ALiEM

FEBRUARY 20, 2024

Sivalingam SK, Gadiraju VT, Hariharan MV, Atreya AR, Flack JE, Aziz H. Managing cardiovascular collapse in severe flecainide overdose without recourse to extracorporeal therapy. Emerg Med Australas. 2007 Apr;19(2):155-9. doi: 10.1111/j.1742-6723.2006.00909.x. 1742-6723.2006.00909.x. PMID: 17448102. Acute Card Care. 2013 Dec;15(4):90-2.

Shock 73

Shock EKG/ECG Poisoning Burns 73

EMDocs

AUGUST 22, 2023

PMID: 28395927 Panchal AR, Berg KM, Hirsch KG, et al. PMID: 26821648 Hemnes AR, Newman AL, Rosenbaum B, et al. Correction: Correction to ‘Clinical Policy: Procedural Sedation and Analgesia in the Emergency Department’ [Annals of Emergency Medicine 63 (2014) 247-258.e18]. Ann Emerg Med. 2017;70(5):758. BMC Emerg Med.

Emergency Department 66

Emergency Department Blood Transfusions Resuscitation Sepsis 66

ED ECMO

MARCH 24, 2021

Rivosecchi RM, Arakelians AR, Ryan J, Murray H, Padmanabhan R, Gomez H, Phillips D, Sciortino C, Arlia P, Freeman D, Sappington PL, Sanchez PG. Rivosecchi RM, Arakelians AR, Ryan J, Murray H, Padmanabhan R, Gomez H, Phillips D, Sciortino C, Arlia P, Freeman D, Sappington PL, Sanchez PG. vs 11.7%, p < 0.001).

52

52

ACEP Now

FEBRUARY 13, 2024

Barnett ML, Olenski AR, Jena AB. Goodwin J. Trends in opioid prescriptions among part D medicare recipients from 2007 to 2012. American Journal of Medicine. 2016;129(2):221.e21–221.e30. Opioid-Prescribing Patterns of Emergency Physicians and Risk of Long-Term Use. N Engl J Med. 2017 Feb 16;376(7):663-673.

Ultrasounds 52

Ultrasounds Emergency Department Hospitals Wellness 52

EB Medicine

JUNE 20, 2022

Chapman AR, et al. Chapman AR, et al. High-Sensitivity Cardiac Troponin on Presentation to Rule Out Myocardial Infarction: A Stepped-Wedge Cluster Randomized Controlled Trial. Circulation. 2021 Jun 8;143(23):2214-2224. doi: 10.1161/CIRCULATIONAHA.120.052380. 120.052380. Epub 2021 Mar 23. PMID: 33752439; PMCID: PMC8177493. 2017.17488.

Outcomes 52

Outcomes 52

ACEP Now

MAY 5, 2023

References Simon JR, Derse AR, Marco CA, Allen N, Baker E. Baker EF, Moskop JC, Geiderman JM, Iserson KV, Marco CA, Derse AR. Marco is associate editor of ACEP Now. Dr. Baker is professor of medical ethics at the University of Toledo College of Medicine and Life Sciences, Toledo, Ohio. J Amer Coll Emerg Phys – Open. Ann Emerg Med.

Emergency Department 52

Emergency Department Documentation/Coding 52

Cook County EM Blog

MAY 1, 2023

Wasserman AR, Melville LD, Birkhahn RH. 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. Septic bursitis: a case report and primer for the emergency clinician.  J Emerg Med. 2009 Oct;37(3):269-272.

Ultrasounds 52

Ultrasounds Emergency Department Hospitals Outcomes 52

RebelEM

MARCH 23, 2023

The study only examined symptom-triggered phenobarbital based on CIWA-Ar scoring, and it is unclear if there was front-loading, as phenobarbital (and benzodiazepines) sometimes are administered. Although CIWA has subjective components, when a patient has a CIWA in the 20s ICU transfer should be considered.

Emergency Department 52

Emergency Department Outcomes Hospitals Burns 52

ALiEM

OCTOBER 11, 2023

Katikou P, Gokbulut C, Kosker AR, Campàs M, Ozogul F. Kotipoyina HR, Kong EL, Warrington SJ. Tetrodotoxin Toxicity. In: StatPearls. Treasure Island (FL): StatPearls Publishing; August 8, 2022. PMID: 29939536. An Updated Review of Tetrodotoxin and Its Peculiarities. Marine Drugs. 2022;20(1):47. doi:10.3390/md20010047. PMID: 35049902.

Poisoning 81

Poisoning Burns Wellness Outcomes 81

PEMBlog

MAY 15, 2023

One form of LQT1, AR Jervell and Lange-Nielsen syndrome is associated with congenital deafness. LQT2 is associated with stress or at rest and can be triggered by loud noises which are pathognomonic.

Pediatrics 97

Pediatrics EKG/ECG Emergency Department Burns 97

EMergucate

DECEMBER 4, 2014

Approach Wash hands Rapport Positioning 45 deg Exposure to waist Surroundings General appearance Dyspnoea, cachexia Dysmorphic features Marfan’s AR, Turner’s … Continue reading →

40

40

Pediatric EM Morsels

MARCH 17, 2023

Sarkar S, Sinha R, Chaudhury AR, et al. Am Fam Physician. 2002;65(7):1367-1374. Bryan Judge MD. ACMT toxicology visual pearls: Exotic Viper Envenomation. Published November 13, 2019. Accessed March 17, 2023. Snake bite associated with acute kidney injury. Pediatr Nephrol. 2021;36(12):3829-3840.

CDC 130

CDC Poisoning Pediatrics Shock 130

SheMD

APRIL 16, 2023

See A, Pallaci M, Aluisio AR, Beck-Esmay J, Menchine M, Weinstock M, Lam CN, Riddell J. Gender bias in academia: A lifetime problem that needs solutions. 2021 Jul 7;109(13):2047-2074. doi: 10.1016/j.neuron.2021.06.002. 2021.06.002. PMID: 34237278; PMCID: PMC8553227. JAMA Netw Open. 2022 Feb 1;5(2):e2147351. doi: 10.1001/jamanetworkopen.2021.47351.

Research 52

Research Outcomes 52

Taming the SRU

FEBRUARY 14, 2024

Buckley AR, Moss EH, Blokmanis A. The contemporary approach to diagnosis and management of peritonsillar abscess. Curr Opin Otolaryngol Head Neck Surg. 2005;13(3):157-160. doi:10.1097/01.moo.0000162259.42115.38 0000162259.42115.38 Diagnosis of peritonsillar abscess: value of intraoral sonography. AJR Am J Roentgenol. 1994;162(4):961-964.

Ultrasounds 86

Ultrasounds Emergency Department Wellness 86

Taming the SRU

JULY 13, 2023

Lumbreras-Fernández B, Sales-Sanz M, Contreras I, Albandea AR. Saudi J Ophthalmol. 2017;31(4) 7. A simple maneuver to reposit a subluxed globe. Arch Ophthalmol. 2000;118(3). Orbital decompression for the treatment of spontaneous globe luxations. 2015;34(4):2015.

Dislocations 81

Dislocations Hospitals Wellness 81

Emergency Medicine Ireland

DECEMBER 3, 2020

There are a few other points to take away from the guidance Refeeding syndrome * ~35% of ICU patients at risk of this * drop in PO4 after starting feeds (drop of 0.65) * prevention is typically IV or enteral thiamine and reducing rate of feeding. ESPEN guideline on clinical nutrition in the intensive care unit.

Burns 52

Burns Sepsis EMS Wellness 52

Intensive Blog

FEBRUARY 7, 2023

PMID: 27709750 Cevasco M, Takayama H, Ando M, Garan AR, Naka Y, Takeda K. PMID: 22473862 Truby LK, Takeda K, Mauro C, Yuzefpolskaya M, Garan AR, Kirtane AJ, et al. PMID: 17896398 Pappalardo F, Schulte C, Pieri M, Schrage B, Contri R, Soeffker G, et al. Concomitant implantation of Impella. Eur J Heart Fail. 2017;19(3):404-12.

Shock 52

Shock Hospitals Operations Outcomes 52

EMDocs

JANUARY 8, 2024

Reference: Perman SM, Elmer J, Maciel CB, Uzendu A, May T, Mumma BE, Bartos JA, Rodriguez AJ, Kurz MC, Panchal AR, Rittenberger JC; American Heart Association. Consider EEG monitoring for patients who remain comatose after ROSC.

Seizures 80

Seizures Shock CPR Hyperthermia / Hypothermia 80

Don't Forget the Bubbles

MAY 8, 2024

Fielder AR, et al. Parasitic infections: what do paediatricians need to know? Eisen S et al. Arch Dis Child. 2024 Apr 16:archdischild-2024-326876. Retinopathy of prematurity comes full circle. Arch Dis Child Fetal Neonatal Ed. 2024 Apr 11 Why all newborn hip screening programs have same results-a mini review. Bm MV, et al. Eur J Pediatr.

Pediatrics 69

Pediatrics Emergency Department Outcomes Research 69

Don't Forget the Bubbles

JUNE 14, 2023

Howard-Jones AR, et al. Clinical profile of children with acute post-streptococcal glomerulonephritis. Dhakal AK, et al. Pediatr Nephrol. 2023 May 2. Acute bacterial lymphadenitis in children: a retrospective, cross-sectional study. Eur J Pediatr. 2023 May;182(5):2325-2333. Binay Yaz Ş, et al. Eur J Pediatr. 2023 May 15.

Pediatrics 119

Pediatrics Point-of-Care Testing Outcomes Hospitals 119

Don't Forget the Bubbles

AUGUST 28, 2023

doi:10.1136/archdischild-2018-315269 Hammer MM, Miskin N, Madan R, Hunsaker AR. Fifteen-minute consultation: Obvious and not-so-obvious mediastinal masses. Arch Dis Child Educ Pract Ed. 2019;104(6):298-303.doi:10.1136/archdischild-2018-315269 Predictive Features for Anterior Mediastinal Mass Diagnoses. J Comput Assist Tomogr. doi:10.1097/RCT.0000000000000782

Pediatrics 97

Pediatrics Research Emergency Department Wellness 97

EMDocs

MARCH 30, 2024

Joaquim AF, Patel AA, Schroeder GD, Vaccaro AR. Treasure Island (FL): StatPearls Publishing; August 1, 2022. Whitney E, Alastra AJ. Vertebral Fracture. In: StatPearls. Treasure Island (FL): StatPearls Publishing; April 3, 2023. A simplified treatment algorithm for treating thoracic and lumbar spine trauma. J Spinal Cord Med.

EMS 88

EMS Fractures Emergency Department Dislocations 88

PHEM Cast

APRIL 21, 2021

Annals of Emergency Medicine 2006; 47(6):548-555 Lewis SR, Butler AR, Parker J, Cook TM, Smith AF. Laryngeal View During Laryngoscopy: A Randomized Trial Comparing Cricoid Pressure, Backward-Upward-Rightward Pressure, and Bimanual Laryngoscopy. Videolaryngoscopy versus direct laryngoscopy for adult patients requiring tracheal intubation.

Airway Management 52

Airway Management Resuscitation Hospitals EMS 52

Emergency Medicine Ireland

FEBRUARY 8, 2021

References: UTD Article Pironi L, Corcos O, Forbes A, Holst M, Joly F, Jonkers C, Klek S, Lal S, Blaser AR, Rollins KE, Sasdelli AS, Shaffer J, Van Gossum A, Wanten G, Zanfi C, Lobo DN; ESPEN Acute and Chronic Intestinal Failure Special Interest Groups. Intestinal failure in adults: Recommendations from the ESPEN expert groups.

Operations 40

Operations Outcomes 40

Don't Forget the Bubbles

MAY 29, 2023

link] Cash RE, White-Mills K, Crowe RP, Rivard MK, Panchal AR. Transformational Leadership and Incivility: A Multilevel and Longitudinal Test. Journal of Interpersonal Violence [Internet]. 2021:36:1–2, NP448–NP473 Available at. Internet] 2019:23:3, 346-355, DOI: 10.1080/10903127.2018.1502383 Cataldo CG.

Leadership 98

Leadership Patient Safety Academics Research 98

Cook County EM Blog

MARCH 10, 2022

Brodbelt AR, Stoodley MA. Thiele RH, Hage ZA, Surdell DL, Ondra SL, Batjer HH, Bendok BR. Spontaneous spinal epudiral hematoma of unknown etiology: case report and literature review. Neurocrit Care. 2008;9(2):242. PMID: 18373224. Post-traumatic syringomyelia: a review. J Clin Neurosci. 2003;10(4):401. PMID: 12852875.

Emergency Department 52

Emergency Department Hospitals Wellness Outcomes 52

Advanced Emergency Nursing from AENJ

OCTOBER 18, 2014

Ars Technica blog. May 25 2012, 9:00am PDT Sincerely, Tom Trimble, RN CEN All opinions are solely those of the author. Wikipedia Article: Dunning-Kruger Effect Wikipedia Article: Four Stages of Competence RationalWiki Article: Dunning-Kruger Effect Lee, Chris.

Airway Management 40

Airway Management Emergency Nursing Pediatrics Wellness 40

Dr. Smith's ECG Blog

DECEMBER 22, 2022

Turk Kardiyol Dern Ars. Aslanger EK, Meyers HP, Smith SW. Recognizing electrocardiographically subtle occlusion myocardial infarction and differentiating it from mimics: Ten steps to or away from cath lab. 2021 Sep;49(6):488-500. doi: 10.5543/tkda.2021.21026. 2021.21026.

EKG/ECG 52

EKG/ECG 52

Sensible Medicine

DECEMBER 15, 2023

AR was an older man referred to me by a close friend of his. AR was a health professional and came into the relationship pleased to see me. ” AR was a deeply religious man, a fact he made known in even the most casual conversations. [ii] Not every doctor is right for every patient.

Wellness 94

Wellness Documentation/Coding Outcomes 94

Pediatric Education

SEPTEMBER 10, 2023

Backer CL, Monge MC, Popescu AR, Eltayeb OM, Rastatter JC, Rigsby CK. Information prescriptions for patients can be found at MedlinePlus for this topic: Congenital Heart Defects To view current news articles on this topic check Google News. To view images related to this topic check Google Images. Vascular rings. Semin Pediatr Surg.

Pediatrics 40

Pediatrics Radiology Radiology Wellness 40

Dr. Smith's ECG Blog

NOVEMBER 14, 2019

. : Given that there is a very small-but-present percentage of lethal cardiac arrhythmic events in otherwise healthy young adut individuals who have repolarization variants — I no longer use the term, "BER" ( B enign E arly R epolarization ) when I see this type of ECG finding ( Zakka & Refaat-ACC, 2016 ).

EKG/ECG 52

EKG/ECG Wellness 52

Dr. Smith's ECG Blog

OCTOBER 17, 2022

I review assessment and classification of ECG repolarization patterns in My Comment, at the bottom of the page in the May 23, 2022 post in Dr. Smith's ECG Blog.

EKG/ECG 52

EKG/ECG Poisoning Hospitals 52

EM Guide Wire

MAY 19, 2019

Taking care of children in the ED isn't just diagnosing viruses - child abuse/neglect is more prevalent than we'd like to think : - 2-10% of children presenting to the ED are victims of abuse or neglect - children that are abused often have multiple healthcare visits before it is recognized Child maltreatment includes neglect and abuse Neglect - failure (..)

Pediatrics 40

Pediatrics Soft Tissue Injuries Fractures Emergency Nursing 40

Dr. Smith's ECG Blog

DECEMBER 11, 2023

High Risk ACS guidelines are only followed in 6% of patiients: Lupu L, Taha L, Banai A, Shmueli H, Borohovitz A, Matetzky S, Gabarin M, Shuvy M, Beigel R, Orvin K, Minha S ’ar, Shacham Y, Banai S, Glikson M, Asher E.

EKG/ECG 113

EKG/ECG Outcomes Documentation/Coding Academics 113

ACEP Now

MARCH 15, 2024

Mirghasemi AR, Lee DJ, Rahimi N, et al. Kazemian GH, Bakhshi H, Lilley M, et al. DRUJ instability after distal radius fracture: a comparison between cases with and without ulnar styloid fracture. Int J Surg. 2011;9(8):648-51. Distal radioulnar joint instability. Geriatr Orthop Surg Rehabil. 2015;6(3):225-9. Mandegaran R, Gidwani S, Zavareh A.

Fractures 52

Fractures Dislocations EMS Emergency Department 52

Dr. Smith's ECG Blog

DECEMBER 19, 2023

. : Given that there is a very small-but-present percentage of lethal cardiac arrhythmic events in otherwise healthy young adut individuals who have repolarization variants — I no longer use the term, "BER" ( B enign E arly R epolarization ) when I see this type of ECG finding ( Zakka & Refaat-ACC, 2016 ).

EKG/ECG 107

EKG/ECG EMS Wellness Operations 107

Dr. Smith's ECG Blog

NOVEMBER 3, 2023

Guidelines are rarely followed: Lupu L, Taha L, Banai A, Shmueli H, Borohovitz A, Matetzky S, Gabarin M, Shuvy M, Beigel R, Orvin K, Minha S ’ar, Shacham Y, Banai S, Glikson M, Asher E. Published 2022 Feb 20. doi:10.1016/j.jccase.2022.01.006 2022.01.006 6.

EKG/ECG 78

EKG/ECG Shock Documentation/Coding Academics 78