PulmCCM

MAY 2, 2024

Candida auris is a multi-drug resistant fungus discovered in 2009 in Japan. The fungus spread across Asia, the Mideast, and Africa before arriving in the U.S. Since 2018, C. auris cases have required reporting to public health officials, allowing more effective tracking. auris cases has been accelerating.

Hospitals 52

Hospitals 52

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

PulmCCM

APRIL 29, 2024

Then, in 2009, the condition disappeared completely. You don’t hear much about ventilator-associated pneumonia (VAP) anymore. It used to be highly prevalent in U.S. ICUs, and a popular research focus for academics, generating a steady stream of papers. Just kidding! In 2008, the U.S.

Documentation/Coding 52

Documentation/Coding Academics Administration Research 52

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

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.

52

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

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

PulmCCM

JUNE 10, 2024

” Time-Limited Trials of Critical Care Time-limited trials of intensive care were suggested at least as far back as 2009 as a method of bridging the divide between clinicians and families' perspectives and expectations for ICU care. 2009 Nov;37(11):2888-94; quiz 2904. 2009 Fall;20(3):212-9. Crit Care Med. doi: 10.1097/CCM.0b013e3181ab86ed.

COPD 45

COPD Outcomes Hospitals EMS 45

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 66

Poisoning CDC Administration Emergency Department 66

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

Ziqitza HealthCare Ltd

JULY 15, 2024

A/California/07/2009 (H1N1), for instance, is the name of an influenza A virus that was identified in California in 2009 and that has the N1 neuraminidase and H1 hemagglutinin proteins. Since influenza B viruses are not classified into subtypes, they have similar names but lack the H and N designations.

Ambulance Services 40

Ambulance Services 40

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 97

Head Injuries EMS Research Emergency Department 97

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

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

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 77

Hospitals Research Wellness Patient Safety 77

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 78

Infectious Diseases Fractures Radiology Radiology 78

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

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

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

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

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 84

Ultrasounds Emergency Department Pediatrics Radiology 84

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

Sensible Medicine

MAY 28, 2024

Seven years later, in 2009, the USPSTF expanded this guideline to include children as young as 12 years old. But I’ve learned that screening can lead to a cascade of interventions more likely to harm than help. USPSTF Guidelines Depression screening was first recommended to adults in 2002 with a “B” grade.

Outcomes 134

Outcomes Military Psychiatric Wellness 134

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

EMDocs

JUNE 22, 2024

Romero (2009). Additionally, PE in the context of labor is less likely than AFE, given the patient’s presentation and timing. Rosh Review Website Link Further Reading: FOAM Reading: [link] References: Conde-Agudelo, A. “Amniotic fluid embolism: an evidence-based review.” ” Am J Obstet Gynecol 201(5): 445 e441-413.

EMS 96

EMS Resuscitation Seizures Blood Transfusions 96

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

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 207

Fluid Resuscitation Pediatrics Resuscitation Research 207

EMDocs

JULY 9, 2024

2009 Mar;123(3):858-64. Published January 29, 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. doi: 10.1542/peds.2008-1376. PMID: 19255014.

Pediatrics 71

Pediatrics Emergency Department Research Burns 71

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

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

EMDocs

JUNE 25, 2024

National Burn Repository 2019 Update, Report of data from 2009–2018. The American Burn Association has established criteria for which burn injuries require transfer to a dedicated burn center. References American Burn Association. link] (2019). Cartotto R, Johnson LS, Savetamal A, Greenhalgh D, Kubasiak JC, Pham TN, Rizzo JA, Sen S, Main E.

Burns 73

Burns Fluid Resuscitation Resuscitation Poisoning 73

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 105

Resuscitation Administration Emergency Department Hospitals 105

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

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

Taming the SRU

JUNE 3, 2024

CESAR Trial Published in 2009 Found that even those who didn’t get ECMO, but were transported to a tertiary care center had better outcomes No matter where you go, critical care transport will be part of your life as a sending physician, receiving physician, or both. This shows that we are sometimes limited by the data that we have.

Shock 82

Shock Seizures Airway Management Documentation/Coding 82