The Skeptics' Guide to EM

APRIL 20, 2024

It did not perform as well which is not unusual for a clinical decision instrument [5]. With the 2014 CDC declaration that prescription drug overdose is one of the five top health threats, there has been a movement away from opioids as the mainstay of pain management for rib fractures [6].

Fractures 77

Fractures Ultrasounds Emergency Department CDC 77

Pediatric EM Morsels

OCTOBER 6, 2023

(Forster, 2021) Transmission is by Fecal-Oral route (Chiodini 2018) Incubation period 6-30 days after exposure (Chiodini 2018) Salmonella typhi produces an endotoxin although its clinical significance is not yet well understood (Gibani 2019) Two typhoid vaccines are available for those > 6 m/o and are 50-80% effective. Clin Infect Dis.

Pediatrics 161

Pediatrics CDC Seizures Infectious Diseases 161

PulmCCM

MARCH 4, 2024

While not IQ tests per se , the tests (branded as Cognitron ) purport to correlate well with, and to be indexed to, formal IQ tests. Thanks to the large data set, however, other demographics were well-represented and analyzable. Selection bias is baked into any self-selected survey sample such as this.

Sepsis 52

Sepsis CDC Pediatrics Documentation/Coding 52

The Skeptics' Guide to EM

JULY 8, 2023

She looks well enough to go home but asks if she should be prescribed oseltamivir (Tamiflu) because some of her friends have been given it recently by their doctors. Safety issues popped up soon after widespread use of the drug including neuropsychiatric effects as well as the more common adverse effects of nausea and vomiting.

CDC 102

CDC Hospitals EMS Emergency Department 102

Pediatric EM Morsels

FEBRUARY 2, 2024

In 2013 this number had reached over 1 billion (Leuthard 2015) Diarrhea is the most common travel-related diagnosis in multiple studies and accounts for around 40 – 60% (Leuthard 2015, Hagmann 2014) Systemic febrile illnesses (18%) and dermatologic disorders (17%) were the next most common (Hagmann 2014) Systemic febrile illnesses most commonly (..)

Infectious Diseases 161

Infectious Diseases Pediatrics Sepsis Documentation/Coding 161

American Medical Compliance

JANUARY 25, 2024

The CDC’s FluSurv-NET system, a sentinel network of healthcare facilities, documented over 104,000 flu-related hospitalizations across 13 states during past flu seasons. The year 2024 marks another significant chapter in the healthcare industry’s ongoing battle against infectious diseases, and the numbers speak volumes.

Infectious Diseases 111

Infectious Diseases PPE CDC Documentation/Coding 111

PulmCCM

SEPTEMBER 28, 2023

In most of these studies, diagnostic imaging was only performed on patients at higher pretest probability for PE according to Wells criteria or other risk stratification. Prevalence of pulmonary embolism was 17%, and overall prevalence of deep venous thrombosis or PE was 25%. Covid-associated hospitalizations are lower than last month.

COPD 95

COPD Stroke Academics Hospitals 95

Total Medical ComplianceHIPAA

AUGUST 11, 2023

Educate Your Staff One of the critical steps in maintaining HIPAA compliance is ensuring that all healthcare staff members are well-informed about the regulations pertaining to patient privacy and social media usage. The Centers for Disease Control (CDC) is reporting a 17.3% This is important due to staff turnover.

CDC 52

CDC Wellness 52

EMDocs

SEPTEMBER 7, 2023

DGA concentrates in the kidney tissue and causes nephrotoxicity, as well as neurotoxicity. Elimination half-life data is not well established but increases in larger overdoses and as renal injury begins to occur. CDC’s Morbidity and Mortality Weekly Report. Metabolism of DEG adapted from Bessenhofer, et al. Schier, Capt.

Poisoning 65

Poisoning CDC Administration Emergency Department 65

EMDocs

AUGUST 15, 2023

Background: According to the Center for Disease Control (CDC), approximately 7,000-8,000 people in the United States (US) suffer envenomation by a snake each year. Venomous Snakes | NIOSH | CDC. What antivenoms are available to treat crotalid envenomation? What is the dosing schedule for antivenom? Treatment of snakebite poisoning.

Poisoning 80

Poisoning Administration CDC EMS 80

PulmCCM

AUGUST 15, 2023

Well … EG.5.1 is represented by the progressively enlarging yellow-orange bars in the above graph from CDC. There are many circulating strains of SARS-CoV-2; all are genomic subvariants of Omicron. is one of these Omicron subvariants. You don’t need to worry about it. Can I worry about it, though? Aren’t those scary?

CDC 98

CDC Hospitals Wellness 98

Medagadget

JUNE 26, 2023

Even though breast milk is best for NICU infants, a 2020 CDC report said that 13% of U.S. Neonatal intensive care units (NICUs) store this donated breast milk in large freezers, ideally for no more than six to 12 months according to CDC guidelines. hospital NICUs don’t have stocks of donated breast milk. Link: BBy homepage…

CDC 84

CDC Hospitals Research Wellness 84

ACEP Now

APRIL 2, 2024

Francis Hospital and Medical Center, as well as an assistant professor at University of Connecticut School of Medicine and Quinnipiac University School of Medicine. Centers for Disease Control (CDC). Franco is an emergency medicine attending physician at St. Toxicology Rep. 2019;6:656-65. MMWR Morb Mortal Wkly Rep. 1992;41(4):53-5.5.

Poisoning 40

Poisoning Administration Documentation/Coding Urgent Care 40

ACEP Now

AUGUST 15, 2023

While there has been ample discussion of “the practice of mindfulness” in health care workers that improves mental well-being, when do we have this time? However, expressing genuine gratitude for yourself and others is powerful for your mental and physical well-being. However, they should not define our wellness. Cogn Ther Res.

Emergency Department 90

Emergency Department Military Wellness Resuscitation 90

AED Leader

NOVEMBER 15, 2023

Consider having a backup AED battery as well as backup electrode pads in case of untimely failure or physical damage to the components. According to the CDC, over 40 states require or encourage the ongoing maintenance and testing of AED devices. This can cause incorrect heart rhythm readings as well as deficient shock delivery.

Shock 52

Shock CDC Wellness Pediatrics 52

AED Leader

NOVEMBER 15, 2023

Consider having a backup AED battery as well as backup electrode pads in case of untimely failure or physical damage to the components. According to the CDC, over 40 states require or encourage the ongoing maintenance and testing of AED devices. This can cause incorrect heart rhythm readings as well as deficient shock delivery.

Shock 52

Shock CDC Wellness Pediatrics 52

Pediatric Education

JANUARY 21, 2024

7YOs can: Gross motor Rides a 2-wheel bike well Can perform most activities of daily living almost independently but may need occasional help with difficult clothing, etc. Child Development: Middle Childhood (6-8 years old) | CDC. Accessed October 2, 2023. link] Centers for Disease Control. Centers for Disease Control and Prevention.

Pediatrics 40

Pediatrics CDC Wellness 40

Sensible Medicine

MARCH 29, 2024

I recently read David Ropeik’s book, Curing Cancer-phobia and found that it contained a lot of, well, sensible messages. An analysis done by the CDC for my book, Curing Cancer- phobia , How Risk, Fear, and Worry Mislead Us , found that in 2017, 21.3 I asked if he would write something for Sensible Medicine.

CDC 88

CDC Academics Wellness 88

American Medical Compliance

FEBRUARY 23, 2023

The CDC provides guidance on who should seek COVID-19 testing. State and local health departments, as well as organizations themselves, may also have their own guidance. Consult state and local health organizations, as well as your organization, for specific guidance on seeking testing.

Infectious Diseases 52

Infectious Diseases PPE CDC Best Practices 52

PulmCCM

OCTOBER 23, 2023

Both organisms have limited treatment options and have been identified as urgent health concerns by CDC and the WHO. New evidence suggests these two pathogens may be far more widespread than previously suspected.

Hospitals 98

Hospitals Emergency Department COPD CDC 98

ACEP Now

OCTOBER 15, 2023

Patients were prescribed a schedule of twice-daily analgesia, and were allowed to increase the dose from 5 mg to 10 mg if pain was not initially well-controlled. CDC website. In that respect, these trials, particularly OPAL, provide very little insight into whether opiate analgesia supports this early recovery.

Emergency Department 52

Emergency Department Outcomes CDC Research 52

Pediatric EM Morsels

JANUARY 19, 2024

Unfortunately, the possibility of congenital infections always looms large as well, including congenital syphilis. CDC 2023] In 2021, there were over 2800 cases of congenital syphilis, tripled from 2017. We have touched on the treatment for older children with syphilis with Bicillin CR vs LA.

Infectious Diseases 230

Infectious Diseases CDC Pediatrics Fractures 230

Medical Law

JUNE 20, 2023

Bicycle Helmet Safety Standards According to the Center for Disease Control and Prevention (CDC), nearly 1000 Americans die, and over 130,000 are injured annually in bicycle crashes and falls. Helmet owners will find a sticker inside the helmet with “Merit” written on it, as well as the alphanumeric identifier GH230.

Documentation/Coding 52

Documentation/Coding CDC Research Wellness 52

SheMD

APRIL 24, 2023

Well there were two other ones that were in morula phase but needed to progress to blastocyst. Well that night, I had the residency over for a wellness Thanksgiving dinner. according to CDC data. It was October. We were “going to put a pumpkin in my belly”. We will have two more once they grow. And yes, I am the 1%.

Ultrasounds 83

Ultrasounds Radiology Radiology Emergency Department 83

ACEP Now

OCTOBER 3, 2023

Confounders to the GCS such as seizure and post-ictal phase, ingestions and drug overdose, as well as medications administered in the prehospital setting that impact GCS score should be documented. National Center for Health Statistics: Mortality Data on CDC WONDER. CDC’s efforts to improve traumatic brain injury surveillance.

Documentation/Coding 98

Documentation/Coding Fluid Resuscitation Resuscitation Pediatrics 98

PulmCCM

FEBRUARY 26, 2024

hours of their last time known to be well. Because it can be infused more rapidly than alteplase, TNK is gaining prominence as thrombolytic treatment for acute ischemic stroke, in patients presenting within 4.5 Limited data have suggested thrombolytics may be beneficial beyond 4.5 after thrombolysis) became standard care.

Stroke 40

Stroke Hospitals Psychiatric CDC 40

Stop and Think

DECEMBER 4, 2022

Off the main stage, at the American Heart Association meeting last month, Dr. Rebecca Woodruff, a scientist from CDC, presented a study that found a spike in deaths due to heart disease in 2020. You’ve now created a patient who was previously a well person. Heart disease statistics can be mundane. But not this one.

CDC 40

CDC Hospitals Outcomes Wellness 40

EB Medicine

APRIL 2, 2019

Nachi: All the more reason we need evidence based guidelines, which our team from South Carolina has nicely laid out after reviewing 107 references dating back to 1990, as well as guidelines from the CDC and the national guideline clearinghouse.

Infectious Diseases 40

Infectious Diseases Emergency Department Sexual Assault CDC 40

Pediatric EM Morsels

NOVEMBER 3, 2023

Another change is the CDC approved the use of IV artesunate for malaria treatment in the US in May 2022. This allowed US hospitals to stock the drug to ensure quick treatment of suspected severe cases, rather than having to ship it from the CDC under the prior expanded-access protocol (Thomas 2023). Third times the charm!

Seizures 245

Seizures Pediatrics CDC Infectious Diseases 245

FEMinEM

JANUARY 26, 2021

An article recently published in The Lancet Global Health showed that over 70% of COVID-19 treatment studies specifically excluded pregnant women, even though the CDC now considers us a high-risk population for COVID complications. Although I was painfully tired, the worry kept me from sleeping well at night. The disease was too new.

Research 52

Research CDC Hospitals PPE 52

PulmCCM

OCTOBER 30, 2023

This made VAP hard to track, so CDC invented an odd new epidemiologic entity called “ ventilator-associated events ” (which do not require microbiology or chest film interpretation) as a proxy for actual VAPs. This trial was a triumph of international cooperation studying a low-cost drug at hundreds of sites.

Sepsis 52

Sepsis Shock Hospitals Outcomes 52

ACEP Now

JULY 6, 2023

5 Patients with acute ischemic strokes, STEMIs, and trauma, as well as many other diagnoses, have their workup largely completed, and even sometimes definitive therapy executed, before they leave the emergency department, rather than requiring inpatient units. CDC website : Sexually Transmitted Disease Guidelines 2021.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52

Advanced Emergency Nursing from AENJ

AUGUST 2, 2016

All efforts to identify the decedent by hospital staff, law enforcement agencies or social service agencies should be well documented in the medical records. After the death is reported, the Coroner will attempt to identify the decedent. Do not place the name "John/Jane Doe" on the signed death certificate. · Accessed 07/25/2016.

Documentation/Coding 40

Documentation/Coding Forensics CDC Fractures 40

EMDocs

MARCH 11, 2024

Zinc therapy The Centers for Disease Control and Prevention (CDC) recommends starting zinc supplementation in children with cholera infection. Zinc therapy The Centers for Disease Control and Prevention (CDC) recommends starting zinc supplementation in children with cholera infection. Paediatr Int Child Health.

Dehydration 88

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 88

EMDocs

JULY 26, 2023

2 In 1996, the World Health Organization (WHO) called for the remaining stocks of variola virus to be destroyed or transferred to one of two designated biosafety level 4 facilities: the Center for Disease Control (CDC) in Atlanta, Georgia or the State Research Center of Virology and Biotechnology in Koltsovo, Russia.

CDC 68

CDC Research Pediatrics Wellness 68

Sensible Medicine

JUNE 23, 2023

Rochelle Walensky is handing the CDC over to Mandy Cohen–a woman who has supported 100% of Walensky’s policies. But not having any good data didn’t seem to bother the CDC. Why evaluate a product if the CDC and ACOG are already sold on the product? There’s actually a precedent. Dishonesty has consequences.

CDC 100

CDC Research Academics Administration 100

Sensible Medicine

NOVEMBER 14, 2023

He also co-led the team whose work led the CDC to issue a major clarification of its 2016 opioid prescribing guideline and is currently a principal investigator of the only national study to examine individual suicides that occur after the reduction of prescribed opioids. . Criticism of these programs is both well-deserved and unfair.

Research 114

Research Psychiatric CDC Best Practices 114