Books, ED and Emergency Department

SGEM Xtra: I Wish that I Had Jesse’s Book

The Skeptics' Guide to EM

JUNE 10, 2023

Jesse Pines is the Chief Clinical Innovation at US Acute Care Solutions and a Clinical Professor and George Washington University and Professor of Emergency Medicine at Drexel University. In this role, he focuses on […] The post SGEM Xtra: I Wish that I Had Jesse’s Book first appeared on The Skeptics Guide to Emergency Medicine.

Emergency Department

Emergency Department ED OR

Re-Engineering Flow in an Academic Emergency Department

ACEP Now

NOVEMBER 14, 2023

The emergency department (ED) at UVA was rebuilt in 2019 and the department had not fully optimized its operations when COVID-19 hit. Following the pandemic, the ED saw a surge in its volume as it raced through 60,000 to 80,000 visits per year.

Emergency Department

Emergency Department Operating Room ED OR

Post-Intubation Sedation and Analgesia

Core EM

JANUARY 25, 2024

Background: The immediate post intubation period in the ED is a critical time for continued patient stabilization. The reality of ever increasing ED volumes and longer boarding times to the ICU makes it imperative for emergency physicians to learn how to manage these critical patients. mg/kg over several minutes 0.02 – 0.1

Emergency Department

Emergency Department ICU Critical Care ALS

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

The Skeptics' Guide to EM

JULY 27, 2019

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. It’s a great book to put on your reading list.

Emergency Department

Emergency Department ED ALS

November 2023 News from the College

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.

Emergency Department

Emergency Department EMS ED OR

Spooky Scary Sequela: Clinical Factors Impacting Trauma Outcomes

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.

ICU

ICU Emergency Department OR Ambulance

Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

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.

ED

ED Operating Room ALS Frozen Plasma

SGEM#224: Battlefield Acupuncture – Don’t Do Me Like That

The Skeptics' Guide to EM

JUNE 29, 2018

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. Battlefield acupuncture to treat low back pain in the emergency department. million visits per year in the US [1]. Al Sacchetti.

Emergency Department

Emergency Department ALS ED EMS

SGEM#227: A Message to you Rudy – About Rudeness

The Skeptics' Guide to EM

SEPTEMBER 1, 2018

Case: You are working in the emergency department (ED) and have just been involved in a difficult case in the resuscitation room. During the resuscitation, a relative of the patient you have been treating named Rudy makes a derogatory/rude comment about Emergency Medicine (EM) staff.

ALS

ALS Emergency Department OR EMS

SGEM#322: TXA for SAH – Won’t Stop Me Now

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.

ALS

ALS Emergency Department ED OR

PEM POCUS Series: Pediatric Lung Ultrasound

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. Distractions such as a toy, book, or phone/tablet can also help ease anxiety. ED Course The patient received antibiotics for pneumonia.

E-9-1-1

E-9-1-1 Emergency Department ALS OR

Reference ranges of paediatric heart rate and respiratory rate

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.

Life Support

Life Support Advanced Life Support ALS Emergency Department

Emergency Medicine Deserves to “Re-Brand” Itself as a Cost Saver

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.

ALS

ALS Emergency Department STEMI ED

ACEP’s Annual Conference Has Been Re-Imagined

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

Emergency Department

Emergency Department ED OR EMS

ROCURONIUM: The "ROC" Block

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]

E-9-1-1

E-9-1-1 Emergency Department OR ALS

POCUS findings of hemodynamically unstable PE with cardiac arrest

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.

ED

ED NARCAN ALS OR

Chest pain, a ‘normal’ ECG, a 'normal trop', and low HEART and EDACS scores: Discharge home? Stress test? Many errors here.

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.

E-9-1-1

E-9-1-1 STEMI ALS ED

The Reality of Ramping for Student Paramedics

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.

Paramedic

Paramedic Paramedicine Paramedicine Ambulance

The Private Equity Wave in Health Care

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.

E-9-1-1

E-9-1-1 ALS OR Emergency Department

ToxCard: Smallpox

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.

OR

OR Emergency Department ED EMS

Tranq dope (fentanyl-xylazine combination): A new horizon in opioid withdrawal treatment

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.

E-9-1-1

E-9-1-1 Naloxone Emergency Department ALS

SGEM#337: Amazing GRACE-1 How Sweet the Guidelines – Recurrent, Low Risk Chest Pain in the Emergency Department

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.

Emergency Department

Emergency Department ACPE EMS ALS

SGEM#285: And I See Your True Colours Calming You – From your Anxiety

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.

Emergency Department

Emergency Department ALS ED OR

Paramedicine Now

SGEM Xtra: I Wish that I Had Jesse’s Book

Re-Engineering Flow in an Academic Emergency Department

Trending Sources

Post-Intubation Sedation and Analgesia

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

November 2023 News from the College

Spooky Scary Sequela: Clinical Factors Impacting Trauma Outcomes

Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

SGEM#224: Battlefield Acupuncture – Don’t Do Me Like That

SGEM#227: A Message to you Rudy – About Rudeness

SGEM#322: TXA for SAH – Won’t Stop Me Now

PEM POCUS Series: Pediatric Lung Ultrasound

Reference ranges of paediatric heart rate and respiratory rate

Emergency Medicine Deserves to “Re-Brand” Itself as a Cost Saver

ACEP’s Annual Conference Has Been Re-Imagined

ROCURONIUM: The "ROC" Block

POCUS findings of hemodynamically unstable PE with cardiac arrest

Chest pain, a ‘normal’ ECG, a 'normal trop', and low HEART and EDACS scores: Discharge home? Stress test? Many errors here.

The Reality of Ramping for Student Paramedics

The Private Equity Wave in Health Care

ToxCard: Smallpox

Tranq dope (fentanyl-xylazine combination): A new horizon in opioid withdrawal treatment

SGEM#337: Amazing GRACE-1 How Sweet the Guidelines – Recurrent, Low Risk Chest Pain in the Emergency Department

SGEM#285: And I See Your True Colours Calming You – From your Anxiety

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