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 ! Clin Med Res. 2004 Aug;2(3):155-63.

Pediatrics 206

Pediatrics Emergency Department Wellness EMS 206

EMDocs

MARCH 30, 2024

We’ll keep it short, while you keep that EM brain sharp. Answer : Thoracic and Lumbar Spine Trauma Epidemiology: Approximately half of the vertebral injuries that are seen in the emergency department are thoracic and lumbar injuries. A 27-year-old man was brought into the emergency department via EMS after being stabbed.

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EMS Fractures Emergency Department Dislocations 91

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. The post Rebaked Morsel: Pediatric Buckle and Greenstick Forearm Fractures appeared first on Pediatric EM Morsels. A prospective, randomised trial.

Fractures 286

Fractures Pediatrics Best Practices Outcomes 286

Taming the SRU

DECEMBER 11, 2023

PATIENT PRESENTATION A young woman with a past medical history of major depressive disorder presented to the emergency room via EMS for a report of intentional ingestion of an unknown substance. EMS reported that she was vomiting profusely on their arrival to the scene but during transport became increasingly lethargic.

EMS 95

EMS Psychiatric Emergency Department Poisoning 95

Pediatric EM Morsels

OCTOBER 27, 2023

References: Emergency Medical Services for Children- Enhancing Pediatric Safety (no date) Study Packet for the Correct Use of the BroselowTM Pediatric Emergency Tape. 2020) The Times & Tapes Are a-Changin’: The Latest Broselow-Luten Tape for EMS , EMS World. Int J Emerg Med. J Emerg Med. and Seaver, M.

Pediatrics 269

Pediatrics Resuscitation Documentation/Coding Wellness 269

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. link] The post Food Protein Induced Enterocolitis Syndrome (FPIES) appeared first on Pediatric EM Morsels.

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Dehydration Shock Pediatrics Emergency Department 189

Pediatric EM Morsels

MARCH 15, 2024

We encounter seizures commonly in the Emergency Department. The post Gelastic Seizures: No Laughing Matter appeared first on Pediatric EM Morsels. While they can be dramatic and devastating, we have learned to become comfortable with the wide variety that may present in children. 2017 Jun;58 Suppl 2:12-15. doi: 10.1111/epi.13753.

Seizures 258

Seizures Pediatrics Psychiatric Emergency Department 258

EMDocs

APRIL 13, 2024

We’ll keep it short, while you keep that EM brain sharp. A 21-year-old man presents to the emergency department for pain and swelling in his ear beginning 3 days ago. doi:[link] The post EM@3AM: Auricular Hematoma appeared first on emDOCs.net - Emergency Medicine Education. Cochrane Database of Systematic Reviews.

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EMS Emergency Department Pediatrics Wellness 83

Pediatric EM Morsels

AUGUST 23, 2024

Concussions are commonly encountered in the Emergency Department. The post Return to Learn / Return to Sport after Concussion appeared first on Pediatric EM Morsels. We have previously discussed an approach to the question of when a patient “ can return to sport.” Br J Sports Med. 2023 Jun;57(11):695-711.

Seizures 278

Seizures Pediatrics Academics Emergency Department 278

EMDocs

SEPTEMBER 23, 2023

We’ll keep it short, while you keep that EM brain sharp. A 23-year-old man with no significant medical history presents to the emergency department for evaluation of a syncopal episode. The post EM@3AM: Brugada Syndrome appeared first on emDOCs.net - Emergency Medicine Education. Heart Rhythm. 2019;16(6):872-879.

EMS 85

EMS EKG/ECG Documentation/Coding Emergency Department 85

EMDocs

APRIL 27, 2024

We’ll keep it short, while you keep that EM brain sharp. A 67-year-old man with a history of hypertension and diabetes presents to the emergency department with right ear pain for 2 weeks. link] The post EM@3AM: Malignant/Necrotizing Otitis Externa appeared first on emDOCs.net - Emergency Medicine Education.

EMS 84

EMS Infectious Diseases Radiology Radiology 84

ACEP Now

JUNE 7, 2023

The preliminary results of the 2022 Emergency Department Benchmarking Alliance performance measures survey found a significant deterioration in patient processing due to inpatient boarding. Preliminary results of the survey are being released to help emergency physicians understand that current challenges are occurring nationwide.

Emergency Department 52

Emergency Department Documentation/Coding Operations EMS 52

Kings County Downstate EM

DECEMBER 14, 2024

Conway, MD Resident Editor: Philippe Ayres, MD Guest Faculty Editor: James Willis, MD Its nearly midnight in your busy urban emergency department (ED).

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Emergency Department EMS Administration 40

Emergency Medicine Cases

JUNE 26, 2023

With increasing forest fires, heat waves, floods, storms, vector-borne illnesses and heat waves, the emergency department is uniquely positioned to declare sentinel events, advocate on behalf of vulnerable populations and lead by example.

EMS 66

EMS Emergency Department Stroke 66

ACEP Now

DECEMBER 11, 2023

The Emergency Department Benchmarking Alliance (EDBA) is a membership organization composed of high-performance emergency departments (EDs) that share a commitment to quality. EMS arrivals increased; many of those patients (35 percent) were admitted. American College of Emergency Physicians. ED boarding.

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Emergency Department Hospitals EMS Operations 52

EMDocs

SEPTEMBER 9, 2023

We’ll keep it short, while you keep that EM brain sharp. 2021.0052 Emergency Department Management of Extensor Tendon Lacerations – Page 3 of 4. Ann Emerg Med. Emergency Medicine Residents’ Association; 2022:10-11. Extensor tendon repair in the emergency department. J Emerg Med.

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EMS Fractures Soft Tissue Injuries Ultrasounds 79

SheMD

OCTOBER 15, 2023

Yes, I am a woman, yes I am a feminist, yes I am a physician, yes I am in academic leadership for a well-known emergency department… The yes’s are many, but what do I have to say that is so meaningful or useful that people would want to publish it? So the answer to the million dollar question: how to be happy as a woman in EM?

Emergency Department 52

Emergency Department EMS Leadership Academics 52

EMDocs

JULY 29, 2023

We’ll keep it short, while you keep that EM brain sharp. A 75-year-old male with past history of HTN, CVA, DM II presents to the emergency department with right facial swelling since last night. Clin Pract Cases Emerg Med. Other bacterial causes include anaerobic oral flora, Strep viridans, E. Afr J Paediatr Surg.

EMS 72

EMS Dehydration Ultrasounds Emergency Department 72

EMDocs

NOVEMBER 4, 2023

We’ll keep it short, while you keep that EM brain sharp. aureus infections among patients in the emergency department. Skin and Soft Tissue Infections in the Emergency Department. Emerg Med Clin North Am. Managing a Cutaneous Abscess in the Emergency Department. Ann Emerg Med.

EMS 69

EMS Ultrasounds Emergency Department Infectious Diseases 69

ACEP Now

JULY 7, 2023

Last month’s article focused on ACEP’s efforts and resources to support EDs and patients with psychiatric emergencies. Emergency departments (EDs) focus on rapid initiation of medical treatment. Clinical Policy: Critical Issues in the Diagnosis and Management of the Adult Psychiatric Patient in the Emergency Department.

Emergency Department 52

Emergency Department Psychiatric Administration Best Practices 52

EMDocs

AUGUST 12, 2023

We’ll keep it short, while you keep that EM brain sharp. He presented to the emergency department because he is having numbness distal to the site of injury, as well as constant bleeding and some difficulty with flexing his finger. Emergency Medicine Residents’ Association; 2022:10-11. Roberts, James R. DOI: 10.1097/01.EEM.0000410106.40227.cc

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EMS Fractures Operations Ultrasounds 70

RebelEM

DECEMBER 4, 2024

Ann Emerg Med 2011; 57(1): 32-3. Managing reent-onset atrial fibrillation in the emergency department. Ann Emerg Med 2011; 57(1): 31-2. Ann Emerg Med 2015; 65(5): 532-9. Cardioversion of paroxysmal atrial fibrillation in the emergency department. Ann Emerg Med 1999; 33(4): 379-88.

Emergency Department 101

Emergency Department Stroke EMS Shock 101

Pediatric EM Morsels

JULY 19, 2024

If bleeding, the only lab that is needed in the Emergency Department is a type and cross. The post Post-Tonsillectomy Hemorrhage: ReBaked Morsel appeared first on Pediatric EM Morsels. CBC, coagulation panels, von Willebrand factor etc are less useful. 2024 Feb;177:111859. doi: 10.1016/j.ijporl.2024.111859. 2024.111859.

Pediatrics 286

Pediatrics Airway Management Wellness Administration 286

EMDocs

JUNE 17, 2023

We’ll keep it short, while you keep that EM brain sharp. Acute Periorbital Infections: Who Needs Emergent Imaging? 2009-1709 The post EM@3AM: Periorbital Cellulitis appeared first on emDOCs.net - Emergency Medicine Education. Parents report the swelling has progressively worsened and is greater in the upper eyelid.

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EMS Infectious Diseases Pediatrics Emergency Department 72

RebelEM

APRIL 3, 2024

Monica Saxena is a practicing emergency physician and assistant professor at Stanford University School of Medicine. Her research focuses on reproductive justice and women’s health in the emergency department setting. REBEL Cast – EMTALA + Reproductive Health Click here for Direct Download of the Podcast.

Emergency Department 128

Emergency Department EMS Research Hospitals 128

EMDocs

NOVEMBER 18, 2023

We’ll keep it short, while you keep that EM brain sharp. Emergency department visits and unanticipated readmissions after liver transplantation: A retrospective observational study. David Gatz, A narrative review of the evaluation and management of liver transplant complications in the emergency department.

EMS 70

EMS Ultrasounds Emergency Department Outcomes 70

EMDocs

DECEMBER 2, 2023

We’ll keep it short, while you keep that EM brain sharp. Available from: [link] yousef, CC BY-SA 4.0 <[link] via Wikimedia Commons The post EM@3AM: Oculomotor Nerve Palsy appeared first on emDOCs.net - Emergency Medicine Education. He has no known medical history and has never been to the doctor. Updated 2022 Jul 4].

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EMS Operations Pediatrics Emergency Department 68

PEMBlog

JUNE 7, 2023

After listening to this episode you will be able to: Identify unique aspects of the pre-hospital environment that impact assessment and treatment of agitated children Describe the role of EMS personnel and EMS director in the care of agitated children.

Pediatrics 123

Pediatrics Psychiatric Emergency Department EMS 123

RebelEM

MARCH 27, 2023

Over the past few years, there has been an increase in emergency department (ED) volumes and lengths of stay. The effect of emergency department crowding on lung-protective ventilation utilization for critically ill patients. Paper: Owyang CG, et al. J Crit Care. N Engl J Med. 2000 May 4; PMID: 10793162 Harvey CE, et al.

Emergency Department 52

Emergency Department Operations Academics Documentation/Coding 52

EMDocs

DECEMBER 18, 2024

A 36-year-old male presents to the emergency department after being found down at home by his spouse. Upon EMS arrival the male is noted to be anxious and tremulous with a GCS of 14. Acad Emerg Med. J Emerg Med. Management of Alcohol Withdrawal in the Emergency Department: Current Perspectives.

Seizures 73

Seizures Emergency Department Hyperthermia / Hypothermia EMS 73

EMDocs

OCTOBER 21, 2023

We’ll keep it short, while you keep that EM brain sharp. Application of the ABCD2 score to identify cerebrovascular causes of dizziness in the emergency department. The post EM@3AM: Basilar Artery Occlusion appeared first on emDOCs.net - Emergency Medicine Education. Arch Neurol. 2004;61(4):496–504. ResearchGate.

EMS 75

EMS Stroke Outcomes Hospitals 75

Pediatric EM Morsels

MAY 24, 2024

Evaluation of unintentional injury and trauma is one of the hallmarks of the EM and PEM physician. Low Risk Inta-Adbominal Trauma: Just Light ‘Em Up? Ann Emerg Med. The post Low Risk Intra-Abdominal Trauma: Rebaked Morsel appeared first on Pediatric EM Morsels. 2013;62:107-116. doi:10.1016/j.annemergmed.2012.11.009.

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Pediatrics Blood Transfusions EMS Fractures 161

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).

Emergency Department 52

Emergency Department Leadership EMS Wellness 52

Emergency Medicine Journal

SEPTEMBER 27, 2023

Clinical negligence claims allocated to emergency medicine (EM) now account for the equal-highest volume notified to NHS Resolution (NHS-R), the body responsible for handling negligence claims on behalf of NHS organisations, sponsored by the Department of Health and Social Care. 3 The aim of this study was to report the.

Emergency Department 52

Emergency Department EMS Outcomes 52

ACEP Now

OCTOBER 13, 2023

“We want important community leaders to be aware that we are highly concerned about this announcement and the dire impacts that this could have on our community and our patients,” said on a post by Texas A&M/Spohn EM on X. “We We fear that this decision will negatively impact patient safety and quality of care.”

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Patient Safety Administration Emergency Department EMS 132

Pediatric EM Morsels

NOVEMBER 17, 2023

Differences in intubation outcomes for pediatric patients between pediatric and general Emergency Departments. Intubation practice and outcomes among pediatric emergency departments: A report from National Emergency Airway Registry for Children (NEAR4KIDS). Acad Emerg Med. Paediatr Anaesth. doi: 10.1111/pan.14185.

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Pediatrics Emergency Department Outcomes Sepsis 183

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.

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Emergency Department Stroke Operations Hospitals 118