St. Emlyn

NOVEMBER 16, 2023

St.Emlyn's - Emergency Medicine #FOAMed We review a paper from the EMJ looking at the diagnosis of acute aortic syndrome in the ED and the accuracy of clinical decision rules and clinician gestalt The post JC: The DAShED Study – Diagnosis of Acute Aortic Syndrome in the Emergency Department appeared first on St.Emlyn's.

Emergency Department 120

Emergency Department Research 120

St. Emlyn

AUGUST 4, 2024

St.Emlyn's - Emergency Medicine #FOAMed Background Smoking is a leading cause of preventable morbidity and mortality worldwide.

Emergency Department 93

Emergency Department 93

The Bottom Line

OCTOBER 23, 2023

In trauma patients with exsanguinating haemorrhage, does the use of the REBOA (resuscitative endovascular balloon occlusion of the aorta) device with standard care in the emergency department, compared with standard care alone, impact 90-day-mortality?

Emergency Department 117

Emergency Department Resuscitation 117

St. Emlyn

JANUARY 6, 2025

St.Emlyn's - Emergency Medicine #FOAMed How does pre-hospital emergency anaesthesia (PHEA) delivered by Helicopter Emergency Medical Services (HEMS) impacts trauma care timelines compared to emergency department RSI (EDRSI).

Emergency Department 87

Emergency Department Outcomes Hospitals 87

First 10 EM

JANUARY 8, 2024

My practice includes emergency and inpatient care in Broome Hospital in the remote Kimberley region of Western Australia. I also work in a large tertiary […] The post On the Ethical Detention of Patients in the Emergency Department appeared first on First10EM.

Emergency Department 101

Emergency Department Hospitals 101

Ken Grauer, MD

NOVEMBER 10, 2023

For full discussion of this case — See ECG Blog #220 — == The long lead II rhythm strip shown in Figure-1 was obtained from an 51-year-old man who presented to the ED ( Emergency Department ) with "palpitations" that began 1 hour earlier. HOW would you interpret this tracing? Clinically — What would YOU do?

EKG/ECG 480

EKG/ECG Emergency Department 480

First 10 EM

SEPTEMBER 23, 2024

I definitely talk to people about smoking, but aside from brief counseling and occasionally prescribing nicotine replacement for […] The post Smoking cessation in the emergency department (The COSTED trial) appeared first on First10EM.

Emergency Department 87

Emergency Department EMS 87

Emergency Medicine Journal

APRIL 22, 2024

The Emergency Department (ED) represents a potentially valuable opportunity to deliver a smoking cessation intervention if it is sufficiently resourced. Background Supporting people to quit smoking is one of the most powerful interventions to improve health.

Emergency Department 97

Emergency Department Outcomes 97

Emergency Medicine Journal

OCTOBER 23, 2024

Patients who present to the ED usually have their BP measured as part of their routine triage assessment. BP measurements suggesting hypertension (≥140 systolic or ≥90 diastolic 1 ) are a frequent incidental finding, unrelated to the patient’s presenting complaint, but require follow-up.

Emergency Department 98

Emergency Department 98

ACEP Now

OCTOBER 29, 2024

On a busy day shift in the emergency department, our seasoned triage nurse comes to me after I finish caring for a hallway patient, “Hey, can you come see this guy in the triage room? This is the essence of emergency medicine. The post Putting Clinical Gestalt to Work in the Emergency Department appeared first on ACEP Now.

Emergency Department 59

Emergency Department Mass Casualty Incidents Documentation/Coding Sepsis 59

AENJ: Current Issue

NOVEMBER 4, 2024

Additionally, many countries are experiencing increased demands in the form of emergency services, with long waiting times and severe crowding in emergency departments. Many countries have a wide variation in educational requirements, resulting in a lack of adequate advanced practice nursing training and regulation of practice.

Emergency Department 68

Emergency Department Outcomes 68

Emergency Medicine Journal

APRIL 22, 2024

The Royal College of Emergency Medicine Toxicology Special Interest Group has produced guidance to support emergency medicine clinicians with the recognition and treatment of people experiencing CHS. Cannabinoid hyperemesis syndrome (CHS) is an episodic syndrome of cyclic vomiting in the context of the prolonged use of cannabis.

Best Practices 98

Best Practices Emergency Department 98

The Skeptics' Guide to EM

NOVEMBER 2, 2024

He is the Vice Chair of the Emergency Department and Program Director of the EM residency program at Nassau University Medical Center in East Meadow, NY, the safety net hospital for Nassau County. It has become a favourite medication in emergency departments for procedural sedation as well as a useful behavioural takedown medication.

Emergency Department 96

Emergency Department Administration EMS Outcomes 96

St. Emlyn

JANUARY 6, 2025

St.Emlyn's - Emergency Medicine #FOAMed How does pre-hospital emergency anaesthesia (PHEA) delivered by Helicopter Emergency Medical Services (HEMS) impacts trauma care timelines compared to emergency department RSI (EDRSI).

Emergency Department 66

Emergency Department Outcomes Hospitals 66

Emergency Medicine Journal

SEPTEMBER 25, 2024

Procedural sedation (PS) is a frequently performed clinical practice in the ED 1 aiming to facilitate a state that allows patients to tolerate uncomfortable procedures. 2 The ideal agent for PS in the ED should provide anxiolysis, analgesia and amnesia in a rapid and predictable manner, with minimal adverse events and a rapid recovery phase.

Emergency Department 98

Emergency Department 98

Emergency Medicine Journal

DECEMBER 30, 2024

Background Calls to emergency departments (EDs) from ambulances to alert them to a critical case being transported to that facility that requires a special response (‘pre-alerts’) have been shown to improve outcomes for patients requiring immediate time-critical treatment (eg, stroke).

Emergency Department 52

Emergency Department Stroke Documentation/Coding Outcomes 52

Emergency Medicine Journal

DECEMBER 30, 2024

Background Ambulance clinicians use pre-alerts to inform receiving hospitals of the imminent arrival of a time-critical patient considered to require immediate attention, enabling the receiving emergency department (ED) or other clinical area to prepare.

Ambulance Services 52

Ambulance Services Emergency Department Research Hospitals 52

Emergency Medicine Journal

AUGUST 21, 2024

Background and introduction The ED is often perceived as noisy. Excessive noise has deleterious effects on health and productivity. This study evaluated if a package of noise-reducing interventions altered workload, physical complaints, productivity and room acoustics. Methods This was an observational pre-post implementation study.

Wellness 98

Wellness Emergency Department Academics 98

The Trauma Pro

DECEMBER 3, 2024

Research groups at the Oregon Health Sciences University and the University of Utah combined multiple data sources to estimate current levels of ED pediatric readiness, the cost to achieve it, the number of pediatric deaths in emergency departments, and the number of potential lives saved if readiness is maintained. The range was 2.9%

Pediatrics 113

Pediatrics Emergency Department Research Hospitals 113

Emergency Medicine Journal

JANUARY 21, 2025

The need to isolate patients with influenza and COVID-19 in emergency departments (ED) requires quick screening tests for these infections. 2 A retrospective cross-sectional observational study was carried out in the Dr Balmis University General Hospital in Alicante, Spain.

Emergency Department 52

Emergency Department Hospitals 52

The Trauma Pro

AUGUST 15, 2024

You’ve just received a young male who had been stabbed under his right arm in your emergency department. He’s awake, talking, and very friendly. He met your trauma activation criteria, so you are cruising through the full evaluation. Lines in, blood drawn, clothes off. He wonders aloud if all this is really necessary.

Emergency Department 203

Emergency Department 203

Pediatric EM Morsels

JUNE 7, 2024

Lucky for us, in 2020 there were some updates made to the NIH Asthma Management Guidelines and we’re going to discuss which ones can help us in the Emergency Department! You’re probably asking yourself… is this really important for us in the Emergency Department to know? No more SABA !

Pediatrics 206

Pediatrics Emergency Department Wellness EMS 206

St. Emlyn

MAY 24, 2024

St.Emlyn's - Emergency Medicine #FOAMed JC: Review of an RCT of serratus anterior plane blocks in the emergency department for chest/rib injury. Is this now a standard of care? stemlyns #FOAMed The post JC: Serratus Anterior Plane Blocks for rib fractures in the ED. St Emlyn’s appeared first on St.Emlyn's.

Fractures 119

Fractures Emergency Department 119

Emergency Medicine Journal

JANUARY 21, 2025

Background Growing numbers of avoidable low-acuity visits to emergency departments (ED) are a major health policy concern globally and are thought to contribute to ED crowding.

Emergency Department 52

Emergency Department 52

Emergency Medicine Journal

NOVEMBER 21, 2024

Background The WHO recognises patient safety as a serious public health problem. The COVID-19 pandemic affected adult EDs (AEDs) and paediatric EDs (PEDs) differently. We compared the culture of safety in the adult AED and PED before and after the COVID-19 pandemic. Methods A quasi-experimental study was performed.

Emergency Department 93

Emergency Department Teamwork Patient Safety Hospitals 93

Pediatric EM Morsels

JUNE 2, 2023

Today we are talking about a rare disease called FPIES (food protein induced enterocolitis syndrome) and how you might encounter these patients in the Pediatric Emergency Department. You may not make the diagnosis, but detecting the clues is important for the family!

Dehydration 189

Dehydration Shock Pediatrics Emergency Department 189

St. Emlyn

NOVEMBER 6, 2024

St.Emlyn's - Emergency Medicine #FOAMed Creating a learning culture in the emergency department (ED) fosters psychological safety, open communication, and continuous improvement. Learn practical steps to build a strong learning culture in your ED, promoting growth and collaborative excellence in emergency medicine.

Emergency Department 121

Emergency Department Leadership 121

Emergency Medicine Cases

APRIL 2, 2024

In this ECG Cases blog, Jesse McLaren and Rajiv Thavanathan explore how ECG and POCUS complement each other for patients presenting to the emergency department with shortness of breath or chest pain. The post ECG Cases 49 – ECG and POCUS for Dyspnea and Chest Pain appeared first on Emergency Medicine Cases.

EKG/ECG 129

EKG/ECG Emergency Department EMS 129

Pediatric EM Morsels

APRIL 19, 2024

Trauma season is at hand and like all other pediatric emergency departments in the country, we find our ED breaking ( pun intended ) at the seams with orthopedic injuries. We see all different flavors of upper extremity injuries.

Fractures 286

Fractures Pediatrics Best Practices Outcomes 286

The Trauma Pro

DECEMBER 12, 2023

The practice at many centers is to bring all transfer patients in through the emergency department. Bringing Patients To Your Emergency Department Patients can be reassessed to see if they meet any of your trauma activation criteria. Access to certain critical services may be more rapid from the emergency department.

Emergency Department 124

Emergency Department Operations Hospitals Radiology 124

The Skeptics' Guide to EM

FEBRUARY 11, 2024

Diagnosis of Acute Aortic Syndrome in the Emergency Department (DAShED) study: an observational cohort study of people attending the emergency department with symptoms consistent with acute aortic syndrome. first appeared on The Skeptics Guide to Emergency Medicine. EMJ Nov 2023. EMJ Nov 2023.

Emergency Department 120

Emergency Department Resuscitation Hospitals Research 120

First 10 EM

MARCH 25, 2024

There is little doubt that the use of testing has increased dramatically in emergency medicine during my career. Between 2001 and 2010 the use of CT in emergency departments increased 3-fold (and the use of MRI increased 9-fold, but for some reason it is still almost impossible for me to get one done.)

Emergency Department 126

Emergency Department 126

Pediatric EM Morsels

MARCH 15, 2024

We encounter seizures commonly in the Emergency Department. While they can be dramatic and devastating, we have learned to become comfortable with the wide variety that may present in children. From the simple febrile seizure to the complex seizure, we know how to stabilize and how to evaluate.

Seizures 258

Seizures Pediatrics Psychiatric Emergency Department 258

EM Ottawa

JANUARY 9, 2025

From adrenal crises to septic shock, severe community-acquired pneumonia, and even acute pharyngitis, steroids play a pivotal role in managing a variety of conditions encountered in the Emergency Department (ED).

Shock 105

Shock Emergency Department Infectious Diseases Sepsis 105

EM Ottawa

OCTOBER 24, 2024

Historically, it has been used more frequently in the ICU than in Emergency Departments, likely due to provider comfort. […] The post Is there a Precedence for Precedex in the ED? It offers a unique profile of sedation without respiratory depression, making it an attractive option in various clinical scenarios.

Emergency Department 121

Emergency Department Resuscitation 121

EB Medicine

MAY 1, 2024

In this episode, Sam Ashoo, MD and T.R. Eckler, MD interview Reuben J. Eckler, MD interview Reuben J.

Administration 111

Administration Emergency Department 111

Pediatric EM Morsels

AUGUST 23, 2024

Concussions are commonly encountered in the Emergency Department. We have previously discussed an approach to the question of when a patient “ can return to sport.”

Seizures 278

Seizures Pediatrics Academics Emergency Department 278