EMDocs

AUGUST 22, 2024

1 However, we recognize that many patients prefer to speak a language other than English regardless of their English proficiency, and this does not indicate a deficiency. 9 Less likely to be satisfied with their care and have a lower understanding of their discharge instructions. 11 Unlikely to receive language assistance.

Emergency Department 82

Emergency Department ALS E-9-1-1 ED 82

Don't Forget the Bubbles

MAY 6, 2024

Article 1: Positive urine cultures without pyuria Wang ME, Jones VG, Kane M, et al. Clinical Course of Children 1 to 24 Months Old With Positive Urine Cultures Without Pyuria. 2024;24(1):111-118. of patients with follow-up documentation, 70.8% (95% CI 62.9–77.9) Giannoni, E., Acad Pediatr. doi:10.1016/j.acap.2023.06.023

E-9-1-1 75

E-9-1-1 Emergency Department OR ALS 75

Don't Forget the Bubbles

JULY 5, 2023

Figure 1: Clinical manifestations and long-term consequences of sickle cell disease Training and education on sickle cell disease: Training and education are crucial to improve morbidity and mortality. Investigations : Bloods show Hb of 8 g/L, White cell count 13x 10 9 /L, Platelets 570 x10 9 /L, CRP 35mg/L.

E-9-1-1 126

E-9-1-1 ACS OR ICU 126

REBEL EM

OCTOBER 5, 2023

1-6 We now have the Community-Acquired Pneumonia: Evaluation of Corticosteroids (CAPE COD) Trial. Patients admitted to the ICU with severe community-acquired pneumonia were randomized in a 1:1 ratio to receive hydrocortisone or a placebo. However, except for one trial, none showed a between-group difference regarding mortality.

Critical Care 94

Critical Care ICU E-9-1-1 ALS 94

EMDocs

NOVEMBER 6, 2024

He denies any past medical history other than polysubstance abuse and depression. What are important clinical features differentiating strychnine and tetanus toxicity to aid with diagnosis? How does the clinical management of strychnine and tetanus differ? Site of action of strychnine and tetanus. Neurotransmitter. 2015;2:10-14800/nt.

E-9-1-1 79

E-9-1-1 ALS EMS OR 79

ACEP Now

FEBRUARY 11, 2024

1,2 In the emergency department (ED), the focus of treatment is pain control and immobilization unless there is a clear indication for surgery, such as open fractures, skin tenting, or neurovascular compromise. The ultrasound-guided clavipectoral plane block (CPB) is a newly described technique in the emergency medicine literature.

E-9-1-1 52

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

Don't Forget the Bubbles

DECEMBER 16, 2024

Coverage of the 6-in-1 vaccine measured at 12 months of age in England for Q4 2023 to 2024 Source: ONS under the Open Government License v3.0 Young infants and immunosuppressed individuals are particularly at risk of severe disease, resulting in significant morbidity and associated mortality rates of 1-3 per 1,000 cases.

E-9-1-1 59

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

Dr. Smith's ECG Blog

NOVEMBER 28, 2022

Written by Destiny Folk MD, with edits by Meyers, peer reviewed by Smith and Grauer A woman in her late 20s with a past medical history of cervical cancer status post chemotherapy and radiation therapy presented to the emergency department for shortness of breath, chest tightness, and two episodes of syncope. 2013 Sep;26(9):965-1012.e15.

E-9-1-1 40

E-9-1-1 OR ED Emergency Department 40

EMDocs

FEBRUARY 12, 2024

Introduction Arterial blood gas (ABG) or venous blood gas (VBG) testing is used to assess the pH and systemic carbon dioxide tension in patients, and, therefore, provide a more complete picture of their acid-base status than an isolated basic metabolic panel (BMP) (1). However, ABGs have many drawbacks compared to VBGs.

Emergency Department 94

Emergency Department E-9-1-1 ED ICU 94

ACEP Now

OCTOBER 9, 2023

However, actual increases in available services in emergency departments based on prior state-level requirements have been mixed. Physicians should document the interpreter’s name and identification number if available in the patient’s chart. 2022;105(1):62-73. Regenstein M, Anders E, Wynia MK. Annals of EM.

Emergency Department 64

Emergency Department E-9-1-1 ALS OR 64

EMDocs

NOVEMBER 16, 2024

1-3 Despite its commonality it retains a relatively high rate of complications overall and patients frequently present to the ED for evaluation. 9=11 70% monomicrobial, 25% poly-microbial, 5% culture-negative. 9=11 70% monomicrobial, 25% poly-microbial, 5% culture-negative. 8 Perform and document distal neurovascular exam.

EMS 77

EMS E-9-1-1 Operating Room Emergency Department 77

AAEM RSA

DECEMBER 3, 2020

Introduction: While cases of genital gangrene were documented as early as 980 CE, the condition we know today as FG was coined in the 1880’s by French venerologist, Jean Alfred Fournier. 2018;48(9):1157-1160. MD Diagnosis: Fournier's Gangrene, Emergency Medicine News: May 2005 - Volume 27 - Issue 5 - p 36. 2020;26(1):8-17.

Emergency Department 52

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

EMDocs

JULY 3, 2023

Louis); Alex Koyfman, MD (@EMHighAK); Marina Boushra, MD (EM-CCM Attending, Cleveland Clinic Foundation) Case A 62-year-old male with past medical history of hypertension (HTN), hyperlipidemia (HLD), and prior cerebrovascular accident (CVA) presents to the emergency department (ED) via ambulance. 2022 Jan;39(1-2):35-48.

ED 86

ED E-9-1-1 ALS OR 86

Don't Forget the Bubbles

AUGUST 10, 2023

Descriptive Terms When describing injuries of the hand for documentation or referral purposes it is important to know the terminology that is widely in use in order to convey an accurate description to others. We will focus on the most important structures when assessing paediatric hands in the emergency department.

E-9-1-1 52

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

Dr. Smith's ECG Blog

APRIL 8, 2015

Cardiac Syncope ("True Syncope") Independent Predictors of Adverse Outcomes condensed from multiple studies 1. Palpitations preceding syncope (highest value on EGSYS score) 9. Thus, if there is documented sinus bradycardia, and no suspicion of high grade AV block, at the time of the syncope, this is very useful.

Emergency Department 52

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

Don't Forget the Bubbles

NOVEMBER 5, 2023

Xylitol for the prevention of acute otitis media episodes in children aged 1-5 years: a randomised controlled trial. Parental physical disease severity and severe documented physical child abuse: a prospective cohort study. 2023 Oct 9. 2023 Oct 9. Soydan E, et al. Harstad E, et al. 2023 Oct 1.

E-9-1-1 105

E-9-1-1 ALS Emergency Department OR 105

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. Comorbidity Index : Higher in the cefepime group (median 2 vs. 1). 9 Instrumental Variable Analysis? vs. 52.2%). vs. 15.3%). vs. 22.3%).

E-9-1-1 84

E-9-1-1 ALS ICU Critical Care 84

ACEP Now

OCTOBER 29, 2024

EMS found the patient pulseless and apneic, with an initial rhythm showing ventricular fibrillation (see figure 1). Figure 1: The EMS rhythm strip. Type 1 is diagnostic and characterized by J point and ST elevation > 2 mV with coved ST- elevation in at least two precordial leads, followed by negative T wave.

E-9-1-1 52

E-9-1-1 Defibrillator ALS Epinephrine 52