Taming the SRU

FEBRUARY 12, 2024

DISCUSSION Epidemiology and Background Rivaroxaban, along with other direct oral anticoagulants (DOACs), has become a mainstay of treatment for pro-thrombotic conditions since 2011. [1] 3-5] From a patient perspective, DOACs are favorable for daily dosing, oral intake, and lack of frequent clinical visits for dosing adjustments. N Engl J Med.

Administration 71

Administration Fractures Anaphylaxis Emergency Department 71

Dr. Smith's ECG Blog

DECEMBER 5, 2023

ECG findings somewhat atypical for acute OMI in a teenager clearly increase suspicion for acute myocarditis. == Acute MI in Children: I list in Figure-2 — potential causes of acute MI to consider in the pediatric age group ( Suryawanshi et al — Ann Pediatr Cardiol 4(1):81-83, 2011 ).

Pediatrics 101

Pediatrics EKG/ECG Hospitals Burns 101

Taming the SRU

JULY 2, 2023

2011): 544-549. 2011): 189-196. "Capnography in the emergency department: a review of uses, waveforms, and limitations." The Journal of emergency medicine 53.6 2017): 829-842. Whitaker, D. Time for capnography–everywhere." Anaesthesia 66.7 Kelly, John J., Use of tube condensation as an indicator of endotracheal tube placement."

Emergency Department 77

Emergency Department Pediatrics CPR Administration 77

Emergency Medicine Journal

JANUARY 22, 2024

We assessed safety and efficacy data from 10 years (2011–2021) of our N 2 O PPS programme. Background Nitrous oxide (N 2 O) has multiple benefits in paediatric procedural sedation (PPS), but use is restricted by its limited analgesic properties. Analgesic potency could be increased by combining N 2 O and intranasal fentanyl (INF).

Emergency Department 40

Emergency Department Outcomes 40

American Medical Compliance

NOVEMBER 3, 2022

” Starting in 2011, a study led by Dr. Tait Shanafelt, professor of medicine and chief wellness officer at Stanford Medicine in California, has tracked the wellbeing of doctors and professionals across all other industries in the US. Jack Resneck Jr. doctors was 62.8%. These numbers have increased from 38.2% in 2020, 43.9%

Telemedicine 52

Telemedicine Wellness 52

The Skeptics' Guide to EM

OCTOBER 14, 2023

That episode reviewed the 2011 Fleming et al systematic review for the normal ranges of HR and RR in children from birth to 18 years of age. Does he have sepsis?” Background: We have looked at pediatric vital signs on the SGEM back in 2014 with PedEM superhero Dr. Anthony Crocco ( SGEM#98 ).

Pediatrics 98

Pediatrics Sepsis Urgent Care Emergency Department 98

The Skeptics' Guide to EM

NOVEMBER 1, 2022

There have been a few randomized control trials (RCTs) of peripheral nerve blocks for shoulder dislocation, but without definitive results (Raeyat Doost 2017; Blaivas 2011). Intra-articular injection has been compared with procedural sedation (PS) for shoulder dislocation, with some potential benefits (Wakai 2011).

Dislocations 59

Dislocations Ultrasounds Emergency Department 59

Pediatric Emergency Playbook

SEPTEMBER 1, 2019

2011; 57 (4) 382-386 Miller LJ. 2011; 58 (4) 240-241. Annals of Emergency Medicine. et al A new study of intraosseous blood for laboratory analysis.Arch Pathol Lab Med. 2010 Sep;134(9):1253-60. Miller, et al. Utility of an intraosseous vascular system to deliver contrast dye using a power injector for computerized tomography studies.

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The Skeptics' Guide to EM

JANUARY 20, 2024

The American Academy of Pediatrics ( AAP ) released guidelines for the management of febrile infants and children 2 to 24 months back in 2011 [2]. UTIs are one of the most common bacterial infections in childhood that we see in the emergency department [1].

Pediatrics 67

Pediatrics Anaphylaxis Emergency Department Outcomes 67

PHEM Cast

FEBRUARY 7, 2022

2011; 364: 189-190. The value of technetium 99 scintigraphy in the prognosis of amputation in severe frostbite injuries of the extremities: A retrospective study of 92 severe frostbite injuries. The Journal of Hand Surgery. 2000; 25(5): 969-978. Cauchy et al. A Controlled Trial of a Prostacyclin and rt-PA in the Treatment of Severe Frostbite.

Hospitals 52

Hospitals 52

ACEP Now

JANUARY 13, 2024

As a member of the Air Force, deployed to Afghanistan in 2011, I have seen war where I should have seen it—in a designated war zone. For example, the Journal of the American Medical Association recently reported that mental health related emergency room visits spiked between 2011 and 2020.

Emergency Department 52

Emergency Department Resuscitation Patient Safety Hospitals 52

PHEM Cast

APRIL 16, 2018

Critical Care; 2011. 2011; 82: 1138-43. Epidemiology and aetiology of TCA in England… Resuscitation; 110 (2017): 90-94. Russell RJ et al. 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. EMJ; 2005: 22-24. Morrison et al.

Resuscitation 52

Resuscitation Shock Ultrasounds CPR 52

EMDocs

FEBRUARY 12, 2024

Epub 2011 Dec 12. 2011 Aug;71(2 Suppl 3):S364-9. Epub 2011 Jun 9. Epub 2011 Sep 9. PMID: 15481299 (17) Rudkin SE, Kahn CA, Oman JA, Dolich MO, Lotfipour S, Lush S, Gain M, Firme C, Anderson CL, Langdorf MI. Prospective correlation of arterial vs venous blood gas measurements in trauma patients. Am J Emerg Med.

Emergency Department 93

Emergency Department Resuscitation COPD Shock 93

Pediatric EM Morsels

MAY 12, 2023

We last pondered this in 2011 Morsel , just a couple years after PECARN head injury data was published. While this fact can adversely affect anyone, it offers the greatest challenge for those who cannot protect themselves , like children less than 3 months of age !

Head Injuries 130

Head Injuries Fractures Pediatrics Research 130

Sensible Medicine

JANUARY 22, 2024

The STICH trial, published in 2011, randomized about 1200 patients with impaired LV systolic function and severe coronary artery disease amenable to surgery to CABG or medicine alone. Modern heart surgery uses the left internal mammary artery whereas older surgery used mostly vein grafts. Let me show you a big modern trial.

Outcomes 119

Outcomes Research 119

ALiEM

NOVEMBER 27, 2023

Gynecol Surg 8, 129–134 (2011). Ultrasonographic findings in Fitz-Hugh-Curtis syndrome: a thickened or three-layer hepatic capsule. Yeungnam Univ J Med 35(1), 127-129 (2018). Theofanakis, C.P., Kyriakidis, A.V. Fitz-Hugh–Curtis syndrome. link] van Dongen PW. Diagnosis of Fitz-Hugh-Curtis syndrome by ultrasound. 1993 Jul;50(2):159-62.

Ultrasounds 64

Ultrasounds Academics Operations OB/GYN 64

Pediatric Emergency Playbook

OCTOBER 1, 2017

2011; 7:491-500. Journal of Chemical Neuroanatomy; 2011; 42: 288–296. 2011; 58(11):1183–90 Fraser CD, Jaquiss RDB, Rosenthal DN et al. References Vagus Nerve Stimulators (VNS) Elliott RE, Rodgers SD, Bassani L et al. Vagus nerve stimulation for children with treatment-resistant epilepsy: a consecutive series of 141 cases.

Pediatrics 52

Pediatrics Seizures Stroke Ultrasounds 52

PulmCCM

JUNE 12, 2023

A study in NEJM in 2011 estimated that by age 65 years, more than 75% of physicians in internal medicine subspecialties and emergency medicine would be sued for malpractice, while virtually all physicians in high-risk specialties would face at least one lawsuit.

Hyperthermia / Hypothermia 105

Hyperthermia / Hypothermia Academics Documentation/Coding Outcomes 105

Don't Forget the Bubbles

FEBRUARY 26, 2024

2011 Oct;46(10):949-55. 2011 Aug;37:1338-43. Mayordomo‐Colunga J, Medina A, Rey C, Concha A, Menéndez S, Arcos ML, Vivanco‐Allende A. Non‐invasive ventilation in pediatric status asthmaticus: a prospective observational study. Pediatric pulmonology. Non-invasive ventilation in paediatric critical care. Paediatric respiratory reviews.

Pediatrics 72

Pediatrics Research Documentation/Coding Outcomes 72

PulmCCM

NOVEMBER 11, 2021

In 2011, Meng and colleagues evaluated the effects of phenylephrine [100 – 200 mcg] and ephedrine [5 – 20 mg] boluses on cardiac output and cerebral oxygenation during post-induction hypotension [5]; esophageal Doppler was used to measure blood flow. Anesthesia & Analgesia 2011, 113(2):211-213.

Stroke 40

Stroke Sepsis Administration Wellness 40

ALiEM

JUNE 5, 2023

2011 Dec;1(6):496-501. Anthrax: A disease of biowarfare and public health importance. World J Clin Cases. 2015;3(1):20-33. doi: 10.12998/wjcc.v3.i1.20 Kamal SM, Rashid AK, Bakar MA, Ahad MA. Anthrax: an update. Asian Pac J Trop Biomed. doi: 10.1016/S2221-1691(11)60109-3. PMID: 23569822 ; PMCID: PMC3614207. Simonsen KA, Chatterjee K.

Infectious Diseases 102

Infectious Diseases CDC PPE Military 102

PHEM Cast

DECEMBER 1, 2017

Prehospital needle aspiration and tube thoracostomy in trauma victims: a six-year experience with aeromedical crews. The Journal of Emergency Medicine , 13 (2), 155–163. Beckett, A., Pannell, D., Acharya, S., Kirkpatrick, A., & Tien, H. Branco, B. Eckstein, M., Martin, M. The Journal of Trauma , 71 (5), 1099–103– discussion 1103. McClure, K.,

Academics 52

Academics Radiology Radiology Resuscitation 52

EMDocs

FEBRUARY 7, 2024

2011 Aug 02;108(3 Suppl):33B-41B. 2011;(203):53-74. Diabetes Metab. 2020 Apr;46(2):100-109. Davidson MH. Cardiovascular effects of glucagonlike peptide-1 agonists. Am J Cardiol. Gallwitz B. GLP-1 agonists and dipeptidyl-peptidase IV inhibitors. Handb Exp Pharmacol. Zheng SL, Roddick AJ, Aghar-Jaffar R, et al.

Allergic Reactions 73

Allergic Reactions Anaphylaxis Dehydration Wellness 73

Don't Forget the Bubbles

MAY 29, 2023

Journal of Leadership & Organizational Studies [Internet] 2011:18:4:449–458. Internet] 2011:41(1):41-47. [Internet] 2007; 505:1181–1197. Roberts SJ, Scherer LL, Bowyer CJ. Job Stress and Incivility: What Role Does Psychological Capital Play? Schwappach DLB, Gehring K. PLoS ONE [Internet] 2014 9(8): e104720. Smokler LP, Malecha A.

Leadership 98

Leadership Patient Safety Academics Research 98

Don't Forget the Bubbles

JANUARY 29, 2024

2017;376(21):2011‐20 Duda, J and Reinert, JP. The Lancet Neurology. 2016;15(3):270‐8 Devinsky O. Trial of Cannabidiol for Drug‐Resistant Seizures in the Dravet Syndrome. The New England Journal of Medicine. Cannabidiol in refractory status epilepticus: a review of clinical experiences. 2022;103:115-119 Fetta, A.

Seizures 122

Seizures Pediatrics Research Wellness 122

EMDocs

JANUARY 3, 2024

10 Evidence For nearly a decade, the only randomized controlled trial with insight into the effectiveness of CardioMEMS TM was the 2011 CHAMPION trial. 2011 Feb 19;377(9766):658-66. 8 The device itself is 2 x 2.5 x 15 mm (Figure 1), with bilateral nitinol loops each 10mm in diameter to facilitate securement in the pulmonary artery.

Allergic Reactions 85

Allergic Reactions Hospitals EMS Emergency Department 85

RebelEM

FEBRUARY 12, 2024

2011; 18(7):699-707. PMID: 25229916 DOI: 10.1056/NEJMoa1404446 Westphalen AC, Hsia RY, Maselli JH, Wang R, Gonzales R. Radiological Imaging of Patients With Suspected Urinary Tract Stones: National Trends, Diagnoses, and Predictors. Gottlieb RH, La TC, Erturk EN, et al. 2002; 225(2):441-449.

Radiology 57

Radiology Radiology Emergency Department Ultrasounds 57

Mind The Bleep

FEBRUARY 27, 2024

The FEAST study published in 2011 was undertaken across centers in Uganda, Kenya and Tanzania, and randomly allocated children presenting with severe infection and impaired perfusion to groups receiving albumin bolus, saline bolus or no bolus.

Fluid Resuscitation 96

Fluid Resuscitation Hospitals Dehydration Research 96

PEMBlog

JANUARY 17, 2024

2011 Mar;127(3):e573-80. Epub 2011 Feb 21. Clin Infect Dis 2011; 52:e18. @PEMTweets on… sigh “X” (Twitter) My Instagram My Mastodon account @bradsobo Listen [link] Subscribe References Chen AE, Carroll KC, Diener-West M, Ross T, Ordun J, Goldstein MA, Kulkarni G, Cantey JB, Siberry GK. Pediatrics.

Infectious Diseases 59

Infectious Diseases Sepsis Wellness Pediatrics 59

Pediatric EM Morsels

OCTOBER 27, 2023

Rosenberg 2011, Yamamoto 2009] Not as accurate in obese children (physicians were better at estimating). [Lubitz 1988] Very accurate for 3.5-25kg 25kg , but not as accurate >25kg. Lubitz 1988] Good agreement with actual weight if average body habitus, better than physician estimate.

Pediatrics 243

Pediatrics Resuscitation Documentation/Coding Wellness 243

PHEM Cast

APRIL 21, 2021

2011 Dec;82(12):1519-24. Epub 2011 Jul 2. Breckwoldt J, Klemstein S, Brunne B, Schnitzer L, Mochmann HC, Arntz HR. Difficult prehospital endotracheal intubation – predisposing factors in a physician based EMS. Resuscitation. doi: 10.1016/j.resuscitation.2011.06.028. 2011.06.028. PMID: 21749908.

Airway Management 52

Airway Management Resuscitation Hospitals EMS 52

EB Medicine

OCTOBER 1, 2017

With respect to the ED – in 2011, there were more than 1.7 With respect to the ED – in 2011, there were more than 1.7 COPD has huge economic and human burdens in the US. In fact, in 2010, two studies estimated that COPD exacted a direct and indirect cost of somewhere between $36 and $50 billion dollars in the US.

COPD 40

COPD Hospitals 40

ETM Course

JUNE 28, 2015

2011 Dec;71(6):1869-72 (full article free text) 2. Surgery 2011; 150(3): 400–9 (full article free text) 7. J Trauma 2011; 71(3): 720–725 8. Here’s some references. Stannard A, Eliason JL, Rasmussen TE. Resuscitative endovascular balloon occlusion of the aorta (REBOA) as an adjunct for hemorrhagic shock. Martinelli et al.

Hospitals 52

Hospitals Shock Resuscitation Military 52

PHEM Cast

FEBRUARY 25, 2021

Tipton & Golden (2011). In the UK sea water is very unlikely to be icy or cold enough – however, small areas of water may well be, particularly in the winter months. References Szpilman D, Bierens JJ, Handley AJ, Orlowski JP (2012) Drowning. New Engl J Med. 366: 2102–10. Resuscitation. 82: 819-824.

Resuscitation 52

Resuscitation Hospitals Outcomes Wellness 52

ACEP Now

OCTOBER 26, 2023

Published 2011. That’s even more reason to assist your colleague across town calling for help, and to work to address HIPAA misunderstandings at your own institution. When it comes to sharing important clinical PHI, let’s talk—HIPAA allows it. References Department of Health and Human Services §164.506. GovInfo website.

Infectious Diseases 52

Infectious Diseases Hospitals Documentation/Coding Administration 52

Pediatric Emergency Playbook

AUGUST 1, 2020

Pediatrics 2011; 128:e741. Council on Sports Medicine and Fitness and Council on School Health, Policy statement—Climatic heat stress and exercising children and adolescents. Casa DJ et al. The Inter-Association Task Force for Preventing Sudden Death in Secondary School Athletics Programs: Best-Practices Recommendations. J Athl Train.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Stroke Best Practices Pediatrics 52

EMDocs

JANUARY 29, 2024

2011 Sep;15(2):211-40. Intensive Blood-Pressure Lowering in Patients with Acute Cerebral Hemorrhage. N Engl J Med. 2016 Sep 15;375(11):1033-43. doi: 10.1056/NEJMoa1603460. Epub 2016 Jun 8. PMID: 27276234; PMCID: PMC5345109. Lowering blood pressure in acute stroke: the SCAST trial. Lancet (London, England) , 377 (9767), 696–698.

Stroke 71

Stroke Outcomes EMS Seizures 71