Don't Forget the Bubbles

MAY 22, 2023

You’ve just started working in the Children’s Emergency Department (CED). The triage nurse comes to let you know about Robin. He is eight years old, with a background of cerebral palsy and severe scoliosis. He has come in today because he has noisy breathing with rattly secretions that seem to be getting worse. The community physiotherapist (who has been visiting daily for the last 4 days) told Mum that Robin’s oxygen saturations were low.

Radiology 98

Radiology Radiology Hospitals Wellness 98

St. Emlyn

MAY 22, 2023

St.Emlyn's - Emergency Medicine #FOAMed On Thursday 18th May the National Institute for Health and Care Excellence (NICE) released the updated head injury guidelines: assessment and early management [NG232] There have been three head injury … NICE Head Injury Guidelines 2023: Now who do we scan? Read More » The post NICE Head Injury Guidelines 2023: Now who do we scan?

Head Injuries 91

Head Injuries 91

Science Based Medicine

MAY 22, 2023

Last week Dr. Vinay Prasad wrote a Substack arguing that medical students should learn the principles of evidence-based medicine before basic science.This is a recipe for amplifying the main flaw in EBM that science-based medicine was meant to correct, and Dr. Prasad's arguments would have been right at home on an integrative medicine blog. [Note ADDENDUM.

89

89

EM Ottawa

MAY 22, 2023

Methodology: 3/5 Usefulness: 3/5 Frawley, John et al. “A Comparison of Prehospital Pediatric Analgesic Use of Ketamine and Opioids.” Prehospital emergency care, 1-5. 8 Mar. 2023, doi:10.1080/10903127.2023.2183295 Question and methods: This study sought to compare the pain reduction achieved and adverse event profile of ketamine vs opioids used for pediatric analgesia in the prehospital […] The post A Comparison of Prehospital Pediatric Analgesic Use of Ketamine and Opioids appeared first

Pediatrics 87

Pediatrics EMS 87

Taming the SRU

MAY 22, 2023

BACKGROUND Ankle injuries are among the most common reasons for ED visits [1]. Ankle fractures are the third most common fracture in the ED [2] and more than 20,000 patients are seen in the ED for ankle sprains each day [3]. Ankle injuries have financial implications for both the healthcare system and patients. Within the Medicare population alone, foot and ankle surgeries are responsible for more than 11 billion dollars spent annually [4].

Fractures 69

Fractures Dislocations Operations Radiology 69

First 10 EM

MAY 22, 2023

This is a guest post by Dr. Lanujan Kaneswaran. Lanujan is a first-year Family Medicine resident at the University of Toronto. He has a background in medical health informatics and machine learning. His areas of interest include artificial intelligence and machine learning in medicine, and health equity through advocacy and technology. What is glomerulonephritis?

Pediatrics 60

Pediatrics 60

Sensible Medicine

MAY 22, 2023

A true crisis in humanity goes unnoticed in nearly every US hospital. Routine is the image of people receiving brutal non-beneficial care at the end of their life. Patients who have no chance of meaningful survival get stuck on ventilators and dialysis machines. Frail patients made more frail with each chemo infusion. Clinicians choose to work at the bedside because they like helping people.

Documentation/Coding 56

Documentation/Coding Hospitals Shock Outcomes 56

EM Ottawa

MAY 22, 2023

Goyal, Ashima et al. “Prehospital Ketamine Use in Pediatrics.” Prehospital emergency care vol. 27,3 (2023): 360-365. doi:10.1080/10903127.2022.2096161 Question and methods: This study was a retrospective observational study performed through a collaborative database. Its objectives were to describe the characteristics of children who received ketamine provided by EMS, assess effectiveness of the treatment, determine whether there were […] The post Prehospital Ketamine Use in Pediatrics app

Pediatrics 52

Pediatrics EMS 52

Board Bombs

MAY 22, 2023

Marlena and Iltifat are LIVE from SAEM’23. This is their recording from the conference. We cover all wrist fractures, what you need to know, how to manage, and why you almost never need to consult Orthopedics. Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com.

Fractures 52

Fractures 52

EM Ottawa

MAY 22, 2023

Methodology: 3.5/5 Usefulness: 3.5/5 Tran, Kim Phung et al. “A comparison of ketamine and morphine analgesia in prehospital trauma care: a cluster randomized clinical trial in rural Quang Tri province, Vietnam.” Prehospital emergency care vol. 18,2 (2014): 257-64. doi:10.3109/10903127.2013.851307 Question and methods: The goal of this study was to assess the analgesic efficacy and safety […] The post A comparison of ketamine and morphine analgesia in prehospital trauma care: a cluster rand

EMS 52

EMS 52

American Medical Compliance

MAY 22, 2023

DePuy Synthes recently agreed to pay $9.75 million to settle allegations that it paid kickbacks to healthcare providers committing fraud violations. The U.S. Department of Justice accused the company of violating the False Claims Act by paying kickbacks to physicians and hospitals in exchange for using their products. DePuy Synthes enticed healthcare providers to use their products by providing them with free items.

Hospitals 52

Hospitals 52

University of Maryland Department of Emergency Med

MAY 22, 2023

Ability to move the head and neck freely can be clutch in endotracheal intubation, so in patients such as certain trauma patients who may ha.

40

40

Emergency Medicine News

MAY 22, 2023

No abstract available

EMS 75

EMS 75

EMergucate

MAY 22, 2023

Answers: PH = 7.30, that is mild acidaemia. pCO2 = 65 mmHg. So, we have respiratory acidosis. Next, we need to look at the compensation.

40

40

Emergency Medicine News

MAY 22, 2023

No abstract available

40

40

EMergucate

MAY 22, 2023

An alcoholic man presented to the emergency department after suffering from a seizure.

Seizures 40

Seizures Emergency Department 40

PulmCCM

MAY 22, 2023

Early mobilization in the ICU has been recommended by consensus based on its strong rational basis (as a large proportion of critically ill patients develop weakness) and its apparent safety, with limited low-quality evidence supporting its benefits. In the TEAM trial conducted by the ANZICS group, 750 ICU patients in 49 hospitals in 6 countries were randomized to either early mobilization or usual care (which usually included in-bed physical therapy).

Fluid Resuscitation 86

Fluid Resuscitation Resuscitation Hospitals Sepsis 86

RebelEM

MAY 22, 2023

Background: The geriatric patient population is at high risk for undertreatment of pain (Hwang et al. 2010). Regrettably, they are less likely to receive pain medication and commonly experience longer delays in treatment (Hwang et al. 2010). Likewise, there are many important considerations when prescribing analgesics in this group. Factors such as concomitant anticoagulation use and a history of gastrointestinal bleeding are vital historical elements that would likely alter treatment.

Administration 68

Administration Emergency Department Outcomes Hospitals 68