ACEP Now

OCTOBER 3, 2023

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. P201200 (letter). ACEP website.

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Emergency Department EMS ALS 52

The Skeptics' Guide to EM

MAY 5, 2018

As the senior doctor in the emergency department you wonder, how can you keep their spirits up and maintain the momentum – we need to maximize perseverance and limit distraction from the tedium. Background: Working in the emergency department is very tough. There are comic book super heroes that are physicians.

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Emergency Department ALS OR 130

The Skeptics' Guide to EM

JUNE 2, 2018

[display_podcast] Date: May 26th, 2018 This is a SGEM Xtra book review. I had the honour of meeting and interviewing Dr. Brian Goldman at the Canadian Association of Emergency Physician (CAEP) annual scientific assembly in Calgary. Dr. Goldman is an Emergency Medicine physician who works at Mount Sinai hospital in Toronto.

Emergency Department 100

Emergency Department OR 100

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.

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ALS Emergency Department OR EMS 130

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. His fever was 103°F this morning and he received ibuprofen.

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E-9-1-1 Emergency Department ALS OR 246

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. These real-time strategies being employed at UVA Health are cutting-edge operations and not yet embedded into many emergency department operations.

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Emergency Department Operating Room ED OR 52

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].

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Emergency Department ALS ED EMS 100

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

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. The Internet Book of Critical Care. Acute and emergency care for thyrotoxicosis and thyroid storm. Mol Endocrinol.

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Emergency Department ICU Critical Care Ambulance 130

FOAMfrat

MAY 19, 2024

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.

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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. Dr. Morhaim has been assigned to a state commission to address emergency department wait times. Click to enlarge.)

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Emergency Department ED Ambulance OR 98

ACEP Now

JANUARY 4, 2025

The photos that Dr. Clarke took from 19781980 provide a glimpse into working in an emergency department in the years the specialty was being established. for a few years working as an emergency physician. Dr. Clarke was then hired as assistant director in the emergency department (ED) at Pomona Valley Hospital, Pomona, Calif.

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ED Emergency Department Ambulance CPR 52

EMDocs

AUGUST 8, 2023

Manual detorsion is classically described as “opening the book”. Some studies suggest the average degree of torsion is 720 degrees, so you may need to “open the book” a couple times. If no improvement or worsening pain, rotate in the opposite direction as if you are “closing the book”. Analgesia, not sedation, is necessary.

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ALS OR Emergency Department 96

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. Ultra-early tranexamic acid after subarachnoid haemorrhage (ULTRA): a randomised controlled trial.

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ALS ED Emergency Department OR 100

ACEP Now

AUGUST 12, 2024

Several books have been written on this topic with great names like Ornitherapy , Zen Birds , and Keep Looking Up. 6-8 Hopefully you are following my reasoning that since emergency physicians can benefit from mindfulness practices, and birding is one form of mindfulness, that therefore emergency physicians can benefit from birding.

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Emergency Department OR 116

Don't Forget the Bubbles

AUGUST 7, 2023

This prospective cohort study included patients between 0-16 years old, who presented to one of four NHS hospital sites in Greater Manchester (a large metropolitan area in the North of England), consisting of an Urgent Care Centre and three Emergency Departments. Acad Emerg Med. Pediatrics. 2013 Apr 1;131(4):e1150–7.

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Life Support Advanced Life Support ALS Emergency Department 98

REBEL EM

MARCH 13, 2024

Annie Duke, a former World Series of Poker champion, details s ome of the psychology of decision making in the high-risk gambling in her book, Thinking in Bets. In poker, important decisions must be made quickly in the midst of extreme uncertainty and repeated in rapid succession with each new hand.

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NARCAN Overdose Emergency Department EMS 58

ACEP Now

FEBRUARY 11, 2024

And while the team-physician role allows him to stay connected to his collegiate athletic memories, it’s the life in the theater where he finds “huge parallels” to working in the emergency department. “It It may surprise some, but all emergency physicians have some actor in them,” he explained. “No

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Emergency Department OR 52

ACEP Now

JUNE 14, 2024

Nick Vasquez, MD, FACEP, gets to see the impact of social determinants of health every day in the emergency department. When that happens, he remembers a book he read that talks about the difference between problems and dilemmas, Stop Physician Burnout. Like most in our specialty, he wants to help solve problems.

Emergency Department 52

Emergency Department OR 52

AAEM RSA

NOVEMBER 15, 2020

Image credit: Pexels Author: Mary Haas, MD Originally published: Common Sense November/December 2016 You are managing a busy emergency department, when you hear via the overhead paging system that a new patient has arrived in your resuscitation bay.

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Emergency Department Ambulance 52

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. Emergency Ultrasound Management Course: (Sept. GEDA: The Dementia Friendly Emergency Department: From Vision to Reality (Sept. 28: 8 a.m.–5:30 28: 8 a.m.–5

Emergency Department 52

Emergency Department ED OR EMS 52

The Good, The Bad & The Ugly Paramedic

SEPTEMBER 30, 2021

The lived experiences of patients and ambulance ramping in a regional Australian emergency department: An interpretive phenomenology study. Australasian Emergency Nursing Journal, 18 (4) 182-189. Article first published in Australian Emergency Services Magazine Vol 21. DOI: 10.1111/j.1742-6723.2005.00763.x x Kingswell, C.,

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Paramedic Paramedicine Paramedicine Ambulance 52

REBEL EM

SEPTEMBER 29, 2022

Background: Standard emergency department management of acute pancreatitis has focused on aggressive hydration, analgesia and investigation for an underlying reversible cause (eg gallstones). Recent evidence has challenged the routine use of aggressive hydration as unnecessary. cc/kg/hour.

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ICU ALS Critical Care OR 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. Also see this incredible case of the use of 12-lead ST Segment monitoring.

Coronary 52

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. Backus BE, Six AJ, Kelder JC, et al. Int J Cardiol 2013 2.

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E-9-1-1 STEMI ALS ED 52

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.

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Emergency Department ED OR 183

Core EM

JANUARY 25, 2024

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

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ICU Emergency Department Critical Care ALS 246

ALiEM

MAY 29, 2023

Read the series Buy the print book! Published Dec 9, 2020 Author information Mohamed Elhadi Abdelhameed, MD Emergency Medicine Physician Emergency Department Ibrahim Malik Teaching Hospital | The post Trick of Trade: Dual Foley catheter to control massive epistaxis appeared first on ALiEM. Reference Goralnick E.

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E-9-1-1 Epinephrine Emergency Department 246

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

ACEP Now

AUGUST 15, 2023

11,12 As James Clear describes in his book, “Atomic Habits,” by linking a new behavior (mindful breathing) to an existing habit (hand washing) you use less cognitive energy and are more likely to successfully adopt this practice. Dr. Koo is an emergency physician and attending at MedStar Washington Hospital Center in Washington, and St.

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ALS Emergency Department OR CPR 90

The Good, The Bad & The Ugly Paramedic

DECEMBER 31, 2020

Each advises him to go to the emergency department because he's feeling worse as time passes and has begun to vomit. While standing in the queue to be booked in and triaged, they figure out how the system works and see the different processes in play.

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First Responder First Response Prehospital Care Provider Ambulance 52

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. Stinson is concerned about the potential to exacerbate disparities.

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

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 The Walls manual of emergency airway management. Ann Emerg Med. Erratum in: Ann Emerg Med. Ann Emerg Med.

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

ACEP Now

JANUARY 13, 2024

In the 1990s, Dr. Damon Tweedy recounted in his book, “A Black Man in a White Coat,” several racist experiences he had during medical training. Dr. Kendall is the chief of clinician engagement at US Acute Care Solutions and has 15 years of emergency department leadership experience. New York: Penguin Books; 2022.

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

FEMinEM

NOVEMBER 24, 2020

She subsequently created a PFAC for the emergency department and helped identify and implement policy changes that not only relieved patient anxiety but also led to a more robust intake and care experience that involves family members and subsequently more effective treatment.

Emergency Department 52

Emergency Department 52

Don't Forget the Bubbles

DECEMBER 16, 2024

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. The basic reproduction number (R0) of measles: a systematic review. Lancet Infect Dis.

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