The Skeptics' Guide to EM

OCTOBER 19, 2024

Comparison of Nebulized Ketamine to Intravenous Subdissociative Dose Ketamine for Treating Acute Painful Conditions in the Emergency Department: A Prospective, Randomized, Double-Blind, Double-Dummy Controlled Trial. Annals of EM 2024. Annals of EM 2024. mg/kg, 1 mg/kg, and 1.5 mg/kg up to 120 minutes.

Emergency Department 94

Emergency Department EMS Research Administration 94

RebelEM

APRIL 3, 2024

Dr. 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. Doctor Kass lives in Scarsdale NY with her husband and three children.

Emergency Department 113

Emergency Department EMS Research Hospitals 113

EMergucate

MAY 17, 2016

Clinical Guidelines & Indicators Complaints Disasters Emergency Department Organisation Medical Retrieval Medical Statistics Medicolegal Aspects of EM Overcrowding & Access … Continue reading →

EMS 40

EMS Research Emergency Department 40

EB Medicine

JUNE 12, 2024

Eckler, MD interview Corey Hazekamp, MD, MS, one of authors of the June 2024 Emergency Medicine Practice article, Managing Emergency Department Patients With Opioid Use Disorder Current State of Opioid Epidemic Overview of overdose deaths and trends. In this episode, Sam Ashoo, MD and T.R.

Emergency Department 84

Emergency Department Administration EMS Research 84

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.

Emergency Department 52

Emergency Department Hospitals EMS Operations 52

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

Pediatric EM Morsels

AUGUST 9, 2024

Neonates presenting to the Emergency Department often cause a lot of uncertainty. Let’s review how Congenital Syphilis may present to our Emergency Departments: Congenital Syphilis : Basics Occurs when the spirochete Treponema pallidum is transmitted from mother to fetus. Emerg Radiol. Can identify T.

Hyperthermia / Hypothermia 154

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 154

The Skeptics' Guide to EM

JUNE 1, 2024

Caleb Ward is a pediatric emergency medicine attending and Associate Professor of Pediatrics and Emergency Medicine at Children’s National Hospital and The George Washington School of Medicine and Health Sciences in Washington, DC. His research focuses on the pre-hospital care of children by EMS.

Pediatrics 87

Pediatrics EMS Emergency Department Research 87

The Skeptics' Guide to EM

JULY 29, 2023

Emergency Medical Services (EMS) is called and on arrival the patient is walking but has obvious facial trauma and is complaining of some neck pain. As an EMS crew member, you are tasked with deciding what method of spinal motion restriction to use. He has midline neck tenderness but no limb numbness or paresthesia.

Head Injuries 95

Head Injuries EMS Research Emergency Department 95

ACEP Now

AUGUST 22, 2023

Regardless of the domain, somewhere an expert panel has convened to issue a pronouncement informing all of the ideal care of patients under their specialty umbrella, indirectly extending to their care in the emergency department. 1 To date, there have been three GRACE publications. 1 To date, there have been three GRACE publications.

Emergency Department 98

Emergency Department Academics Critical Access Research 98

Taming the SRU

MARCH 30, 2024

Visiting lecturer: structural leadership - taming the sru - r4 sim and oral boards “Innovation Meets the Bedside: The Evolution of New Models of Emergency Care Delivery” WITH dr. ben bassin “What problem are you trying to solve?”

Hyperthermia / Hypothermia 95

Hyperthermia / Hypothermia Leadership Emergency Department Seizures 95

ACEP Now

NOVEMBER 7, 2023

And in our comment letter responding to the FTC and Department of Justice’s proposed updates to health care merger guidelines, ACEP urged the agencies to finalize these changes that would bring more scrutiny to health care mergers and slow down consolidation. Learn more at openbook.acep.org. Learn more at acep.org/PracticeEssentials.

Leadership 98

Leadership Administration Research Risk Management 98

Broome Docs

OCTOBER 6, 2024

Mols EM, Haak H, Holland M, Schouten B, Ibsen S, Merten H, Christensen EF, Nanayakkara PWB, Nickel CH, Weichert I, Kellett J, Subbe CP, Kremers MNT; Safer@Home Research Consortium. Emerg Med J. Emergency Medicine Journal Published Online First: 12 September 2024. Can patients predict the future? A scoping review.

Emergency Department 102

Emergency Department EMS Research Outcomes 102

Pediatric EM Morsels

JULY 5, 2024

References Babcock L, Olsen CS, Jaffe DM, Leonard JC; Cervical Spine Study Group for the Pediatric Emergency Care Applied Research Network (PECARN). Pediatr Emerg Care. Ann Emerg Med. The post Pediatric Cervical Spine Injury Risk Stratification: Rebaked Morsel appeared first on Pediatric EM Morsels. 2010.08.038.

Pediatrics 164

Pediatrics Head Injuries Dislocations Research 164

Mind The Bleep

DECEMBER 27, 2024

Im currently in my third year of working in a rural district general hospital Accident and Emergency Department, and one of the things that has struck me most is the use of pre-hospital medicine. Throughout university, I always sought out opportunities for experience in emergency and pre-hospital care.

Hospitals 52

Hospitals Ambulance Services Operations Teamwork 52

Pediatric EM Morsels

JULY 21, 2023

In emergency medicine, we often use illness scripts and protocols to help drive our decision-making. We had just received a young child from EMS who was post-ictal with decreased mentation. Acad Emerg Med. Interrater reliability of Glasgow Coma Scale scores in the emergency department. Ann Emerg Med.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

ALiEM

OCTOBER 26, 2023

The Problem: Emergency Medicine (EM) in Pakistan has moved from developing to developed stage in the last decade [1]. It is an innovation that is based on a community of practice merged with the need-based assessment of a young EM residency program in a developing country. Read more publications from the series. 2022;38(6):1717.

EMS 64

EMS Academics Evidence-Based Practice Emergency Department 64

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives Identifying means to optimise trainee retention and recruitment is an Emergency Medicine (EM) research priority. This study aimed to understand how increasingly crowded Emergency Departments (EDs) are impacting EM training in the United Kingdom. Abstract 2061 Figure 1

Emergency Department 40

Emergency Department EMS Research 40

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives Chest drains are commonly inserted in the Emergency Department (ED) with a complication rate of 30-40%. Training in chest drain insertion is essential in Emergency Medicine (EM) as approximately 25,000 patients undergo in England and Wales undergo this procedure annually.

Emergency Department 40

Emergency Department EMS Research Operations 40

EMDocs

AUGUST 22, 2024

12 How do we address these disparities in the emergency department? Rockville: Agency for Healthcare Research and Quality. An implementation science approach improves language access in the emergency department. 20,21 Advocating for policy changes improving language access in your department and institution.

Documentation/Coding 100

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 100

ACEP Now

MARCH 6, 2024

Every year, the volume of published research continues to outpace capacity to consume. Gotta catch ‘em all!” The Sisyphean task remains to try to keep up—and, in that vein—here is a light round of the emergency medicine literature from 2023. How Best to Stop the Bleeding in Trauma? British Journal of Surgery.

Research 52

Research Airway Management Stroke Outcomes 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives Patients with End-of-Life (EOL) care needs present to the emergency department (ED) frequently, and at times it can be difficult to provide a high standard of care. Method and Design This was a cross-sectional electronic survey study of EM doctors working across 23 of the 29 EDs in the Republic of Ireland.

Emergency Department 40

Emergency Department EMS Research 40

Don't Forget the Bubbles

JUNE 19, 2024

In adult trauma cases, there has been significant research to help decide which patients require X-ray or CT imaging for possible cervical spine injuries, leading to the development of the National Emergency X-Ray (NEXUS) prediction rule and the Canadian C-Spine Rule (CCR). Why is this study needed? Lancet Child Adolesc Health.

CPR 124

CPR Research Documentation/Coding Outcomes 124

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives Emergency Department (ED) crowding has dominated discourse around Emergency Medicine (EM) in recent years and is now well recognised as contributing towards patient harm. Less is known about the implications of crowded departments on staff. We identified three themes.

Emergency Department 40

Emergency Department Wellness EMS Patient Safety 40

EM Updates

JUNE 15, 2021

Maimonides Medical Center (MMC) is Brooklyn’s largest hospital, an academic quaternary care center with, in normal times, 711 total beds, 66 intensive care beds, and an Emergency Department that treats approximately 120,000 patients per year. On March 9, the first patient with a novel coronavirus infection was admitted to MMC.

Emergency Department 52

Emergency Department Hospitals Outcomes Wellness 52

EMDocs

JULY 9, 2024

The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. Acad Pediatr. 2021.12.028.

Pediatrics 70

Pediatrics Emergency Department Research Burns 70

EMDocs

OCTOBER 30, 2023

Pillai, MBBS (@sspillai01, EM Resident Physician, University of Kentucky) and Christopher N. 2 In response to the constrained availability of contrast media, emergency medicine (EM) and radiology departments were compelled to enact modifications in their imaging techniques. Authors: Saran S. 11 Table 1.

Radiology 92

Radiology Radiology Emergency Department Hospitals 92

ACEP Now

SEPTEMBER 5, 2024

Our state chapter members and leaders are uniquely positioned to follow EMRA’s lead in partnering with local EM residency programs to improve communication of ACEP’s value to EM-bound medical students and EM residents by hosting residency visits or local events relevant to our shared mission.

Leadership 98

Leadership PPE EMS Wellness 98

RCEM Learning

MAY 20, 2022

On paper Emergency Medicine (EM) research is flourishing. There is growing demand to understand how emergency services are used and there is an urgent need to ensure that the medications and treatments provided in the Emergency Department are effective.

Academics 52

Academics Research EMS Documentation/Coding 52

Dr. Smith's ECG Blog

AUGUST 9, 2024

Written by Colin Jenkins and Nhu-Nguyen Le with edits by Willy Frick and by Smith A 46-year-old male presented to the emergency department with 2 days of heavy substernal chest pain and nausea. The receiving emergency physician consulted with interventional cardiology who stated there was no STEMI. link] Fesmire, F. Wharton, D.

EKG/ECG 108

EKG/ECG EMS Emergency Department Wellness 108

Don't Forget the Bubbles

AUGUST 28, 2023

Five-year-old Ginny presents to the Emergency Department with a syncopal episode. Arguably, more robust research is neither feasible nor ethical to conduct in such a rare and time-critical emergency. Given that the study is now nearly 20 years old, newer research is needed to further back up current guidelines.

Pediatrics 97

Pediatrics Research Emergency Department Ultrasounds 97

RebelEM

JUNE 5, 2023

One study from a county in Massachusetts found that of all nonfatal opioid doses seen in the emergency department from 2011-2015, 1 in 20 patients subsequently died within one year of initial visit with 66% of these deaths being directly related to an opioid overdose (4). Ann Emerg Med. PMID 33392580. PMID 33392580.

Emergency Department 88

Emergency Department Hospitals Outcomes EMS 88

Taming the SRU

AUGUST 4, 2024

to teach you and your learner something new on shift skin adhesives WITH dr. hill Dermabond is a polymer (octyl cyanoacrylate) that can be used to repair lacerations in the Emergency Department faster than sutures, allowing the ED physician to be more efficient.

Dislocations 85

Dislocations Emergency Department Documentation/Coding Burns 85

The Skeptics' Guide to EM

SEPTEMBER 14, 2019

She is interested in social determinants of health in the emergency department and health policy. Dr. Ian Holley is also a PGY-3 resident in Emergency Medicine at Washington University School of Medicine in St. He is interested in ultrasound and international emergency medicine.

Head Injuries 52

Head Injuries Emergency Department Seizures EMS 52

Taming the SRU

APRIL 14, 2024

There is less research in the utility of ultrasound in identifying strangulation, however findings such as lack of peristalsis, edema of the bowel wall, and lack of blood flow on Doppler all seem to be suggestive of strangulation. (8) 8) “Ultrasound may decrease the emergency surgery rate of incarcerated inguinal hernia” by Chen et al. (1)

Ultrasounds 93

Ultrasounds Emergency Department Pediatrics Radiology 93

RebelEM

FEBRUARY 21, 2024

The study included a number of high-quality research studies: Study Format Comparison Findings Notes Wright 1994 Retrospective analysis of prospectively collected data. Read More REBEL EM: The Ketorolac Analgesic Ceiling References Irizarry E et al. Can J Emerg Med 2007; 9(1): 30-2. Ann Emerg Med 1995;26:117-20.

Administration 63

Administration Emergency Department EMS Research 63

RebelEM

OCTOBER 5, 2023

Strengths: The investigators framed a research question centered on patient outcomes, ensuring the study’s relevance and practicality. The researchers employed a double-blind, placebo-controlled, randomized controlled trial design to minimize potential biases, enhancing the reliability of the results. In the placebo group, 20.5

Research 94

Research Outcomes Administration Shock 94