Pediatric EM Morsels

JUNE 30, 2023

Congential Cystic Adenomatoid Malformation: A Teritriay Care Hospital Experience. I know we already know this, but it especially true when you are talking about trying to obtain images on a wiggling fetus somewhere around the size of a banana. Neonatology. Apr 110 (2): 101-15. J Clin Diagn Res. Nov: 10 (11): SC01-SC04.

Ultrasounds 284

Ultrasounds Pediatrics Operations EMS 284

Pediatric EM Morsels

JULY 19, 2024

If bleeding has completely stopped, most of these children still come into the hospital for observation so access will likely be necessary and helpful should patient have rebleed event. Even those that are no longer bleeding on arrival, will often require observation in the hospital. Is there active bleeding, clot, or no bleeding ?

Airway Management 290

Airway Management Pediatrics Wellness Operations 290

The Trauma Pro

JUNE 14, 2024

Patients with no other injuries could potentially be discharged from the hospital before they become overtly symptomatic, leading to delayed treatment. But without a more convincing exam, it is difficult to convince yourself to operate immediately on these patients. If the exam worsens, operate.

Operations 147

Operations Radiology Radiology Hospitals 147

Emergency Medicine Journal

MARCH 25, 2025

Only papers reporting on the diagnostic accuracy of lung ultrasound for traumatic pneumothorax, haemothorax or pulmonary contusions; in a prehospital or helicopter emergency medical service setting; and with CT or operative findings as a reference standard, were included.

Ultrasounds 52

Ultrasounds Research Operations Hospitals 52

Don't Forget the Bubbles

DECEMBER 31, 2024

Reading Body language in tense meetings, phraseology when making referrals, and quick corridor conversations when hospital capacity is at a premium may all result in improved outcomes but are rarely intentional. Use humour wisely and always gauge the context. When in doubt, focus on clarity and kindness instead.

Leadership 140

Leadership Emergency Department Outcomes Operations 140

Don't Forget the Bubbles

JUNE 12, 2023

I first watched “ Just a Routine Operation “, – the story of the events that led to the tragic death of Elaine Bromiley. Elaine Bromiley went into hospital for a routine operation. I remember how I felt when. When Max entered the healthcare system, he was alert and could ask for help.

Resuscitation 145

Resuscitation Anaphylaxis Best Practices Operations 145

The Trauma Pro

OCTOBER 3, 2023

Many vertebral fractures can be treated non-operatively. I have seen several patients in follow-up who basically stopped wearing their brace as soon as they were out of the hospital. Post-operative bracing after pedicle screw fixation for thoracolumbar burst fractures: A cost-effectiveness study. J Clin Neurosci 45:33-39, 2017.

Fractures 203

Fractures Dislocations Operations Burns 203

American Medical Compliance

FEBRUARY 26, 2023

The Orientation to the Operating Room for Sales Professionals course is designed to educate sales professionals on proper operating room practices. There are several benefits and risks of healthcare industry representatives (HCIRs) being in the operating room. Reach out for other courses by visiting the AMC Course Library.

Operations 52

Operations Best Practices Administration Hospitals 52

Pediatric EM Morsels

NOVEMBER 3, 2023

This allowed US hospitals to stock the drug to ensure quick treatment of suspected severe cases, rather than having to ship it from the CDC under the prior expanded-access protocol (Thomas 2023). Both have a range of detection limits, which can be greatly dependent on operator. Treatment of Malaria: Guidelines for Clinicians.

Seizures 281

Seizures Pediatrics CDC Infectious Diseases 281

Taming the SRU

JUNE 11, 2023

End-tidal carbon dioxide measured at emergency department triage outperforms standard triage vital signs in predicting in-hospital mortality and intensive care unit admission. The primary outcome was in-hospital mortality. Patients discharged home, including from the ED, were regarded as having survived to hospital discharge.

Hospitals 88

Hospitals Emergency Department EMS Outcomes 88

The Trauma Pro

DECEMBER 12, 2023

This necessitates an inter-hospital transfer that is subject to scrutiny by the trauma performance improvement program of both trauma centers. The work-up from the referring hospital can be re-evaluated. In some hospitals, orthopedics may choose to place a traction pin to provide initial fracture management.

Emergency Department 124

Emergency Department Operations Hospitals Radiology 124

American Medical Compliance

AUGUST 10, 2023

A California-based healthcare provider was the target of a cyberattack that led to hospital closures and redirected ambulance services in various states. Additionally, hospitals in Rhode Island faced severe negative effects due to this breach. Cyberattacks cause multiple hospitals to shut emergency rooms and divert ambulances.

Hospitals 52

Hospitals Ambulance Services Operations Administration 52

The Trauma Pro

AUGUST 20, 2024

This is especially true now in the COVID age with hospitals decreasing their OR capabilities. Too often, we look at them and delay because “they are too sick to operate.” Healthcare is a complex affair, and sometimes things don’t go entirely as planned. Occasionally, an elective OR may not be available the next day.

Operations 113

Operations Emergency Department Hospitals 113

Don't Forget the Bubbles

JANUARY 31, 2024

As a Trauma Unit within the Thames Valley Trauma Network, Wexham Park Hospital hosts trainees from across the spectrum of acute specialties. Two really important patient groups were excluded – those who were admitted to hospital and families who were not fluent in English. How sick the child was did not appear to play a role.

Hospitals 72

Hospitals Ultrasounds Emergency Department Pediatrics 72

The Trauma Pro

APRIL 5, 2024

.” Frequently, it is possible to have a resident (at an appropriate training level) or advanced practice provider (APP) see the new patient while the surgeon is tied up, say in the operating room. They just can’t operate on them. What if the surgeon is in the OR? mangled extremity).

Operations 113

Operations Resuscitation Hospitals 113

Emergency Live

MAY 2, 2024

The Adaptability of Advanced Medical Posts (AMPs) in the Emergency Medical Plan: An Anticipation of the Modern Out-of-Hospital Medical Rescue System Having solved the problem of medical responders, about 280 (doctors, nurses, rescue volunteers, military stretcher bearers, radio operators) and the 18 ambulances, it was necessary to identify places to (..)

Military 97

Military Operations Hospitals 97

American Medical Compliance

NOVEMBER 29, 2024

However, to maximize its benefits, healthcare providers must be well-versed in the technology.

Outcomes 105

Outcomes Wellness Operations Pediatrics 105

American Medical Compliance

MARCH 18, 2024

Although anyone working at a hospital can be a victim of violence, nurses and aides who have the most direct contact with patients are especially vulnerable. To become certified, please visit us at: American Medical Compliance (AMC). Reach out for other courses by visiting the AMC Course Library. Who is at Risk for Workplace Violence?

Psychiatric 105

Psychiatric Operations Hospitals Wellness 105

Pediatric EM Morsels

MARCH 1, 2024

Chest CT Demonstrates parenchymal disease better Allows for operative planning (if needed) Lung Abscess in Children: Management Rarity of the condition affects what is known (no randomized control trials on therapeutic options). Lung abscess: 14 years of experience in a tertiary paediatric hospital. Pediatr Pulmonol. 2024 Jan 11.

Ultrasounds 173

Ultrasounds Pediatrics Operations Hospitals 173

The Skeptics' Guide to EM

SEPTEMBER 18, 2021

His practice is in trauma, […] The post SGEM#345: Checking In, Checking Out for Non-Operative Treatment of Appendicitis first appeared on The Skeptics Guide to Emergency Medicine. The patient is recommended to undergo admission to hospital for serial observation and intravenous antibiotics.

Operations 52

Operations Academics Ultrasounds Hospitals 52

The Trauma Pro

MAY 14, 2024

Many of these issues are due to operator unfamiliarity or equipment availability. These instruments are expensive, so your hospital may not be excited about purchasing new ones just for the trauma bay. ” One of the most essential components of the resuscitative thoracotomy is rapid access to the chest.

Resuscitation 162

Resuscitation Operations Hospitals 162

American Medical Compliance

JUNE 12, 2024

These goals provide a framework for hospitals to identify and mitigate risks, ensuring that patients receive the safest care possible. This course equips hospital staff to enhance safety protocols, reduce errors, and improve patient outcomes. Ensuring patient safety is a cornerstone of high-quality healthcare.

Patient Safety 52

Patient Safety Hospitals Best Practices Outcomes 52

The Skeptics' Guide to EM

SEPTEMBER 2, 2023

The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics. She is an Assistant Professor and Director of Research in the Department of Emergency Medicine at the NYU Grossman Long Island Hospital Campus. AEM August 2023 Guest Skeptic: Dr. Suchismita Datta. This is the last show for Season#11.

Diabetic Emergencies 109

Diabetic Emergencies Operations Hospitals Research 109

The Trauma Pro

APRIL 26, 2024

In the last post in the series, I’ll discuss a paper in press that compares the efficacy and hospital charges of the two techniques. Unfortunately, it’s generally not feasible to operatively fix the pelvis acutely, and external fixation has limited impact on ongoing hemorrhage.

Fractures 147

Fractures Head Injuries Radiology Radiology 147

The Trauma Pro

JUNE 13, 2023

Ever wonder why your hospital won’t let pharma representatives sponsor lunches anymore? And even if you firmly believe you can’t be swayed, you can’t change the basic operating system in your brain. Or even give you a pen? Believe it or not, these little things can change your attitude regarding their product.

Research 189

Research Academics Operations Hospitals 189

Emergency Medicine Journal

NOVEMBER 28, 2023

Background The regional emergency medical service (EMS) in Lombardy (Italy) developed clinical algorithms based on operator-based interviews to detect patients with COVID-19 and refer them to the most appropriate hospitals. Results The training set includes 264 976 patients, median age 74 (IQR 55–84).

Operations 52

Operations EMS Hospitals Outcomes 52

EMDocs

JANUARY 11, 2025

Operative management is necessary for signs of peritonitis, evidence of perforation, extensive bowel involvement >40cm, or after failed medical management. 2-4, 6, 8, 9, 12, 13, 14 Operative intervention typically consists of emergency laparotomy with bowel resection, colostomy formation, and Hartmann pouch creation.

EMS 98

EMS Sepsis Shock Fluid Resuscitation 98

Taming the SRU

MARCH 12, 2024

The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics. ED visits per 1000 adults with diabetes based on 2018 data resulting in over 500,000 annual hospital days. This amounts to annual hospital costs of $5.1 Griffey RT, Schneider RM, Girardi M, et al. 10.1111/acem.14685

Operations 97

Operations Hospitals Best Practices Wellness 97

Don't Forget the Bubbles

JUNE 26, 2023

Whilst waiting for an operation, they need to be managed medically. Staged reconstructions are a topic in itself (click here for a nice summary by Children’s Hospital of Philadelphia), but here we focus on Stage 1. Six hours post-operatively, they become more mottled, with weak pulses – signs of poor systemic perfusion.

Operations 128

Operations Research Hyperthermia / Hypothermia Hospitals 128

RebelEM

OCTOBER 2, 2023

Mild to moderate DKA represents a subgroup of patients that often require admission to the ICU due to hospital policies not allowing insulin infusions outside of this clinical setting. The SQuID Protocol (Subcutaneous Insulin in /diabetic Ketoacidosis): Impacts on ED Operational Metrics. Paper: Griffey RT et al. Acad Emerg Med 2023.

Operations 103

Operations Academics Fluid Resuscitation Outcomes 103

The Skeptics' Guide to EM

DECEMBER 14, 2024

Clinical Question: How accurately can a new clinical decision rule (The Phoenix Sepsis Score) diagnose pediatric sepsis and septic shock in hospitalized children within the first 24 hours? Population: Children less than 18 years of age with suspected sepsis and septic shock who were admitted to one of ten hospitals in five countries.

Sepsis 103

Sepsis Pediatrics Shock Hospitals 103

The Trauma Pro

OCTOBER 25, 2024

To sum up, both are equally effective in controlling hemorrhage, but the hospital costs for patients undergoing angioembolization are significantly less. This is probably because there is no need to perform repeated operations to insert and remove the preperitoneal packs when angiography is used.

Fractures 113

Fractures Head Injuries Operations Ultrasounds 113

The Skeptics' Guide to EM

JUNE 15, 2024

Pre-hospital personnel placed the patient in a cervical spine collar, obtained peripheral intravenous (IV) access, administered 250cc of 0.9% Enhanced Operative Strategies - Damage control surgery with truncated interventions, energy devices, hemostatic foams/gels/packs, etc. He has an obvious angulated deformity of his left wrist.

Resuscitation 119

Resuscitation Patient Safety Operations Emergency Department 119

Greater Sydney Area HEMS

NOVEMBER 4, 2023

In 2022, we achieved: 95% overall first pass success rate (first pass of laryngoscope into mouth results in successful intubation, from both prehospital and inter hospital cases, including cold tube and RSI. A change of operator or removal of the blade from the mouth ends the attempt). first pass success rate from RSI.

Airway Management 144

Airway Management Burns Operations Resuscitation 144

EMDocs

SEPTEMBER 4, 2024

This podcast is a collaboration between PECARN STELAR node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC). This is an important first step, but not enough unless combined with additional efforts. Discuss as often as possible.

Pediatrics 98

Pediatrics Outcomes Operations Hospitals 98

The Trauma Pro

JUNE 20, 2023

The exact duties may vary somewhat geographically and even between individual hospitals. For example, wound infections occur after a given percentage of operations, and it varies based on the wound classification. There must be a departure from what is called “good and accepted practice.”

Documentation/Coding 130

Documentation/Coding Operations Hospitals 130

The Skeptics' Guide to EM

MARCH 2, 2024

He is the Vice Chair of the Emergency Department at Nassau University Medical Center in East Meadow, NY, the safety net hospital for Nassau County. Arrangements are made for him to be transferred stat to the tertiary hospital while he is still stable. It is described as a ripping sensation that radiates to his back.

Emergency Department 131

Emergency Department Stroke Operations Hospitals 131