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Bupe Allergy Buprenorphine induction has been the mainstay of emergencydepartment treatment of opioid use disorder for more than a decade [11, 12]. 2023 Jan 1;53(1):140-2. 2022; 06/26/2023. 2023 Jun 1;36:89-91. This month in JAAD Case Reports: August 2023: Xylazine and skin necrosis. 2023 Aug 1;89(2):231.
A 25-year-old female with no pertinent past medical history presented to an emergencydepartment in Massachusetts with four days of generalized malaise, myalgias, congestion, low-grade fever, and a rash behind her left knee. The patient denied cough, shortness of breath, chest pain, abdominal pain, nausea, vomiting, and diarrhea.
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. Consider topical anesthetic drops and IV analgesia and/or anxiolytics to help assist with patient discomfort and dry eye.
A 26-year-old male with a past medical history of eczema presented to the EmergencyDepartment with a rash for two days. Updated 2023 Jul 31]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. The patient stated he first noticed a rash on his right arm that rapidly spread to his face, chest, and left arm.
Emergencydepartment staff compassion is associated with lower fear of enacted stigma among patients with opioid use disorder. She is anAssistant Professor and Director of Research in theDepartment of Emergency Medicine at the NYU Grossman Long Island Hospital Campus. Date: December 26, 2024 Reference: Steinhauser S et al.
A 3-month-old male with no past medical history was brought to the emergencydepartment for evaluation of newly asymmetric pupils. Treasure Island (FL): StatPearls Publishing Copyright 2023, StatPearls Publishing LLC.; The infant appeared to be asymptomatic per parents, without any behavior changes or associated symptoms noted.
2023 Aug 4. 2023 Nov 5. Elbow Dislocations in the EmergencyDepartment: A Review of Reduction Techniques. J Emerg Med. Multiple Concomitant Injuries in One Upper Extremity: A Case Report. Am J Case Rep. 2016 Jan 6;17:6-11. doi: 10.12659/ajcr.894984. PMID: 26732673 Akhondi H, Varacallo M. In: StatPearls [Internet].
First, research suggests a higher number of emergencydepartment visits among individuals with ASD. About 30 percent of children with ASD need treatment in an emergencydepartment, and this number increases to nearly 70 percent for those aged 15–18. Published March 24, 2023. Emergency Medicine Australasia.
Journal of Hepatology Association of central capillary refill time with mortality in adult trauma patients: a secondary analysis of the crash-2 randomised controlled trial data Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Dorsal Digital Nerve Block Versus Ultrasound-Guided Selective Peripheral Nerve Block for Finger Analgesia: (..)
A 48-year-old male with no significant past medical history presented to the EmergencyDepartment with a left-sided facial rash and associated burning left eye pain that started four days prior. Updated August 16, 2023. He also endorsed left-sided facial weakness and diplopia for the last eight days. Accessed January 11, 2024.
Eczema herpeticum: making the diagnosis in the emergencydepartment. J Emerg Med. Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. 2011 Feb;40(2):167-9.
They applied a three-way seal and transported him to the Emergencydepartment. But in extreme cases, where delay would be fatal, thoracotomy may be performed in the emergencydepartment by an experienced team. Eur J pediatr 2023. Hypotension is a pre-terminal sign. There is approximately 100 ml of blood loss noted.
A young woman, 13 days post-tonsillectomy, comes into your rural emergencydepartment (ED) coughing up blood. Clin Pract Cases Emerg Med. Emergency Medicine Cases. Published November 2023. Ann Emerg Med. and youre three hours from the nearest tertiary care center. 2021;5(3):1-7. Accessed October 31, 2024.
In emergencydepartments, determining a septic patient’s fluid responsiveness can be challenging, as both under- and over-resuscitation can lead to poor outcomes. 1 The 2022 CLASSIC and 2023 CLOVERS trials are two landmark studies that further examine approaches to fluid resuscitation in septic patients.
Stercoral colitis in the emergencydepartment: a review of the literature. International journal of emergency medicine, 17(1), 3. May 18, 2023) Stercoral Colitis: A Diagnostic Challenge and Therapeutic Approach in an Elderly Patient With Chronic Constipation. Annals of emergency medicine, 82(1), 3746. Campbell, R.
A 28-year-old female is brought to the emergencydepartment (ED) by police after a sexual assault. Experience of emergencydepartment use among persons with a history of adverse childhood experiences. Trauma-informed care (TIC) best practices for improving patient care in the emergencydepartment.
Acute toxic ingestions are a common reason for presentation to the emergencydepartment (ED) and clinical scenarios range from benign accidental ingestions to large overdoses resulting in hemodynamic instability. Treasure Island (FL): StatPearls Publishing; July 28, 2023. The roles of antidotes in emergency situations.
The pain worsened today, prompting him to come to the emergencydepartment for evaluation. Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. Accessed 14 Dec.
Published 2023. Accessed October 23, 2023. Accessed October 23, 2023. Accessed October 23, 2023. Accessed October 23, 2023. Movement Disorder Emergencies. Accessed October 23, 2023. His roommate found an empty pill bottle on the floor next to him. Innov Clin Neurosci. 2018;15(7-8):20-22. Micromedex.
In fact, 60 percent of older adults admitted to hospital enter through the emergencydepartment. Forging Aligned Partnerships Between Value Based Care Organizations & Geriatric EmergencyDepartments: A Toolkit for Geriatric EmergencyDepartments provides a comprehensive roadmap for understanding and implementing this work.
A Simplified Protocol for Intralipid Administration in the ED Ultrasound-guided nerve blocks (UGNBs) are becoming more common in emergency medicine practice. These techniques allow the modern emergency physician to deliver targeted pain control in conjunction with using lower doses of other analgesics. Farrow RA, Shalaby M.
A medical librarian with expertise in systematic reviews, searched Cochrane, Embase, Medline, Scopus, and Web of Science for relevant randomized controlled trials and comparative observational studies from inception to June 2023. Included patients from out-of-hospital, emergencydepartment, intensive care unit, and operating-room intubations.
9,23 Disposition: Dislocation : If successfully reduced in the emergencydepartment may discharge with strict mobility restrictions and Orthopedic follow up. Arthroplasty 5 , 2 (2023). Emergencydepartment visits following total joint arthroplasty: do revisions present a higher burden? 2023 Dec 1;6(12):e2345883.
The other important moment to always think of the heart (sorry, cardiologists, I don’t think about the heart 24/7) is when a collapsed neonate presents to your emergencydepartment, especially if blood pressure is present. “Epidemiology of Hypotension in Neonates,” Journal of Perinatology , 2023. and Roberts, N.
A Basic Approach to the LVAD Patient in the EmergencyDepartment. Apr 10, 2023). Jul 10, 2023). Left Ventricular Assist Device Management in the EmergencyDepartment. The Western Journal of Emergency Medicine, 19(5), 834841. link] Choi, H, & Merrill, S. In StatPearls. StatPearls Publishing.
In addition to improving her patients’ health, Breunig aims to save the county money by reducing 911 calls, ambulance rides and emergencydepartment visits among the approximately 350 people living outside in Clackamas County. Emergency health care is expensive and homeless people generally can’t afford to pay for it.
She was transported to the emergencydepartment, and the following ECG was obtained (Figure1). This article was published in Annals of Emergency Medicine , 82, Brandenberger L, Williams Silva K, Macheret F, et al.,
doi: 10.1136/archdischild-2024-327224 Six-year-old Rhaenyra is brought into the emergencydepartment after being hit by a car. Take Home Points There is no agreed-upon definition for paediatric major haemorrhage, and many methods of defining it are difficult to measure in the emergencydepartment. Acad Emerg Med.
However, a transfer to the emergencydepartment is not required in this case. This is a time-critical emergency. Immediate Actions for Paramedics: Urgent transport to the local EmergencyDepartment with a pre-alert to prepare the resuscitation team. 2023 [cited 2024 Dec 8]. 2023 [cited 2024 Dec 8].
When applying the cost avoidance formula, the assumption that every patient and every emergencydepartment encounter by that particular patient is identical is grossly inaccurate. However, the program concluded earlier than planned, ending on December 31, 2023, two years ahead of its scheduled five-year duration. 2023, July).
IF YOU OR A LOVED ONE NEEDS HELP, CALL 988 OR SEEK CARE AT A LOCAL EMERGENCYDEPARTMENT. Stang, 2023) So, we should be acutely aware that suicides occur year-round and be alert to scene safety at all times. West Journal of Emergency Medicine. 2023, 10 23). Department of Health & Human Services.
4 Conversely, a 2023 study comparing scores from emergency physicians to those calculated by neurologists found excellent reliability with an intraclass correlation coefficient (ICC) of 0.95 (an ICC of 1 indicates perfect reliability). Published 2023 Apr 14. Ann Emerg Med. 2023;15(4):e37595. doi:10.7759/cureus.37595
He completed his critical care course at the Queen Elizabeth Hospital in Halifax and worked in Intensive Care as well as the EmergencyDepartment. He joined Emergency Medical Care Inc. During his free time in British Columbia, he volunteered as Ski Patrol at Whistler Blackcomb.
Racial disparities in pain management of children with appendicitis in emergencydepartments. 2023): 928-936. Factors associated with potentially missed diagnosis of appendicitis in the emergencydepartment. 2023): 972-982. Goyal, M.K., Kuppermann, N., Cleary, S.D., Teach, S.J. and Chamberlain, J.M.,
More commonly, patients are transported to the EmergencyDepartment (ED), where extensive conversations between ED providers and family occur. Death and End-of-Life Care in EmergencyDepartments in the US. 2023, June 5). References Elmer J, Mikati N, Arnold RM, Wallace DJ, Callaway CW. JAMA Netw Open.
A Decline in Vaccination Coverage: A Global Issue In 2023, the World Health Organisation (WHO) reported that worldwide immunization rates for key vaccines, including the diphtheria-tetanus-pertussis (DTP3) series, had dropped to 84% from pre-pandemic rates of 86%. 2023 UK Government. have completed their preschool DTaP/IPV booster.
4 The 2023 ACORN Trial ( covered here on REBEL EM ) randomized 2,511 patients requiring antipseudomonal coverage to receive either cefepime or piperacillin-tazobactam. What They Did: Investigators performed a retrospective cohort study in the EmergencyDepartment at the University of Michigan between July 1, 2014 through December 31, 2018.
1 By the end of 2023, 117.3 4,5 Of particular concern is the Sudanese conflict, which began in April 2023, and which has caused the largest internal displacement of a population in documented history. 43% of refugees admitted into the US in the first 8 months of the 2023 fiscal year were from Africa. Accessed June 11, 2023.
He later worked on “Mercy, Off the Map,” and “NCIS: Los Angeles “before helping launch “The Pitt” in 2023. emergencydepartment (ED). He stayed with the groundbreaking series for its entire 15-season run, ultimately becoming executive producer and penning 35 episodes. Sachs remains grounded in medicine.
Xylazine gained much media attention as the zombie drug and it was officially declared an emerging threat to the United States by the White House in April 2023. But while it has caused horrible skin lesions in many users, it does not seem to have added to the death toll.
Authors: Noah Kronk, MS-4 (University of Missouri-Columbia); Jessica Pelletier, DO, MHPE (APD, EM Attending Physician, University of Missouri-Columbia, USA) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case A 30-year-old female presents to the emergencydepartment (ED) with fever, fatigue, and an extensive rash.
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. Retrieved March 24, 2025, from [link] 2. Peters, G. Goldberg, S. & Cash, R. JACEP Open , 4(4), e13017. Leyenaar, M. Brousseau, A.
2023 Apr 4;147(14):e674. American College of Emergency Physicians Clinical Policies Subcommittee (Writing Committee) on Acute Heart Failure Syndromes. Ann Emerg Med. Erratum in: Ann Emerg Med. 2023 Mar;81(3):383. Diagnosis of Acute Heart Failure in the EmergencyDepartment: An Evidence-Based Review.
1,2 From May 2023 to April 2024, “staffed” hospital beds have decreased from 802,000 to 674,000 nationwide. Boarding of hospital patients in emergencydepartments (EDs) will increase and worsen. link] Published September 17, 2023. link] Published November 9, 2023. A growing numbers of U.S. 3 What Does This Mean?
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