The Trauma Pro

DECEMBER 6, 2024

The debate over incidental appendectomy has waxed and waned over the years. And for the most part, it has nearly permanently waned in general surgical cases for now. But every once in a while, I am asked about incidental appendectomy during trauma laparotomy. Is it a good idea? What reasons could there possibly be for doing it? In the old days, we would frequently do an incidental appendectomy because… well, just because we were there.

Operations 147

Operations Administration Wellness 147

EMDocs

DECEMBER 6, 2024

Authors: Haley Dusek, MD (Emergency Medicine Resident, Carolinas Medical Center ); Erik Fisher, MD (Emergency Medicine Attending/Medical Toxicologist, Carolinas Medical Center) // Reviewed by: Anthony Spadaro, MD (@TSpadaro91, Medical Toxicology Fellow, Rutgers New Jersey Medical School, Newark, NJ); James Dazhe Cao, MD (@JamesCaoMD, Associate Professor of EM, Medical Toxicology, UT Southwestern Medical Center, Dallas, TX); Alex Koyfman, MD (@EMHighAK); and Brit Long, MD (@long_brit) Case: A 27-

Poisoning 97

Poisoning Fluid Resuscitation Seizures Resuscitation 97

ACEP Now

DECEMBER 6, 2024

By some definitions, you could call former Maryland state legislator Dan Morhaim, MD, FACEP, a retired emergency physician. He thinks of it as re-deployed. Dr. Morhaim spent more than two decades in the Maryland House of Delegates, fighting for legislation to protect health care workers and patients before his final legislative term ended in 2019. His health care focus included hospital efficiency, physician and patient satisfaction, and emergency department (ED) wait times, as well as a host of

Emergency Department 98

Emergency Department Hospitals Wellness 98

AED Leader

DECEMBER 6, 2024

In a world where every second counts during a cardiac emergency, preparedness can mean the difference between life and death. The alarming statistics surrounding heart diseases underscore the pressing need for effective emergency response systems globally. As a leader in advanced medical technology, Stryker has made significant strides in enhancing cardiac emergency preparedness, introducing innovative solutions and forging vital partnerships.

Basic Life Support 52

Basic Life Support Resuscitation Outcomes Hospitals 52

Speaker: Simran Kaur, Co-founder & CEO at Tattva.Health

AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!

Outcomes

ACEP Now

DECEMBER 6, 2024

A 45-year-old male with a history of chronic obstructive pulmonary disease (COPD), asthma, amphetamine and tetrahydrocannabinol (THC) use, and coronary vasospasm presented to triage with chest pain. During initial assessment, an ECG was obtained and revealed ST-segment elevation (STE) in the inferior leads with ST depression anteriorly. FIGURE 1. Initial ECG demonstrating inferolateral ST segment elevation and anteroseptal depression, just prior to cardiac arrest.

Resuscitation 98

Resuscitation EKG/ECG Documentation/Coding COPD 98

Pediatric EM Morsels

DECEMBER 6, 2024

Rashes are, as we know, a common complaint in the pediatric ER and one of the most difficult things to diagnose ( in my opinion ). Many of them look the same and distinguishing between what is a benign rash vs something sinister can always be a challenge. As we sort through the potential concerning ailments, it is also good to keep in mind the stereotypic causes of mild pediatric rashes.

Blood Transfusions 164

Blood Transfusions Infectious Diseases CDC Pediatrics 164

Dr. Smith's ECG Blog

DECEMBER 6, 2024

A 50-something man presented with worsening severe exertional chest pain which was just resolving as he had an ECG recorded in triage. Time zero. Are the T-waves in leads I and II hyperacute? Hard to tell. How can we know? By the evolution of the ECG! Watch what happends as the heart recovers from its episode of ischemia. The T-waves deflate, demonstrating that the first one was indeed hyperacute. 2 hours T-waves in lead II are significant smaller In lead I not much difference Troponins returned

EKG/ECG 107

EKG/ECG 107

ACEP Now

DECEMBER 6, 2024

What does your program offer that residents cant get anywhere else? We see a high volume of critically ill patients within our department (approximately 210,000 visits per year). Our catchment area is extensive, including all of Delaware and portions of Maryland, New Jersey, and Pennsylvania. Our three campuses that we work at are within 35 minutes of each other and provide a diverse patient population.

EMS 96

EMS Wellness Hospitals 96

ALiEM

DECEMBER 6, 2024

A 21-year-old otherwise healthy female presented to the Emergency Department with a fever after recently returning from Ghana. She reported intermittent fever, headache with photophobia, diarrhea, joint pains, and generalized weakness. She also noticed a diffuse, intermittently pruritic rash on her trunk and extremities. While in Ghana, she volunteered at a refugee hospital, ate street food, and was exposed to local animals.

Academics 64

Academics Emergency Department Shock Hospitals 64

ACEP Now

DECEMBER 6, 2024

A 46-year-old female with a prior medical history of asthma presented to the emergency department with shortness of breath and wheezing. After three DuoNeb treatments and 16 mg of dexamethasone, her wheezing improved; however, she continued to report shortness of breath on exertion. Given the persistent symptoms, a cardiac point-of-care ultrasound was obtained.

Emergency Department 64

Emergency Department Ultrasounds Hospitals Research 64

Mind The Bleep

DECEMBER 6, 2024

Introduction The acute scrotum is a constellation of new-onset pain, swelling and/or tenderness of intra-scrotal contents (1). In this article, we will review the limited number of differentials. Please note that a single clinical feature is not the confirmatory to a particular differential but the whole clinical picture will need to be considered when making a diagnosis.

Documentation/Coding 52

Documentation/Coding Operations Ultrasounds Hospitals 52