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The year 2016 was one of the most productive one in the entire 7 year history of EM Cases with a total of 29 podcast releases, the introduction of the CritCases blog, the Q & A Pearl of the Week, Just The Nuggets emails, BEEM Cases, the expansion of the Waiting to Be Seen blog, the second EM Cases Digest ebook and the first ever EM Cases Course.
2016 Apr; 32(4): 227–231. Worldwide, children <5 years old account for 76% of deaths related to malaria, but these are predominantly in Sub-Saharan Africa (WHO 2022) P. vivax , P. malariae , and the less common P. knowlesi and P. simium (Forgie 2022) P. vivax and P. falciparum parasitemia , and no other defined cause of AMS (WHO 2023).
Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment.
2016, January 27). Pfenning CL, Slovis CM: Electrolyte Disorders; in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. Louis, Mosby, Inc., 2014, (Ch) 125: p 1636-53. Swaminathan, A. Hypocalcemia. Retrieved April 29, 2022, from [link] Vantour L, Goltzman D.
(Tavasoli 2018, Wolf 2012) More common in adults; children comprise 20% of total cases (Pidcock 2007, Wang 2019) Bimodal age distribution (Absoud 2016) Children < 5 years Children > 10 years Symptoms evolve over 2-4 days and peak at 5-6 days (Absoud 2016) ATM may occur alone OR as part of another disorders (e.g.
Population: Adults attending at continuously-staffed EDs in a health network covering 15 states, 2016-19. Implementation of a Clinical Management Tool for Spinal Epidural Abscess Early Diagnosis. AEM October 2023.
Reece, 2016) There is multiple cases of sudden death from undiagnosed SMA syndrome in the literature attributed to a variety of causes at autopsy. 2016: 7809281. Ganss, 2018) At least one case of abdominal compartment syndrome noted in the literature. The Oschner Journal. 15(1):74-78. PMID: 25829884 Reece K, Day R, Welch J.
Climate change and changes in land usage have contributed to an expanded range of ticks (Beard 2016). 2016 Apr 26;315(16):1767-77. Traveling Ticks are more than just ticking off a checklist before you get ready to travel! There are species of ticks found on every continent and carrying a variety of vectors capable of infecting humans.
Wow, we’ve had a wild and fun winter event season. We’ve so enjoyed delivering top notch medical standby at a variety of events throughout the valley, and beyond our valley! This season has seen so many different kinds of events, from medical standby at rappeling to conference and dinner functions.
Lancet August 2016. Lancet August 2016. Lancet August 2016. Immediate total-body CT scanning versus conventional imaging and selective CT scanning in patients with severe trauma (REACT-2): a randomised controlled trial.
Lancet 2016. Lancet 2016. Lancet 2016. Platelet transfusion versus standard care after acute stroke due to spontaneous cerebral haemorrhage associated with antiplatelet therapy (PATCH): a randomised, open-label, phase 3 trial. first appeared on The Skeptics Guide to Emergency Medicine.
Ann Emerg Med 2016 Guest Skeptic: Dr. Michael Falk is a Pediatric Emergency Medicine provider who works at Harlem Hospital Center in New York and Children’s […] The post SGEM#194: Highway to the Dexamethasone – For Pediatric Asthma Exacerbations first appeared on The Skeptics Guide to Emergency Medicine. Intervention Dexamethasone (DEX) 0.3
Pericardial effusion Old 5MS vid (2016) Pericardial Tamponade Courses The post 5 Min Sono – Pericardiocentesis (2024) first appeared on Core Ultrasound.
Acad Emerg Med 2016 [7] 800 Systematic review of adult and pediatric (patients from birth – 21yrs) studies 97% (94-98%) 83% (75-88%) POCUS may assist physicians in distinguishing cellulitis versus abscess. 2016 Nov;23(11):1298-1306. Epub 2016 Nov 1. 2016 Feb;169:122-7.e1. Lam et al., 94.7%) 80% (70.0-87.4%)
However, over the past 20 years, there is burgeoning evidence that fast-acting subcutaneous insulin analogs could be a potential treatment option for mild to moderate severity DKA including a 2016 Cochrane SRMA [4].
Compass trial Design– double-blind trial involving placebo medication vs study medication, March 2013 to May 2016. Rivaroxaban (2.5mg bd) + … Continue reading →
Epub 2016 Oct 17. 2016 Dec 2;2016(1):625-631. Impact of the New American Heart Association/American Stroke Association Definition of Stroke on the Results of the Stenting and Aggressive Medical Management for Preventing Recurrent Stroke in Intracranial Stenosis Trial. J Stroke Cerebrovasc Dis. 2017 Jan;26(1):108-115. 2016.08.038.
NEJM Dec 2016 Guest Skeptic: Dr. Neal Little is an Emergency Physician who works at Chelsea Hospital in Chelsea, Michigan. NEJM Dec 2016 Guest Skeptic: Dr. Neal Little is an Emergency Physician who works at Chelsea Hospital in Chelsea, Michigan. [display_podcast] Date: November 27th, 2017 Reference: Legriel et al.
One of the most common reasons cited for burnout is the electronic medical record (EMR) (Shanafelt et al 2016). West et al 2016 published a SRMA in the Lancet on interventions to prevent and reduce physician burnout. The highest prevalence of burnout (70%) was reported by emergency physicians (Shanafelt et al 2015).
The change in name took place in 2016. The subcommittee on ALTEs in the AAP published a practice guideline renaming ALTEs to brief resolved unexplained events ( BRUEs ) in 2016. If even the folks who are really expert in the topic are not applying the definition consistently, then perhaps it’s time for a new definition.
However clinical judgement was more specific in this same group (54% vs 92%) [ Atabaki, 2016 ]. 2016 May;23(5):566-75. Epub 2016 Apr 20. When we discussed this topic previously , we concluded with “Clinical Guidelines are never perfect, but this one is pretty good”. Acad Emerg Med. doi: 10.1111/acem.12923. PMID: 26825755.
2016 Jan 6;17:6-11. 2016 Jul;24(7):413-23. Multiple Concomitant Injuries in One Upper Extremity: A Case Report. Am J Case Rep. doi: 10.12659/ajcr.894984. PMID: 26732673 Akhondi H, Varacallo M. Anterior Interosseous Syndrome. 2023 Aug 4. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. Shoulder Elbow.
In 2016, the American Academy of Pediatrics (AAP) reaffirmed their clinical practice guidelines for the diagnosis and management of UTIs. This two-step process can decrease the rate of catheterization by over 30% without missing UTIs or increasing length of stay in the pediatric emergency department (Lavelle et al Pediatrics 2016 ).
Date: May 20th, 2021 Guest Skeptic: Dr. Robert Edmonds is an emergency medicine physician in the Air Force in Dayton, Ohio, and a University of Missouri-Kansas City residency alumni from 2016. Reference: Jhunjhunwala et al. Reference: Jhunjhunwala et al. Journal of Trauma and Acute Care Surgery.
BMJ Nov 2016. BMJ Nov 2016. BMJ Nov 2016. [display_podcast] Date: October 5th, 2017 Reference: Brison et al. Effect of early supervised physiotherapy on recovery from acute ankle sprain: randomised controlled trial. Guest Skeptic: Dr. Steve Joseph. display_podcast] Date: October 5th, 2017 Reference: Brison et al.
Published May 4, 2016. Placement of a Blakemore Tube for Bleeding Varices. EM:RAP HD Videos. Accessed December 17, 2021. PulmCrit Wee: Ultrasound-guided blakemore tube placement. EMCrit Project. Accessed April 6, 2023. Roohollahi A, Suleiman Bilal Rana H, Hadique S. Blakemore Tube Insertion – BAVLS. American Thoracic Society.
They include: Cognitive Behavioural Therapy and mindfulness ( Cherkin et al JAMA 2016), chiropractic ( Paige et al JAMA 2017), physical therapy ( Paolucci et al J Pain Research 2018) and acupuncture (Colquhoun and Novella Anesthesia and Analgesia 2013 ). None of these other treatments has high-quality evidence supporting their use.
2016 May;68(5):689-94. Anti-Melanoma Differentiation-Associated Gene 5 Is Associated With Rapidly Progressive Lung Disease and Poor Survival in US Patients With Amyopathic and Myopathic Dermatomyositis. Arthritis Care Res (Hoboken). doi: 10.1002/acr.22728. PMID: 26414240; PMCID: PMC4864500.
Stevens and colleagues updated their review in 2016 and concluded “sucrose is effective for reducing procedural pain” and “no serious side effects or harms have been documented with this intervention”. That rant relied upon a Cochrane SRMA by Stevens B et al 2013 and a randomized clinical trail published in Pediatrics by Gray L et al 2015.
The Surviving Sepsis Campaign makes a number of recommendations in their 2016 guideline. The bottom line from that episode pre-hospital antibiotics in the ambulance do not appear to have a mortality benefit in patients with varying degrees of sepsis in an optimized EMS system.
For children with severe asthma, IV magnesium has been shown to significantly decrease hospitalization rates though practically these children are rarely sent home after this IV treatment ( Cheuk et al 2005 , Griffith et al 2016 ,
Population: All patients treated in a single pediatric ED with at least one migraine-relevant medication using an ED migraine pathway from pathway inception (October 14, 2016) through February 28, 2020. AEM September 2022. Excluded: Repeat encounters * Intervention: Intravenous (IV) medications +/- oral (.
July 2019 * Population: All dispatches of a transport-capable ground EMS vehicle to a 911 emergency scene from the 2016 National EMS Information System, both the response to the scene and the transport from the scene. Yes Results: The 2016 NEMSIS database contained 20.4 Annals of Emergency Medicine.
” BioScience 66.11 (2016): 917-919. 2016): 724-733. Cook, Joseph A., “Transformational principles for NEON sampling of mammalian parasites and pathogens: a response to Springer and colleagues.” Chvez-Lpez, R., Rocha-Ramrez, A., and Wetzer, R., Crustaceana, pp.865-872. Dougherty, Eric R., Bakenhaster, M.D.,
Emerg Med Australas 2016. Review article: Why is there still a debate regarding the safety and efficacy of intravenous thrombolysis in the management of presumed acute ischaemic stroke? A systematic review and meta-analysis. This SGEM Xtra is based on the new recommendation on TheNNT website for tPA in acute ischemic stroke.
This was the ALPS randomized control trial published in NEJM 2016. ACLS ( SGEM#64 ), the use of mechanical CPR ( SGEM#136 ), and pre-hospital hypothermia ( SGEM#183 ). The issue of amiodarone vs lidocaine has also been covered on SGEM#162.
They include: CBT and mindfulness ( Cherkin et al JAMA 2016), chiropractic ( Paige et al JAMA 2017), physical therapy ( Paolucci et al J Pain Research 2018) and acupuncture (Colquhoun and Novella Anesthesia and Analgesia 2013 ). Unfortunately, none of these other treatment modalities has high-quality evidence supporting their use.
6.2017JADWEB-2016-0075. PMID: 9832674 Tatli M, Eyüpoğlu G, Hocagil H. Acute cyanide poisoning due to apricot kernel ingestion. Journal of Acute Disease. 2017;6(2): 87-88. DOI: 10.12980/jad.6.2017JADWEB-2016-0075. Cigolini D, Ricci G, Zannoni M, Codogni R, De Luca M, Perfetti P, Rocca G. BMJ Case Rep. 2011;2011:bcr0320113932.
In 2016, they were early adopters of Pulsara , a streamlined, HIPAA-compliant app designed to help unite and inform inter-organizational care teams throughout major incidents and beyond. “They should be able to prepare and estimate how many patients they have [and] the severity.”
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