St. Emlyn

NOVEMBER 19, 2024

St.Emlyn's - Emergency Medicine #FOAMed Traditionally, large-bore chest tubes have been standard for managing hemothorax, but smaller tubes are now proving just as effective in stable patients, with added benefits like reduced pain and fewer tube days. This review explores outcomes in drainage efficacy, complication rates, and patient comfort, showing that small-bore thoracostomy may be a reliable alternative for non-emergent cases.

Outcomes 111

Outcomes 111

EMDocs

NOVEMBER 19, 2024

Authors: Bricey Bayonnet, MD ( EM Resident Physician, Atrium Health’s Carolinas Medical Center, Charlotte, NC); Christine Murphy, MD (EM Attending Physician; Medical Toxicologist, Atrium Health’s Carolinas Medical Center, Charlotte, NC) // Reviewed by: James Dazhe Cao, MD (@JamesCaoMD, Associate Professor of EM, Medical Toxicology, UT Southwestern Medical Center, Dallas, TX); Anthony Spadaro MD, (@TSpadaro91, Fellow in Medical Toxicology, Rutgers NJMS); Alex Koyfman, MD (@EMHighAK); Brit Long, M

Poisoning 109

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 109

The Skeptics' Guide to EM

NOVEMBER 16, 2024

Date: October 28, 2024 Reference: Verma et al. Clinical evaluation of a machine learning–based early warning system for patient deterioration. CMAJ September 2024 Guest Skeptic: Michael Page is currently the Director of Artificial Intelligence (AI) Commercialization at Unity Health Toronto. He leads an AI team intending to improve patient outcomes and healthcare system efficiency.

Emergency Department 108

Emergency Department Administration Outcomes Patient Safety 108

RebelEM

NOVEMBER 18, 2024

View Course Dates This 2-day course provides an in-depth look at effective surgical airway management techniques that you will actually use in your next emergency airway. There is a unique focus on airway anatomy and imaging combined with one-of-a-kind opportunity to practice the techniques on a large variety of non-embalmed, specially prepared cadavers.

Airway Management 71

Airway Management Military Patient Safety Pediatrics 71

Speaker: Simran Kaur, Co-founder & CEO at Tattva.Health

AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!

Outcomes

St. Emlyn

NOVEMBER 19, 2024

St.Emlyn's - Emergency Medicine #FOAMed All the best from the blog from August 2024, in our easy to digest podcast. The post September 2024 Round-Up – Patient Experience in the ED, Dirty Adrenaline, and More! appeared first on St.Emlyn's.

Emergency Department 99

Emergency Department 99

Broome Docs

NOVEMBER 17, 2024

Palatinus HN, Johnson MA, Wang HE, Hoareau GL, Youngquist ST. Early intramuscular adrenaline administration is associated with improved survival from out-of-hospital cardiac arrest. Resuscitation. 2024 Aug;201:110266. doi: 10.1016/j.resuscitation.2024.110266. Epub 2024 Jun 9. PMID: 38857847 Bottom line: This before and after study demonstrates an association between early IM epinephrine and survival from cardiac arrest.

Administration 60

Administration Resuscitation Radiology Radiology 60

The Bottom Line

NOVEMBER 16, 2024

What’s new in the Critical Care literature – monthly updates

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St. Emlyn

NOVEMBER 19, 2024

St.Emlyn's - Emergency Medicine #FOAMed Traditionally, large-bore chest tubes have been standard for managing hemothorax, but smaller tubes are now proving just as effective in stable patients. Dive in to explore the latest evidence in trauma management and see if small-bore thoracostomy is suitable for your practice’s patient population. The post Small Bore vs Large Bore Thoracostomy for Traumatic Haemothorax. appeared first on St.Emlyn's.

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PEMBlog

NOVEMBER 21, 2024

I am excited to share the recording of the AAP Section on Emergency Medicine Fall Virtual Education Session , originally held on Tuesday, November 19, 2024 focused on delivering timely and actionable feedback, along with strategies to develop and implement sustainable feedback programs. PEM educators shared their experiences and provided practical strategies to strengthen evaluation processes and initiatives in this multidisciplinary, interactive session.

Documentation/Coding 52

Documentation/Coding Pediatrics Emergency Department 52

Emergency Medicine Journal

NOVEMBER 21, 2024

I read with interest the frailty practice review by Van Oppen et al in which they suggest that existing emergency department (ED) guidelines and protocols poorly represent older people living with frailty. They recommend that clinicians caring for these patients should not only appraise the available evidence in the context of an individual’s situation and values but also consider the person’s personal preferences to truly deliver person-centred care. 1 They highlight the fact that e

Emergency Department 52

Emergency Department Wellness 52

Emergency Live

NOVEMBER 17, 2024

Prolonged exposure to fine dust significantly increases the risk of developing type 2 diabetes A recent study has revealed a worrying link between air pollution and type 2 diabetes. Researchers have found that prolonged exposure to fine dust, those tiny invisible particles that pollute the air we breathe, Significantly increases the risk of developing this […] The post Air pollution: a silent enemy for our health appeared first on Emergency Live.

Research 52

Research 52

EMCrit

NOVEMBER 22, 2024

Experts' guide to the use of the Bougie for Emergency Airway Management EMCrit Project by Scott Weingart, MD FCCM.

Airway Management 108

Airway Management 108

JournalFeed

NOVEMBER 16, 2024

The JournalFeed podcast for the week of Nov 11-15, 2024. These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. Tuesday Spoon Feed: In this randomized control trial of left versus right ultrasound-guided infraclavicular subclavian central venous access, the left-sided approach was associated with a lower catheter malposition rate.

Pediatrics 52

Pediatrics Ultrasounds 52

Emergency Medicine Journal

NOVEMBER 21, 2024

Clinical introduction A 71-year-old man presented to the ED with progressive headache and neck pain. The patient had no visual, neurological, chest or abdominal symptoms. Temperature was 38.8°C, he was fully conscious with no signs of meningeal irritation. C reactive protein was 85 mg/L. CXR and brain CT were unremarkable; cerebrospinal fluid analysis was normal.

Fractures 52

Fractures 52

The Bottom Line

NOVEMBER 16, 2024

What’s new in the Critical Care literature – monthly updates

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St. Emlyn

NOVEMBER 22, 2024

St.Emlyn's - Emergency Medicine #FOAMed This retrospective study explores the link between intra-arrest arterial blood pressure (IBP) and return of spontaneous circulation (ROSC) in out-of-hospital cardiac arrest (OHCA). The post Intra-Arrest Arterial Blood Pressure and Return of Spontaneous Circulation in Out-of-Hospital Cardiac Arrest. appeared first on St.Emlyn's.

Hospitals 52

Hospitals Resuscitation 52

NRC Health

NOVEMBER 21, 2024

Consumers expect always-on connectivity, transparency, and personalization; so, to drive loyalty, the Wexner Medical Center has focused on delivering individualized, high-quality patient experiences while enhancing its digital front door. The post Unleashing innovative marketing insights to connect the dots for patient experience initiatives appeared first on NRC Health.

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Emergency Medicine Journal

NOVEMBER 21, 2024

Editor’s note: EMJ has partnered with the journals of multiple international emergency medicine societies to share from each a highlighted research study, as selected by their editors. This edition will feature an abstract from each publication.

Research 52

Research 52

AED Leader

NOVEMBER 20, 2024

This content is password protected. To view it please enter your password below: Password: The post Protected: Are AEDs Eligible for FSA/HSA Funds? appeared first on AEDs for Sale | Buy Defibrillators and Accessories.

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52

EMergucate

NOVEMBER 19, 2024

The chest x-ray is from an adult with chest pain post MVA. What can be seen?

EMS 52

EMS 52

Thrive Provider Blog

NOVEMBER 18, 2024

A career in healthcare is, in many ways, a never-ending process of learning and discovery. Patient-care treatment methods certainly advance at lightning speed, requiring continuing education to keep up with the latest technology. Theres always something to learn, which is one reason so many people choose this dynamic, ever-growing field.

52

52

EM Ottawa

NOVEMBER 21, 2024

A common Emergency Department (ED) presentation, vaginal bleeding in pregnancy affects approximately 30% of pregnancies in the 1st trimester and 1-2% in the 2nd trimester. About half of these result in pregnancy loss. Here we will use cases to highlight an ED approach to stable vaginal bleeding in pregnancy with an emphasis on: Management of […] The post Stable Vaginal Bleeding in Pregnancy appeared first on EMOttawa Blog.

Emergency Department 123

Emergency Department 123

EMDocs

NOVEMBER 16, 2024

Authors: Steven Wright, MD (EM Resident Physician, UTSW – Dallas, TX); Samia Farooqi, MD (Assistant Professor of EM/Attending Physician, UTSW – Dallas, TX) // Reviewed by: Sophia Görgens, MD (EM Physician, BIDMC, MA); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Alex Koyfman, MD (@EMHighAK) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited review of clinical basics.

EMS 96

EMS Dislocations Fractures Operations 96

EMergucate

NOVEMBER 17, 2024

A 60yr old female presents to ED with 3hrs of pleuritic chest pain radiating to the back associated with diaphoresis.

EKG/ECG 52

EKG/ECG EMS 52

Medical Law

NOVEMBER 19, 2024

Losing a loved one is an immensely painful experience. It can be even more challenging, though, when your loved one’s death is the result of someone else’s negligence. Understanding who can file a wrongful death lawsuit is essential for those who want to seek justice and retrieve financial compensation for their unlawful loss. Immediate family members, including spouses and children, generally have the highest level of eligibility in the wrongful death process.

Outcomes 52

Outcomes 52

St. Emlyn

NOVEMBER 22, 2024

St.Emlyn's - Emergency Medicine #FOAMed This retrospective study explores the link between intra-arrest arterial blood pressure (IBP) and return of spontaneous circulation (ROSC) in out-of-hospital cardiac arrest (OHCA). Analysing data from 80 patients attended by the East Anglian Air Ambulance, it found that higher diastolic blood pressure (DBP) during CPR significantly increased the likelihood of ROSC.

Hospitals 125

Hospitals CPR Resuscitation Research 125

ECG Guru

NOVEMBER 16, 2024

The Patient: Sixty-year-old man with a complaint of severe substernal chest pain. Denies hx of M.I., but reports feeling short of breath on exertion for about a year. Hx of hypertension, but admits he is non-compliant with his medication. Appears pale and diaphoretic, BP 110/68. The ECG: The rhythm is sinus at 62 bpm. The QRS is slightly wide at 110 ms (.11 seconds), but still within normal limits.

EKG/ECG 123

EKG/ECG Outcomes 123

Dr. Smith's ECG Blog

NOVEMBER 19, 2024

These ECGs were texted to me by one of our previous ultrasound fellows, Will Smoot An elderly male arrived via EMS for acute substernal chest pain with radiation to left shoulder and arm that awakened him from sleep at 0030. He took two full strength aspirin prior to EMS arrival. The pain was relieved by one prehospital NTG spray. He arrived at the ED just shy of two hours after onset, pain free.

EKG/ECG 111

EKG/ECG Ultrasounds EMS Hospitals 111

EMDocs

NOVEMBER 22, 2024

Here’s another case from Medical Malpractice Insights – Learning from Lawsuits , a monthly email newsletter for ED physicians. The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. To opt in to the free subscriber list, click here. Stories of med mal lawsuits can save lives.

Hospitals 101

Hospitals Patient Safety Emergency Department 101

PulmCCM

NOVEMBER 22, 2024

ChatGPT crushed 50 academic attendings and residents in a diagnostic reasoning contest. At the end of 2023, 26 attendings and 24 residents (mostly in internal medicine at Stanford, Beth Israel/Harvard, and the University of Virginia) read clinical case vignettes and were randomized to answer them either with conventional resources like decision support tools (e.g., Google search, UpToDate™), or to use ChatGPT-4.

Academics 98

Academics Operations Outcomes 98

Emergency Medicine Journal

NOVEMBER 21, 2024

Background The WHO recognises patient safety as a serious public health problem. The COVID-19 pandemic affected adult EDs (AEDs) and paediatric EDs (PEDs) differently. We compared the culture of safety in the adult AED and PED before and after the COVID-19 pandemic. Methods A quasi-experimental study was performed. In 2019, we conducted a survey using the Spanish-adapted Hospital Survey on Patient Safety Culture open to all staff (doctors, nurses and paediatric residents) in AED and PED.

Emergency Department 93

Emergency Department Patient Safety Teamwork Hospitals 93

Dr. Smith's ECG Blog

NOVEMBER 17, 2024

Written by Willy Frick A 51 year old man with hypertension presented with three hours of acute onset, severe midsternal chest pain associated with two episodes of nausea and vomiting. ECG 1 What do you think? Smith : Inferior leads have subtle ST Elevation with reciprocal STD in aVL. The end of the T-wave in all of II, III, aVF has a rapid downturn, suggesting early T-wave inversion.

EKG/ECG 110

EKG/ECG Operations Ultrasounds Wellness 110

Taming the SRU

NOVEMBER 18, 2024

Overview Hiccups are one of the most common human reflexes and fascinatingly occur in adults, children, neonates and in utero! The official medical term for hiccups is “singultus” which is derived from the Latin root word singult and means “to catch one’s breath while sobbing”. While there is no established purpose for hiccups in adults, it is hypothesized that its role in utero is to prevent amniotic fluid aspiration and for respiratory muscle and diaphragmatic training prior to delivery.

Stroke 90

Stroke Administration COPD Dehydration 90

The Bottom Line

NOVEMBER 22, 2024

Quetiapine Versus Haloperidol in the Management of Hyperactive Delirium: Randomized Controlled Trial Zakhary et al. Neurocritical Care; Oct;41(2):550-557. doi:10.1007/s12028-024-01948-w Clinical Question In critically ill patients with delirium, does quetiapine in comparison to haloperidol, reduce the severity of delirium?

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EM Literature of Note

NOVEMBER 20, 2024

This article regarding the cost of upgrading emergency departments to be “ready” for sick children has been bouncing around in the background since its publication, with some initial lay press coverage. The general concept here is obviously laudable and the culmination of at least a decade of hard work from these authors and the team involved – with the ultimate goal of ensuring each emergency department in the country is capable of caring for critically unwell children.

Pediatrics 87

Pediatrics Emergency Department Critical Access Outcomes 87

ALiEM

NOVEMBER 22, 2024

A 13-month-old, full-term male presented due to intermittent emesis over a 3-week period. He and his parents had COVID one week prior to presentation. He had multiple episodes of non-bloody, non-bilious vomit the day before and the day of presentation. Parents noted he had been listless and unable to tolerate food. The mother was also concerned that he was straining to have bowel movements and that a mass was coming out of his bottom on the ride to the hospital.

Ultrasounds 73

Ultrasounds Pediatrics Academics Hospitals 73