2005 - Emergency Care Today

2005

Delayed Presentation Of Right Diaphragm Injury

The Trauma Pro

JUNE 9, 2023

Surg Today 35:407-410, 2005. References: Management of Delayed Presentation of a Right-Side Traumatic Diaphragmatic Rupture. World J Surg 36:260-265, 2012. Delayed Discovery of Diaphragmatic Injury After Blunt Trauma: Report of Three Cases.

Rebaked Morsel: Pediatric Buckle and Greenstick Forearm Fractures

Pediatric EM Morsels

APRIL 19, 2024

West, 2005. Buckle Fractures: Evolving literature Multiple prospective studies have been performed using single posterior slabs, splints, braces and soft bulky bandages (Davidson, 2001. Plint, 2006.

Fractures

Fractures Pediatrics Best Practices Outcomes

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Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

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Fracture Fridays: You can dance if you want to

PEMBlog

NOVEMBER 17, 2023

2005 Jul;33(7):970-5. Epub 2005 May 11. Available from: [link] Mologne TS, Lundeen JM, Clapper MF, O’Brien TJ. Early screw fixation versus casting in the treatment of acute Jones fractures. Am J Sports Med. doi: 10.1177/0363546504272262. PMID: 15888715.

Fractures

Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

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Best Of EAST #7: King vs. I-Gel Supraglottic Airways

The Trauma Pro

JANUARY 10, 2024

Both the King and i-gel airways were introduced around 2005. Airway management is even more challenging in the prehospital environment, where lighting and patient positioning may be suboptimal, and injuries or policies may prohibit orotracheal intubation. A variety of devices have been developed to make airway control simpler and faster.

Airway Management

Airway Management Hospitals

REBEL Core Cast 108.0 – Angioedema

RebelEM

SEPTEMBER 13, 2023

patients that take ACE inhibitors (but 20-30% of all angioedema presentations to the Emergency Department) 3 times more common in Black Americans ( Kostis 2005 ) 0.01 Typically involves the mouth, larynx, pharynx, and subglottic tissue ( Kostis 2005 ). of people who take NSAIDs ( Nzeako 2010 ).

Allergic Reactions

Allergic Reactions Airway Management Anaphylaxis Emergency Department

REBEL Core Cast 116.0 – Achilles Tendon Rupture

RebelEM

JANUARY 24, 2024

2005; 39(11): 838-42. You will notice the squeeze will cause no motion if there is a full rupture/tear, and diminished motion if there is a partial tear Performance Characteristics ( Garras 2012 ) Sensitivity Specificity (+) LR (-) LR 96-100% 93-100% 13.7 Sports Med. 1998; 25(2): 79-100. PMID: 9519398 Kayser R et al. Br J Sports Med.

Operations

Operations Ultrasounds Fractures Outcomes

Fluoroquinolone Use In Children

Pediatric EM Morsels

AUGUST 18, 2023

Gatifloxacin use was evaluated in 867 children, which resulted in 12 (1.4%) of children having transient arthritis which resolved within 2 weeks (Pichichero 2005) Ciprofloxacin was compared to Cephalospoin for the treatment of complicated UTI’s in children. Arthropathy was seen in 13.7% of the Ciprofloxacin group vs 9.5% Clin Infect Dis.

Pediatrics

Pediatrics Infectious Diseases Seizures Hospitals

Should I Apply Compression Devices To Patients With DVT?

The Trauma Pro

DECEMBER 26, 2023

Chest 127(5):1631-1636, 2005. PLOS One , April 10, 2015, [link] Bed Rest or Ambulation in the Initial Treatment of Patients With Acute Deep Vein Thrombosis or Pulmonary Embolism: Findings From the RIETE Registry. Does supervised exercise after deep venous thrombosis improve recanalization of occluded vein segments? A randomized study.

Fractures

Fractures Documentation/Coding Hospitals Research

Medical Student Accommodations

Sensible Medicine

MAY 15, 2024

The best people who go to medical school are better than the students I trained with (circa 2005-09). One day, at the 8 hour and 45 minute mark, someone will walk in your office with crushing chest pain or difficulty breathing or feeling faint. Your answer cannot be to walk out.

Administration

Administration Documentation/Coding Hospitals Wellness

Find Your Ikigai, a Sense of Meaning in Work

ACEP Now

MARCH 10, 2025

His highest attained rank was in the Makushita division in 2005, the third highest of six sumo divisions. Satonofuji Hisashi has been a career sumo wrestler since 1996. He is no champion wrestlerin fact, he is far from it.

Academics

Academics Wellness CPR Hospitals

Clinical Conundrums: How Long Should We Monitor After Giving IM Epinephrine for Anaphylaxis?

RebelEM

DECEMBER 5, 2023

up to 23% ( Lieberman 2005 , Rohacek 2014 , Tole 2007 , Grunau 2014 ). Annals of Allergy, Asthma, and Immunology 2005 Sep;95(3):217-26. The risk of a biphasic reaction is what keeps patients in the ED while being observed for a set period of time. The overall incidence of biphasic reactions is unknown with rates quoted from < 0.5%

Anaphylaxis

Anaphylaxis Allergic Reactions Emergency Department EMS

What is the Emergency Number of Ambulance

Ziqitza HealthCare Ltd

JULY 21, 2023

108 was decided upon as the National Ambulance Number when the Indian Government established Public-Private Partnerships with companies, longing to create a difference in the emergency medical service of India in 2005. Ambulance number in India 108 is a toll-free telephone number for emergency response services in India.

Ambulance Services

Ambulance Services Poisoning Operations Hospitals

Morel-Lavallée Lesion in Children

Pediatric EM Morsels

JUNE 16, 2023

Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment.

Soft Tissue Injuries

Soft Tissue Injuries Dehydration Fractures Operations

Texted from a former EM resident: 70 yo with syncope and hypotension, but no chest pain. Make their eyes roll!

Dr. Smith's ECG Blog

SEPTEMBER 11, 2024

American Journal of Emergency Medicine 2005; 23(3):279-287. The fact that this is syncope makes give it a far lower pretest probability than chest pain, but it was really more than syncope, as the patient actually underwent CPR and had hypotension on arrival of EMS.

EMS

EMS CPR EKG/ECG Wellness

Episode 14: Thoracotomy

PHEM Cast

DECEMBER 12, 2016

EMJ; 2005: 22-24. pdf Equipment required for resuscitative thoracotomy: Surface anatomy: Appearance of pericardial clot A foley catheter being used to fill a cardiac wound – note how easily this could be pulled out. Traumatic Cardiac Arrest. Journal of the Royal Society of Medicine 2015. 108(1): 11-16. Wise et al. Hunt et al.

Military

Military Resuscitation Emergency Department Documentation/Coding

ACMT Toxicology Visual Pearl: Poison Dart Frog

ALiEM

NOVEMBER 22, 2023

The poison Dart frog’s batrachotoxin modulates Nav1.8. 2004;577(1-2):245-248. PMID: 15527793 Darst, Catherine R.; Menéndez-Guerrero, Pablo A.; Coloma, Luis A.; Cannatella, David C.

Poisoning

G6PD Deficiency

Don't Forget the Bubbles

JULY 12, 2023

2005 Oct 1;72(7):1277-82. The key treatment is to remove the trigger that is causing oxidative stress and subsequent haemolysis. References Frank JE. Diagnosis and management of G6PD deficiency. American family physician. Harcke SJ, Rizzolo D, Harcke HT. G6PD deficiency: An update. 2019 Nov 1;32(11):21-6.

Agitation Podcast Series Episode 5: Management of the child with mental health problems who is boarded in the ED

PEMBlog

JUNE 14, 2023

Prolonged emergency department length of stay for US pediatric mental health visits (2005-2015). JAMA Pediatr. 2023;177(2):168–176. doi:10.1001/jamapediatrics.2022.4885 2022.4885 Nash KA, Zima BT, Rothenberg C, et al. Pediatrics. 2021;147(5):e2020030692. doi: 10.1542/peds.2020-030692 2020-030692 Lo CB, Bridge JA, Shi J, Ludwig L, Stanley RM.

Psychiatric

Psychiatric Emergency Department Pediatrics Best Practices

The AcT Trial: Tenecteplase vs Alteplase for Acute Ischemic Stroke

RebelEM

FEBRUARY 1, 2024

Earlier studies looking at tenecteplase dosing began in 2005 and have largely settled on a dose of 0.25 Tenecteplase, a modified version of alteplase, is being increasingly utilized for AIS due to its favorable pharmacological profile, ease of administration, and cost effectiveness. mg/kg at this time for the potential treatment of AIS.

Stroke

Stroke Blood Transfusions Outcomes EMS

Congregation B’nai B’rith 2022 Mitzvah Day Activities

Medical Law

JANUARY 12, 2023

This day of good deeds was initiated in 2005 by a woman in the United Kingdom named Laura Marks who wanted to help people do something beneficial for their communities. Mitzvah Day at CBB in Santa Barbara CBB began celebrating Mitzvah Day in 2005.

Operations

Episode 25: Tension pneumothorax 2

PHEM Cast

DECEMBER 1, 2017

For example, here are the locations identified as ‘2nd ICS mid clavicular line’ amongst 25 EM physicians in a 2005 EMJ paper. Be particularly careful when using the 2nd intercostal space mid-clavicular line that you are sufficiently lateral. Note – again please do not use this location! link] Cullinane, D., Ferrie, E.

Academics

Academics Radiology Radiology Resuscitation

Discitis

Don't Forget the Bubbles

JULY 24, 2023

2005 May;72. The Journal of Pediatrics. 2014 Jun;164. Langlois S, Cedoz JP, Lohse A, Toussirot E, Wendling D. Aseptic discitis in patients with ankylosing spondylitis: a retrospective study of 14 cases. Joint Bone Spine. McNamara AL, Dickerson EC, Gomez-Hassan DM, Cinti SK, Srinivasan A.

Radiology

Radiology Radiology Infectious Diseases Pediatrics

Neck Masses in Children

Pediatric Emergency Playbook

OCTOBER 1, 2019

Clin Plast Surg 2005; 32:99. Head and neck anomalies related to the branchial apparatus. Otolaryngol Clin North Am 2000; 33:1309. Marler JJ, Mulliken JB. Current management of hemangiomas and vascular malformations. Silverman, J. Gurley, A. Holbrook, C. 1991) Pediatric fine needle aspiration biopsy.

Pediatrics

Qi:KT - Acute Liver Failure

Taming the SRU

SEPTEMBER 8, 2023

2005 May;41(5):1179-97. 2005 Mar;42(3):365-70. LaFollette is co-editor of TamingtheSRU.com References General Information: Polson J, Lee WM; American Association for the Study of Liver Disease. AASLD position paper: the management of acute liver failure. Hepatology. doi: 10.1002/hep.20703. PMID: 15841455. doi: 10.1016/j.jhep.2004.11.030.

Radiology

Radiology Radiology Ultrasounds EMS

Fast Facts: Management of sleep apnea in children

PEMBlog

AUGUST 7, 2023

197-210; 2005. Pediatrics September 2012; 130 (3): 576–584. 10.1542/peds.2012-1671 2012-1671 Katz ES, Marcus CL. Diagnosis of obstructive sleep apnea syndrome in infants and children. Principles and practice of pediatric sleep medicine. Elsevier Saunders. Bitners AC, Arens R. 2020 Apr;198(2):257-270. doi: 10.1007/s00408-020-00342-5.

Pediatrics

Mass Casualty Incident

Pediatric Emergency Playbook

JUNE 1, 2019

2005 Dec;11(6):585- Culley JM, Svendsen E. An MCI drill For Older Children, Adolescents, and Adults (8 or greater) -- START: For Children less than 8 years of age (Infants Use Pediatric Assessment Triangle) -- JumpSTART: MCI Organizational Chart Selected References Briggs SM. Disaster management teams.

Mass Casualty Incidents

Mass Casualty Incidents Disaster Management Emergency Department Pediatrics

Sexual Harassment in Hospitals

American Medical Compliance

APRIL 10, 2023

Rise in Cases of Sexual Harassment There were 4,738 cases of improper sexual conduct reported from 2005-2015. Individuals are making connections and empowering change throughout the industry. This is the third most reported during that time frame for any field of work.

Hospitals

Hospitals Wellness

ToxCard: N-Acetylcysteine for Acetaminophen Toxicity

EMDocs

AUGUST 3, 2023

2005 Apr;54(4):515-21. Br Med J (Clin Res Ed). 1984;289(6439):217-219. doi:10.1136/bmj.289.6439.217 289.6439.217 Knudsen TT, Thorsen S, Jensen SA, Dalhoff K, Schmidt LE, Becker U, Bendtsen F. Effect of intravenous N-acetylcysteine infusion on haemostatic parameters in healthy subjects. doi: 10.1136/gut.2004.043505. 2004.043505. Minhaj, F.

Poisoning

Poisoning Seizures Administration Pediatrics

Episode 28: LOST

PHEM Cast

APRIL 16, 2018

EMJ; 2005: 22-24. The role of trauma scoring in developing trauma clinical governance in the Defence Medical Services. Phil Trans R Soc. Doi: 1098/rstb.2010.0232 2010.0232 Wise et al. Emergency thoracotomy ‘how to do it’. Morrison et al. Resuscitative thoracotomy following wartime injury. Jeffcoach DR et al. Lockey et al.

Resuscitation

Resuscitation Shock Ultrasounds CPR

PEM POCUS Series: Pediatric Renal and Bladder Ultrasound

ALiEM

MARCH 7, 2024

Ann Emer Med , 2005 [7] Prospective, blinded, observational study performed in the pediatric ED, 3 month period N=44, < 2 years of age Created a bladder urinary index by multiplying the AP and transverse bladder diameters. 2005 Jan;115(1):108-11. The index achieved 100% sensitivity and 97% specificity. Chen et al., Wong et al.,

Ultrasounds

Ultrasounds Pediatrics Radiology Radiology

SGEM#327: MAGNUM PA – Nebulized Magnesium for Pediatric Asthma

The Skeptics' Guide to EM

APRIL 17, 2021

For children with severe asthma, IV magnesium has been shown to significantly decrease hospitalization rates though practically these children are rarely sent home after this IV treatment ( Cheuk et al 2005 , Griffith et al 2016 ,

Pediatrics

Pediatrics PPE Emergency Department Hospitals

Subclinical hypothyroidism

Don't Forget the Bubbles

AUGUST 9, 2023

2005) Subclinical thyroid dysfunction: a joint statement on management from the American Association of Clinical Endocrinologists, the American Thyroid Association, and the Endocrine Society. J Clin Endocrinol Metab. 99:2697–703. doi: 10.1210/jc.2014-1761 Crisafulli, C., Subclinical hypothyroidism in children: is it always subclinical?

Ultrasounds

Ultrasounds Pediatrics Wellness

SGEM Xtra: No Retreat, No Surrender – Thrombolysis for Acute Ischemic Stroke

The Skeptics' Guide to EM

FEBRUARY 26, 2019

.” Hoffman and Cooper Another issue we discussed was the outcome measure of mRS or in the case of IST-3, the Oxford Handicap Score (OHS) which is very similar to the mRS. Previous research has shown the mRS to have poor inter-rater reliability ( Wilson et al Stroke 2005 ) and issues with validity ( Zhao et al Cerebrovasc Dis 2010 ).

Stroke

Stroke EMS Research Outcomes

SGEM#281ss: Balance of Prognostic Factors in Randomized Controlled Trials

The Skeptics' Guide to EM

JANUARY 29, 2020

May 2005. Randomization, statistics, and causal inference. Epidemiology Nov 1990 * Stephen Sean. Baseline Balance and Valid Statistical Analyses: Common Misunderstandings. Applied Clinical Trials.

EMS

EMS Outcomes

SGEM#321: The Times they are a Changin’ for TXA in Epistaxis?

The Skeptics' Guide to EM

MARCH 6, 2021

Background: Epistaxis is a common Emergency Department (ED) complaint with over 450,000 visits per year and a lifetime incidence of 60% ( Gifford 2008 , Pallin 2005 ). You administer phenylephrine topically, reapply pressure and, consider the use of tranexamic acid (TXA).

EMS

EMS Emergency Department Outcomes

SGEM Xtra: Here Comes the NINDS Again

The Skeptics' Guide to EM

JULY 9, 2022

Another reanalysis was done by Kwiatkowski et al 2005 that also confirmed that the baseline imbalance in the NINDS trial did not account for the better outcome of tPA-treated patients. This committee’s findings supported the use of tPA in less than three hours ( Ingall et al 2004). What are your thoughts on this commissioned report?

Stroke

Stroke Emergency Department EMS Outcomes

The Higher Tech Kid in the ED

Pediatric Emergency Playbook

OCTOBER 1, 2017

2005; 29: 493–500. Groves DA, Brown VJ. Vagal nerve stimulation: a review of its applications and potential mechanisms that mediate its clinical effects. Neuroscience and Biobehavioral Reviews. Panebianco M, Rigby A,Weston J,Marson AG. Vagus nerve stimulation for partial seizures. Cochrane Database of Systematic Reviews. 2015; 4, Art.

Pediatrics

Pediatrics Seizures Stroke Ultrasounds

Bystander cardiopulmonary resuscitation and cardiac rhythm change over time in patients with out-of-hospital cardiac arrest

Emergency Medicine Journal

MAY 23, 2023

Methods We identified individuals with witnessed OHCA of cardiac origin from a nationwide population-based OHCA registry in Japan between 1 January 2005 and 31 December 2019. The first documented cardiac rhythm was compared between patients who received bystander CPR and those who did not, using a 1:2 propensity score-matched analysis.

Resuscitation

Resuscitation CPR Hospitals Documentation/Coding

The Pediatric Surgical Abdomen

Pediatric Emergency Playbook

AUGUST 1, 2017

J Pediatr 2005; 146:787. J Pediatr Surg 2005; 40:197. 2005; 40:1848-1851. J Pediatr Gastroenterol Nutr 2008; 46:13. De Lorijn F, Reitsma JB, Voskuijl WP, et al. Diagnosis of Hirschsprung's disease: a prospective, comparative accuracy study of common tests. Hirschsprung's disease and mimicking conditions. Dig Dis 1994; 12:106.

Pediatrics

Pediatrics Ultrasounds Resuscitation Sepsis

Approach to Hernias in the ED

Taming the SRU

APRIL 14, 2024

6, June 2005, pp. References Chen, Shyr-Chyr, et al. Ultrasound May Decrease the Emergency Surgery Rate of Incarcerated Inguinal Hernia.” Scandinavian Journal of Gastroenterology , vol. 721–724, [link]. Accessed 15 Aug. H, Ravikumar, et al. Reduction En-Masse of Inguinal Hernia with Strangulated Obstruction.” 4, 1 July 2009, p.

Ultrasounds

Ultrasounds Emergency Department Pediatrics Radiology

Tasty Morsels of Critical Care 037 | Serotonin Syndrome

Emergency Medicine Ireland

APRIL 19, 2021

This is all very interesting but it’s clear from the now somewhat dated 2005 NEJM review article that this piece of knowledge is only the tip of the iceberg in terms of its pathophysiology. Clear as mud I’m sure. Though rest assured the tip of the iceberg is likely to be enough for exam purposes.

PEMPix 2024 Online Case #4: Frozen Ever After

PEMBlog

SEPTEMBER 26, 2024

Mäkitie, O., Barclay, C., Depalma, S. Bastepe, M., Abuzahra, H., Mundlos, S., Sillence, D., Ala Kokko, L., Seidman, J. G., & Jüppner, H. A novel COL1A1 mutation in infantile cortical hyperostosis (Caffey disease) expands the spectrum of collagen-related disorders. The Journal of clinical investigation, 115(5), 1250–1257.

Fractures

Fractures Pediatrics Wellness

How EM Physicians Should Manage Their Legal and Medical Duties

ACEP Now

AUGUST 15, 2023

First, the federal Violence Against Women Act (VAWA), 42 USC.A § 3796gg-4(d)(1) (2005), allows for sexual assault survivors to undergo medical forensic examination without reporting to law enforcement and at no cost to them. They are very familiar with the laws in play in these scenarios and can easily work with you throughout the process.

Sexual Assault

Sexual Assault Forensics EMS Risk Management

Diagnostics: Inflammatory Markers

Taming the SRU

AUGUST 30, 2023

2005 Nov;6(11):1045-56. 2005 Feb 15;53(1):33-8. PMID: 28778870; PMCID: PMC6071487. Gruys E, Toussaint MJ, Niewold TA, Koopmans SJ. Acute phase reaction and acute phase proteins. J Zhejiang Univ Sci B. doi: 10.1631/jzus.2005.B1045. PMID: 16252337; PMCID: PMC1390650. Gulhar R, Ashraf MA, Jialal I. Physiology, Acute Phase Reactants.

Infectious Diseases

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing

Delayed Presentation Of Right Diaphragm Injury

Rebaked Morsel: Pediatric Buckle and Greenstick Forearm Fractures

Webinars

Trending Sources

Fracture Fridays: You can dance if you want to

Webinars

Best Of EAST #7: King vs. I-Gel Supraglottic Airways

REBEL Core Cast 108.0 – Angioedema

REBEL Core Cast 116.0 – Achilles Tendon Rupture

Fluoroquinolone Use In Children

Should I Apply Compression Devices To Patients With DVT?

Medical Student Accommodations

Find Your Ikigai, a Sense of Meaning in Work

Clinical Conundrums: How Long Should We Monitor After Giving IM Epinephrine for Anaphylaxis?

What is the Emergency Number of Ambulance

Morel-Lavallée Lesion in Children

Texted from a former EM resident: 70 yo with syncope and hypotension, but no chest pain. Make their eyes roll!

Episode 14: Thoracotomy

ACMT Toxicology Visual Pearl: Poison Dart Frog

G6PD Deficiency

Agitation Podcast Series Episode 5: Management of the child with mental health problems who is boarded in the ED

The AcT Trial: Tenecteplase vs Alteplase for Acute Ischemic Stroke

Congregation B’nai B’rith 2022 Mitzvah Day Activities

Episode 25: Tension pneumothorax 2

Discitis

Neck Masses in Children

Qi:KT - Acute Liver Failure

Fast Facts: Management of sleep apnea in children

Mass Casualty Incident

Sexual Harassment in Hospitals

ToxCard: N-Acetylcysteine for Acetaminophen Toxicity

Episode 28: LOST

PEM POCUS Series: Pediatric Renal and Bladder Ultrasound

SGEM#327: MAGNUM PA – Nebulized Magnesium for Pediatric Asthma

Subclinical hypothyroidism

SGEM Xtra: No Retreat, No Surrender – Thrombolysis for Acute Ischemic Stroke

SGEM#281ss: Balance of Prognostic Factors in Randomized Controlled Trials

SGEM#321: The Times they are a Changin’ for TXA in Epistaxis?

SGEM Xtra: Here Comes the NINDS Again

The Higher Tech Kid in the ED

Bystander cardiopulmonary resuscitation and cardiac rhythm change over time in patients with out-of-hospital cardiac arrest

The Pediatric Surgical Abdomen

Approach to Hernias in the ED

Tasty Morsels of Critical Care 037 | Serotonin Syndrome

PEMPix 2024 Online Case #4: Frozen Ever After

How EM Physicians Should Manage Their Legal and Medical Duties

Diagnostics: Inflammatory Markers

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