Emergency Medicine Journal

JANUARY 21, 2025

This month’s update is by the Emergency Department of the University Hospital of Heraklion, Crete, Greece. A randomised trial of drug route in out-of-hospital cardiac arrest. We used a multimodal search strategy, drawing on free open-access medical education resources and literature searches. Couper et al.

Emergency Department 98

Emergency Department Hospitals Outcomes 98

Emergency Medicine Journal

DECEMBER 30, 2024

Background The Emergency Department(ED) team need to make sense of an ever-changing dynamic environment. Methods Non-random purposive sampling was used to recruit doctors and nurses from EDs in five hospitals in Cape Town. The stories people tell about everyday occurrences are central to how sense-making occurs.

Emergency Department 52

Emergency Department Hospitals 52

First 10 EM

JANUARY 8, 2024

My practice includes emergency and inpatient care in Broome Hospital in the remote Kimberley region of Western Australia. I also work in a large tertiary […] The post On the Ethical Detention of Patients in the Emergency Department appeared first on First10EM.

Emergency Department 108

Emergency Department Hospitals 108

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

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

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. compared the effects of these two among the acute gastroenteritis children and reported that the use of ORT was associated with shorter hospital stay and increased patient satisfaction.

Dehydration 84

Dehydration Fluid Resuscitation Resuscitation Administration 84

Emergency Live

JUNE 5, 2024

How triage works in hospital emergencies Triage in hospital emergencies: how it works Triage in US hospitals is a fundamental process for prioritizing patients entering emergency departments based on the severity of their conditions.

Hospitals 91

Hospitals Emergency Department 91

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

AENJ: Current Issue

JULY 31, 2024

Objective: This quality improvement initiative was conducted to determine if a provider in triage and split flow model could decrease the length of stay (LOS) of discharged patients seen in a community hospital emergency department (ED).

Emergency Department 58

Emergency Department Hospitals EKG/ECG 58

ACEP Now

DECEMBER 17, 2024

We deal with difficult and traumatizing situations daily, and nowhere is this more apparent than in the emergency department, where sickness, violence, and death are routine. 2 ACEP Now has previously written about the reasons for physician unions, particularly among emergency physicians. died by suicide. Thompson SL, Salmon JW.

Burns 105

Burns Hospitals Documentation/Coding Emergency Department 105

Don't Forget the Bubbles

MAY 10, 2023

You’re in the paediatric emergency department, typing some notes for the child you’ve just discharged. As you arrive in resus, so too do half the children’s hospital. A study in Denmark in 2021 explored barriers to effective resuscitation in over 900 in-hospital resuscitations across six hospitals in Denmark.

Emergency Department 91

Emergency Department Resuscitation Documentation/Coding Teamwork 91

EM Literature of Note

JANUARY 16, 2025

Literally every practicing physician working in a hospital environment knows there is a broad spectrum of skill, approach to acute illness, and level of risk-tolerance. These attributes manifest in different ways, and, in emergency physicians, one is the differing likelihood two clinicians might have to admit same patient to the hospital.

Outcomes 77

Outcomes Radiology Radiology Emergency Department 77

EB Medicine

MARCH 12, 2025

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

Emergency Department 61

Emergency Department Ultrasounds EMS Hospitals 61

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

RebelEM

MAY 11, 2023

Background: The emergency department is frequently visited by patients suffering from symptomatic alcohol withdrawal, and the traditional management has been dominated by repeated doses of benzodiazepines. Return Encounters in Emergency Department Patients Treated with Phenobarbital Versus Benzodiazepines for Alcohol Withdrawal.

Emergency Department 95

Emergency Department Administration Hospitals Academics 95

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

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

Emergency Medicine Journal

JULY 24, 2023

Given increasing demand and constraints in ED staffing, pharmacists are a potential resource to expand the Children’s Emergency Department (CED) workforce. We determined whether a pharmacist in the CED could independently safely discharge eligible patients and whether the role would be acceptable to families.

Emergency Department 75

Emergency Department Hospitals 75

Emergency Medicine Journal

JANUARY 21, 2025

Methods After preliminary evaluation of an M-LFD (SureScreen) with laboratory-grown virus and PCR-negative clinical samples, it was evaluated in a real-world setting at the ED of St Thomas’ Hospital (London, UK) from 1 December 2022 to 21 April 2023.

Emergency Department 52

Emergency Department Hospitals 52

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

NOVEMBER 7, 2024

Elizabeth Wharff was the director of emergency psychiatry at Boston’s Children’s Hospital in the late 1990s when she became concerned about what was, then, a new problem. They would be the least difficult and disruptive, the least strain on the hospital staff,” Dr. Wharff explained.

Psychiatric 59

Psychiatric Pediatrics Hospitals Emergency Department 59

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 290

Fractures Pediatrics Best Practices Outcomes 290

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 193

Dehydration Shock Pediatrics Emergency Department 193

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

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

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.

Airway Management 290

Airway Management Pediatrics Wellness Operations 290

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 88

Hospitals Emergency Department EMS Outcomes 88

Emergency Medicine Journal

DECEMBER 30, 2024

Does your emergency department (ED) feel like a constant battle? When you think about battles, you think about frontline casualties (an irony given the origins of emergency medicine (EM)) and how there must be sacrifice for the majority to succeed. Is EM the sacrifice for your hospital to succeed?

EMS 52

EMS Emergency Department Hospitals 52

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 131

Emergency Department Resuscitation Hospitals EKG/ECG 131

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

ACEP Now

MARCH 10, 2025

1,2 Approximately 2 percent of emergency department (ED) patients in the United States leave prior to evaluation or AMA. National Hospital Ambulatory Medical Care Survey: 2021 Emergency Department Summary Tables. Am J Emerg Med. BMC Emerg Med. Ann Emerg Med. Acad Emerg Med. Ti L, Ti L.

Documentation/Coding 52

Documentation/Coding Emergency Department Psychiatric Risk Management 52

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

PEMBlog

MARCH 4, 2025

Garcia T, Florin TA, Leonard J, Shah SS, Ruddy RM, Wallihan R, Desai AP, Alter S, El-Assal O, Marzec S, Keaton M, Yun KW, Leber AL, Mejias A, Cohen DM, Ramilo O, Ambroggio L; Childrens Hospitals Initiative for Research in Pneumonia (CHIRP). Pediatr Emerg Care. 2025 Feb 17. doi: 10.1097/PEC.0000000000003338. 0000000000003338.

Pediatrics 94

Pediatrics Military CDC Hospitals 94

Broome Docs

NOVEMBER 17, 2024

Early intramuscular adrenaline administration is associated with improved survival from out-of-hospital cardiac arrest. PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study. Resuscitation. 2024 Aug;201:110266.

Resuscitation 61

Resuscitation Administration Radiology Radiology 61

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 131

Emergency Department Stroke Operations Hospitals 131

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 87

Elder Abuse Emergency Department Documentation/Coding Hospitals 87

ACEP Now

MARCH 10, 2025

You work as the medical director at a suburban, community emergency department (ED). At your monthly meeting with the chief medical officer (CMO) and chief nursing officer (CNO), they inform you of the hospitals plan to start a Sexual Assault Nurse Examiner (SANE) Program. As expected, you have several questions.

Sexual Assault 52

Sexual Assault Forensics Leadership Pediatrics 52