Taming the SRU

MAY 11, 2024

r1 clinical knowledge - r4 capstone - research grand rounds - the art of em - Community corner - PEM Lecture r1 Clinical knowledge: transplant complications WITH dr. gabor Time-sensitive peri-transplant emergencies: Bleeding fistula- stop the bleed. Flood syndrome- start fluids, give antibiotics, consult surgery. Ways to get involved?

Administration 92

Administration Resuscitation Fluid Resuscitation Research 92

The Skeptics' Guide to EM

MARCH 27, 2021

He has a passion for FOAMed and is the creator of the […] The post SGEM#324: Blow Away, Blow Away, Blow Away – Spirometry for Discharging Older Patients with Rib Fractures first appeared on The Skeptics Guide to Emergency Medicine. Spirometry not pain level predicts outcomes in geriatric patients with isolated rib fractures.

Fractures 40

Fractures Outcomes Hospitals Emergency Department 40

Sensible Medicine

JANUARY 2, 2024

If the health and wellness of one system is askew, there will be an impact on the other systems as well. While trauma, fractures, and crystalline diseases can influence OA, metabolic- disease-associated osteoarthritis is becoming far more prevalent. The cause of OA is far more complicated than we could imagine.

Fractures 144

Fractures Wellness Research 144

Taming the SRU

OCTOBER 16, 2024

Pregnant patients are inherently higher risk for VTE, and because of this are excluded from normal clinical decision tools like Wells Criteria that would normally be able to help guidance our clinical decisions. Patients are unable to actively flex their DIP and x-ray imaging often will reveal and avulsion fracture.

Airway Management 74

Airway Management Fractures CDC Pediatrics 74

Don't Forget the Bubbles

JULY 31, 2023

Our team have scoured what’s new (well, mostly new!) Radiographs from children with fractures, or disease processes affecting bone growth, were excluded. The researchers delivered premature lambs at 125 days gestation (term being 147 days) and proceeded to intubation and drainage of lung fluid.

Rapid Diagnostic Testing 98

Rapid Diagnostic Testing Resuscitation Emergency Department Pediatrics 98

Sensible Medicine

MARCH 14, 2024

A more inquisitive approach would seek to understand why the educational bargain feels more fractured now despite ACGME work hours being more “protective” than ever before. I’ve heard arguments that frame this discussion in terms of trainee wellness, physician burnout, social contract, and patient outcomes.

Hospitals 99

Hospitals Wellness Academics Fractures 99

EM Curious

JULY 24, 2015

Identify the triangle shaped femoral nerve, lateral to the femoral artery, as well as the iliopsoas muscle and the fascia illiaca running over its surface. Get your tip as close as possible to the nerve, and under the fascia illiaca, then inject (well, after aspirating first, of course). Do your research, and always be safe.

Fractures 52

Fractures Ultrasounds Emergency Department Dislocations 52

Don't Forget the Bubbles

OCTOBER 10, 2024

The study excluded complex nail bed injuries, including those with distal phalanx fractures, germinal matrix injury or pulp lacerations, meaning outcomes are only relevant to simple nail bed injuries. Adopting this approach would reduce time in surgery for the child as well as the financial cost of nail bed repair.

Emergency Department 75

Emergency Department Outcomes Research Operations 75

PEMBlog

JUNE 5, 2024

It was inspired by a hot-off-the-presses publication from the Pediatric Emergency Care Applied Research Network (PECARN) focused on clinical decision rules for cervical spine imaging in children. Leonard JR, Jaffe DM, Kuppermann N, Olsen CS, Leonard JC; Pediatric Emergency Care Applied Research Network (PECARN) Cervical Spine Study Group.

Fractures 52

Fractures Pediatrics Radiology Radiology 52

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 topic is additionally complicated by the development of multiple diagnostic tools now available for diagnosis as well as variable sizing algorithms used around the world.

Fractures 96

Fractures COPD Hospitals Emergency Department 96

Sensible Medicine

AUGUST 25, 2023

Over the years following her diagnosis, CT developed an impressive array of complications from the prednisone: hypertension, diabetes, a spinal compression fracture. Well-informed adults should be allowed to make what seem to us doctors like bad decisions. Then there are the times that the relationship goes as well as it can.

Hospitals 97

Hospitals Urgent Care Wellness Fractures 97

Taming the SRU

APRIL 22, 2023

If untreated, atrial fibrillation can increase clot formation and lead to an increased risk for heart attack and stroke as well as development of congestive heart failure. Additionally, a higher HR reduction at 30 and 60 minutes, as well as ED discharge/transfer. There was no difference in safety outcomes.

Outcomes 52

Outcomes Stroke Fractures Documentation/Coding 52

Emergency Medicine Journal

SEPTEMBER 27, 2023

The objective was to pilot new and existing measures to capture the perceived needs and expectations of young people attending ED following SH compared with those attending with suspected fractures (SFs). Further research is needed.

Fractures 40

Fractures Research Wellness 40

The Skeptics' Guide to EM

SEPTEMBER 14, 2019

Case: It’s a busy night in the emergency department, your next patient is a well appearing 70-year-old man, presenting after a mechanical fall from standing with loss of consciousness. The CCHR is the most researched CDR in mTBI [3] and ha. He is interested in ultrasound and international emergency medicine.

Head Injuries 52

Head Injuries Emergency Department Seizures EMS 52

PHEM Cast

JULY 14, 2016

An injury involving only the anterior column is considered to be stable, as will an isolated fracture of a spinous or transverse process. Value of a rigid collar: in need of more research and better devices. Crane T, Cooke MW, Wellings R, Wayte S, Higgins J. Elsevier Ltd; 2015 Apr 1;46(4):528–35. Smyth M, Cooke MW.

Fractures 52

Fractures Hospitals Shock Research 52

Don't Forget the Bubbles

OCTOBER 2, 2024

A previously well 6-year-old boy is brought into the emergency department at a major trauma centre via HEMS following a road traffic accident, in which he was hit by a car while crossing the road. He is diagnosed with a traumatic brain injury and a fracture to his right tibia and fibula. What Other Research Is There On The Topic?

Administration 49

Administration Pediatrics Outcomes Research 49

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

In fact, one of my surgeon grandfather's ortho buddies (perhaps with the help of some lunchtime martinis) took a look at the x-rays of my Boxer's Fracture and snapped it back into place without any analgesia or procedural sedation, casted me, and sent me home. 1950s & 1960s Resuscitation Research. Still no pain medicine.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

Taming the SRU

MARCH 14, 2023

He appears well and is triaged to an ESI 4. 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. More on this below as we work through a few cases…. The shunt matured with minimal complications.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

Taming the SRU

FEBRUARY 22, 2023

Team Environment Own the Resuscitative Real Estate Set up how you want the resuscitation to go Organize your space in the way that will wrok best for you and the patient Patient Special circumstances Peds Pregnant Mechanical circulatory support Update Partner Priorities Clear and well defined Lesson 2 Lead with kindness Being liked is a powerful tool (..)

Hospice 40

Hospice EKG/ECG Resuscitation Seizures 40

Don't Forget the Bubbles

JULY 22, 2024

They were then able to run their planned subgroup analysis and see which variables were important to the research question. It’s undebatable that the authors have applied rigorous methodology to address this important research question. Each study was weighted proportionate to its contribution to the analysis.

Outcomes 105

Outcomes Research Pediatrics Hospitals 105

Pediatric Emergency Playbook

JANUARY 1, 2017

Tachycardia, tachypnea, and a change in behavior can be indicators not only to the presence of pain, but possibly to its etiology as well. For children greater than one year who are preverbal, a well performing scale is the FLACC score: Face, Legs, Activity, Cry, Consolability ( Table 3 ).

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Don't Forget the Bubbles

JULY 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. Original clinical studies Distribution and pattern of hand fractures in children and adolescents. Strategies for Managing Impairing Emotional Outbursts. JAMA Pediatr.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

EMDocs

SEPTEMBER 16, 2024

Stay up-to-date with the latest guidelines and research to enhance the credibility of your presentations. Well what do you want to do with her?” Additionally, I would like to get a chest XR to look for any evidence of pneumonia, pneumothorax, pericardial or pleural effusion, widened mediastinum, or fracture. Intern: “Yeah.

EKG/ECG 87

EKG/ECG Wellness Fractures Emergency Department 87

EMDocs

NOVEMBER 4, 2024

Costochondritis, rib fractures, and pericarditis are common causes of chest pain that can be treated with multimodal regimens. 7 Rib and Sternal Fractures: Rib fractures are often caused by blunt chest trauma. Up to two-thirds of rib fractures are missed on initial chest radiographs. Most cases abate by one year.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

Taming the SRU

MAY 22, 2023

Ankle fractures are the third most common fracture in the ED [2] and more than 20,000 patients are seen in the ED for ankle sprains each day [3]. traumatic axial loading with calcaneal fractures, pilons, and vertebral compression fractures) [5]. Gross deformities often suggest fracture or dislocation [Image 2].

Fractures 77

Fractures Dislocations Operations Radiology 77

Don't Forget the Bubbles

NOVEMBER 6, 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. Digital Detox and Well-Being. Palpable signs of skull fractures on physical examination and depressed skull fractures or traumatic brain injuries on CT in children.

Pediatrics 52

Pediatrics Sepsis Fractures Hospitals 52

Don't Forget the Bubbles

OCTOBER 4, 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. In this issue of the Archives , we read a large retrospective study about gastric acid suppression in infancy and the increased risk of fractures. Smith JN, et al.

Pediatrics 111

Pediatrics Fractures Outcomes Research 111

PEMBlog

DECEMBER 4, 2024

Bordetella pertussis was isolated in 1906 by Belgian researchers, Jules Bordet and Octave Gengou, I hopefully I pronounced them right, but they’re long gone, so they won’t be mad at me,, leading to the development of a whole cell pertussis vaccine in the 1940s. I’ve had patients say, well, I don’t want tetanus.

Pediatrics 52

Pediatrics PPE Wellness Infectious Diseases 52

Dr. Smith's ECG Blog

MARCH 8, 2025

She sustained a large scalp hematoma along with several rib and vertebral fractures, but with CT scanning of chest/abdomen/pelvis/C-T-L-spine and head, no life threatening injuries were found. It is now well recognized that acute MI can precipitate takotsubo. Circulation Research , 114 (12), 18521866. Her first ECG is shown.

EKG/ECG 77

EKG/ECG CPR Resuscitation Wellness 77

Don't Forget the Bubbles

SEPTEMBER 23, 2024

Kidney transplant recipients have a higher risk of fractures. This is particularly crucial in younger children who have received a large adult kidney and typically have relatively low creatinine levels when stable and well. Kidney transplant recipients are at higher risk of rickets and fractures. (13) Any history of injury?

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

Expiratory airway obstruction may well have been frequently misdiagnosed as it can produce breath-stacking and ball-valve obstruction that impedes any airflow with mask ventilation if neither a nasal nor an oral airway is used and the lips have closed under the mask. Lubricate well. Wells, C. Cover with antibiotic. Marlow, T.

Airway Management 40

Airway Management Resuscitation EMS CPR 40

PulmCCM

MARCH 7, 2025

The Weekend Effect For decades, researchers have tracked a concerning signal that patients undergoing surgery later in the week experience higher rates of complications, including death. The Weekend Effect in Other Countries The weekend effect has been observed in multinational studies as well. Is it true?

Outcomes 116

Outcomes Hospitals Operations Radiology 116

Don't Forget the Bubbles

NOVEMBER 6, 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. Digital Detox and Well-Being. Palpable signs of skull fractures on physical examination and depressed skull fractures or traumatic brain injuries on CT in children.

Pediatrics 59

Pediatrics Sepsis Fractures Hospitals 59

Mind The Bleep

NOVEMBER 2, 2024

Babies in the neonatal unit will typically wait until they are well enough for the examination e.g. NIPE is not performed for baby’s who are ventilated, on CPAP or have lots of different lines inserted. Other important questions to ask: Have they been feeding well? Was the baby head down presentation from 36 weeks onwards?

Dislocations 52

Dislocations Documentation/Coding Ultrasounds Wellness 52