EMDocs

JUNE 15, 2024

Non-rebreather Mask Spoon Feed Noninvasive ventilation (NIV) was superior to a standard non-rebreather (NRB) oxygen mask for preoxygenation of critically ill ED or ICU patients requiring intubation, with a NNT of 11 to prevent 1 episode of hypoxemia <85%. Source Noninvasive Ventilation for Preoxygenation during Emergency Intubation.

ICU 97

ICU Emergency Department ED OR 97

Core EM

OCTOBER 23, 2024

The Case A 24-year-old man with no past medical or surgical history presented to the emergency department with 5 days of progressively worsening bilateral leg cramping, paresthesias, and multiple falls. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. [link] Read More and tends to occur in men of Asian descent.

Emergency Department 130

Emergency Department ICU Critical Care Ambulance 130

ACEP Now

MAY 9, 2024

Complications of Gluteal AFT The pale, prone patient with multiple surgical drains and a constrictive faja has become a common site in the Jackson Memorial Hospital Emergency Department. Nearly half of all post-AFT patients presenting to our emergency departments required admission and six percent required ICU admission.

Emergency Department 52

Emergency Department Operating Room Critical Care ICU 52

Dr. Smith's ECG Blog

JUNE 17, 2024

Written by Bobby Nicholson, MD 67 year old male with history of hypertension and hyperlipidemia presented to the Emergency Department via ambulance with midsternal nonradiating chest pain and dyspnea on exertion. The patient was upgraded to the ICU for closer monitoring. Accessed May 28, 2024. What do you think?

E-9-1-1 139

E-9-1-1 ACS Emergency Department Coronary 139

ACEP Now

JULY 7, 2024

1 History and physical examination have been the cornerstone of seizure diagnosis in the emergency department (ED). Neurology consultation should be initiated, and the patient should be admitted to the ICU. Ann Emerg Med. Utility of electroencephalogram in the pediatric emergency department. Am J Emerg Med.

Emergency Department 52

Emergency Department Critical Care ALS ICU 52

Don't Forget the Bubbles

JUNE 17, 2024

The team sits down for a hot debrief once the patient is stabilised and transferred to the ICU. Introduction: Civility Matters Healthcare environments, particularly emergency departments, are characterised by high levels of Volatility, Uncertainty, Complexity, and Ambiguity ( VUCA ). InHealthcare 2024 Jan 22 (Vol.

E-9-1-1 105

E-9-1-1 Critical Care CPR ICU 105

ACEP Now

MAY 9, 2024

It has been well over a year since the controversial publication of the Agency for Healthcare Research and Quality (AHRQ) report on diagnostic errors in the emergency department (ED). After developing encephalopathy and hypoxemic respiratory failure, the patient was transferred to the ICU. Published 2024 Jan 19.

Emergency Department 52

Emergency Department ICU ALS ACS 52

Dr. Smith's ECG Blog

JANUARY 9, 2024

She presented to the emergency department after a couple of days of chest discomfort. The pacing rate was increased without clinical improvement and the patient was transferred to the ICU for closer monitoring/treatment. She had a single chamber ICD/Pacemaker implanted several years prior due to ventricular tachycardia.

Coronary 120

Coronary ACS ED OR 120

EMDocs

APRIL 22, 2024

4 In an emergency department (ED) presentation of cardiac arrest, the diagnosis of PE is challenging without the use of CT angiography. Point-of-Care-Ultrasound (POCUS) is a bedside modality that can assist Emergency Physicians (EPs) in differentiating PE from other causes of cardiac arrest. 2014 May;145(5):950-957. Marino, P.

ED 98

ED NARCAN ALS OR 98

ALiEM

OCTOBER 30, 2024

Bupe Allergy Buprenorphine induction has been the mainstay of emergency department treatment of opioid use disorder for more than a decade [11, 12]. 2024 study [16]. Emergency department-initiated buprenorphine for opioid dependence with continuation in primary care: outcomes during and after intervention.

E-9-1-1 161

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

ACEP Now

JUNE 14, 2024

And, finally, patients with a history of COPD frequently present to the emergency department with dyspnea. Although dyspnea in this setting likely represents an AECOPD, other emergent differentials must be considered. Accessed May 19, 2024. Ann Emerg Med. Ann Emerg Med. 8 Bronchodilators Albuterol 2.5-5

ALS 52

ALS Coronary OR ED 52

EMDocs

JUNE 27, 2024

2024 Mar 12;14(1):5978. 2024 Jul;71(7):e31002. Epub 2024 Apr 21. 2024 Apr 5. 2024 Feb;71(2):e30781. May substitute levofloxacin if allergic to cephalosporin Anti-viral medications if indicated Oseltamivir for influenza Patients >14 days old Remdesivir for COVID Patients >28 days old and at least 7lbs (3.2

E-9-1-1 97

E-9-1-1 ICU ACS EMS 97

REBEL EM

NOVEMBER 11, 2024

What They Did: Investigators performed a retrospective cohort study in the Emergency Department at the University of Michigan between July 1, 2014 through December 31, 2018. Imbalances Between Treatment Groups : ICU Admissions : Higher in piperacillin-tazobactam (33% vs. 30%). 2024 Jul 1;184(7):769-777. vs. 52.2%).

E-9-1-1 101

E-9-1-1 ICU ALS Critical Care 101

FOAMfrat

NOVEMBER 21, 2024

Today, increased mortality rates, higher transfusion requirements, and lengthened ICU stays are recognized as proximate effects of the Trauma Triad. Hypothermia Hypothermia, defined as core temperature less than 35oC (95oF) has been identified in up to 2/3 of trauma patients upon arrival to the emergency department.

ICU 119

ICU Emergency Department OR Ambulance 119

Broome Docs

NOVEMBER 17, 2024

2024 Aug;201:110266. Epub 2024 Jun 9. PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study. 2024 Jul;8(7):482-490. Epub 2024 Jun 4. 2024 May-Jun;22(3):230-232. Ann Emerg Med.

Epinephrine 61

Epinephrine Emergency Department Critical Care ICU 61

Don't Forget the Bubbles

MARCH 3, 2025

Correlations between ambient air pollution and the prevalence of hospitalisations and emergency room visits for respiratory diseases in children: a systematic review. 2024 Nov 19;109(12):980-987. was significantly linked to an increase in hospital admissions in five studies and emergency department visits in nine.

Emergency Department 88

Emergency Department ED OR ICU 88

REBEL EM

NOVEMBER 25, 2024

Ann Emerg Med. 2024 Feb 83(2):132-144. Included patients from out-of-hospital, emergency department, intensive care unit, and operating-room intubations. Intubation performed in all settings (out-of-hospital, emergency department, ICU, and operating room).

Operating Room 97

Operating Room Emergency Department ICU ALS 97

EMDocs

JANUARY 20, 2025

Since the 2010s multiple trials have explored the feasibility of fluid restrictive resuscitation both on initial resuscitation in the ED, as well as in the intensive care unit (ICU). 2024, 33 use of ultrasound may lead to a reduction in mortality, less volume of fluids given, and decreased hospital stay. Tullo et al. Circ Heart Fail.

ED 75

ED ALS Emergency Department Critical Care 75

EMDocs

JANUARY 16, 2025

2024 Jun 26:S0140-6736(24)00495-1. 2024 Feb 27;331(8):675-686. The post Critical Kids: Phoenix Sepsis Criteria appeared first on emDOCs.net - Emergency Medicine Education. but PPV ranges from 25.1-39.5% years Internal validation cohort: 43,400 patients with mean age 3.7 0.38 (95% CI 0.20-0.39) 0.39) AUROC of 0.71-0.92

ALS 93

ALS ICU Critical Care Emergency Department 93

REBEL EM

DECEMBER 23, 2024

Both these physiologic principles and recent preclinical evidence have called into question whether NS is the best resuscitation fluid for patients experiencing VOE due to concerns its tonicity and tendency to induce acidosis may promote sickling ( Carden 2017a , Carden 2017b , Alwang 2024 ).

ALS 124

ALS ACS ED EMR 124

EMDocs

FEBRUARY 8, 2025

The most appropriate disposition for this patient is admission to an ICU due to increasing oxygen requirements, high mortality rates of IPA, and IDSA recommendation for bronchoscopy with lavage/tissue sampling. A 28-year-old woman who is 32 weeks pregnant is seen in an emergency department in Phoenix for fever and cough.

ED 70

ED E-9-1-1 EMS ICU 70

Don't Forget the Bubbles

FEBRUARY 17, 2025

1] Fred is a 3-year-old boy who presents to the emergency department. Approximately 20% of adults with septic shock in the ICU exhibit venous congestion, with significant implications for prognosis and treatment.[3] Can J Anaesth, 2024. Pediatric Critical Care Medicine, 2024. Indian J Crit Care Med, 2024.

Critical Care 78

Critical Care ALS OR ICU 78

Core EM

JANUARY 16, 2025

NIV was recently shown to be much superior in avoiding hypoxia during intubation, compared to using a NRB (Gibbs 2024). It is true, someone finally did an RTC on ICU level patients and found that first pass success IS better with VL than DL (Prekker 2023), but the fact remains that sometimes VL fails. Ann Emerg Med. DAVID C.

E-9-1-1 130

E-9-1-1 EMS ALS OR 130

EMDocs

JANUARY 6, 2025

84 All patients with severe malaria need inpatient admission, ideally to the intensive care unit (ICU). Accessed October 5, 2024. Accessed October 5, 2024. Bonn International Center for Conversion Accessed October 5, 2024. Accessed October 5, 2024. Accessed October 5, 2024. Accessed October 14, 2024.

ED 74

ED E-9-1-1 ALS Emergency Department 74