PEMBlog

JUNE 27, 2023

A very common pediatric summer complaint in emergency departments, urgent cares, and primary care offices, this episode covers common signs and symptoms, some pathophysiology, and recommended treatments.

Urgent Care 98

Urgent Care Pediatrics Emergency Department Hospitals 98

Dr. Smith's ECG Blog

JUNE 21, 2023

You can subscribe for news and early access (via participating in our studies) to the Queen of Hearts here: [link] queen-form This EMS ECG was transmitted to the nearby Emergency Department where it was remotely reviewed by a physician, who interpreted it as normal, or at least without any features of ischemia or STEMI.

Urgent Care 97

Urgent Care EKG/ECG EMS Emergency Department 97

ALiEM

MARCH 22, 2024

A 53-year-old woman with no significant past medical history presented to the emergency department with a 3-day history of double vision on leftward gaze.

Stroke 67

Stroke Urgent Care Head Injuries Emergency Department 67

The Skeptics' Guide to EM

JULY 27, 2019

A Multifaceted Intervention Improves Prescribing for Acute Respiratory Infection for Adults and Children in Emergency Department and Urgent Care Settings. AEM July 2019 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and clinical lecturer in Calgary. Date: July 22nd, 2019 Reference: Yadav et al.

Urgent Care 52

Urgent Care Emergency Department Academics Pediatrics 52

The Skeptics' Guide to EM

OCTOBER 14, 2023

Case: A 5-year-old boy presents to the emergency department (ED) with his parents for fever and fatigue. She is also a member of the Don’t’ Forget the Bubbles team where she serves as the editor for the monthly research round up, Bubble WRAP. He has had three days of high fevers at home. A prospective study. J Paediatr Child Health.

Pediatrics 88

Pediatrics Sepsis Urgent Care Emergency Department 88

Downeast Emergency Medicine

DECEMBER 9, 2021

Case presentation A 37-year-old female with a history of mild intermittent asthma, hepatitis C, and opioid abuse disorder (in remission for the past year being maintained on buprenorphine) presents to the emergency department after being called due to positive blood cultures. Arrow highlighting the small pericardial effusion.

Ultrasounds 52

Ultrasounds Urgent Care Emergency Department Sepsis 52

The Skeptics' Guide to EM

SEPTEMBER 10, 2022

Single-dose dexamethasone is not inferior to 2 doses in mild to moderate pediatric asthma exacerbations in the emergency department. Pediatr Emerg Care. 2022 Guest Skeptic: Dr. Harrison Hayward is a Pediatric Emergency Medicine fellow at Children’s National Hospital. Pediatr Emerg Care.

Pediatrics 52

Pediatrics Emergency Department Urgent Care Hospitals 52

PEMBlog

OCTOBER 17, 2023

This case was submitted by… A 6-year-old previously healthy female was brought to your emergency department with extremity pain. She was seen at an urgent care the day prior to presentation, diagnosed with a viral exanthem, and discharged with oral prednisone.

Urgent Care 69

Urgent Care Burns Pediatrics Emergency Department 69

Don't Forget the Bubbles

OCTOBER 2, 2024

Children often spend many hours in the emergency department (ED) before being sent home or admitted. In this issue of Pediatrics , Leyenaar and colleagues reported on a trial to compare the effectiveness of direct admission to bypass their emergency departments. Räty S, et al. Eur J Pediatr. 2024 Sep 28. Kemps N, et al.

Pediatrics 52

Pediatrics Hyperthermia / Hypothermia Emergency Department Urgent Care 52

Urgent Care Ultrasounds

JULY 17, 2019

and 0.8) (1b) (Although the diagnostic standard of CXR quoted for these figures is hardly gold standard, and therefore the sensitivity of the signs may be overestimated) So what are we to do in urgent care when faced with an ambulatory patient with cough and fever but no auscultation findings? Ultrasound quarterly. 2018; 34(1):3-10.

Urgent Care 52

Urgent Care Ultrasounds Wellness Emergency Department 52

The Skeptics' Guide to EM

APRIL 29, 2023

The effect of telemental versus in-person mental health consults in the emergency department on 30-day utilization and processes of care. AEM April 2023 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Reference: Han et al.

Psychiatric 40

Psychiatric Emergency Department Urgent Care Academics 40

Taming the SRU

OCTOBER 14, 2024

THE CASE A female in her 60’s with a remote history of bilateral cataract surgery presented to the emergency department (ED) with a two-week history of right eye swelling. Six days prior, the patient was evaluated at an urgent care and prescribed doxycycline and prednisone.

Ultrasounds 52

Ultrasounds Urgent Care Emergency Department Documentation/Coding 52

ACEP Now

MAY 4, 2023

Case A 37-year-old white male with no past medical history presented to the emergency department (ED) for left testicular pain, redness, and swelling. He had presented to urgent care for the same complaint a week before, but did not seek follow-up at an ED despite their recommendation.

Urgent Care 52

Urgent Care Ultrasounds Sepsis Emergency Department 52

The Skeptics' Guide to EM

JUNE 5, 2021

Garreth Debiegun is an emergency physician at Maine Medical Center in Portland, ME and clinical assistant professor with Tufts University School of Medicine. He also works at an urgent care and a rural critical access hospital. He also works at an urgent care and a rural critical access hospital.

Stroke 52

Stroke Urgent Care Critical Access Outcomes 52

RebelEM

JANUARY 23, 2023

Multicenter study of emergency department visits for insect sting allergies. Multicenter study of emergency department visits for food allergies. 2006) “Management of acute allergic reactions and anaphylaxis in the Emergency Department between 1993-2003,” Journal of Allergy and Clinical Immunology , 117(2).

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

The Skeptics' Guide to EM

OCTOBER 7, 2017

Steve is currently an Assistant Professor in the Department of Family Medicine at Western University working at the Fowler Clinic and the Roth McFarlane Hand and Upper Limb Centre. Case: A 43-year-old male presents to your local rural emergency department Monday morning after rolling his ankle during his usual weekend pickup basketball game.

Urgent Care 40

Urgent Care Emergency Department Fractures Wellness 40

Don't Forget the Bubbles

AUGUST 7, 2023

This prospective cohort study included patients between 0-16 years old, who presented to one of four NHS hospital sites in Greater Manchester (a large metropolitan area in the North of England), consisting of an Urgent Care Centre and three Emergency Departments. Acad Emerg Med. Pediatrics. 2014;21(11):1249–56.

Sepsis 98

Sepsis Pediatrics Urgent Care Emergency Department 98

Urgent Care Ultrasounds

OCTOBER 24, 2018

The Case A young woman presented to the urgent care clinic following the onset of severe LUQ abdominal pain. The patient was spared an un-necessary referral to the emergency department, for an even more un-necessary CT scan, and was instead discharged home. thanks, FOAMed! References (1) Won AC, Ethell A.

Ultrasounds 52

Ultrasounds Urgent Care Emergency Department Hospitals 52

Pediatric Education

MARCH 17, 2024

The grandmother who had been taking care of the child brought the child to clinic. The parent provided history by phone and noted that the boy had had radial head subluxation of the same elbow about 10 months previously and it had been reduced in the urgent care setting. J Emerg Med. 2016;51(6):621-627. Chin J Traumatol.

Dislocations 40

Dislocations Fractures Pediatrics Urgent Care 40

ACEP Now

APRIL 2, 2024

An 18-year-old woman presented to the emergency department (ED) with symptoms of nausea, vomiting, diarrhea, and abdominal pain. Before arriving at our ED, the patient sought care at an urgent care clinic, where she was prescribed ondansetron without improvement.

Poisoning 40

Poisoning Administration Documentation/Coding Urgent Care 40

EMDocs

DECEMBER 4, 2023

Johnson, MD ( Community EM, Salina Regional Health Center) // Reviewed by: Joshua Lowe, MD (EM Attending Physician, USAF); Marina Boushra, MD (Cleveland Clinic Foundation, EM-CCM); Brit Long, MD (@long_brit) Case A 40-year-old woman presents to a rural emergency department (ED) with left leg pain and swelling for the past 5 days.

Ultrasounds 70

Ultrasounds Documentation/Coding Wellness EMS 70

Dr. Smith's ECG Blog

OCTOBER 13, 2023

Here is a more detailed history: Presented to the emergency department with chest pain. He was seen in urgent care yesterday after his symptoms persisted, where he was discharged with a presumed diagnosis of GERD after improvement in symptoms with Maalox. Even more concerning than not obtaining a repeat ECG until 2.5

EKG/ECG 109

EKG/ECG Urgent Care Emergency Department Outcomes 109

The Skeptics' Guide to EM

JANUARY 22, 2022

Their primary outcome was a ‘COVID-19 related’ urgent care visit, emergency department assessment, or hospitalization, and was significantly reduced in the budesonide arm (15% vs 3%, p=0.009). It did report positive results.

Urgent Care 40

Urgent Care COPD Outcomes Emergency Department 40

Northwestern EM Blog

JANUARY 3, 2022

This is especially true due to the high rate of injury among runners, with a published annual incidence rate ranging from 19% to 79%; with even conservative estimates, that is nearly 8 million running injuries annually.

Fractures 52

Fractures EMS Urgent Care Stroke 52

Don't Forget the Bubbles

AUGUST 29, 2023

In the emergency department, we were working our way through tonnes of PPE, masks, aprons, and gloves. And so we looked at practice within our own departments across the three paediatric EDs and urgent care centres in Dublin. Staff competency in caring for LGBTQ+ patients in the paediatric emergency department.

PPE 98

PPE Research Emergency Department Urgent Care 98