This site uses cookies to improve your experience. To help us insure we adhere to various privacy regulations, please select your country/region of residence. If you do not select a country, we will assume you are from the United States. Select your Cookie Settings or view our Privacy Policy and Terms of Use.
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Used for the proper function of the website
Used for monitoring website traffic and interactions
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Strictly Necessary: Used for the proper function of the website
Performance/Analytics: Used for monitoring website traffic and interactions
Shehabi 2012 ) The multi-center cohort ED-SED study examined 324 mechanically ventilated patients. Patel 2012 ) Peri and Immediate Post Intubation Sedation When using a long-acting paralytic (rocuronium and vecuronium), it is essential to provide a sedative and amnestic through the duration of the paralysis. mg/kg 0.01 – 0.1
Date: August 9th, 2019 Reference: Daoust et al. Opioid Use and Misuse Three Months After EmergencyDepartment Visit for Acute Pain. AEM August 2019 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Volkow et al.
link] ) Laboratory Evaluation: Clinical presentation and laboratory findings can help suggest TTP in the emergencydepartment. Joly, 2017; Sawler, 2020) Fresh frozen plasma (FFP) (contains ADMTS-13) may be used to supplement ADAMTS-13 if there is a delay in initiating TPE in the emergencydepartment (i.e. J Emerg Med.
Rosenburg 2010] B-L system is designed for 12yo and younger, patients up to 80 lbs, height 46-143 cm [Meguerdichian 2012] Estimates the 50%ile weight for height (Length vs Ideal Body Weight). Sinha 2012] It is useful in the prehospital setting , correlating well with actual weight and ED Broselow weight. Ann Emerg Med.
[display_podcast] Date: January 9th, 2018 Reference: Soleimanpour H et al. Effectiveness of intravenous lidocaine versus intravenous morphine for patients with renal colic in the emergencydepartment. Dr. Rachel Littlefield is a PGY2 in Emergency Medicine at the University of […] The post SGEM#202: Lidocaine for Renal Colic?
[display_podcast] Date: September 26th, 2017 Reference: Kaufman, et al. display_podcast] Date: September 26th, 2017 Reference: Kaufman, et al. Emlyn’s blog and podcast since 2012. Case: You are working the afternoon shift in the paediatric emergencydepartment. BMJ April 17. BMJ April 17.
John Brown PhD is a Professor of Health Services Research in Ireland who has been studying rural healthcare issues since 2012. There have been many “temporary” rural emergencydepartment closures during the past last year. This is an SGEM Xtra episode.
Last month’s article focused on ACEP’s efforts and resources to support EDs and patients with psychiatric emergencies. Emergencydepartments (EDs) focus on rapid initiation of medical treatment. Clinical Policy: Critical Issues in the Diagnosis and Management of the Adult Psychiatric Patient in the EmergencyDepartment.
Date: December 10th, 2020 Reference: Ladde et al. AEM December 2020 Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine and Emergency Medicine Research Lead at Lancashire Teaching Hospitals Trust (North West England). Date: December 10th, 2020 Reference: Ladde et al.
Date: December 16th, 2022 Reference: Hohle et al. AEM December 2022 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Case: A […] The post SGEM386: Blood on Blood – Massive Transfusion Protocols in Older Trauma Patients first appeared on The Skeptics Guide to Emergency Medicine.
patients that take ACE inhibitors (but 20-30% of all angioedema presentations to the EmergencyDepartment) 3 times more common in Black Americans ( Kostis 2005 ) 0.01 Both conditions can range in severity from benign to life threatening (Wilkerson 2012). PMID 25629740 Hassen GW et al. PMID 23062323 Kostis JB et al.
In most EmergencyDepartments, staff are allotted little of that scarce resource, time, to begin processing what has just occurred. The Pause Jonathon Bartels worked as an Emergency Nurse in America in 2009. After the death of a young person in the EmergencyDepartment, he initiated ‘ The Pause.’ Kapoor et al.
Anand Swaminathan is an Assistant Professor of Emergency Medicine at St. Reference: Reuben A et al. Ann Emerg […] The post SGEM#321: The Times they are a Changin’ for TXA in Epistaxis? Anand Swaminathan is an Assistant Professor of Emergency Medicine at St. Reference: Reuben A et al.
Date: October 2nd, 2020 Guest Skeptic: Dr.Barbra Backus is an emergency physician at the EmergencyDepartment of the Erasmus University Medical Center in Rotterdam, the Netherlands. Reference: Claiborne Johnston S et al. Reference: Claiborne Johnston S et al.
[display_podcast] Date: December 19th, 2017 Reference: Perry J et al. CMAJ Nov 2017 Guest Skeptic: Dr. Chris Carpenter is from Washington University, Deputy Editor of Academic Emergency Medicine and faculty member of Emergency Medicine and Critical Care course. display_podcast] Date: December 19th, 2017 Reference: Perry J et al.
Date: September 20th, 2021 Reference: Litell et al. Most emergencydepartment patients meeting sepsis criteria are not diagnosed with sepsis at discharge. Guest Skeptic: Dr. Jess Monas is a Consultant in the Department of Emergency Medicine at the Mayo Clinic Hospital, Phoenix, Arizona.
References: * Suzuki et al. JAMA 2021 * Zi et al. JAMA 2021 Case: A 74-year-old woman presents to your emergencydepartment with 1.5 Background: Management of acute ischemic stroke has been discussed on the SGEM ever since this knowledge translation project was launched in 2012.
Emergencydepartments (EDs) provide the essential service of evaluating patients with unscheduled, acute, undifferentiated, and decompensated conditions. Dr. Kluesner is an emergency physician in Iowa City, Iowa, at UnityPoint Health-Iowa Methodist Medical Center. References Morley, Claire, et al. 2012): 2470-2478.
Elbow Dislocations in the EmergencyDepartment: A Review of Reduction Techniques. J Emerg Med. 2012 Apr;20(4):223-32. Commentary on an article by Marc Schnetzke, MD, et al.: “Determination of Elbow Laxity in a Sequential Soft-Tissue Injury Model. 2012 Feb 1;94(3):240-5. 2012 Apr 18;2012(4):CD007908.
[display_podcast] Date: March 6th, 2018 Reference: Zahed et al. Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the Director of Simulation Education at Markham Stouffville Hospital in Ontario. display_podcast] Date: March 6th, 2018 Reference: Zahed et al. Reference: Zahed et al. AEM March 2018.
In the UK, as in most developed countries, more patients are presenting to EmergencyDepartments (EDs) with minor illnesses or injuries. Simpson et al. Simpson et al. Emergencydepartment overcrowding is a complex issue with multiple contributing factors. A 2011-2012 Australian study by Blake et al.
A study by Lee et al ( 7) compared femoral CVC placement to IO and demonstrated a first-pass success pass rate with IO of 90.3% Labs can be drawn from an IO to help with rapid diagnosis in emergencies. References: 1 Astasio-Picado Á et al. World J Emerg Surg 2023 PMID: 36918947 3. Int J Emerg Med 2009 PMID: 20157465 4.
12 How do we address these disparities in the emergencydepartment? Review toolkits and studies that provide strategies for advancing language justice in your ED: Betancourt JRRM, et al. Lion KC, et al. Regenstein M, et al. Taira B, et al. Taira B, et al. Department of Health and Human Services.
Reference: Easter JS et al. Annals of Emergency Medicine 2014. Date: July 10, 2023 Guest Skeptic: Dr. Joe Mullally is a paediatric trainee in the Welsh paediatric training program and interested in Paediatric Emergency Medicine. Reference: Easter JS et al. Annals of Emergency Medicine 2014.
After Meshram et al, 2020 When Orbeez are exposed to water, the water molecules diffuse into the polymer network through osmosis. Curious Ken is brought into your emergencydepartment. Image adapted from Mullens et al., After Darracq et al., A recent literature review by Caré et al. Zamora et al.,
Date: March 3, 2023 Reference: Hosseinialhashemi et al. Ann Emerg Med. first appeared on The Skeptics Guide to Emergency Medicine. Date: March 3, 2023 Reference: Hosseinialhashemi et al. Ann Emerg Med. Case: Jim is a 50-year-old male who presents to the emergencydepartment with anterior epistaxis.
While transporting to the emergencydepartment, the patient’s mother informed me that PDCD affects less than 1 in 50,000 individuals and is more common in males than females. Upon arrival in the pediatric emergencydepartment, the patient was conscious and alert to her normal mental status, which included being nonverbal.
The Bottom Line: HEAT Trial Acetaminophen for Fever in critically Ill Patients with Suspected Infection The SGEM: SGEM #146 The Heat is On IV Acetaminophen for Fever in the ICU References Young, P et al. PMID: 26436473 Schortgen F et al. Am J Resp Crit Care Med 2012; 185(10): 1088-1095. PMID: 22366046 Sunden-Culberg J et al.
7-year-old Tilly is brought to your emergencydepartment at 11 p.m. Abdominal pain in children is common, accounting for over 1 in 20 attendances to paediatric emergencydepartments [1]. Clinical scoring tools have improved diagnostic performance in assessing suspected appendicitis in the emergencydepartment.
Management Emergencydepartment treatment of radiation exposure is prioritized to treat traumatic injuries, burns, and unstable medical conditions, with simultaneous decontamination and sample collection. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide. New York, NY: McGraw-Hill; 2012:51–57. Sakamoto, M.
Management Emergencydepartment treatment of radiation exposure is prioritized to treat traumatic injuries, burns, and unstable medical conditions, with simultaneous decontamination and sample collection. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide. New York, NY: McGraw-Hill; 2012:51–57. Sakamoto, M.
Graphics Image 1: [link] Image 2: [link] References Berbari EF, Kanj SS, et al. PMID: 26316526 Boody B, et al. New Delhi: JP Brothers Medical Ltd; 2012 Della-Guistina, D. Evaluation and Treatment of Acute Back Pain in the EmergencyDepartment. Orthopedic Emergencies 2015 May; 33(2) 311-26.
Rosh Review Website Link Further Reading: FOAMed: [link] [link] [link] [link] [link] [link] [link] References : Turi B, Smith D, Kusel K, et al. Reference article, Radiopaedia.org (Accessed on 28 Aug 2023) [link] Ortiz de Mendivil A, Alcalá-Galiano A, et al. link] Sharma R, Gaillard F, Bell D, et al. Ann Emerg Med.
A 77-year-old man presented to the emergencydepartment (ED) with hip pain following a fall. 1–4 Emergency physicians commonly prescribe opioid pain medications, and there is significant variability among prescribing patterns. In the January issue of Annals of Emergency Medicine , Merz-Herrara, et al.,
Emergency Medical Journal [Internet] 2022;39;52-56. Available from: [link] Dixon-Woods M, Baker R, Charles K, et al. Fnais N, Soobiah C, Chen MH, et al. Keller S, Yule S, Zagarese V, et al. Bad manners in the EmergencyDepartment: Incivility among doctors. Available at: [link] Fehr R, Gelfand MJ, Nag M.
Literature-based Recommendations for Suicide Assessment in the EmergencyDepartment: A Review. Ronquillo L et al. Oct 04, 2012. Posner et al. The post Medical Malpractice Insights: The challenge of suicide evaluation in the ED appeared first on emDOCs.net - Emergency Medicine Education. Applebaum PS.
2012): 125. Randal, et al. Girard-Madoux, Mathilde JH, et al. Racial disparities in pain management of children with appendicitis in emergencydepartments. Factors associated with potentially missed diagnosis of appendicitis in the emergencydepartment. History Biology Ball, Chad G., Paulson, E.K.
A 23-year-old man with no significant medical history presents to the emergencydepartment for evaluation of a syncopal episode. Rosh Review Website Link References Antzelevitch C, Brugada P, Borggrefe M, et al. Priori SG, Napolitano C, Gasparini M, et al. Chen Q, Kirsch GE, Zhang D, et al. 2012 May;9(5):752-9.
Exploring communication preferences and risk thresholds of clinicians and parents of febrile infants under 90 days presenting to the emergencydepartment: a qualitative study. Wilson K, Umana E, McCleary D, Waterfield T, Woolfall K. Arch Dis Child. 2024 Jul 10:archdischild-2023-326727. doi: 10.1136/archdischild-2023-326727.
Well, in my reading of the Wall's Manual of Emergency Airway Management (6th Edition), they make the recommendation of 1.5 Their recommendation, as I can tell, appears to come from two things: A paper by Levin NM et al. 2] Annals of Emergency Medicine. E1, March 01, 2012. Emerg Med J. 2012 Mar;29(3):256-8.
Fletcher, MD, FACEP and Nicholas Slattery, MD Background: Diverticulitis is a common finding amongst EmergencyDepartment patients, accounting for more than 360,000 visits in 2013 alone 1. If clinical worsening or poor symptomatic control was detected at any time, the patient was referred to the EmergencyDepartment.
Answer : Extensor tendon laceration Epidemiology: Hand extensor injuries make up >25% of orthopedic soft tissue injuries 2, 3 Common in young men in manual labor Dominant hand more likely to be injured 4 2012 study on 86 patients reported 83% men with a mean age of 34.2 e1 Rosh AJ, Kwon NS, Wilburn JM, et al. J Emerg Med.
And according to a paper from Russotto et al. Of note, in the paper by Russotto et al., Per the Manual of Emergency Airway Management (6th Edition), "If the need for intubation is not immediate, then abnormal hemodynamic parameters should be normalized as much as possible prior to intubation." Sackles et al. Brown, C.A.
We organize all of the trending information in your field so you don't have to. Join 5,000+ users and stay up to date on the latest articles your peers are reading.
You know about us, now we want to get to know you!
Let's personalize your content
Let's get even more personalized
We recognize your account from another site in our network, please click 'Send Email' below to continue with verifying your account and setting a password.
Let's personalize your content