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The patient was discharged from the emergencydepartment with tobradex ointment and ophthalmology follow-up in one week Case Discussion Take-Home Points Immediate reduction of a luxed globe is paramount. 2013) Recurrent Spontaneous Globe Subluxation: A Case Report and Review of Manual Reduction Techniques. References Kelly, E.W.
Elbow Dislocations in the EmergencyDepartment: A Review of Reduction Techniques. J Emerg Med. Commentary on an article by Marc Schnetzke, MD, et al.: “Determination of Elbow Laxity in a Sequential Soft-Tissue Injury Model. Anatomy, Shoulder and Upper Limb, Radial Nerve. 2023 Nov 5. In: StatPearls [Internet].
saline (NS) solutions are both isotonic crystalloids widely used for intravenous fluid resuscitation across many contexts and disease states ( Myburgh 2013 ). To assess the clinical impact and relevance of these concerns, Alwang et al. PMID: 28423290 Kidwell K, Albo C, Pope M, et al. Lactated Ringer (LR) and 0.9% N Engl J Med.
Stercoral colitis in the emergencydepartment: a review of the literature. International journal of emergency medicine, 17(1), 3. Ahmad H, Jannat H, Khan U, et al. Al-Maharmeh, Q., Al Qazakzeh, A., & Anwar, A. Annals of emergency medicine, 82(1), 3746. Tran, J., & Shah, K. Stercoral Colitis.
A 36-year-old male presents to the emergencydepartment after being found down at home by his spouse. Gortney J, Raub J, Patel P, et al. 2013; 88(9): 589-595. Sullivan J, Sykora K, Schneiderman J, et al. Borgundvaag B, Bellolio F, Miles I, et al. Acad Emerg Med. N Engl JMed. 2003; 348:1786-1795.
Randal, et al. Girard-Madoux, Mathilde JH, et al. Racial disparities in pain management of children with appendicitis in emergencydepartments. Factors associated with potentially missed diagnosis of appendicitis in the emergencydepartment. ” World Journal of Gastroenterology: WJG 19.34 (2013): 5607.
9,23 Disposition: Dislocation : If successfully reduced in the emergencydepartment may discharge with strict mobility restrictions and Orthopedic follow up. Available from: [link] Maradit Kremers H, Larson DR, Crowson CS, et al. 2013 Dec;6(4):350-6. The American Journal of Emergency Medicine. Emerg Med J.
27-30 Ambiguity in Defining “Nonemergent” Cases In a 2013 Health Affairs study, the authors label 12.9% 23 Utilization of terminology, for example, non-emergent, is problematic because field assessment can miss subtleties that ED evaluations catch. Owning the cost of emergency medicine: Beyond 2%. Prehosp Emerg Care.
Emergency medical responders and adolescents with autism spectrum disorder. Pediatric Emergency Care , 35 (4), 273–277. Psychiatric-related emergencydepartment visits among children with an autism spectrum disorder. Pediatric emergency care. Department of Health and Human Services. Al-Beltagi, M.
Clear history taking In the EmergencyDepartment, healthcare professionals should prioritise thorough history-taking when assessing potential suspected cases. 2014;142(4):685-94 Crowcroft NS, Booy R, Harrison T et al. 2021;10:100196 Craig R, Kunkel E, Crowcroft NS, Fitzpatrick MC, de Melker H, Althouse BM, et al.
Emergency medicine updates: Sympathetic crashing acute pulmonary edema. Am J Emerg Med. Heidenreich PA, Bozkurt B, Aguilar D, et al. Ann Emerg Med. Erratum in: Ann Emerg Med. Collins S, Storrow AB, Albert NM, et al. Yancy CW, Jessup M, Bozkurt B, et al. J Am Coll Cardiol 2013; 62(16):e147–239.
Patients who use emergency medical services have greater severity of illness or injury compared to those who present to the emergencydepartment via other means: A retrospective cohort study. Canadian Journal of Emergency Medicine , 23, 828–836. Prehospital Emergency Care, 27 (5), 669–686. Al Badawi, A.
As they have become a more familiar sight in the emergencydepartment, it’s been an interesting experience to see what others carry in their fanny packs and their motivations for carrying them. 2013 Apr 15;87(8):536. Reprinted with permission from Springer Nature. Click to enlarge.) References De Caprariis PJ, Della-Latta P.
RESUS SCENARIO Picture this: you just arrived at your shift at the local emergencydepartment. Jan 2015; PMID: 25559473 Airapetian N, et al. Di Nicol P, et al. Mar 2023; PMID: 36983218 Feissel M, et al. Sep 2004; PMID: 15045170 Luecke T, et al “PEEP and cardiac output.” Rudski LG, et al.
doi:10.3390/v3050586 Myburgh D, Rabie H, Slogrove AL, Edson C, Cotton MF, Dramowski A. 2020.06.081 Balkhair AA, Al-Muharrmi ZK, Ganguly S, Al-Jabri AA. doi:10.12816/0003169 Stanley K, Lora M, Merjavy S, et al. HIV Prevention and Treatment: The Evolving Role of the EmergencyDepartment. Ann Emerg Med.
MD Calc: CHA2DS2-VASc for Atrial Fibrillation Stroke Risk References Yealy D, Kosowsky JM: Dysrhythmias, in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. Managing reent-onset atrial fibrillation in the emergencydepartment. Ann Emerg Med 2011; 57(1): 31-2.
When I was an inpatient pharmacy manager in 2013, my hospital was visited by the California Department of Public Health (CDPH), concerned about droperidol and ECG monitoring, or rather, lack thereof. Singh K, Jain A, Panchal I, et al. Cole JB, Lee SC, Martel ML, et al. West J Emerg Med. Acad Emerg Med.
Starting antibiotics (D) in the emergencydepartment is not routinely recommended in the nonoperative management of small bowel obstructions. Rosh Review Website Link Further Reading: Further FOAMed: [link] [link] [link] References: Fakhoury M, Negrulj R, Mooranian A, Al-Salami H. 2023.102173 Segal JP, LeBlanc JF, Hart AL.
Reference: Remick KE, et al. National Assessment of Pediatric Readiness of US EmergencyDepartments 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. Reference: Remick KE, et al.
Reference: Snelling et al. New England Journal of Medicine June 2023 Date: July 19, 2023 Guest Skeptic: Dr. Casey Parker is a Rural Generalist that includes in his practice emergency medicine, anesthesia, and critical care. Reference: Snelling et al. Reference: Snelling et al. He is also a fully-fledged ultrasonographer.
Date: July 6, 2023 Reference: Hanula R et al. Guest Skeptic: Dr. Anand Swaminathan is an Assistant Professor of Emergency Medicine at Staten Island University Hospital. first appeared on The Skeptics Guide to Emergency Medicine. Date: July 6, 2023 Reference: Hanula R et al. JAMA Int Med 2023. JAMA Int Med 2023.
Date: February 17, 2023 Reference: Gettel et al. Rising high-acuity emergency care services independently billed by advanced practice providers, 2013 to 2019. AEM Feb 2023 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and Assistant Professor at the University of Calgary. Reference: Gettel et al.
Most emergency drugs except for amiodarone and succinylcholine are based on ideal body weight [Emergency Medical Services for Children, Luten 2007] Epinephrine, dopamine, fentanyl, ketamine based on what child should weigh. PAWPER [Wells 2013, Silvagni 2022] Takes into account body habitus. Ann Emerg Med. Int J Emerg Med.
Date: August 27th, 2021 Reference: Gagnon et al. Direct-access physiotherapy to help manage patients with musculoskeletal disorders in an emergencydepartment: Results of a randomized controlled trial. first appeared on The Skeptics Guide to Emergency Medicine. Date: August 27th, 2021 Reference: Gagnon et al.
Background: The emergencydepartment is frequently visited by patients suffering from symptomatic alcohol withdrawal, and the traditional management has been dominated by repeated doses of benzodiazepines. 5 Paper: Lebin J et al. 5 Paper: Lebin J et al. J Emerg Med 2013 , 44 (3), 592-598.e592.
Mike Pallaci is a Professor of Emergency Medicine (EM) for the Northeast Ohio Medical University, and an Adjunct Clinical Professor of […] The post SGEM#413: But Even You Cannot Avoid…Pressure – Intensive Care Bundle with Blood Pressure Reduction in Acute Cerebral Haemorrhage first appeared on The Skeptics Guide to Emergency Medicine.
Date: May 13th, 2022 Reference: Abril et al. J Emerg Med 2022 Guest Skeptic: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. Date: May 13th, 2022 Reference: Abril et al. The Relative Efficacy of Seven Skeletal Muscle Relaxants.
Date: December 13th , 2018 Reference: Murata et al. He specialises in Paediatric Emergency Medicine and is a passionate […] The post SGEM#239: Febrile Seizure Recurrence – With or Without You Acetaminophen? first appeared on The Skeptics Guide to Emergency Medicine. Date: December 13th , 2018 Reference: Murata et al.
Transvere ultrasound views of the bladder: Left – Uterus identified posteriorly in girl; Right – Prostate identified posteriorly in boy (Images courtesy of Dinh et al.) Sagittal view of bladder: Left – Uterus identified posteriorly in girl; Right – Prostate identified posteriorly in boy (Images courtesy of Dinh et al.)
[display_podcast] Date: October 24th, 2017 Reference: Harrison et al. Pediatrics 2017 Guest Skeptic: Dr. Anthony Crocco is a Pediatric Emergency Physician and is the Medical Director & Division Head of the Division of Pediatric Emergency at McMaster’s Children’s Hospital. Reference: Harrison et al.
She is Chair of the Royal College of Emergency Medicine Women in Emergency Medicine group and involved with the RCEM Public Health and Informatics groups. Reference: Martel et al. Randomized Double-blind Trial Intramuscular Droperidol, Ziprasidone and Lorazepam for Acute Undifferentiated Agitation in the EmergencyDepartment.
The EmergencyDepartment Benchmarking Alliance (EDBA) is a membership organization composed of high-performance emergencydepartments (EDs) that share a commitment to quality. The time interval referred to as ED boarding time has been part of the hospital’s required data submission to CMS since 2013. ED boarding.
12 How do we address these disparities in the emergencydepartment? Review toolkits and studies that provide strategies for advancing language justice in your ED: Betancourt JRRM, et al. Lion KC, et al. Regenstein M, et al. Taira B, et al. Taira B, et al. Department of Health and Human Services.
patients that take ACE inhibitors (but 20-30% of all angioedema presentations to the EmergencyDepartment) 3 times more common in Black Americans ( Kostis 2005 ) 0.01 Read More EMCrit: Podcast 145 – Awake Intubation Lecture from SMACC ERCast: Angioedema References: Baş M et al. PMID 25629740 Hassen GW et al.
[display_podcast] Date: March 6th, 2018 Reference: Zahed et al. Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the Director of Simulation Education at Markham Stouffville Hospital in Ontario. display_podcast] Date: March 6th, 2018 Reference: Zahed et al. Reference: Zahed et al. AEM March 2018.
In the UK, as in most developed countries, more patients are presenting to EmergencyDepartments (EDs) with minor illnesses or injuries. Simpson et al. Simpson et al. Emergencydepartment overcrowding is a complex issue with multiple contributing factors. A 2011-2012 Australian study by Blake et al.
Robert Edmonds is an emergency physician in the US Air Force in Ohio. Reference: Post et al. Lancet 2021 Case: You’re […] The post SGEM#322: TXA for SAH – Won’t Stop Me Now first appeared on The Skeptics Guide to Emergency Medicine. Reference: Post et al. Jeff Perry and his group in the development of the Ottawa SAH Rule.
The controversy around what is ‘normal’ in infants’ and children’s vitals was demonstrated in a 2011 systematic review by Fleming et al. and two cohort studies, one performed in Australia by O’Leary et al. and one in the US by Bonafide et al. Brennan et al. Our study supports previous work by Nijman et al.
Yoo, MD (Assistant Professor/Core Faculty, San Antonio, TX) // Reviewed by Brit Long, MD (@long_brit) Case An 18-year-old man with a history of asthma and medication noncompliance presents to the emergencydepartment (ED) with acute onset shortness of breath. References 1) Liu D, Ahmet A, Ward L, et al. Published 2013 Aug 15.
The parents of two-year-old, previously healthy, Jamie bring him to the EmergencyDepartment with coryzal symptoms, wheezing and difficulty breathing. Respiratory viral panel testing did not reduce antibiotic use in the emergencydepartment. Take home points References Byington CL, Ampofo K, Stockmann C, et al.
Introduction: Neurologic emergencies are common in the EmergencyDepartment (ED), and blood pressure management is critical to immediate management. References: Powers WJ, Rabinstein AA, Ackerson T, et al. Leonardi-Bee J, et al; IST Collaborative Group. Okumura K, et al. Oliveira-Filho J, et al.
Background and Context Contrast-enhanced computed tomography (CECT) is of paramount importance in the emergencydepartment (ED) due to its indispensable role in facilitating precise diagnostic outcomes. 3 A study of CT use trends in the ED has shown increasing use of CTs by almost 60% from 2005 to 2013. West J Emerg Med.
Rosh Review Website Link Further Reading: FOAMed: [link] [link] [link] [link] [link] [link] [link] References : Turi B, Smith D, Kusel K, et al. Reference article, Radiopaedia.org (Accessed on 28 Aug 2023) [link] Ortiz de Mendivil A, Alcalá-Galiano A, et al. Semin Ultrasound CT MR. 2013 Apr;34(2):131-41. Ann Emerg Med.
mmol/L) with acute illness between 2013 and 2018. The reported prevalence of undiagnosed hypoglycaemia disorders among children seen in the emergencydepartment (ED) for any reason ranges between 10% and 28%. Selman C, Mainzer R, Lee K, et al. Yu Z, Merid SK, Bellander T, et al. What’s it about?
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