AENJ: Current Issue

SEPTEMBER 30, 2023

This article reviews the results of a randomized controlled trial, “Rapid Agitation Control with Ketamine in the Emergency Department: A Blinded, Randomized Controlled Trial” by D. Barbic et al. (2021), comparing time to sedation, level of sedation, and adverse outcomes between intramuscular ketamine versus intramuscular midazolam and haloperidol among acutely agitated patients presenting to the emergency department (ED).

Emergency Department 98

Emergency Department Outcomes Research 98

Sensible Medicine

SEPTEMBER 30, 2023

I recently got back from Copenhagen, where, in a series of 3 talks, I explored the themes of the book Malignant: How Bad Policy and Bad Evidence Harm People with Cancer. What are those lessons, and why do they matter? (Pictured with Marco Donia, MD Herlev Hospital Copenhagen) We need cancer that drugs that extend survival, and not merely change the appearance of tumors on CT scans Images on CT scans (e.g.

Academics 82

Academics Hospitals 82

AENJ: Current Issue

SEPTEMBER 30, 2023

Tick-borne diseases occur throughout the United States, with a disease burden that ranges from mild to severe. As temperatures rise with climate change, the active season for ticks increases, and more tick-borne illness is seen (Centers for Disease Control and Prevention, 2022a). Many patients present to the ED for suspected tick bites, rashes, and generalized medical complaints that may be related to a tick-borne disease, so it is important for the emergency nurse practitioner (ENP) to accurate

Emergency Department 98

Emergency Department Emergency Nursing 98

Emergency Medicine News

SEPTEMBER 30, 2023

An abstract is unavailable.

145

145

AENJ: Current Issue

SEPTEMBER 30, 2023

Pressure injuries (PIs) are an important quality and patient safety metric for health care organizations. PI monitoring and treatment are often overlooked in the emergency department (ED). Emergency care professionals must be proactive about PI early identification and prevention strategies. A team at a Level 1 trauma center recognized the need for ED-friendly documentation and a validated ED skin risk assessment instrument.

Emergency Department 97

Emergency Department Patient Safety Documentation/Coding Research 97

Emergency Medicine News

SEPTEMBER 30, 2023

An abstract is unavailable.

COPD 143

COPD 143

AENJ: Current Issue

SEPTEMBER 30, 2023

Re-expansion pulmonary edema (RPE) after chest drain insertion is rare. The objective of this clinical case report is to highlight the importance of this chest drain insertion complication. A 35-year-old man presented to the emergency department with a chief complaint of shortness of breath and pleuritic chest pain. Further physical examination and radiographic investigations showed a left-sided hemipneumothorax.

Emergency Department 92

Emergency Department Hospitals Wellness 92

AENJ: Current Issue

SEPTEMBER 30, 2023

Patients with headaches who present to the emergency department (ED) need prompt pain management. Headaches are a common complaint in the ED. Urgent evaluation is critical to assess for life-threatening headache causes. Once the causes of secondary headaches are ruled out, various pain control modalities for primary headaches can be used. This article and case will illustrate the treatment of primary headaches using battlefield acupuncture (BFA) as it is effective, minimally invasive, and has mi

Emergency Department 68

Emergency Department EKG/ECG 68

EMDocs

SEPTEMBER 30, 2023

We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: BP Wildly Varies With Wrong Cuff Size Spoon Feed This randomized controlled trial demonstrated a clinically significant difference in blood pressure measurements when inappropriately sized BP cuffs were used on pati

Ultrasounds 58

Ultrasounds 58

AENJ: Current Issue

SEPTEMBER 30, 2023

Cast removal is a common procedure that can involve risks to the patient and should be done by a qualified and experienced provider. Indications for removal, assessment parameters, and careful procedural steps should be understood by all technicians, practitioners, and physicians who will participate in the removal of casting materials. Because this procedure can also produce anxiety for the patient and their family members, it is good practice to thoroughly inform the patient and answer any que

Outcomes 62

Outcomes 62

Emergency Medicine News

SEPTEMBER 30, 2023

An abstract is unavailable.

119

119

AENJ: Current Issue

SEPTEMBER 30, 2023

The emergency department (ED) is a frequent utilizer of alternative routes of medication administration (e.g., intranasal) for a variety of indications. Over the last several years, investigations into the use of medications via the nebulization route have greatly increased, with varying degrees of efficacy identified. This route has multiple theoretical advantages.

Emergency Department 62

Emergency Department Administration 62

Emergency Medicine News

SEPTEMBER 30, 2023

An abstract is unavailable.

Outcomes 119

Outcomes 119

University of Maryland Department of Emergency Med

SEPTEMBER 30, 2023

"The main findings were the following: (1) there was no evidence of an effect of HTS compared with other agents (mainly mannitol) on long-term n.

Head Injuries 71

Head Injuries 71

Emergency Medicine News

SEPTEMBER 30, 2023

An abstract is unavailable.

116

116

AENJ: Current Issue

SEPTEMBER 30, 2023

There are an estimated 2–3 million emergency department (ED) visits in the United States for eye complaints. Although most patients who present to the ED have nontraumatic eye complaints, many seek treatment for eye trauma, which is a leading cause of unilateral blindness and vison impairment. Given the prevalence of eye-related emergencies, it is imperative that emergency care providers understand how to recognize and treat eye complaints to prevent permanent vision loss and disability.

Emergency Department 55

Emergency Department 55

Sensible Medicine

SEPTEMBER 30, 2023

I recently got back from Copenhagen, where, in a series of 3 talks, I explored the themes of the book Malignant: How Bad Policy and Bad Evidence Harm People with Cancer. What are those lessons, and why do they matter? (Pictured with Marco Donia, MD Herlev Hospital Copenhagen) We need cancer that drugs that extend survival, and not merely change the appearance of tumors on CT scans Images on CT scans (e.g.

Academics 52

Academics Hospitals 52

AENJ: Current Issue

SEPTEMBER 30, 2023

The overuse of computed tomographic (CT) scans for patients who present to the emergency department (ED) after mild traumatic brain injury (mTBI) has been well-documented. The Canadian Computed Tomography Head Rule (CCHR) is a validated tool to guide ED providers in determining the need for emergent CT of mTBI patients. The purpose of this project was to reduce radiation exposure and ED length of stay by using the CCHR to decrease unnecessary CT scans in adults with TBI.

Emergency Department 55

Emergency Department Documentation/Coding Outcomes Wellness 55

JournalFeed

SEPTEMBER 30, 2023

The JournalFeed podcast for the week of Sept 25-29, 2023. These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. Thursday Spoon Feed: This RCT found residents using a pediatric cardiac arrest app better adhered to the pediatric cardiac arrest algorithm when compared to those using a PALS visual aid or no aid at all.

Pediatrics 52

Pediatrics 52

AENJ: Current Issue

SEPTEMBER 30, 2023

New onset of agitation during pregnancy is an obstetric and behavioral emergency that demands careful evaluation and prompt treatment. This article provides an overview of clinical evaluation and types of nonpharmacologic and pharmacologic interventions when managing acute agitation during pregnancy. Rapid clinical evaluation and behavioral management are keys to preventing detrimental maternal and fetal complications.

Psychiatric 55

Psychiatric Emergency Department Outcomes Wellness 55

Ziqitza HealthCare Ltd

SEPTEMBER 30, 2023

Ziqitza – Although mental health is a vital component of total well-being, it remains one of the most underappreciated and unaddressed concerns in many communities across the world, particularly in underprivileged places. Stigma, a lack of funds, and limited access to mental health care services are typically significant barriers for those who need it the most.

Telemedicine 52

Telemedicine Teamwork Ambulance Services Wellness 52

AENJ: Current Issue

SEPTEMBER 30, 2023

Emergency electrocution incidents present with various injuries, which can range from minor to severe injuries including death. Cardiac-related complications have a higher mortality incidence among patients with low-voltage injuries (M. R. Zemaitis et al., 2023). When managing electrical injury patients, the literature recommends managing them as both trauma and cardiac cases.

EKG/ECG 55

EKG/ECG 55

Emergency Medicine News

SEPTEMBER 30, 2023

An abstract is unavailable.

101

101

AENJ: Current Issue

SEPTEMBER 30, 2023

A Skene gland cyst is one of several benign anterior wall masses that may not be identified until a woman's first pelvic examination. The Skene gland cyst may confound emergency provider's differential diagnosis if the female patient presents with gynecological or urologic complaints. A patient with a Skene gland cyst is presented in this article. The purpose of this case study is to review information about the Skene gland to enable emergency providers to identify and consider the Skene gland c

Emergency Department 55

Emergency Department 55

Emergency Medicine News

SEPTEMBER 30, 2023

An abstract is unavailable.

72

72

AENJ: Current Issue

SEPTEMBER 30, 2023

An abstract is unavailable.

Emergency Department 55

Emergency Department 55

Emergency Medicine News

SEPTEMBER 30, 2023

An abstract is unavailable.

69

69

AENJ: Current Issue

SEPTEMBER 30, 2023

No abstract available

52

52

Emergency Medicine News

SEPTEMBER 30, 2023

An abstract is unavailable.

64

64

AENJ: Current Issue

SEPTEMBER 30, 2023

An abstract is unavailable.

Emergency Nursing 52

Emergency Nursing 52

Emergency Medicine News

SEPTEMBER 30, 2023

An abstract is unavailable.

64

64

The Skeptics' Guide to EM

SEPTEMBER 30, 2023

Date: September 28, 2023 Reference: Jarman et al. Sex Differences in Guideline-Consistent Diagnostic Testing for Acute Pulmonary Embolism Among Adult Emergency Department Patients Aged 18-49. AEM September 2023 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Case: During a shift in the emergency department […] The post SGEM#416: She’s Always A Woman, Query PE?

Emergency Department 72

Emergency Department Academics 72

Emergency Medicine News

SEPTEMBER 30, 2023

An abstract is unavailable.

Leadership 64

Leadership 64

Emergency Medicine News

SEPTEMBER 30, 2023

An abstract is unavailable.

59

59

Emergency Medicine News

SEPTEMBER 30, 2023

An abstract is unavailable.

Hospitals 59

Hospitals 59

Emergency Medicine News

SEPTEMBER 30, 2023

An abstract is unavailable.

59

59

Emergency Medicine News

SEPTEMBER 30, 2023

An abstract is unavailable.

59

59