JEMS

JUNE 15, 2025

In addition to improving her patients’ health, Breunig aims to save the county money by reducing 911 calls, ambulance rides and emergency department 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.

Mobile Integrated Health 59

Mobile Integrated Health Paramedic Community Paramedicine OR 59

Don't Forget the Bubbles

JUNE 10, 2025

A recent study highlighted the gap in confidence surrounding paediatric assessment and management, and recommended a combined approach of targeted training and follow-up feedback from emergency departments after handover. Personalised feedback, in particular, is a powerful tool for clinical learning and reflective practice [2,3].

E-9-1-1 62

E-9-1-1 Emergency Department Paramedic Ambulance 62

Don't Forget the Bubbles

APRIL 28, 2025

Complications of varicella are well-documented in the NICE guidelines and include secondary bacterial infections, neurological complications, and other rarer complications. However, a transfer to the emergency department is not required in this case. This is a time-critical emergency. Bernal et al. ,

Paramedic 91

Paramedic ALS Emergency Department Ambulance 91

JEMS

JUNE 23, 2025

It is essential to ensure that cost reports are meticulously documented, auditable, and aligned with allowable cost definitions under federal law. Cost shifting has been well-documented in health policy literature and poses a significant threat to the sustainability of both EMS systems and broader healthcare markets.

EMS 116

EMS E-9-1-1 Community Paramedicine Emergency Medical Services 116

ESO

APRIL 28, 2025

What could you achieve if you had a patient’s prearrival care information in hand when they arrived at the emergency department (ED)? All services provided can be documented and billed, reducing missed revenue. What would change if you could see timely EMS input?

EMS 104

EMS Emergency Department STEMI ED 104

Don't Forget the Bubbles

DECEMBER 16, 2024

Clear history taking In the Emergency Department, healthcare professionals should prioritise thorough history-taking when assessing potential suspected cases. European Centre for Disease Prevention and Control. Measles facts [Internet]. cited 2024 Oct 24] WHO. Risk assessment for measles resurgence in the UK: 2023 [Internet].

E-9-1-1 57

E-9-1-1 OR ALS Emergency Department 57

REBEL EM

NOVEMBER 11, 2024

What They Did: Investigators performed a retrospective cohort study in the Emergency Department at the University of Michigan between July 1, 2014 through December 31, 2018.

E-9-1-1 93

E-9-1-1 ICU ALS Critical Care 93

EMDocs

JANUARY 6, 2025

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. HIV Prevention and Treatment: The Evolving Role of the Emergency Department. Ann Emerg Med. Use of Medical Interpreters in the Emergency Department.;

ED 73

ED E-9-1-1 ALS Frozen Plasma 73

JEMS

JUNE 16, 2025

And I can say that in a large percentage of my patients—I don’t know the exact percentage because it changes somewhat by day—but…we see a lot of elderly patients in the emergency department. Maybe half is a little overstating but certainly plenty of them.” They may have fallen. End of life medical orders. Advance directives.

Mobile Integrated Health 98

Mobile Integrated Health Community Paramedicine Paramedicine Paramedicine 98

EMDocs

DECEMBER 9, 2024

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 emergency department (ED) with fever, fatigue, and an extensive rash.

ED 74

ED ALS OR Emergency Department 74

JEMS

JUNE 12, 2025

With thousands of medications in use, it would be impractical to incorporate every potential prescription into protocol documents. Patients who use emergency medical services have greater severity of illness or injury compared to those who present to the emergency department via other means: A retrospective cohort study.

Mobile Integrated Health 98

Mobile Integrated Health E-9-1-1 EMS Community Paramedicine 98

EMDocs

JULY 21, 2025

American College of Emergency Physicians Clinical Policies Subcommittee (Writing Committee) on Acute Heart Failure Syndromes. Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Acute Heart Failure Syndromes: Approved by ACEP Board of Directors, June 23, 2022.

E-9-1-1 87

E-9-1-1 ALS Emergency Department OR 87

ACEP Now

JUNE 30, 2025

As frontline clinicians, emergency physicians play a crucial role not only in the diagnosis and management of TBI, but also in ensuring accurate documentation that supports vital epidemiological tracking and resource allocation. code hampers TBI surveillance efforts and emergency department data. concussion, S06.2x—diffuse

Emergency Department 52

Emergency Department OR ALS 52

EMDocs

JULY 2, 2025

13 Symptomatic Withdrawal Treatment: Benzodiazepines, clonidine, or other supportive medications may be used to address withdrawal symptoms Since tianeptine is frequently utilized in Europe, there have been documented cases where prolonged use or withdrawal has been successfully mitigated with buprenorphine. link] Hershey, H. Onyango, E.

E-9-1-1 74

E-9-1-1 Naloxone Overdose ED 74

ACEP Now

DECEMBER 17, 2024

We deal with difficult and traumatizing situations daily, and nowhere is this more apparent than in the emergency department, where sickness, violence, and death are routine. One of the first documented strikes among house staff officers took place in 1974 at Howard University here in Washington, D.C., died by suicide.

E-9-1-1 105

E-9-1-1 Emergency Department ALS OR 105

Don't Forget the Bubbles

JUNE 3, 2025

Its a busy Friday afternoon in the emergency department. Clinicians across emergency departments are witnessing the consequences. Between January 2023 and December 2024, 176 children aged 5 to 15 presented to the emergency department with e-scooter-related injuries. He wasnt wearing a helmet.

Emergency Department 67

Emergency Department ED OR 67

ACEP Now

APRIL 14, 2025

But only one has received ACEPs Emergency Department Accreditation Program (EDAP) stamp of approval. ACEPs Geriatric Emergency Department Accreditation Program (GEDA) promotes the best clinical practices for older adults. The nations emergency departments vary in staffing, capabilities and working conditions.

Emergency Department 52

Emergency Department Heart Attack ED OR 52

ACEP Now

MARCH 10, 2025

1,2 Approximately 2 percent of emergency department (ED) patients in the United States leave prior to evaluation or AMA. Some erroneously believe that merely documenting a patient leaving AMA, using an AMA form, is sufficient to meet legal and ethical standards. Emerg Med Clin North Am. 7,8 Click to enlarge.

Emergency Department 52

Emergency Department ALS OR ED 52

ACEP Now

APRIL 30, 2025

Research in JACEP Open , ACEPs peer-reviewed open access journal, features a map of the United States to show which emergency departments have round-the-clock coverage by a board-certified emergency physician. Nothing is shocking at first glance, said emergency physician and research co-author Deborah Fletcher, MD, FACEP.

ED 52

ED Emergency Department EMS OR 52

ACEP Now

JANUARY 5, 2025

1,2 This article reviews key statutes in the states with the strongest prohibitions against abortion and offers documentation principles for treating patients with ectopic pregnancies, spontaneous miscarriages, and other pregnancy-related emergencies. They do not, or should not, affect care in the emergency department.

OR 98

OR Emergency Department Critical Care 98

EMCrit Project

JUNE 16, 2025

Intubated patients in the ED should have soft, wrist restraints places without the need for arduous, high-risk documentation or sitters Intubation Checklist EMCrit 176 – Updated EMCrit Rapid Sequence Intubation Checklist Awareness during Paralysis EMCrit 331 – Awareness after Resus RSI and ICU Paralysis – It is Unacceptable!!!

Critical Care 110

Critical Care ICU ED Emergency Department 110

ACEP Now

APRIL 9, 2025

.” 1 A study by van Zwieten in 2004 found that 49 percent of deaths attributed to droperidol required dosages 50 mg, magnitudes greater than typical dosages used in the emergency department (ED). The incidence of QT prolongation and torsades des pointes in patients receiving droperidol in an urban emergency department.

Emergency Department 52

Emergency Department ALS ED OR 52

EMCrit Project

JUNE 23, 2025

In fifteen years of practice in trauma and emergency medicine (Mother of God, fifteen years) Ive seen patient dignity shredded down to near nothingness, to more or less an afterthought, to an empty signifier, a catchphrase for foundation advertising. Most medical documentation is polluted with it, for want of using the persons actual name.

Operating Room 86

Operating Room Critical Care Emergency Department OR 86

EMergucate

MAY 25, 2016

Information Systems (Computerised Vs Manual) Manual systems Pros Cheap Easy Convenient Cons Failed documentation – notes, timing, summaries, legibility Difficult … Continue reading →

Emergency Department 100

Emergency Department EMS 100

University of Maryland Department of Emergency Med

SEPTEMBER 22, 2023

Since the switch from fee for service to value based care in the US, there has been a marked push to improve our documentation to expand ou. Click to view the rest

Emergency Department 58

Emergency Department 58

The Skeptics' Guide to EM

MARCH 22, 2019

Date: March 20th, 2019 Guest Skeptic: Dr.Katie Walker is an emergency physician in Melbourne, Australia. Case: The emergency department is backing up. Your medical team is great, but you […] The post SGEM#250: Scribes – I Want to Break Free (from the EMR) first appeared on The Skeptics Guide to Emergency Medicine.

EMR 130

EMR Emergency Department Ambulance ED 130

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 130

Emergency Department ALS ED OR 130

The Skeptics' Guide to EM

OCTOBER 1, 2022

Disparities in the emergency department management of pediatric migraine by race, ethnicity, and language preference. Guest Skeptic: Dr. Lauren Westafer is an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. AEM September 2022. AEM September 2022.

Emergency Department 130

Emergency Department ALS ED OR 130

ALiEM

JANUARY 22, 2024

A 40-year-old male, tailor by occupation, was brought to the Emergency Department with complaints of high-grade fever for the past 11 days. Fever was documented to be 102°F and was not associated with any chills or rigors.

Emergency Department 161

Emergency Department OR 161

The Skeptics' Guide to EM

SEPTEMBER 14, 2024

Full dose challenge of moderate, severe and unknown beta-lactam allergies in the emergency department. Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Case: It’s another day, another dollar in the emergency department (ED). AEM August 2024.

ICU 140

ICU Emergency Department ALS ED 140

ACEP Now

JUNE 7, 2023

ED leaders worked to develop new physician documentation and coding guidelines that needed to be implemented at the beginning of 2023. The preliminary results of the 2022 Emergency Department Benchmarking Alliance performance measures survey found a significant deterioration in patient processing due to inpatient boarding.

Emergency Department 52

Emergency Department ED EMS Ambulance 52

ACEP Now

JULY 7, 2023

Last month’s article focused on ACEP’s efforts and resources to support EDs and patients with psychiatric emergencies. Emergency departments (EDs) focus on rapid initiation of medical treatment. Mental health evaluation teams can rely on documentation and interviews to understand a patient’s initial agitation level.

Emergency Department 52

Emergency Department ED ALS Naloxone 52

ACEP Now

NOVEMBER 14, 2023

The emergency department (ED) at UVA was rebuilt in 2019 and the department had not fully optimized its operations when COVID-19 hit. They also developed standard work documents for each role. The post Re-Engineering Flow in an Academic Emergency Department appeared first on ACEP Now.

Emergency Department 52

Emergency Department Operating Room ED OR 52

REBEL EM

MARCH 27, 2023

Over the past few years, there has been an increase in emergency department (ED) volumes and lengths of stay. The effect of emergency department crowding on lung-protective ventilation utilization for critically ill patients. Unfortunately, its not clear whether the documentation came from RTs or ED providers.

Emergency Department 52

Emergency Department ICU Critical Care EMR 52

Pulsara

APRIL 2, 2024

Welcoming a New Health System Carolina Pines Regional Medical Center is the first in South Carolina to implement Pulsara, greatly improving collaboration between EMS partners and the emergency department, ultimately leading to better patient care and outcomes! Read the full story here.

Emergency Department 105

Emergency Department EMS 105

EMDocs

AUGUST 22, 2024

12 How do we address these disparities in the emergency department? 13 Interventions may include: Ascertaining a patient’s preferred language early in the clinical encounter (during registration, for instance), and clearly documenting this preference in a place that is visible to all providers. 45:446-458. Taira B, et al.

Emergency Department 98

Emergency Department ALS E-9-1-1 ED 98

ACEP Now

MARCH 13, 2024

Emergency departments (EDs) provide the essential service of evaluating patients with unscheduled, acute, undifferentiated, and decompensated conditions. Consequences of this are well documented and include delayed treatment, exposure to error, increased length of stay, and increased mortality. Academic Emergency Medicine 22.2

Emergency Department 52

Emergency Department ED ALS ICU 52