ACEP Now

MAY 9, 2024

It has been well over a year since the controversial publication of the Agency for Healthcare Research and Quality (AHRQ) report on diagnostic errors in the emergency department (ED). Patient safety and diagnostic errors research is critical to the design of a health system in which errors are minimized. Ann Emerg Med.

Emergency Department 52

Emergency Department Research Infectious Diseases Hospitals 52

Don't Forget the Bubbles

JANUARY 10, 2024

Let’s take the humble blood transfusion – used in emergency departments across the globe and playing a key role in critical care. The factorial design chosen by Dr Maitland and her research group means that several comparisons in transfusion practice could be carried out at the same time. What were the research questions?

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Blood Transfusions Research Outcomes Hospitals 78

EMDocs

NOVEMBER 16, 2024

Infections For stable patients, obtain microbiologic samples prior to antibiotics (per the American Academy of Orthopedic surgery and The Infectious Diseases Society of America). 9,23 Disposition: Dislocation : If successfully reduced in the emergency department may discharge with strict mobility restrictions and Orthopedic follow up.

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EMS Dislocations Fractures Operations 94

Pediatric EM Morsels

SEPTEMBER 20, 2024

Diarrhea is one of the most common complaints in the pediatric emergency department, especially in the summer and early fall. Predicting Adverse Outcomes for Shiga Toxin-Producing Escherichia coli Infections in Emergency Departments. 2021 May;232:200-206.e4. doi: 10.1016/j.jpeds.2020.12.077. 2020.12.077.

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Pediatrics Ultrasounds Dehydration Emergency Department 164

Don't Forget the Bubbles

MARCH 4, 2024

We have teamed up with the team from the Emergency Department at Bristol Royal Hospital, who have used this as a springboard for their journal club. (It’s The children’s Emergency department sees approximately 50,000 presentations per year. Without a clear definition, tailoring research and audit is difficult.

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Hospitals Sepsis Fractures Emergency Department 78

Don't Forget the Bubbles

AUGUST 30, 2023

The parents of 9-month-old Josie bring her into the Emergency Department with coryzal symptoms and difficulty breathing. A secondary analysis of a nationwide study of Emergency Department attendance in America from 2006 to 2008 found that CXRs increase the average length of stay by 27 minutes. Am J Emerg Med.

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Emergency Department Pediatrics Infectious Diseases Research 131

RebelEM

MAY 15, 2024

Read More: Infectious Disease Society of America 2010 Clinical Practice Guidelines Life in the Fast Lane: Febrile Neutropaenia Uptodate: overview of neutropenic fever syndromes EMRAP: Risk stratification of neutropenic fever MDCalc: MASCC Score MDCalc: CISNE Score References: Ahn S, Rice TW, Yeung SJ, Cooksley T. Ann Emerg Med.

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Infectious Diseases Administration Sepsis Anaphylaxis 90

EMDocs

DECEMBER 18, 2023

1 The rationale for the shift away from normal saline in 2021 derived from multiple trials, including the Isotonic Solutions and Major Adverse Renal Events Trial (SMART) and Saline Against Lactated Ringer’s or Plasma-Lyte in the Emergency Department (SALT ED). Procalcitonin and sepsis in the Emergency Department: an update.

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Sepsis Fluid Resuscitation Resuscitation Shock 83

EMDocs

JANUARY 6, 2024

It is difficult to distinguish this from ACS secondary to acute plaque rupture in the ED, and management would be similar with antiplatelet agents, anticoagulation until coronary angiography can be performed to assess for the underlying disease process. A 63-year-old man presents to the emergency department for dyspnea on exertion.

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EMS Infectious Diseases Shock Emergency Department 80

PEMBlog

JULY 10, 2024

The RPR or Rapid Plasma Reagent, which has now largely replaced the earlier VDRL or Venereal Disease Research. Hopefully you all found this information helpful and we’ll be able to pick syphilis out of the lineup the next time you encounter it in the emergency department. These are highly sensitive tests.

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Pediatrics CDC Seizures Emergency Department 52

PEMBlog

AUGUST 30, 2023

Research suggests most CXRs are performed because ED clinicians (and many parents) are concerned for the possibility of missing pneumonia or another diagnosis requiring specific management. Pneumonia in Children Presenting to the Emergency Department with an Asthma Exacerbation. Pediatrics. 2022 Jan 1;149(1):e2021051405.

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Pediatrics Best Practices Hospitals Emergency Department 52

RebelEM

OCTOBER 26, 2023

Enrollment: Recruited patients from primary care offices, emergency departments, and inpatient wards at Children’s Hospital of Philadelphia and UPMC Children’s Hospital of Pittsburgh. Funding: The National Institute of Allergy and Infectious Diseases, Division of Microbiology and Infectious Diseases funded the study.

Pediatrics 81

Pediatrics Infectious Diseases Outcomes Research 81

The Skeptics' Guide to EM

DECEMBER 2, 2023

JAMA July 2023 Date: October 17, 2023 Guest Skeptic: Dr. Alasdair Munro is a clinical research fellow specializing in pediatric infectious disease at the University of Southampton. Case: A 4-year-old girl presents to your emergency department (ED) with fever and nasal drainage. This issue was covered on SGEM #263.

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Pediatrics Infectious Diseases Emergency Department Research 137

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

EMDocs

FEBRUARY 8, 2025

Empiric treatment with voriconazole 6 mg/kg twice daily intravenously for 2 doses should be started immediately based on Infectious Disease Society of America (IDSA) guidelines. 22-28 Disposition Consult infectious disease for all IFI patients to ensure appropriate antifungal stewardship. Open Forum Infectious Diseases.

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Infectious Diseases EMS COPD Research 65

Don't Forget the Bubbles

SEPTEMBER 23, 2024

You are working in the paediatric emergency department of a busy District General Hospital. These centres have a close relationship with their patients, but this does not mean they may not turn up at your emergency department! Journal of Bone and Mineral Research , 21 (3), pp.380-387. Helenius, I., Salminen, S.,

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

Pediatric EM Morsels

SEPTEMBER 27, 2024

Symptomatic management: Topical emollients Topical antipruritics Topical corticosteroids ( no specific research supporting this… but… rashes love steroids… right? Rashes will always find their way to your emergency department! The rash is not contagious (the viral illness that started it certainly may be).

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Allergic Reactions Pediatrics Emergency Department EMS 164

Don't Forget the Bubbles

NOVEMBER 5, 2023

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. Trends in Anesthesia/Sedation for Computed Tomography and Magnetic Resonance Imaging Encounters in Pediatric Emergency Departments, 2012-2022. Eur J Pediatr.

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Pediatrics Hospitals Infectious Diseases Outcomes 105

EMDocs

NOVEMBER 25, 2024

However, recent progress in onchocerciasis research has led to an improved understanding of the immunopathology of O. volvulus as well as improvements in the diagnosis and treatment of this morbid disease. million infected people suffer from skin disease and 1.15 7 Approximately 14.6 million from partial or complete blindness.

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Infectious Diseases Emergency Department EMS Administration 69