Don't Forget the Bubbles

NOVEMBER 29, 2023

You are the Paediatric doctor on call and receive a call for an incoming patient to the emergency department. Tragically, several attempts at resuscitation upon arrival at the emergency department were unsuccessful. Pediatric Endotracheal Intubations for Airway Management in the Emergency Department.

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E-9-1-1 Emergency Department ED CPR 135

The Skeptics' Guide to EM

APRIL 8, 2023

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 emergency department closures during the past last year. It was a stepped-wedge reconfiguration of the entire Danish emergency healthcare system.

Emergency Department 139

Emergency Department ED Ambulance ALS 139

Don't Forget the Bubbles

SEPTEMBER 30, 2024

In the UK, as in most developed countries, more patients are presenting to Emergency Departments (EDs) with minor illnesses or injuries. examined 977,907 first-time ED presentations by children aged 0-15 across thirteen acute hospital trusts (between April 2014 and March 2017), trying to figure out how many were non-urgent.

Emergency Department 89

Emergency Department ALS ED OR 89

EMDocs

AUGUST 22, 2024

6 24% more likely to return to the ED within 72 hours of their initial visit in an urban ED with >50,000 annual visits. 6 24% more likely to return to the ED within 72 hours of their initial visit in an urban ED with >50,000 annual visits. One cohort study in a public ED found that 84.5%

Emergency Department 81

Emergency Department ALS E-9-1-1 ED 81

Pediatric EM Morsels

OCTOBER 27, 2023

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. Int J Emerg Med.

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E-9-1-1 Emergency Medical Services Life Support ALS 269

REBEL EM

SEPTEMBER 13, 2023

patients that take ACE inhibitors (but 20-30% of all angioedema presentations to the Emergency Department) 3 times more common in Black Americans ( Kostis 2005 ) 0.01 Both conditions can range in severity from benign to life threatening (Wilkerson 2012). Angioedema in the Emergency Department: An Evidence Based Review.

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Frozen Plasma Allergic Reaction FFP Plasma 105

The Skeptics' Guide to EM

JANUARY 14, 2018

Effectiveness of intravenous lidocaine versus intravenous morphine for patients with renal colic in the emergency department. Urology 2012 Guest Skeptics: Dr. Tony Seupaul is the Chairman of the Department of Emergency Medicine at the University of Arkansas. A study from Bindman et al.

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Emergency Department ALS ED OR 130

Don't Forget the Bubbles

AUGUST 23, 2023

In most Emergency Departments, 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 Emergency Department, he initiated ‘ The Pause.’ Cunningham T.

Emergency Department 98

Emergency Department ICU ALS Critical Care 98

The Skeptics' Guide to EM

DECEMBER 17, 2022

Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Case: A 71-year-old man is brought to your emergency department (ED) by emergency medical serviced (EMS) having fallen two steps at home. years ( 2 ).

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Frozen Plasma FFP Emergency Medical Services Plasma 130

The Skeptics' Guide to EM

DECEMBER 12, 2020

Case: A 52-year-old previously healthy woman presents to your emergency department (ED) with an abscess on her left forearm. She is systemically well and there is no sign of tracking, so you decide to perform incision and drainage in the ED. Kirsty is also the creator of the wonderful infographics called #PaperinaPic.

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ALS ED Emergency Department OR 130

The Skeptics' Guide to EM

MARCH 6, 2021

Background: Epistaxis is a common Emergency Department (ED) complaint with over 450,000 visits per year and a lifetime incidence of 60% ( Gifford 2008 , Pallin 2005 ). The episode included the Dundee protocol for adult epistaxis management from 2012. You apply direct pressure for 10 minutes, but the bleeding continues.

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ALS Emergency Department EMS ED 130

The Skeptics' Guide to EM

JUNE 5, 2021

JAMA 2021 Case: A 74-year-old woman presents to your emergency department 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. hours of right-sided weakness, aphasia, and neglect.

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ALS Emergency Department ED 130

ACEP Now

FEBRUARY 13, 2024

A 77-year-old man presented to the emergency department (ED) with hip pain following a fall. On ED presentation, he was experiencing 10 out of 10 pain level. Trends in opioid prescriptions among part D medicare recipients from 2007 to 2012. A radiograph is shown (see figure 1). American Journal of Medicine.

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E-9-1-1 Emergency Department ED ALS 52

Core EM

JULY 23, 2024

Management Emergency department treatment of radiation exposure is prioritized to treat traumatic injuries, burns, and unstable medical conditions, with simultaneous decontamination and sample collection. Emergency Medicine: Concepts and Clinical Practice. EmDOCs.net – Emergency Medicine Education, 7 Apr.

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ALS OR Emergency Department ED 130

REBEL EM

MARCH 8, 2023

Emergency Department Management: Emergency ophthalmology consultation. Emergency surgical management indicated if concomitant retinal tear, vitreous hemorrhage, or retinal detachment. et al, Emergency Medicine Clinical Essentials ed 2. >10 floaters, (+) LR 8.1-36 209-225 Walker R, Adhikari S.:

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Emergency Department ALS ED OR 52

FOAMfrat

JULY 1, 2023

titled "The Association of Rocuronium Dosing and First-Attempt Intubation Success in Adult Emergency Department Patients" revealed that first-attempt intubation success was the highest when more than 1.4 mg/kg of Succinylcholine during RSI in an ED setting." [1] 2] Annals of Emergency Medicine. E1, March 01, 2012.

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E-9-1-1 Emergency Department OR ALS 52

Core EM

MARCH 12, 2024

Management Emergency department treatment of radiation exposure is prioritized to treat traumatic injuries, burns, and unstable medical conditions, with simultaneous decontamination and sample collection. Emergency Medicine: Concepts and Clinical Practice. EmDOCs.net – Emergency Medicine Education, 7 Apr.

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ALS OR Emergency Department ED 130

REBEL EM

AUGUST 18, 2022

Fletcher, MD, FACEP and Nicholas Slattery, MD Background: Diverticulitis is a common finding amongst Emergency Department patients, accounting for more than 360,000 visits in 2013 alone 1. Despite its frequency, the majority of cases of acute diverticulitis are uncomplicated, and can be effectively managed on an outpatient basis 2.

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Emergency Department ALS ED OR 52

EMDocs

MAY 26, 2023

But what about the patient who is agitated, and is a potential danger to themselves or to the ED staff? This need for 1-on-1 observation is a major challenge for EDs and health care systems from a staffing standpoint. 2012 Jan;109(3):27-32. Emerg Med Clin North Am. Emerg Med Australas. West J Emerg Med.

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Emergency Medical Services Emergency Department OR ED 75

REBEL EM

AUGUST 30, 2023

New Delhi: JP Brothers Medical Ltd; 2012 Della-Guistina, D. Evaluation and Treatment of Acute Back Pain in the Emergency Department. Orthopedic Emergencies 2015 May; 33(2) 311-26. In: Sherman SC eds. Simon’s Emergency Orthopedics. Back Pain Emergencies. J Spinal Disord Tech. Semin Arthritis Rheum.

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Don't Forget the Bubbles

JANUARY 17, 2024

Curious Ken is brought into your emergency department. ” ( Ed. Mirza and Sheikh reported perhaps the first unfortunate case in 2012. In 2012, one brand of SAP beads – Water Balz – was recalled by the U.S. 2012 Jan;3(1):6. What are the risks of water beads? After Darracq et al.,

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E-9-1-1 ALS Emergency Department OR 111

EMDocs

SEPTEMBER 9, 2023

He presents to the ED with profound difficulty extending his middle and ring finger. The Atlas of Emergency Medicine, 5e. 2021.0052 Emergency Department Management of Extensor Tendon Lacerations – Page 3 of 4. Examination reveals the following: What is the diagnosis? Tendon Lacerations. McGraw Hill; 2021.

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EMS ED ALS Emergency Department 77

EMDocs

FEBRUARY 12, 2024

Louis); Marina Boushra, MD (EM-CCM, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case Emergency Medical Services brings in a 62-year-old male with COPD in acute on chronic hypoxemic respiratory failure (usually on 3 L nasal cannula, now on non-rebreather at 15 L/min).

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Emergency Department E-9-1-1 ED ICU 93

AAEM RSA

DECEMBER 1, 2020

Surge capacity is an important concept for us as emergency medicine physicians as we are often the first ones to receive these patients. Most emergency departments (EDs) already have disaster plans outlining how they will respond to a sudden influx of critically ill patients. Department of Health and Human Services.

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ED Emergency Department ALS OR 52

EMDocs

JANUARY 17, 2024

She had return of spontaneous resuscitation (ROSC) and was subsequently intubated and transported to the emergency department (ED). Upon ED arrival, she had a heart rate (HR) of 160 and blood pressure (BP) of 80s/40s. 5) From 2012 to 2019, pediatric benzonatate prescribing soared by 62%. (9)

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E-9-1-1 Overdose Emergency Medical Services Life Support 67

EMDocs

MAY 11, 2024

A 74-year-old female with a past medical history of hypertension, diabetes, recent basilar artery stent placement with a 20 pack-year smoking history presents to the ED via EMS for altered mental status and episodes of apnea. Ann Emerg Med. Erratum in: Ann Emerg Med. 2012) 43:2904–9. His vital signs are T 98.6°F

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EMS E-9-1-1 ALS OR 88

ACEP Now

MARCH 15, 2024

A 20-year-old man presents to the emergency department (ED) directly from the scene of a fall from a bicycle, where he lost balance and landed on his outstretched hand. Picking these injuries up in the ED is important because if missed and not immobilized, non-union may ensue and the patient may require surgical intervention.

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ALS ED OR EMS 52

EMDocs

SEPTEMBER 23, 2023

A 36-year-old female presents to the ED after experiencing an episode of sudden syncope. A 23-year-old man with no significant medical history presents to the emergency department for evaluation of a syncopal episode. 2012 May;9(5):752-9. We’ll keep it short, while you keep that EM brain sharp. Heart Rhythm. Heart Rhythm.

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E-9-1-1 EMS ALS Defibrillator 83

ACEP Now

OCTOBER 9, 2023

emergencies, patient’s request). However, actual increases in available services in emergency departments based on prior state-level requirements have been mixed. Reevaluation of the effect of mandatory interpreter legislation on use of professional interpreters for ED patients with language barriers. Patient Educ Couns.

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Emergency Department E-9-1-1 ALS OR 64

Dr. Smith's ECG Blog

DECEMBER 27, 2023

Written by Willy Frick A man in his 50s with a history of hypertension, dyslipidemia, type 2 diabetes mellitus, and prior inferior OMI status post DES to his proximal RCA 3 years prior presented to the emergency department at around 3 AM complaining of chest pain onset around 9 PM the evening prior. Tikkanen, J. Wellens, H., &

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E-9-1-1 OR Coronary ACS 122

Don't Forget the Bubbles

JULY 26, 2023

Prioritise listening to the first 30 minutes which given a good overview of aetiology and treatment (53 mins) Basics of cardiac rhythm problems in the ED Palpitations are a common reason for children to present to the emergency department, the majority of these will be benign from a cardiac perspective and instead related to stress or anxiety.

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ALS ED OR CPR 98

Don't Forget the Bubbles

JANUARY 4, 2024

We have teamed up with the team from Chelsea and Westminster Paediatric Emergency Department to give you 5 reviews of recent studies. This retrospective, observational study used data from the UK Trauma Audit & Research Network (TARN) between 2012 and 2021. in 2012 to 5.3% in 2021 across all age groups.

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ED ICU ALS OR 129

EMDocs

JULY 3, 2023

Louis); Alex Koyfman, MD (@EMHighAK); Marina Boushra, MD (EM-CCM Attending, Cleveland Clinic Foundation) Case A 62-year-old male with past medical history of hypertension (HTN), hyperlipidemia (HLD), and prior cerebrovascular accident (CVA) presents to the emergency department (ED) via ambulance. Glasgow coma scale (GCS) is 12.

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ED E-9-1-1 ALS OR 85

Don't Forget the Bubbles

SEPTEMBER 27, 2023

The parents of two-year-old, previously healthy, Jamie bring him to the Emergency Department with coryzal symptoms, wheezing and difficulty breathing. Jamie is admitted to the Paediatric Ward, and the paediatric trainee calls the ED to ask if a viral respiratory panel was obtained. doi: 10.1136/eb-2012-100645. Pediatrics.

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Emergency Department ALS ED OR 84

EMDocs

NOVEMBER 16, 2024

1-3 Despite its commonality it retains a relatively high rate of complications overall and patients frequently present to the ED for evaluation. 10% of patient’s have an ED visit within 30 or 90 days following THA. Emergency department visits following total joint arthroplasty: do revisions present a higher burden?

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EMS E-9-1-1 Operating Room Emergency Department 75

Don't Forget the Bubbles

JANUARY 22, 2024

The campaign started in the United States in 2012, in Canada two years later, and in the United Kingdom in 2016. Choosing Wisely in Paediatric Car e A trainee-led project in a UK tertiary paediatric emergency department looked at the usefulness of blood tests in 101 children. 70% had liver function tests. 47% had a bone profile.

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Emergency Department ALS ED OR 90

ACEP Now

AUGUST 25, 2023

Case A critically ill patient presents to the emergency department (ED) requiring an emergent, definitive airway. However, a 2012 systematic review and meta-analysis (SRMA) reported that etomidate was associated with adrenal insufficiency and increased mortality in septic patients.

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Emergency Department ALS ED Critical Care 52