EB Medicine

FEBRUARY 2, 2023

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the January 2023 Pediatric Emergency Medicine Practice article on the Responsible and Safe Use of Opioids in Children and Adolescents in the Emergency Department DEA-X Waiver Repeal: The Mainstreaming Addiction Act The Medication Access and Training Expansion Act (MATE) FOAMed post Opioids (..)

Emergency Department 52

Emergency Department Pediatrics 52

The Skeptics' Guide to EM

MARCH 25, 2023

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. 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.

Ultrasounds 52

Ultrasounds Emergency Department Dislocations Radiology 52

ACEP Now

FEBRUARY 13, 2024

1 Alternatives to opioid pain management may include non-opioid systemic agents, such as acetaminophen, nonsteroidal anti-inflammatory agents, ketamine, steroids, or local or regional anesthesia. 1–4 Emergency physicians commonly prescribe opioid pain medications, and there is significant variability among prescribing patterns.

Ultrasounds 52

Ultrasounds Emergency Department Hospitals Wellness 52

EMDocs

MARCH 2, 2024

1-3] The most common location is the frontal region, followed by the occipital and temporal regions. [4] 1-3] The most common location is the frontal region, followed by the occipital and temporal regions. [4] Asian J Neurosurg. 2016  2016 Oct-Dec;11(4):343-347. Moon HS, Lee SK, Chung SH, Chung JH, Chang IB.

EMS 112

EMS Fractures Seizures Head Injuries 112

The Skeptics' Guide to EM

MAY 14, 2022

On examination, he is in moderate distress and has prominent tenderness to palpation at the bilateral paralumbar region and intact neurovascular examination. A heating pad and acetaminophen has not helped with the pain. Unfortunately, none of these other treatment modalities has high-quality evidence supporting their use.

Emergency Department 52

Emergency Department Research Wellness 52

PulmCCM

NOVEMBER 11, 2021

CO] and regional [i.e., In Kalmar’s investigation, the patients were preload dependent as a consequence of general anesthesia, epidural analgesia and leg-down positioning for sigmoidectomy. Anesthesia & Analgesia 2011, 113(2):211-213. Anesthesia & Analgesia 2011, 113(2):284-296. SctO2] blood flow.

Stroke 40

Stroke Sepsis Administration Wellness 40

The Skeptics' Guide to EM

JUNE 24, 2018

Anesthetic agents like lidocaine that target sodium channels are widely used in the ED for topical and local anesthesia. Studies that used lidocaine for regional anesthesia (ex: Bier Block) were also not included. Physicians have many pharmacological and non-pharmacological ways to provide safe and effective pain control.

Emergency Department 52

Emergency Department Outcomes Administration Research 52

Taming the SRU

NOVEMBER 14, 2023

Anesthesia can be achieved with auricular ring blocks and/or via direct infiltration of lidocaine into the hematoma. Topical 2 or 4% lidocaine may be used for anesthesia for patients with significant discomfort and has the added benefit of drowning an insect prior to removal which is recommended (8).

Emergency Department 82

Emergency Department Pediatrics Wellness Documentation/Coding 82

EMDocs

APRIL 13, 2024

Local anesthesia should then be injected or applied topically to the site where the incision or aspiration will be performed. He is a collegiate wrestler and participated in several matches at a regional wrestling meet the day before his symptoms began. 4] May occur on posterior aspect of the ear.[4,5]

EMS 80

EMS Emergency Department Pediatrics Wellness 80

EM Curious

MAY 21, 2015

Onto the FOAMed AIRWAY TIPS: [BLOG]: EM Didactic sums up some nice pearls from the CRASH Airway Course in a two part post: Part 1 Part 2 NEEDLE TO THE FOOT: [BLOG]: Ben Smith brings us a great case highlighting the utility of ultrasound in both foreign body identification and regional anesthesia in case #47 of Ultrasound of the Week.

Burns 52

Burns EMS Ultrasounds 52

ACEP Now

AUGUST 15, 2023

I emerged from anesthesia with excruciating shoulder pain due to the complete lack of regional anesthesia. He responded that the onset would take a few more minutes, but before I could insist that there was a problem, I had been injected with propofol and was unconscious.

Hospitals 52

Hospitals Documentation/Coding Fractures Dislocations 52

Advanced Emergency Nursing from AENJ

JANUARY 26, 2015

Anesthesia & Analgesia, 108(5), 1599-1602. Anesthesia & Analgesia, 112(3), 648-652. ppt] Eastern Idaho Regional Medical Center. 2014) Emergency Care Institute, New South Wales. Stafford, I. Leibowitz, A. B., & Beilin, Y. Amniotic fluid embolism. de Boisblanc, B., & Suresh, M. Airway problems in pregnancy.

OB/GYN 40

OB/GYN Ultrasounds Emergency Department Resuscitation 40

Taming the SRU

AUGUST 25, 2023

to 1 mcg/kg/hour procedural sedation loading dose: 0.5-1 1 mcg/kg over 10 minutes followed by continuous infusion: 0.2

Seizures 66

Seizures Fractures EKG/ECG Resuscitation 66

Taming the SRU

MARCH 17, 2023

mepivacaine (1-3 h) 1% lidocaine +/- epi (2-3h) 0.25% bupivacaine (2-3 h) 0.25-0.5%

Seizures 40

Seizures Fractures Burns Pediatrics 40

ACEP Now

MAY 10, 2024

6 The FBs duration ranged from 1–78 days with a mean of 19 days for those who did not require general anesthesia removal and 34 days for those who required removal under general anesthesia. The study did not find that a prolonged duration of EAC FB led to an increase in complications.

Pediatrics 52

Pediatrics Emergency Department Poisoning Outcomes 52

Taming the SRU

OCTOBER 1, 2023

As this is a painful procedure, the patient should receive adequate anesthesia which may include regional blocks or systemic medications [32]. Pigtail catheters (8.5Fr - 14Fr) have similar efficacy to chest tubes and are associated with faster removal, fewer complications, and shorter hospital LOS [27-31].

Fractures 85

Fractures COPD Hospitals Emergency Department 85

Pediatric Emergency Playbook

JANUARY 1, 2017

A common practice to apply LET two or three times at 15-minute intervals for deeper anesthesia, in an attempt to avoid injection altogether. Some examples of children with recurring pain are those suffering from sickle cell disease, juvenile idiopathic arthritis, complex regional pain syndrome, and cancer. Limit opioids as possible.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

ACEP Now

AUGUST 17, 2023

Back at the conference with coffee in hand, check out “Fixing Faces Painlessly: Facial Anesthesia, Regional Blocks” with Lauren M. SeanPavonePhoto Day 4 Today’s morning joe comes from Elixir, a city favorite using locally sourced ingredients. Westafer, DO, FACEP.

Ultrasounds 52

Ultrasounds EMS Hospitals 52

Taming the SRU

NOVEMBER 3, 2023

The thought with introducing the serratus anterior plane block was that regional anesthesia is well within the purview of EM physicians and can offer a safe alternative to systemic pain medications.

Fractures 88

Fractures Ultrasounds Outcomes Research 88

PEMBlog

DECEMBER 14, 2023

Subglottic stenosis happens via scarring in the subglottic region due to a previous intubation. Subglottic hemangiomas are fortunately rare, but they can cause Torrey Strider. Hemangiomas distributed like a beard are suggestive of this. So stridor may be present in these infants, but it doesn’t typically change with position.

Wellness 52

Wellness Pediatrics 52

PEMBlog

MAY 9, 2024

6 to 1, and there is a higher prevalence reported in certain regions like Japan’s Mariana Islands. In children with focal complex febrile seizures, neurology is almost always going to get an MRI as well, and in children under 6, they’re probably going to need general anesthesia to do that.

Seizures 59

Seizures Pediatrics Wellness Emergency Department 59

Advanced Emergency Nursing from AENJ

SEPTEMBER 13, 2015

Present obstetric anesthesia practice fosters awake delivery ± regional anesthesia whenever possible to avoid intubation; but when intubation is clearly needed, it is best performed with aspiration precautions, RSI, and a cuffed tube. Why: Why did Rapid Sequence Induction by anaesthetists develop?

Airway Management 40

Airway Management Resuscitation Critical Access Emergency Nursing 40