St. Emlyn

SEPTEMBER 3, 2024

St.Emlyn's - Emergency Medicine #FOAMed @LizCrowe2 gives us a fantastic critical appraisal of an EMJ paper discussing the patient experience in the emergency department. FOAMed @stemlyns The post JC: The patient experience in the Emergency Department. appeared first on St.Emlyn's.

Emergency Department 102

Emergency Department 102

St. Emlyn

JULY 2, 2024

St.Emlyn's - Emergency Medicine #FOAMed Learn about how to look after patients with eating disorders in the Emergency Department. The post Podcast – Eating Disorders in the Emergency Department appeared first on St.Emlyn's. Listen to this podcast recorded live at the Premier Conference 2024.

Emergency Department 106

Emergency Department 106

The Skeptics' Guide to EM

JANUARY 6, 2024

National Assessment of Pediatric Readiness of US Emergency Departments during the Covid-19 Pandemic. July 2023 Date: Dec 11, 2023 Guest Skeptic: Dr. Rachel Hatcliffe is a pediatric emergency medicine attending at Children’s National Hospital in Washington, DC. Are general emergency departments ready to care for children?

Emergency Department 136

Emergency Department Pediatrics Anaphylaxis Leadership 136

The Skeptics' Guide to EM

DECEMBER 16, 2023

Patient Perceptions of Microaggressions and Discrimination Towards Patients During Emergency Department Care. AEM Dec 2023 Date: December 14, 2023 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. Reference: Punches et al. Reference: Punches et al.

Emergency Department 127

Emergency Department Research Outcomes 127

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

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 132

Emergency Department Research 132

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 102

Emergency Department 102

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 128

Emergency Department Leadership 128

EMDocs

MARCH 4, 2024

Darnall Army Medical Center) // Reviewed by: Joshua Lowe, MD (EM Attending Physician, USAF); Marina Boushra (EM-CCM, Cleveland Clinic Foundation); Brit Long, (@long_brit) Disclaimer: The views expressed in this post are those of the authors and do not reflect the official policy or position of the Department of the Army, DoD, or the US Government.

Emergency Department 105

Emergency Department Ultrasounds EMS Radiology 105

Emergency Medicine Journal

DECEMBER 30, 2024

Background The Emergency Department(ED) team need to make sense of an ever-changing dynamic environment. The stories people tell about everyday occurrences are central to how sense-making occurs. By capturing stories in the ED, valuable insights can be gained into organisational culture and identity.

Emergency Department 52

Emergency Department Hospitals 52

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 96

Emergency Department EMS 96

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

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 482

EKG/ECG Emergency Department 482

Don't Forget the Bubbles

MARCH 10, 2025

Challenging working conditions in health services, especially in emergency departments (ED), lead to high levels of stress and burnout. Researchers spent ~132 hours observing practice in a UK emergency department and making notes about what they saw. Take home message References Darbyshire, D., Brewster, L.,

Emergency Department 105

Emergency Department Research EMS Academics 105

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 105

Seizures Hyperthermia / Hypothermia Emergency Department EMS 105

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

EM Ottawa

FEBRUARY 6, 2025

Findings: PDMP usage improved modestly during clinical alerts (23.8%), but […] The post Implementation of Electronic Health Record Integration and Clinical Decision Support to Improve Emergency Department Prescription Drug Monitoring Program Use appeared first on EMOttawa Blog.

Emergency Department 40

Emergency Department 40

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

Emergency Medicine Journal

JANUARY 21, 2025

This month’s update is by the Emergency Department of the University Hospital of Heraklion, Crete, Greece. We used a multimodal search strategy, drawing on free open-access medical education resources and literature searches.

Emergency Department 98

Emergency Department Hospitals Outcomes 98

The Skeptics' Guide to EM

NOVEMBER 16, 2024

Case: The Chief of Emergency Medicine (EM) at a large urban hospital recently approached the AI Committee at Unity Health, intrigued by the CMAJ article describing the apparent success of CHARTWatch in detecting early signs of patient deterioration. Reference: Verma et al.

Emergency Department 110

Emergency Department Administration Outcomes Patient Safety 110

Taming the SRU

DECEMBER 17, 2024

Fluid management in the Emergency Department (ED) is crucial in the adequate resuscitation of the acutely ill and decompensating patient. sodium chloride therapy does not reduce length of stay of alcoholintoxicated patients in the emergency department: A randomised controlled trial. Emerg Med Australas 2013;25(6):52734.

Dehydration 84

Dehydration Fluid Resuscitation Resuscitation Administration 84

EB Medicine

FEBRUARY 5, 2025

In this episode, Sam Ashoo, MD interviews Erin D'Agostino, MD about the February 2025 Emergency Medicine Practice article, Management of Traumatic Intracranial Hemorrhage in the Emergency Department Pathophysiology Types of Traumatic Brain Injuries Pre-Hospital Care Critical History and Physical Examination Neurological Assessment and Monitoring Laboratory (..)

Emergency Department 69

Emergency Department Hospitals 69

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

EM Ottawa

NOVEMBER 14, 2024

Urine drug (or toxicologic) screens are a fairly standard tool used in addictions, psychiatry and the Emergency Department (ED), often employed to detect substance use in patients presenting with altered mental status, trauma, psychiatric or abnormal behaviour.

Psychiatric 78

Psychiatric Emergency Department 78

The Skeptics' Guide to EM

FEBRUARY 1, 2025

PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study. EMS places her in a cervical collar and brings her to the emergency department (ED). Reference: Leonard JC et al. Lancet Child Adolesc Health.

Pediatrics 82

Pediatrics EMS Emergency Department Research 82

EB Medicine

MARCH 12, 2025

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

Emergency Department 61

Emergency Department Ultrasounds EMS Hospitals 61

Emergency Medicine Journal

JANUARY 21, 2025

Background Rapid identification of individuals with acute respiratory infections is crucial for preventing nosocomial infections. For rapid diagnosis, especially in EDs, lateral flow devices (LFDs) are a convenient, inexpensive option with a rapid turnaround.

Emergency Department 52

Emergency Department Hospitals 52

EM Literature of Note

JANUARY 16, 2025

The second part of the analysis involves the downstream outcomes after these patients are seen and/or admitted following their emergency department visit. “Variation in Emergency Department Physician Admitting Practices and Subsequent Mortality” [link] Tweet

Outcomes 77

Outcomes Radiology Radiology Emergency Department 77

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 131

Fractures Emergency Department 131

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

ACEP Now

DECEMBER 8, 2024

The Centers for Disease Control and Prevention (CDC) estimates of emergency department (ED) visits for 2022 were recently released. The Emergency Department Benchmarking Alliance (EDBA) data survey found that about 69 percent of hospital inpatients are processed through the ED. National Center for Health Statistics.

CDC 52

CDC Emergency Department Hospitals 52

ACEP Now

NOVEMBER 8, 2024

First, research suggests a higher number of emergency department visits among individuals with ASD. About 30 percent of children with ASD need treatment in an emergency department, and this number increases to nearly 70 percent for those aged 15–18. Seeing the unseen: neurodiversity in the emergency department.

Emergency Department 52

Emergency Department Leadership Research 52

Emergency Medicine Journal

MARCH 25, 2025

This month’s update is by the Emergency Department Team, Wexham Park Hospital, Slough, Frimley Health NHS Foundation Trust. We used a multimodal search strategy, drawing on free open-access medical education resources and literature searches. Head turner—new concepts.

Sepsis 52

Sepsis Emergency Department Administration Outcomes 52

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 208

Pediatrics Emergency Department Wellness EMS 208

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

Emergency Medicine Cases

FEBRUARY 18, 2025

Eating disorders have the highest mortality rate of any psychiatric illness, yet they are frequently missed in the Emergency Department as they can be elusive. Only one in 246 patients who screen positive for an eating disorder at triage have a chief complaint suggesting it.

Psychiatric 87

Psychiatric Emergency Department EMS Outcomes 87