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Patient Perceptions of Microaggressions and Discrimination Towards Patients During EmergencyDepartment Care. AEM Dec 2023 Date: December 14, 2023 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. Reference: Punches et al. Reference: Punches et al.
National Assessment of Pediatric Readiness of US EmergencyDepartments during the Covid-19 Pandemic. July 2023 Date: Dec 11, 2023 Guest Skeptic: Dr. Rachel Hatcliffe is a pediatric emergency medicine attending at Children’s National Hospital in Washington, DC. Are general emergencydepartments ready to care for children?
He is the Vice Chair of the EmergencyDepartment and Program Director of the EM residency program at Nassau University Medical Center in East Meadow, NY, the safety net hospital for Nassau County. It has become a favourite medication in emergencydepartments for procedural sedation as well as a useful behavioural takedown medication.
The Childrens EmergencyDepartment is a busy, challenging, and dynamic environment. Here are eight key leadership lessons inspired by real-life interactions and reflections from Paediatric Emergency Care 1. They involve a mixture of clinical, communication, and leadership traits. Its the bridge that connects us all.
St.Emlyn's - Emergency Medicine #FOAMed @LizCrowe2 gives us a fantastic critical appraisal of an EMJ paper discussing the patient experience in the emergencydepartment. FOAMed @stemlyns The post JC: The patient experience in the EmergencyDepartment. appeared first on St.Emlyn's.
St.Emlyn's - Emergency Medicine #FOAMed Learn about how to look after patients with eating disorders in the EmergencyDepartment. The post Podcast – Eating Disorders in the EmergencyDepartment appeared first on St.Emlyn's. Listen to this podcast recorded live at the Premier Conference 2024.
In this ECG Cases blog, Jesse McLaren and Rajiv Thavanathan explore how ECG and POCUS complement each other for patients presenting to the emergencydepartment with shortness of breath or chest pain. The post ECG Cases 49 – ECG and POCUS for Dyspnea and Chest Pain appeared first on Emergency Medicine Cases.
The emergencydepartment is a place of risk and errors. “Implementation of Electronic Triggers to Identify Diagnostic Errors in EmergencyDepartments” [link] Tweet Those who work in the ED are acutely aware of this, and it conjures up tremendous cognitive pressures on staff every shift.
In trauma patients with exsanguinating haemorrhage, does the use of the REBOA (resuscitative endovascular balloon occlusion of the aorta) device with standard care in the emergencydepartment, compared with standard care alone, impact 90-day-mortality?
I definitely talk to people about smoking, but aside from brief counseling and occasionally prescribing nicotine replacement for […] The post Smoking cessation in the emergencydepartment (The COSTED trial) appeared first on First10EM.
Diagnosis of Acute Aortic Syndrome in the EmergencyDepartment (DAShED) study: an observational cohort study of people attending the emergencydepartment with symptoms consistent with acute aortic syndrome. first appeared on The Skeptics Guide to Emergency Medicine. EMJ Nov 2023. EMJ Nov 2023.
Date: February 28, 2024 Guest Skeptic: Dr. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY. Case: A 59-year-old man walks into your community emergencydepartment (ED) complaining of chest pain.
A national survey of children’s experiences and needs when attending Canadian pediatric emergencydepartments. June 2024 Date: Oct 1, 2024 Guest Skeptic: Dr. Andrew (Andy) Tagg is an Emergency Physician with a special interest in education and lifelong learning. Reference: Ma K et al. He is accompanied by his worried parents.
The hospitals patient volume has more than doubled in the past couple of years, and the emergencydepartment has expanded from seven beds to include two surge spots with four beds each. The emergencydepartment receives an estimated 13,000 annual visits, with approximately 5,500 of those visits being older adult patients.
Note that conventional pressure bags may not be readily available in emergencydepartments and could blow the line you worked hard to secure. After manually pushing 100-200 cc of fluid through the line, turn the stopcock to shut off the syringe port. The fluids should flow more rapidly with gravity alone.
Case: A 4-year-old girl presents to your emergencydepartment (ED) with fever and nasal drainage. We should be thinking about implementing strategies to reduce the unnecessary prescribing of antibiotics in the emergencydepartment. He is currently involved with clinical trials of vaccines and antibiotics.
A 4-year-old female with no significant past medical history is brought to the EmergencyDepartment by her grandmother for concern for two days of progressive vaginal bleeding. It often presents to the emergencydepartment with complaints of vaginal bleeding, difficulty urinating, or dysuria.
Efficacy and safety of ultrasound-guided erector spinae plane block compared to sham procedure in adult patients with rib fractures presenting to the emergencydepartment: A randomized controlled trial. Reference: Ramesh S, Ayyan SM, Rath DP, Sadanandan DM. AEM April 2024 Date: April 19, 2024 Guest Skeptic: Dr. Suchismita Datta.
St.Emlyn's - Emergency Medicine #FOAMed How does pre-hospital emergency anaesthesia (PHEA) delivered by Helicopter Emergency Medical Services (HEMS) impacts trauma care timelines compared to emergencydepartment RSI (EDRSI).
St.Emlyn's - Emergency Medicine #FOAMed How does pre-hospital emergency anaesthesia (PHEA) delivered by Helicopter Emergency Medical Services (HEMS) impacts trauma care timelines compared to emergencydepartment RSI (EDRSI).
Comparison of Nebulized Ketamine to Intravenous Subdissociative Dose Ketamine for Treating Acute Painful Conditions in the EmergencyDepartment: A Prospective, Randomized, Double-Blind, Double-Dummy Controlled Trial. Case: You’re working your usual day shift in the emergencydepartment (ED) from 9 am to 5 pm on a Tuesday.
Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Date: October 20, 2023 Reference: Cai et al.
Pilot Testing Fentanyl Test Strip Distribution in an EmergencyDepartment Setting: Experiences, Lessons Learned, and Suggestions from Staff. AEM June 2023 Guest Skeptic: Dr. Lauren Westafer is an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate.
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 emergencydepartment when clinically appropriate. mg/kg over several minutes 0.02 – 0.1 mg/kg 0.01 – 0.1
Guidelines for Reasonable and Appropriate Care in the EmergencyDepartment (GRACE-4): Alcohol use disorder and cannabinoid hyperemesis syndrome management in the emergencydepartment. Reference: Borgundvaag et al. When we combine SGEMHOP with an SGEM Xtra I hope we get some…AMAZING knowledge translation for GRACE4.
link] ) Laboratory Evaluation: Clinical presentation and laboratory findings can help suggest TTP in the emergencydepartment. Joly, 2017; Sawler, 2020) Fresh frozen plasma (FFP) (contains ADMTS-13) may be used to supplement ADAMTS-13 if there is a delay in initiating TPE in the emergencydepartment (i.e. J Emerg Med.
With increasing forest fires, heat waves, floods, storms, vector-borne illnesses and heat waves, the emergencydepartment is uniquely positioned to declare sentinel events, advocate on behalf of vulnerable populations and lead by example.
Emergencydepartment staff compassion is associated with lower fear of enacted stigma among patients with opioid use disorder. She is anAssistant Professor and Director of Research in theDepartment of Emergency Medicine at the NYU Grossman Long Island Hospital Campus. Date: December 26, 2024 Reference: Steinhauser S et al.
Intranasal fentanyl and discharge from the emergencydepartment among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. Date: June 15, 2023 Reference: Rees CA et al. Date: June 15, 2023 Reference: Rees CA et al. Reference: Rees CA et al.
Shortly after that, the finger turned purple, so she came to the EmergencyDepartment for evaluation. After the popping sensation, she noticed a cool sensation of the finger and numbness to the entire finger. She denied pain in the hand and has had no problems moving the finger. She denied trauma to the hand or finger.
He is an assistant professor in Emergency Medicine, Neurology, and Neurosurgery at the School of Medicine at the University of Washington. Case: A 70-year-old woman was brought into the emergencydepartment by EMS after her family reported she was having trouble talking.
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. His twitter handle is @PainFreeED.
Anticoagulant Reversal Strategies in the EmergencyDepartment Setting: Recommendations of a Multidisciplinary Expert Panel. Ann Emerg Med. 2020;76(4):470-485. doi:10.1016/j.annemergmed.2019.09.001 2019.09.001 Eikelboom JW, Quinlan DJ, van Ryn J, Weitz JI.
Case: The Chief of Emergency Medicine (EM) at a large urban hospital recently approached the AI Committee at Unity Health, intrigued by the CMAJ article describing the apparent success of CHARTWatch in detecting early signs of patient deterioration. Reference: Verma et al.
He is the principal investigator for EMSC State Partnership in Washington, DC and is also involved in various multi-center EMS studies with the Pediatric Emergency Care Applied Research Network (PECARN). Population: Children (aged 0 to <18 years) who underwent blunt trauma evaluation in emergencydepartments. (ED)
Are you using phenobarbital instead of benzodiazepines as the first-line monotherapy for patients in alcohol withdrawal in the EmergencyDepartment (ED)? The Journal of Emergency Medicine. Management of Alcohol Withdrawal in the EmergencyDepartment: Current Perspectives. Open Access Emerg Med. 2012.07.056.
Case: A 5-year-old boy presents to the emergencydepartment (ED) with his parents for fever and fatigue. Time to change the reference ranges of children’s physiological observations in emergency care? He has had three days of high fevers at home. A prospective study. J Paediatr Child Health.
Annals of Emergency Medicine, May 2024 Guest Skeptic: Dr. Casey Parker is a Rural Generalist from Australia who is also an ultrasounder. These conditions typically present with nonspecific symptoms such as chest, back, or abdominal pain, and without early identification, they carry high morbidity and mortality.
Published Dec 9, 2020 Author information Mohamed Elhadi Abdelhameed, MD Emergency Medicine Physician EmergencyDepartment Ibrahim Malik Teaching Hospital | The post Trick of Trade: Dual Foley catheter to control massive epistaxis appeared first on ALiEM. Reference Goralnick E. Posterior Epistaxis Nasal Packing.
The Case A 71-year-old male with a history of chronic obstructive pulmonary disease, hyperlipidemia, and peptic ulcer disease presents to the emergencydepartment with substernal chest pain radiating down the right arm and dyspnea that began acutely while “running” up the stairs from the subway.
St.Emlyn's - Emergency Medicine #FOAMed JC: Review of an RCT of serratus anterior plane blocks in the emergencydepartment for chest/rib injury. Is this now a standard of care? stemlyns #FOAMed The post JC: Serratus Anterior Plane Blocks for rib fractures in the ED. St Emlyn’s appeared first on St.Emlyn's.
Case: It is a steady Saturday afternoon in your rural emergencydepartment (ED). He has been a guest skeptic on the SGEM multiple times. He is also the creator of the amazing #FOAMed website, Broome Docs. He is six years old and appears to be in pain with his left wrist swaddled in an ice pack.
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