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Well keep it short, while you keep that EM brain sharp. A 73-year-old female is brought in by EMS for abdominal pain, vomiting, and weakness for two days. Stercoral colitis in the emergencydepartment: a review of the literature. International journal of emergency medicine, 17(1), 3. Tran, J., & Shah, K.
Well keep it short, while you keep that EM brain sharp. Well keep it short, while you keep that EM brain sharp. A previously healthy 23-year-old male with no medical or surgical history presents to the ED with generalized malaise and no energy, progressively getting worse over the last six weeks. Medications: 25.6%
Challenging working conditions in health services, especially in emergencydepartments (ED), lead to high levels of stress and burnout. As well as being a practice and policy priority, there have been repeated calls for research to better understand the problem. Emerg Med J. 2021 Sep;38(9):663-672. Epub 2021 Jun 3.
A 36-year-old male presents to the emergencydepartment 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. This series provides evidence-based updates to previous posts so you can stay current with what you need to know.
Well keep it short, while you keep that EM brain sharp. Infectious disease expertise is useful as the optimum duration of treatment is not well established. Clinical Presentation of Acute Osteomyelitis in the Pediatric EmergencyDepartment. Pediatr Emerg Care. vancomycin for Staphylococcus and Salmonella ).
Eating disorders have the highest mortality rate of any psychiatric illness, yet they are frequently missed in the EmergencyDepartment 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.
PECARN prediction rule for cervical spine imaging of children presenting to the emergencydepartment with blunt trauma: a multicentre prospective observational study. The learning didnt end because she then completed another fellowship in pediatric emergency medicine at Harbor UCLA. Lancet Child Adolesc Health.
Taking care of a critically ill child can be nerve-racking to say the least, and downright petrifying for those who don’t do it frequently, even if they are well-trained and brilliant clinicians. Sinha 2012] It is useful in the prehospital setting , correlating well with actual weight and ED Broselow weight. Broselow does not.
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 EmergencyDepartment! For children at least 4 years of age who are not well controlled on ICS alone. No more SABA ! Isn’t this more relevant for the outpatient pediatricians?
We’ll keep it short, while you keep that EM brain sharp. Post septal (retrobulbar) is higher risk to vision and requires CT imaging to diagnose as well as thorough exam to check for proptosis, afferent pupillary defect, increased intraocular pressure [7]. A 32-year-old man presents to the emergencydepartment with eye pain.
DON’T forget to put on your Personal Protective Equipment as well! If bleeding, the only lab that is needed in the EmergencyDepartment is a type and cross. Have traditional, direct laryngoscopes available as well. This is worth a shot in a well appearing child that is old enough to gargle and spit.
We’ll keep it short, while you keep that EM brain sharp. If the hematoma is not drained it can cause disruption of blood supply to the cartilage and subsequent necrosis, as well as an increase in risk of infection. A 21-year-old man presents to the emergencydepartment for pain and swelling in his ear beginning 3 days ago.
Our patients have varied past medical histories that require us to be well-versed in even the most uncommon disorders (or know where to look things up in a pinch)! link] The post Food Protein Induced Enterocolitis Syndrome (FPIES) appeared first on Pediatric EM Morsels. Allergy Asthma Clin Immunol 18, 54 (2022).
1,2 Neuroleptic malignant syndrome (NMS) (hyperthermia, autonomic instability, rigidity, altered mental status [AMS]) can occur as well and is most often seen with clozapine but has been observed with other atypicals. Movement Disorder Emergencies. His roommate found an empty pill bottle on the floor next to him. 2022;15:3915-3929.
We’ll keep it short, while you keep that EM brain sharp. He presented to the emergencydepartment 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.
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 emergencydepartment with right ear pain for 2 weeks. link] The post EM@3AM: Malignant/Necrotizing Otitis Externa appeared first on emDOCs.net - Emergency Medicine Education.
We’ll keep it short, while you keep that EM brain sharp. Physical exam reveals a well-appearing female in no acute distress. A 23-year-old man with no significant medical history presents to the emergencydepartment for evaluation of a syncopal episode. The patient states that this has never happened before. Heart Rhythm.
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 emergencydepartment 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.
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.
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.
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 emergencydepartment… 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?
The most recent and well-known trial is the PROCAMIO trial (1). Well, the trial was a multicenter prospective open label trial. Well, lets look at some other trials. His initial EKG is the following: What do you think? It was published in European Heart Journal in 2017. Ok, so what did the PROCAMIO trial find?
Last month’s article focused on ACEP’s efforts and resources to support EDs and patients with psychiatric emergencies. Emergencydepartments (EDs) focus on rapid initiation of medical treatment. Clinical Policy: Critical Issues in the Diagnosis and Management of the Adult Psychiatric Patient in the EmergencyDepartment.
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 EmergencyDepartments (EDs).
Aims and Objectives EmergencyDepartment (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.
Over the past few years, there has been an increase in emergencydepartment (ED) volumes and lengths of stay. The effect of emergencydepartment 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.
Jon Krohmer, MD, FACEP, who says he has “the EMS blood type,” practically had a front row seat to the growth of EMS care starting as a volunteer EMT more than 50 years ago. The evolution of EMS really mirrors the evolution of emergency physicians.” Dr. Krohmer said. So physicians need to be involved.
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.
His research focuses on the pre-hospital care of children by EMS. He is the principal investigator for EMSC State Partnership in Washington, DC and is also involved in various multi-center EMS studies with the Pediatric Emergency Care Applied Research Network (PECARN). EMS placed him in a C-collar and brought him to you.
Richelle Cooper is a Professor of Emergency Medicine at the UCLA Department of Emergency Medicine. Dr. Maia Dorsett is an Emergency and EMS Physician at the University of Rochester Medical Center. Richelle Cooper is a Professor of Emergency Medicine at the UCLA Department of Emergency Medicine.
Comparison of BPAP S/T and Average Volume-Assured Pressure Support Modes for Hypercapnic Respiratory Failure in the EmergencyDepartment: A Randomized Controlled Trial. AVAPS may be useful, but we still need a well conducted RCT to find out if it is (i.e Paper: Goren NZ et al. Balkan Med J 2021. References: Goren NZ et al.
Guest Skeptic: Dr. Anand Swaminathan is an Assistant Professor of Emergency Medicine at Staten Island University Hospital. Managing editor of EM:RAP and Associate Editor at REBEL EM. first appeared on The Skeptics Guide to Emergency Medicine. Managing editor of EM:RAP and Associate Editor at REBEL EM.
Gaibrie Stephen, we discover the evidence supporting a more rigorous and professional approach to language translation services as well as some practical available options. The post WTBS 19 Does Poor Access to Language Services Leave EmergencyDepartments Primed for Tragedy? appeared first on Emergency Medicine Cases.
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. Interrater reliability of Glasgow Coma Scale scores in the emergencydepartment. Ann Emerg Med. Less than 8, intubate!
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 emergencydepartment. Therefore, the authors of GRACE-3 call for wide training of the EM workforce in the use of HINTS.
5 Severe metabolic acidosis persists Multi-system organ failure The endpoints of deferoxamine are less well defined but it can be weaned off as the patient is clinically improving, the anion gap resolves, and down-trending serum iron concentration. A partner at bedside reports recent depressed mood, abdominal pain, and vomiting yesterday.
Written by Bobby Nicholson, MD 67 year old male with history of hypertension and hyperlipidemia presented to the EmergencyDepartment via ambulance with midsternal nonradiating chest pain and dyspnea on exertion. Pain improved to 1/10 after EMS administers 324 mg aspirin and the following EKG is obtained at triage.
We collected data directly from the bedside clinician which enabled us to gather pertinent patient symptoms and physical examination findings that may not be well documented in the medical record, but more accurately identify the child’s injuries.” Indian J Orthop. 2018;52(5):489-500. PMID: 30237606. Leonard JC, Harding M, Cook LJ, et al.
JAMA 2020 Guest Skeptic: Mike Carter is a former paramedic and current PA practicing in pulmonary and critical care as well as an adjunct professor of emergency medical services […] The post SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC? first appeared on The Skeptics Guide to Emergency Medicine.
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 EmergencyDepartment that treats approximately 120,000 patients per year. On March 9, the first patient with a novel coronavirus infection was admitted to MMC.
RESUS SCENARIO Picture this: you just arrived at your shift at the local emergencydepartment. Well, the established cutoff for the distensibility index is 18%. For more than just the correctness of terminology, the distensibility index should then be calculated. Why does it matter?
Johnson, MD ( Community EM, Salina Regional Health Center) // Reviewed by: Joshua Lowe, MD (EM Attending Physician, USAF); Marina Boushra, MD (Cleveland Clinic Foundation, EM-CCM); Brit Long, MD (@long_brit) Case A 40-year-old woman presents to a rural emergencydepartment (ED) with left leg pain and swelling for the past 5 days.
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.
Written by Colin Jenkins and Nhu-Nguyen Le with edits by Willy Frick and by Smith A 46-year-old male presented to the emergencydepartment 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.
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