EMDocs

SEPTEMBER 4, 2024

The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. Discuss as often as possible.

Pediatrics 97

Pediatrics Outcomes Operations Hospitals 97

Don't Forget the Bubbles

NOVEMBER 22, 2023

They concluded that propofol is safe, particularly in short-term sedation, but should be used with caution outside of the operating room, given some of the potentially severe adverse events (including PRIS) seen. Filho EM, Riechelmann MB. Paediatric anaesthesia. 1998;8(6):491-9. Folino, T.B. 2023) ‘Propofol’, in StatPearls. The Lancet.

Pediatrics 126

Pediatrics EKG/ECG Research Operations 126

RebelEM

NOVEMBER 20, 2023

Researchers randomly assigned 90 eligible patients over ≈ 4.5 Comparator: The control group received standard care provided at a major trauma center, including intubation, blood product transfusion, interventions like tourniquet application, and early operative or endovascular hemorrhage control. 97% of patients sustained blunt trauma.

Resuscitation 91

Resuscitation Operations Outcomes Hospitals 91

RebelEM

MAY 27, 2024

It is the first research paper to explore the synergistic effects of combining MVM and IV Adenosine in treating PSVT. These rates are significantly lower than those in other research (Holdgate 2006). appeared first on REBEL EM - Emergency Medicine Blog. Evidence suggests that a weight-based dosing approach (0.1

Outcomes 134

Outcomes Research Operations Hospitals 134

RebelEM

JUNE 19, 2023

The PATCH-trauma researchers sought to address this critique. We should expect TXA to help in immediate stabilization and allow trauma teams the time to intervene (whether that be continued resuscitation, interventional or operative procedures). appeared first on REBEL EM - Emergency Medicine Blog.

Blood Transfusions 105

Blood Transfusions Outcomes Administration Hyperthermia / Hypothermia 105

ACEP Now

SEPTEMBER 5, 2024

Our state chapter members and leaders are uniquely positioned to follow EMRA’s lead in partnering with local EM residency programs to improve communication of ACEP’s value to EM-bound medical students and EM residents by hosting residency visits or local events relevant to our shared mission.

Leadership 98

Leadership PPE EMS Wellness 98

Taming the SRU

NOVEMBER 3, 2023

Broad strokes In this prospective, non-randomized study published by Kring et al in January 2022 out of Maine Medical Center, researchers compared mean pain scores at rest and during incentive spirometry before, at 15 minutes after, and then 60 minutes after treatment with a serratus anterior plane block. Ultrasound Med. 41, 2695–2701 (2022).

Fractures 98

Fractures Ultrasounds Research Outcomes 98

ACEP Now

NOVEMBER 16, 2023

emergency medicine (EM) residency training length has been a decades-long dilemma: four versus three years. First, is three years enough time to become an EM physician? But critical questions remain unanswered when it comes to specialization, career trajectory, and actual competence as an EM physician. percent versus 90.8

Academics 52

Academics EMS Telemedicine Research 52

Downeast Emergency Medicine

DECEMBER 17, 2021

Emergency medicine (EM) was first recognized as a specialty by the American Medical Association (AMA) in 1972. Since that time, EM residencies have grown and evolved to provide academic support and training for graduating medical students interested in pursuing a career in the field.

EMS 52

EMS Academics Operations Emergency Department 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Training in chest drain insertion is essential in Emergency Medicine (EM) as approximately 25,000 patients undergo in England and Wales undergo this procedure annually. There is little research in the Irish setting, specifically regarding the outcomes of patients who receive chest drains in Irish EDs.

Emergency Department 40

Emergency Department EMS Research Operations 40

RebelEM

JANUARY 25, 2024

Point-of-care ultrasound (PoCUS) is inherently operator-dependent, which may have led to inconsistencies in the quality and findings of the ultrasound exams across different operators. appeared first on REBEL EM - Emergency Medicine Blog.

Ultrasounds 125

Ultrasounds Outcomes COPD Hospitals 125

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. Post-operative pain in children: Comparison of pain scores between parents and children. Hegeman EM, et al. Schwindt EM, et al. 2023 Apr 24.

Pediatrics 72

Pediatrics X-Ray Interpretation Sepsis Fractures 72

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Farrington] Rebuilding of outdated hospitals put emergency rooms on ground level with nearby X-ray service, and, ideally, sometimes closer to the Blood Bank and the Operating Rooms. 1950s & 1960s Resuscitation Research. Advocacy for Trauma Care and EMS Development. Development of EM Residencies.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

ACEP Now

SEPTEMBER 13, 2023

Years before, he’d started his EM career as medical director of the ER at Memphis’ public hospital and Memphis Fire EMS. 1 “I remarked that EM was not even a specialty then, and suggested it might be an opportune time for an updated IOM report that examined the achievements and challenges of emergency care in the U.S.,”

EMS 45

EMS Research Academics Military 45

The Skeptics' Guide to EM

JULY 30, 2022

Background: Somewhere between two and four percent of patients presenting to US EDs with abdominal pain have a small bowel obstruction (SBO) – those who are managed operatively (who are only 20-30%) account for 60,000 hospitalizations and 565,000 inpatient care days per year. Also joining us is Dr. Andrew Goldsmith.

Ultrasounds 52

Ultrasounds Operations Documentation/Coding Outcomes 52

EMDocs

OCTOBER 30, 2023

Pillai, MBBS (@sspillai01, EM Resident Physician, University of Kentucky) and Christopher N. 2 In response to the constrained availability of contrast media, emergency medicine (EM) and radiology departments were compelled to enact modifications in their imaging techniques. Authors: Saran S. 11 Table 1.

Radiology 92

Radiology Radiology Emergency Department Hospitals 92

Critical Care Now

JULY 7, 2024

Methodological challenges, such as extended prehospital transport times, limited operator experience, and small sample size, introduce uncertainty to these findings. While REBOA may not be a universal solution, further research is needed to determine specifically which patients or injury patterns would benefit from its deployment.

Resuscitation 52

Resuscitation Military Outcomes Hospitals 52

Taming the SRU

AUGUST 4, 2024

The largest retrospective cohort study to date (Beyde et al.) shows that most will improve with empiric antibiotics.

Dislocations 85

Dislocations Emergency Department Documentation/Coding Burns 85

Advanced Emergency Nursing from AENJ

MAY 3, 2014

Review of the Wellcome Library movies on YouTube (1945) [ links below in references ] is instructive as to resuscitative methods of the 1930s and 1940s: Manual methods; gas bag or bellows operated by hand or machine; an anesthesia gas machine; or iron lung. Evaluation: Manually Operated Resuscitators (1971) Emergency Care Research Institute.

Resuscitation 40

Resuscitation Military Operations Emergency Nursing 40

ACEP Now

DECEMBER 11, 2023

EMS arrivals increased; many of those patients (35 percent) were admitted. A lower volume of walk-in patients resulted in a relative increase in patients arriving by EMS. Patients who require inpatient boarding remain a significant challenge to ed operations. These numbers have been trending higher and 2022 was no exception.

Emergency Department 52

Emergency Department Hospitals EMS Operations 52

Advanced Emergency Nursing from AENJ

DECEMBER 18, 2014

Classic Advice to New Interns (Commentary upon 10 Commandments of EM) Ten Commandments of Emergency Medicine Luke & Cusack Cork Emergency Medicine 2014 The Derriford twelve commandments of emergency medicine: a model for good practice in a changing world, or a survival guide for new medical staff Smith, J.

Mass Casualty Incidents 40

Mass Casualty Incidents Burns Urgent Care Pediatrics 40

ACEP Now

JULY 7, 2024

35-year-old man presents by EMS with seizures. He has been seizing for 30 minutes, despite treatment of intravenous lorazepam by EMS. For example, other modes of EEG monitoring may be used in the operative setting, including bispectral index monitoring (BIS) and SEDline device, to monitor depth of sedation. 2015;31:22-26.

Seizures 52

Seizures Emergency Department Outcomes EMS 52

The Skeptics' Guide to EM

NOVEMBER 25, 2017

While inwardly wishing you worked in a country where droperidol was available, you wonder whether there is any new research to guide your management. It has been used for years to treat nausea and vomiting in post-operative patients and cancer patients. You can find a good review on this paper on REBEL EM.

Psychiatric 40

Psychiatric Emergency Department Operations Hospitals 40

RebelEM

AUGUST 31, 2023

PMID: 37224197 Guest Post By: Clifford Chang, MD PGY-2 Emergency Medicine Resident Inspira Medical Center, Vineland, NJ Muhammad Durrani, DO Assistant Clerkship Director, Assistant Research Director Inspira Medical Center, Vineland, NJ Post Peer Reviewed By: Salim R. vs No Transfusion 4.9% Rate of Platelet Transfusion within 24 hours: 0.14

Ultrasounds 58

Ultrasounds Outcomes Wellness Research 58

EMDocs

NOVEMBER 16, 2024

We’ll keep it short, while you keep that EM brain sharp. 4 Pain is the most common reason for presentation in the early post operative period. 5 Highest risk of dislocation early in the post operative course due to laxity of the soft tissue after surgery. 2% of THA will have a post operative deep space infection.

EMS 94

EMS Dislocations Fractures Operations 94

Advanced Emergency Nursing from AENJ

APRIL 8, 2014

From the early 1950s to the early 1960s, validation by researchers such as James O. Pask) into drowning and funded early Cold War research into protection from Nerve Gas, that sprouted the saving of thousands of lives. James O. Dartmouth , Nova Scotia **Interesting report on life jackets and Pask's research.

Resuscitation 40

Resuscitation Ambulance Services Research Military 40

RebelEM

NOVEMBER 3, 2022

It is unclear if researchers followed specific validated systematic review process guidelines such as PRISMA. The environment, operator-related factors, and equipment are different in a pre-hospital vs. ED setting. Limitations: Non-English papers were excluded. Bibliographies of included studies were not searched.

Outcomes 52

Outcomes Emergency Department Sepsis Operations 52

Advanced Emergency Nursing from AENJ

NOVEMBER 20, 2014

Police officers have poor hit probability, ricochets may occur, suppressive fire may be used (“keep ‘em pinned down”), or even ‘spray and pray.” ET Hostile Fire Environments Murphy’s Law of Combat Operations [includes coarse military humor] Firearms in the Entertainment Industry International Movie Firearms Database Horman, GS.

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

Taming the SRU

MARCH 14, 2023

VP Shunt - Courtesy of Cancer Research UK via wikimedia - CC-4.0 - [link] Case courtesy of Paul Simkin, Radiopaedia.org, rID: 30453 Case courtesy of Dr Ruslan Asadov, Radiopaedia.org, rID: 8401. Case 2 19 year old seizure A 19-year-old male is brought into your emergency department via EMS for witnessed seizure-like activity.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 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.

EKG/ECG 52

EKG/ECG Emergency Department Ultrasounds Hospitals 52

RebelEM

FEBRUARY 1, 2024

Reliance on research coordinators to accurately determine mRS scores over a telephone interview could suffer from issues of reliability. But, if a thrombolytic agent is to be given, tenecteplase would be a reasonable alternative to alteplase with similar efficacy, safety profile, and improved operational logistics.

Stroke 132

Stroke Blood Transfusions Outcomes EMS 132

RebelEM

JULY 31, 2023

battery, light source, camera, screen) Other Operator-reported aspiration Esophageal intubation Injury to the teeth ICU-free days in the first 28 days Ventilator free days in the first 28 days All-cause in-hospital mortality Results: Between March 19, 2022, and November 17, 2022, 1,947 patients were assessed for eligibility. of intubations.

Operations 96

Operations Outcomes Emergency Department Airway Management 96

PulmCCM

APRIL 18, 2024

The real world success rates by operators experienced with intubation remained unknown. Although most EM and CCM trainees intubate more than that, fewer than 30 intubations per year for EM residents, and fewer than 100 total for critical care fellows over a fellowship are common benchmarks.

Airway Management 98

Airway Management Operations EMS Research 98

Don't Forget the Bubbles

MAY 3, 2023

Every month we ask some of our friends from PERUKI (Paediatric Emergency Research in the UK and Ireland) to point out something that has caught their eye. Because of the retrospective nature of the study, the decision to use the bougie was operator-dependent. Consequently, the success rate could be biased. Prehosp Emerg Care.

CPR 52

CPR Airway Management Emergency Department Resuscitation 52

EMDocs

OCTOBER 17, 2023

CT is the most useful examination for patients with suspected complications of colonic diverticulitis because of its reproducibility, superior diagnostic accuracy (98%)m accuracy for alternative diagnoses with a similar presentation, risk-stratification of patients for operative versus nonoperative treatment, and inpatient versus outpatient triage.

Radiology 87

Radiology Radiology Operations Best Practices 87

RebelEM

DECEMBER 19, 2022

At REBEL EM, we’ve done an extensive write up that details some of the different types of DED and the electrophysiology behind it. Within the United States, due to paramedic shortages, this dual-medic setup does not exist in many EMS systems. This was in addition to a phenomenally fast EMS response time.

EMS 52

EMS CPR Shock Resuscitation 52

EMDocs

DECEMBER 18, 2023

Today, she would not get out of bed, prompting the facility to call EMS. When analyzing the receiver operating characteristic (ROC) curve of the pooled data, optimal diagnostic accuracy of MDW for sepsis prediction was seen (pooled sensitivity of 0.838 and specificity of 0.704 for Sepsis-3 criteria). She had a fever of 38.7 °C

Sepsis 83

Sepsis Fluid Resuscitation Resuscitation Shock 83