ALiEM

NOVEMBER 17, 2023

2009 May;73(5):1008-11. Epub 2009 Mar 13. Always keep a broad differential for prepubertal pediatric patients with genitourinary and vaginal bleeding complaints References HHillyer S, Mooppan U, Kim H, Gulmi F. Diagnosis and treatment of urethral prolapse in children: experience with 34 cases. doi: 10.1016/j.urology.2008.10.063.

Pediatrics 100

Pediatrics Emergency Department Academics OB/GYN 100

Pediatric Emergency Playbook

SEPTEMBER 1, 2020

2009; 39(1):e23-e27. Tuft Fracture Yeh PC et al. Pediatric Hand Fractures. Techniques in Orthopaedics. Seymour Fracture Nellans et al. Pediatric Hand Injuires. 2013 November ; 29(4): 569–578 Yeh PC et al. Pediatric Hand Fractures. Techniques in Orthopaedics. Mallet Fracture Adolescent with mallet finger and Kirschner wire fixation.

Fractures 52

Fractures Pediatrics Emergency Department 52

RebelEM

MARCH 8, 2023

Retinal Detachment ( Hollands 2009 ) Pathophysiology Posterior vitreous shrinks with advancing age (aka synchysis senilis), pulling on the retina. Symptom characteristics ( Hollands 2009 ) Any flashers/floaters: (+) LR 1.2 Photopsia is from vitreoretinal traction, floaters are from vitreous cells/blood in the eye. and (–) LR 0.9.

Stroke 52

Stroke Emergency Department Ultrasounds Outcomes 52

ALiEM

FEBRUARY 26, 2024

2009 Jul-Aug;26(4):373-80. Case Discussion Take-Home Points When a vesicular rash is in a neonate < 1 month and all over the face, consider benign neonatal pustular lesions such as neonatal cephalic pustulosis. References Antoniou C, Dessinioti C, Stratigos AJ, Katsambas AD. Clinical and therapeutic approach to childhood acne: an update.

Academics 78

Academics Pediatrics Wellness 78

Taming the SRU

SEPTEMBER 8, 2023

2009 Sep;137(3):856-64, 864.e1. Epub 2009 Jun 12. 2009 Jun;136(7):2159-68. Lee WM, Hynan LS, Rossaro L, Fontana RJ, Stravitz RT, Larson AM, Davern TJ 2nd, Murray NG, McCashland T, Reisch JS, Robuck PR; Acute Liver Failure Study Group. Gastroenterology. doi: 10.1053/j.gastro.2009.06.006. 2009.06.006. Erratum in: Gastroenterology.

Radiology 59

Radiology Radiology Ultrasounds EMS 59

Board Bombs

MAY 3, 2020

Copyright Terminator 1984, Terminator Salvation 2009 Want to experience the greatest in board studying? Copyright Terminator 1984, Terminator Salvation 2009 We talk some serious movie references here while dropping bombs about SAH, its causes, diagnosis, and management. What about BP in SAH? No one knows, but we'll try.

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Cook County EM Blog

MAY 1, 2023

2009 Jun 25. 2009 Oct;37(3):269-272. Septic bursitis: ED presentation, evaluation, and management. emDocs.net. Ruangchaijatuporn T, Gaetke-Udager K, Jacobson JA, Yablon CM, Morag Y. Ultrasound evaluation of bursae: anatomy and pathological appearances.  Skeletal Radiol. 2017;46(4):445-462. Wasserman AR, Melville LD, Birkhahn RH.

Ultrasounds 52

Ultrasounds Emergency Department Hospitals Outcomes 52

ALiEM

JANUARY 22, 2024

2009 Jan;11(1):66-72. Infect Dis Clin North Am. 2007 Dec;21(4):997-1011, ix. doi: 10.1016/j.idc.2007.08.002. 2007.08.002. PMID: 18061086. Hendershot EF, Sexton DJ. Scrub typhus and rickettsial diseases in international travelers: a review. Curr Infect Dis Rep. doi: 10.1007/s11908-009-0010-x. PMID: 19094827. Shiao CC, Lin SY.

Documentation/Coding 64

Documentation/Coding Academics Emergency Department Hospitals 64

EMDocs

SEPTEMBER 7, 2023

Fatal Poisoning Among Young Children from Diethylene Glycol-Contaminated Acetaminophen — Nigeria, 2008—2009”. 6, 8 July 2009, pp. Due to the limited availability of laboratory assays for DEG, clinicians should rely on a high index of suspicion, history, and routine lab work for diagnosing DEG toxicity. References: Abubukar et al.

Poisoning 64

Poisoning CDC Administration Emergency Department 64

RebelEM

FEBRUARY 22, 2023

Giant Cell Arteritis (arteritic anterior ischemic neuropathy) ( Bagheri 2015 , Hayreh 2009 ) Pathophysiology Giant cell arteritis(GCA) affects that medium-sized and large arteries. T-cell-dependent disease. Predilection to involve the posterior ciliary artery.

Emergency Department 52

Emergency Department EMS Wellness 52

The Skeptics' Guide to EM

JULY 29, 2023

Clinical Question: How has the rate of pre-hospital spinal immobilization/spinal motion restriction changed from 2009 to 2020? In order for standards for acute management of spinal injuries to progress, we must optimize patient protection and limit harm [19]. Reference: McDonald et al.

Head Injuries 98

Head Injuries EMS Research Emergency Department 98

EMDocs

FEBRUARY 7, 2024

healthcare workers previously remained low and relatively stagnant between 2009 and 2021. Trends in labor unionization among US health care workers, 2009-2021. Frequency : In the U.S., there were 31 recorded healthcare strikes in 2021, 39 recorded healthcare strikes in 2022, and 37 healthcare strikes in 2023 as of November 3rd.

Hospitals 75

Hospitals Research Wellness Patient Safety 75

ALiEM

SEPTEMBER 29, 2023

2009 Nov;67(5):1046-1050. References Goodwin RB, Beery PR 2nd, Dorbish RJ, et al. Computed tomographic angiography versus conventional angiography for the diagnosis of blunt cerebrovascular injury in trauma patients. The Journal of Trauma. DOI: 10.1097/ta.0b013e3181b83b63. 0b013e3181b83b63. PMID: 19901666.

Radiology 70

Radiology Radiology Academics Ultrasounds 70

Taming the SRU

APRIL 14, 2024

4, 1 July 2009, p. e14, www.biij.org/2009/4/e14/. H, Ravikumar, et al. Reduction En-Masse of Inguinal Hernia with Strangulated Obstruction.” Biomedical Imaging and Intervention Journal , vol. Accessed 9 Apr. Jenkins, John T, and Patrick J O’Dwyer. Inguinal Hernias.” 7638, 31 Jan. 269–272, [link]. Long, Brit.

Ultrasounds 82

Ultrasounds Emergency Department Pediatrics Wellness 82

ALiEM

OCTOBER 2, 2023

Epub 2009 Aug 11. Consider pertinent physical exam findings and utility of POCUS in confirming the diagnosis. References Harris AT, Bhatti I, Bajaj Y, Smelt GJ. An unusual cause of pre-auricular swelling. J Laryngol Otol. 2010 Mar;124(3):339-40. doi: 10.1017/S002221510999082X. PMID: 19664319. Minakova E, Doniger SJ. Pediatr Emerg Care.

Ultrasounds 75

Ultrasounds Pediatrics Academics Emergency Department 75

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 119

Sepsis Hospitals Administration Outcomes 119

The Skeptics' Guide to EM

MAY 6, 2023

The American College of Emergency Physicians ( ACEP ) defined the term in 2009 as “acute delirium (not linked to dementia or preexisting pathologies) associated with extreme physical and psychomotor agitation”. The task force came up with a paper that was presented and accepted by the ACEP board in 2009.

EMS 40

EMS Hospitals 40

The Skeptics' Guide to EM

JULY 8, 2023

In 2009, the Cochrane group questioned Roche about the completeness of the data and after four years of requests, finally got access to all the data in 2013 and updated their review in 2014. The Cochrane collaboration published analyses of the available data in 1999, 2003 and 2006.

CDC 102

CDC Hospitals EMS Emergency Department 102

RebelEM

AUGUST 30, 2023

Imaging Gadolinium enhanced MRI – modality of choice, highly sensitive and specific ( Mylona 2009 ). 2009 Aug; 39(1):10-7. Cultured specimen narrows antibiotic coverage Urinalysis/Urine Culture –UTI is a frequent missed source of bacteremia (especially in diabetic patients). J Antimicrob Chemother. Semin Arthritis Rheum.

Infectious Diseases 73

Infectious Diseases Fractures Radiology Radiology 73

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

ALiEM

NOVEMBER 22, 2023

Tetrodotoxin, an Extremely Potent Marine Neurotoxin: Distribution, Toxicity, Origin and Therapeutical Uses. 2015;13(10):6384-6406. Published 2015 Oct 19. PMID: 26492253 Pratap Chand. Marine Envenomations. In: Clinical Neurotoxicology. Pages 454-462. ISBN 9780323052603. Retrieved 2023-06-13. Dumbacher JP, Spande TF, Daly JW.

Poisoning 113

Poisoning 113

Pediatric EM Morsels

JULY 28, 2023

2009 Apr;10(2):155-7. Diabetes Ther. 2010 Dec;1(2):103-20. PMID: 22127748. PubMed] [Read by QxMD] Morales AE1, Daniels KA. Cerebral edema before onset of therapy in newly diagnosed type 2 diabetes. Pediatr Diabetes. PMID: 19261103. PubMed] [Read by QxMD] Lawrence SE1, Cummings EA, Gaboury I, Daneman D.

Fluid Resuscitation 212

Fluid Resuscitation Pediatrics Resuscitation Research 212

ALiEM

MAY 13, 2024

J Emerg Med 2009 [9] 50 Prospective cohort study of children <18yrs comparing clinical assessment to POCUS 90% (77-100%) 83% (70-97%) POCUS changed management in 22% of cases. Epub 2009 Aug 8. Adams et al., For every 4 ultrasounds performed, 1 correct change in management. Sivitz et al., J Emerg Med. 2010 Nov;39(5):637-43.

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

Pediatric Emergency Playbook

AUGUST 1, 2019

2009 Aug; 10(3): 197–201 Ginimuge PR et al. Anesthesiology. 2000;93:883–884. Gharahbaghian L et al. Methemoglobinemia and Sulfhemoglobinemia in Two Pediatric Patients after Ingestion of Hydroxylamine Sulfate. West J Emerg Med. Methylene Blue: Revisited. J Anaesthesiol Clin Pharmacol. 2010 Oct-Dec; 26(4): 517–520. Mack E.

Pediatrics 40

Pediatrics 40

RebelEM

APRIL 29, 2024

Int J Emerg Med 2009 PMID: 20157465 4. World J Emerg Surg 2023 PMID: 36918947 3. Ngo AS, Oh JJ, Chen Y, Yong D, Ong MEH. Intraosseous vascular access in adults using the EZ-IO in an emergency department. Ong MEH, Chan YH, Oh JJ, et al. An observational prospective study comparing tibial and humeral intraosseous access using the EZ-IO.

Resuscitation 102

Resuscitation Administration Emergency Department Hospitals 102

Don't Forget the Bubbles

AUGUST 23, 2023

The Pause Jonathon Bartels worked as an Emergency Nurse in America in 2009. Definitive emotional support is critical to our emotional and psychological well-being. To limit the psychological harm, perhaps we should implement THE PAUSE. After the death of a young person in the Emergency Department, he initiated ‘ The Pause.’

Emergency Department 98

Emergency Department Resuscitation Documentation/Coding Best Practices 98

Pediatric Emergency Playbook

MARCH 1, 2018

2009; 123(3):841-8 Herman M, Le A. References Cohen GM, Albertini LW. Pediatr Rev. 2012; 33(7):332-3. Friedman SB et al. The crying infant: diagnostic testing and frequency of serious underlying disease. Pediatrics. The crying infant. Emerg Med Clin North Am. 2007 Nov;25(4):1137-59. The infant with acute, unexplained, excessive crying.

Pediatrics 52

Pediatrics Emergency Department 52

PEMBlog

OCTOBER 18, 2023

Lancet (London, England), 351(9116), 1614–1619. link] Takahashi, N., Nishida, H., Yamasaki, C., Takahashi, K., 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.

Infectious Diseases 59

Infectious Diseases Shock Pediatrics Wellness 59

Don't Forget the Bubbles

NOVEMBER 22, 2023

2009) ‘Incidence of propofol-related infusion syndrome in critically ill adults: a prospective, multicenter study’, Critical Care (London, England) , 13(5), p. Krajcova A, Waldauf P, Andel M, Duska F. Propofol infusion syndrome: a structured review of experimental studies and 153 published case reports. Critical care (London, England).

Pediatrics 126

Pediatrics Research EKG/ECG Operations 126

The Skeptics' Guide to EM

JULY 9, 2022

They published their findings in Annals of EM 2009. Any brief comments on this reanalysis? Hoffman and Schrieger stirred things up a bit with their graphic reanalysis of the NINDS trial using the NIHSS score.

Stroke 52

Stroke Emergency Department EMS Outcomes 52

ACEP Now

FEBRUARY 11, 2024

Polypharmacy prevalence in older adults seen in United States physician offices from 2009 to 2016. Published April 12, 2021. Accessed January 8, 2024. Young EH, Pan S, Yap AG, et al. 2021;16(8):e0255642. The post Case Report: A Sneaky Culprit for Altered Mental Status in Elderly Patients appeared first on ACEP Now.

Emergency Department 52

Emergency Department CDC Hospitals EMS 52

Pediatric EM Morsels

AUGUST 18, 2023

From 2001 to 2009, in a pediatric hospital gram negative culture showed a drop in sensitivity to ciprofloxacin from 96% to 93%. (Etminan 2019) In Belgium between 2010 – 2013, of the 262 children treated with fluroquinolones while hospitalized, only 17% were used for labelled indications. This was similarly seen with levofloxacin.

Pediatrics 130

Pediatrics Infectious Diseases Hospitals Seizures 130

Don't Forget the Bubbles

FEBRUARY 19, 2024

A study by Russoniello, O’Brien, and Parks (2009) demonstrated that playing casual video games effectively reduced stress and improved mood among participants. Completing in-game tasks, achieving goals, or overcoming challenges offers a certain sense of satisfaction and a positive emotional boost. Russoniello, C.V., O’Brien, K.

Academics 59

Academics Leadership Research Teamwork 59

Cook County EM Blog

MAY 29, 2023

From 2004 to 2009, prescriptions in the US increased by 50%. Decades later, the opioid epidemic would cause devastation throughout the country leading to a shift away from opioid prescribing. During this timeframe, a rapid increase in prescriptions for non-opioid antitussives such as benzonatate would be seen.

Seizures 52

Seizures Administration Resuscitation Poisoning 52

The Skeptics' Guide to EM

DECEMBER 19, 2020

Other papers were ghost-written ( Cohen 2009 ). In fact, the primary authors of key oseltamivir trials had never been given access to the data – Roche just told them what the data supposedly said. The BMJ was involved in a legal battle with Roche for half a decade trying to get access to that information.

Research 56

Research 56

Critical Care Now

APRIL 21, 2022

Clin Infect Dis 2009; 49:433-7. Sustained low-efficiency dialysis in the ICU: Cost, anticoagulation, and solute removal. Kidney Int 2006;70:963-968. Mushatt D, Mihm L, Dreisbach A, et al. Antibiotic dosing in slow extended daily dialysis. Bogard K, Peterson N, Plumb T, et al. Crit Care Med 2011; 39:3 PEER Reviewed by Dr.

Burns 52

Burns Administration Outcomes Hospitals 52

Dr. Smith's ECG Blog

SEPTEMBER 26, 2023

This retrospective observational cohort study considered consecutive STEMI patients from May 02, 2009 to December 31, 2018. Greater severity of chest pain is presumed to be associated with a stronger likelihood of a true positive STEMI diagnosis.

EKG/ECG 97

EKG/ECG Hospitals Outcomes Wellness 97