Emergency Medicine Journal

JUNE 20, 2024

Austerity measures introduced in the UK in 2010 following the 2008 recession resulted in major changes and, in some cases, significant cuts to healthcare funding. Health inequalities EDs are increasingly a good barometer of pressure across the NHS and the health of the nation.

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Dr. Smith's ECG Blog

FEBRUARY 10, 2023

D e W inter T Waves : In 2008 — Robert J. NOTE: For illustrative purposes — I’ve adapted Figure-1 from the original manuscript by de Winter et al, published in this 2008 NEJM citation. de Winter et al in N Engl J Med 359:2071-2073, 2008. It does not quite meet the original 2008 description for de Winter T waves.

EKG/ECG 52

EKG/ECG 52

ECG Guru

JUNE 28, 2024

Dr. Robbert de Winter, et al, described this pattern in a letter to the editor of the New England Journal of Medicine in 2008. This is called de Winter T wave pattern, and it is a sign of critical proximal occlusion of the left anterior descending coronary artery. Since then, it has been estimated to occur in about 2%-3.4%

EKG/ECG 81

EKG/ECG Emergency Department EMS 81

Cook County EM Blog

MARCH 20, 2023

2008 Apr;3(1):27-33. Epub 2008 Feb 2. 2008 Jan;12(1):33-6. 2008 Dec;3(4):340-5. Epub 2008 May 28. High-pressure injection injury of the hand: an often underestimated trauma: case report with study of the literature. Strategies Trauma Limb Reconstr. doi: 10.1007/s11751-008-0029-9. PMID: 18427921; PMCID: PMC2291478.

Documentation/Coding 52

Documentation/Coding Fractures Operations Research 52

Mind The Bleep

NOVEMBER 6, 2023

Figure 2 – Teardrop sign (Cobb et al 2008) Key aspects of management: CT scan Specialist input may include surgery, steroids, antibiotics, nasal decongestants and ice packs. 37(9):787-93 Cobb, Murthy, Saiet et al (2008) The tear-drop sign: a trap door for the unwary? May involve facial bones. Curr Eye Res.

Fractures 52

Fractures Radiology Radiology Emergency Department 52

Emergency Medicine Journal

FEBRUARY 20, 2024

Methods Adults (16+ years) from the UK Trauma Audit and Research Network (TARN) registry (January 2008–December 2017) served as surrogates for MI victims, with P1 patients identified using predefined criteria. This study employs machine learning (ML) to develop and validate models for novel primary and secondary triage tools.

Military 52

Military Operations Research 52

EMDocs

MARCH 20, 2024

Amer J Nursing, July 2008, 108:7 [link] The post Medical Malpractice Insights: Speaking in “Code” appeared first on emDOCs.net - Emergency Medicine Education. Association of Emergency Clinicians’ Assessment of Mortality Risk With Actual 1-Month Mortality Among Older Adults Admitted to the Hospital.

Documentation/Coding 90

Documentation/Coding Hospice Resuscitation CPR 90

The Skeptics' Guide to EM

JANUARY 27, 2024

Fanaroff et al looked at the ACC/AHA guidelines from 2008-2018 [4]. On top of that, there was no standardization of the nitrate dose or route of administration, so it’s hard to know how to extrapolate the findings to our standard nitrate admin protocols. I was not surprised by this information.

Administration 118

Administration Academics EKG/ECG Research 118

Taming the SRU

JUNE 12, 2023

In 2008, this led to greater than 316,000 emergency department (ED) visits and about 9,500 hospitalizations [1]. Emergency department visits and inpatient stays involving dog bites, 2008: Statistical brief #101. Human Rabies Prevention - United States, 2008: Recommendations of the Advisory Committee on Immunization Practices.

Infectious Diseases 96

Infectious Diseases Emergency Department Administration Academics 96

Ziqitza HealthCare Ltd

JULY 21, 2023

Considering its popularity, the then Government of India introduced the 108 emergency response system to other parts of the country in 2008. It was an instant hit in rural Andhra Pradesh. The service today is changing rural India by making primary healthcare accessible to the people in the remotest part of the state free of cost.

Ambulance Services 98

Ambulance Services Poisoning Operations Hospitals 98

Dr. Smith's ECG Blog

MAY 31, 2023

In discussing deWinter T waves — I find it helpful to return to the original commentary by deWinter and colleagues ( N Engl J Med 359:2071-2073, 2008 ) — in which they described a “new ECG pattern" without ST elevation that signifies acute occlusion of the proximal LAD ( L eft A nterior D escending ) coronary artery.

EKG/ECG 88

EKG/ECG Outcomes Academics Wellness 88

EMDocs

FEBRUARY 29, 2024

6th edn Philadelphia: Saunders Elsevier, 2008: chapter 17, ventricular arrhythmias; 405–39. Ashman phenomenon: an often unrecognized entity in daily clinical practice. Acta Clin Croat. 2010;49(1):99-100. Surawicz B, Knilans TK. Chou’s electrocardiography in clinical practice. Longo D, Baranchuk A. J Atr Fibrillation.

EKG/ECG 80

EKG/ECG EMS Hospitals 80

Dr. Smith's ECG Blog

APRIL 17, 2023

Emergency providers need to instinctively recognize this ECG pattern in a patient with new chest pain! == KEY POINTS regarding D e W inter T Waves : In 2008 — Robert J. NOTE: For illustrative purposes — I’ve adapted Figure-1 from the original manuscript by deWinter et al, published in this 2008 NEJM citation. See text ).

EKG/ECG 52

EKG/ECG Documentation/Coding Emergency Department Psychiatric 52

RebelEM

JANUARY 18, 2024

to 0.97; p = 0.02 Length of ICU Stay 906 patients Prehospital Abx: 300 pts No Prehospital Abx: 606 pts Pooled Mean Difference 0.11; 95% CI -1.85 to 2.07; p = 0.91 NOT STATISTICALLY SIGNIFICANT Length of Hospital Stay 3325 patients Prehospital Abx: 1680 pts No Prehospital Abx: 1645 pts Pooled Mean Difference: 4.50; 95% CI -3.34 to 12.33; p = 0.26

Sepsis 125

Sepsis Hospitals Administration Outcomes 125

Pediatric Emergency Playbook

AUGUST 1, 2020

2008 Nov;36(11):2226-37. In: Pediatric Emergency Medicine, Baren JM, Rothrock SG, Brennan JA, Brown L (Eds), Saunders Elsevier, Philadelphia 2008. J Athl Train. 2013 Jul-Aug; 48(4): 546–553. DeFranco MJ et al. Environmental issues for team physicians. Am J Sports Med. Ishimine P. Hyperthermia. Jardine DS. Heat illness and heat stroke.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Stroke Best Practices Pediatrics 52

Pediatric EM Morsels

JULY 21, 2023

2008 Apr;39(4):1347-8. Epub 2008 Feb 28. [PubMed: 29631516] van Heuven AW, Dorhout Mees SM, Algra A, Rinkel GJ. Validation of a prognostic subarachnoid hemorrhage grading scale derived directly from the Glasgow Coma Scale. doi: 10.1161/STROKEAHA.107.498345. 107.498345. PMID: 18309166.

Head Injuries 226

Head Injuries Pediatrics Outcomes Shock 226

ALiEM

SEPTEMBER 25, 2023

Epub 2008 Feb 15. References Bazan HA, Reiner E, Sumpio B. Management of bilateral phlegmasia cerulea dolens in a patient with subacute splenic laceration. Ann Vasc Dis. 2008;1(1):45-8. doi: 10.3400/avd.AVDcr07002. PMID: 23555338; PMCID: PMC3610218. Chaochankit W, Akaraborworn O. Phlegmasia Cerulea Dolens with Compartment Syndrome.

Ultrasounds 60

Ultrasounds Academics 60

Emergency Medicine Ireland

OCTOBER 30, 2023

First up is the VASST trial, (Russel et al 2008 NEJM). New Engl J Medicine 358 , 877–87 (2008). First up is the VASST trial, (Russel et al 2008 NEJM). Done in North America and Oz, they enrolled septic patients and randomised them to vasopressin vs a blinded infusion of 15mcg/min of norad. Gordon, A. Jama 316 , 509–518 (2016).

Shock 52

Shock Sepsis Wellness Outcomes 52

EMDocs

DECEMBER 11, 2023

De Winter Sign [4,6] First described in 2008 this pattern be seen in proximal left anterior descending artery occlusion and should be evaluated by emergent angiography. 2008 Nov 6;359(19):2071—2073. Her vital signs are stable. Her ECG is shown below. Source: [link] This case is consistent with the De Winter Sign. Ann Emerg Med.

EKG/ECG 110

EKG/ECG Emergency Department Academics Operations 110

Taming the SRU

APRIL 14, 2024

Biomedical Imaging and Intervention Journal , vol. 4, 1 July 2009, p. e14, www.biij.org/2009/4/e14/. Accessed 9 Apr. Jenkins, John T, and Patrick J O’Dwyer. Inguinal Hernias.” 7638, 31 Jan. 269–272, [link]. Long, Brit. “EM@3AM: EM@3AM: Hernia.” ScienceDirect , www.sciencedirect.com/science/article/pii/S0736467913011396. Strange, Chad D, et al.

Ultrasounds 84

Ultrasounds Emergency Department Pediatrics Radiology 84

RebelEM

MARCH 6, 2024

2008 Jul 1;31(7):table of contents. Practice parameters for the clinical evaluation and treatment of circadian rhythm sleep disorders. An American Academy of Sleep Medicine report. 2007 Nov;30(11):1445-59. doi: 10.1093/sleep/30.11.1445. Erratum in: Sleep. PMID: 18041479; PMCID: PMC2082098. Caffeine Walsh JK, Muehlbach MJ, Schweitzer PK.

Leadership 84

Leadership Hospitals EMS 84

SheMD

DECEMBER 21, 2023

I closed my eyes, breathed deeply, and heard the crowd roar as my mind carried me to Beijing 2008, a gold medal around my neck. I remember standing in my baggy one-piece suit, cap and goggles on, as the national anthem played loudly over the natatorium speakers.

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Sensible Medicine

MAY 28, 2024

A 2008 Cochrane review found adult depression screening does not improve outcomes. Regardless, the USPSTF concludes there is “moderate certainty that screening for anxiety… has a moderate net benefit”, the rationale for a “B” grade. Since the beginning, these recommendations have drawn criticism.

Outcomes 134

Outcomes Military Psychiatric Wellness 134

Taming the SRU

DECEMBER 11, 2023

Emergency Department Visits Related to Suicidal Ideation or Suicide Attempt, 2008-2017. Trends in US emergency department visits for attempted suicide and self-inflicted injury, 1993-2008. Preventing suicide: a global imperative. Geneva: World Health Organization; 2014. Owens PL, McDermott KW, Lipari RN, Hambrick MM. 2022;48(1):57-73.

Psychiatric 88

Psychiatric EMS Emergency Department Poisoning 88

The Skeptics' Guide to EM

APRIL 16, 2022

JAMA Feb 2009 looked at the ACC/AHA guidelines from 1984 to 2008. The level of high-quality evidence had not changed much when looking at the ACC/AHA guidelines from 2008-2018. They found 53 guidelines with 7,196 recommendations. Only 11% of recommendations were considered Level A, 39% were Level B and 50% were Level C.

Military 40

Military Operations Emergency Department Pediatrics 40

The Skeptics' Guide to EM

MARCH 5, 2022

JAMA Feb 2009 looked at the ACC/AHA guidelines from 1984 to 2008. The level of high-quality evidence had not changed much when looking at the ACC/AHA guidelines from 2008-2018. Tricoci et al. They found 53 guidelines with 7,196 recommendations. There were 26 guidelines with 2,930 recommendations.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Research Pediatrics Outcomes 40

EMDocs

SEPTEMBER 7, 2023

Fatal Poisoning Among Young Children from Diethylene Glycol-Contaminated Acetaminophen — Nigeria, 2008—2009”. Upon review of the history, several of the patients had been exposed to a liquid acetaminophen-based teething medication. 1 Clinical Questions: When should a clinician suspect diethylene glycol (DEG) toxicity? Schier, Capt.

Poisoning 65

Poisoning CDC Administration Emergency Department 65

EMDocs

JULY 25, 2024

From Assessing and Managing Suicide Risk (AMSR), American Association of Suicidology (AAS). Columbia-Suicide Severity Rating Scale (C-SSRS). Posner et al. Research Foundation for Mental Hygiene, Inc., The post Medical Malpractice Insights: The challenge of suicide evaluation in the ED appeared first on emDOCs.net - Emergency Medicine Education.

Documentation/Coding 73

Documentation/Coding Hospitals Patient Safety Emergency Department 73

CasesBlog

APRIL 15, 2023

2008) Proc Natl Acad Sci USA 105:13987–13992] and 1,762 German centenarians/nonagenarians and younger controls provided evidence that polymorphisms in this gene were indeed associated with the ability to attain exceptional old age. A study of long-lived men of Japanese ancestry [Willcox et al.

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ALiEM

JUNE 5, 2023

Geneva: World Health Organization; 2008. Centers for disease control and prevention expert panel meetings on prevention and treatment of anthrax in adults. Emerg Infect Dis. 2014;20(2):e130687. doi: 10.3201/eid2002.130687 Anthrax in Humans and Animals. 4th edition. 7, Treatment and prophylaxis. Accessed May 1, 2023.

Infectious Diseases 102

Infectious Diseases CDC PPE Military 102

EMDocs

JULY 9, 2024

[link] Dubowitz H, Feigelman S, Lane W, Kim J. Pediatric primary care to help prevent child maltreatment: the Safe Environment for Every Kid (SEEK) Model. Pediatrics. 2009 Mar;123(3):858-64. doi: 10.1542/peds.2008-1376. PMID: 19255014.

Pediatrics 71

Pediatrics Emergency Department Research Burns 71

PulmCCM

FEBRUARY 12, 2024

SCCM made its statement unilaterally, without the European Society of Intensive Care Medicine (ESICM), its partner on the 2008 and 2017 updates, or the American Thoracic Society (ATS). That could be because CIRCI is ill-defined, almost hypothetical.

Shock 52

Shock Administration Sepsis Fractures 52

Pediatric Emergency Playbook

MARCH 1, 2018

2008; 26: 181-198. The infant with acute, unexplained, excessive crying. Pediatrics. 1991; 88 (3): 450-5. Prentiss KA, Dorfman DH. Pediatric Opthalmology in the Emergency Department. Shope TR, Rieg TS, Kathiria NN. Corneal abrasions in young infants. Pediatrics. 2010 Mar;125(3):e565-9. Epub 2010 Feb 8.

Pediatrics 52

Pediatrics Emergency Department 52

American Medical Compliance

AUGUST 8, 2022

In 2008, a research study stated that if unvaccinated populations were to become exposed to monkeypox, then an epidemic could occur. It is similar to smallpox, as both come from the orthopoxvirus family. However, it is not as contagious or deadly as smallpox is. There is a chance that disease could replace smallpox as a widespread virus.

CDC 52

CDC Infectious Diseases Research 52

EMDocs

NOVEMBER 4, 2023

Published 2008 Sep 19. 2008) ISBN:0521871123. Scrotal abscess as a complication of perforated appendicitis: A case report and review of the literature. 2008;1(1):165. doi:10.1186/1757-1626-1-165 Hackett B, Sletten Z, Bridwell R E (July 03, 2020) Testicular Abscess and Ischemia Secondary to Epididymo-orchitis. Cureus 12(7): e8991.

EMS 68

EMS Ultrasounds Emergency Department Infectious Diseases 68

Taming the SRU

JANUARY 29, 2024

2008 Aug;6(8):1262-6. Epub 2008 May 15. Epub 2020 Nov 25. Flinterman LE, Van Der Meer FJ, Rosendaal FR, Doggen CJ. Current perspective of venous thrombosis in the upper extremity. J Thromb Haemost. doi: 10.1111/j.1538-7836.2008.03017.x. 1538-7836.2008.03017.x.

Emergency Department 85

Emergency Department Fractures Hospitals Operations 85

Sensible Medicine

JULY 17, 2023

A year later, in 2008, COURAGE trialists published a follow-up paper looking at quality of life. And again, they reported no difference in outcomes. You might wonder how PCI remained so popular after such a definitive study. One reasons was the relief of angina or chest pain. Here is the key graph.

Shock 85

Shock Outcomes 85