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First10EM Journal Club: December 2023

Broome Docs

Welcome to another episode of the Emergency Medicine Journal Club with Dr Justin Morgenstern. Does BP management in haemorrhagic stroke matter? Overnight Stay in the Emergency Department and Mortality in Older Patients. Risk of Radiation Exposure to Emergency Department Personnel From Portable Radiographs.

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Diagnostics and Therapeutics: The Who, What, Where, When and Why of Lumbar Punctures

Taming the SRU

The LP is now a standard procedure and in 2010 well over 135,000 LPs were performed in Emergency Departments throughout the US (3). Scandinavian journal of infectious diseases , 45 (9), 657–663. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America , 39 (9), 1267–1284.

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Diagnostics: Inflammatory Markers

Taming the SRU

While PCT may be more specific for bacterial infections, it is flawed by still being rather non-specific and is not validated as a stand-alone diagnostic criteria for infection in the setting of the emergency department. In 7 studies with 4164 patients, PCT with a cut-off > 0.1 ng/mL (strongly recommended against antibiotics), 0.1-0.25

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Fourteen Emergency Medicine Research Gems from 2023

ACEP Now

What’s New in Stroke Care? The simplicity of tenecteplase administration makes its use likely the preferred agent for treating acute ischemic stroke. the “ARAMIS” trial throws up another red flag for patients suffering mild stroke. the “ARAMIS” trial throws up another red flag for patients suffering mild stroke.

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Docusate for Cerumen Impaction? I Sh*t You Not

Critical Care Now

Reading Time: 5 minutes Ruben Santiago Emergency Medicine Pharmacist and medication hustler at a level I trauma center in Miami, FL. Interests include trauma, toxicology, and infectious diseases. Another lytic that is used in the ED is docusate for cerumen impaction.

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Episode 23 - Influenza Diagnosis and Management in the Emergency Department

EB Medicine

Jeff: The information contained in this article comes from articles found on pubmed, the cochrane database, center for disease control, and the world health organization. Additionally, guidelines were reviewed from the american college of emergency physicians, infectious disease society of america, and the american academy of pediatrics.

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ED care of refugee populations from sub-Saharan Africa

EMDocs

Open-access image source: By M.Bitton – Own work, CC BY-SA 3.0, [link] Infectious Disease Exposure It is estimated that, on average, refugees seeking refuge in Uganda visit a health facility 1.8 times per month and that 80-120 refugees are screened daily for infectious diseases in the triage and emergency units.