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 99

Emergency Department 99

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 94

Emergency Department EMS 94

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 106

Emergency Department Hospitals 106

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 97

Emergency Department Outcomes Hospitals 97

St. Emlyn

MARCH 1, 2025

Discover the evidence behind the growing debate on cannabis edibles and their impact on emergency care. The post Cannabis edibles: A cause for concern in the emergency department? This analysis explores key findings, clinical implications, and the need for regulatory measures. appeared first on St.Emlyn's.

Emergency Department 80

Emergency Department 80

Taming the SRU

MAY 27, 2024

Shortness of breath is one of the most common complaints presenting to emergency departments. A less common but more emergent scenario is the presentation of a patient to the emergency department with a large pleural effusion causing hypoxia and respiratory distress.

Emergency Department 87

Emergency Department Ultrasounds Radiology Radiology 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

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 94

Emergency Department Outcomes Hospitals 94

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

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

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

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

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 125

Fractures Emergency Department 125

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 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 193

Dehydration Shock Pediatrics Emergency Department 193

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 124

Emergency Department Leadership 124

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 290

Fractures Pediatrics Best Practices Outcomes 290

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 131

EKG/ECG Emergency Department EMS 131

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

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 128

Emergency Department 128

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 125

Emergency Department Resuscitation 125

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 260

Seizures Pediatrics Psychiatric Emergency Department 260

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 130

Emergency Department Resuscitation Hospitals EKG/ECG 130

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 114

Administration Emergency Department 114

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

EMDocs

DECEMBER 18, 2024

A 36-year-old male presents to the emergency department after being found down at home by his spouse. Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE-4): Alcohol use disorder and cannabinoid hyperemesis syndrome management in the emergency department. Acad Emerg Med.

Seizures 103

Seizures Hyperthermia / Hypothermia Emergency Department EMS 103

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 113

Shock Emergency Department Infectious Diseases Sepsis 113

Don't Forget the Bubbles

NOVEMBER 29, 2023

You are the Paediatric doctor on call and receive a call for an incoming patient to the emergency department. Tragically, several attempts at resuscitation upon arrival at the emergency department were unsuccessful. Pediatric Endotracheal Intubations for Airway Management in the Emergency Department.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

EM Ottawa

NOVEMBER 2, 2023

Introduction Frostbite is a frequent presenting complaint to emergency departments (EDs) in cold climates. It is more common among those without housing, those with mental health disorders as well as those who work or engage in outdoor activities.(1)

Emergency Department 123

Emergency Department Wellness Hospitals Resuscitation 123

Emergency Live

JANUARY 30, 2024

How Emergency Department Triage Optimizes Healthcare The Essence of Emergency Department Triage Triage in the Emergency Department (ED) is a fundamental process for managing the urgency of care in a high-pressure environment with limited resources.

Emergency Department 97

Emergency Department 97

EB Medicine

APRIL 17, 2024

Foster, MD, Bijan Ketabchi, MD, MPH and Jennifer A. Foster, MD, Bijan Ketabchi, MD, MPH and Jennifer A.

Emergency Department 104

Emergency Department Pediatrics 104

The Skeptics' Guide to EM

MARCH 2, 2024

Date: February 28, 2024 Guest Skeptic: Dr. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY. Case: A 59-year-old man walks into your community emergency department (ED) complaining of chest pain.

Emergency Department 131

Emergency Department Stroke Operations Hospitals 131

EB Medicine

SEPTEMBER 13, 2024

Eckler, MD discuss the September 2024 Emergency Medicine Practice article, Elder Abuse and Neglect: Making the Diagnosis and Devising a Treatment Plan in the Emergency Department Introduction and Announcements Elder Abuse and Neglect: An Overview Risk Factors and Reporting Pre-Hospital and Emergency Department Considerations Screening Tools and (..)

Elder Abuse 87

Elder Abuse Emergency Department Documentation/Coding Hospitals 87

EB Medicine

AUGUST 14, 2024

In this episode, Sam Ashoo, MD and T.R.

Critical Access 88

Critical Access Emergency Department Hospitals 88

Life in the Fast Lane

NOVEMBER 2, 2024

Mike Cadogan Waiting Room Medicine With exponential Emergency Department over-crowding and spiraling waiting times, the Utopian College has produced a series of guidelines to assist fondling members.

Emergency Department 98

Emergency Department Documentation/Coding 98