Bagheri 2015 ).

Emergency Department 52

Emergency Department EMS Wellness 52

Downeast Emergency Medicine

MAY 16, 2022

The following three journal club articles sought to investigate the potential clinical benefits for the use of phenobarbital in the emergency department (ED) for the treatment of AWS. Emergency department visits for alcohol withdrawal syndrome are common and appear to be increasing. Articles reviewed 1. Staidle, et al.

Outcomes 52

Outcomes Emergency Department Hospitals Wellness 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

Don't Forget the Bubbles

JULY 5, 2023

A 6-year-old girl from Saudi Arabia was referred by her General Practitioner to the local emergency department. Websites [link] [link] [link] [link] Please download our Facilitator and Learner guides The post Sickle Cell Disease Module appeared first on Don't Forget the Bubbles. She is known to have sickle cell anaemia.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

Advanced Emergency Nursing from AENJ

AUGUST 2, 2016

Act V, scene I [Text from Folger Shakespeare Library] [Audio recording of Dramatic Reading; Chapter Vox] [Video recording of Act V, scene1] Most deaths that are brought to, or occur in, an emergency department will require, at least, discussion with the local Coroner or Medical Examiner. No "practice procedures" should be done.

Documentation/Coding 40

Documentation/Coding Forensics CDC Fractures 40

Dr. Smith's ECG Blog

JANUARY 10, 2020

Here is the parasternal short axis, performed by a real expert in emergency department point of care cardiac ultrasound: There does not appear to be an anterior wall motion abnormality. For those who want to read more on "My Take" regarding the E CG D iagnosis of A cute P ericarditis — CLICK HERE for a download of this Section.

EKG/ECG 40

EKG/ECG Ultrasounds Emergency Department Wellness 40