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Emergency Medicine Pitfalls

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1. Emergency Medicine Pitfalls

Emergency Medicine Pitfalls Emergency Medicine Pitfalls Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Emergency Medicine Pitfalls (...) Emergency Medicine Pitfalls Aka: Emergency Medicine Pitfalls , Emergency Medicine Pearls , Emergency Department BounceBacks , BounceBacks From Related Chapters II. History Avoid labeling patients Drug seeking patients can also have life-threatening illnesses Considered differential diagnosis should be complete regardless of a patient's frequency of emergency department visits Document findings that contribute to medical decision making Do not use a stereotype or label (e.g. drug seeker or frequent flyer

2018 FP Notebook

2. Real world data as a key element in precision medicine for lymphoid malignancies: potentials and pitfalls. (PubMed)

Real world data as a key element in precision medicine for lymphoid malignancies: potentials and pitfalls. Molecular genetic studies of lymphoma have led to refinements in disease classification in the most recent World Health Organization update. Nevertheless, a 'one-size-fits-most' treatment strategy based on morphology remains widely used for lymphoma despite significant molecular heterogeneity within histopathologically-defined subtypes. Precision medicine aims to improve patient outcomes (...) by leveraging disease- and patient-specific information to optimise treatment strategies, but implementation of precision medicine strategies is challenged by the biological diversity and rarity of lymphomas. In this review, we explore existing and emerging real-world data sources that can be used to facilitate the development of precision medicine strategies in lymphoma. We provide illustrative examples of the use of real-world analyses to refine treatment strategies, provide comparators for clinical

2019 British journal of haematology

3. Ultrasound Guidelines: Emergency, Point-of-care, and Clinical Ultrasound Guidelines in Medicine

Ultrasound Guidelines: Emergency, Point-of-care, and Clinical Ultrasound Guidelines in Medicine Copyright © 2016 American College of Emergency Physicians. All rights reserved. __________________________________________________________________________________________________________________ American College of Emergency Physicians ? PO Box 619911 ? Dallas, TX 75261-9911 ? 972-550-0911 ? 800-798-1822 POLICY STATEMENT Approved June 2016 Ultrasound Guidelines: Emergency, Point-of-care, and Clinical (...) Ultrasound Guidelines in Medicine Revised and approved by the ACEP Board of Directors with current title June 2016 Revised and approved by the ACEP Board of Directors October 2008 Originally approved by the ACEP Board of Directors with title “Emergency Ultrasound Guidelines” June 2001 Sections 1. Introduction 2. Scope of Practice 3. Training and Proficiency 4. Credentialing 5. Quality and US Management 6. Value and Reimbursement 7. Clinical US Leadership in Healthcare Systems 8. Future Issues 9

2016 American College of Emergency Physicians

4. Preparing Emerging Leaders for Alternative Futures in Health Systems Across Canada

in their own care and in health systems decision-making; and 6) emerging leaders increasingly embrace and integrate new technologies (including advances in artificial intelligence, virtual care, and precision medicine) into the health system, changing who the system interacts with (e.g., types of patients) and the modes of these interactions. While we at the Forum continued to work on this evidence brief, in parallel the Health Leadership Academy developed three alternative futures intended to challenge (...) Preparing Emerging Leaders for Alternative Futures in Health Systems Across Canada Evidence Brief Preparing Emerging Leaders for Alternative Futures in Health Systems Across Canada 7 March 2019 McMaster Health Forum 1 Evidence >> Insight >> Action Evidence Brief: Preparing Emerging Leaders for Alternative Futures in Health Systems Across Canada 7 March 2019 Preparing Emerging Leaders for Alternative Futures in Health Systems Across Canada 2 Evidence >> Insight >> Action McMaster Health Forum

2019 McMaster Health Forum

5. A HEART Pathway pitfall in an admitted patient: A case report. (PubMed)

A HEART Pathway pitfall in an admitted patient: A case report. This paper discusses a possible weakness of the HEART Pathway specific to patients identified as high risk, requiring admission for inpatient risk stratification. Emergency Department (ED) crowding is at an all-time high and the possibility that many of these patients will board in the ED for a period of time before they are transported to an inpatient ward is becoming more likely. Given troponins peak at 6 h after the initial (...) cardiac injury, it is plausible an initial troponin could still remain negative upon arrival. Extending the HEART Pathway to include a 3-hour delta troponin for admitted patients boarded in the emergency department may help alert the patient's inpatient team of those requiring more aggressive evaluations or more timely interventions. The case discussed herein highlights the course of a patient who was admitted to a medicine floor for chest pain along the HEART Pathway. After remaining in the ED

2018 American Journal of Emergency Medicine

6. Medical testing is fraught with pitfalls

Medical testing is fraught with pitfalls Medical testing is fraught with pitfalls Medical testing is fraught with pitfalls | | September 7, 2018 53 Shares I am frequently asked by patients to “run some tests to make sure nothing is wrong.” This makes a lot of sense on the surface but makes no sense as a physician. Why? Because testing without a context or a medical question is nonsensical. Let’s talk about why. How doctors think Studies show that doctors only let their patient speak (...) means no clear treatment plan. If you have a swollen, painful knee and it’s not clear why after I talk to and examine you, it’s time to do some testing. This may include an X-ray, blood work and sampling of the fluid in your knee to look for an infection or gout. Sometimes it is not possible to make the diagnosis confidently, especially within the confines of limited resources and time in the emergency department (ED). At this point, we can suggest measures to reduce symptoms and direction

2018 KevinMD blog

7. #POCUS IVC Pitfall Twitter Poll & Discussion. #FOAMed, #FOAMer, #FOAMcc

via email. This site uses Akismet to reduce spam. . on on JQ on on the best is yet to come. This WordPress.com site is the bee's knees where everything is up for debate . . . Brazilian Jiu Jitsu for Wrestlers Spheres of basic emergency medicine knowledge Critical discussions on critical care a blog for thinking docs: blending good evidence, physiology, common sense, and applying it at the bedside! Post to Send to Email Address Your Name Your Email Address Post was not sent - check your email (...) #POCUS IVC Pitfall Twitter Poll & Discussion. #FOAMed, #FOAMer, #FOAMcc #POCUS IVC Pitfall Twitter Poll & Discussion. #FOAMed, #FOAMer, #FOAMcc | thinking critical care Menu So I ran a couple of twitter polls sets the other day. Here is the first: (if you want the twitter videos see ) and part 2: And to sum it up: So I just wanted to illustrate something I keep bringing up, essentially that the entire IVC literature based on the AP diameter measurement is physiologically and mathematically

2018 Thinking critical care blog

8. Emergency Medicine Pitfalls

Emergency Medicine Pitfalls Emergency Medicine Pitfalls Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Emergency Medicine Pitfalls (...) Emergency Medicine Pitfalls Aka: Emergency Medicine Pitfalls , Emergency Medicine Pearls , Emergency Department BounceBacks , BounceBacks From Related Chapters II. History Avoid labeling patients Drug seeking patients can also have life-threatening illnesses Considered differential diagnosis should be complete regardless of a patient's frequency of emergency department visits Document findings that contribute to medical decision making Do not use a stereotype or label (e.g. drug seeker or frequent flyer

2015 FP Notebook

9. Joint Position Statement from the International Society of Prenatal Diagnosis (ISPD), the Society of Maternal Fetal Medicine (SMFM) and the Perinatal Quality Foundation (PQF) on the use of genome-wide sequencing for fetal diagnosis

Joint Position Statement from the International Society of Prenatal Diagnosis (ISPD), the Society of Maternal Fetal Medicine (SMFM) and the Perinatal Quality Foundation (PQF) on the use of genome-wide sequencing for fetal diagnosis This is an ISPD Position Statement that has not undergone peer review by this journal. Since Prenatal Diagnosis is the official society journal of the ISPD, it is being published as a courtesy to the ISPD. Please cite this article as doi: 10.1002/pd.5195 This article (...) is protected by copyright. All rights reserved. Joint Position Statement from the International Society of Prenatal Diagnosis (ISPD), the Society of Maternal Fetal Medicine (SMFM) and the Perinatal Quality Foundation (PQF) on the use of genome-wide sequencing for fetal diagnosis 1 Authors International Society of Prenatal Diagnosis, the Society of Maternal and Fetal Medicine and the Perinatal Quality Foundation. Contact details International Society of Prenatal Diagnosis info@ispdhome.org Consensus

2018 Society for Maternal-Fetal Medicine

10. Application of network methods for understanding mental disorders: pitfalls and promise. (PubMed)

Application of network methods for understanding mental disorders: pitfalls and promise. Galvanized with the availability of sophisticated statistical techniques and large datasets, network medicine has emerged as an active area of investigation. Following this trend, network methods have been utilized to understand the interplay between symptoms of mental disorders. This realistic approach that may provide an improved framework into understanding mental conditions and underlying mechanisms (...) is certainly to be welcomed. However, we have noticed that symptom network studies tend to lose sight of the fundamentals, overlook major limitations embedded in study designs, and make inferences that are difficult to justify with current findings. There is concern that disregarding these flaws may halt the progress of the network approach in psychiatry. Therefore, in this paper, we first attempt to identify the pitfalls: (1) a reductionist understanding of medicine and psychiatry, thereby inadvertently

2017 Psychological Medicine

11. Complex type 2 diabetes mellitus. Management challenges and pitfalls

Complex type 2 diabetes mellitus. Management challenges and pitfalls clinical (Figure 1). 2 Prospective studies show that 15–39% of patients are non-adherent to oral antidiabetic drugs. 3 Although patients self report a 94% adherence rate to sulphonylureas, the actual adherence rate found when electronic monitoring is used is around 75%. 3 Unreported side effects and a lack of belief in immediate or future benefits are significant predictors of suboptimal adherence. 1 Pharmacological therapy (...) , cardiovascular status, renal function and motivation. Keywords diabetes mellitus, type 2 Complex type 2 diabetes mellitus Management challenges and pitfalls Mark Kennedy Adam Roberts Reprinted from AUSTRALIAN FAMILy PHySICIAN VoL. 42, No. 4, APRIL 2013 207Complex type 2 diabetes mellitus – management challenges and pitfalls clinical practice nurses to reinforce messages about the importance of adherence • monitoring repeat prescriptions • recommending dosing aids • explaining the progressive nature of T2DM

2013 Clinical Practice Guidelines Portal

12. CRACKCAST E065 – Forensic Emergencies

Evidentiary material may also be collected And the Forensic exam is useful in many emergency department contexts: Gunshot / stab wounds Physical or sexual abuse Domestic violence MVC’s Rosen’s goes through three headings: Forensic aspects of: Gunshot wounds Much more prevalent elsewhere than in Canada, so we won’t cover this in great detail… Physical assault Motor vehicle trauma 1) What are some pearls and pitfalls for ER physicians when dealing with Forensic Emergency Medicine? Pitfalls: Physicians (...) by the University of Louisville, but with little exposure in Canada; more of it in the USA and elsewhere The British have the FFLM – with a certification after 2 years of study See: for more information! An excellent 90 page FREE e-book on the “evaluation of the sexually assaulted and abused patient” This is an excellent primer on the subject, highlighting why it is relevant for all emergency medicine providers! The forensic exam consists of: History, physical examination photographs and anatomic diagrams

2017 CandiEM

13. Guidelines on nuclear medicine imaging in neuroblastoma

Guidelines on nuclear medicine imaging in neuroblastoma Guidelines on nuclear medicine imaging in neuroblastoma | SpringerLink This service is more advanced with JavaScript available, learn more at Advertisement Hide Search SpringerLink October 2018 , Volume 45, , pp 2009–2024 | Guidelines on nuclear medicine imaging in neuroblastoma Authors Zvi Bar-Sever Lorenzo Biassoni Barry Shulkin Grace Kong Michael S. Hofman Egesta Lopci Irina Manea Jacek Koziorowski Rita Castellani Ariane Boubaker Bieke (...) Lambert Thomas Pfluger Helen Nadel Susan Sharp Francesco Giammarile Guidelines First Online: 25 June 2018 1.4k Downloads Abstract Nuclear medicine has a central role in the diagnosis, staging, response assessment and long-term follow-up of neuroblastoma, the most common solid extracranial tumour in children. These EANM guidelines include updated information on 123 I-mIBG, the most common study in nuclear medicine for the evaluation of neuroblastoma, and on PET/CT imaging with 18 F-FDG, 18 F-DOPA

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2018 European Association of Nuclear Medicine

14. Preparing emergency physicians for malpractice litigation: a joint emergency medicine residency-law school mock trial competition. (PubMed)

Preparing emergency physicians for malpractice litigation: a joint emergency medicine residency-law school mock trial competition. Fear of malpractice affects the daily life of many emergency physicians. Educational programs to prepare for litigation are lacking.An educational collaboration between an emergency medicine residency and a law school, whereby a medical malpractice mock trial competition is used to teach residents basic skills for testifying in legal proceedings.Ten residents (...) in an academic emergency medicine program volunteered as witnesses in a malpractice mock trial competition at a law school. Residents testified two or three times and, after each appearance, were provided feedback to prepare them for subsequent rounds of testimony. They were also given access to videotaped testimony. Judges rated each resident using a nine-question survey scored on a 10-point Likert scale. Scores were compared as a group between rounds of testimony.Participants demonstrated significant

2014 Journal of Emergency Medicine

15. Delivering a great presentation in medicine

and others. Posting to CanadiEM adds the additional benefit of the “ ” process 1 where the CanadiEM copyeditors and staff reviewers will provide you with feedback to make your blog post (and presentation) even better! For more information on submitting to CanadiEM . Good resources for Emergency Medicine content can be obtained via , , and . 2 and 3 can provide you with some great #FOAMed resources (e.g. blogs and podcasts) summarizing the latest controversies in the field. If you’re still stuck … talk (...) 21st, 2016. References 1. Sidalak D, Purdy E, Luckett-Gatopoulos S, Murray H, Thoma B, Chan T. Coached Peer Review: Developing the Next Generation of Authors. Acad Med . May 2016. [ ] 2. Raine T, Thoma B, Chan T, Lin M. FOAMSearch.net: A custom search engine for emergency medicine and critical care. Emerg Med Australas . 2015;27(4):363-365. [ ] 3. Trueger N, Thoma B, Hsu C, Sullivan D, Peters L, Lin M. The Altmetric Score: A New Measure for Article-Level Dissemination and Impact. Ann Emerg Med

2016 CandiEM

16. Common pitfalls during Rapid Sequence Intubation

the Author: Sarah Tomlinson is a third year pediatric emergency medicine fellow at University of Michigan (Go Blue!). Her interests include medical education, social media, and the application of technology to clinical medicine. Related Posts March 26th, 2019 | February 20th, 2019 February 19th, 2019 January 9th, 2019 November 27th, 2018 November 2nd, 2018 September 4th, 2018 August 10th, 2018 July 6th, 2018 January 16th, 2018 Archives Archives Links @PEMTweets on Twitter © 2012-19 PEMBlog | All Rights (...) Common pitfalls during Rapid Sequence Intubation Common pitfalls during Rapid Sequence Intubation – PEMBlog Search for: Search for: Common pitfalls during Rapid Sequence Intubation Anatomy and Physiology Children have large occiputs and require a shoulder roll to elevate the chest in order to align the airway. The large tongue, small mouth, anterior larynx and large, floppy epiglottis can make the mechanics of intubation difficult. And the trachea is very short which makes it easier to mainstem

2016 PEM Blog

17. Mistakes and Pitfalls Associated with Two-Point Compression Ultrasound for Deep Vein Thrombosis (PubMed)

Mistakes and Pitfalls Associated with Two-Point Compression Ultrasound for Deep Vein Thrombosis Two-point compression ultrasound is purportedly a simple and accurate means to diagnose proximal lower extremity deep vein thrombosis (DVT), but the pitfalls of this technique have not been fully elucidated. The objective of this study is to determine the accuracy of emergency medicine resident-performed two-point compression ultrasound, and to determine what technical errors are commonly made (...) by novice ultrasonographers using this technique.This was a prospective diagnostic test assessment of a convenience sample of adult emergency department (ED) patients suspected of having a lower extremity DVT. After brief training on the technique, residents performed two-point compression ultrasounds on enrolled patients. Subsequently a radiology department ultrasound was performed and used as the gold standard. Residents were instructed to save videos of their ultrasounds for technical

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2016 Western Journal of Emergency Medicine

18. Evidence and pitfalls in diagnosis and prognostication of acute coronary syndrome (PubMed)

Evidence and pitfalls in diagnosis and prognostication of acute coronary syndrome 27500152 2016 08 08 2019 01 11 2305-5839 4 13 2016 Jul Annals of translational medicine Ann Transl Med Evidence and pitfalls in diagnosis and prognostication of acute coronary syndrome. 250 10.21037/atm.2016.07.05 Lippi Giuseppe G Section of Clinical Biochemistry, University of Verona, Verona, Italy. (Email: giuseppe.lippi@univr.it ; ulippi@tin.it ). Cervellin Gianfranco G Emergency Department, University Hospital

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2016 Annals of Translational Medicine

19. POCUS in cardiac arrest: Great, but avoid Pitfalls! #FOAMed, #FOAMus

account. ( / ) You are commenting using your Twitter account. ( / ) You are commenting using your Facebook account. ( / ) Connecting to %s Notify me of new comments via email. Notify me of new posts via email. This site uses Akismet to reduce spam. . on on on John on on the best is yet to come. This WordPress.com site is the bee's knees where everything is up for debate . . . Brazilian Jiu Jitsu for Wrestlers Spheres of basic emergency medicine knowledge Critical discussions on critical care a blog (...) POCUS in cardiac arrest: Great, but avoid Pitfalls! #FOAMed, #FOAMus POCUS in cardiac arrest: Great, but avoid Pitfalls! #FOAMed, #FOAMus | thinking critical care Menu So just wanted to briefly review POCUS technique during arrest. What I like to do is to position my probe for a subxiphoid view while CPR is ongoing, and try to see what I can. It may look like this: The best is to record a loop and review it immediately, in order to be able to focus properly on each important area and let CPR

2016 Thinking critical care blog

20. Time-Driven Activity-Based Costing in Emergency Medicine. (PubMed)

Time-Driven Activity-Based Costing in Emergency Medicine. Value in emergency medicine is determined by both patient-important outcomes and the costs associated with achieving them. However, measuring true costs is challenging. Without an understanding of costs, emergency department (ED) leaders will be unable to determine which interventions might improve value for their patients. Although ongoing research may determine which outcomes are meaningful, an accurate costing system is also needed (...) . This article reviews current costing mechanisms in the ED and their pitfalls. It then describes how time-driven activity-based costing may be superior to these current costing systems. Time-driven activity-based costing, in addition to being a more accurate costing system, can be used for process improvements in the ED.Copyright © 2015 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

2015 Annals of Emergency Medicine

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