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September 2023 News from the College

ACEP Now

Visit acep.org/jobtransitionsupport for a new contract toolkit, a webinar with lawyers discussing the legal ramifications of the closure, and two new webinars about starting your own group and how to navigate the RFP process.

E-9-1-1 52
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Nebulized Ketamine for Analgesia in the Prehospital Setting

Handtevy

Discussion: Quick thinking ED physician Marc Grossman, MD decided to decompress and drain the epidural hematoma with an EZ-IO® drill and 25 mm intraosseous needle under virtual guidance of a pediatric neurosurgeon until definitive care could be obtained. The average time from ketamine administration to ED arrival was approximately 23 minutes.

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2024 ACEP Elections Preview: Meet the Board of Directors Candidates

ACEP Now

Creation of an accurate database of emergency physicians living and working within a state, as well as a network of each states’ EM groups and ED medical directors would help chapter leaders disseminate relevant information, strengthen advocacy efforts, and plan regional solutions summits to focus on unique challenges.

EMS 98
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Infection and DKA, then sudden dyspnea while in the ED

Dr. Smith's ECG Blog

While in the ED, patient developed acute dyspnea while at rest, initially not associated with chest pain. The patient had no chest symptoms until he had been in the ED for many hours and had been undergoing management of his DKA. The patient was under the care of another ED physician. Another ECG was recorded: What do you think?

ED 97
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PEM Currents – Agitation in Children – Episode 5: The Boarded ED Patient

EMDocs

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.

ED 52
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PEM Currents – Agitation in Children – Episode 3: Pharmacologic Management

EMDocs

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 Emergency Department: Consensus Statement of the American Association for Emergency Psychiatry.

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PEM Currents – Agitation in Children – Episode 2: Non-Pharmacologic Management

EMDocs

But what about the patient who is agitated, and is a potential danger to themselves or to the ED staff? This need for 1-on-1 observation is a major challenge for EDs and health care systems from a staffing standpoint. Emerg Med Clin North Am. Structured team approach to the agitated patient in the emergency department.