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Putting Clinical Gestalt to Work in the Emergency Department

ACEP Now

On a busy day shift in the emergency department, our seasoned triage nurse comes to me after I finish caring for a hallway patient, “Hey, can you come see this guy in the triage room? This is the essence of emergency medicine. After some fentanyl, applying traction, and “opening the book,” he improved. Ann Emerg Med.

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Your Employer Should be an Open Book

ACEP Now

Even figuring out which medical practice staffs a particular emergency department is challenging. As job boards post only about one-fifth of emergency department jobs at any given time, the emergency-physician application process often still relies heavily on word of mouth. Gettel CJ, Courtney DM, Janke AT, et al.

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Post-Intubation Sedation and Analgesia

Core EM

Given the lack of outcome difference, the longer time to onset of peak effect, frequently inadequate level of sedation, and the risk of hypotension and bradycardia, propofol may be a more practical choice of sedative in the emergency department when clinically appropriate. mg/kg over several minutes 0.02 – 0.1 mg/kg 0.01 – 0.1

ICU 246
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SGEM#263: Please Stop, Prescribing – Antibiotics for Viral Acute Respiratory Infections

The Skeptics' Guide to EM

Date: July 22nd, 2019 Reference: Yadav et al. A Multifaceted Intervention Improves Prescribing for Acute Respiratory Infection for Adults and Children in Emergency Department and Urgent Care Settings. AEM July 2019 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and clinical lecturer in Calgary.

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Fake it 'Til You Make It… and other diseases you pretend to know

FOAMfrat

While transporting to the emergency department, 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 emergency department, the patient was conscious and alert to her normal mental status, which included being nonverbal.

E-9-1-1 97
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PEM POCUS Series: Pediatric Lung Ultrasound

ALiEM

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. Distractions such as a toy, book, or phone/tablet can also help ease anxiety. Study N Sensitivity Specificity Comments Pereda et al., Balk et al.,

E-9-1-1 246
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SGEM#224: Battlefield Acupuncture – Don’t Do Me Like That

The Skeptics' Guide to EM

[display_podcast] Date: June 20th, 2018 Reference: Fox LM et al. Battlefield acupuncture to treat low back pain in the emergency department. Am J EM 2018 Guest Skeptics: Dr. Robert Edmonds is an emergency physician in the US Air Force in Virginia. display_podcast] Date: June 20th, 2018 Reference: Fox LM et al.