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Mashup Score: 141
The traditional management of acute coronary syndrome has relied on the identification of ST-segment elevation myocardial infarction (STEMI) as a proxy of acute coronary occlusion. This conflation of STEMI with acute coronary occlusion has historically overshadowed non–ST-segment elevation myocardial infarction (NSTEMI), despite evidence suggesting 25% to 34% of NSTEMI cases may also include acute coronary occlusion. Current limitations in the STEMI/NSTEMI binary framework underscore the need for a revised approach to chest pain and acute coronary syndrome management.
Source: www.annemergmed.comCategories: General Medicine NewsTweet
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Mashup Score: 2Reproducibility of increased blood pressure during an emergency department or urgent care visit - 2 month(s) ago
Study objective: We determine the reproducibility of increased blood pressure measurements among adults in the emergency department or minor injury clinic. Methods: The study was conducted at Kaiser Permanente Medical Center in Hayward, CA, a large, group-model health maintenance organization providing capitated insurance coverage. All patients were included in the study who had no current diagnosis of hypertension but had increased blood pressure on their presentation to the ED or minor injury clinic during the 2-month study period.
Source: www.annemergmed.comCategories: General Medicine News, NephrologyTweet-
https://t.co/8ML2Nzeo5b
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Mashup Score: 12Development and Implementation of a Multicenter Registry for Resuscitation-Focused Transesophageal Echocardiography - 8 month(s) ago
To evaluate the clinical effect, safety, and clinical outcomes of focused transesophageal echocardiography (TEE) in the evaluation of critically ill patients in the emergency department (ED) and ICUs.
Source: www.annemergmed.comCategories: General Medicine News, Critical CareTweet-
Great work @FTeranMD and @BenjaminAbella !!! https://t.co/weRSuPDfYr
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Mashup Score: 3The 2018 Surviving Sepsis Campaign’s Treatment Bundle: When Guidelines Outpace the Evidence Supporting Their Use - 11 month(s) ago
Those who cannot remember the past are condemned to repeat it.—George Santayana
Source: www.annemergmed.comCategories: General Medicine News, Critical CareTweet-
Here’s some less recent insights😉 ping @iceman_ex @EMNerd_ @PulmCrit @emcrit @heart_lung https://t.co/gAgOczdguu https://t.co/YIQK3Yb2cP
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Mashup Score: 18A Longitudinal Survey on Canadian Emergency Physician Burnout - 11 month(s) ago
Since Canada eased pandemic restrictions, emergency departments have experienced record levels of patient attendance, wait times, bed blocking, and crowding. The aim of this study was to report Canadian emergency physician burnout rates compared with the same physicians in 2020 and to describe how emergency medicine work has affected emergency physician well-being.
Source: www.annemergmed.comCategories: General Medicine News, Hem/OncsTweet-
Difficult and important paper to read. @kerstindewit & colleagues report staggering levels of burnout in 🇨🇦 EM docs. "Broken health care system, lack of societal support, systemic workplace challenges." Doctors are drowning, and leaving. https://t.co/syljKkb0hN
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Mashup Score: 1
Half of emergency department (ED) patients aged 65 years and older are discharged with new prescriptions. Potentially inappropriate prescriptions contribute to adverse drug events. Our objective was to develop an evidence- and consensus-based list of high-risk prescriptions to avoid among older ED patients.
Source: www.annemergmed.comCategories: General Medicine News, Hem/OncsTweet-
Geriatric Emergency Medication Safety Recommendations (GEMS-Rx): Modified Delphi Development of a High-Risk Prescription List for Older Emergency Department Patients - Annals of Emergency Medicine https://t.co/2Pt2cpUrA3
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Mashup Score: 401Early Physician Gestalt Versus Usual Screening Tools for the Prediction of Sepsis in Critically Ill Emergency Patients - 1 year(s) ago
Compare physician gestalt to existing screening tools for identifying sepsis in the initial minutes of presentation when time-sensitive treatments must be initiated.
Source: www.annemergmed.comCategories: General Medicine News, PediatricsTweet-
In this study of critically ill adults in ED, the physicians gut impression within 15 minutes performed better than any other existing tool in identifying sepsis So why do we feel forced to use screening tools which we know cause their own problems? https://t.co/qAUza0ccgZ
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Mashup Score: 172Managing Pulmonary Embolism - 1 year(s) ago
Pulmonary embolism (PE) is commonly encountered in the emergency department, with an estimated annual incidence of 39 to 115 per 100,000 individuals.1 Classic risk factors include major trauma, lower extremity surgery, prior venous thromboembolism, recent hospitalization, oral contraception, postpartum period, malignancy, and thrombophilias.2-4 However, numerous other risk factors exist.5,6
Source: www.annemergmed.comCategories: General Medicine News, CardiologistsTweet-
RT @ZHeart11768530: Managing Pulmonary Embolism: 2023 Expert Consensus Management https://t.co/FRbyaXCpHn #cardiology #CardioTwitter #Car…
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Mashup Score: 3Woman With Diplopia - 2 year(s) ago
A 37-year-old woman with a history of chronic alcohol use presented to the emergency department with a 1-day history of diplopia. Her vital signs were a blood pressure of 120/64 mmHg, pulse rate of 96 beats/min, and temperature of 36.8 °C. Physical examination was remarkable for bilateral lateral rectus muscle palsy with disconjugate gaze (Figures 1 and 2; Video 1). Laboratory results and computed tomography of the head were unremarkable.
Source: www.annemergmed.comCategories: General Medicine News, Critical CareTweet-
RT @ACEPNow: #FOAMed Case: Woman With Diplopia https://t.co/EFWxtbArZv •37 yo female with history of chronic alcohol use presents with a 1-…
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Mashup Score: 0A Qualitative Study of Racial, Ethnic, and Cultural Experiences of Minority Clinicians During Agitation Care in the Emergency Department - 2 year(s) ago
Racial and ethnic bias in health care has been documented at structural, organizational, and clinical levels, impacting emergency care, including agitation management in the emergency department (ED). Little is known about the experiences of racial and ethnic minority ED clinicians caring for racial and ethnic minority groups, especially during their agitated state. The objective of this study was to explore the lived experiences of racial and ethnic minority ED clinicians who have treated patients with agitation in the ED.
Source: www.annemergmed.comCategories: General Medicine News, CardiologistsTweet-
First author is our super star EM Doc, Dr. Isaac Agboola, from @northshoreweb ! A Qualitative Study of Racial, Ethnic, and Cultural Experiences of #MinorityClinicians During #Agitation Care in the #EmergencyDepartment - Annals of Emergency Medicine https://t.co/9sGK6WcsHc
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RT @KostekMilan: Let's not forget OMI. https://t.co/Vj33bSZfFD https://t.co/rehwG7W7tx