Pediatric EM Morsels

FEBRUARY 2, 2024

Hospitalization for travel-related illness are around 10% for both VFR and tourists (Leuthard 2015) Multiple studies have reported the most common travel infections in various countries. In the 1950’s travel accounted for 25 million international tourists. A study of swiss tourists found they compromised 53.4%

E-9-1-1 161

E-9-1-1 ED OR Emergency Department 161

The Skeptics' Guide to EM

OCTOBER 28, 2023

Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. He is also one of the world’s leading researchers on pain management in the emergency department, specifically the use of ketamine. His twitter handle is @PainFreeED.

ALS 228

ALS Emergency Department ED OR 228

ALiEM

APRIL 12, 2023

emDOCs.net – Emergency Medicine Education. Author information Ivan Ivanov, DO Resident Physician Emergency Department South Brooklyn Health | The post Trick of the Trade: Gel-free ultrasound-guided peripheral IV technique appeared first on ALiEM. Accessed April 5, 2023. Alerhand S, Singh M, editors.

Emergency Department 258

Emergency Department ALS ED 258

The Skeptics' Guide to EM

MAY 20, 2023

She is part of the Don’t Forget the Bubbles team and faculty at Queen Mary University in London where she teaches part of the Paediatric Emergency Medicine MSc. However, we have not covered the Therapeutic Hypothermia after Out-of-Hospital Cardiac Arrest (OHCA) in Children or THAPCA-OH published in the New England Journal of Medicine in 2015.

CPR 130

CPR ALS Emergency Department EMS 130

EMDocs

AUGUST 22, 2024

have limited English proficiency according to the 2015 U.S. 12 How do we address these disparities in the emergency department? An implementation science approach improves language access in the emergency department. Annals of Emergency Medicine. Annals of Emergency Medicine. Lion KC, et al.

Emergency Department 82

Emergency Department ALS E-9-1-1 ED 82

EMDocs

JULY 9, 2024

The emergency department takes care of some of the highest risk patients with the worst access to health care and social services Over the past 20 years, many researchers have created and validated social needs screeners Some examples: iHELP, WE CARE, SEEK, USDA 2-item food insecurity questionnaire Does screening make a difference?

Emergency Department 71

Emergency Department Emergency Medical Services ED EMS 71

ALiEM

DECEMBER 4, 2023

A 49-year-old male presented to the emergency department of an academic hospital with the chief concern of penile pain. 2015 Jul;66(1):133-46. Epub 2015 May 7. link] Nigwekar SU, Kroshinsky D, Nazarian RM, Goverman J, Malhotra R, Jackson VA, Kamdar MM, Steele DJ, Thadhani RI. Am J Kidney Dis. doi: 10.1053/j.ajkd.2015.01.034.

Emergency Department 152

Emergency Department OR 152

Don't Forget the Bubbles

AUGUST 19, 2024

Sione, a young Pacific Islander boy, is brought to the emergency department with a 3-day history of acute onset, progressively worsening central chest pain. of child emergency department presentations. 2015 Apr;34(4):e92-e101. 2015 Sep;35(6):634-9. He points to his sternum when you ask him where the pain is.

Emergency Department 101

Emergency Department OR 101

EMDocs

JUNE 15, 2024

Source Shifts in Diagnostic Testing for Headache in the Emergency Department, 2015 to 2021. The post Journal Feed Weekly Wrap-Up appeared first on emDOCs.net - Emergency Medicine Education. JAMA Netw Open. 2024 Apr 1;7(4):e247373. doi: 10.1001/jamanetworkopen.2024.7373. PMID: 38639937; PMCID: PMC11031686.

ICU 75

ICU Emergency Department ED OR 75

The Skeptics' Guide to EM

OCTOBER 10, 2020

Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. He is also one of the world’s leading researchers on pain management in the emergency department, specifically the use of ketamine. His twitter handle is @PainFreeED.

Emergency Department 130

Emergency Department ALS ED OR 130

ALiEM

SEPTEMBER 11, 2023

A 29-year-old female with a past medical history of migraine headaches presented to the emergency department (ED) for several hours of bilateral eye pain, redness, and decreased visual acuity. 2015 Aug 21;64(32):865-70. The patient is a contact lens wearer. MMWR Morb Mortal Wkly Rep. doi: 10.15585/mmwr.mm6432a2.

Emergency Department 152

Emergency Department ED OR 152

FOAMcast

JANUARY 25, 2023

Epub 2015 Dec 30. Ionised calcium levels in major trauma patients who received blood in the Emergency Department. Emerg Med J. doi: 10.1136/emermed-2015-205096. J Surg Res. 2016 May 1;202(1):182-7. doi: 10.1016/j.jss.2015.12.036. 2015.12.036. PMID: 27083965. Webster S, Todd S, Redhead J, Wright C. Epub 2016 Feb 4.

Emergency Department 52

Emergency Department OR 52

Pediatric EM Morsels

OCTOBER 27, 2023

Britnell 2015] Broselow tape performed better than APLS method in Chinese children. Khouli 2015] In South Sudan, the Broselow system overestimated weight by 26.6% The PAWPER tape as a tool for rapid weight assessment in a Paediatric Emergency Department: Validation study and comparison with parents’ estimation and Broselow tape.

E-9-1-1 268

E-9-1-1 Emergency Medical Services Life Support ALS 268

Don't Forget the Bubbles

SEPTEMBER 18, 2023

This blog post aims to help familiarise you with some of the most common reasons for prescribing antibiotics in the paediatric emergency department. Antibiotic Use for Common Infections in Pediatric Emergency Departments: A Narrative Review. 2015 May 19;12(5):e1001825. 2015 Feb;20(2):55–60. Karageorgos, S.;

Emergency Department 142

Emergency Department E-9-1-1 ALS OR 142

The Skeptics' Guide to EM

JUNE 9, 2018

Aromatherapy Versus Oral Ondansetron for Antiemetic Therapy Among Adult Emergency Department Patients: A Randomized Controlled Trial. Ann Emerg Med 2018 Guest Skeptic: Meghan Groth is a pharmacist who has been practicing in emergency medicine for the past six years. We covered that paper on the SGEM in Episode #144.

Emergency Department 130

Emergency Department ALS OR 130

The Skeptics' Guide to EM

MARCH 12, 2022

She is an emergency physician at Mount Sinai Hospital and a Clinician Scientist and the Deputy Director of the Schwartz-Reisman Emergency Medicine Institute. Case: An 18-year-old female presents to the emergency department (ED) after falling off a moving snowmobile and hitting her head on the ground.

Emergency Department 100

Emergency Department ED ALS OR 100

The Skeptics' Guide to EM

SEPTEMBER 25, 2021

Most emergency department 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. Date: September 20th, 2021 Reference: Litell et al.

Emergency Department 100

Emergency Department EMR ICU ALS 100

ALiEM

AUGUST 9, 2023

Child with Cough and Fever: Case Introduction A 6-year-old boy presents to the emergency department complaining of cough for 3 days and fever for the last day. Pediatrics 2015 8 studies; 765 patients 96% 93% Evidence supports lung POCUS as an alternative for diagnosis of pneumonia in children. 2015 Apr;135(4):714-22.

E-9-1-1 246

E-9-1-1 Emergency Department ALS OR 246

ALiEM

MAY 19, 2023

A heavy alcohol drinker, who is well known to your Emergency Department, presents with altered mental status, except that he looks different this time. In our emergency department, the RTs do not spend a lot of time going around measuring cuff pressures and usually save that until the patient reaches the ICU.

E-9-1-1 245

E-9-1-1 Emergency Department ICU OR 245

The Skeptics' Guide to EM

JUNE 15, 2018

Implementation of a Novel Algorithm to Decrease Unnecessary Hospitalizations in Patients Presenting to a Community Emergency Department With Atrial Fibrillation. AEM June 2018 Guest Skeptic: Dr. Morgenstern is an emergency physician and the Director of Simulation Education at Markham Stouffville Hospital in Ontario.

Emergency Department 130

Emergency Department ALS OR EMS 130

The Skeptics' Guide to EM

FEBRUARY 22, 2020

Maia Dorsett is an Emergency and EMS Physician at the University of Rochester Medical Center. Bringing value, balance and humanity to the emergency department: The Right Care Top 10 for emergency medicine. Emerg Med J 2019 This is an SGEM Xtra based on a recent publication by Dr. Dorsett and her team.

Emergency Department 130

Emergency Department ALS EMS OR 130

ALiEM

MAY 13, 2024

Case Introduction: Child with abdominal pain Wendy is a 7-year-old girl who comes into the emergency department with redness, swelling, and pain on her left calf. J Emerg Med 2018 [6] 327 Prospective cohort study of children 6mo-18yrs comparing clinical assessment to POCUS 90.3% (83.4-94.7%) Pediatr Emerg Care.

E-9-1-1 161

E-9-1-1 ALS Emergency Department OR 161

REBEL EM

AUGUST 30, 2023

Most common organism is Staph Aureus (36-67% of cases) ( Boody 2015 ). Executive Summary: 2015 Infectious Disease Society of America (IDSA) Clinical Practice Guidelines for the Diagnosis and Treatment of Native Vertebral Osteomyelitis in Adults. Clin Infect Dis 2015 Sept 15;61(6):859-63. Other pathogens include: E.

E-9-1-1 94

E-9-1-1 ALS ED OR 94

NAEMSP

FEBRUARY 1, 2023

of all EMS activations per NEMSIS data in 2015. [2] The goal of the study was to determine predictors of repeat access to prehospital or emergency department care within 72 hours of initial paramedic contact. 43 patients (5.4%) had repeat access to prehospital or emergency department care. were admitted.

OR 52

OR Emergency Department Emergency Medical Services Paramedic 52

The Skeptics' Guide to EM

SEPTEMBER 30, 2017

Guest Skeptic: Dr. Natalie May trained as an emergency physician with subspecialty paediatric emergency medicine in the UK and worked in Manchester and Oxford before moving to Australia in 2015 to work for Sydney […] The post SGEM#190: Wee are the Champions of Pediatric Urine Samples first appeared on The Skeptics Guide to Emergency Medicine.

Emergency Department 130

Emergency Department ALS OR 130

REBEL EM

APRIL 29, 2024

In these situations, the American Heart Association (AHA) and the European Resuscitation Council (ERC) of 2015 recommend the intraosseous (IO) route after the peripheral route and before the central venous route ( 1). World J Emerg Surg 2023 PMID: 36918947 3. Int J Emerg Med 2009 PMID: 20157465 4. Ong MEH, Chan YH, Oh JJ, et al.

ALS 102

ALS Epinephrine Critical Care Emergency Department 102

Broome Docs

JANUARY 30, 2023

Association of Chest Pain Protocol-Discordant Discharge With Outcomes Among Emergency Department Patients With Modest Elevations of High-Sensitivity Troponin. 2015 Apr;72(4):668-73. Epub 2015 Jan 23. Outcomes of patients discharged from the pediatric emergency department with abnormal vital signs.

E-9-1-1 52

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

The Skeptics' Guide to EM

FEBRUARY 19, 2022

. * SGEM Xtra: The Water is Wide * SGEM#289 : I Want a Dog to Relieve My Stress in the Emergency Department * SGEM Xtra : CAEP Wellness Week 2019 * SGEM Xtra: On the Edge of Burnout * SGEM Xtra: Don’t Give Up – The Power of Kindness * SGEM#178 : Mindfulness – It’s not Better to Burnout than it is to Rust * SGEM Xtra: Five Tips to Avoid Emergency Medicine (..)

Emergency Department 130

Emergency Department ALS OR 130

The Skeptics' Guide to EM

JANUARY 12, 2019

He is also one of the world’s leading researchers on pain management in the emergency department and specifically the use of ketamine. We haver reviewed papers on pain management in the emergency department for many years on the SGEM. However, these were not patients recruited from the emergency department.

Emergency Department 100

Emergency Department ALS OR 100

ALiEM

JULY 17, 2023

In fact, the average number of applicants between 2015-2020 and 2022-2023 were relatively similar, with the latter demonstrating 122 more applicants (2,801 vs 2,923). However, between 2015 and 2023, the number of available EM positions grew, with an annual addition of 149 PGY1 positions.

EMS 130

EMS ALS Emergency Department ED 130

ACEP Now

OCTOBER 15, 2023

1 The emergency department remains an important frontier for work in judicious prescribing, but opiate analgesia remains a valuable tool for the initial treatment of a variety of presentations. The treatment response for any six-week program is of limited relevance to the acute treatment provided in the emergency department.

Emergency Department 52

Emergency Department Naloxone ALS OR 52

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

She arrives in the emergency department (ED) with decreased level of consciousness and shock. Emergency coronary angiography is reasonable for select (eg, electrically or hemodynamically unstable) adult patients who are comatose after OHCA of suspected cardiac origin but without ST elevation on ECG (Class IIa, LOE B-NR).

EMR 130

EMR Coronary Defibrillator Life Support 130

ALiEM

APRIL 17, 2023

A 29 year-old-male with a past medical history of left eye enucleation secondary to a gunshot wound several years prior presents to the Emergency Department (ED) for blurry vision, redness, and concern for a deformity to his right eye. Published 2015 Dec 11. Corneeal Hydrops: A Complication of Keratoconus.

Emergency Department 130

Emergency Department OR ED 130

The Skeptics' Guide to EM

APRIL 21, 2018

AEM April 2018 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine (AEM). AEM April 2018 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine (AEM).

Emergency Department 130

Emergency Department ALS OR EMS 130

The Skeptics' Guide to EM

SEPTEMBER 12, 2020

Mayo Clin Proc 2015 * Shanafelt et al. It was an opportunity to share my journey and give an important message about kindness. Shanafelt et al. Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014.

Emergency Department 130

Emergency Department ALS OR 130

The Skeptics' Guide to EM

MAY 25, 2019

. * Population: All adult (over 18 years of age) patients in the ACS-TQIP database from 2015-2016. Exclusions: Patients who were dead on arrival, were transferred from other facilities, had missing physiological parameters, or who underwent resuscitative thoracotomy were excluded.

ACS 130

ACS Emergency Department ALS OR 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 The tipping point came with the publication of MR. CLEAN in 2015. hours of right-sided weakness, aphasia, and neglect. The primary outcome was good neurologic function defined as a modified Rankin Scale (mRS) score of 0-2 at 90 days.

ALS 130

ALS Emergency Department ED 130