ACEP Now

JANUARY 4, 2025

Clarke had begun an emergency medicine residency at what was then known as LA CountyUSC Hospital, Los Angeles. I was about two months into a family practice internship when I went to visit my uncle whose neighbor happened to be an ED resident, Dr. Clarke said. ED resident Dr. Steve Hui doing a pericardiocentesis on a trauma patient.

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ED Emergency Department Ambulance CPR 52

ACEP Now

DECEMBER 6, 2024

His health care focus included hospital efficiency, physician and patient satisfaction, and emergency department (ED) wait times, as well as a host of nonhealth issues. Today, Dr. Morhaim is donating his time to a recently established Maryland commission focused on ED wait times. He got to be known as Dr. Dan.

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Emergency Department ED Ambulance OR 98

ACEP Now

NOVEMBER 7, 2023

ACEP President Speaks at Summit In October, ACEP President Dr. Aisha Terry spoke at the Summit on Emergency Department Sickle Cell Care, and discussed point of care tools, standardization of care processes, improving ED care and more. Learn more at openbook.acep.org.

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Emergency Department EMS ED OR 98

The Skeptics' Guide to EM

MARCH 13, 2021

Lancet 2021 Case: You’re working a busy evening shift in your community emergency department (ED) when a 58 year old female presents with a rapid onset terrible intensity headache. She has no significant headache history and you are concerned for subarachnoid hemorrhage so you order a head CT which confirms your suspicions.

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ALS Emergency Department ED OR 100

Don't Forget the Bubbles

AUGUST 7, 2023

Clinicians may under or over-estimate paediatric patients presenting to the ED as being at high-risk for sepsis if there do not have evidence-based heart and respiratory rate ranges, Brennan et al set out to add to our understanding of what is ‘normal ’ in paediatric vital signs. Acad Emerg Med. and one in the US by Bonafide et al.

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Life Support Advanced Life Support ALS Emergency Department 98

ACEP Now

SEPTEMBER 3, 2024

Still, this wave of private equity acquisitions in emergency medicine has come crashing down on the heads of many early-career physicians. As of 2022, 1 in 4 emergency departments in the United States were staffed by a private equity-owned physician group. 2023 State of the Emergency Medicine Employer Market.

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E-9-1-1 ALS Emergency Department OR 113

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. EKG RV strain. PMID: 24092475.

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ED NARCAN ALS OR 98

ACEP Now

JULY 6, 2023

Emergency physicians have earned the right to “re-brand” ourselves as indispensable, money-saving change agents in the health care enterprise. Of course, the bill for any episode of emergency department (ED) care can be substantial, exceeding the billed charges for equivalent care provided in some primary care offices.

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ALS Emergency Department STEMI ED 52

ACEP Now

AUGUST 12, 2024

ACEP also requires all exhibiting employers to have completed a profile in the ACEP Open Book encouraging greater transparency of group structure and policies. Topics include: Embracing Diversity in Medicine Working as a Female in the ED Brewing Success in the Transition from Resident to Attending What‘s Next? 28: 8 a.m.–5:30

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Emergency Department ED OR EMS 52

Dr. Smith's ECG Blog

NOVEMBER 15, 2013

This was a male in his 50's with a history of hypertension and possible diabetes mellitus who presented to the emergency department with a history of squeezing chest pain, lasting 5 minutes at a time, with several episodes over the past couple of months. Here is the first ED ECG, with no pain: Sinus rhythm.

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Coronary STEMI ALS Emergency Department 52

Dr. Smith's ECG Blog

APRIL 22, 2022

A prospective validation of the HEART score for chest pain patients at the emergency department. External validation of the emergency department assessment of chest pain score accelerated diagnostic pathway (EDACS-ADP). Am J Emerg Med 2020 3. It was obtained ~2 months prior to this patient's presentation in the ED.

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E-9-1-1 STEMI ALS ED 52

Don't Forget the Bubbles

DECEMBER 16, 2024

This leads to delay or misdiagnosis in the ED, which may lead to missed measles cases. Clear history taking In the Emergency Department, healthcare professionals should prioritise thorough history-taking when assessing potential suspected cases. Guerra FM, Bolotin S, Lim G, Heffernan J, Deeks SL, Li Y, Crowcroft NS.

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E-9-1-1 OR ALS Emergency Department 59

The Good, The Bad & The Ugly Paramedic

SEPTEMBER 30, 2021

The potential adverse patient effects of ambulance ramping, a relatively new problem at the interface between prehospital and ED care. Journal of Emergencies, Trauma and Shock, 1 (2) 129-129. Equitable Emergency Access: Rhetoric or reality? Emergency Medicine Australasia, 17 (4) 392-396. 2019/20 Annual Summary.

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Paramedic Paramedicine Paramedicine Ambulance 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] mg/kg of Succinylcholine during RSI in an ED setting." [1]

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

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]. Our experience: Traditionally, ED physicians do not like ordering urine drug screens (UDS). Some patients require re-dosing in the ED. 2023 [book]. Xylazine toxicity.

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

The Skeptics' Guide to EM

JULY 10, 2021

He is […] The post SGEM#337: Amazing GRACE-1 How Sweet the Guidelines – Recurrent, Low Risk Chest Pain in the Emergency Department first appeared on The Skeptics Guide to Emergency Medicine. Date: July 1st, 2021 Guest Skeptic #1: Dr. Chris Carpenter is Professor of Emergency Medicine at Washington University in St.

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Emergency Department ACPE EMS ALS 100

The Skeptics' Guide to EM

FEBRUARY 29, 2020

Randomised control trial of adult therapeutic colouring for the management of significant anxiety in the Emergency Department. AEM February 2020 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Reference: Rajendran et al.

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Emergency Department ALS ED OR 100

EMDocs

JUNE 3, 2023

The nuances of fracture patterns and delineating mechanically unstable pelvic fractures from stable ones is less important to the ED. Figure 2: Open book pelvic fracture. This is less critical in ED management of the unstable pelvic fracture, as the optimal site for identification of rectal or vaginal tears is the operating room.

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ED Operating Room ALS Frozen Plasma 63

ALiEM

DECEMBER 20, 2024

On the day of presentation, he woke up with a new rash over his face and hands which prompted the ED visit. In: Kimberlin DW, Brady MT, Jackson MA, Long SS, eds. Red Book: 2015 Report of the Committee on Infectious Diseases. Eczema herpeticum: making the diagnosis in the emergency department. J Emerg Med.

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Emergency Department ED OR 161

FOAMfrat

NOVEMBER 21, 2024

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. Coagulopathy is identified through lab work in the emergency department and is correlated in current literature with significantly worse patient outcomes.

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ICU Emergency Department OR Ambulance 119

EMDocs

JULY 26, 2023

Goldfrank’s Toxicologic Emergencies, 11e. Bombay: Kothari Book Depot; 1972. Mother states that the rash started as flat spots but then became raised bumps. J Infect Dis. 2021;224(12 Suppl 2):S379-S386. doi:10.1093/infdis/jiaa588 Suchard JR. Biological Weapons. In: Nelson LS, Howland M, Lewin NA, Smith SW, Goldfrank LR, Hoffman RS.

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OR Emergency Department ED EMS 93

Core EM

MARCH 5, 2025

The Pan American Health Organization also recommends screening anyone who was born in or lived longer than 6 months in a country with endemic Chagas as well as travelers with confirmed exposure to triatomines CD in the ED Most patients presenting with Chagas will be unaware of their infection status. EDs in the U.S. de Oliveira, E.C.

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Defibrillator Blood Donation OR Emergency Department 130

EMDocs

JANUARY 6, 2025

ED Evaluation Transport to the ED from the refugee reception center takes 1 hour. Labs Laboratory workup in the ED is notable for a leukocytosis of 41,000/L, hemoglobin of 6.5 She is sent to the medical ward after three days in the ED with the diagnoses of resolving septic shock, severe malaria, and AKI.

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