University of Maryland Department of Emergency Med

OCTOBER 3, 2023

Bottom line: As part of a systematic protocol, peripheral pressors administered through a peripheral line greater 22Ga or larger reduced t. Click to view the rest

Administration 59

Administration 59

PHARM

MAY 25, 2023

The intranasal route for ketamine administration may be a si… : Journal of Trauma and Acute Care Surgery — Read on journals.lww.com/jtrauma/Citation/2023/06000/The_intranasal_route_for_ketamine_administration.21.aspx

Administration 40

Administration 40

EB Medicine

MAY 1, 2024

Strayer, MD, author of the May 2024 Emergency Medicine Practice article, Current Concepts in Ketamine Therapy in the Emergency Department Diving Into Ketamine Use in Emergency Medicine Understanding Ketamine: From Origins to Emergency Use Exploring the Ketamine Brain Continuum Ketamine Dosing and Administration Techniques Combining Ketamine with (..)

Administration 126

Administration Emergency Department 126

University of Maryland Department of Emergency Med

JUNE 7, 2023

Nitroglycerin easily migrates into polyvinyl chloride (PVC), a plastic commonly used in intravenous tubing due to its flexibility and lo. Click to view the rest

Administration 54

Administration 54

PHARM

APRIL 25, 2023

Dantrolene Administration in the Management of the Prehospital Patient with Methylenedioxymethamphetamine Overdose: A Case Series and Literature Review – PMC — Read on www.ncbi.nlm.nih.gov/pmc/articles/PMC9440799/

Administration 40

Administration 40

Emergency Medicine News

NOVEMBER 17, 2023

An abstract is unavailable.

Administration 134

Administration 134

Life in the Fast Lane

SEPTEMBER 3, 2023

Pramod Chandru Network Five: Emergency Medicine Conversations Network Five Emergency Medicine Conversations Episode 24 - an interview with Dr Amith Shetty on medical administration, leadership, and more!

Leadership 98

Leadership Administration Patient Safety Research 98

Emergency Medicine News

FEBRUARY 29, 2024

An abstract is unavailable.

Administration 40

Administration 40

Mount Sinai EM

JULY 30, 2023

Important, earlier administration may precipitate increased production of thyroid and worsening of storm. For esmolol, loading dose of 250 to 500 mcg/kg, followed by an infusion at 50 to 100 mcg/kg per minute OR a loading dose of 1 mg/kg over 30 seconds followed by approximately 150 mcg/kg/minute Thionamide – PTU preferred.

Administration 185

Administration COPD Wellness 185

EM Ottawa

FEBRUARY 15, 2024

Physiology of the rapid sequence intubation Rapid sequence intubation (RSI) is the nearly simultaneous administration […] The post Ketamine and Etimodate: Into the Void appeared first on EMOttawa Blog.

Administration 124

Administration Resuscitation 124

Advanced Medical Reviews

MAY 4, 2021

Physician burnout is a prevalent condition, with 42% of doctors reportedly suffering from it. At the top of the list are critical care physicians, rheumatologists and infectious disease specialists. Approximately half of all female physicians report burnout compared to 36% of their male counterparts.

Administration 52

Administration Infectious Diseases 52

The Bottom Line

OCTOBER 18, 2023

In patients with trauma and critical bleeding who require activation of a major haemorrhage protocol, does the empiric administration of 3 pools of cryoprecipitate (6g fibrinogen) within 90 minutes of randomisation (and no more than 3 hours after injury) improve survival, compared to standard care?

Administration 139

Administration Operations Resuscitation 139

Science Based Medicine

FEBRUARY 14, 2024

I have seen first hand how one or a few true believers can promote so-called alternative medicine at their institutions, meeting little resistance from colleagues and administrators […] The post Mayo Clinic Promotes Reiki first appeared on Science-Based Medicine.

Administration 114

Administration 114

The Bottom Line

JUNE 19, 2023

In adult patients with major trauma, who are at risk for trauma-induced coagulopathy does early administration of 1g of tranexamic acid (TXA) followed by an infusion of 1g over 8 hours, compared with placebo, increase survival with a favourable functional outcome at 6 months?

Administration 145

Administration Outcomes Shock 145

The Trauma Pro

JUNE 23, 2023

Most people worry about common errors like wrong dose, wrong drug, and wrong route of administration. What are common sources of malpractice complaints against nurses? The most common event is medication error. But one less commonly considered drug-related responsibility is assessment for side effects and toxicity of medications administered.

Documentation/Coding 246

Documentation/Coding Administration 246

ACEP Now

AUGUST 25, 2023

The National Heart, Lung, and Blood Institute released an expert panel report in 2014 with evidence-based guidelines for management of SCD recommending timely administration of parenteral opioids for VOE.2 Two interesting findings were time to parenteral opioid administration and total dose of opioid morphine equivalents. Am J Hematol.

Administration 97

Administration Pediatrics Outcomes Emergency Department 97

RebelEM

JANUARY 18, 2024

Time to antibiotic therapy (from triage, not from onset of infection) has become a quality metric to improve the time to administration of these medications. Prehospital Administration of Broad-Spectrum Antibiotics for Sepsis Patients: A Systematic Review and Meta-Analysis. Paper: Varney J et al. to 0.97; p = 0.02 to 2.07; p = 0.91

Sepsis 121

Sepsis Hospitals Administration Outcomes 121

Taming the SRU

FEBRUARY 7, 2024

For blood product administration, PROPPR showed that 1:1:1 platelet, plasma, and pRBC administration led to earlier hemostasis along with less death due to blood loss and whole blood compared to separate blood product administration led to decreased death at 24 hours.

Administration 87

Administration PPE Ultrasounds Poisoning 87

Emergency Medicine News

DECEMBER 31, 2023

An abstract is unavailable.

Administration 105

Administration 105

American Medical Compliance

APRIL 24, 2024

What you will learn: HIPAA regulations Covered entities Administrative areas Breaches The HITECH Act Details Course length: 30 minutes. Also, it requires appropriate administrative safeguards to ensure the confidentiality of electronic medical records. This involves physical security measures and the encryption of electronic data.

Administration 52

Administration Outcomes 52

Emergency Live

JANUARY 30, 2024

Italy Witnesses Significant Progress in the Fight Against Cancer The mRNA Vaccine Revolution In a significant breakthrough in the battle against melanoma, Italy has witnessed the administration of the first dose of an innovative mRNA vaccine.

Administration 83

Administration 83

Emergency Medicine News

NOVEMBER 30, 2023

An abstract is unavailable.

Administration 116

Administration 116

Emergency Live

MARCH 1, 2024

This event can occur during treatments such as chemotherapy, administration of contrast fluids, […] The post The Extravasation: An Essential Guide appeared first on Emergency Live.

Administration 72

Administration 72

Emergency Live

DECEMBER 20, 2023

An overnight explosion causes death and destruction in the capital of Guinea The Disaster: A Night of Terror In the early hours of December 18, Conakry, the capital of Guinea, was rocked by a powerful explosion followed by a devastating fire at the main fuel depot of the Guinean Petroleum Company, located in the administrative […] The post Conakry, (..)

Administration 88

Administration 88

AENJ: Current Issue

SEPTEMBER 30, 2023

The emergency department (ED) is a frequent utilizer of alternative routes of medication administration (e.g., One group of medications that has been explored via this route of administration, and is frequently administered in EDs across the nation, is opioids, most notably fentanyl, hydromorphone, and morphine.

Emergency Department 69

Emergency Department Administration 69

EMDocs

AUGUST 24, 2023

Blood cultures were collected from patients before the admiration of antibiotics (gold standard), and then again 30 – 120 min following administration of antibiotics. Yields from the post-antibiotic set of blood cultures were then compared against the pre-antibiotics administration set. Difference of 12% (95% CI 5.4 Ann Intern Med.

Administration 66

Administration Sepsis Shock Outcomes 66

The Bottom Line

JANUARY 10, 2024

In acutely ill adults (ED / ICU) does the administration of cefipime or piperacillin-tazobactam (pip-taz) result in an increased incidence of AKI or death by day 14?

Administration 60

Administration Sepsis 60

The Trauma Pro

JUNE 30, 2023

Typically, hospital administrators pressure trauma programs to adopt an eTFS at some point after implementing the hospital-wide use of an electronic health record (EHR). Epic Systems became the first, and hospital administrators eventually became aware of it. The biggest question is, why does your hospital want you to use it?

Hospitals 130

Hospitals Administration Resuscitation Best Practices 130

ALiEM

MARCH 5, 2024

Pharmacokinetics of salicin after oral administration of a standardised willow bark extract. Pharmacokinetics of salicin after oral administration of a standardised willow bark extract. The Aspirin Story – from Willow to Wonder Drug. British Journal of Haematology. 2017;177(5):674-683. PMID: 28106908. Schmid B, Kötter I, Heide L.

Hyperthermia / Hypothermia 113

Hyperthermia / Hypothermia Anaphylaxis Administration Poisoning 113

Emergency Live

JANUARY 12, 2024

Specific training for the type of […] The post The path to becoming a rescue helicopter pilot appeared first on Emergency Live.

Administration 82

Administration EMS 82

First 10 EM

OCTOBER 15, 2023

One of those trials – CRYOSTAT-2 – was just published, and adds important information about the role of empiric fibrinogen administration (in the form of cryoprecipitate) in trauma patients. In the massive hemorrhage deep dive, I mentioned that there were a number of large trials in the works that would further define practice.

Administration 83

Administration EMS 83

The Trauma Pro

SEPTEMBER 15, 2023

Many centers have adopted 2-3 days to delay administration of low molecular weight heparin in patients with solid organ injury. The AAST initiated a prospective multi-institutional trial comparing early ( < 48 hours after admission) and late (>48 hours) administration of prophylactic agents.

Administration 147

Administration Fractures Wellness 147

University of Maryland Department of Emergency Med

OCTOBER 30, 2023

IV Fluid Resuscitation IVF administration is one of the most common interventions in the resuscitation of critically ill patients. Click to view the rest

Fluid Resuscitation 74

Fluid Resuscitation Resuscitation Administration 74

RebelEM

APRIL 29, 2024

In cardiac arrest, a delay in IV access subsequently results in a delay in epinephrine administration. Intravenous vs intraosseous adrenaline administration in cardiac arrest: A protocol for systematic review and meta-analysis. Resuscitation. 2012 PMID: 21893125. 9 Zhang W et al. Medicine (Baltimore). PMID: 33350794 10 Meilandt C.

Resuscitation 103

Resuscitation Administration Emergency Department Hospitals 103

The Trauma Pro

AUGUST 18, 2023

The Broxton tool covers all the basics and includes some additional data points that cover activation criteria, TXA administration, and administration of uncrossmatched blood. Click here to check it out. The Australian tool is much more robust with more data points that make a lot of sense. You can download a copy by clicking here.

Administration 100

Administration Operations Hospitals Wellness 100

PulmCCM

APRIL 29, 2024

If you thought administrators had a bee in their bonnet for SEP-1 before, just wait. The stakes are going up. CMS has added SEP-1 to its “value-based purchasing” program for 2024, meaning hospitals will face financial penalties for noncompliance. That was the pregame.

Infectious Diseases 52

Infectious Diseases Sepsis Administration Shock 52

PulmCCM

APRIL 29, 2024

Hospital administrators put VAP on the kill list. Just kidding! In 2008, the U.S. government proposed adding VAP to its “hospital-acquired conditions” list—the ones that it won’t pay for. Its incidence was closely tracked, and nonprofit organizations provided bundles for how to eradicate it.

Documentation/Coding 52

Documentation/Coding Academics Administration Research 52