ACEP Now

NOVEMBER 16, 2023

2,3 In the 2021-2022 academic year, categorical (non-combined) EM residency lengths included 221 (80 percent) PGY 1-3 and 55 (20 percent) PGY 1-4 programs. A fourth year of EM training offers additional supervised clinical and academic experience. Academic career preparation for residents – are we on the right track?

Academics 52

Academics EMS Research Telemedicine 52

The Trauma Pro

JUNE 13, 2023

And even if you firmly believe you can’t be swayed, you can’t change the basic operating system in your brain. These can significantly improve one’s academic rank, job security, financial status, and more. Believe it or not, these little things can change your attitude regarding their product. Corporate stock?

Research 246

Research Academics Operations Hospitals 246

ACEP Now

MARCH 13, 2024

Unfortunately, many tertiary hospitals routinely operate at censuses of greater than 100 percent capacity, due to factors including insufficient acute care bed capacity, a shortage of nursing care, and misaligned incentive structures for health care more generally. Academic Emergency Medicine 22.2 Click to enlarge. 2012): 2470-2478.

Ethical Issues 52

Ethical Issues Emergency Department Operations Hospitals 52

ACEP Now

JUNE 7, 2023

Software attacks crippled operations in large hospital chains, and physical assaults on ED staff continued unabated. Executive Summary of ED Operations in 2022 Volume was up from 2021. Processing of ED patients to inpatient units is crippling ED operations. Academic Emergency Medicine. Maame Y, et al. 2020;27:600–611.

Emergency Department 52

Emergency Department Documentation/Coding Operations EMS 52

PulmCCM

APRIL 1, 2024

Authors also had no information on operators’ experience levels. Such studies are usually conducted at academic medical centers, where a large proportion of CVC placements are done by comparatively inexperienced residents and fellows (with experienced non-physician providers performing many as well).

Ultrasounds 40

Ultrasounds Operations Outcomes Research 40

ALiEM

NOVEMBER 27, 2023

One case report published in 1993 used RUQ abdominal ultrasound to identify septations (violin-string adhesions) and ascites to ultimately diagnose FHCS, later confirmed by serologic and operative evidence [2]. Diagnosis of Fitz-Hugh-Curtis syndrome by ultrasound. Eur J Obstet Gynecol Reprod Biol. 1993 Jul;50(2):159-62. PMID: 8405645.

Ultrasounds 64

Ultrasounds Academics Operations OB/GYN 64

The Skeptics' Guide to EM

MAY 11, 2019

His practice is in trauma, emergency general surgery, and critical care with an academic interest in ultrasound and medical simulation. His practice is in trauma, emergency general surgery, and critical care with an academic interest in ultrasound and medical simulation. Reference: Sceats et al.

Documentation/Coding 52

Documentation/Coding Operations Academics Ultrasounds 52

The Skeptics' Guide to EM

NOVEMBER 21, 2020

He is also the CME editor for Academic Emergency Medicine. He is also the CME editor for Academic Emergency Medicine. Clinical Question: How does the productivity of advanced practice providers compare to emergency physicians and what is its impact on emergency department operations? Reference: Pines et al. AEM November 2020.

Emergency Department 52

Emergency Department Telemedicine Academics Outcomes 52

Taming the SRU

OCTOBER 23, 2023

At this point, the patient is taken to the operating room for a diagnostic laparoscopy. She was taken to the operating room and found to have a right tubal ectopic pregnancy with a pseudogestational sac. 2007), Free Fluid in Morison's Pouch on Bedside Ultrasound Predicts Need for Operative Intervention in Suspected Ectopic Pregnancy.

Ultrasounds 87

Ultrasounds Operations Radiology Radiology 87

Don't Forget the Bubbles

JANUARY 8, 2024

Dr Bourke’s work is not only about deepening academic understanding but also about forging practical approaches to help healthcare professionals navigate the nuanced and often uncertain waters of adolescent care in emergency settings. Mulraney, M., Coghill, D., Sciberras, E., and Sawyer, M.,

Research 105

Research Emergency Department Psychiatric Outcomes 105

SheMD

JULY 23, 2023

Some of the interview information may not be relevant during the 2020-2021 & 2021-2022 academic years. Therefore, he worked with the primary care innovation department and learned hospital administration and clinical operations during his residency. Disclaimer: This post was written before the COVID-19 pandemic.

Research 98

Research Academics Hospitals Operations 98

PHEM Cast

DECEMBER 1, 2017

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine , 11 (2), 211–213. Journal of Special Operations Medicine : a Peer Reviewed Journal for SOF Medical Professionals , 13 (4), 53–58. Needle thoracostomy: implications of computed tomography chest wall thickness. link] Harcke, H.

Academics 52

Academics Radiology Radiology Resuscitation 52

PHEM Cast

JULY 6, 2017

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine , 22 (8), 908–914. Cricothyrotomy performed with the Melker set or the QuickTrach kit: procedure times, learning curves and operators’ preference. E., & Chima, R. link] Bennett, J. C., & Sankar, A. Sottile, D.,

Airway Management 52

Airway Management Academics Operations Resuscitation 52

Downeast Emergency Medicine

DECEMBER 17, 2021

Since that time, EM residencies have grown and evolved to provide academic support and training for graduating medical students interested in pursuing a career in the field. Emergency medicine (EM) was first recognized as a specialty by the American Medical Association (AMA) in 1972.

EMS 52

EMS Academics Operations Emergency Department 52

EMDocs

DECEMBER 11, 2023

In addition to a posterior ECG, the ACC’s new recommendations emphasize consideration of an emergent TTE, though lack clarity in defining who should be the operator, stating “a clinician qualified in echocardiography” is necessary, without providing specific definitions. Notably, only 0.5mm of elevation is necessary in V7-9 to meet criteria.

EKG/ECG 108

EKG/ECG Emergency Department Academics Operations 108

The Skeptics' Guide to EM

JUNE 9, 2018

She’s been a contributor for the Academic Life in Emergency Medicine and Emergency Medicine PharmD blogs and is a member of the ALiEMU Capsules team. A new Cochrane Review by Hines et al published in 2018 looked at aromatherapy for post-operative nausea and vomiting.

Emergency Department 52

Emergency Department Academics Operations Administration 52

ACEP Now

NOVEMBER 7, 2023

Dr. Bookman is professor and vice chair of operations, department of emergency medicine at the University of Colorado School of Medicine and senior director of informatics for UCHealth, in Aurora, Colo. Defaulting to the automatic release of EHI should be maintained and exceptions should adhere to regulatory criteria. ONS Health IT website.

Documentation/Coding 52

Documentation/Coding Best Practices Ethical Issues Academics 52

Advanced Emergency Nursing from AENJ

OCTOBER 8, 2017

Or another, at which the ambulance crew would have to call the hospital's telephone operator to send someone to unlock the door at night. Academic Emergency Medicine, 10: 798–804. Schriver, J. Talmadge, R., and Hedges, J. July 2003), Emergency Nursing: Historical, Current, and Future Roles. doi:10.1197/aemj.10.7.798

Emergency Nursing 40

Emergency Nursing Emergency Department Hospitals Academics 40

Pediatric Emergency Playbook

MARCH 1, 2016

Fox et al in Academic Emergency Medicine found a sensitivity of 52%; with a 95% confidence interval [CI] = 31% to 73%. Often children even with high-grade splenic and liver lacerations can be managed non-operatively. Unfortunately, a negative FAST cannot help with detecting or grading the laceration for non-operative management.

Resuscitation 40

Resuscitation Pediatrics Hyperthermia / Hypothermia Operations 40

RebelEM

OCTOBER 2, 2023

The SQuID Protocol (Subcutaneous Insulin in /diabetic Ketoacidosis): Impacts on ED Operational Metrics. No statistical differences in safety between groups Operational Impact Median ED LOS (PRIMARY OUTCOME): SQuID: 8.9hrs (6.5 A more optimal, and promising, solution may be the use of SQ insulin in mild to moderate DKA. tests/hr (0.8

Operations 81

Operations Academics Outcomes Fluid Resuscitation 81

Taming the SRU

SEPTEMBER 22, 2023

million adults undergo tracheal intubation outside of the operating room each year in the United States. The operator reported a subjective assessment of the anticipated difficulty. of operators being either emergency medicine residents or critical care fellows. Background More than 1.5

Operations 94

Operations Outcomes Emergency Department Academics 94

EB Medicine

JULY 8, 2019

Jeff: And while it’s not exactly core EM, we’re going to briefly discuss indications for bariatric surgery, as this is something we don’t often review even in academic training programs. Nachi: Unfortunately this procedure is associated with a relatively high re-operation rate – one study found 20% of patients required removal or revision.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Emergency Medicine Journal

MAY 23, 2023

Methods In this retrospective study, we included all adult patients who visited the ED of a single urban academic tertiary-care university hospital in South Korea for five consecutive years (1 January 2015 to 31 December 2019). The data set was randomly split into train and test sets (1:1) for internal validation.

Outcomes 40

Outcomes Emergency Department Academics Operations 40

EMDocs

SEPTEMBER 25, 2023

Improved Visualization: Video laryngoscopes allow for the use of standard or hyperangulated geometry, essentially allowing the operator to “look around the corner” on an anterior airway. Operators can manipulate the blade with less force to optimize the view, making it easier to identify and navigate the endotracheal tube into the trachea.

Emergency Department 64

Emergency Department Operations Soft Tissue Injuries Airway Management 64

Sensible Medicine

MARCH 14, 2024

We are no longer exceptional because we work long hours, study hard, or think of a diagnosis that no one else did; we are exceptional because we operate seamlessly within a team, navigate novelty with precision, and know when and how to ask for help. It’s time we talk about our identity because that’s what hangs in the balance.

Hospitals 81

Hospitals Wellness Academics Fractures 81

Advanced Emergency Nursing from AENJ

SEPTEMBER 13, 2016

Safar's work, in a series of studies and papers, validated manual methods of opening the airway, in use by anesthesiologists but relatively unknown outside the operating room, as effective and able to be taught and used by lay people. " established that exhaled air was a satisfactory gas for resuscitation.

Resuscitation 40

Resuscitation CPR Emergency Nursing Basic Life Support 40

RebelEM

MARCH 27, 2023

What They Did: Retrospective, observational cohort study in a single high-volume academic hospital The ED had a 5 bed area used for ongoing management and resuscitation of patients who clinically deteriorate while boarding or while actively undergo a workup in other sections of the ED. J Crit Care.

Emergency Department 52

Emergency Department Operations Documentation/Coding Academics 52

ALiEM

FEBRUARY 12, 2024

The patient was taken to the operating room for dilation and curettage and was discharged the following day. link] Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. Gynecologic Oncology, vol.

Ultrasounds 64

Ultrasounds Emergency Department Academics Operations 64

RebelEM

DECEMBER 19, 2022

While many healthcare systems across the world operate in a similar fashion, the United States does not. If you work in a tertiary academic center with a catheterization lab and/or ECMO immediately available, the application of a second defibrillator may not be immediately needed. REFERENCES: Cheskes S, et al.

EMS 52

EMS Shock CPR Resuscitation 52

RebelEM

NOVEMBER 6, 2023

Methylene Blue for Vasoplegic Syndrome After Cardiac Operation: Early Administration Improves Survival. to 1mg/kg/hr) Information regarding the vasopressors used in the study is as follows: Norepinephrine equivalents = norepinephrine mcg/kg/min + (phenylephrine mcg/kg/min/10) + epinephrine mcg/kg/min + (vasopressin units/min x2.5)

Shock 69

Shock Administration Academics Hospitals 69

ACEP Now

SEPTEMBER 13, 2023

Dr. Prescott, currently retired, was Chief Academic Officer of the Association of American Medical Colleges from 2008-2021 where he says he worked with “every single school of medicine in the U.S.,” National Academics. There was no center at the NIH that looks at emergency care as a specialty.” Accessed August 21, 2023.

Research 45

Research EMS Academics Military 45

Don't Forget the Bubbles

JANUARY 31, 2024

This was compared to a mixed reference standard that included the results of ultrasound by radiologists, intra-operative findings, and clinical follow-up. Academic Pediatrics 2024 24 1 51-58 What’s it about? The index test was POCUS by a clinician. to 99.8%) and specificity 97.2% (95% CI 87.2% Meyer EJ, Correa ET, Monuteaux MC et al.

Hospitals 72

Hospitals Ultrasounds Emergency Department Pediatrics 72

PHEM Cast

SEPTEMBER 14, 2022

secondary to fire or other hazard) These principles have been adopted by national level stakeholders in the UK are being incorporated into national clinical and operational guidance which will reduce entrapment time and may demonstrate morbidity and mortality reductions.

Fractures 52

Fractures Operations Outcomes Academics 52

The Skeptics' Guide to EM

DECEMBER 12, 2020

AEM December 2020 * Population: Patients of any age undergoing ED drainage of skin abscesses * Exclusions: Patient with abscess located on hand, foot, or face or if they required admission and/or operative intervention. Dr. Ladde is in an active academic emergency physician working at Orlando R.

Operations 52

Operations Outcomes Research Academics 52

RebelEM

JUNE 8, 2023

PMID: 36108346 Clinical Question: What is the efficacy and safety of peripherally administered push dose pressors for the treatment of acute hypotension?

Administration 90

Administration Emergency Department Outcomes Documentation/Coding 90

EMDocs

OCTOBER 30, 2023

Relative proportions of reported diagnostic indications versus clinical outcomes in a retrospective analysis of all CT imaging in 3 EDs over 1 year at an academic center. Under standard operating protocols, residual contrast materials are usually wasted, according to current CDC and JC standards. West J Emerg Med. 2017;18(5):835-845.

Radiology 72

Radiology Radiology Emergency Department Hospitals 72

The Skeptics' Guide to EM

NOVEMBER 20, 2021

Back then we found that at one academic site older adults attending ED with falls didn’t receive guideline-based assessment, risk stratification or management. You wonder if any emergency department (ED)-based interventions would help her and people like her be safe. Background: We looked at geriatric falls on an SGEM Xtra in 2015.

Geriatric Emergencies 52

Geriatric Emergencies Elder Abuse Research Academics 52