The Trauma Pro

JUNE 30, 2023

The biggest question is, why does your hospital want you to use it? Typically, hospital administrators pressure trauma programs to adopt an eTFS at some point after implementing the hospital-wide use of an electronic health record (EHR). When I started this series nearly 15 years ago, many hospitals still used paper charting.

Hospitals 100

Hospitals Administration Resuscitation Best Practices 100

The Trauma Pro

DECEMBER 3, 2024

Research groups at the Oregon Health Sciences University and the University of Utah combined multiple data sources to estimate current levels of ED pediatric readiness, the cost to achieve it, the number of pediatric deaths in emergency departments, and the number of potential lives saved if readiness is maintained. The range was 2.9%

Pediatrics 113

Pediatrics Emergency Department Research Hospitals 113

Emergency Medicine Journal

NOVEMBER 28, 2023

Poor sonic environments in hospitals have been found to ‘impede the recovery process’ for patients and reduce staff performance. Sonic environments are often overlooked in hospital design, leading to spaces which are not supportive for care. We introduced them to deep listening through a series of listening exercises.

Emergency Department 74

Emergency Department Patient Safety Hospitals Research 74

ACEP Now

OCTOBER 29, 2024

On a busy day shift in the emergency department, our seasoned triage nurse comes to me after I finish caring for a hallway patient, “Hey, can you come see this guy in the triage room? This is the essence of emergency medicine. Dr. Koo is faculty and an emergency physician at MedStar Washington Hospital Center in Washington, D.C.,

Emergency Department 59

Emergency Department Mass Casualty Incidents Documentation/Coding Sepsis 59

The Skeptics' Guide to EM

NOVEMBER 2, 2024

He is the Vice Chair of the Emergency Department and Program Director of the EM residency program at Nassau University Medical Center in East Meadow, NY, the safety net hospital for Nassau County. As you finish a note on a complex critically ill patient, you hear howls of pain coming from the EMS triage desk.

Emergency Department 95

Emergency Department Administration EMS Outcomes 95

The Trauma Pro

DECEMBER 12, 2023

This necessitates an inter-hospital transfer that is subject to scrutiny by the trauma performance improvement program of both trauma centers. The practice at many centers is to bring all transfer patients in through the emergency department. The work-up from the referring hospital can be re-evaluated.

Emergency Department 124

Emergency Department Operations Hospitals Radiology 124

Emergency Medicine Journal

AUGUST 23, 2023

Background High emergency department (ED) usage by older individuals for non-emergencies is a global concern. There was a hesitation to call emergency services for several reasons, the primary being long wait times in ED and/or the prospect of an overnight stay in hospital.

Emergency Department 75

Emergency Department Urgent Care Hospitals 75

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. Hospital versus home management of children with buckle fractures of the distal radius. We see all different flavors of upper extremity injuries.

Fractures 286

Fractures Pediatrics Best Practices Outcomes 286

Emergency Medicine Journal

NOVEMBER 21, 2024

In 2019, we conducted a survey using the Spanish-adapted Hospital Survey on Patient Safety Culture open to all staff (doctors, nurses and paediatric residents) in AED and PED. We compared the culture of safety in the adult AED and PED before and after the COVID-19 pandemic. Methods A quasi-experimental study was performed.

Emergency Department 93

Emergency Department Teamwork Patient Safety Hospitals 93

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. It may sound silly (“FPIES”), but it can be serious! – As always, treat symptoms and dehydration based on severity.

Dehydration 189

Dehydration Shock Pediatrics Emergency Department 189

Taming the SRU

JUNE 11, 2023

End-tidal carbon dioxide measured at emergency department triage outperforms standard triage vital signs in predicting in-hospital mortality and intensive care unit admission. Acad Emerg Med 2023; 10.1111/acem.14703 Acad Emerg Med 2023; 10.1111/acem.14703 The primary outcome was in-hospital mortality.

Hospitals 87

Hospitals Emergency Department EMS Outcomes 87

Don't Forget the Bubbles

JANUARY 31, 2024

As a Trauma Unit within the Thames Valley Trauma Network, Wexham Park Hospital hosts trainees from across the spectrum of acute specialties. Article 1: What predicts parental anxiety in the Paediatric Emergency Department? Predictors of parental anxiety in a paediatric emergency department. Martin, S.R.,

Hospitals 72

Hospitals Ultrasounds Emergency Department Pediatrics 72

Pediatric EM Morsels

JULY 19, 2024

If bleeding has completely stopped, most of these children still come into the hospital for observation so access will likely be necessary and helpful should patient have rebleed event. If bleeding, the only lab that is needed in the Emergency Department is a type and cross. Get IV access! Int J Pediatr Otorhinolaryngol.

Pediatrics 286

Pediatrics Airway Management Wellness Administration 286

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 119

Emergency Department Resuscitation Hospitals Research 119

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

Emergency Medicine Journal

AUGUST 21, 2024

The Clinical Frailty Scale (CFS) is a 9-point frailty assessment instrument that has shown promise to identify frail emergency department (ED) patients at increased risk of adverse outcomes. Background Older patients living with frailty have an increased risk for adverse events. Logistic regression was used to adjust for confounders.

Emergency Department 52

Emergency Department Hospitals Outcomes Wellness 52

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 118

Emergency Department Stroke Operations Hospitals 118

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 85

Elder Abuse Emergency Department Documentation/Coding Hospitals 85

The Trauma Pro

AUGUST 20, 2024

This is especially true now in the COVID age with hospitals decreasing their OR capabilities. But here is something to keep at top of mind: Your patient is at their healthiest as they roll in through the emergency department door Yes, major trauma patients are sick, but they are going to get sicker over the next few hours to days.

Operations 113

Operations Emergency Department Hospitals 113

The Trauma Pro

JULY 2, 2024

Avoiding your patients Some of your patients may need to contact you, either while in the hospital or while at home. Make time to meet with patient families while in the hospital. Provide, at a minimum, a copy of the discharge summary from the hospital or emergency department. Don’t appear to be inaccessible.

Emergency Department 113

Emergency Department Hospitals 113

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

Don't Forget the Bubbles

SEPTEMBER 30, 2024

In the UK, as in most developed countries, more patients are presenting to Emergency Departments (EDs) with minor illnesses or injuries. examined 977,907 first-time ED presentations by children aged 0-15 across thirteen acute hospital trusts (between April 2014 and March 2017), trying to figure out how many were non-urgent.

Emergency Department 89

Emergency Department Research Hospitals Pediatrics 89

Emergency Medicine Journal

NOVEMBER 21, 2024

Emergency department (ED) encounters among patients experiencing non-fatal opioid-involved overdoses continue to increase. Before hiring PRCs in our ED, a large public hospital with a Level I trauma centre seeing >150 000 annual encounters, recovery service referrals were clinician-driven and not.

Emergency Department 52

Emergency Department Outcomes Hospitals 52

EB Medicine

JULY 9, 2024

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

Risk Management 85

Risk Management Emergency Department Hospitals 85

EB Medicine

APRIL 1, 2024

Eckler, MD discuss the April 2024 Pediatric Emergency Medicine Practice article, Brief Resolved Unexplained Events: Practical Evaluation and Management in the Emergency Department Introduction The Evolution of BRUE Understanding BRUE Guidelines The Importance of Pre-Hospital Care in BRUE Cases Investigating the Event: Questions to Ask Medical and (..)

Emergency Department 85

Emergency Department Pediatrics Hospitals 85

PEMBlog

OCTOBER 31, 2024

every year, leading to emergency department visits and hospitalizations. A new study conducted by the Pediatric Emergency Care Applied Research Network (PECARN) aimed to determine whether LGG could reduce the severity of gastroenteritis in children. emergency departments. vs. 12.6%, respectively).

Outcomes 105

Outcomes Pediatrics Emergency Department Research 105

EB Medicine

AUGUST 14, 2024

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

Critical Access 86

Critical Access Emergency Department Hospitals 86

Emergency Medicine Journal

JULY 22, 2024

6 We undertook a service evaluation aiming to: (1) Describe the characteristics of patients being treated with naloxone in the pre-hospital and emergency department (ED) setting in one region of Southeast Scotland. (2) 5 Both may affect the response to naloxone and consequent risk to patients and providers. 2) Describe the.

Emergency Department 98

Emergency Department Hospitals 98

ACEP Now

OCTOBER 13, 2023

The CHRISTUS Health-Texas A&M Spohn Emergency Medicine Residency Program announced Friday that its program will close in June 2026 after the current emergency medicine residents complete their training. We feel that this decision was made without adequate assessment of the negative impacts this WILL have on our patients.

Patient Safety 132

Patient Safety Administration Emergency Department EMS 132

The Trauma Pro

OCTOBER 18, 2024

Bottom line: I have visited a number of hospitals that successfully use the Nelson score to assist with admission service decision-making while the patient is still in the emergency department. The authors concluded that using this score is a safe way to objectively identify patients who would benefit from nonsurgical admission.

Documentation/Coding 147

Documentation/Coding Emergency Department Hospitals 147

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

Pediatric EM Morsels

FEBRUARY 2, 2024

Hospitalization for travel-related illness are around 10% for both VFR and tourists (Leuthard 2015) Multiple studies have reported the most common travel infections in various countries. Internationally Acquired Severe Systemic Infections in Febrile Pediatric Travelers Presenting to the Emergency Department. Pediatr Emerg Care.

Infectious Diseases 161

Infectious Diseases Pediatrics Sepsis Documentation/Coding 161

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

Don't Forget the Bubbles

OCTOBER 12, 2024

doi: 10.1136/archdischild-2023-326773 Two-year-old Moyo is brought to the emergency department because her parents were concerned about noisy breathing. Most children can be discharged from the emergency department after a dose of corticosteroids and an appropriate safety net. Published Online First: 15 April 2024.

Airway Management 85

Airway Management Emergency Department Administration Hospitals 85

PEMBlog

JUNE 27, 2023

In this episode, Dr. Ben Grebber, a pediatric resident at Boston Children’s Hospital/Tufts Children’s Hospital, discusses Bee Stings and Spider Bites. It is summertime, so the bees and bugs are out!

Urgent Care 98

Urgent Care Pediatrics Emergency Department Hospitals 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. Because older patients are admitted to the hospital more often, they disproportionately affect ED staff time and work. Estimates of Emergency Department Visits in the United States, 2016-2022.

CDC 52

CDC Emergency Department Hospitals 52

Northwestern EM Blog

JULY 15, 2024

Edmonson and Adler for this infographic that concisely emphasizes key concepts for the recognition and initial management of acute respiratory distress syndrome (ARDS) in the Emergency Department. Chest imaging and an arterial blood gas are essential to establishing the diagnosis and severity of disease. 2024, Jul 15).

Resuscitation 98

Resuscitation Burns Emergency Department Sepsis 98