Don't Forget the Bubbles

SEPTEMBER 18, 2023

This blog post aims to help familiarise you with some of the most common reasons for prescribing antibiotics in the paediatric emergency department. Antibiotic Use for Common Infections in Pediatric Emergency Departments: A Narrative Review. Karageorgos, S.; Hibberd, O.; Mullally, P.J.W.; Segura-Retana, R.; JAMA Pediatr.

Emergency Department 143

Emergency Department Infectious Diseases Pediatrics Sepsis 143

ACEP Now

JUNE 1, 2023

We need to navigate challenges, foster ethical use, and identify the best practices for emergency department application. However, the implementation of these models also comes with potential risks and downsides.

Best Practices 52

Best Practices Research Documentation/Coding Administration 52

Broome Docs

JUNE 20, 2023

BMJ Best Practice. PMID: 36996524 This is a qualitative study, based on interviews of 24 adult patients who presented to the emergency department with a presumptive diagnosis of cannabinoid hyperemesis syndrome. Intravenous Haloperidol Has a Limited Role in the Modern Emergency Department. Ann Emerg Med.

Emergency Department 135

Emergency Department Sepsis Best Practices 135

The Trauma Pro

JUNE 30, 2023

A best practice would be to scan (or copy) the paper trauma flow sheet just before the patient leaves the emergency department for good so an interim version can be placed in the EHR. The critical move is that it should be scanned early so that it is available in the EHR as soon as it is complete.

Hospitals 130

Hospitals Administration Resuscitation Best Practices 130

EB Medicine

SEPTEMBER 1, 2022

In this episode, Sam Ashoo, MD interviews Lela Bachrach, MD, MS, Larissa Truschel, MD, MPH, and Makini Chisolm-Straker, MD, MPH - the authors of the July 2022 PEMP article on Human Trafficking of Children and Adolescents: Recognition and Response in the Emergency Department. Do you find this dissuades patients form reporting?

Emergency Department 52

Emergency Department Documentation/Coding EMS Best Practices 52

Total Medical ComplianceHIPAA

JULY 6, 2023

Department of Health and Human Services, reached a $240,000 settlement with Yakima Valley Memorial Hospital following an investigation into a privacy breach. The breach involved unauthorized access to 419 patient health records by 23 security guards working in the emergency department.

Hospitals 52

Hospitals Best Practices Emergency Department Wellness 52

The Skeptics' Guide to EM

JULY 15, 2023

She is an executive member of Pediatric Emergency Research Canada ( PERC ), pain content advisor for TREKK and faculty member of BEEM. Background: Pain, a common acute and chronic complaint that we see a lot in the emergency department. While addressing pain, we sometimes must perform medical procedures which lead to…more pain.

Pediatrics 52

Pediatrics Emergency Department Research Best Practices 52

ACEP Now

JUNE 6, 2023

When considering an optimized environment for compassionate patient communication, the chaotic emergency department (ED) probably gives some clinicians pause. 9) Tell Me More, or What Else, Statements Admittedly, this proficiency can be difficult in the busy emergency department. Example: “My spouse said I should come in.”

Emergency Department 98

Emergency Department Hospitals Best Practices Shock 98

EB Medicine

JULY 8, 2019

This month, we are sticking in the abdomen for another round of evidence-based medicine, focusing on Emergency Department Management of Patients With Complications of Bariatric Surgery. ASMBS pediatric committee best practice guidelines. I hope everybody enjoyed a fantastic conference. 2015;25(4):622-627. 2012;8(1):1-7.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

ACEP Now

NOVEMBER 7, 2023

2 Information blocking is any practice that is “likely to interfere with access, exchange, or use of [EHI].” 3 These regulations have led to widespread practices of EHI, such as test results and clinical documentation, being shared with patients in real time. Training opportunities for documentation best practices should be employed.

Documentation/Coding 52

Documentation/Coding Best Practices Ethical Issues Academics 52

EB Medicine

APRIL 30, 2017

This month's episode of EMplify, the podcast corollary to the Emergency Medicine Practice journal, focuses on acute decompensated heart failure. The podcast is based on the full-length review published in the May 2017 issue of Emergency Medicine Practice.

Outcomes 40

Outcomes Best Practices Burns Ultrasounds 40

The Injectable Orange

APRIL 4, 2017

In the consistent form of Injectable Orange we have a not so hidden curriculum – critical appraisal and evidence based practice. Predicting Geriatric Falls Following an Episode of Emergency Department Care: A Systematic Review. The Article Carpenter, C. Avidan, M. Fowler, S. A., & Lo, A. Case: 84yo woman (Mrs.

Emergency Department 52

Emergency Department Evidence-Based Practice Documentation/Coding Academics 52

PEMBlog

AUGUST 30, 2023

System changes to electronic ordering have been shown to induce more permanent clinical practice change and continual updates to these systems are necessary to keep pace with knowledge evolution and best practice. Pneumonia in Children Presenting to the Emergency Department with an Asthma Exacerbation. Pediatrics.

Pediatrics 52

Pediatrics Best Practices Hospitals Emergency Department 52

Taming the SRU

OCTOBER 23, 2023

THE CASE A female in her early 20s, G4P2012, presents to the emergency department (ED) with a 5 day history of left lower quadrant abdominal pain which has been worsening since onset. Am J Emerg Med. Best Practice & Research Clinical Obstetrics & Gynaecology, Volume 23, Issue 4, 2009. 2021 Nov;49:226-232.

Ultrasounds 87

Ultrasounds Operations Radiology Radiology 87

EM Curious

SEPTEMBER 9, 2015

LITERATURE OF INTEREST An Age-Adjusted D-dimer Threshold for Emergency Department Patients With Suspected Pulmonary Embolus: Accuracy and Clinical Implications. This will be your target. Learn more about this procedure here. Rob Orman breaks down this topic on ER Cast to help us better understand the evidence and demystify this issue.

Stroke 52

Stroke Best Practices Pediatrics EMS 52

SheMD

APRIL 24, 2023

I break bad news almost every shift in the emergency department. An email with a sad face to a woman jacked up hormones was not the best approach. I put on my scrubs (I was on the schedule… again) and drove myself to the Emergency Department (ED). Breaking bad news is always a challenge. It was certain.

Ultrasounds 83

Ultrasounds Radiology Radiology Emergency Department 83

Pediatric EM Morsels

APRIL 19, 2024

Trauma season is at hand and like all other pediatric emergency departments in the country, we find our ED breaking ( pun intended ) at the seams with orthopedic injuries. We see all different flavors of upper extremity injuries.

Fractures 251

Fractures Pediatrics Best Practices Outcomes 251

Mind The Bleep

MAY 16, 2023

LaznerM, “The Alex Emergency Department, Paediatric Practice Guideline. Belking-Gerson J, “BMJ Best Practice: Constipation in Children,” 5 March 2023. Available: [link]. [4] 4] NICE, “Constipation in Children and Young People: Diagnosis and Management,” 5 March 2023.

Dehydration 52

Dehydration Best Practices Documentation/Coding Emergency Department 52

Don't Forget the Bubbles

NOVEMBER 8, 2023

7-year-old Tilly is brought to your emergency department at 11 p.m. Abdominal pain in children is common, accounting for over 1 in 20 attendances to paediatric emergency departments [1]. Clinical scoring tools have improved diagnostic performance in assessing suspected appendicitis in the emergency department.

Emergency Department 105

Emergency Department Ultrasounds Pediatrics Best Practices 105

PEMBlog

JUNE 14, 2023

Thousands of children and adolescents spend days at time in Emergency Departments waiting for definitive mental health disposition. West J Emerg Med. Mental Health Revisits at US Pediatric Emergency Departments. Prolonged emergency department length of stay for US pediatric mental health visits (2005-2015).

Psychiatric 98

Psychiatric Emergency Department Pediatrics Best Practices 98

Don't Forget the Bubbles

JANUARY 22, 2024

Choosing Wisely aims to help clinicians align with best practices by avoiding interventions that are not supported by evidence. Choosing Wisely in Paediatric Car e A trainee-led project in a UK tertiary paediatric emergency department looked at the usefulness of blood tests in 101 children. 70% had liver function tests.

Emergency Department 90

Emergency Department Best Practices Radiology Radiology 90

EMDocs

JUNE 16, 2023

And now we’re here at our destination, the place we know and love, the emergency room to talk about what we should be doing for the growing volume of children with mental health problems boarding in the emergency department.

Psychiatric 52

Psychiatric Pediatrics Emergency Department Best Practices 52

EB Medicine

MAY 3, 2019

This month, we’re moving into uncharted territories for the podcast… we’re talking psychiatry Nachi: Specifically, we’ll be discussing Depressed and Suicidal Patients in the emergency department. Nachi: Though not yet implemented in the ED setting, this may offer a novel approach to ED patients with psychiatric emergencies in the ED.

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

PEMBlog

MAY 31, 2023

Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the Emergency Department: Consensus Statement of the American Association for Emergency Psychiatry. West J Emerg Med. Erratum in: West J Emerg Med. 2019 Mar;20(2):409-418. doi: 10.5811/westjem.2019.1.41344.

Emergency Department 93

Emergency Department Psychiatric Pediatrics Administration 93

EMDocs

JUNE 2, 2023

Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the Emergency Department: Consensus Statement of the American Association for Emergency Psychiatry. Erratum in: West J Emerg Med. 2019 Jul;20(4):688-689. PMID: 30881565; PMCID: PMC6404720. Acad Pediatr. 2023.03.005.

Psychiatric 65

Psychiatric Emergency Department Pediatrics Administration 65

Pediatric Emergency Playbook

JANUARY 1, 2017

Intranasal ketamine for analgesia in the emergency department: a prospective observational series. Acad Emerg Med. Is there a role for intravenous acetaminophen in pediatric emergency departments? Pediatr Emerg Care. Am J Emerg Med. Emerg Med Australas. Clin Pediatr Emerg Med.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Taming the SRU

MARCH 12, 2024

In the context of increasing ED and hospital crowding as well as limited ICU availability, this study aimed to evaluate the impact of a subcutaneous insulin (SQuID) protocol in the treatment of DKA on emergency department length-of-stay (EDLOS) and ICU admissions. If positive (>1.1

Operations 86

Operations Hospitals Wellness Best Practices 86

EMDocs

MAY 29, 2023

Louis); Marina Boushra (EM-CCM, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case A 54-year-old female with a past medical history of rheumatoid arthritis presents to the emergency department (ED) with generalized fatigue. J Emerg Med. Cleveland Clinic journal of medicine. 2008;75(8):557-566. doi:10.3949/ccjm.75.8.557

Infectious Diseases 53

Infectious Diseases Emergency Department EMS Hospitals 53

EMDocs

OCTOBER 17, 2023

American Gastroenterological Association (2021) Best Practice Advice 1: Computed tomography should be considered to confirm the diagnosis of diverticulitis in patients without a prior imaging-confirmed diagnosis and to evaluate for potential complications in patients with severe presentations. Dis Colon Rectum. 2010 Jun;53(6):896-904.

Radiology 67

Radiology Radiology Operations Best Practices 67

ACEP Now

FEBRUARY 10, 2024

Emergency Medicine Wellness Center of Excellence Award: Presented to an emergency medicine group, department, or clinical site that incorporates wellness and resilience on an institutional level and to use the information gathered in the nominations process to understand more about wellness best practices.

Leadership 52

Leadership Academics Administration Research 52