Emergency Medicine Journal

FEBRUARY 20, 2024

The Chief Coroner’s annual report details the operation of the coroner’s service and does not collate PFD findings. 4 We identified and analysed PFD reports relating to emergency departments (EDs), aiming to identify common themes in coroners’ concerns.

Emergency Department 40

Emergency Department Operations 40

Emergency Medicine Journal

NOVEMBER 28, 2023

Introduction Most Irish emergency departments (EDs) do not record diagnosis in a standardised way at the conclusion of each patient care episode. This lack of data hampers service planning and the transformation of ED funding from a block grant system to one based on activity.

Documentation/Coding 40

Documentation/Coding Emergency Department Operations Administration 40

Emergency Medicine Journal

FEBRUARY 20, 2024

Reference standard was radiological or operative confirmation of AAS. Clinicians treating prospectively identified patients were asked to record their perceived likelihood of AAS, prior to any confirmatory testing. 30-day electronic patient record follow-up evaluated whether a subsequent diagnosis of AAS had been made and mortality.

Emergency Department 52

Emergency Department Operations Radiology Radiology 52

The Trauma Pro

DECEMBER 12, 2023

The practice at many centers is to bring all transfer patients in through the emergency department. Bringing Patients To Your Emergency Department Patients can be reassessed to see if they meet any of your trauma activation criteria. Access to certain critical services may be more rapid from the emergency department.

Emergency Department 162

Emergency Department Operations Hospitals Radiology 162

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives Chest drains are commonly inserted in the Emergency Department (ED) with a complication rate of 30-40%. Training in chest drain insertion is essential in Emergency Medicine (EM) as approximately 25,000 patients undergo in England and Wales undergo this procedure annually.

Emergency Department 40

Emergency Department EMS Research Operations 40

The Skeptics' Guide to EM

MARCH 2, 2024

Date: February 28, 2024 Guest Skeptic: Dr. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY. Case: A 59-year-old man walks into your community emergency department (ED) complaining of chest pain.

Emergency Department 123

Emergency Department Stroke Operations Hospitals 123

Emergency Medicine Journal

NOVEMBER 28, 2023

The secondary outcomes were time to complete reduction and treatment plan at ED discharge (conservative or operative repair). At ED discharge, operative repair was indicated for 17 (16%) patients in the standard group and 21 (20%) patients in the PoCUS group (OR 0.78, 95% CI 0.39

Fractures 40

Fractures Ultrasounds Emergency Department Operations 40

Emergency Medicine Journal

DECEMBER 22, 2023

In the validation cohort, there was no evidence of a difference in discrimination between the area under the receiver operating characteristic for BAROC score with versus without laboratory testing (p=0.6).

Emergency Department 40

Emergency Department Operations 40

Taming the SRU

SEPTEMBER 25, 2023

Musculoskeletal injuries are a common occurrence, representing a substantial number of Emergency Department visits on an annual basis. 1) Oftentimes, Emergency Physicians are the first provider patients encounter after an injury. Thus, treatment of Maisonneuve fractures often involves operative repair. (5) References 1.

Fractures 91

Fractures Operations Emergency Department EMS 91

JournalFeed

APRIL 15, 2023

Bougie First Spoon Feed The use of a bougie for pediatric intubation was not associated with increased first pass success or increased complication rates compared to an endotracheal tube (ETT) with a stylet at an academic emergency department where operators are facile with the bougie.

Academics 52

Academics Pediatrics Operations Administration 52

EM Literature of Note

OCTOBER 1, 2023

Prior to ChatGPT, clinicians did not operate in an information resource vacuum, as is frequently the case in these contrived situations. “ ChatGPT and Generating a Differential Diagnosis Early in an Emergency Department Presentation “ Tweet However, what is lacking from these studies are any sort of comparison.

Documentation/Coding 97

Documentation/Coding Operations Emergency Department Wellness 97

PulmCCM

NOVEMBER 6, 2023

The intervention took place in the emergency department, with device placement by ED physicians. It was hypothesized that performing REBOA in the emergency department (as opposed to operating rooms or interventional suites) may have led to delays in definitive surgical procedures to control hemorrhage.

Operations 98

Operations Blood Transfusions Resuscitation Infectious Diseases 98

ACEP Now

APRIL 5, 2024

A 68-year-old man presents to the emergency department (ED) with altered mental status and fever. There was no analysis of operator experience or expertise. As with any procedural device, operator expertise is an important component of its successful use. Ann Emerg Med. Vital signs on arrival are: Temperature: 38.8

Airway Management 73

Airway Management Operations Emergency Department Research 73

Emergency Medicine Journal

DECEMBER 22, 2023

Community emergency medicine (CEM) is a model of pre-hospital care that delivers emergency department care to patients irrespective of their clinical environment. 1 2 It is the clinical or situational complexity of the patient, rather than the acuity of illness, that best defines the cohort patients targeted by CEM.

Operations 40

Operations Emergency Department Hospitals 40

EB Medicine

MARCH 1, 2019

This month, after a few months of primarily medical topics, we’re talking trauma, specifically Blunt Cardiac Injury: Emergency Department Diagnosis and Management. The data is strong that in the hands of trained Emergency Clinicians, when parasternal, apical, and subcostal views are obtained, US has an accuracy of 97.5%

Emergency Department 40

Emergency Department EKG/ECG Operations Fractures 40

Taming the SRU

MAY 13, 2024

Acute stump appendicitis without evidence of perforation or abscess (Figure 1) HOSPITAL Course Acute Care Surgery was consulted from the ED and recommended admission for operative resection of a 3 cm remnant of the appendix. Point-of-care ultrasound diagnosis of Stump appendicitis in the emergency department. Clin Case Rep.

Ultrasounds 87

Ultrasounds Emergency Department Wellness Operations 87

The Skeptics' Guide to EM

SEPTEMBER 2, 2023

The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics. She is an Assistant Professor and Director of Research in the Department of Emergency Medicine at the NYU Grossman Long Island Hospital Campus. Date: August 30, 2023 Reference: Griffey et al. He is otherwise healthy.

Operations 105

Operations Diabetic Emergencies Hospitals Research 105

ACEP Now

NOVEMBER 7, 2023

And in our comment letter responding to the FTC and Department of Justice’s proposed updates to health care merger guidelines, ACEP urged the agencies to finalize these changes that would bring more scrutiny to health care mergers and slow down consolidation. Learn more at openbook.acep.org.

Leadership 98

Leadership Administration Research Risk Management 98

EB Medicine

JULY 8, 2019

This month, we are sticking in the abdomen for another round of evidence-based medicine, focusing on Emergency Department Management of Patients With Complications of Bariatric Surgery. Jeff: Even more shockingly, some series showed a 52% repeat operation rate. These patients often require emergent operative intervention.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

ACEP Now

DECEMBER 10, 2023

Boarding in the emergency department is a systemic crisis with emergency physicians at the center. The summit participants examined the multifactorial causes of boarding through the lens of transparency, regulatory challenges, mental health, financial drivers, operational modifications, workforce, and other categories.

Emergency Department 52

Emergency Department Leadership Hospitals Operations 52

RebelEM

APRIL 29, 2024

One may speculate that the US-guided CVC placement would have a higher first-pass success rate with fewer complications, however, this may potentially add time to the procedure depending on the operator and institution’s use of ultrasound during emergencies and maintaining sterile technique with the US probe. Crit Care Med.

Resuscitation 102

Resuscitation Administration Emergency Department Hospitals 102

The Skeptics' Guide to EM

MARCH 25, 2023

Point of care biliary ultrasound in the emergency department (BUSED) predicts final surgical management decisions. Trauma Surg Acute Care Open 2022 Guest Skeptic: Dr. Casey Parker is a Rural Generalist that includes in his practice emergency medicine, anesthesia, and critical care. Date: March 22, 2023 Reference: Hilsden et al.

Ultrasounds 52

Ultrasounds Emergency Department Dislocations Radiology 52

SheMD

MAY 4, 2023

Article Summary What they looked at: This article aimed to look at career trajectory differences between genders in faculty who have attained academic chair roles in emergency medicine. Women were more likely to be first appointed to educational rather than operational roles (52.6% Female chairs obtained more advanced degrees (47.4%

Leadership 52

Leadership Academics Operations Administration 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Background Innovations in models of care for older adults living with frailty presenting to the emergency department (ED) have become a key priority for clinicians and researchers given the deleterious outcomes older adults experience due to prolonged exposure to such an environment.

Research 40

Research Outcomes Operations Emergency Department 40

Taming the SRU

OCTOBER 23, 2023

THE CASE A female in her early 20s, G4P2012, presents to the emergency department (ED) with a 5 day history of left lower quadrant abdominal pain which has been worsening since onset. At this point, the patient is taken to the operating room for a diagnostic laparoscopy. Diagnosing ectopic pregnancy in the emergency setting.

Ultrasounds 87

Ultrasounds Operations Radiology Radiology 87

EMDocs

DECEMBER 11, 2023

In October 2022, the American College of Cardiology released an updated expert consensus decision regarding the evaluation of chest pain in the emergency department. This included the addition several new STEMI equivalents [4] on ECG that warrant “prompt evaluation for emergency coronary angiography.” J Am Coll Cardiol.

EKG/ECG 108

EKG/ECG Emergency Department Academics Operations 108

EB Medicine

NOVEMBER 1, 2021

and get 20% of all orders at [link] Emergency Department Management of Rib Fractures Author: Patrick Maher, MD Episode Outline: Why rib fractures? EMplify – November 2021 Announcements: The EB Medicine app is live and available for free in the Apple Store. Coming to Google Play soon. It is in Beta and your feedback is welcome.

Fractures 52

Fractures Documentation/Coding Operations Emergency Department 52

Don't Forget the Bubbles

JANUARY 8, 2024

Dr Bourke’s work is not only about deepening academic understanding but also about forging practical approaches to help healthcare professionals navigate the nuanced and often uncertain waters of adolescent care in emergency settings. Mulraney, M., Coghill, D., Sciberras, E., and Sawyer, M.,

Research 105

Research Emergency Department Psychiatric Outcomes 105

The Skeptics' Guide to EM

APRIL 16, 2022

Case: A 55-year-old man comes into the emergency department (ED) for increasing knee pain and decrease in function. Background: Musculoskeletal complaints are one of the most common presentations to emergency departments. He’s had an anterior cruciate ligament (ACL) repair and used to run marathons. Reference: Blom et al.

Military 40

Military Operations Emergency Department Pediatrics 40

The Skeptics' Guide to EM

NOVEMBER 21, 2020

Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. The impact of advanced practice provider staffing on emergency department care: productivity, flow, safety, and experience. He is also the CME editor for Academic Emergency Medicine.

Emergency Department 52

Emergency Department Telemedicine Academics Outcomes 52

ACEP Now

MARCH 14, 2024

A 44 year-old male with unknown past medical history came by emergency medical services (EMS) to the emergency department (ED) for an electrical injury and fall from a high voltage electrical pole. In the operating room, there was minimal urinary output and the bladder pressures were 35 mmHg under sedation and analgesia.

Burns 52

Burns Fluid Resuscitation EKG/ECG Operations 52

EMDocs

AUGUST 12, 2023

He presented to the emergency department because he is having numbness distal to the site of injury, as well as constant bleeding and some difficulty with flexing his finger. Management consists of intravenous antibiotics , and hand surgery should be consulted to consider operative debridement.

EMS 68

EMS Fractures Operations Ultrasounds 68

The Skeptics' Guide to EM

DECEMBER 3, 2022

Angelica DesPain is an Assistant Professor of Pediatrics and a pediatric emergency medicine physician at the Baylor College of Medicine Children’s Hospital of San Antonio in San Antonio, TX. Case: A 10-year-old boy comes into the emergency department (ED) with right lower quadrant (RLQ) pain for the past two days.

Pediatrics 40

Pediatrics Operations Ultrasounds Emergency Department 40

Ziqitza HealthCare Ltd

JULY 23, 2023

Ventilators are used in operating rooms, emergency departments, critical care transport units, and air medical transports. Ziqitza Health Care operates the ALS and BLS ambulances for various purposes under their 108 , 102 and 1298 helpline numbers.

Ambulance Services 52

Ambulance Services Basic Life Support Blood Transfusions Patient Safety 52

Don't Forget the Bubbles

MAY 24, 2023

Airway complications are also more likely to occur in the emergency department (ED) than in the operating theatre. It can also able to be applied in multiple scenarios, not just the operating theatre, and it more accurately depicts real-world practice. Intubation of the Critically Unwell Child in the Emergency Department.

Airway Management 98

Airway Management Teamwork Pediatrics Emergency Department 98

Cook County EM Blog

JUNE 2, 2022

The Case: A 40-year-old male with no past medical history presented to the emergency department after he was assaulted with closed fists just prior to arrival. The patient’s injuries included a blow to the back of his right hand. On exam he was found to have swelling and tenderness to the dorsal aspect of his right hand.

Fractures 52

Fractures Soft Tissue Injuries Operations Emergency Department 52

The Skeptics' Guide to EM

JUNE 9, 2018

Aromatherapy Versus Oral Ondansetron for Antiemetic Therapy Among Adult Emergency Department Patients: A Randomized Controlled Trial. Ann Emerg Med 2018 Guest Skeptic: Meghan Groth is a pharmacist who has been practicing in emergency medicine for the past six years. We covered that paper on the SGEM in Episode #144.

Emergency Department 52

Emergency Department Academics Operations Administration 52