The Skeptics' Guide to EM

FEBRUARY 11, 2024

This study found that between 2003 and 2018, there were 1,299 cases of AAS in Ontario, the largest province in the country. The annual incidence rate of AD ranges between 2.9 per 100,000. [4-8] per hour in the first 48 hours. [20] 20] A retrospective observational study from Canadian researcher, Dr. Robert Ohle was published in CJEM in 2023.

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Emergency Department Resuscitation Hospitals Research 122

Emergency Medicine Journal

FEBRUARY 20, 2024

Incident cases of AAS were identified between 2003 and 2018 using a validated algorithm based on ICD codes and death. Methods A population-based retrospective cohort study of anonymously linked data for residents of Ontario, Canada, was carried out.

Documentation/Coding 40

Documentation/Coding Hospitals Outcomes 40

Dr. Smith's ECG Blog

FEBRUARY 6, 2024

2003, May). Myocardial contusion in an 8-year-old boy. Circulation: Cardiovascular Imaging. Retrieved July 2, 2022, from [link] Sybrandy, K. Cramer, M. & Burgersdijk, C. Diagnosing cardiac contusion: Old Wisdom and new insights. Heart (British Cardiac Society).

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EKG/ECG Wellness Fractures Hospitals 96

The Skeptics' Guide to EM

JULY 8, 2023

The Cochrane collaboration published analyses of the available data in 1999, 2003 and 2006. Safety issues popped up soon after widespread use of the drug including neuropsychiatric effects as well as the more common adverse effects of nausea and vomiting.

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Emergency Medicine Cases

FEBRUARY 11, 2020

Although the mortality rate in patients with Coronavirus in this outbreak is less than 1% (which pales in comparison to Ebola or SARS), historically these types of outbreaks have occured every 5-6 years (SARS 2003, HINI 2009, Ebola 2014, Coronavirus 2020), so they are somewhat predictable and we should know how to prepare for them in our EDs.

Best Practices 52

Best Practices EMS Research PPE 52

The Skeptics' Guide to EM

JUNE 27, 2020

The 2003 Smith and Pell parachute trial is usually pointed to as an example ( BMJ 2003 ). There are arguments against EBM and it does have limitations. One that is often pointed out is that it would be unethical to do an RCT on harm.

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Taming the SRU

JANUARY 29, 2024

2003 Jun;123(6):1953-6. 2003 Jul;4(3):146-52. Ann Vasc Surg. 2021 Oct;76:601.e7-601.e11. Epub 2021 Jun 25. Mustafa S, Stein PD, Patel KC, Otten TR, Holmes R, Silbergleit A. Upper extremity deep venous thrombosis. Grant J D, Stevens SM, Woller SC, et al. Diagnosis and management of upper extremity deep-vein thrombosis in adults.

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Emergency Department Hospitals Fractures Operations 82

PHEM Cast

NOVEMBER 14, 2017

[link] The various devices which Tony discusses are: This video shows the rapidity of infusion entering the circulation from a humeral IO.

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Military 52

EM Guide Wire

JANUARY 15, 2020

Eur J Cardiothorac Surg 2003; 24:208. Yes -> consult heme/onc and admit No -> observe in ED References : García Mónaco R, Bertoni H, Pallota G, et al. Use of self-expanding vascular endoprostheses in superior vena cava syndrome. Rice TW, Rodriguez RM, Light RW. Medicine (Baltimore) 2006; 85:37.

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The Skeptics' Guide to EM

DECEMBER 21, 2019

SGEM#23 : A Bump Up Ahead (Diagnosis of Appendicitis) One of my other favourite BMJ holiday edition articles has been the classic parachute trial ( Smith and Pell BMJ Dec 2003 ). Since that SRMA published in 2003, there has been a randomized control trial conducted and published on the topic of parachutes.

Soft Tissue Injuries 40

Soft Tissue Injuries Academics 40

PEMBlog

OCTOBER 18, 2023

Y., & Uchiyama, T. Clinical features of neonatal toxic shock syndrome-like exanthematous disease emerging in Japan. The Journal of infection, 59(3), 194–200. link] Takahashi N. Neonatal toxic shock syndrome-like exanthematous disease (NTED). Pediatrics international : official journal of the Japan Pediatric Society, 45(2), 233–237.

Infectious Diseases 59

Infectious Diseases Shock Pediatrics Wellness 59

Pediatric Emergency Playbook

SEPTEMBER 1, 2020

2003; 28(5): 388-394 Yeh PC et al. The use of prophylactic flucloxacillin in treatment of open fractures of the distal phalanx within an accident and emergency department: a double-blind randomized placebo-controlled trial. The Journal of Hand Surgery: British & European. Pediatric Hand Fractures. Techniques in Orthopaedics.

Fractures 52

Fractures Pediatrics Emergency Department 52

EMDocs

JANUARY 29, 2024

2003 Oct 28;61(8):1047-51. 2003 Nov;42(5):619-26. Detrimental effect of blood pressure reduction in the first 24 hours of acute stroke onset. doi: 10.1212/01.wnl.0000092498.75010.57. 0000092498.75010.57. PMID: 14581662. Vlcek M, et al. Ann Emerg Med. doi: 10.1016/s0196-0644(03)00609-7. PMID: 14581913.

Stroke 71

Stroke Outcomes EMS Seizures 71

Northwestern EM Blog

MARCH 28, 2022

Emerg Med J, 2003. 2003 Jun;142(6):729-30. Barceloux, D.G., American Academy of Clinical Toxicology practice guidelines on the treatment of methanol poisoning. J Toxicol Clin Toxicol, 2002. Boyd, Leucovorin (calcium folinate) in "antifreeze" poisoning. Moreau, C.L., META Study Group. J Toxicol Clin Toxicol, 1998. Journal of Pediatrics.

Poisoning 52

Poisoning Seizures Administration Pediatrics 52

PHEM Cast

JUNE 6, 2016

2003; 97: 256-258. Bamber JH, Dresner M. Aortocaval compression in pregnancy: the effect of changing the degree and direction of lateral tilt on maternal cardiac output. Anaesthesia & Analgesia. Lee SWY, Khaw KS, Kee WN, Leung TY, Critchley LAH.

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Resuscitation 52

PHEM Cast

DECEMBER 12, 2016

J Am Coll Surg; 2003 (1): 106-111. Joint Position Statement of Nat Assoc EMS Physicians and ACS Committee on Trauma. Guidelines for withholding or termination of resuscitation in prehospital cardiopulmonary arrest. Tarney et al.Outcomes following military traumatic cardiorespiratory arrest: A prospective observational study.

Military 52

Military Resuscitation Emergency Department Documentation/Coding 52

Taming the SRU

APRIL 14, 2024

between January 1994 and December 2003, the utility of ultrasound in aiding reduction of incarcerated inguinal hernias was examined. 8) “Ultrasound may decrease the emergency surgery rate of incarcerated inguinal hernia” by Chen et al. (1) 1) In a study performed by Chen et al.

Ultrasounds 82

Ultrasounds Emergency Department Pediatrics Wellness 82

Northwestern EM Blog

JANUARY 2, 2023

Another study looked at suicide rates in Hong Kong during the Severe Acute Respiratory Syndrome (SARS) outbreak in 2003. They found an increase in older adult suicide in April 2003 when compared to 2002. These researchers cited loneliness and disconnectedness in the older community as a possible explanation [7].

Emergency Department 52

Emergency Department Research CDC Pediatrics 52

Advanced Emergency Nursing from AENJ

OCTOBER 8, 2017

July 2003), Emergency Nursing: Historical, Current, and Future Roles. October 2003). Schriver, J. Talmadge, R., and Hedges, J. Academic Emergency Medicine, 10: 798–804. doi:10.1197/aemj.10.7.798 10.7.798 [ PDF ] Schriver, J. Talmadge, R., Chuong, R., & Hedges, J.

Emergency Nursing 40

Emergency Nursing Emergency Department Hospitals Academics 40

The Skeptics' Guide to EM

FEBRUARY 15, 2020

Despite the near universal application, a systematic review from 2003 ( Smith and Pell, BMJ ) found no RCTs of parachute intervention. Different variants of parachutes have been used both for recreational and safety purposes; in either case aiming to avoid death in people falling from heights presumed to be lethal.

Wellness 52

Wellness Outcomes Emergency Department Research 52

Don't Forget the Bubbles

AUGUST 9, 2023

2003) Frequency of subclinical hypothyroidism among healthy children and those with neurological conditions in the state of Mérida, Venezuela. [link] Mussa A, Salerno MC, Bona G, Wasniewska M, Segni M, Cassio A, et al. 2013) Serum thyrotropin concentration in children with isolated thyroid nodules. 163:1465–70. doi: 10.1016/j.jpeds.2013.07.003

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Ultrasounds Pediatrics Wellness 98

PHEM Cast

FEBRUARY 23, 2017

Penn-Barwell JG, Roberts SA, Midwinter MJ, Bishop JR: Improved survival in UK combat casualties from Iraq and Afghanistan: 2003-2012. Powell EK, Hinckley WR, Gottula A, Hart KW, Lindsell CJ, McMullan JT. J Trauma Acute Care Surg. 2016 Sep;81(3):458-62. J Trauma Acute Care Surg 78(5):1014–1020, 2015.

Blood Transfusions 52

Blood Transfusions Head Injuries Resuscitation Radiology 52

PHEM Cast

APRIL 21, 2021

J Trauma 2003; 54:444-453 Mort TC. Click here to hear what our friends over at the Resus Room think about Airways 2 References (kindly shared by Rich) Davis DP et al. The Effect of Paramedic Rapid Sequence Intubation on Outcome in Patients with Severe Traumatic Brain Injury. Anesth Analg. 2004 Aug;99(2):607-13, Hasegawa K et al.

Airway Management 52

Airway Management Resuscitation Hospitals EMS 52

The Skeptics' Guide to EM

OCTOBER 31, 2018

Standard therapy at this time for both symptomatic and asymptomatic VTE is with LMWH based on results from the CLOT trial ( Lee 2003 ). Treatment in this group entails a number of challenges including a higher rate of thrombosis recurrence and a higher risk of bleeding. The NOACs also add ease of use for the patient.

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EMS Outcomes Wellness 52

ACEP Now

MAY 5, 2023

If the patient lacks decisional capacity, it is appropriate for the emergency physician to advocate for the patient by requesting information gathering at an appropriate time when the patient can consent.

Emergency Department 52

Emergency Department Documentation/Coding 52

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

The Skeptics' Guide to EM

JANUARY 7, 2018

Edlow 2003 ] Missed SAH diagnosis occurs between 12%-53% of cases with emergency department providers estimated to miss 5% of them. Edlow 2000 , Vermeulen 2007 ] Unfortunately, one-fourth of aneurysmal SAH victims die within one-day and 50% of SAH survivors never return to work.

Emergency Department 40

Emergency Department Academics Outcomes 40

Advanced Emergency Nursing from AENJ

AUGUST 2, 2016

2003 Revision. 2003 Revision. National Academy of Sciences Medicolegal Death Investigation System: Workshop Summary Committee for the Workshop on the Medicolegal Death Investigation System ISBN: 0-309-52642-6, 86 pages, 6 x 9, (2003) Free PDF may be downloaded from http://www.nap.edu/catalog/10792.html.

Documentation/Coding 40

Documentation/Coding Forensics CDC Fractures 40

PHEM Cast

JULY 14, 2016

2003 Dec 25;349(26):2510–8. References Stiell IG, Clement CM, McKnight RD, Brison R, Schull MJ, Rowe BH, et al. The Canadian C-spine rule versus the NEXUS low-risk criteria in patients with trauma. N Engl J Med. Oteir AO, Smith K, Stoelwinder JU, Middleton J, Jennings PA. Should suspected cervical spinal cord injury be immobilised?:

Hospitals 52

Hospitals Fractures Shock Research 52

PHEM Cast

MAY 3, 2020

whose review included 10 studies (5 case-control; 5 cohort), all of which investigated transmission of SARS from patients to healthcare workers in intensive care or other healthcare settings during the 2002-2003 SARS outbreaks. This evaluation is based on a systematic review by Tran et al.

PPE 52

PPE Airway Management Resuscitation Hospitals 52

Pediatric EM Morsels

JULY 21, 2023

2003 Jul;40(7):620-5. Systematic review showed 85% of studies with substantial reliability with kappa statistic >0.6 Indian J Pediatr. 2001 Apr;68(4):311-4. doi: 10.1007/BF02721834. PMID: 11370435. Nayana Prabha PC, Nalini P, Tiroumourougane Serane V. Role of Glasgow Coma Scale in pediatric nontraumatic coma. Indian Pediatr. Biradar, S.

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Head Injuries Pediatrics Outcomes Shock 230

EM Curious

JULY 24, 2015

Use of ultrasound to facilitate accurate femoral nerve block in the emergency department. Emergency Medicine Australasia,21(2), 124–130. doi:10.1111/j.1742-6723.2009.01163.xdoi:10.1097/PEC.0000000000000101 1742-6723.2009.01163.xdoi:10.1097/PEC.0000000000000101 xdoi:10.1097/PEC.0000000000000101 0000000000000101 Fletcher, A. S., & Heyes, F.

Fractures 52

Fractures Ultrasounds Emergency Department Dislocations 52

Dr. Smith's ECG Blog

MARCH 15, 2023

Ballatore et al — Medicina (Kaunas) 55(8): 497, 2019 — and — Page et al — Circulation 107:1141-1145, 2003 ). Not commonly appreciated is the surprising number of AFib patients who do not have symptoms with some ( or all ) of their episodes. An estimated 10-to-40% of all patients with AFib do not have symptoms associated with this arrhythmia.

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EKG/ECG Dehydration Stroke Wellness 52

Pediatric Emergency Playbook

MAY 1, 2016

2003; 112(3) Schwartz J et al. Computed tomography of the head before lumbar puncture in adults with suspected meningitis. N Engl J Med. 2001; 345(24):1727-33. Oliver WJ, Shope TC, Kuhns LR. Fatal Lumbar Puncture: Fact Versus Fiction—An Approach to a Clinical Dilemma. Pediatrics.

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Seizures Sepsis Stroke Pediatrics 40

Advanced Emergency Nursing from AENJ

SEPTEMBER 13, 2016

Readers of this blog may have read of the death of Dr. Peter Josef Safar in 2003, who is often called "The Father of Cardiopulmonary Resuscitation," or noted citations of his work in articles written and references given by me here at AENJournal.com and the Advanced Emergency Nursing Blog. Peter Safar (1924-2003). Birnbaum, M.

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Resuscitation CPR Emergency Nursing Basic Life Support 40

EMDocs

FEBRUARY 12, 2024

2003 Aug;10(8):836-41. PMID: 9546014. (35) 35) Ma OJ, Rush MD, Godfrey MM, Gaddis G. Arterial blood gas results rarely influence emergency physician management of patients with suspected diabetic ketoacidosis. Acad Emerg Med. doi: 10.1111/j.1553-2712.2003.tb00625.x. 1553-2712.2003.tb00625.x. PMID: 12896883.

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Emergency Department Resuscitation COPD Shock 93

Advanced Emergency Nursing from AENJ

APRIL 29, 2015

Howard, L. S., & Davison, A. BTS guideline for emergency oxygen use in adult patients. Thorax 2008;63:vi1-vi68 doi:10.1136/thx.2008.102947 2008.102947 Downs , J. Has oxygen administration delayed appropriate respiratory care? Fallacies regarding oxygen therapy. Respiratory care, 48(6), 611-620. Niesters, M., Mahajan, R.

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