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Their hospital has struggled with a growing number of adverse events that often occur without warning. With emergencydepartment (ED) volumes rising, administrators are eager to explore AI-driven solutions to improve patient safety and reduce staff burnout. Reference: Verma et al.
You are the Paediatric doctor on call and receive a call for an incoming patient to the emergencydepartment. Tragically, several attempts at resuscitation upon arrival at the emergencydepartment were unsuccessful. Intubated, awake, and paralysed: a never event. His name is Ben. Ben was awake but paralysed.
Prospective Validation of Clinical Criteria to Identify EmergencyDepartment Patients at High Risk for Adverse Drug Events. Guest Skeptic: Dr. Chris Bond is an emergency physician and clinical lecturer at the University of Calgary. [display_podcast] Date: August 16th, 2018 Reference: Hohl C et al. AEM Aug 2018.
A total of eleven intensive care units (ten PICUs and one non-maternity NICU) and four emergencydepartments (EDs) took part in the study. Given the emergency setting, the trial used a research without prior consent model, with delayed consent-to-continue obtained from the childs legal guardian as soon as practical.
Bupe Allergy Buprenorphine induction has been the mainstay of emergencydepartment treatment of opioid use disorder for more than a decade [11, 12]. That discussion can be deferred until the patient is stable, the risk of such an event is mitigated, and other medications can be given for their withdrawal symptoms and pain.
The emergencydepartment (ED) evaluation reveals an unremarkable chemistry panel with normal renal function and a white blood cell count of 10,000. Background: We have discussed agitation in the ED on the SGEM several times. Conflict in emergency medicine: A systematic review. Reference: Tjan et al.
This time we have our first group of colleagues from Birmingham Children’s Hospital EmergencyDepartment. BCH ED is a busy paediatric major trauma centre tertiary ED in the West Midlands and the workplace of Vicki Currie, BW lead and editor. Discharge home from ED was the primary. Am J Hematol.
Intimate partner violence (IPV) in the EmergencyDepartment (ED). 2022 Nov Guest Skeptics: Dr. Nour Khatib is an emergency physician in Toronto working in community sites Markham Stouffville Hospital and Lakeridge health. Intimate partner violence (IPV) in the EmergencyDepartment (ED).
Yoo, MD (Assistant Professor/Core Faculty, San Antonio, TX) // Reviewed by Brit Long, MD (@long_brit) Case An 18-year-old man with a history of asthma and medication noncompliance presents to the emergencydepartment (ED) with acute onset shortness of breath. He states that he recently moved to Texas from Colorado.
You’re in the paediatric emergencydepartment, typing some notes for the child you’ve just discharged. There were 15 doctors and nurses from three paediatric EDs. Hot debriefs It’s clear that hot debriefs are valued by experienced ED staff and help reduce emotional toil. And then head back to the paeds ED.
Today’s video evaluates inhaled corticosteroids (ICS) for asthma in the ED setting. EBM Updates: Inhaled Corticosteroids for Asthma in the ED Background : Asthma is a common ED issue, with patient presentations ranging from needing a medication refill to severe exacerbation in respiratory failure.
In many emergencydepartments (ED), US machines are readily available and can be used to rapidly assess and monitor patients with acute dyspnea at the bedside. What They Did: Design: Randomized, controlled, blinded-outcome trial Sites: Three emergencydepartments in Denmark Duration: October 9, 2019 to May 26, 2021.
Take-Pause: Efficacy of mindfulness-based virtual reality as an intervention in the pediatric emergencydepartment. AEM March 2022 Guest Skeptic: Dr. Lauren Westafer is an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. Reference: Butt et al.
Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. He is also one of the world’s leading researchers on pain management in the emergencydepartment, specifically the use of ketamine. of all ED visits resulting in 2.6
A 32-year-old male with no significant past medical history presented to the emergencydepartment (ED) from an outside hospital for further management of right eye pain and vision loss sustained after he was struck by a metal wire while at work.
A Multifaceted Intervention Improves Prescribing for Acute Respiratory Infection for Adults and Children in EmergencyDepartment and Urgent Care Settings. AEM July 2019 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and clinical lecturer in Calgary. Date: July 22nd, 2019 Reference: Yadav et al.
In this issue, we collaborated with the CJEM team to present “Hypotension and respiratory events related to electrical cardioversion for atrial fibrillation or atrial flutter in the emergencydepartment” in a visual abstract format1.
Effectiveness of intravenous lidocaine versus intravenous morphine for patients with renal colic in the emergencydepartment. Urology 2012 Guest Skeptics: Dr. Tony Seupaul is the Chairman of the Department of Emergency Medicine at the University of Arkansas. Of course we were skeptical and wanted to review the evidence.
The trade off to using FI for these challenging airways is the consideration of an aspiration event, the initial indication for RSI. However, RSI has never been shown to reduce the risk of aspiration in the ED (13) or during emergent OR cases (14). To date, ketamine has been the agent of choice (12).
Date: March 20th, 2019 Guest Skeptic: Dr.Katie Walker is an emergency physician in Melbourne, Australia. Case: The emergencydepartment is backing up. Your medical team is great, but you […] The post SGEM#250: Scribes – I Want to Break Free (from the EMR) first appeared on The Skeptics Guide to Emergency Medicine.
Is it a good idea to keep geriatric patients in the ED overnight? Are you being irradiated by the portable Xray machines in your ED? Overnight Stay in the EmergencyDepartment and Mortality in Older Patients. Metronidazole-associated Neurologic Events: A Nested Case-control Study. J Emerg Med. J Emerg Med.
He is a GP by training but works in EmergencyDepartment, Anaesthesia, Internal Medicine and Paediatrics. He has a wonderful #FOAMed blog and podcast called Broomedocs and also work […] The post SGEM#326: The SALSA Study: Hypertonic Saline to Treat Hyponatremia first appeared on The Skeptics Guide to Emergency Medicine.
A 42-year old Bengali man with a history of hyperlipidemia presented to the EmergencyDepartment with facial swelling, diffuse rash, renal insufficiency and proteinuria after receiving his COVID-19 vaccine (Moderna) booster dose. He was advised to go to the EmergencyDepartment. 2020 Feb 11;38(7):1746-1752. 2019.12.028.
However, ketamine may be associated with adverse clinical events including a higher intubation rate. The primary endpoint was incidence of endotracheal intubation occurring during transportation and within one hour after arrival to the emergencydepartment (ED).
Case: A 34-year-old male presents to the emergencydepartment with burning epigastric pain after eating two hours ago. Background: Patients presenting to emergencydepartments (EDs) with epigastric pain are typically treated with an antacid, either alone or combined with other medications. AEM Sept 2020.
Annie: I developed an interest in EM while working as a scribe in the ED during college. In addition to what Charlotte and Nick said, I can envision myself staying calm in the stressful situations that come up in the ED. How does your medical school support interest in emergency medicine careers?
Annie: I developed an interest in EM while working as a scribe in the ED during college. In addition to what Charlotte and Nick said, I can envision myself staying calm in the stressful situations that come up in the ED. How does your medical school support interest in emergency medicine careers?
Background: Patients present commonly to their primary care providers (PCPs) and to the emergencydepartment (ED) with complaints of a sore throat. million visits annually to PCPs and EDs for sore throat. The ibuprofen did not help and he is requesting antibiotics so he can get back to work sooner.
Major adverse cardiac event rates in moderate-risk patients: Does prior coronary disease matter? Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia.
Physicians, nurses, and staff in emergencydepartments (EDs) across the country have encountered workplace violence for years. While staff exposure to this violence varies, literature shows nurses are most frequently exposed, with up to 90 percent having experienced workplace violence in their ED careers.
As hospital boarding, increased emergencydepartment (ED) volumes, and complexity of patients have increased, so have wait times. Some physicians now coin themselves waiting room medicine specialists as departments schedule a physician in triage or attempt to evaluate patients in whatever spaces might be available.
The parents of 9-month-old Josie bring her into the EmergencyDepartment with coryzal symptoms and difficulty breathing. A secondary analysis of a nationwide study of EmergencyDepartment attendance in America from 2006 to 2008 found that CXRs increase the average length of stay by 27 minutes. Am J Emerg Med.
The Learners The target learners were EM residents and physicians practicing in the emergencydepartment. In order to avoid connectivity issues with Wifi, the event administrators broadcasted from an ethernet-connected computer. Internet connection: A stable internet connection is a must. Read more publications from the series.
In most EmergencyDepartments, staff are allotted little of that scarce resource, time, to begin processing what has just occurred. The Pause Jonathon Bartels worked as an Emergency Nurse in America in 2009. After the death of a young person in the EmergencyDepartment, he initiated ‘ The Pause.’ & Liska, H.
AEM October 2022 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called First10EM.com Case: A 19-year-old man presents to the emergencydepartment (ED) with his first time anterior should dislocation after trying to recreate one of his favourite scenes in the movie Lethal Weapon.
However, the unblinded nature of the trial confounds a bit of interpretation of the influence of the crossover event. These were, effectively, stable-but-not-fully-improved inpatients at a small risk for further deterioration, not the acute respiratory distress seen in the ED.
Primary eye disorders or systemic diseases presenting as ophthalmologic complaints may present to the EmergencyDepartment especially when symptoms are acute in onset. Diplopia is one such complaint which we might come across in ED. Key Questions when evaluating diplopia: 1. Is it Monocular or Binocular Diplopia?
From a safety standpoint this is a great thing, but also could be the reason we see such few adverse events Discussion: There is a recent “push” to utilize “Push dose pressors” as the correction of acute hypotension in a variety of clinical scenarios. Further studies are needed to assess the prevalence of cardiac dysrhythmia.
Case: You are working in the emergencydepartment (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.
The fourth episode in this series will shift gears and talk about safely transporting children to the ED via prehospital services. Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the EmergencyDepartment: Consensus Statement of the American Association for Emergency Psychiatry.
Podcast: Play in new window | Download (Duration: 13:57 — 19.2MB) Subscribe: Apple Podcasts | Google Podcasts | RSS Management of the child with mental health problems who is boarding in the ED In episode 1 of this series, we discussed differentiating organic vs psychiatric causes of agitation in children.
We have teamed up with the team from the EmergencyDepartment at Bristol Royal Hospital, who have used this as a springboard for their journal club. (It’s The children’s Emergencydepartment sees approximately 50,000 presentations per year. Children were included if they had a malaria screen in ED.
Key Secondary Endpoints: 5 (3.9%) patients in the IV cetirizine group returned to any ED or clinic within 24 hours compared to 15 (11.1%) in the IV diphenhydramine group; P=0.04 7 (5.5%) patients in the IV cetirizine group returned to any ED or clinic within 48 hours compared to 19 (14.1%) in the IV diphenhydramine group; P=0.02
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