Broome Docs

DECEMBER 9, 2023

Overnight Stay in the Emergency Department and Mortality in Older Patients. Risk of Radiation Exposure to Emergency Department Personnel From Portable Radiographs. J Emerg Med. Droperidol versus ondansetron for nausea treatment within the emergency department. Emerg Med Australas. 2023 Nov 6.

Infectious Diseases 120

Infectious Diseases Emergency Department Stroke Pediatrics 120

PEMBlog

OCTOBER 18, 2023

Initially in the emergency department he was generally well-appearing with normal vital signs. The patient was ultimately discharged on a seven-day total course of cephalexin per Pediatric Infectious Disease recommendations. Exanthematous disease induced by toxic shock syndrome toxin 1 in the early neonatal period.

Infectious Diseases 59

Infectious Diseases Shock Pediatrics Wellness 59

Don't Forget the Bubbles

SEPTEMBER 18, 2023

This blog post aims to help familiarise you with some of the most common reasons for prescribing antibiotics in the paediatric emergency department. Antibiotic Use for Common Infections in Pediatric Emergency Departments: A Narrative Review. Randel A, Infectious Disease Society of America. Karageorgos, S.;

Emergency Department 143

Emergency Department Infectious Diseases Pediatrics Sepsis 143

Taming the SRU

FEBRUARY 5, 2024

The LP is now a standard procedure and in 2010 well over 135,000 LPs were performed in Emergency Departments throughout the US (3). Scandinavian journal of infectious diseases , 45 (9), 657–663. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America , 39 (9), 1267–1284.

Infectious Diseases 86

Infectious Diseases Seizures Ultrasounds Sepsis 86

The Skeptics' Guide to EM

MARCH 18, 2023

Guest Skeptic: Dr. Marisu Rueda-Altez is a pediatric infectious disease fellow at Children’s National Hospital in Washington, DC. She is also the […] The post SGEM #397: Give a Little Bit…of Oseltamivir to Pediatric Patients Admitted with Influenza first appeared on The Skeptics Guide to Emergency Medicine. JAMA Pediatr.

Pediatrics 40

Pediatrics Infectious Diseases Administration Outcomes 40

Taming the SRU

JUNE 12, 2023

Although not every person seeks health care for these injuries, the majority of those that do end up in the emergency department. In 2008, this led to greater than 316,000 emergency department (ED) visits and about 9,500 hospitalizations [1]. Clinical Infectious Diseases. Annals of Emergency Medicine.

Infectious Diseases 94

Infectious Diseases Emergency Department Administration Academics 94

ACEP Now

MAY 9, 2024

It has been well over a year since the controversial publication of the Agency for Healthcare Research and Quality (AHRQ) report on diagnostic errors in the emergency department (ED). Radecki (@emlitofnote) i s an emergency physician and informatician with Christchurch Hospital in Christchurch, New Zealand. Ann Emerg Med.

Research 52

Research Emergency Department Infectious Diseases Hospitals 52

The Skeptics' Guide to EM

JUNE 10, 2023

The authors start by discussing diagnostic testing in the emergency department (ED). This includes chapters on pediatrics, geriatrics, cardiac, neurological, surgical, trauma, infectious disease, and other conditions. They explain the epidemiology and statistics behind diagnostic testing.

Telemedicine 68

Telemedicine Infectious Diseases Emergency Department Pediatrics 68

PulmCCM

NOVEMBER 6, 2023

This could inform responses in future infectious disease outbreaks; one key seems to be to ensure high titers of neutralizing antibody (at least 1:320 in this study) are present in donor plasma. The intervention took place in the emergency department, with device placement by ED physicians.

Operations 98

Operations Blood Transfusions Resuscitation Infectious Diseases 98

PEMBlog

JANUARY 17, 2024

Camargo, Clinical Trial: Comparative Effectiveness of Cephalexin Plus Trimethoprim-Sulfamethoxazole Versus Cephalexin Alone for Treatment of Uncomplicated Cellulitis: A Randomized Controlled Trial, Clinical Infectious Diseases, Volume 56, Issue 12, 15 June 2013, Pages 1754–1762, [link] Liu C, Bayer A, Cosgrove SE, et al.

Infectious Diseases 59

Infectious Diseases Sepsis Wellness Pediatrics 59

ACEP Now

OCTOBER 26, 2023

The Case A two-year-old female, seen three days ago at different local emergency department (ED)—Children’s General—presents with fever, headache, and neck pain. DR. TALAN is professor of emergency medicine and infectious diseases at UCLA. Permitted uses and disclosures: exchange for treatment. HHS website.

Infectious Diseases 52

Infectious Diseases Hospitals Documentation/Coding Administration 52

Don't Forget the Bubbles

SEPTEMBER 27, 2023

The parents of two-year-old, previously healthy, Jamie bring him to the Emergency Department with coryzal symptoms, wheezing and difficulty breathing. Respiratory viral panel testing did not reduce antibiotic use in the emergency department. SpO2 is 88%. However, this finding does not seem to apply in all settings.

Emergency Department 84

Emergency Department Pediatrics Point-of-Care Testing Hospitals 84

EM Curious

JULY 8, 2015

More FOAMed INFECTIOUS DISEASE SMORGASBORD CORE EM PODCAST EPISODE 3 [PODCAST]: Swami sits down to run over some high yield EM topics in the arena of infectious disease, from antibiotic choice in HCAP, to new paradigms in soft tissues infectious. With a bonus brief on disaster management.

Infectious Diseases 52

Infectious Diseases Disaster Management Sepsis Ultrasounds 52

EMDocs

NOVEMBER 4, 2023

aureus infections among patients in the emergency department. Skin and Soft Tissue Infections in the Emergency Department. Emerg Med Clin North Am. Clinical Infectious Disease. Managing a Cutaneous Abscess in the Emergency Department. Ann Emerg Med. Methicillin-resistant S.

EMS 67

EMS Ultrasounds Emergency Department Infectious Diseases 67

ALiEM

MAY 13, 2024

Case Introduction: Child with abdominal pain Wendy is a 7-year-old girl who comes into the emergency department with redness, swelling, and pain on her left calf. Point-of-Care Ultrasound on Management of Cellulitis Versus Local Angioedema in the Pediatric Emergency Department. Pediatr Emerg Care. J Emerg Med.

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

PulmCCM

JUNE 19, 2023

No drug or combination improved the primary outcome (a composite outcome of hypoxemia, visit to the emergency department, hospitalization, or death). That was in NEJM Aug 18 2022. Metformin also has positive immune-modulatory effects (on cytokine profiles and T-cell immunity).

Infectious Diseases 52

Infectious Diseases Outcomes Hyperthermia / Hypothermia Sepsis 52

RebelEM

AUGUST 30, 2023

Executive Summary: 2015 Infectious Disease Society of America (IDSA) Clinical Practice Guidelines for the Diagnosis and Treatment of Native Vertebral Osteomyelitis in Adults. Evaluation and Treatment of Acute Back Pain in the Emergency Department. Orthopedic Emergencies 2015 May; 33(2) 311-26.

Infectious Diseases 73

Infectious Diseases Fractures Radiology Radiology 73

ALiEM

JANUARY 22, 2024

A 40-year-old male, tailor by occupation, was brought to the Emergency Department with complaints of high-grade fever for the past 11 days. Fever was documented to be 102°F and was not associated with any chills or rigors.

Documentation/Coding 64

Documentation/Coding Academics Emergency Department Hospitals 64

ALiEM

MARCH 11, 2024

In July 2022, a 32-year-old male with a past medical history of HIV (on antiretroviral therapy, CD4 390, viral load undetectable) presented to the emergency department with constitutional symptoms and a rash for 4-5 days.

Documentation/Coding 56

Documentation/Coding Academics Emergency Department Hospitals 56

ACEP Now

MARCH 6, 2024

7 The operators involved in the trial were mostly emergency medicine residents or critical care fellows, but this fact does not diminish the generalizability of these observations. Many clinicians staffing emergency departments intubate infrequently, as well, and these results are likely applicable to a wide scope of practice.

Research 52

Research Airway Management Stroke Outcomes 52

EM Curious

JULY 22, 2015

INFECTIOUS DISEASE TRIO MUCORMYCOSIS, WEST NILE VIRUS & ROCK MOUNTAIN SPOTTED FEVER: [BLOG]: Clinical practice updates that you should know about regarding these uncommon but cannot miss diagnoses. Read on here at Rebel EM. EM Docs Mucormycosis West Nile Virus Rock Mountain Spotted Fever WHO NEEDS A KNEE X-RAY?

Infectious Diseases 52

Infectious Diseases EMS Ultrasounds Administration 52

ALiEM

OCTOBER 16, 2023

An otherwise healthy 34-year-old male presented to the Emergency Department with two weeks of anterior neck pain. Symptoms began with several days of pain in his mandibular molars, progressing to pain and swelling in the neck.

Wellness 60

Wellness Academics Emergency Department Hospitals 60

Critical Care Now

MAY 12, 2022

Reading Time: 5 minutes Ruben Santiago Emergency Medicine Pharmacist and medication hustler at a level I trauma center in Miami, FL. Interests include trauma, toxicology, and infectious diseases.

Infectious Diseases 52

Infectious Diseases Stroke Administration Emergency Department 52

ACEP Now

MAY 4, 2023

Case A 37-year-old white male with no past medical history presented to the emergency department (ED) for left testicular pain, redness, and swelling. He had presented to urgent care for the same complaint a week before, but did not seek follow-up at an ED despite their recommendation.

Urgent Care 52

Urgent Care Ultrasounds Sepsis Emergency Department 52

Taming the SRU

AUGUST 30, 2023

While PCT may be more specific for bacterial infections, it is flawed by still being rather non-specific and is not validated as a stand-alone diagnostic criteria for infection in the setting of the emergency department. In 7 studies with 4164 patients, PCT with a cut-off > 0.1 ng/mL (strongly recommended against antibiotics), 0.1-0.25

Infectious Diseases 78

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 78

PEMBlog

AUGUST 30, 2023

Pneumonia in Children Presenting to the Emergency Department with an Asthma Exacerbation. Pediatrics. 2022 Jan 1;149(1):e2021051405. doi: 10.1542/peds.2021-051405. 2021-051405. PMID: 34845493 Florin TA, Carron H, Huang G, Shah SS, Ruddy R, Ambroggio L. JAMA Pediatr. 2016;170(8):803-805.

Pediatrics 52

Pediatrics Best Practices Hospitals Emergency Department 52

EMDocs

APRIL 27, 2024

A 67-year-old man with a history of hypertension and diabetes presents to the emergency department with right ear pain for 2 weeks. Infectious diseases , 4 (1), 34–39. Infectious diseases, 4(1), 34–39. and Staphylococcus spp. His vital signs are normal except for a temperature of 38.2°C The Lancet.

EMS 82

EMS Infectious Diseases Radiology Radiology 82

PEMBlog

SEPTEMBER 27, 2023

Reasons to not order a comprehensive respiratory viral panel (i.e.,

Pediatrics 52

Pediatrics Hospitals Emergency Department Infectious Diseases 52

Don't Forget the Bubbles

JANUARY 10, 2024

Let’s take the humble blood transfusion – used in emergency departments across the globe and playing a key role in critical care. Transfusion Decisions in Severe Anaemia Reducing child mortality remains high on the global health agenda. 8% die in hospital, with a further 12% dying in the six months following discharge.

Blood Transfusions 78

Blood Transfusions Outcomes Research Hospitals 78

Advanced Emergency Nursing from AENJ

JUNE 16, 2015

This is not a feasible practice in the Emergency Department which must deal immediately with an undifferentiated patient. Ordinary hospital practice would be for admission orders to specify Isolation Cart, to ensure that the ward would have one delivered and restocked daily until no longer needed.

PPE 40

PPE Infectious Diseases Emergency Nursing Operations 40

Don't Forget the Bubbles

MARCH 4, 2024

We have teamed up with the team from the Emergency Department at Bristol Royal Hospital, who have used this as a springboard for their journal club. (It’s The children’s Emergency department sees approximately 50,000 presentations per year. Emerg Med J. Paediatr Int Child Health. 2024 Jan 11:1-7.

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

RebelEM

OCTOBER 26, 2023

Enrollment: Recruited patients from primary care offices, emergency departments, and inpatient wards at Children’s Hospital of Philadelphia and UPMC Children’s Hospital of Pittsburgh. Funding: The National Institute of Allergy and Infectious Diseases, Division of Microbiology and Infectious Diseases funded the study.

Pediatrics 79

Pediatrics Infectious Diseases Outcomes Research 79

EMDocs

AUGUST 26, 2023

Sobel, Clinical Practice Guideline for the Management of Candidiasis: 2016 Update by the Infectious Diseases Society of America, Clinical Infectious Diseases , Volume 62, Issue 4, 15 February 2016, Pages e1–e50, [link] Iacopino AM, Wathen WF. Vazquez, Thomas J. Walsh, Theoklis E. Zaoutis, Jack D. J Am Dent Assoc.

EMS 69

EMS Infectious Diseases Pediatrics Emergency Department 69

Don't Forget the Bubbles

JANUARY 22, 2024

Choosing Wisely in Paediatric Car e A trainee-led project in a UK tertiary paediatric emergency department looked at the usefulness of blood tests in 101 children. You receive a referral for a 7-year-old Josh, who presented to the emergency department (ED) with a 5-day history of fever, cough, and borderline oxygen saturation.

Emergency Department 90

Emergency Department Best Practices Radiology Radiology 90

EB Medicine

DECEMBER 1, 2018

Jeff: The information contained in this article comes from articles found on pubmed, the cochrane database, center for disease control, and the world health organization. Additionally, guidelines were reviewed from the american college of emergency physicians, infectious disease society of america, and the american academy of pediatrics.

Emergency Department 40

Emergency Department CDC Infectious Diseases EMS 40

ACEP Now

MAY 10, 2024

3 A narrow spectrum antibiotic such as a single dose of fosfomycin in the emergency department is the way to go and has the added convenience of being a one and done solution that doesn’t require the patient to fill a prescription. Clinical Infectious Diseases. link] Cai T, Mazzoli S, Mondaini N, et al. 2018;219(1):40-51.

Infectious Diseases 98

Infectious Diseases Sepsis Administration Emergency Department 98

Pediatric EM Morsels

SEPTEMBER 1, 2023

One such vital aspect of pediatric emergency medicine is the appreciation of how psychosocial history impacts a patient’s life and care. As previously mentioned by Dr. Richardson , adolescents use the Emergency Department as their Primary Care resource often. This is particularly true for vulnerable adolescents.

Pediatrics 161

Pediatrics Emergency Department Fractures Infectious Diseases 161