The Trauma Pro
MARCH 21, 2024
In the last two posts, I discussed the size of your trauma bay and how to measure it. This can obviously be helpful if you are updating or building new resuscitation rooms. But what about all the stuff that goes into it? Where is the best place to put it? If you are in the enviable position of being able to stock a brand-new room, here are some tips.
Emergency Live
MARCH 21, 2024
Origins of a Fundamental Day March 21st marks the International Day for the Elimination of Racial Discrimination, a date chosen in memory of the Sharpeville massacre of 1960. On that tragic day, amidst apartheid, the South African police fired upon a crowd of peaceful demonstrators, killing 69 people and injuring 180. This shocking event led […] The post International Day Against Racial Discrimination appeared first on Emergency Live.
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Core Medical Group
MARCH 21, 2024
In the healthcare industry, facilities are continuously striving to find the best talent to join their teams. During the hiring process for healthcare professionals , many organizations place a high value on certain qualities that go beyond functional skills. Among these qualities, flexibility, open communication, and dedication stand out as important characteristics for potential candidates.
Emergency Live
MARCH 21, 2024
A Vital Heritage The International Day of Forests, celebrated every March 21st, underscores the crucial importance of forests for life on Earth. Established by the UN, this day aims to raise awareness of the ecological, economic, social, and health benefits that forests provide, as well as to warn against the dangers of deforestation. Forests not […] The post Forests Green Lungs of the Planet and Allies of Health appeared first on Emergency Live.
NRC Health
MARCH 21, 2024
Dogs have an extraordinary gift for patience and living in the moment. In a professional setting, being fully present is about more than just physical presence—it’s about giving undivided attention and focus to the work at hand. This lesson has become a cornerstone of Evan Sheaff’s daily approach as NRC Health’s Director of Implementation. The post Igniting Human Understanding: Evan Sheaff appeared first on NRC Health.
PEMBlog
MARCH 21, 2024
Be sure to check out our previous posts on: BRONCHIOLITIS , EPIGLOTTITIS , and PNEUMONIA The Problem: Free open access medical education (aka FOAM) is great in that it allows for asynchronous, focused learning. But there are some challenges when it comes to the utilization of FOAM: – Decentralization of FOAM resources – Concerns about the quality of information being presented The Solution: The Systematic Online Academic Resource, or SOAR, review was created in an effort to address some of these
EMergucate
MARCH 21, 2024
The lateral neck x-ray shows a foreign body in the hypopharynx (chicken bone).
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EMergucate
MARCH 21, 2024
The ankle x-ray shows a faint lucent line running vertically involving the distal tibial epiphysis.
Emergency Medicine Journal
MARCH 21, 2024
This month’s update is by the Research in Emergency care, Avon Collaborative Hub based in Bristol. We used a multimodal search strategy, drawing on free open-access medical education resources and literature searches. We identified the five most interesting and relevant papers (decided by consensus) and highlight the main findings, key limitations and clinical bottom line for each paper.
EMergucate
MARCH 21, 2024
The chest x-ray shows features highly suggestive of thoracic aortic dissection. Mediastinal widening. Indistinct aortic knuckle. Right paratracheal density.
Emergency Medicine Journal
MARCH 21, 2024
No body collects data on cause of death in UK EDs. While the literature contains some reports of causes of death in EDs, the methodology used does not lend itself to complete capture of causes of deaths. Also, the reports in the literature are from health systems not analogous to the UK’s. 1 2 An accurate understanding of the cause of death in ED populations may highlight areas of care that need to be improved and inform appropriate targeting of resource.
EMergucate
MARCH 21, 2024
The supine abdominal x-ray shows dilated small bowel loops located centrally.
Emergency Medicine Journal
MARCH 21, 2024
Background Staff retention in Emergency Medicine (EM) is at crisis level and could be attributed in some part to adverse working conditions. This study aimed to better understand current concerns relating to working conditions and working practices in Emergency Departments (EDs). Methods A qualitative approach was taken, using focus groups with ED staff (doctors, nurses, advanced care practitioners) of all grades, seniority and professional backgrounds from across the UK.
Sensible Medicine
MARCH 21, 2024
In the last post ( Part 1 ), I discussed threats to our professional identity including “collective in-competence,” runaway “interconnectivity,” and mistrust within the educational alliance. In this post, I’ll focus on the nexus of our evolving identity with the medical education system and explore what our role can and should be as educators in forging a path forward.
Emergency Medicine Journal
MARCH 21, 2024
Chest pain suspicious for an acute myocardial infarction (MI) is a common reason for emergency ambulance contact. Most patients have a non-diagnostic ECG and transport to hospital for troponin testing is the rule. In the emergency department, tools such as the troponin-only Manchester acute coronary syndrome (T-MACS) decision aid 1 and the HEART (history, ECG, age, risk factors and troponin) score 2 are used to identify those at low risk of MI for consideration of early discharge.
Emergency Medicine Journal
MARCH 21, 2024
Background In 2019, the emergency medical services (EMS) covering the western Norway Regional Health Authority area implemented its version of the prehospital clinical criteria G-FAST (Gaze deviation, Facial palsy, Arm weakness, Visual loss, Speech disturbance) to detect acute ischaemic stroke (AIS) with large vessel occlusion (LVO). For patients with gaze deviation and at least one other G-FAST symptom, a primary stroke centre (PSC) may be bypassed and the patient taken directly to a comprehens
Emergency Medicine Journal
MARCH 21, 2024
Background Fever is a common symptom among travellers returning from tropical/subtropical areas to Europe, and promptly distinguishing severe illnesses from self-limiting febrile syndromes is important but can be challenging due to non-specific clinical presentation. Methods A cross-sectional study enrolled adults and children who sought care during 2015–2020 at Karolinska University Hospital, Stockholm, Sweden with fever within 2 months after returning from travel to a tropical/subtropica
Emergency Medicine Journal
MARCH 21, 2024
Clinical introduction A 77-year-old man with a 6-month history of poor appetite, nausea, weakness, and progressive weight loss presented to our outpatient department. He had no significant gastrointestinal or cardiovascular problems. Abdominal findings are pictured in figure 1. Question What is the most likely diagnosis? Omphalitis Umbilical abscess Urachal remnant Umbilical metastasis (Sister Mary Joseph’s nodule) Answer: D His abdominal findings showed conjunctival pallor and a firm, pai
Emergency Medicine Journal
MARCH 21, 2024
Background Febrile infants with an infection by influenza or enterovirus are at low risk of invasive bacterial infection (IBI). Objective To determine the prevalence of IBI among febrile infants ≤90 days old with a positive COVID-19 test. Methods MEDLINE, Embase, Cochrane Central Register databases, Web of Science, ClinicalTrials.gov and grey literature were searched for articles published from February 2020 to May 2023.
Emergency Medicine Journal
MARCH 21, 2024
Clinical introduction A 76-year-old man presented to the ED following a fall. He was unconscious initially and complained of dizziness on arrival. There was no recent history of trauma, chest or back pain, headache, fever prior to the episode. His vital signs were: BP, 98/42 mm Hg; RR, 20 breaths/min; and an oxygen saturation level of 97% while breathing ambient air.
Emergency Medicine Journal
MARCH 21, 2024
The prevalence of bacteraemia and bacterial meningitis (commonly referred to as invasive bacterial infections or IBIs) among febrile infants informs ED clinician management decisions about the need for testing, treatment or hospitalisation. Using increasingly sophisticated risk stratification technologies, the management of these infants has evolved over time.
Emergency Medicine Journal
MARCH 21, 2024
Background The HOME-CoV (Hospitalisation or Outpatient ManagEment of patients with SARS-CoV-2 infection) score is a validated list of uniquely clinical criteria indicating which patients with probable or proven COVID-19 can be treated at home. The aim of this study was to optimise the score to improve its ability to discriminate between patients who do and do not need admission.
Emergency Medicine Journal
MARCH 21, 2024
‘It is not our differences that divide us. It is our inability to recognize, accept, and celebrate those differences.’ –Audre Lorde It has been over 4 years since 14 November 2019 when the first documented case of COVID-19 emerged. As the world slowly recovers from the pandemic, it has equally exposed the vulnerability in our healthcare systems.
Emergency Medicine Journal
MARCH 21, 2024
Welcome to April 2024’s Primary Survey for the Emergency Medicine Journal. This month’s journal covers a wide variety of topics, from COVID-19 and fever in the Emergency Department (ED) to prehospital care. Pandemic phase-related racial and ethnic disparities in COVID-19 positivity and outcomes among patients presenting to emergency departments during the first two pandemic waves in the USA The COVID-19 pandemic will likely be one of the most significant clinic events for any of us i
Emergency Medicine Journal
MARCH 21, 2024
Dr Mohammed Qandil, an Emergency Medicine and Critical Care consultant and member of the Royal College of Emergency Medicine, is head of the Emergency Department at the Nasser Medical Complex in Khan Younis which is in the south of Gaza. At the time of writing and since the beginning of October 2023 there have been over 24 000 reported Palestinian fatalities with over 61 000 injured.
Emergency Medicine Journal
MARCH 21, 2024
Background In many countries including the USA, the UK and Canada, the impact of COVID-19 on people of colour has been disproportionately high but examination of disparities in patients presenting to ED has been limited. We assessed racial and ethnic differences in COVID-19 positivity and outcomes in patients presenting to EDs in the USA, and the effect of the phase of the pandemic on these outcomes.
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