Ken Grauer, MD

NOVEMBER 18, 2023

Section 20 ( 54 pages = the " long " Answer ) from my ACLS-2013-Arrhythmias Expanded Version provides detailed discussion of WHAT the AV Blocks are — and what they are not ! Section 2F ( 6 pages = the " short " Answer ) from my ECG-2014 Pocket Brain book provides quick written review of the AV Blocks ( This is a free download ).

EKG/ECG 248

EKG/ECG 248

PEMBlog

OCTOBER 11, 2023

2013 Jan;189(1):288-93. 2013 Apr;32(2):239-46. Epub 2013 Feb 8. Pediatric genitourinary injuries in the United States from 2002 to 2010. doi: 10.1016/j.juro.2012.09.003. 2012.09.003. Epub 2012 Nov 19. PubMed PMID: 23174237; PubMed Central PMCID: PMC3565612. Guttmann I, Kerr HA. Blunt bladder injury. Clin Sports Med.

Fractures 98

Fractures Pediatrics 98

Emergency Live

JUNE 20, 2023

Compulsive Excision Disorder (DEC), also called 'Skin Picking' and 'dermatillomania', is a clinical condition characterised by constant picking at the skin causing skin lesions, and repeated attempts to curb this behaviour, according to the 2013 APA (American Psychiatric Association) guidelines The post Compulsive Excision Disorder (DEC): Skin Picking, (..)

Psychiatric 116

Psychiatric 116

EM Ottawa

FEBRUARY 22, 2024

In 2013, in the United States there were 7 million visits to the emergency department (ED) for lacerations making up a total of 5.2% Lacerations are a common presenting complaint to emergency department. of ED visits(1).

Emergency Department 91

Emergency Department 91

Pediatric EM Morsels

SEPTEMBER 8, 2023

Epub 2013 Nov 5. Treatment is supportive. References: Schulert GS, Gigante J. Summer penile syndrome: an acute hypersensitivity reaction. J Emerg Med. 2014 Jan;46(1):e21-2. doi: 10.1016/j.jemermed.2013.08.081. 2013.08.081. PMID: 24199728. Shah A, Sobolewski B, Mittiga MR. Summer Penile Syndrome. In: Knoop KJ, Stack LB, Storrow AB, Thurman R.

Poisoning 260

Poisoning Pediatrics EMS 260

PulmCCM

OCTOBER 14, 2024

CRISTAL , another large international randomized trial (Annane et al JAMA 2013) did not show a benefit of colloids as compared to crystalloids. Some of its initial results were presented at a 2011 conference but were never published in a journal.

Resuscitation 52

Resuscitation Shock Wellness 52

Pediatric EM Morsels

MAY 5, 2023

2013 Aug;110(4):755-73. Epub 2013 Jan 14. Mensink GB, Fletcher R, Gurinovic M, Huybrechts I, Lafay L, Serra-Majem L, Szponar L, Tetens I, Verkaik-Kloosterman J, Baka A, Stephen AM. Mapping low intake of micronutrients across Europe. doi: 10.1017/S000711451200565X. PMID: 23312136; PMCID: PMC3785176. Messina V, Reed Mangels A.

Pediatrics 130

Pediatrics Documentation/Coding EMS 130

Ken Grauer, MD

NOVEMBER 25, 2023

Section 20 ( 54 pages = the " long " Answer ) from my ACLS-2013-Arrhythmias Expanded Version provides detailed discussion of WHAT the AV Blocks ar e — and what they are not ! Section 2F ( 6 pages = the " short " Answer ) from my ECG-2014 Pocket Brain book provides quick written review of the AV Blocks ( This is a free download ).

EKG/ECG 438

EKG/ECG 438

The Trauma Pro

DECEMBER 19, 2023

J Trauma 74(1):84-91, 2013. I think we’ll have to look to our military colleagues to pull this one off! Reference: Better hemostatic profiles of never-frozen liquid plasma compared with thawed fresh frozen plasma.

Military 147

Military Hospitals Resuscitation 147

University of Maryland Department of Emergency Med

JULY 25, 2023

In a recent study of emergency physicians (EPs) who left the workforce between 2013 and 2020, authors sought to investigate their age and nu. Click to view the rest

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Pediatric EM Morsels

APRIL 5, 2024

Treatment : Supportive care Omsk hemorrhagic fever/Kyasanur Forest disease (CDC 2013) Causative Agent: Flavivirus Incubation period : 3-8 days Symptoms start with chills, fevers, headache and GI symptoms followed by symptoms of bleeding 3-4 days later including petechial rash, low hemoglobin and low WBC. Global Change Research Program.

CDC 161

CDC Infectious Diseases Pediatrics Wellness 161

PulmCCM

MAY 27, 2024

There are limits to these benefits: neither the INTERACT2 trial (NEJM 2013) nor the ATACH-2 trial (NEJM 2016) showed c… Read more Standard practice is to rapidly reduce elevated blood pressure in patients with intracerebral hemorrhage.

Stroke 52

Stroke Hospitals 52

The Trauma Pro

OCTOBER 4, 2024

years from 2013 to 2016. A pediatric multi-center study of study on adherence to activity restrictions was published last year. Ten Level I pediatric trauma centers in the US tabulated their experience with solid organ injuries over 3.75

Pediatrics 147

Pediatrics Outcomes Operations Emergency Department 147

The Skeptics' Guide to EM

FEBRUARY 18, 2023

Rising high-acuity emergency care services independently billed by advanced practice providers, 2013 to 2019. Rising high-acuity emergency care services independently billed by advanced practice providers, 2013 to 2019. Rising high-acuity emergency care services independently billed by advanced practice providers, 2013 to 2019.

Emergency Department 52

Emergency Department EMS Administration 52

EMDocs

APRIL 6, 2024

Source Adverse Tracheal Intubation Events in Critically Ill Underweight and Obese Children: Retrospective Study of the National Emergency Airway for Children Registry (2013-2020). Pediatr Crit Care Med. 2024 Feb 1;25(2):147-158. Doi: 10.1097/PCC.0000000000003387. 0000000000003387. #3:

Sepsis 76

Sepsis Pediatrics Shock 76

EMDocs

FEBRUARY 29, 2024

2013 Dec;45(6):835-41. 2013 Nov;126(11):962-3. -Rate control is the mainstay of treatment. References: Harrigan RA, Garg M. An interesting cause of wide complex tachycardia: Ashman’s phenomenon in atrial fibrillation. J Emerg Med. Kennedy LB, Leefe W, Leslie BR. The Ashman phenomenon. J La State Med Soc. PMID: 15233390.

EKG/ECG 81

EKG/ECG EMS Hospitals 81

ALiEM

FEBRUARY 20, 2024

2013 Dec;15(4):90-2. Epub 2013 Nov 7. Sivalingam SK, Gadiraju VT, Hariharan MV, Atreya AR, Flack JE, Aziz H. Flecainide toxicity–treatment with intravenous fat emulsion and extra corporeal life support. Acute Card Care. doi: 10.3109/17482941.2013.841949. PMID: 24200150. Bruccoleri RE, Burns MM. J Med Toxicol.

Shock 73

Shock EKG/ECG Poisoning Burns 73

Taming the SRU

SEPTEMBER 8, 2023

2013 Sep;145(3):695. 2013 May;58(5):1397-402. 2013 May;58(5):1397-402. Epub 2013 Jan 17. 2, 2013, pp. Erratum in: Gastroenterology. Dosage error in article text. PMID: 19524577; PMCID: PMC3189485. Singh S, Hynan LS, Lee WM; Acute Liver Failure Study Group. Dig Dis Sci. doi: 10.1007/s10620-012-2512-x. Dig Dis Sci.

Radiology 59

Radiology Radiology Ultrasounds EMS 59

Pediatric EM Morsels

JULY 26, 2024

Epub 2013 Dec 18. Antibody titres at diagnosis and during follow-up of anti-NMDA receptor encephalitis: a retrospective study. Lancet Neurol. 2014 Feb;13(2):167-77. doi: 10.1016/S1474-4422(13)70282-5. Erratum in: Lancet Neurol. 2014 Feb;13(2):135. PMID: 24360484; PMCID: PMC4006368.

Psychiatric 265

Psychiatric Seizures Outcomes Pediatrics 265

ALiEM

NOVEMBER 10, 2023

2013 Apr;168(4):726-32. Epub 2013 Feb 16. PMID: 34212341 Lipowicz S, Sekula P, Ingen-Housz-Oro S, Liss Y, Sassolas B, Dunant A, Roujeau JC, Mockenhaupt M. Prognosis of generalized bullous fixed drug eruption: comparison with Stevens-Johnson syndrome and toxic epidermal necrolysis. Br J Dermatol. doi: 10.1111/bjd.12133. PMID: 23413807.

Academics 64

Academics Emergency Department 64

PHARM

SEPTEMBER 23, 2023

Dominique Lee, who was drugged and assaulted in Sydney in 2013, says it has taken 10 years ‘not to feel shame and hate’ at herself, but after reading of UK experiences it was time to speak out — Read on amp.theguardian.com/australia-news/2023/sep/24/the-system-teaches-you-to-be-quiet-doctor-indecently-assaulted-by-senior-colleague-identifies-herself (..)

Sexual Assault 40

Sexual Assault 40

PEMBlog

FEBRUARY 8, 2024

2013 Nov;32(11):1295-6. You run the risk of breast hypoplasia and scarring even with a successful I&D. References Montague EC, Hilinski J, Andresen D, Cooley A. Evaluation and treatment of mastitis in infants. Pediatr Infect Dis J. doi: 10.1097/INF.0b013e3182a06448. 0b013e3182a06448.

Pediatrics 52

Pediatrics Wellness 52

Don't Forget the Bubbles

OCTOBER 21, 2024

Available at: The DSM‐5: Classification and criteria changes – Regier – 2013 – World Psychiatry – Wiley Online Library Szejko N, Robinson S, Hartmann A, Ganos C, Debes NM, Skov L et al. Available at: A Comprehensive Review of Tic Disorders in Children – PMC Regiar D. World Psychiatry.

Emergency Department 52

Emergency Department Research Hospitals Wellness 52

American Medical Compliance

AUGUST 29, 2024

Enforcement Authority Over Business Associates According to the HITECH Act and the Office for Civil Rights’ (OCR’s) 2013 final rule, OCR has the authority to enforce compliance with the HIPAA Rules specifically against business associates.

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Don't Forget the Bubbles

OCTOBER 25, 2023

2013 Sep 24;81(13):1159-65. Epub 2013 Aug 21. Better safe than tumour – Signs and Symptoms (headsmart.org.uk) Friedman DI, Liu GT, Digre KB. Revised diagnostic criteria for the pseudotumor cerebri syndrome in adults and children. doi: 10.1212/WNL.0b013e3182a55f17. 0b013e3182a55f17. PMID: 23966248.

Pediatrics 124

Pediatrics 124

PHEM Cast

APRIL 27, 2023

: Anesthesia & Analgesia Blood pressure in trauma resuscitation: ‘pop the clot’ vs. ‘drain the brain’? – Wiles – 2017 – Anaesthesia Blood pressure management in trauma: from feast to famine?

Resuscitation 52

Resuscitation Shock Operations Hospitals 52

SheMD

SEPTEMBER 28, 2023

2013 Oct;94:17-25. Epub 2013 Jun 25. Disaster Med Public Health Prep. 2022 Oct;16(5):2049-2055. doi: 10.1017/dmp.2021.49. Epub 2021 Feb 16. PMID: 33588979; PMCID: PMC8485042. Wang C, Sweetman A. Gender, family status and physician labour supply. Soc Sci Med. doi: 10.1016/j.socscimed.2013.06.018. 2013.06.018. PMID: 23931941.

Leadership 52

Leadership Research Outcomes Wellness 52

ALiEM

MARCH 5, 2024

2013 May;5(5):330. Phytotherapy Research. 2015;29(8):1112-1116. PMID: 25997859. Srivali N, Cheungpasitporn W, Chongnarungsin D, Edmonds LC. White willow bark induced acute respiratory distress syndrome. N Am J Med Sci. PMID: 23814765. Kuzak N, Brubacher JR, Kennedy JR. Reversal of salicylate-induced euglycemic delirium with dextrose.

Hyperthermia / Hypothermia 114

Hyperthermia / Hypothermia Anaphylaxis Administration Poisoning 114

Pediatric Emergency Playbook

SEPTEMBER 1, 2020

2013 November ; 29(4): 569–578 Yeh PC et al. 2013 November ; 29(4): 569–578 Mallet finger in splint. 2013 November ; 29(4): 569–578 Pattni A et al. Seymour Fracture Nellans et al. Pediatric Hand Injuires. Pediatric Hand Fractures. Techniques in Orthopaedics. Nellans et al. Pediatric Hand Injuires. Yeh PC et al. Stat Pearls.

Fractures 52

Fractures Pediatrics Emergency Department 52

The Skeptics' Guide to EM

DECEMBER 30, 2023

The Canadian Association of Emergency Physicians ( CAEP ) flagged this issue 10 years ago in 2013. They published a position statement with several suggested solutions. Unfortunately, things have only gotten worse, and it does not seem to be an isolated problem in Canada.

Hospitals 109

Hospitals Emergency Department Fractures Dislocations 109

Cook County EM Blog

MAY 26, 2022

2013 Jul;31(7):1151.e3-4. Epub 2013 Apr 10. A delay or error in diagnosis and treatment can result in a closed fracture becoming an open fracture which can lead to increased patient morbidity. References: Chhabra N, Sherman SC, Szatkowski JP. Tongue-type calcaneus fractures: a threat to skin. Am J Emerg Med. doi: 10.1016/j.ajem.2013.02.029.

Fractures 52

Fractures Soft Tissue Injuries 52

The Skeptics' Guide to EM

DECEMBER 2, 2023

The latest clinical practice guidelines from the American Academy of Pediatrics (AAP) on the diagnosis and management of acute bacterial sinusitis in children was published in 2013 [1].

Pediatrics 121

Pediatrics Infectious Diseases Emergency Department Research 121

EMergucate

SEPTEMBER 21, 2021

Compass trial Design– double-blind trial involving placebo medication vs study medication, March 2013 to May 2016. Rivaroxaban (2.5mg bd) + … Continue reading →

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ALiEM

AUGUST 30, 2024

2013 Mar;34(3):115-24; quiz 125. When suspecting hypothyroidism, thyroid stimulating hormone (TSH) and free T4 should be included in the evaluation. An ultrasound and thyroid antibodies may also be helpful to confirm diagnosis. References Geddes G, Butterly MM, Patel SM, Marra S. Pediatric neck masses. Pediatr Rev. doi: 10.1542/pir.34-3-115.

Pediatrics 64

Pediatrics Ultrasounds Academics Emergency Department 64

ALiEM

MAY 17, 2023

The 2013 to 2019 Emergency Medicine Workforce: Clinician Entry and Attrition Across the US Geography. The Emergency Medicine Physician Workforce: Projections for 2030. Ann Emerg Med. 2021;78(6):726-737. doi: 10.1016/j.annemergmed.2021.05.029 2021.05.029 Gettel CJ, Courtney DM, Janke AT, Rothenberg C, Mills AM, Sun W, Venkatesh AK.

EMS 52

EMS 52

The Skeptics' Guide to EM

JANUARY 6, 2024

Two previous studies conducted assessing the state of nationwide pediatric readiness were conducted in 2003 and 2013. Are general emergency departments ready to care for children? 1,2] Today we’re covering the third study. Pediatric readiness is important because it is associated with decreased mortality in ill and injured children. [3,

Emergency Department 106

Emergency Department Pediatrics Anaphylaxis Leadership 106

ALiEM

NOVEMBER 15, 2023

2013 ;2013:610648. PMID: 17079589 Chaouali N, Gana I, Dorra A, Khelifi F, Nouioui A, Masri W, Belwaer I, Ghorbel H, Hedhili A. Potential Toxic Levels of Cyanide in Almonds (Prunus amygdalus), Apricot Kernels (Prunus armeniaca), and Almond Syrup. ISRN Toxicol. PMID: 24171123 Suchard JR, Wallace KL, Gerkin RD. Ann Emerg Med.

Poisoning 67

Poisoning Pediatrics Seizures Administration 67