This site uses cookies to improve your experience. To help us insure we adhere to various privacy regulations, please select your country/region of residence. If you do not select a country, we will assume you are from the United States. Select your Cookie Settings or view our Privacy Policy and Terms of Use.
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Used for the proper function of the website
Used for monitoring website traffic and interactions
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Strictly Necessary: Used for the proper function of the website
Performance/Analytics: Used for monitoring website traffic and interactions
He is the Vice Chair of the EmergencyDepartment and Program Director of the EM residency program at Nassau University Medical Center in East Meadow, NY, the safety net hospital for Nassau County. It has become a favourite medication in emergencydepartments for procedural sedation as well as a useful behavioural takedown medication.
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. Are general emergencydepartments ready to care for children?
Patient Perceptions of Microaggressions and Discrimination Towards Patients During EmergencyDepartment Care. AEM Dec 2023 Date: December 14, 2023 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. Reference: Punches et al. Reference: Punches et al.
The Childrens EmergencyDepartment is a busy, challenging, and dynamic environment. Here are eight key leadership lessons inspired by real-life interactions and reflections from Paediatric Emergency Care 1. They involve a mixture of clinical, communication, and leadership traits. Its the bridge that connects us all.
The emergencydepartment is a place of risk and errors. “Implementation of Electronic Triggers to Identify Diagnostic Errors in EmergencyDepartments” [link] Tweet Those who work in the ED are acutely aware of this, and it conjures up tremendous cognitive pressures on staff every shift.
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 emergencydepartment RSI (EDRSI).
My goal in this column is to share tips, tricks, and emerging concepts from the intensive care unit (ICU) that you can use on your next shift in the emergencydepartment (ED). Safety considerations and guideline-based safe use recommendations for “bolus-dose” vasopressors in the emergencydepartment. Ann Emerg Med.
On a busy day shift in the emergencydepartment, our seasoned triage nurse comes to me after I finish caring for a hallway patient, “Hey, can you come see this guy in the triage room? This is the essence of emergency medicine. The post Putting Clinical Gestalt to Work in the EmergencyDepartment appeared first on ACEP Now.
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 emergencydepartment RSI (EDRSI).
The hospitals patient volume has more than doubled in the past couple of years, and the emergencydepartment has expanded from seven beds to include two surge spots with four beds each. The emergencydepartment receives an estimated 13,000 annual visits, with approximately 5,500 of those visits being older adult patients.
The emergencydepartment (ED) is full with boarding and critical patients, and 25 patients are in the waiting room. What is the emergency physician’s role? “Let Let Me Tell You About My…” Provider self-disclosure in the emergencydepartment builds patient rapport. West J Emerg Med. 2017;18(1):43-49.
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. Reference: Verma et al.
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.
Discover the evidence behind the growing debate on cannabis edibles and their impact on emergency care. The post Cannabis edibles: A cause for concern in the emergencydepartment? This analysis explores key findings, clinical implications, and the need for regulatory measures. appeared first on St.Emlyn's.
Systematic Review, Quality Assessment, and Synthesis of Guidelines for EmergencyDepartment Care of Transgender and Gender-diverse People Recommendations for Immediate Action to Improve Care. Reference: Kruse et al. You learn they are ordering hormones online as they do not have any gender-affirming primary care.
I definitely talk to people about smoking, but aside from brief counseling and occasionally prescribing nicotine replacement for […] The post Smoking cessation in the emergencydepartment (The COSTED trial) appeared first on First10EM.
Emergency Severity Index Version 4 and Triage of Pediatric EmergencyDepartment Patients. Brandon Ho is a graduating pediatric emergency medicine fellow at Childrens National Hospital in Washington DC and soon to be attending physician at Seattle Children's. Reference: Sax DR, et al. How accurate is it for children?
Diagnosis of Acute Aortic Syndrome in the EmergencyDepartment (DAShED) study: an observational cohort study of people attending the emergencydepartment with symptoms consistent with acute aortic syndrome. first appeared on The Skeptics Guide to Emergency Medicine. EMJ Nov 2023. EMJ Nov 2023.
The concept of forcing emergency patients to remain nil by mouth on the […] The post Let them eat: Emergencydepartment patients should be encouraged to eat and drink appeared first on First10EM. Have you ever witnessed a confrontation between a nurse and a patient or family member over NPO status?
In this ECG Cases blog, Jesse McLaren and Rajiv Thavanathan explore how ECG and POCUS complement each other for patients presenting to the emergencydepartment with shortness of breath or chest pain. The post ECG Cases 49 – ECG and POCUS for Dyspnea and Chest Pain appeared first on Emergency Medicine Cases.
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.
Question and Methods: This is a systematic review and meta-analysis comparing the safety and efficacy of phenobarbital to benzodiazepines for the treatment of alcohol withdrawal in the emergencydepartment.
St.Emlyn's - Emergency Medicine #FOAMed Creating a learning culture in the emergencydepartment (ED) fosters psychological safety, open communication, and continuous improvement. Learn practical steps to build a strong learning culture in your ED, promoting growth and collaborative excellence in emergency medicine.
Sandi Angus is a Paediatric and Adult Emergency Medicine Registrar in the Shrewsbury and Telford Hospital NHS Trust. Case: A ten-year-old boy presents to your emergencydepartment (ED) after being involved in a motor vehicle collision at high speed. Emergency Medical Service (EMS) tells you that he was properly restrained.
But only one has received ACEPs EmergencyDepartment Accreditation Program (EDAP) stamp of approval. ACEPs Geriatric EmergencyDepartment Accreditation Program (GEDA) promotes the best clinical practices for older adults. The nations emergencydepartments vary in staffing, capabilities and working conditions.
Bupe Allergy Buprenorphine induction has been the mainstay of emergencydepartment treatment of opioid use disorder for more than a decade [11, 12]. Emergencydepartment-initiated buprenorphine for opioid dependence with continuation in primary care: outcomes during and after intervention. 2017 Jun;32:660-6. 2021.02.026.
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: (..)
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.
Comparison of Nebulized Ketamine to Intravenous Subdissociative Dose Ketamine for Treating Acute Painful Conditions in the EmergencyDepartment: A Prospective, Randomized, Double-Blind, Double-Dummy Controlled Trial. Case: You’re working your usual day shift in the emergencydepartment (ED) from 9 am to 5 pm on a Tuesday.
Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Date: October 20, 2023 Reference: Cai et al.
Case: A 6-week-old boy is brought by his parents to your emergencydepartment (ED) for fever. Demetris Athanasiou is a paediatric registrar based in London and enrolled in the PEM MSc program through Queen Mary University in London.
Eating disorders have the highest mortality rate of any psychiatric illness, yet they are frequently missed in the EmergencyDepartment as they can be elusive. Only one in 246 patients who screen positive for an eating disorder at triage have a chief complaint suggesting it.
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. doi: 10.1016/j.jemermed.2007.11.049.
A 10-year-old boy presents to the emergencydepartment (ED) after a high-speed motor vehicle collision. However, until now, there has been a gap in guidance for clinicians managing pediatric patients at risk for cervical spine injuries. Case Scenario: What would you do? He complains of neck pain and is reluctant to move his head.
The topic was the zombie idea that emergencydepartment crowding is due to non-urgent patients.You can click on this LINK and get a PDF copy of my slides. Date: April 1, 2025 This is another SGEM Xtra. I was asked to give a public lecture for the Gateway Centre of Excellence in Rural Health.
A 26-year-old male with a past medical history of eczema presented to the EmergencyDepartment with a rash for two days. The patient stated he first noticed a rash on his right arm that rapidly spread to his face, chest, and left arm. He reported having similar rashes before but never to this extent.
Note that conventional pressure bags may not be readily available in emergencydepartments and could blow the line you worked hard to secure. After manually pushing 100-200 cc of fluid through the line, turn the stopcock to shut off the syringe port. The fluids should flow more rapidly with gravity alone.
From adrenal crises to septic shock, severe community-acquired pneumonia, and even acute pharyngitis, steroids play a pivotal role in managing a variety of conditions encountered in the EmergencyDepartment (ED).
There should be a 2-hour limit before you can give Diltiazem, or rate control, in the EmergencyDepartment. He shares with listeners how he came to the decision to remove Diltiazem from his service. “ – Dr.
Guidelines for Reasonable and Appropriate Care in the EmergencyDepartment (GRACE-4): Alcohol use disorder and cannabinoid hyperemesis syndrome management in the emergencydepartment. Reference: Borgundvaag et al. When we combine SGEMHOP with an SGEM Xtra I hope we get some…AMAZING knowledge translation for GRACE4.
A 4-year-old female with no significant past medical history is brought to the EmergencyDepartment by her grandmother for concern for two days of progressive vaginal bleeding. It often presents to the emergencydepartment with complaints of vaginal bleeding, difficulty urinating, or dysuria.
With increasing forest fires, heat waves, floods, storms, vector-borne illnesses and heat waves, the emergencydepartment is uniquely positioned to declare sentinel events, advocate on behalf of vulnerable populations and lead by example.
We organize all of the trending information in your field so you don't have to. Join 5,000+ users and stay up to date on the latest articles your peers are reading.
You know about us, now we want to get to know you!
Let's personalize your content
Let's get even more personalized
We recognize your account from another site in our network, please click 'Send Email' below to continue with verifying your account and setting a password.
297 
Let's personalize your content