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ER Techniques

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240 papers 500 to 1000 followers ER Techniques
By David Rhine MD FRCPC. Emergency medicine. Special interest in concussion management.
https://www.readbyqxmd.com/read/29929656/narcan-or-nar-can-t-tips-and-tricks-to-safely-reversing-opioid-toxicity
#1
Kai Li, Patil Armenian, Jessica Mason, Andrew Grock
No abstract text is available yet for this article.
July 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/29914924/intravenous-cefazolin-plus-oral-probenecid-versus-oral-cephalexin-for-the-treatment-of-skin-and-soft-tissue-infections-a-double-blind-non-inferiority-randomised-controlled-trial
#2
Dawn Dalen, Amy Fry, Samuel G Campbell, Jeffrey Eppler, Peter J Zed
OBJECTIVE: The purpose of our study was to determine if cephalexin 500 mg orally four times daily was non-inferior to cefazolin 2 g intravenously daily plus probenecid 1 g orally daily in the management of patients with uncomplicated mild-moderate skin and soft tissue infection (SSTI) presenting to the ED. METHODS: This was a prospective, multicentre, double dummy-blind, randomised controlled non-inferiority trial conducted at two tertiary care teaching hospitals in Canada...
June 18, 2018: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/29853343/physical-therapy-in-the-emergency-department-a-new-opportunity-for-collaborative-care
#3
REVIEW
Howard S Kim, Kyle J Strickland, Katie A Mullen, Michael T Lebec
Emergency department-initiated physical therapy (ED PT) is an emerging resource in the United States, with the number of ED PT programs in the United States growing rapidly over the last decade. In this collaborative model of care, physical therapists are consulted by the treating ED physician to assist in the evaluation and treatment of a number of movement and functional disorders, such as low back pain, peripheral vertigo, and various gait disturbances. Patients receiving ED PT benefit from the physical therapist's expertise in musculoskeletal and vestibular conditions and from the individualized attention provided in a typical bedside evaluation and treatment session, which includes education on expected symptom trajectory, recommendations for activity modulation, and facilitated outpatient follow-up...
May 24, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29796153/head-ct-guidelines-following-concussion-among-the-youngest-trauma-patients-can-we-limit-radiation-exposure-following-traumatic-brain-injury
#4
Bryan J Harvell, Stephen D Helmer, Jeanette G Ward, Elizabeth Ablah, Raymond Grundmeyer, James M Haan
Introduction: Recent studies have provided guidelines on the use of head computed tomography (CT) scans in pediatric trauma patients. The purpose of this study was to identify the prevalence of these guidelines among concussed pediatric patients. Methods: A retrospective review was conducted of patients four years or younger with a concussion from blunt trauma. Demographics, head injury characteristics, clinical indicators for head CT scan (severe mechanism, physical exam findings of basilar skull fracture, non-frontal scalp hematoma, Glasgow Coma Scale score, loss of consciousness, neurologic deficit, altered mental status, vomiting, headache, amnesia, irritability, behavioral changes, seizures, lethargy), CT results, and hospital course were collected...
May 2018: Kansas journal of medicine
https://www.readbyqxmd.com/read/29807929/fluid-therapy-in-the-emergency-department-an-expert-practice-review
#5
Tim Harris, Timothy J Coats, Mohammed H Elwan
Intravenous fluid therapy is one of the most common therapeutic interventions performed in the ED and is a long-established treatment. The potential benefits of fluid therapy were initially described by Dr W B O'Shaughnessy in 1831 and first administered to an elderly woman with cholera by Dr Thomas Latta in 1832, with a marked initial clinical response. However, it was not until the end of the 19th century that medicine had gained understanding of infection risk that practice became safer and that the practice gained acceptance...
May 28, 2018: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/29843841/ice-cream-rounds-the-adaptation-implementation-and-evaluation-of-a-peer-support-wellness-rounds-in-an-emergency-medicine-resident-training-program
#6
Samantha Calder-Sprackman, Thara Kumar, Caroline Gerin-Lajoie, Megan Kilvert, Kari Sampsel
Introduction/Innovation ConceptEmergency medicine (EM) requires physicians to deal with acutely ill patients in a fast-paced and dynamic environment, which creates a barrier to debriefing after critical events. These unique challenges can negatively impact wellness. We sought to adapt and implement a peer-support wellness program called 'Ice Cream Rounds' in an EM residency setting. METHODS: A needs assessment survey was conducted among EM residents at The University of Ottawa to gauge interest and obtain resident input regarding program design...
May 30, 2018: CJEM
https://www.readbyqxmd.com/read/29800944/association-of-preprocedural-fasting-with-outcomes-of-emergency-department-sedation-in-children
#7
Maala Bhatt, David W Johnson, Monica Taljaard, Jason Chan, Nick Barrowman, Ken J Farion, Samina Ali, Suzanne Beno, Andrew Dixon, C Michelle McTimoney, Alexander Sasha Dubrovsky, Mark G Roback
Importance: It is not clear whether adherence to preprocedural fasting guidelines prevent pulmonary aspiration and associated adverse outcomes during emergency department (ED) sedation of children. Objective: To examine the association between preprocedural fasting duration and the incidence of sedation-related adverse outcomes in a large sample of children. Design, Setting, and Participants: We conducted a planned secondary analysis of a multicenter prospective cohort study of children aged 0 to 18 years who received procedural sedation for a painful procedure in 6 Canadian pediatric EDs from July 2010 to February 2015...
May 7, 2018: JAMA Pediatrics
https://www.readbyqxmd.com/read/29801044/reevaluating-fasting-for-procedural-sedation
#8
Steven M Green, Baruch S Krauss, Keira P Mason
No abstract text is available yet for this article.
May 7, 2018: JAMA Pediatrics
https://www.readbyqxmd.com/read/29789372/atraumatic-pencil-point-versus-conventional-needles-for-lumbar-puncture-a-clinical-practice-guideline
#9
Bram Rochwerg, Saleh A Almenawer, Reed A C Siemieniuk, Per Olav Vandvik, Thomas Agoritsas, Lyubov Lytvyn, Waleed Alhazzani, Patrick Archambault, Frederick D'Aragon, Pauline Darbellay Farhoumand, Gordon Guyatt, Jon Henrik Laake, Claudia Beltrán-Arroyave, Victoria McCredie, Amy Price, Christian Chabot, Tracy Zervakis, Jetan Badhiwala, Maude St-Onge, Wojciech Szczeklik, Morten Hylander Møller, Francois Lamontagne
No abstract text is available yet for this article.
May 22, 2018: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/29774966/test-characteristics-of-point-of-care-ultrasound-for-the-diagnosis-of-retinal-detachment-in-the-emergency-department
#10
Daniel J Kim, Mario Francispragasam, Gavin Docherty, Byron Silver, Ross Prager, Donna Lee, David Maberley
Previous studies of point of care ultrasound (POCUS) have reported high sensitivities and specificities for retinal detachment (RD). Our primary objective was to assess the test characteristics of POCUS performed by a large heterogeneous group of emergency physicians (EPs) for the diagnosis of RD. METHODS: This was a prospective diagnostic test assessment of POCUS performed by EPs with varying ultrasound experience on a convenience sample of emergency department (ED) patients presenting with flashes or floaters in one or both eyes...
May 18, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29748230/senior-doctor-triage-sdt-a-qualitative-study-of-clinicians-views-on-senior-doctors-involvement-in-triage-and-early-assessment-of-emergency-patients
#11
Maysam Ali Abdulwahid, Janette Turner, Suzanne M Mason
INTRODUCTION: Despite the focus during the last decade on introducing interventions such as senior doctor initial assessment or senior doctor triage (SDT) to reduce emergency department (ED) crowding, there has been little attempt to identify the views of emergency healthcare professionals on such interventions. The aim of this study was to gain an understanding of SDT from the perspective of emergency hospital staff. A secondary aim of this study was to develop a definition of SDT based on the interview findings and the available literature on this process...
May 10, 2018: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/29729811/a-multicenter-program-to-implement-the-canadian-c-spine-rule-by-emergency-department-triage-nurses
#12
Ian G Stiell, Catherine M Clement, Maureen Lowe, Connor Sheehan, Jacqueline Miller, Sherry Armstrong, Brenda Bailey, Kerry Posselwhite, Jannick Langlais, Karin Ruddy, Susan Thorne, Alison Armstrong, Catherine Dain, Jeffrey J Perry, Christian Vaillancourt
STUDY OBJECTIVE: The Canadian C-Spine Rule has been widely applied by emergency physicians to safely reduce use of cervical spine imaging. Our objective is to evaluate the clinical effect and safety of real-time Canadian C-Spine Rule implementation by emergency department (ED) triage nurses to remove cervical spine immobilization. METHODS: We conducted this multicenter, 2-phase, prospective cohort program at 9 hospital EDs and included alert trauma patients presenting with neck pain or with cervical spine immobilization...
May 2, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/29729812/feeling-blocked-another-pain-management-tool-in-the-emergency-department
#13
Casey Wilson
No abstract text is available yet for this article.
May 2, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/29699733/acute-compartment-syndrome-do-guidelines-for-diagnosis-and-management-make-a-difference
#14
D Bodansky, A Doorgakant, J Alsousou, H J Iqbal, B Fischer, G Scicluna, M Bowers, B Narayan
BACKGROUND: The best outcomes following Acute Compartment Syndrome (ACS) are attributed to early diagnosis and treatment. National guidelines were issued in the United Kingdom in 2014 (BOAST 10) to standardise and improve management. We analysed standards of diagnosis and management before and after the introduction of the guidelines. METHODS: We retrospectively reviewed the data of all patients with ACS requiring fasciotomy between March 2010 and May 2015 across four Major Trauma Centres (MTCs) in the Northwest of England...
April 20, 2018: Injury
https://www.readbyqxmd.com/read/29685463/a-prospective-evaluation-of-the-influence-of-an-electronic-clinical-practice-guidelines-on-concussion-patients-future-activities-and-outcomes
#15
Brian H Rowe, Leeor Eliyahu, Justin Lowes, Lindsay A Gaudet, Jeremy Beach, Martin Mrazik, Garnet Cummings, Donald Voaklander
BACKGROUND: Patients with mild traumatic brain injury or concussion commonly present to the emergency department for assessment; providing patients with information on usual symptoms and their progression may encourage faster recovery. OBJECTIVES: This study aimed to document the role of an electronic clinical practice guideline (eCPG) patient handout on concussion recovery in adult patients discharged from the hospital. METHODS: A prospective cohort study was carried out in 3 Canadian urban emergency departments...
June 2018: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29678293/use-of-occipital-nerve-block-in-emergency-department-treatment-of-status-migrainosus-a-case-report
#16
Justin Yanuck, Ariana Nelson, Maxwell Jen
Migraine headaches make up a significant proportion of emergency department visits. There are multiple pharmacologic treatment modalities for migraine abortive therapy; however, these treatments are rarely targeted to the precise area of pain and thus elicit multiple systemic effects. It has been well established in the anesthesia pain literature that occipital nerve blocks can provide not only immediate pain relief from occipital migraines, but can also result in a long-term resolution of occipital migraines...
March 21, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29530654/safety-of-a-brief-emergency-department-observation-protocol-for-patients-with-presumed-fentanyl-overdose
#17
Frank X Scheuermeyer, Christopher DeWitt, Jim Christenson, Brian Grunau, Andrew Kestler, Eric Grafstein, Jane Buxton, David Barbic, Stefan Milanovic, Reza Torkjari, Indy Sahota, Grant Innes
STUDY OBJECTIVE: Fentanyl overdoses are increasing and few data guide emergency department (ED) management. We evaluate the safety of an ED protocol for patients with presumed fentanyl overdose. METHODS: At an urban ED, we used administrative data and explicit chart review to identify and describe consecutive patients with uncomplicated presumed fentanyl overdose (no concurrent acute medical issues) from September to December 2016. We linked regional ED and provincial vital statistics databases to ascertain admissions, revisits, and mortality...
March 9, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/29496666/optimising-sleep-for-night-shifts
#18
REVIEW
Helen McKenna, Matt Wilkes
No abstract text is available yet for this article.
March 1, 2018: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/29472039/safety-of-bolus-dose-phenylephrine-for-hypotensive-emergency-department-patients
#19
Kjirsten Swenson, Shannon Rankin, Leticia Daconti, Tomas Villarreal, Jens Langsjoen, Darren Braude
INTRODUCTION: Bolus-dose phenylephrine (BDPE) is routinely used to treat hypotension in the operating room. BDPE's fast onset of action and ability to be administered peripherally have prompted calls for its use in the Emergency Department (ED). There are few published data on the safety of BDPE use in the ED. Primary concerns include BDPE's potential to cause dangerous hypertension or reflex bradycardia. We hypothesize that BDPE is a safe short-term vasopressor choice for hypotensive ED patients...
February 19, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29452919/high-dose-insulin-for-beta-blocker-and-calcium-channel-blocker-poisoning-17years-of-experience-from-a-single-poison-center
#20
Jon B Cole, Ann M Arens, JoAn R Laes, Lauren R Klein, Stacey A Bangh, Travis D Olives
BACKGROUND/OBJECTIVES: High dose insulin (HDI) is a standard therapy for beta-blocker (BB) and calcium channel-blocker (CCB) poisoning, however human case experience is rare. Our poison center routinely recommends HDI for shock from BBs or CCBs started at 1U/kg/h and titrated to 10U/kg/h. The study objective was to describe clinical characteristics and adverse events associated with HDI. METHODS: This was a structured chart review of patients receiving HDI for BB or CCB poisoning with HDI defined as insulin infusion of ≥0...
February 6, 2018: American Journal of Emergency Medicine
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