The Skeptics' Guide to EM

JULY 30, 2022

Point-of-Care Ultrasound-First for the Evaluation of Small Bowel Obstruction: National Cost Savings, Length of Stay Reduction, and Preventable Radiation Exposure. AEM July 2022 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. specificity with ultrasound [1].

Ultrasounds 52

Ultrasounds Operations Documentation/Coding Outcomes 52

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

Don't Forget the Bubbles

NOVEMBER 13, 2023

Should we use ultrasound to diagnose distal forearm fractures in children and adolescents? X-ray (radiography) is the standard imaging technique used in emergency departments. However, ultrasound is gaining popularity due to its portability, affordability, and lack of ionising radiation.

Fractures 64

Fractures Ultrasounds Emergency Department Pediatrics 64

Don't Forget the Bubbles

NOVEMBER 8, 2023

7-year-old Tilly is brought to your emergency department at 11 p.m. Abdominal pain in children is common, accounting for over 1 in 20 attendances to paediatric emergency departments [1]. Clinical scoring tools have improved diagnostic performance in assessing suspected appendicitis in the emergency department.

Emergency Department 105

Emergency Department Ultrasounds Pediatrics Best Practices 105

The Trauma Pro

OCTOBER 4, 2024

Clinical outcomes assessed at 60 days included an unplanned return to the emergency department (ED), re-admission, complications, and development of new bleeding confirmed by surgery, ultrasound, or computed tomography (CT) at 60 days post-injury. ” This means they probably did not.

Pediatrics 113

Pediatrics Outcomes Operations Emergency Department 113

Ultrasound Gel

JUNE 10, 2019

Of course, we are (in a convoluted way) referring to ocular ultrasound. Historically a great party trick, can this modality accurately diagnose visual problems in the emergency department? Sit back, relax, and visualize the latest in ocular POCUS research. It's been done before, but it hasn't been done to this degree.

Emergency Department 52

Emergency Department Ultrasounds Research 52

ACEP Now

DECEMBER 6, 2024

A 46-year-old female with a prior medical history of asthma presented to the emergency department with shortness of breath and wheezing. Given the persistent symptoms, a cardiac point-of-care ultrasound was obtained. 4 Dr. Ram is clinical research director at The Brooklyn Hospital Center, Brooklyn, N.Y.

Emergency Department 64

Emergency Department Ultrasounds Hospitals Research 64

The Skeptics' Guide to EM

AUGUST 24, 2024

Sean Baldwin is an Emergency Physician practising in Sydney, Australia in both a large tertiary emergency department and a small regional emergency department. Interests include information systems and digital health, research and education. Reference: Partyka et al.

Fractures 53

Fractures Emergency Department Ultrasounds Radiology 53

SheMD

JULY 23, 2023

Talk about your major extra-curricular activities and research in the department. For example, one medical school student I recently interviewed who was applying for internal medicine – primary care spoke about her research with transgender individuals and their perceptions of sexual health. These reasons are TOO common.

Research 98

Research Academics Hospitals Operations 98

The Skeptics' Guide to EM

OCTOBER 23, 2021

Pathway with single-dose long-acting intravenous antibiotic reduces emergency department hospitalizations of patients with skin infections. AEM October 2021 Guest Skeptic: Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate.

Emergency Department 52

Emergency Department Sepsis Hospitals Research 52

Don't Forget the Bubbles

AUGUST 28, 2023

Ultrasound can be used to identify any large pleural effusions. Five-year-old Ginny presents to the Emergency Department with a syncopal episode. Arguably, more robust research is neither feasible nor ethical to conduct in such a rare and time-critical emergency. – Simple tests (e.g. .

Pediatrics 97

Pediatrics Research Emergency Department Ultrasounds 97

Taming the SRU

AUGUST 4, 2024

to teach you and your learner something new on shift skin adhesives WITH dr. hill Dermabond is a polymer (octyl cyanoacrylate) that can be used to repair lacerations in the Emergency Department faster than sutures, allowing the ED physician to be more efficient.

Dislocations 85

Dislocations Emergency Department Documentation/Coding Burns 85

Northwestern EM Blog

SEPTEMBER 16, 2024

For those new to the probe, we recommend first reviewing the basics in the incredible FOAMed Introduction to Bedside Ultrasound Book , 5 Minute Sono , and POCUS Atlas. The one absolute contraindication for ocular ultrasound is any suspicion for globe rupture, as placing any pressure on the globe can worsen extrusion of intraocular contents.

Ultrasounds 52

Ultrasounds Emergency Department Academics EMS 52

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

This case was provided by Spencer Schwartz, an outstanding paramedic at Hennepin EMS who is on Hennepin EMS's specialized "P3" team, a team that receives extra training in advanced procedures such as RSI, thoracostomy, vasopressors, and prehospital ultrasound. Takotsubo is a sudden event, not one with crescendo angina.

EKG/ECG 52

EKG/ECG Emergency Department Ultrasounds Hospitals 52

The Skeptics' Guide to EM

NOVEMBER 9, 2019

Chip is the CEO of an ultrasound education company called Practical POCUS which is based in the United States but is expanding into an international market. Case: A 6-year-old boy comes into your emergency department at around midnight with his parents complaining of abdominal pain.

Ultrasounds 52

Ultrasounds Fractures Pediatrics Radiology 52

EM Curious

JULY 24, 2015

One of our beloved colleagues from the community has recently declared to us his love of ultrasound guided nerve blocks--a skill that is established in the anesthesia world but is quickly gaining traction in our realm. Do your research, and always be safe. jps Sources Roberts and Hedges Clinical Procedures in Emergency Medicine.

Fractures 52

Fractures Ultrasounds Emergency Department Dislocations 52

RebelEM

FEBRUARY 12, 2024

There are greater than 2 million annual emergency department visits for suspected renal colic in the US, and Ct scanning is performed for more than 90% of patients who receive a diagnosis of kidney stone. What Your Gut Says: We need a CT report to diagnose a kidney stone. ” The Journal of Urology 199.4S (2018): e683-e684.

Radiology 67

Radiology Radiology Emergency Department Ultrasounds 67

The Skeptics' Guide to EM

SEPTEMBER 14, 2019

She is interested in social determinants of health in the emergency department and health policy. Dr. Ian Holley is also a PGY-3 resident in Emergency Medicine at Washington University School of Medicine in St. He is interested in ultrasound and international emergency medicine.

Head Injuries 52

Head Injuries Emergency Department Seizures EMS 52

ACEP Now

AUGUST 12, 2024

Some other different features this year include: Integrated Research Forum: Get ready for an electrifying experience at ACEP’s Research Forum, emergency medicine’s premier research event! Get a personal financial plan, immerse yourself in hands-on training, brush up on your ultrasound and more. 28: 10 a.m.–5

Ultrasounds 52

Ultrasounds Research Radiology Radiology 52

Don't Forget the Bubbles

MAY 17, 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. Minor head trauma in infants – how accurate is cranial ultrasound performed by trained radiologists? Dias FC, et al. J Pediatr Gastroenterol Nutr. 2023 Apr 25.

Pediatrics 72

Pediatrics X-Ray Interpretation Sepsis Fractures 72

The Skeptics' Guide to EM

FEBRUARY 2, 2018

Guest Skeptic: Dr. Melissa Langhan is an Associate Professor of Pediatric Emergency Medicine at Yale University in New Haven, CT. Melissa is passionate about clinical and translational research and focuses most of her work […] The post SGEM#205: Twist & Shout – Testicular Torsion first appeared on The Skeptics Guide to Emergency Medicine.

Pediatrics 40

Pediatrics Ultrasounds Emergency Department Research 40

Dr. Smith's ECG Blog

AUGUST 9, 2024

Written by Colin Jenkins and Nhu-Nguyen Le with edits by Willy Frick and by Smith A 46-year-old male presented to the emergency department 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.

EKG/ECG 108

EKG/ECG EMS Emergency Department Outcomes 108

Taming the SRU

OCTOBER 7, 2024

epidemiology of venous thromboembolism in pregnancy VTE is not only important to understand because it is the number one cause of mortality for pregnant patients, but also because it is common and will show up in your Emergency Department likely frequently throughout your career. If you feel the patient is high-risk (ie.

Ultrasounds 64

Ultrasounds CDC Research Stroke 64

ACEP Now

AUGUST 29, 2023

Our program pairs training at one of the busiest emergency departments in the country at a nationally recognized county, safety-net, Level I Trauma and Regional Burn Center (MetroHealth) with a world-renowned quaternary academic referral center (Cleveland Clinic). What does your program offer that residents can’t get anywhere else?

Academics 52

Academics Burns Emergency Department Ultrasounds 52

ACEP Now

SEPTEMBER 3, 2024

Still, this wave of private equity acquisitions in emergency medicine has come crashing down on the heads of many early-career physicians. As of 2022, 1 in 4 emergency departments in the United States were staffed by a private equity-owned physician group. Center for Economic and Policy Research (CEPR). The New Yorker.

Hospitals 113

Hospitals Radiology Radiology Emergency Department 113

Taming the SRU

OCTOBER 1, 2023

There are many different types of pneumothorax (PTX), and the management paradigm has shifted in recent years as the research has exploded on this topic. This post aims to broadly cover the types of PTX, the diagnostic modalities available, and the ideal management by PTX type in the Emergency Department. Ann Emerg Med.

Fractures 96

Fractures COPD Hospitals Emergency Department 96

Don't Forget the Bubbles

SEPTEMBER 5, 2024

This time, Doctors from ‘The Bridge ‘ tell us what is new in the world of paediatric literature… The Bridge: Is a Post Graduate Doctor in Training (PGDiT) -led paediatric research forum in Yorkshire and Humber, UK, with the aim of bridging the gap in research access amongst PGDiT. Am J Emerg Med. 2024.04.053.

Ultrasounds 52

Ultrasounds Research Emergency Department Outcomes 52

Taming the SRU

MAY 1, 2023

A retrospective evaluation of phenobarbital versus benzodiazepines for the treatment of alcohol withdrawal in a regional Canadian emergency department Link: [link] Bottom Line: This study in a small regional ED showed a QI project rolling out a Phenobarbital or Diazepam for Alchohol withdrawal syndrome.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Seizures Emergency Department 52

Advanced Emergency Nursing from AENJ

JANUARY 26, 2015

Here, then, are some links for Third Trimester Emergencies. Keep your ultrasound handy. Understand the application of the EMTALA law (Emergency Medical Treatment and Active Labor Act [ USA ]) to your situation. Preeclampsia/ Eclampsia - Emergency Department Resources. {3 abstracts} Luckett-Gatopoulos, S.

OB/GYN 40

OB/GYN Ultrasounds Emergency Department Resuscitation 40

The Skeptics' Guide to EM

JULY 2, 2017

Kirsty did her residency in North West England and has a PhD in Health Services Research from Sheffield. Case: A 22-year-old patient presents to the emergency department with sudden onset shortness of breath. She did her Medical School at Manchester, with a History of Medicine BSc at the same time.

Fractures 40

Fractures Emergency Department Ultrasounds Outcomes 40

Dr. Smith's ECG Blog

MAY 19, 2020

She was unable to be defibrillated but was cannulated and placed on ECMO in our Emergency Department (ECLS - extracorporeal life support). The ways to tell for certain include intravascular ultrasound (to look for extra-luminal plaque with rupture) or "optical coherence tomography," something I am entirely unfamiliar with.

CPR 52

CPR EKG/ECG Shock Ultrasounds 52

Pediatric Emergency Playbook

DECEMBER 1, 2016

Ultrasound Not ready for prime time. Discharged on supplemental oxygen from an emergency department in patients with bronchiolitis. Management of bronchiolitis in the emergency department: impact of evidence-based guidelines? Factors that are predictive of a definite infiltrate are: significant hypoxia ( 39°C).

Pediatrics 40

Pediatrics Emergency Department Hospitals Wellness 40

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. Timing and utility of ultrasound in diarrhea-associated hemolytic uremic syndrome: 7-year experience of a large tertiary care hospital. References: Glatstein M, Miller E, Garcia-Bournissen F, Scolnik D.

Pediatrics 164

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.

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

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.

Sepsis 86

Sepsis Fluid Resuscitation Resuscitation Shock 86

ALiEM

OCTOBER 2, 2023

A 6-year-old male presented to the pediatric emergency department (PED) for scalp lesions. An outpatient ultrasound was performed showing “multiple scalp echogenic nodular lesions measuring from 0.5 A point-of-care ultrasound (POCUS) using a high-frequency, linear transducer was performed during the PED visit (Image 2).

Ultrasounds 75

Ultrasounds Pediatrics Academics Emergency Department 75

Don't Forget the Bubbles

MAY 8, 2024

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. The researchers compared children diagnosed via screening with those diagnosed after clinical symptoms appeared. Akkaya B et al. Eur J Pediatr. 2024 Apr 13.

Pediatrics 69

Pediatrics Emergency Department Outcomes Research 69