EM SIM Cases

NOVEMBER 3, 2023

This case comes from Dr. Jared Baylis and Dr. Kelly Huang Dr. Baylis is the Simulation Medical Director at University of British Columbia – Southern Medical Program and Interior Health, as well as an editor of EM Sim Cases. Ultimately, the patient will require admission to hospital for ongoing treatment.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia EKG/ECG EMS Hospitals 52

Don't Forget the Bubbles

JULY 26, 2023

A cardiac family history should of course be sought, but think a little outside the box as well. This has been trialled (out of hospital) in known children with SVT. On arrival at hospital the child was well with normal observations. Family history. The episode was reported to last around a minute.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

RebelEM

AUGUST 7, 2023

This helps relieve agitation/pain while maintaining spontaneous breathing and airway reflexes allowing for adequate pre-oxygenation as well as facilitates other resuscitation interventions including IV access, vasopressors, fluids, etc. that would not be possible in an agitated/combative patient.

Head Injuries 96

Head Injuries Airway Management Outcomes Burns 96

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. Document what you gave and why, as well as the impact.

Psychiatric 85

Psychiatric Pediatrics Emergency Department Administration 85

Dr. Smith's ECG Blog

MARCH 3, 2023

Additionally, the App also includes a chest pain section, namely EDACS risk score, which is already a well known and validated tool for the approach to acute chest pain (many thanks for its developers and their courtesy for letting us to use it in our App, Martin Than, MD; John Pickering, BSc, PhD, BA and Dylan Flaws, MSc, PhD).

EKG/ECG 52

EKG/ECG Research Hospitals 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. Would they ever be well enough to be extubated?

Documentation/Coding 58

Documentation/Coding Outcomes EMS Stroke 58

EM SIM Cases

JUNE 25, 2024

Subsequently, the patient’s spouse will need to be informed of the patient’s status as well as the indications for re-intubation. Crit Care 4- Post-extubation Stridor Download These cases can help individuals and teams prepare to identify and manage these patients who become newly, and sometimes unexpectedly, unstable.

Academics 40

Academics Hospitals Wellness 40

Downeast Emergency Medicine

DECEMBER 1, 2021

329 participants were enrolled at an urban teaching hospital over a period of four years. Rosenberg and colleagues took a qualitative approach when investigating barriers and facilitators to successful implementation of ED-initiated buprenorphine programs in critical access hospital EDs across Maine.

Emergency Department 52

Emergency Department Documentation/Coding Leadership Administration 52

ACEP Now

JANUARY 30, 2024

This focus on insurer consolidation broadens ACEP’s recent advocacy efforts with the Federal Trade Commission on hospital and physician consolidation, non-competes, and corporatization of medicine. Download the ACEP app for your devices or use the web-based version online on acep.org/poctools. Discover more at acep.org/MOC.

Pediatrics 52

Pediatrics EMS Documentation/Coding Stroke 52

Downeast Emergency Medicine

MAY 16, 2022

All three groups had similar rates or admission to the hospital and return to the ED. The authors did find that a significantly higher proportion of patients treated with combination therapy were admitted to the intensive care unit (ICU), as well as had a significantly longer length of stay in the ED, and more bouts of hypotension.

Outcomes 52

Outcomes Emergency Department Hospitals Wellness 52

Downeast Emergency Medicine

JULY 17, 2021

The primary endpoint was pain reduction at 30 minutes with secondary outcomes looking at 15, 45, and 60 minute scores as well as need for rescue analgesia and adverse effects. Download article summaries EIDINEJAD ET AL. 165 patients were divided into 3 equal groups and received wither 10 mg, 20 mg, or 30 mg of IV ketorolac.

Emergency Department 52

Emergency Department Wellness Administration EMS 52

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? Paper : Hawa F et al.

Emergency Department 52

Emergency Department Outcomes Burns Hospitals 52

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. Why are we boarding?

Psychiatric 52

Psychiatric Pediatrics Emergency Department Best Practices 52

Rural Doctors Net

AUGUST 30, 2013

James and Casey are used to this kind of stuff (although Casey’s mostly in-hospital and has even got a CT scanner…James is used to working out of a tent wearing just rabbit skins). Allocate someone to activate ambulance, other clinical personnel, notify local hospital and give retrieval services a head’s up.

Burns 52

Burns Hospitals Ambulance Services Wellness 52

Downeast Emergency Medicine

APRIL 26, 2021

Four level-1 US trauma centers participated in the study where the inclusion criteria were trauma patients who were within 2 hours of their injury and were transported to the trauma center from either the field or another hospital. The primary outcome was head injury-related death in-hospital within 28 days of injury.

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

PulmCCM

SEPTEMBER 9, 2021

And so, Zampieri and colleagues recently released the Balanced Solutions in Intensive Care Study [BaSICS], comparing two types of crystalloid resuscitation fluid, discussed previously , as well as two infusions rates of these fluids , considered below. saline as well as to two different infusion rates of said fluids. hypotension; c.]

Resuscitation 40

Resuscitation Fluid Resuscitation Sepsis Outcomes 40

PulmCCM

JANUARY 2, 2022

.” -Julia Child Background Early observational studies and the RECOVERY collaborative group initially demonstrated the benefit of corticosteroid therapy in oxygen-requiring, COVID-19-patients; additional randomized studies as well as a meta-analysis of these reports corroborated this. Download his free textbook here.

Outcomes 40

Outcomes Hospitals Shock Wellness 40

SheMD

OCTOBER 1, 2023

I loved 4th year because of the opportunity to travel across the country to explore new areas, meet my fellow applicants and current residents, as well as check out the hospital I might be [practically] living in for the next 4 years of my life [there is a reason it’s called residency … we’re basically residing in the hospital during this training].

Burns 52

Burns Hospitals Wellness 52

PulmCCM

FEBRUARY 28, 2022

Further, death from any cause within the ICU, the hospital or within 28 days of randomization were also reported secondary outcomes. As well, after randomization, 63% of patients randomized to balanced fluids received 500 mL or more of open-label saline, while only 3.5% Download his free textbook here.

Fluid Resuscitation 40

Fluid Resuscitation Resuscitation Outcomes Sepsis 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. · Accessed 07/30/2016. Accessed 07/30/2016.

Documentation/Coding 40

Documentation/Coding Forensics CDC Fractures 40

Advanced Emergency Nursing from AENJ

MAY 3, 2014

Although told several times, the story of the development by Henning Ruben of the prototypical modern manual resuscitator, the self-refilling bag with unidirectional non-rebreathing valves which now dominate the world of resuscitation, is still not well-known. Download from Hindawi Publishing without additional data availability.

Resuscitation 40

Resuscitation Military Operations Emergency Nursing 40

RebelEM

JULY 31, 2023

REBEL Cast Ep121: The Battle of the Blades – VL vs DL Click here for Direct Download of the Podcast Article: Prekker ME, Driver BE, Trent SA, et al. Patients appeared to have a similar prognosis at the start of the trial, and the collected demographic information was well-balanced. 1420 patients were enrolled.

Operations 96

Operations Outcomes Emergency Department Airway Management 96

RebelEM

MAY 15, 2024

REBEL Core Cast 122.0 – Neutropenic Fever Click here for Direct Download of the Podcast. Follow your hospital’s protocol (if available). High Risk Patients will need hospitalization and IV antibiotics. Patients with hematologic malignancies are at highest risk for suffering profound and prolonged neutropenia.

Infectious Diseases 90

Infectious Diseases Administration Sepsis Anaphylaxis 90

EM SIM Cases

AUGUST 23, 2022

Dr. Brennan is an attending Emergency Physician at Kingston General Hospital and Emergency Medicine Residency Program Director at Queen’s University. We all know that simulation is a useful tool; it’s impact and utility depend on who is using it and how well they know how to operate it. The other trainees watched the case.

Operations 40

Operations Resuscitation Wellness Hospitals 40

RebelEM

DECEMBER 19, 2022

The authors sought to answer whether double defibrillation and/or vector change defibrillation lead to a greater number of RVF patients surviving to hospital discharge when compared to standard defibrillation therapy. Defibrillation Strategies for Refractory Ventricular Fibrillation.

EMS 52

EMS CPR Shock Resuscitation 52

PulmCCM

NOVEMBER 18, 2021

As well, while systemic corticosteroids benefitted patients requiring oxygen in the RECOVERY evaluation , in the sub-population of patients without supplemental oxygen requirements, corticosteroids may have been harmful. hospital admission or death related to COVID-19. Download his free textbook here.

Urgent Care 40

Urgent Care Hospitals Stroke Wellness 40

The Trauma Pro

FEBRUARY 18, 2025

He spent his career at the Charity Hospital there, weathering multiple political storms over the years, as well as the big one, Hurricane Katrina. He was instrumental in achieving Level I Trauma Center status for its replacement, Interim LSU Hospital. Download McSwains Rules of Patient Care

EMS 212

EMS Hospitals Wellness 212

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. His parents are both fit and well and there is no family history of any medical conditions.

Emergency Department 98

Emergency Department Wellness Infectious Diseases Pediatrics 98

Don't Forget the Bubbles

AUGUST 13, 2023

After a short period of observation in the ED, he looks well and has been eating and drinking normally and playing. On examination she is febrile, well perfused with a CRT of less than 2sec, heart rate of 155 and respiratory rate of 35. The child is back to his normal self, febrile with a temperature of 38.60

Seizures 97

Seizures Pediatrics Dehydration Radiology 97

PulmCCM

OCTOBER 31, 2021

The TOGETHER trial is a well-regarded, randomised, adaptive platform trial investigating repurposed treatments for COVID-19 among high-risk, adult, outpatients. In the fluvoxamine group 79 [11%] had a primary outcome event compared with 119 [16%]; most events [87%] were hospitalizations.

Outcomes 40

Outcomes Hospitals Psychiatric Wellness 40

Don't Forget the Bubbles

JULY 5, 2023

SCD, therefore, is not only a mechanical disease but there are also many other cellular and plasma factors as well as endothelial interaction that generate chronic inflammation. GPs and local hospitals should provide easy access to medication and vaccinations to ensure good compliance. He is apyrexial. How would you treat priapism?

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

PulmCCM

JANUARY 29, 2022

An interim analysis of this study appears to have played some role in the emergency use authorization described above, as well. The primary outcome measure was the proportion of patients with COVID-19-related hospitalization or death from any cause through 28 days. of those randomized to NIR-RIT were hospitalized [i.e.,

Hospitals 40

Hospitals Outcomes Wellness Pediatrics 40

RebelEM

FEBRUARY 7, 2024

REBEL Core Cast 117.0 – Infections of Pregnancy Click here for Direct Download of the Podcast Urinary Tract Infection/Pyelonephritis Epidemiology: Occurs in as many. Most infectious processes will require admission and close observation for improvement or decompensation. Read more

Sepsis 91

Sepsis Shock Hospitals Ultrasounds 91

Mind The Bleep

NOVEMBER 2, 2024

Every baby has a NIPE performed, either in hospital before discharge or at home by a community midwife. Babies in the neonatal unit will typically wait until they are well enough for the examination e.g. NIPE is not performed for baby’s who are ventilated, on CPAP or have lots of different lines inserted. Have they passed urine?

Dislocations 52

Dislocations Documentation/Coding Ultrasounds Wellness 52

Sensible Medicine

JULY 27, 2023

Ironically, two of them refused to post this article as well! Yet, these rejected articles have been eventually published and been downloaded massively. Ultimately, our article was posted on SSRN, where it has received almost 40,000 downloads to date, and has led to widespread criticism of the CDC, which MedRxiv perhaps did not want.

CDC 98

CDC Administration Research Hospitals 98