Emergency Medicine Journal

OCTOBER 23, 2024

Paediatric emergency medicine (PEM) was first recognised in the UK in 2001 with all doctors required to have a parent specialty—emergency medicine (EM) or paediatrics. In England, the rate of emergency department (ED) attendance in the first year of life is greater than at any other age, amounting to 122 visits per 100 000 population.

Emergency Department 52

Emergency Department EMS 52

PEMBlog

AUGUST 8, 2023

2001; Vole 13(1). Scrotal involvement in Henoch-Schonlein Purpura: A case report and review of the literature. Pediatric Emergency Care;8(4):213-215. Saulsbury FT. Henoch-Schonlein Purpura. Current Opinion in Rheummatology: Jan.

Pediatrics 52

Pediatrics 52

ALiEM

SEPTEMBER 30, 2024

2001 Dec;59(12):1462-70. However, non-traumatic hyphema should prompt investigation for hematologic disorders such as Sickle cell disease. References Brandt MT, Haug RH. Traumatic hyphema: a comprehensive review. J Oral Maxillofac Surg. doi: 10.1053/joms.2001.28284. 2001.28284. PMID: 11732035. Gragg J, Blair K, Baker MB. 2022 Dec 26.

Academics 64

Academics Emergency Department 64

Greater Sydney Area HEMS

JULY 5, 2023

2001) Critical reflection in nursing and the helping professions: a user’s guide. .” Sam had some further reading recommendations he wanted to share here too: Rolfe’s adaptation to the reflective model we use in clinical practice today.

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Don't Forget the Bubbles

JULY 24, 2023

2001 Jan;83-B. This can subsequently be stepped down to oral if there is a good response to immobilisation. References Brown R, Hussain M, McHugh K, Novelli V, Jones D. Discitis in young children. The Journal of Bone and Joint Surgery British volume. Cottle L, Riordan T. Infectious spondylodiscitis. Journal of Infection. 2008 Jun;56.

Radiology 98

Radiology Radiology Infectious Diseases Pediatrics 98

PEMBlog

OCTOBER 17, 2023

Am Fam Physician 2001 ; 64:419. Am J Med Sci 2019; 357:411. Gu SL, Jorizzo JL. Urticarial vasculitis. Int J Womens Dermatol. 2021 Jan 29;7(3):290-297. Leung AK, Chan KW. Evaluating the child with purpura.

Urgent Care 69

Urgent Care Burns Pediatrics Emergency Department 69

Pediatric EM Morsels

AUGUST 18, 2023

From 2001 to 2009, in a pediatric hospital gram negative culture showed a drop in sensitivity to ciprofloxacin from 96% to 93%. (Etminan 2019) In Belgium between 2010 – 2013, of the 262 children treated with fluroquinolones while hospitalized, only 17% were used for labelled indications. This was similarly seen with levofloxacin.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

ACEP Now

FEBRUARY 11, 2024

Fun fact: MedWAR was co-founded by one of our faculty in 2001. Our senior residents may serve as flight physicians on our Mercy Life Flight helicopters as full crew members. Annually our program hosts the Midwest MedWAR (Medical Wilderness Adventure Race).

Mass Casualty Incidents 52

Mass Casualty Incidents EMS Ultrasounds Hospitals 52

PHEM Cast

JANUARY 5, 2016

2001; 306(16): 1751-1753. Self-care Decontamination within a Chemical Exposure Mass-casualty Incident. Prehospital and Disaster Medicine. 2015; 30: 288-296. link] Centers for Disease Control and Prevention. Chemical Suicides in Automobiles – Six States, 2006-2010. link] [link] JRCALC [link] How to cite this podcast: Nutbeam T, Bosanko C.

Mass Casualty Incidents 52

Mass Casualty Incidents Documentation/Coding 52

Pediatric Emergency Playbook

OCTOBER 1, 2019

Facial Plast Surg Clin North Am 2001; 9:131. Management of congenital anomalies of the neck. Lin ST, Tseng FY, Hsu CJ, et al. Thyroglossal duct cyst: a comparison between children and adults. Am J Otolaryngol 2008; 29:83. Mandell DL. Head and neck anomalies related to the branchial apparatus.

Pediatrics 52

Pediatrics 52

PHEM Cast

DECEMBER 12, 2016

2001, 193 (3): 303-309. Survival after Emergency Department thoracotomy: review of published data for last 25 years. J Am Coll Surg; 2000. 190(3): 288-298 ACS Committee on Trauma Working Group. Practice Management guidelines for ED Thoracotomy. J Am Coll Surg. When should we stop resuscitative efforts after blunt traumatic arrest.

Military 52

Military Resuscitation Emergency Department Documentation/Coding 52

EMDocs

SEPTEMBER 27, 2023

In years previous, the conversion factor has largely stayed the same resulting in physician pay falling 22% from 2001 to 2021 when adjusted for inflation (3). These annual threats of cuts are all but guaranteed to continue under the current system.

Emergency Department 89

Emergency Department Research Outcomes Hospitals 89

Emergency Medicine Journal

DECEMBER 22, 2023

London’s physician response unit (PRU), established in 2001, has continually evolved its scope of practice. Community emergency medicine (CEM) is a model of pre-hospital care that delivers emergency department care to patients irrespective of their clinical environment.

Operations 40

Operations Emergency Department Hospitals 40

RebelEM

NOVEMBER 2, 2022

Dig Liver Dis 2001; 33(1): 41-48. Spontaneous bacterial peritonitis: An explosion of information. Hepatology 1988; 8: 171–175. PMID: 3338704 Borzio M et al. Bacterial infection in patients with advanced cirrhosis: a multicentre prospective study. PMID: 11303974 Gaetano et al. Journal of Gastroenterology and Hepatology 2016.

EMS 52

EMS Administration Hospitals 52

ACEP Now

OCTOBER 31, 2024

This approach was effective in Portugal’s heroin crisis in 2001, and we can replicate that success here. I plan to introduce the Americans Against Fentanyl Act, which would impose manslaughter charges on dealers and require comprehensive rehabilitation programs for addicts. Additionally, we need to address the cost of living.

OB/GYN 40

OB/GYN Hospitals Wellness 40

Dr. Smith's ECG Blog

OCTOBER 23, 2023

2001 Nov 27;104(22):2722-7. JAMA Intern Med. 2017 Oct 1;177(10):1520-1522. doi: 10.1001/jamainternmed.2017.3191. 2017.3191. van Opstal JM, Schoenmakers M, Verduyn SC, de Groot SH, Leunissen JD, van Der Hulst FF, Molenschot MM, Wellens HJ, Vos MA. Circulation. doi: 10.1161/hc4701.099579.

EKG/ECG 130

EKG/ECG Documentation/Coding Psychiatric EMS 130

CasesBlog

NOVEMBER 18, 2022

2001 Dec 22; 323(7327): 1446–1449. Journal of Pharmaceutical Research International, Volume 33, Issue 60B, Page 1042-1048 DOI: 10.9734/jpri/2021/v33i60B34711 Published: 23 December 2021 [link] Effect of rosary prayer and yoga mantras on autonomic cardiovascular rhythms: comparative study. doi: 10.1136/bmj.323.7327.1446

Research 40

Research 40

Sensible Medicine

MAY 25, 2023

assistant secretary of health and human services, 2001-03. The co-author is not a physician or scientist, but is no stranger to the health care industry. Jindal served as governor of Louisiana, 2008-16, and a U.S. He serves on the board of U.S. Heart and Vascular, a provider of cardiovascular services.” ” U.S.

Documentation/Coding 73

Documentation/Coding Academics Wellness 73

The Skeptics' Guide to EM

OCTOBER 1, 2022

Unfortunately, poor pain control persists despite the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) making pain “the fifth vital sign” in 2001 to raise the awareness of oligoanalgesia in the ED. There are many therapeutic options available to clinicians to address their pain.

Pediatrics 52

Pediatrics Emergency Department Documentation/Coding Research 52

The Skeptics' Guide to EM

JUNE 6, 2020

It was the landmark paper published 19 years ago by Dr. Emanuel Rivers on early goal directed therapy in the treatment of severe sepsis and septic shock that sensitized the medical community ( Rivers et al NEJM 2001).

Sepsis 52

Sepsis Shock Resuscitation Administration 52

Don't Forget the Bubbles

NOVEMBER 8, 2023

Archives of Disease in Childhood, 2001. When the appendix cannot be visualised or the findings are equivocal, and there is ongoing clinical concern for appendicitis, both CT and MRI can have a role. References Armon, K., Audit: Determining the common medical presenting problems to an accident and emergency department. Bachur, R.G.,

Emergency Department 105

Emergency Department Ultrasounds Pediatrics Best Practices 105

EMDocs

JUNE 2, 2023

mg/kg/dose (IM/IV) Has a FDA Black Box warning in 2001 citing concerns of QT prolongation and torsades de pointes (TdP). Haloperidol (Haldol) – 0.5-5 5 mg PO; 0.05-0.15 mg/kg IM (up to 5 mg/dose) Chlorpromazine (Thorazine) – 0.55 mg/kg/dose (PO/IM) Droperidol – 0.03-0.07

Psychiatric 93

Psychiatric Pediatrics Emergency Department Administration 93

Dr. Smith's ECG Blog

MARCH 2, 2009

reports MI in 2001 with a stent placed in the "marginal" artery. Pain worsened and became sharper after lifting a bookcase up the stairs. He continued to have worsening pain and diaphoresis, and associated left arm pain down to the fingers. Pain is similar, but associated with less SOB. Exam is unremarkable.

EKG/ECG 52

EKG/ECG 52

The Skeptics' Guide to EM

OCTOBER 13, 2018

In 2001, JACHO made pain the 5th vital sign to address the issue of oligoanalgesia, which unfortunately created many problems. You wonder if there are alternative options, and a colleague reminds you that ketamine has recently gained a lot of exposure as a possible alternative.

Emergency Department 52

Emergency Department Academics 52

The Skeptics' Guide to EM

AUGUST 17, 2019

Some have identified the 2001 Joint Commission making pain the fifth vital sign in an attempt to address the oligoanalgesia issue as part of the opioid misuse problem. You realize you are unsure what to tell her about the chances of continued opiate use after an initial prescription.

Emergency Department 52

Emergency Department Academics Fractures Outcomes 52

The Skeptics' Guide to EM

SEPTEMBER 14, 2019

It was a classic EM paper published in the Lancet back in 2001 by the Legend of Emergency Medicine, Dr. Ian Stiell. We have covered the CCHR on the SGEM with the EM Swami and Dr. Emily Junck back on SGEM#106. We also discussed three studies that compared CCHR to the NOC.

Head Injuries 52

Head Injuries Emergency Department Seizures EMS 52

The Skeptics' Guide to EM

MAY 22, 2021

We looked at the Canadian CT Head Rule (CCHR) published by Dr. Ian Stiell in the Lancet 2001 on SGEM#106. One of the issues that comes up with minor head injuries is do we need to get advanced imaging. You can find this clinical decision instrument on MDCalc.

Head Injuries 52

Head Injuries Research Emergency Department Pediatrics 52

Mind The Bleep

JANUARY 9, 2024

Diabet Med 2001; 18: 178–184 2 Nathan DM, Genuth S, Lachin J, et al.; References 1 UK Prospective Diabetes Study ( UKPDS) Group. Relationship between the severity of retinopathy and progression to photocoagulation in patients with Type 2 diabetes mellitus in the UKPDS (UKPDS 52). Diabetes Control and Complications Trial Research Group.

Stroke 52

Stroke Research 52

RebelEM

FEBRUARY 5, 2024

Traumatic Hemothorax: Pigtail vs Chest Tube References: MacDuff A, Arnold A, Harvey JManagement of spontaneous pneumothorax: British Thoracic Society pleural disease guideline 2010Thorax 2010;65:ii18-ii31. PMID: 20696690 Baumann, M. Strange, C., Heffner, J. Luketich, J. Panacek, E. A., & Sahn, S. Management of spontaneous pneumothorax.

Outcomes 103

Outcomes Hospitals Research Emergency Department 103

Dr. Smith's ECG Blog

AUGUST 3, 2017

J Emerg Med 2001; 20:391-401. Am J Cardiol 2001; 87:970-4; A4. 2001 Jun;13(2):190-3. So treating these as STEMI is well within the bounds of guideline recommendations (6). References: 1. Brady WJ, Erling B, Pollack M, Chan TC. Electrocardiographic Manifestations: Acute posterior wall myocardial infarction. Emerg Med (Fremantle).2001

EKG/ECG 52

EKG/ECG Outcomes Wellness 52

PHEM Cast

DECEMBER 1, 2017

Needle Decompression for Tension Pneumothorax in Tactical Combat Casualty Care: Do Catheters Placed in the Midaxillary Line Kink More Often Than Those in the Midclavicular Line? The Journal of Trauma , 71 , S408–S412. link] Cullinane, D., Bass, J., & Rutherford, E. Needle thoracostomy may not be indicated in the trauma patient. Ferrie, E.

Academics 52

Academics Radiology Radiology Resuscitation 52

Dr. Smith's ECG Blog

DECEMBER 27, 2023

The American Journal of Cardiology, 63(12), 772–776. link] Stone, G. Brodie, B. Morice, M.-C., Griffin, J., Lansky, A. O’Neill, W. & Grines, C. Normal flow (TIMI-3) before mechanical reperfusion therapy is an independent determinant of survival in acute myocardial infarction. Circulation, 104(6), 636–641.

EKG/ECG 130

EKG/ECG Documentation/Coding Wellness Emergency Department 130

The Skeptics' Guide to EM

SEPTEMBER 7, 2018

Although the vast majority of infants with bronchiolitis can be managed with supportive care at home, due to its high incidence, it is the number one reason for infants to be hospitalized ( Njoo et al 2001, Langley et al 2003, Craig et al 2007 and Shay et al 1999).

Dehydration 40

Dehydration Pediatrics Hospitals Academics 40

Don't Forget the Bubbles

FEBRUARY 19, 2024

A significant body of research, including a study by Anderson and Bushman (2001), suggests that exposure to violent games can increase aggressive behaviour in children and adolescents. The concern is that exposure to violent scenarios within video games could lead to an increase in aggressive thoughts and behaviours in young players.

Academics 59

Academics Leadership Research Teamwork 59

Emergency Medicine Journal

NOVEMBER 28, 2023

Abstract 1995 Table 1 Systematic review of pulmonary fat emboli associated with intraosseous (IO) use in seven controlled swine studies Authors Study Population Bone Flush Infusion method IO system used Relevant outcome measure Relevant results Plewa et al. doi:10.1111/j.1553 1553 n= 16, weight 5.9-12.3kg 12.3kg Proximal tibia 1 ml NaCl 0.9%

Administration 40

Administration Research Outcomes 40

The Skeptics' Guide to EM

MARCH 12, 2022

This classic paper was published in Lancet 2001 and reviewed on SGEM#106. Ian Stiell and his group gave us a tool to help us decide who to scan with the now infamous clinical decision instrument called the Canadian CT Head Rule [1]. Another issue that comes up is whether children need strict rest after a concussion.

Emergency Department 40

Emergency Department Head Injuries Pediatrics Research 40

Intensive Blog

AUGUST 17, 2023

Image source: Thakar et al (2001), available at URL: [link] Q5. The many causes of anaemia include: Decreased production Malnutrition Bone marrow suppression (e.g., Cannula site bleeding. What is your action now?

Blood Transfusions 52

Blood Transfusions Operations Wellness 52