2006 - Emergency Care Today

Proximal Tibiofibular Joint Dislocation in Children

Pediatric EM Morsels

JULY 7, 2023

Horan, 2006 ] Anatomy of the PTF Joint [ Cunningham, 2019 ] The PTF joint is a synovial joint between the lateral condyle of the tibia and the head of the fibula. Mechanism of dislocation : [ Horan, 2006 ] Typically, the injury occurs when: The Knee is in Flexion and The Foot is rotated and plantar flexed. 2006 May;23(5):e33.

Dislocations

Dislocations Fractures Pediatrics EMS

Perichondritis of the Ear in Children

Pediatric EM Morsels

AUGUST 11, 2023

2006 Dec;22(12):804-6. Coli Proteus species Non-Abscess infection: Staphylococcus aures = the most common Pseudomonas aeruginosa and others still may be seen Perichondritis of the Ear: Presentation Redness , Pain , and Swelling of the pinna Typically spares the lobule ! 2020 Oct 24;12(10):e11141. doi: 10.7759/cureus.11141. Pediatr Emerg Care.

Burns

Burns Pediatrics EMS Outcomes

Intensive blood glucose control in the ICU is not helpful (TGC-FAST trial)

PulmCCM

APRIL 19, 2024

After two studies published in NEJM 2001 and 2006 showed intensive glucose control (to 80-110 g/dL) improved outcomes in adult medical and surgical patients, and then in kids (all at a single center in Leuven, Be… Read more

Outcomes

Active shooter in emergency departments in Guanajuato State, Mexico

Emergency Medicine Journal

JULY 22, 2024

The rate of violent events in Mexico, especially in hospital settings, has increased since 2006, but has become more evident in 2018. Mass violence events, especially in healthcare settings, have devastating consequences and long-lasting effects on the victims and the community.

Emergency Department

Emergency Department Documentation/Coding Hospitals

Rebaked Morsel: Pediatric Buckle and Greenstick Forearm Fractures

Pediatric EM Morsels

APRIL 19, 2024

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

Fractures

Fractures Pediatrics Best Practices Outcomes

Allergic Reactions and Anaphylaxis

EB Medicine

JANUARY 17, 2023

Intro The number of ED visits and hospitalizations Studies show up to 57% of anaphylactic reactions are not recognized, and epinephrine is not administered in up to 80% of cases.

Allergic Reactions

Allergic Reactions Anaphylaxis Infectious Diseases Emergency Department

ECG Blog #425 — Are there P Waves?

Ken Grauer, MD

APRIL 13, 2024

That said — most patients eventually do become symptomatic ( Webb and Gatzoulis: Circulation 114: 1645-1653, 2006 ). For more on ASD in Adults — Webb and Gatzoulis: Circulation 114: 1645-1653, 2006. Surprisingly, patients with an ASD may present for medical attention at any age. Many patients go years without significant symptoms.

EKG/ECG

EKG/ECG Wellness

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

Soft Tissue Injuries

Soft Tissue Injuries Dehydration Fractures Operations

Should I Apply Compression Devices To Patients With DVT?

The Trauma Pro

DECEMBER 26, 2023

J Thrombosis Thrombolysis 23:25-30, 2006. Chest 127(5):1631-1636, 2005. Does supervised exercise after deep venous thrombosis improve recanalization of occluded vein segments? A randomized study.

Documentation/Coding

Documentation/Coding Fractures Hospitals Research

Annals of B Pod: Social EM Corner- Suicide Related Behaviors

Taming the SRU

DECEMBER 11, 2023

In: Healthcare Cost and Utilization Project (HCUP) Statistical Briefs.Rockville (MD)2006. Emergency Department Visits Related to Suicidal Ideation, 2006-2013. Rockville (MD)2006. Owens PL, McDermott KW, Lipari RN, Hambrick MM. Emergency Department Visits Related to Suicidal Ideation or Suicide Attempt, 2008-2017.

Psychiatric

Psychiatric EMS Emergency Department Poisoning

The US FDA's cancer drug approval process is broken and needs audit

Sensible Medicine

APRIL 25, 2024

In the latest project from our team , led by medical student Josh Elbaz, we examine how many FDA approvals from 2006 to 2023 improve survival. Note the time from safety alert to withdrawal, and when the data was generated. Free link here.

Poisoning

Poisoning Outcomes

Fluoroquinolone Use In Children

Pediatric EM Morsels

AUGUST 18, 2023

Oral Fluoroquinolone Prescribing to Children in the United States From 2006 to 2015. Nearly 400,000 prescriptions were written and 22% were found to be inappropriate based on clinical guidelines. The risk of Musculosketal Adverse Events with Fluoroquinolones in Children: What is the Verdict Now? Clin Pediatr. 55(2):107-10. 38 (3):268-270.

Pediatrics

Pediatrics Infectious Diseases Hospitals Seizures

Episode 35: The collapsed infant

PHEM Cast

SEPTEMBER 25, 2019

2006 Jun 3;332(7553):1295–8. 2006 Jun 3;332(7553):1299–303. Parenteral penicillin for children with meningococcal disease before hospital admission: case-control study. Hahné SJM, Charlett A, Purcell B, Samuelsson S, Camaroni I, Ehrhard I, et al.

Ambulance Services

Ambulance Services Sepsis Burns Hospitals

SAEM Clinical Images Series: Wolf in Sheep’s Clothing

ALiEM

NOVEMBER 6, 2023

2006 Oct;11(4):340-53. European heart journal. 1999 Dec 1;20(24):1826-32. Wolff L, Parkinson J, White PD. Bundle-branch block with short P-R interval in healthy young people prone to paroxysmal tachycardia. Ann Noninvasive Electrocardiol. doi: 10.1111/j.1542-474X.2006.00127.x. 2006.00127.x. PMID: 17040283; PMCID: PMC6932258.

EKG/ECG

EKG/ECG Academics Outcomes Wellness

SGEM#409: Same as it Ever Was – Tamiflu for Influenza?

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.

CDC

CDC Hospitals EMS Emergency Department

Glasgow Coma Scale in Children

Pediatric EM Morsels

JULY 21, 2023

2006 May;34(5):379-87. Academic emergency medicine 12.9 2005): 814–819. Chung CY, Chen CL, Cheng PT, See LC, Tang SF, Wong AM. Critical score of Glasgow Coma Scale for pediatric traumatic brain injury. Pediatr Neurol. doi: 10.1016/j.pediatrneurol.2005.10.012. 2005.10.012. PMID: 16647999. Chaturvedi P, Kishore M.

Head Injuries

Head Injuries Pediatrics Outcomes Shock

REBEL Core Cast 119.0 – Sleep Hygiene

RebelEM

MARCH 6, 2024

Anderson C, Horne JA [2006]. Diet Lowden A, Holmbäck U, Åkerstedt T, Forslund J, Lennernäs M, Forslund A [2004]. Performance and sleepiness during a 24 h wake in constant conditions are affected by diet. Biol Psychol 65(3):251–263. A high sugar content, low caffeine drink does not alleviate sleepiness but may worsen it.

Leadership

Leadership Hospitals EMS

Does this T wave pattern mean anything?

Dr. Smith's ECG Blog

OCTOBER 23, 2023

2006 Jan 17;47(2):269-81. Epub 2006 Jan 4. Pacing Clin Electrophysiol. 2007 Oct;30(10):1267-72. doi: 10.1111/j.1540-8159.2007.00849.x. 1540-8159.2007.00849.x. PMID: 17897130. Narayan SM. T-wave alternans and the susceptibility to ventricular arrhythmias. J Am Coll Cardiol. doi: 10.1016/j.jacc.2005.08.066. 2005.08.066. PMID: 16412847.

EKG/ECG

EKG/ECG Documentation/Coding Psychiatric EMS

Talking About Race in Emergency Medicine

JournalFeed

JANUARY 17, 2022

New York : Doubleday, 2006 How Racism Makes us Sick - TED Talk Robert Livingston, The Conversation White Privilege: Unpacking the Invisible Knapsack Addressing Anti-Black Racism in Medicine Epub 2021 Aug 6. Washington, Harriet A.

EMS

EMS Emergency Department

2135 Cooking on GAS: implementing guidelines for suspected Group A streptococcus in the emergency department at royal Aberdeen childrens hospital

Emergency Medicine Journal

NOVEMBER 28, 2023

2006; 17 (3):140-8. With future spikes in GAS cases likely, further research needs to be done to correctly target antibiotic prescribing for GAS pharyngitis. References Martin JM, Green M. Group A streptococcus. Semin Pediatr Infect Dis. Spinks A, Glasziou PP, Del Mar CB. Antibiotics for treatment of sore throat in children and adults.

Emergency Department

Emergency Department Hospitals Pediatrics Research

Agitation Podcast Series Episode 1: Differentiating organic versus psychiatric causes of agitation and altered mental status

PEMBlog

MAY 17, 2023

In: Textbook of Pediatric Emergency Medicine, 5th, Fleisher GR, Ludwig S, Henretig FM (Eds), Lippincott Williams & Wilkins, Philadelphia 2006. Chun TH, Sargent J, Hodas GR. Psychiatric emergencies. Cunqueiro A, Durango A, Fein DM, et al. Pediatr Radiol 2019; 49:240.

Psychiatric

Psychiatric Emergency Department Pediatrics Best Practices

Episode 14: Thoracotomy

PHEM Cast

DECEMBER 12, 2016

Injury; 2006 (37): 1-19. World Journal of Emergency Surgery; 2006: 1:4. EMJ; 2005: 22-24. Hunt et al. Emergency thoracotomy in thoracic trauma: a review. Clay et al. Emergency Department thoracotomy for the critically injured patient: Objectives, indications, and outcomes. Rhee et al.

Military

Military Resuscitation Emergency Department Documentation/Coding

Awake, and Paralysed: A Never Event

Don't Forget the Bubbles

NOVEMBER 29, 2023

A retrospective cohort analysis of the ED portion of the National Hospital Ambulatory Medical Care Survey from 2006 to 2009 in the US revealed that less than one-half of patients undergoing ETI in the ED received sedative drugs while in the ED.

Airway Management

Airway Management Emergency Department Resuscitation Psychiatric

REBEL Core Cast 116.0 – Achilles Tendon Rupture

RebelEM

JANUARY 24, 2024

Foot Ankle Int 2006; 27(4): 305-13. The epidemiology and trends in management of acute Achilles tendon ruptures in Ontario, Canada: a population-based study of 27,607 patients. Bone Joint J. 2017; 99-B(1): 78-86. PMID: 28053261 Chiodo CP, Wilson MG. Current Concepts Review: Acute Ruptures of the Achilles Tendon. Sports Med.

Operations

Operations Ultrasounds Outcomes Fractures

emDOCs Revamp – Acute Chest Syndrome

EMDocs

JUNE 27, 2024

2006 Jul;134(1):109-15. 2006 Dec 13;2(91):2852-7. Ataga KI, Moore CG, Jones S, Olajide O, Strayhorn D, Hinderliter A, Orringer EP. Pulmonary hypertension in patients with sickle cell disease: a longitudinal study. Br J Haematol. PMID: 16803576. Howard J, Hart N, Roberts-Harewood M, Cummins M, Awogbade M, Davis B; BCSH Committee.

Pediatrics

Pediatrics Dehydration EMS Hospitals

SGEM Xtra: This is My Life – Centralization of Rural Emergency Healthcare

The Skeptics' Guide to EM

APRIL 8, 2023

This is something that has only happened once since 2006 ( Ottawa Citizen March 28, 2023 ) The study referred to in the editorial looks at the experience in Denmark with a reconfiguration of their emergency healthcare services ( Flojstrup et al 2023 ).

Stroke

Stroke Emergency Department Academics COPD

SGEM#400: A little Bit of Heart and Sports Related Sudden Cardiac Arrest in Women

The Skeptics' Guide to EM

APRIL 15, 2023

JACC November 2022 * Population: Three large European registries that prospectively collect data on every case of SCA between 2006-2017. Incidence of Cardiac Arrest During Sports Among Women in the European Union. Sports-related (Sr) SCA was defined as occurring <=1 hour after ending a sports activity.

Research

Research Wellness

emDOCs Podcast – Episode 102: Hypocalcemia in Trauma and the Diamond of Death

EMDocs

JUNE 12, 2024

Emerg Med J. 2018;35(3):176-179. Cherry RA, Bradburn E, Carney DE, Shaffer ML, Gabbay RA, Cooney RN. Do early ionized calcium levels really matter in trauma patients? J Trauma – Inj Infect Crit Care. MacKay EJ, Stubna MD, Holena DN, et al.

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia Resuscitation Administration Blood Transfusions

More than the rule of 2s: All about Meckel Diverticulum

PEMBlog

OCTOBER 26, 2023

2006 Oct;99(10):501-5. Meckel diverticulum. Reference article, Radiopaedia.org (Accessed on 26 Oct 2023) [link] Sagar J, Kumar V, Shah DK. Meckel’s diverticulum: a systematic review. J R Soc Med. An J, Zabbo CP. Meckel Diverticulum. Updated 2023 Jan 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-.

Radiology

Radiology Radiology Administration Shock

SVC Syndrome

EM Guide Wire

JANUARY 15, 2020

Medicine (Baltimore) 2006; 85:37. Use of self-expanding vascular endoprostheses in superior vena cava syndrome. Eur J Cardiothorac Surg 2003; 24:208. Rice TW, Rodriguez RM, Light RW. The superior vena cava syndrome: clinical characteristics and evolving etiology. Schraufnagel DE, Hill R, Leech JA, Pare JA. Superior vena caval obstruction.

SGEM#360: We Care a Lot – The EmPATH Study

The Skeptics' Guide to EM

FEBRUARY 26, 2022

ED visits in the US for mental health conditions has increased by 44% from 2006 to 2014. This was based upon his article published in the Canadian Medical Association Journal ( CMAJ ). We also had Dr. Tyler Black on that episode to provide his expertise as a suicidologist.

Psychiatric

Psychiatric Hospitals Research Academics

ACMT Toxicology Visual Pearl – Apricot Kernels: Eat or pass?

ALiEM

NOVEMBER 15, 2023

2006 ;118(5):2146-58. Christopher Holstege, Bryan Judge, and Louise Kao. Read More in the Series References Geller RJ, Barthold C, Saiers JA, Hall AH. Pediatric cyanide poisoning: causes, manifestations, management, and unmet needs. Pediatrics.

Poisoning

Poisoning Pediatrics Seizures Administration

PEMPix 2023 Online Case 4: You Can’t Get Fooled Again

PEMBlog

OCTOBER 19, 2023

2006 Jul 24 [Updated 2017 May 25]. Rashad MM, Nassar C. Tyrosinemia Typel: A case report. Sudan J Paediatr. 2011;11(1):64-7. PMID: 27493308; PMCID: PMC4949785. Sniderman King L, Trahms C, Scott CR. Tyrosinemia Type I. In: Adam MP, Mirzaa GM, Pagon RA, et al., GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993-2023.

Urgent Care

Urgent Care Pediatrics Poisoning Wellness

Hypertension in Children

Pediatric Emergency Playbook

APRIL 1, 2018

2006; 18:148-154. Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents. Pediatrics. 2017; 140(3):e20171904 Gilhotra Y et al. Blood pressure measurements on children in the emergency department. Emergency Medicine Australasia. Lurbe E et al. J Hypertens. 2016; 34:1-35.

Pediatrics

Pediatrics Emergency Department

The Modified Valsalva Maneuver: Practical Treatment or Pointless Trick?

RebelEM

MAY 27, 2024

Generally, adenosine has a favorable safety profile, with mostly minor side effects (Holdgate 2006). These rates are significantly lower than those in other research (Holdgate 2006). Additionally, robust evidence supports using calcium channel blockers, which may have a more favorable side effect profile (Holdgate 2006).

Outcomes

Outcomes Research Hospitals Operations

Constipation and the way out

Pediatric Emergency Playbook

MARCH 1, 2021

JPGN 2006; 43:e1-e13. North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition. Clinical Practice Guideline: Evaluation and Treatment of Constipation in Infants and Children. Tabbers MM et al. JPGN 2014;58: 258–274.

Pediatrics

Pediatrics Emergency Department Outcomes

Accidental Tracheostomy Decannulation

Northwestern EM Blog

APRIL 15, 2024

2006): 576-579. Rajendram, R., Repositioning a displaced tracheostomy tube with an Aintree intubation catheter mounted on a fibre-optic bronchoscope." BJA: British Journal of Anaesthesia 97.4 Shah RK, Lander L, Berry JG, et al. Tracheotomy outcomes and complications: a national perspective. Laryngoscope 2012;122(1):25–9 5. Riley, Christine M.

Emergency Department

Emergency Department Resuscitation Pediatrics Outcomes

SGEM#344: We Will…We Will Cath You – But should We After An OHCA Without ST Elevations?

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

Defibrillation is the treatment of choice in these cases but does not often result in sustained ROSC ( Kudenchuk et al 2006). Many of these OHCAs are due to ventricular fibrillation or pulseless VT. Acute coronary syndrome (ACS) is responsible for the majority (60%) of all OHCAs in patients.

EKG/ECG

EKG/ECG Academics EMS CPR

Riding the Waves: End-Tidal CO2 Monitoring

Taming the SRU

JULY 2, 2023

2006): e1170-e1178. Annals of emergency medicine 63.2 2014): 247-258. Lightdale, Jenifer R., Microstream capnography improves patient monitoring during moderate sedation: a randomized, controlled trial." Pediatrics 117.6

Emergency Department

Emergency Department Pediatrics CPR Administration

Diagnosing Acute Rheumatic Fever in Kids

ACEP Now

SEPTEMBER 11, 2023

From these data, the authors looked at five reporting periods—2000, 2003, 2006, 2009, and 2012—and identified ARF case incidences of 0.63, 0.77, 0.64, 0.51, and 0.52, respectively, per 100,000 children. This database systematically and randomly samples pediatric discharges from participating hospitals.

Pediatrics

Pediatrics Poisoning Hospitals Emergency Department

emDOCs Podcast – Episode 90: Hypokalemic Periodic Paralysis

EMDocs

NOVEMBER 21, 2023

2006 Jan;129(Pt 1):8-17. Muscle Nerve. 2013 Jan;47(1):41-5. Venance SL, Cannon SC, Fialho D, et al; CINCH investigators. The primary periodic paralyses: diagnosis, pathogenesis and treatment. Miller TM, Dias da Silva MR, Miller HA, et al. Correlating phenotype and genotype in the periodic paralyses. 2004 Nov 9;63(9):1647-55.

Administration

Choosing Wisely – Radiographs in children with respiratory symptoms

Don't Forget the Bubbles

AUGUST 30, 2023

A secondary analysis of a nationwide study of Emergency Department attendance in America from 2006 to 2008 found that CXRs increase the average length of stay by 27 minutes. Overcrowding and limited staffing threaten to increase the length of stay if unnecessary imaging is obtained.

Emergency Department

Emergency Department Pediatrics Infectious Diseases Research

Qi:KT - Acute Liver Failure

Taming the SRU

SEPTEMBER 8, 2023

Clinical Critical Care Medicine, 2006, pp. Gastroenterology. 2017 Feb;152(3):644-647. doi: 10.1053/j.gastro.2016.12.026. 2016.12.026. Epub 2017 Jan 2. PMID: 28056348. Cross, Timothy, et al. Acute liver failure.” 531–542, [link] Shah NJ, Royer A, John S. Acute Liver Failure. Updated 2023 Apr 7]. In: StatPearls [Internet].

Radiology

Radiology Radiology Ultrasounds EMS

Policy Playbook: Labor Actions and Unionization in Healthcare

EMDocs

FEBRUARY 7, 2024

2006 Apr;36(2):331-54. BMC Medical Ethics. 2013 Dec;14:1-0. Thompson SL, Salmon JW. Strikes by physicians: a historical perspective toward an ethical evaluation. International Journal of Health Services. Smith J, Essex R, Issa R. On the politics and ethics of strike action by health professionals. The Lancet. 2022 Nov 9. Becker ER, Rakich JS.

Hospitals

Hospitals Research Wellness Patient Safety

Proximal Tibiofibular Joint Dislocation in Children

Perichondritis of the Ear in Children

Trending Sources

Intensive blood glucose control in the ICU is not helpful (TGC-FAST trial)

Active shooter in emergency departments in Guanajuato State, Mexico

Rebaked Morsel: Pediatric Buckle and Greenstick Forearm Fractures

Allergic Reactions and Anaphylaxis

ECG Blog #425 — Are there P Waves?

Morel-Lavallée Lesion in Children

Should I Apply Compression Devices To Patients With DVT?

Annals of B Pod: Social EM Corner- Suicide Related Behaviors

The US FDA's cancer drug approval process is broken and needs audit

Fluoroquinolone Use In Children

Episode 35: The collapsed infant

SAEM Clinical Images Series: Wolf in Sheep’s Clothing

SGEM#409: Same as it Ever Was – Tamiflu for Influenza?

Glasgow Coma Scale in Children

REBEL Core Cast 119.0 – Sleep Hygiene

Does this T wave pattern mean anything?

Talking About Race in Emergency Medicine

2135 Cooking on GAS: implementing guidelines for suspected Group A streptococcus in the emergency department at royal Aberdeen childrens hospital

Agitation Podcast Series Episode 1: Differentiating organic versus psychiatric causes of agitation and altered mental status

Episode 14: Thoracotomy

Awake, and Paralysed: A Never Event

REBEL Core Cast 116.0 – Achilles Tendon Rupture

emDOCs Revamp – Acute Chest Syndrome

SGEM Xtra: This is My Life – Centralization of Rural Emergency Healthcare

SGEM#400: A little Bit of Heart and Sports Related Sudden Cardiac Arrest in Women

emDOCs Podcast – Episode 102: Hypocalcemia in Trauma and the Diamond of Death

More than the rule of 2s: All about Meckel Diverticulum

SVC Syndrome

SGEM#360: We Care a Lot – The EmPATH Study

ACMT Toxicology Visual Pearl – Apricot Kernels: Eat or pass?

PEMPix 2023 Online Case 4: You Can’t Get Fooled Again

Hypertension in Children

The Modified Valsalva Maneuver: Practical Treatment or Pointless Trick?

Constipation and the way out

Accidental Tracheostomy Decannulation

SGEM#344: We Will…We Will Cath You – But should We After An OHCA Without ST Elevations?

Riding the Waves: End-Tidal CO2 Monitoring

Diagnosing Acute Rheumatic Fever in Kids

emDOCs Podcast – Episode 90: Hypokalemic Periodic Paralysis

Choosing Wisely – Radiographs in children with respiratory symptoms

Qi:KT - Acute Liver Failure

Policy Playbook: Labor Actions and Unionization in Healthcare

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