The Trauma Pro

FEBRUARY 7, 2025

The work was done at a large teaching hospital and Level I trauma center in Australia. If you read the article closely, the trauma service at this hospital was staffed with a higher number of trainees after hours and on weekends than during office hours. What about the time of day? What gives?

Hospitals 126

Hospitals 126

St. Emlyn

JUNE 23, 2024

St.Emlyn's - Emergency Medicine #FOAMed Background Out-of-hospital cardiac arrest (OHCA) is a leading cause of morbidity and mortality globally, with a survival rate of less than 10% despite emergency medical services (EMS) interventions.

Shock 112

Shock Outcomes Hospitals EMS 112

Thinking Critical Care

JANUARY 31, 2025

It was so great to meet, hang out and talk ECPR with Paris’ SAMU ECPR leader Lionel Lamhaut last month in Montreal, a city we are actively trying to bring pre-hospital ECPR to, thanks to the relentless work of Lawrence Leroux. Come learn from some of the world leaders including Lionel himself, of course! Registration is 1,699 USD +tx.

Hospitals 55

Hospitals CPR Ultrasounds 55

EMCrit

SEPTEMBER 3, 2023

In many countries, pulmonary and critical care are commonly bundled together. Consequently, a single person will often be responsible for both inpatient ICU management as well as inpatient pulmonary consultation. Honestly, I have some doubts about whether this is an ideal system.

Hospitals 143

Hospitals Wellness 143

The Skeptics' Guide to EM

SEPTEMBER 21, 2024

Naloxone and Patient Outcomes in Out-of-Hospital Cardiac Arrests in California. Background: We’ve discussed out-of-hospital cardiac arrest (OHCA) at least once or twice on the SGEM (see long list at end of blog). Clinical Question: Is naloxone administration in undifferentiated OHCA associated with survival to hospital discharge?

Hospitals 104

Hospitals CPR EMS Outcomes 104

The Trauma Pro

APRIL 18, 2025

This is an important paper, and should be considered in any state where local resources are being challenged, and hospital reimbursements are declining. A well-designed practice guideline is critical so that all clinicians apply best practices in caring for these patients.

Fractures 173

Fractures Best Practices Outcomes EMS 173

Emergency Medicine Journal

JANUARY 21, 2025

This month’s update is by the Emergency Department of the University Hospital of Heraklion, Crete, Greece. A randomised trial of drug route in out-of-hospital cardiac arrest. We used a multimodal search strategy, drawing on free open-access medical education resources and literature searches. Couper et al.

Emergency Department 98

Emergency Department Hospitals Outcomes 98

First 10 EM

OCTOBER 28, 2024

That being said, despite working in two very busy community hospitals with a high percentage of pediatrics visits, c-spine injuries are just not an issue I struggle with. As with everything that comes out of the PECARN group, this is a huge study, and is therefore one that everyone needs to know about.

Pediatrics 120

Pediatrics Hospitals EMS 120

PulmCCM

NOVEMBER 7, 2024

For out-of-hospital cardiac arrest in particular, intravenous access can be difficult to establish, delaying the administration of epinephrine and other drugs and possibly worsening outcomes. During cardiac arrest, every second matters (at least potentially). Read more

Resuscitation 98

Resuscitation Administration Hospitals Outcomes 98

Sensible Medicine

JANUARY 30, 2025

In 2023, the Maryland Department of Health (DOH) adopted a standard for return to universal masking in healthcare facilities when hospitalizations with respiratory viruses (covid, influenza, or RSV) reach a level of 10 cases per 100,000 population. Maryland has a population of 6.3

CDC 94

CDC Hospitals Academics 94

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.

Emergency Department 110

Emergency Department Administration Outcomes Patient Safety 110

PulmCCM

APRIL 3, 2025

As only a minority of hospitals even provide ordinary physical therapy to mechanically ventilated patients on a routine basis, the advisement is largely symbolic or aspirational. Hospital Mortality (n~2,930): RR 1.01, CI 0.84 In a March 2025 guideline update, the major U.S. ICU Mortality (n~4,730): RR 0.98, 95% CI 0.85

Hospitals 81

Hospitals Outcomes 81

The Trauma Pro

SEPTEMBER 6, 2024

I’ve included a printable pdf file, as well as the original Microsoft Publisher file in case you want to make a few modifications to suit your own hospital. Here’s a reference sheet formatted at a 3×5 index card that you can keep in your pocket. When to call Urology reference card (pdf)

Operations 264

Operations Hospitals Wellness 264

EB Medicine

JANUARY 25, 2025

Eckler, MD discuss the January 2025 Emergency Medicine Practice article, Alkali Exposure: An Evidence-Based Approach to Diagnosis and Treatment Patient Demographics and Case Scenarios: Types of patients prone to alkali exposure Causes and scenarios leading to alkali exposure (e.g.,

Poisoning 81

Poisoning EKG/ECG Airway Management Resuscitation 81

EM Ottawa

MARCH 27, 2025

Developed by emergency medicine physicians at The Ottawa Hospital, this resource is tailored for learners and practitioners at all levels including medical students, residents, and staff physicians who […] The post Ottawa DVT PoCUS Handbook appeared first on EMOttawa Blog.

Ultrasounds 96

Ultrasounds Hospitals 96

The Trauma Pro

SEPTEMBER 20, 2024

Getting there includes an obvious problem: what happens when the physician leaves the hospital? Other surgeons may be available in the hospital during the daytime, although they may have other responsibilities keeping them busy. For emergency physicians, there are generally several on duty, so one will not be missed too much.

Hospitals 187

Hospitals EMS Wellness 187

St. Emlyn

JANUARY 6, 2025

St.Emlyn's - Emergency Medicine #FOAMed How does pre-hospital emergency anaesthesia (PHEA) delivered by Helicopter Emergency Medical Services (HEMS) impacts trauma care timelines compared to emergency department RSI (EDRSI).

Emergency Department 99

Emergency Department Outcomes Hospitals 99

St. Emlyn

MARCH 25, 2025

St.Emlyn's - Emergency Medicine #FOAMed Recorded at the London Trauma Conference 2024, Richard Lyon shares insights from his powerful presentation on the importance of detailed case learning and debriefing both in hospital and pre-hospital settings.

Hospitals 83

Hospitals Resuscitation 83

Mount Sinai EM

AUGUST 7, 2024

Rapidly intervened-upon cardiac tamponade in PEA during cardiac arrest has significantly higher hospital discharge rates. survival to hospital discharge rate. Evidence of right heart strain is important but the evidence of fibrinolysis during arrest is mixed with many studies showing no 30-day mortality benefit to lysing during a code.

Ultrasounds 235

Ultrasounds CPR Documentation/Coding COPD 235

ACEP Now

NOVEMBER 7, 2024

Elizabeth Wharff was the director of emergency psychiatry at Boston’s Children’s Hospital in the late 1990s when she became concerned about what was, then, a new problem. They would be the least difficult and disruptive, the least strain on the hospital staff,” Dr. Wharff explained.

Psychiatric 59

Psychiatric Pediatrics Hospitals Emergency Department 59

Mind The Bleep

FEBRUARY 2, 2025

They carry out functional assessments (in a hospital or in a home environment), identifying areas where the patient may require extra aid. The Community Care (Delayed Discharge) Act 2003 details how NHS hospitals should communicate with social care about discharges of inpatients. This allows patients to receive fully funded care.

Hospitals 95

Hospitals 95

Emergency Live

OCTOBER 27, 2024

Changing the way surgeons prepare for surgery can reduce water consumption in hospitals A recent study by the Campus Bio-Medico in Rome has revealed an astonishing truth: changing the way surgeons prepare for surgery can drastically reduce water consumption in hospitals.

Operations 52

Operations Hospitals Research 52

The Trauma Pro

SEPTEMBER 24, 2024

I would discourage the use of propofol because it is difficult to titrate outside the hospital and may contribute to hypotension. Finally, don’t assume that you will accompany the patient (and possibly their limb) back to the hospital. Paralytics, sedatives and analgesics are essential.

Hospitals 203

Hospitals 203

PulmCCM

APRIL 14, 2025

Dr. Rivers and his center, Henry Ford Hospital, had financial relationships with Edwards Lifesciences, makers of the invasive catheter used in Rivers’s trial to measure continuous central venous oxygenation saturation. To avoid financial penalties, hospitals have had to report their compliance with the bundle elements of I.V.

Sepsis 71

Sepsis Infectious Diseases Administration Shock 71

Greater Sydney Area HEMS

MARCH 5, 2025

Dr Penny Wilson, GP Obstetrician ( @nomadicgp on X ), joined us recently at a GSA-HEMS Education Day to discuss key peri-partum emergencies in the context of pre-hospital and retrieval medicine. The recognition and management of cord prolapse, breech delivery and shoulder dystocia are discussed in her talk, now on our YouTube channel.

Hospitals 72

Hospitals 72

The Trauma Pro

JULY 9, 2024

This problem was associated with a significantly longer ICU stay and a somewhat longer overall hospital stay. They studied a series of 79 of their patients who were treated with a halo. A full 66% had problems with their swallowing evaluation. Bottom line: Suspect dysphagia in all patients with cervical fractures, especially the elderly.

Head Injuries 264

Head Injuries Fractures Hospitals Wellness 264

Ken Grauer, MD

DECEMBER 29, 2023

The "good news" — is that after an extended hospitalization, the patient was finally discharged home, and doing well. = . = The H ISTORY in T oday's C ASE: The patient in today's case is a teenager who presented to the ED ( E mergency D epartment ) in cardiac arrest after electrocution.

EKG/ECG 434

EKG/ECG Resuscitation Hospitals Wellness 434

The Trauma Pro

MAY 28, 2024

A recent Massachusetts General Hospital study involved a larger group (97 patients with 110 fixators). Consult your radiologists and physicists to develop a policy that is specific to the scanners used at your hospital. Most MRIs were performed to evaluate the cervical spine. There were no adverse events. Most were performed on a 1.5T

Fractures 261

Fractures Hospitals 261

The Trauma Pro

SEPTEMBER 17, 2024

Getting them to the scene will always take extra time since they are typically hospital-based. Look at your local resources and the logistics imposed by the environment, traffic, hospital, and other factors. In contrast, the prehospital providers are already present and are used to working in an austere environment.

Airway Management 199

Airway Management Operations Hospitals Wellness 199

ACEP Now

APRIL 14, 2025

Criteria are broken down into categories such as physician/hospital staffing, physician contracting, quality, policies, and resources. The EDAP was created to elevate emergency care, ensuring that hospitals meet quality standards. Meeting ED Accreditation standards can add value for patients, physicians, and hospitals.

Emergency Department 52

Emergency Department Geriatric Emergencies Ultrasounds Hospitals 52

Taming the SRU

DECEMBER 17, 2024

compared the effects of these two among the acute gastroenteritis children and reported that the use of ORT was associated with shorter hospital stay and increased patient satisfaction. demonstrated that use of ORT was characterized by shorter stays at the hospital. AtherlyJohn et al. A systematic review by Freedman et al.

Dehydration 85

Dehydration Fluid Resuscitation Administration Resuscitation 85

The Trauma Pro

NOVEMBER 17, 2023

My previous statements were based on the way that we organize our trauma team and trauma activations at this hospital. At our hospital, we have 8 people clustered immediately around the patient, with half of them being surgery or emergency medicine residents. In principle, I agree.

Resuscitation 214

Resuscitation Ultrasounds Hospitals Wellness 214

St. Emlyn

NOVEMBER 14, 2023

St.Emlyn's - Emergency Medicine #FOAMed Simplifying urgent care data translation is essential for hospital flow improvement. This post provides a perspective on how to achieve this. The post Speaking urgent care flow fluently appeared first on St.Emlyn's.

Urgent Care 145

Urgent Care Hospitals Teamwork Leadership 145

Emergency Medicine Journal

JANUARY 21, 2025

The primary endpoints were length of ED stay, hospital admission and ED revisit. The secondary endpoints were dyspnoea scale, pulmonary functions, length of hospital stay and home exacerbation after ED discharge. The HDICS group had a significantly shorter ED length of stay (adjusted mean difference –133.6 to –24.8

Hospitals 52

Hospitals Outcomes 52

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 Trauma Pro

JUNE 27, 2023

Since I last published the series, I’ve visited numerous hospitals that use the eTFS and a diminishing number that have stuck with the paper trauma flow sheet. I’ll kick off the series with my next post, which describes why your hospital wants you to switch to some newfangled eTFS. But alas, that is not the case.

Hospitals 185

Hospitals 185

ACEP Now

DECEMBER 8, 2024

Because older patients are admitted to the hospital more often, they disproportionately affect ED staff time and work. The ED is clearly perceived as serving the needs of patients and as the front door to the hospital. There is continuing growth in the percentage of overall hospital admissions presenting through the ED.

CDC 52

CDC Emergency Department Hospitals 52