First 10 EM

MARCH 24, 2025

The concept of forcing emergency patients to remain nil by mouth on the […] The post Let them eat: Emergency department patients should be encouraged to eat and drink appeared first on First10EM. Have you ever witnessed a confrontation between a nurse and a patient or family member over NPO status?

Emergency Department 73

Emergency Department 73

St. Emlyn

SEPTEMBER 26, 2024

St.Emlyn's - Emergency Medicine #FOAMed The diagnosis of subarachnoid haemorrhage in the emergency department is a constant source of anxiety.

Emergency Department 138

Emergency Department 138

St. Emlyn

SEPTEMBER 3, 2024

St.Emlyn's - Emergency Medicine #FOAMed @LizCrowe2 gives us a fantastic critical appraisal of an EMJ paper discussing the patient experience in the emergency department. FOAMed @stemlyns The post JC: The patient experience in the Emergency Department. appeared first on St.Emlyn's.

Emergency Department 102

Emergency Department 102

St. Emlyn

JULY 2, 2024

St.Emlyn's - Emergency Medicine #FOAMed Learn about how to look after patients with eating disorders in the Emergency Department. The post Podcast – Eating Disorders in the Emergency Department appeared first on St.Emlyn's. Listen to this podcast recorded live at the Premier Conference 2024.

Emergency Department 106

Emergency Department 106

The Skeptics' Guide to EM

JANUARY 6, 2024

National Assessment of Pediatric Readiness of US Emergency Departments during the Covid-19 Pandemic. July 2023 Date: Dec 11, 2023 Guest Skeptic: Dr. Rachel Hatcliffe is a pediatric emergency medicine attending at Children’s National Hospital in Washington, DC. Are general emergency departments ready to care for children?

Emergency Department 136

Emergency Department Pediatrics Anaphylaxis Leadership 136

The Skeptics' Guide to EM

DECEMBER 16, 2023

Patient Perceptions of Microaggressions and Discrimination Towards Patients During Emergency Department Care. AEM Dec 2023 Date: December 14, 2023 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. Reference: Punches et al. Reference: Punches et al.

Emergency Department 127

Emergency Department Research Outcomes 127

Emergency Medicine Journal

DECEMBER 30, 2024

Background Calls to emergency departments (EDs) from ambulances to alert them to a critical case being transported to that facility that requires a special response (‘pre-alerts’) have been shown to improve outcomes for patients requiring immediate time-critical treatment (eg, stroke).

Emergency Department 52

Emergency Department Stroke Documentation/Coding Outcomes 52

St. Emlyn

NOVEMBER 16, 2023

St.Emlyn's - Emergency Medicine #FOAMed We review a paper from the EMJ looking at the diagnosis of acute aortic syndrome in the ED and the accuracy of clinical decision rules and clinician gestalt The post JC: The DAShED Study – Diagnosis of Acute Aortic Syndrome in the Emergency Department appeared first on St.Emlyn's.

Emergency Department 131

Emergency Department Research 131

First 10 EM

SEPTEMBER 23, 2024

I definitely talk to people about smoking, but aside from brief counseling and occasionally prescribing nicotine replacement for […] The post Smoking cessation in the emergency department (The COSTED trial) appeared first on First10EM.

Emergency Department 106

Emergency Department EMS 106

First 10 EM

JANUARY 8, 2024

My practice includes emergency and inpatient care in Broome Hospital in the remote Kimberley region of Western Australia. I also work in a large tertiary […] The post On the Ethical Detention of Patients in the Emergency Department appeared first on First10EM.

Emergency Department 118

Emergency Department Hospitals 118

St. Emlyn

AUGUST 4, 2024

St.Emlyn's - Emergency Medicine #FOAMed Background Smoking is a leading cause of preventable morbidity and mortality worldwide.

Emergency Department 102

Emergency Department 102

St. Emlyn

NOVEMBER 6, 2024

St.Emlyn's - Emergency Medicine #FOAMed Creating a learning culture in the emergency department (ED) fosters psychological safety, open communication, and continuous improvement. Learn practical steps to build a strong learning culture in your ED, promoting growth and collaborative excellence in emergency medicine.

Emergency Department 127

Emergency Department Leadership 127

Emergency Medicine Journal

DECEMBER 30, 2024

Background The Emergency Department(ED) team need to make sense of an ever-changing dynamic environment. The stories people tell about everyday occurrences are central to how sense-making occurs. By capturing stories in the ED, valuable insights can be gained into organisational culture and identity.

Emergency Department 52

Emergency Department Hospitals 52

The Bottom Line

OCTOBER 23, 2023

In trauma patients with exsanguinating haemorrhage, does the use of the REBOA (resuscitative endovascular balloon occlusion of the aorta) device with standard care in the emergency department, compared with standard care alone, impact 90-day-mortality?

Emergency Department 117

Emergency Department Resuscitation 117

Ken Grauer, MD

NOVEMBER 10, 2023

For full discussion of this case — See ECG Blog #220 — == The long lead II rhythm strip shown in Figure-1 was obtained from an 51-year-old man who presented to the ED ( Emergency Department ) with "palpitations" that began 1 hour earlier. HOW would you interpret this tracing? Clinically — What would YOU do?

EKG/ECG 480

EKG/ECG Emergency Department 480

PEMBlog

APRIL 22, 2025

Autism spectrum disorder (ASD) is commonaffecting approximately 1 in 68 childrenand increasingly recognized in pediatric emergency departments (EDs). References Patient- And Family-Centered Care in the Emergency Department for Children With Autism. Medical Management of Children With Autism in the Emergency Department.

Pediatrics 89

Pediatrics Emergency Department Administration Hospitals 89

RebelEM

APRIL 14, 2025

Background: Accurate blood pressure (BP) measurement is essential in the emergency department (ED), where it serves as a key marker of hemodynamic stability and informs critical management decisions. Improper technique and incorrect cuff sizing can lead to falsely high or low readings, impacting patient care.

Emergency Department 123

Emergency Department Administration EMS Outcomes 123

Emergency Medicine Journal

JANUARY 21, 2025

Background Growing numbers of avoidable low-acuity visits to emergency departments (ED) are a major health policy concern globally and are thought to contribute to ED crowding.

Emergency Department 52

Emergency Department 52

EM Ottawa

JANUARY 9, 2025

From adrenal crises to septic shock, severe community-acquired pneumonia, and even acute pharyngitis, steroids play a pivotal role in managing a variety of conditions encountered in the Emergency Department (ED).

Shock 114

Shock Emergency Department Infectious Diseases Sepsis 114

Don't Forget the Bubbles

MARCH 10, 2025

Challenging working conditions in health services, especially in emergency departments (ED), lead to high levels of stress and burnout. Researchers spent ~132 hours observing practice in a UK emergency department and making notes about what they saw. Take home message References Darbyshire, D., Brewster, L.,

Emergency Department 105

Emergency Department Research EMS Academics 105

ACEP Now

APRIL 7, 2025

Emergency physicians across the United States are facing increasing financial and operational pressures threatening their ability to provide lifesaving care, according to a new report authored by RAND and supported by the Emergency Medicine Policy Institute (EMPI). health care system. View the full report here.

Emergency Department 98

Emergency Department Operations 98

The Skeptics' Guide to EM

APRIL 5, 2025

Emergency Severity Index Version 4 and Triage of Pediatric Emergency Department Patients. Brandon Ho is a graduating pediatric emergency medicine fellow at Childrens National Hospital in Washington DC and soon to be attending physician at Seattle Children's. Reference: Sax DR, et al. How accurate is it for children?

Pediatrics 82

Pediatrics Emergency Department Outcomes Research 82

EM Ottawa

FEBRUARY 6, 2025

Findings: PDMP usage improved modestly during clinical alerts (23.8%), but […] The post Implementation of Electronic Health Record Integration and Clinical Decision Support to Improve Emergency Department Prescription Drug Monitoring Program Use appeared first on EMOttawa Blog.

Emergency Department 40

Emergency Department 40

The Skeptics' Guide to EM

APRIL 19, 2025

Reference: Kareemi et al Artificial intelligence-based clinical decision support in the emergency department: a scoping review.AEM April 2025. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Background: Emergency departments can be a high-pressure environment.

Emergency Department 81

Emergency Department Outcomes Operations Administration 81

Emergency Medicine Journal

APRIL 22, 2024

The Emergency Department (ED) represents a potentially valuable opportunity to deliver a smoking cessation intervention if it is sufficiently resourced. Background Supporting people to quit smoking is one of the most powerful interventions to improve health.

Emergency Department 97

Emergency Department Outcomes 97

Emergency Medicine Journal

OCTOBER 23, 2024

Patients who present to the ED usually have their BP measured as part of their routine triage assessment. BP measurements suggesting hypertension (≥140 systolic or ≥90 diastolic 1 ) are a frequent incidental finding, unrelated to the patient’s presenting complaint, but require follow-up.

Emergency Department 98

Emergency Department 98

Emergency Medicine Journal

JANUARY 21, 2025

This month’s update is by the Emergency Department of the University Hospital of Heraklion, Crete, Greece. We used a multimodal search strategy, drawing on free open-access medical education resources and literature searches.

Emergency Department 98

Emergency Department Hospitals Outcomes 98

Taming the SRU

DECEMBER 17, 2024

Fluid management in the Emergency Department (ED) is crucial in the adequate resuscitation of the acutely ill and decompensating patient. sodium chloride therapy does not reduce length of stay of alcoholintoxicated patients in the emergency department: A randomised controlled trial. Emerg Med Australas 2013;25(6):52734.

Dehydration 85

Dehydration Fluid Resuscitation Administration Resuscitation 85

The Skeptics' Guide to EM

NOVEMBER 16, 2024

Case: The Chief of Emergency Medicine (EM) at a large urban hospital recently approached the AI Committee at Unity Health, intrigued by the CMAJ article describing the apparent success of CHARTWatch in detecting early signs of patient deterioration. Reference: Verma et al.

Emergency Department 110

Emergency Department Administration Outcomes Patient Safety 110

EB Medicine

FEBRUARY 5, 2025

In this episode, Sam Ashoo, MD interviews Erin D'Agostino, MD about the February 2025 Emergency Medicine Practice article, Management of Traumatic Intracranial Hemorrhage in the Emergency Department Pathophysiology Types of Traumatic Brain Injuries Pre-Hospital Care Critical History and Physical Examination Neurological Assessment and Monitoring Laboratory (..)

Emergency Department 71

Emergency Department Hospitals 71

The Skeptics' Guide to EM

APRIL 1, 2025

The topic was the zombie idea that emergency department crowding is due to non-urgent patients.You can click on this LINK and get a PDF copy of my slides. Date: April 1, 2025 This is another SGEM Xtra. I was asked to give a public lecture for the Gateway Centre of Excellence in Rural Health.

Emergency Department 110

Emergency Department 110

Emergency Medicine Journal

SEPTEMBER 25, 2024

Procedural sedation (PS) is a frequently performed clinical practice in the ED 1 aiming to facilitate a state that allows patients to tolerate uncomfortable procedures. 2 The ideal agent for PS in the ED should provide anxiolysis, analgesia and amnesia in a rapid and predictable manner, with minimal adverse events and a rapid recovery phase.

Emergency Department 98

Emergency Department 98

EM Ottawa

NOVEMBER 14, 2024

Urine drug (or toxicologic) screens are a fairly standard tool used in addictions, psychiatry and the Emergency Department (ED), often employed to detect substance use in patients presenting with altered mental status, trauma, psychiatric or abnormal behaviour.

Psychiatric 80

Psychiatric Emergency Department 80

Emergency Medicine Journal

APRIL 22, 2024

The Royal College of Emergency Medicine Toxicology Special Interest Group has produced guidance to support emergency medicine clinicians with the recognition and treatment of people experiencing CHS. Cannabinoid hyperemesis syndrome (CHS) is an episodic syndrome of cyclic vomiting in the context of the prolonged use of cannabis.

Best Practices 98

Best Practices Emergency Department 98

The Skeptics' Guide to EM

FEBRUARY 1, 2025

PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study. EMS places her in a cervical collar and brings her to the emergency department (ED). Reference: Leonard JC et al. Lancet Child Adolesc Health.

Pediatrics 81

Pediatrics EMS Emergency Department Research 81

Emergency Medicine Cases

FEBRUARY 18, 2025

Eating disorders have the highest mortality rate of any psychiatric illness, yet they are frequently missed in the Emergency Department as they can be elusive. Only one in 246 patients who screen positive for an eating disorder at triage have a chief complaint suggesting it.

Psychiatric 96

Psychiatric Emergency Department EMS Outcomes 96

Emergency Medicine Journal

JANUARY 21, 2025

Background Rapid identification of individuals with acute respiratory infections is crucial for preventing nosocomial infections. For rapid diagnosis, especially in EDs, lateral flow devices (LFDs) are a convenient, inexpensive option with a rapid turnaround.

Emergency Department 52

Emergency Department Hospitals 52