Don't Forget the Bubbles

NOVEMBER 8, 2023

7-year-old Tilly is brought to your emergency department at 11 p.m. Abdominal pain in children is common, accounting for over 1 in 20 attendances to paediatric emergency departments [1]. Clinical scoring tools have improved diagnostic performance in assessing suspected appendicitis in the emergency department.

Emergency Department 105

Emergency Department Ultrasounds Pediatrics Best Practices 105

ACEP Now

JULY 7, 2023

CASE A 30-year-old woman presents to the emergency department with left arm pain from a chronic wound. Opioid overdoses involving xylazine in emergency department patients: a multicenter study. US Department of Justice, Drug Enforcement Administration. Pediatr Emerg Care. Alexander RS, et al. Love JS, et al.

Forensics 98

Forensics Airway Management Administration Emergency Department 98

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). 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. 5 mg PO; 0.05-0.15

Psychiatric 65

Psychiatric Emergency Department Pediatrics Administration 65

Pediatric EM Morsels

JULY 21, 2023

2001 Apr;68(4):311-4. Interrater reliability of Glasgow Coma Scale scores in the emergency department. Ann Emerg Med. Systematic review showed 85% of studies with substantial reliability with kappa statistic >0.6 Pediatr Neurol. 2006 May;34(5):379-87. doi: 10.1016/j.pediatrneurol.2005.10.012. 2005.10.012. J Surg Res.

Head Injuries 231

Head Injuries Pediatrics Outcomes Shock 231

The Skeptics' Guide to EM

MARCH 12, 2022

She is an emergency physician at Mount Sinai Hospital and a Clinician Scientist and the Deputy Director of the Schwartz-Reisman Emergency Medicine Institute. Case: An 18-year-old female presents to the emergency department (ED) after falling off a moving snowmobile and hitting her head on the ground.

Emergency Department 40

Emergency Department Head Injuries Pediatrics Research 40

Taming the SRU

JUNE 12, 2023

Although not every person seeks health care for these injuries, the majority of those that do end up in the emergency department. In 2008, this led to greater than 316,000 emergency department (ED) visits and about 9,500 hospitalizations [1]. Annals of Emergency Medicine. In the United States, approximately 4.5

Infectious Diseases 94

Infectious Diseases Emergency Department Administration Academics 94

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 62

Emergency Department Research Outcomes Hospitals 62

The Skeptics' Guide to EM

SEPTEMBER 14, 2019

She is interested in social determinants of health in the emergency department and health policy. Dr. Ian Holley is also a PGY-3 resident in Emergency Medicine at Washington University School of Medicine in St. He is interested in ultrasound and international emergency medicine.

Head Injuries 52

Head Injuries Emergency Department Seizures EMS 52

The Skeptics' Guide to EM

OCTOBER 13, 2018

A Systematic Review And Meta-Analysis of Ketamine as an Alternative to Opioids for Acute Pain in the Emergency Department. Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME Editor for Academic Emergency Medicine. He is also the CME Editor for Academic Emergency Medicine.

Emergency Department 52

Emergency Department Academics 52

Dr. Smith's ECG Blog

APRIL 8, 2015

The ROSE (Risk Stratification of syncope in the emergency department) Study. 2009.09.049 Objectives: The aim of this study was to develop and validate a clinical decision rule (CDR) to predict 1-month serious outcome and all-cause death in patients presenting with syncope to the emergency department.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

The Skeptics' Guide to EM

MAY 22, 2021

Westafer serves as the Social Media Editor and a research methodology editor for Annals of Emergency Medicine and an Associate Editor for the NEJM Journal Watch Emergency Medicine. A randomized trial comparing prescribed light exercise to standard management for emergency department patients with acute mild traumatic brain injury.

Head Injuries 52

Head Injuries Research Emergency Department Pediatrics 52

PHEM Cast

DECEMBER 12, 2016

Emergency thoracotomy in thoracic trauma: a review. Emergency Department thoracotomy for the critically injured patient: Objectives, indications, and outcomes. World Journal of Emergency Surgery; 2006: 1:4. Survival after Emergency Department thoracotomy: review of published data for last 25 years.

Military 52

Military Resuscitation Emergency Department Documentation/Coding 52

ACEP Now

APRIL 2, 2024

An 18-year-old woman presented to the emergency department (ED) with symptoms of nausea, vomiting, diarrhea, and abdominal pain. Ackee fruit poisoning: an outbreak investigation in Haiti 2000–2001, and review of the literature. Since the onset of illness, she had been unable to tolerate any oral intake. Am J Trop Med Hyg.

Poisoning 40

Poisoning Administration Documentation/Coding Urgent Care 40

RebelEM

JANUARY 23, 2023

Multicenter study of emergency department visits for insect sting allergies. Multicenter study of emergency department visits for food allergies. 2006) “Management of acute allergic reactions and anaphylaxis in the Emergency Department between 1993-2003,” Journal of Allergy and Clinical Immunology , 117(2).

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

The Skeptics' Guide to EM

JUNE 6, 2020

Max Hockstein trained as an Emergency Medicine physician at University of Texas Southwestern and is finishing his Intensive Care fellowship at Emory. Case: It’s another day in your emergency department (ED). Max is then going to Georgetown to be an attending in both EM and ICU.

Sepsis 52

Sepsis Shock Resuscitation Outcomes 52

RebelEM

FEBRUARY 5, 2024

Sites: Investigators recruited patients at 31 French emergency departments at university and nonuniversity hospitals Duration : June 1, 2009 to March 31, 2015. Recruitment from only emergency departments may not represent the broader clinical context. PMID: 20696690 Baumann, M. Strange, C., Heffner, J. Luketich, J.

Outcomes 86

Outcomes Hospitals Research Emergency Department 86

Broome Docs

AUGUST 2, 2022

Acad Emerg Med. 2001 Feb;8(2):103-6. PMID: 35311942 Bottom line: I include this for interest’s sake only, as it sounds more like science fiction than medicine at this point (at least based on the funding of the emergency departments I work in), but it will be an interesting field to watch over the coming years.

Sepsis 52

Sepsis Emergency Department Radiology Radiology 52

Taming the SRU

OCTOBER 23, 2023

THE CASE A female in her early 20s, G4P2012, presents to the emergency department (ED) with a 5 day history of left lower quadrant abdominal pain which has been worsening since onset. 2001 Jan;20(1):27-31; quiz 33. She states her pain is similar to pain that she felt during a prior ectopic pregnancy. J Ultrasound Med.

Ultrasounds 87

Ultrasounds Operations Radiology Radiology 87

The Skeptics' Guide to EM

SEPTEMBER 7, 2018

Ben Lawton is a paediatric emergency physician in Brisbane Australia. He divides his time between a tertiary children’s hospital and a community hospital that is busy enough to have its own paediatric emergency department. He is part of the Don’t Forget the Bubbles team.

Dehydration 40

Dehydration Pediatrics Hospitals Academics 40

Dr. Smith's ECG Blog

DECEMBER 27, 2023

Written by Willy Frick A man in his 50s with a history of hypertension, dyslipidemia, type 2 diabetes mellitus, and prior inferior OMI status post DES to his proximal RCA 3 years prior presented to the emergency department at around 3 AM complaining of chest pain onset around 9 PM the evening prior. link] Stone, G. Brodie, B.

EKG/ECG 101

EKG/ECG Documentation/Coding Wellness Emergency Department 101

EM Updates

MARCH 24, 2021

The primary tool for emergency airway management then became the traditional laryngoscope , a device little improved since the 1940s, until the advent of video laryngoscopy in the early 2000s which changed everything.

Operations 52

Operations Airway Management EMS Wellness 52

Pediatric Emergency Playbook

APRIL 1, 2017

Nonfatal Choking on Food Among Children 14 Years or Younger in the United States, 2001–2009. Am J Emerg Med. Emergency department management of foreign bodies of the external ear canal in children. Pediatrics. 2013;132(2):275-281. doi:10.1542/peds.2013-0260. Committee on Injury V. Pediatrics. doi:10.1542/peds.2009-2862.

Pediatrics 52

Pediatrics CPR Operations Resuscitation 52