The Journal of the American College of Emergency Physicians Open is the official, open-access journal of the American College of Emergency Physicians (ACEP).
Dallas, TX
Joined July 2019
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JACEP Open retweeted
#ACEP is right around the corner!
Will we see you there?
#EM #EmergencyMedicine #EMed #MedED #MedicalEducation
JACEP Open retweeted
Congratulations to Dr. Joel Berezow on his publication in JACEP Open! #pediatric #infant #emergency @JACEPOpen
Read it here: pmc.ncbi.nlm.nih.gov/articleโฆ
JACEP Open retweeted
๐ง New study published!
Colorado FAN Sara Mullins co-authored important @pedspandemic research on youth mental health, now featured in @JACEPOpen.
Read it here โก๏ธ sciencedirect.com/science/arโฆ
@EMSC_Colorado
JACEP Open retweeted
Mark F. Olaf, DO presenting the Spivey Abstract, โFrom Triage to Transformation: Medical Students Navigating Health Systems Science in the Emergency Medicine Clerkship.โ #PACEPSpivey25 #PACEP25 @JACEPOpen
JACEP Open retweeted
Jessica Eygnor, DO presenting the Spivey Abstract, โSex Specific Differences in ED Patient Mortality Predictors and Documentation of End-of-Life Goals of Treatment.โ #pacepspivey25 #pacep25
@JACEPOpen
JACEP Open retweeted
Patrick Saraullo presents the Spivey Abstract, โBeyond the Algorithm: Medical Students Exploring the Future of AI in Emergency Medicine.โ #PACEPSpivey25 #PACEP25
@JACEPOpen
JACEP Open retweeted
Marie OโBrien, DO, MHA presenting her Spivey Abstract, โDelivery Methods of an Entrustable Professional Activities-Driven Systems-Based Practice Curriculum. #PACEPSpivey25 #PACEP25
@JACEPOpen
JACEP Open retweeted
Ian M. Lake, DO presenting his Spivey Abstract, โDo Nursing Generated Lactate Orders in Sepsis Reduce Patient Mortality.โ #PACEPSpivey25 #PACEP25
@JACEPOpen
JACEP Open retweeted
Natalie Torres, DO presenting the Spivey Abstract โPaving Professional Development Tracks: Create a Road from Scholarship to Program Requirements.โ #PACEPSpivey25 #PACEP25
@JACEPOpen
JACEP Open retweeted
Keith Wilner, MD presenting the Spivey Abstract, โBeyond the Bedside: Exploring Social Determinants of Health Through the Eyes of EM Clerkship Students.โ #PACEPSpivey25 #PACEP25
@JACEPOpen
JACEP Open retweeted
Shawn Quinn presenting the Spivey Abstract, โStop Sucking Us Dry: Decreasing Unnesessary Blood Draws in the Intensive Care Unit.โ #PACEPSpivey25 #PACEP25
@JACEPOpen
JACEP Open retweeted
Kira Galeano, MD presenting the Spivey Abstract, โUse of Methylene Blue to Treat Hypertension in Poisoned Patients in the Toxicology Investigators Consortium (ToxIC) Core Registry: 2016-2023.โ #pacepspivey25 #PACEP25
@JACEPOpen
JACEP Open retweeted
Wondering how Dr. Robby got like that? A new paper from our Faculty Affiliate @JohnPurakal examines PTSD symptoms among Emergency Medicine physicians during the COVID-19 outbreak.
Full paper in @JACEPOpen: sciencedirect.com/science/arโฆ
JACEP Open retweeted
โผ๏ธโด๏ธ ๐ ๐ฎ๐ป๐ฒ๐ท๐ผ ๐๐ผ๐ป๐๐ฒ๐บ๐ฝ๐ผ๐ฟ๐ฎฬ๐ป๐ฒ๐ผ ๐ฑ๐ฒ ๐น๐ฎ ๐ฃ๐ฎ๐ป๐ฐ๐ฟ๐ฒ๐ฎ๐๐ถ๐๐ถ๐ ๐๐ด๐๐ฑ๐ฎ ๐ฒ๐ป ๐จ๐ฟ๐ด๐ฒ๐ป๐ฐ๐ถ๐ฎ๐๐จ๐ฅ
@JACEPOpen
๐๐ผ๐๐ผ๐๐ผ๐๐ผ๐๐ผ
๐๐๐๐
t.me/ClubCrit
1๏ธโฃ ๐๐ถ๐ฎ๐ด๐ป๐ผฬ๐๐๐ถ๐ฐ๐ผ ๐ฟ๐ฎฬ๐ฝ๐ถ๐ฑ๐ผ: ยฟ๐๐ผฬ๐บ๐ผ ๐ถ๐ฑ๐ฒ๐ป๐๐ถ๐ณ๐ถ๐ฐ๐ฎ๐ฟ๐น๐ฎ?
๐ ๐ฆ๐ฒ ๐ฑ๐ถ๐ฎ๐ด๐ป๐ผ๐๐๐ถ๐ฐ๐ฎ ๐ฐ๐ผ๐ป ๐ฎ๐น ๐บ๐ฒ๐ป๐ผ๐ ๐ฎ ๐ฑ๐ฒ ๐ฒ๐๐๐ผ๐ ๐ฏ ๐ฐ๐ฟ๐ถ๐๐ฒ๐ฟ๐ถ๐ผ๐ (๐๐๐น๐ฎ๐ป๐๐ฎ ๐ฎ๐ฌ๐ญ๐ฎ):
โ
๐๐ผ๐น๐ผ๐ฟ ๐ฎ๐ฏ๐ฑ๐ผ๐บ๐ถ๐ป๐ฎ๐น ๐๐ถฬ๐ฝ๐ถ๐ฐ๐ผ (epigรกstrico, irradiado a la espalda).
โ
๐๐ถ๐ฝ๐ฎ๐๐ฎ ๐ผ ๐ฎ๐บ๐ถ๐น๐ฎ๐๐ฎ >๐ฏ ๐๐ฒ๐ฐ๐ฒ๐ ๐ฒ๐น ๐น๐ถฬ๐บ๐ถ๐๐ฒ ๐ป๐ผ๐ฟ๐บ๐ฎ๐น.
โ
๐๐บ๐ฎฬ๐ด๐ฒ๐ป๐ฒ๐ ๐ฐ๐ผ๐บ๐ฝ๐ฎ๐๐ถ๐ฏ๐น๐ฒ๐ ๐ฒ๐ป ๐ง๐ ๐ผ ๐ฅ๐ .
โ ๏ธ ๐๐ฟ๐ฟ๐ผ๐ฟ๐ฒ๐ ๐ฐ๐ผ๐บ๐๐ป๐ฒ๐:
โ Pedir TC en todos los casos โ ๐ก๐ผ ๐ฒ๐ ๐ป๐ฒ๐ฐ๐ฒ๐๐ฎ๐ฟ๐ถ๐ฎ ๐ฒ๐ป ๐ฃ๐ ๐น๐ฒ๐๐ฒ.
โ Diagnรณstico solo con amilasa โ ๐๐ถ๐ฝ๐ฎ๐๐ฎ ๐ฒ๐ ๐บ๐ฎฬ๐ ๐ฒ๐๐ฝ๐ฒ๐ฐ๐ถฬ๐ณ๐ถ๐ฐ๐ฎ.
๐ข ๐ฆ๐ถ ๐น๐ฎ ๐ฐ๐น๐ถฬ๐ป๐ถ๐ฐ๐ฎ ๐ ๐น๐ฎ๐ฏ๐ผ๐ฟ๐ฎ๐๐ผ๐ฟ๐ถ๐ผ๐ ๐๐ผ๐ป ๐ฐ๐น๐ฎ๐ฟ๐ผ๐, ๐ก๐ข ๐ฒ๐ ๐ป๐ฒ๐ฐ๐ฒ๐๐ฎ๐ฟ๐ถ๐ผ ๐ต๐ฎ๐ฐ๐ฒ๐ฟ ๐ง๐ ๐ฑ๐ฒ ๐ถ๐ป๐บ๐ฒ๐ฑ๐ถ๐ฎ๐๐ผ.
2๏ธโฃ ยฟ๐๐๐ฎฬ๐น ๐ฒ๐ ๐น๐ฎ ๐ฐ๐ฎ๐๐๐ฎ? (๐๐๐ถ๐ผ๐น๐ผ๐ด๐ถฬ๐ฎ ๐ ๐ฒ๐๐๐๐ฑ๐ถ๐ผ๐ ๐ฐ๐น๐ฎ๐๐ฒ)
๐ ๐ฃ๐ฟ๐ถ๐ป๐ฐ๐ถ๐ฝ๐ฎ๐น๐ฒ๐ ๐ฒ๐๐ถ๐ผ๐น๐ผ๐ด๐ถฬ๐ฎ๐:
๐น ๐๐ถ๐๐ถ๐ฎ๐๐ถ๐ ๐ฏ๐ถ๐น๐ถ๐ฎ๐ฟ (๐ฐ๐ฌ%) โ Sospecha si ALT >150 UI/L.
๐น ๐๐น๐ฐ๐ผ๐ต๐ผ๐น (๐ฏ๐ฌ%) โ Historia de consumo crรณnico.
๐น ๐๐ถ๐ฝ๐ฒ๐ฟ๐๐ฟ๐ถ๐ด๐น๐ถ๐ฐ๐ฒ๐ฟ๐ถ๐ฑ๐ฒ๐บ๐ถ๐ฎ (๐ฑ%) โ Triglicรฉridos >1000 mg/dL.
๐น ๐ข๐๐ฟ๐ฎ๐: Medicamentos, post-CPRE, idiopรกtica.
3๏ธโฃ ๐๐๐๐ฟ๐ฎ๐๐ถ๐ณ๐ถ๐ฐ๐ฎ๐ฐ๐ถ๐ผฬ๐ป ๐ฑ๐ฒ ๐๐ฒ๐๐ฒ๐ฟ๐ถ๐ฑ๐ฎ๐ฑ ๐ ๐ฝ๐ฟ๐ผ๐ป๐ผฬ๐๐๐ถ๐ฐ๐ผ
๐ ๐๐น ๐ด๐ฌ% ๐ฑ๐ฒ ๐น๐ผ๐ ๐ฐ๐ฎ๐๐ผ๐ ๐๐ผ๐ป ๐น๐ฒ๐๐ฒ๐, ๐ฝ๐ฒ๐ฟ๐ผ ๐๐ป ๐ฎ๐ฌ% ๐ฝ๐๐ฒ๐ฑ๐ฒ ๐ฝ๐ฟ๐ผ๐ด๐ฟ๐ฒ๐๐ฎ๐ฟ ๐ฎ ๐ฝ๐ฎ๐ป๐ฐ๐ฟ๐ฒ๐ฎ๐๐ถ๐๐ถ๐ ๐ด๐ฟ๐ฎ๐๐ฒ.
๐ ๐๐น๐ฎ๐๐ถ๐ณ๐ถ๐ฐ๐ฎ๐ฐ๐ถ๐ผฬ๐ป ๐ฑ๐ฒ ๐๐๐น๐ฎ๐ป๐๐ฎ:
โ
๐๐ฒ๐๐ฒ: Sin falla orgรกnica โ Puede recibir alta precoz.
โ
๐ ๐ผ๐ฑ๐ฒ๐ฟ๐ฎ๐ฑ๐ฎ: Falla orgรกnica transitoria o complicaciones locales.
โ
๐ฆ๐ฒ๐๐ฒ๐ฟ๐ฎ: Falla orgรกnica persistente (>48h) โ Mortalidad hasta 30%.
๐ ๐๐๐ฐ๐ฎ๐น๐ฎ๐ ๐ฝ๐ฟ๐ผ๐ป๐ผฬ๐๐๐ถ๐ฐ๐ฎ๐ ๐ฬ๐๐ถ๐น๐ฒ๐:
๐๐๐ฐ๐ฎ๐น๐ฎ ๐ฃ๐๐ป๐๐ผ ๐ฑ๐ฒ ๐ฐ๐ผ๐ฟ๐๐ฒ
BISAPโฅ2 โ Mayor riesgo de complicaciones
BUN >25 mg/dL. โ Predictor simple de mortalidad
๐ข ๐ฝ๐๐๐ผ๐ ๐๐จ ๐ชฬ๐ฉ๐๐ก ๐๐ฃ ๐ช๐ง๐๐๐ฃ๐๐๐๐จ ๐ฅ๐๐ง๐ ๐๐๐๐๐๐๐ง ๐๐ฃ๐๐ง๐๐จ๐ค ๐ ๐๐พ๐.
4๏ธโฃ ๐ ๐ฎ๐ป๐ฒ๐ท๐ผ ๐ถ๐ป๐ถ๐ฐ๐ถ๐ฎ๐น: ๐๐น๐๐ถ๐ฑ๐ผ๐, ๐ฎ๐ป๐ฎ๐น๐ด๐ฒ๐๐ถ๐ฎ ๐ ๐ป๐๐๐ฟ๐ถ๐ฐ๐ถ๐ผฬ๐ป
๐ El ensayo ๐ช๐๐ง๐๐ฅ๐๐๐๐ (2022) demostrรณ que la hidrataciรณn moderada es superior a la agresiva.
โ
๐๐น๐๐ถ๐ฑ๐ผ๐๐ฒ๐ฟ๐ฎ๐ฝ๐ถ๐ฎ:
โ๏ธ ๐ ๐ผ๐ฑ๐ฒ๐ฟ๐ฎ๐ฑ๐ฎ โ 10 mL/kg bolo + 1.5 mL/kg/h.
โ๏ธ ๐๐๐ถ๐๐ฎ๐ฟ ๐๐ผ๐ฏ๐ฟ๐ฒ๐ต๐ถ๐ฑ๐ฟ๐ฎ๐๐ฎ๐ฐ๐ถ๐ผฬ๐ป para prevenir complicaciones.
โ
๐๐ป๐ฎ๐น๐ด๐ฒ๐๐ถ๐ฎ:
โ๏ธ ๐๐๐ก๐๐ (๐๐ฒ๐๐ผ๐ฟ๐ผ๐น๐ฎ๐ฐ, ๐๐ฒ๐
๐ธ๐ฒ๐๐ผ๐ฝ๐ฟ๐ผ๐ณ๐ฒ๐ป๐ผ) โ Primera lรญnea.
โ๏ธ ๐ข๐ฝ๐ถ๐ผ๐ถ๐ฑ๐ฒ๐ (๐ ๐ผ๐ฟ๐ณ๐ถ๐ป๐ฎ, ๐๐ฒ๐ป๐๐ฎ๐ป๐ถ๐น๐ผ) โ Dolor severo.
โ
๐ก๐๐๐ฟ๐ถ๐ฐ๐ถ๐ผฬ๐ป:
โ๏ธ ๐๐ถ๐ฒ๐๐ฎ ๐ผ๐ฟ๐ฎ๐น ๐๐ฒ๐บ๐ฝ๐ฟ๐ฎ๐ป๐ฎ (โค๐ฐ๐ด๐ต) mejora desenlaces.
โ๏ธ ๐๐๐ถ๐๐ฎ๐ฟ ๐ก๐ฃ๐ฉ๐ข ๐ถ๐ป๐ป๐ฒ๐ฐ๐ฒ๐๐ฎ๐ฟ๐ถ๐ผ si el paciente tolera alimentaciรณn.
5๏ธโฃ ยฟ๐๐๐ฎฬ๐ป๐ฑ๐ผ ๐ฑ๐ฎ๐ฟ ๐ฑ๐ฒ ๐ฎ๐น๐๐ฎ ๐ฎ ๐๐ป ๐ฝ๐ฎ๐ฐ๐ถ๐ฒ๐ป๐๐ฒ ๐ฐ๐ผ๐ป ๐ฝ๐ฎ๐ป๐ฐ๐ฟ๐ฒ๐ฎ๐๐ถ๐๐ถ๐?
๐ ๐๐ผ๐ ๐ฐ๐ฎ๐๐ผ๐ ๐น๐ฒ๐๐ฒ๐ ๐ฝ๐๐ฒ๐ฑ๐ฒ๐ป ๐บ๐ฎ๐ป๐ฒ๐ท๐ฎ๐ฟ๐๐ฒ ๐ฎ๐บ๐ฏ๐๐น๐ฎ๐๐ผ๐ฟ๐ถ๐ฎ๐บ๐ฒ๐ป๐๐ฒ.
โ
๐๐ฟ๐ถ๐๐ฒ๐ฟ๐ถ๐ผ๐ ๐ฑ๐ฒ ๐ฎ๐น๐๐ฎ:
โ๏ธ Dolor controlado con analgรฉsicos orales.
โ๏ธ Buena tolerancia oral con dieta baja en grasa.
โ๏ธ Sin evidencia de falla orgรกnica ni complicaciones.
โ๏ธ Etiologรญa identificada y plan de seguimiento establecido.
6๏ธโฃ ๐๐ผ๐ป๐ฐ๐น๐๐๐ถ๐ผฬ๐ป: ๐๐น๐ฎ๐๐ฒ๐ ๐ฝ๐ฎ๐ฟ๐ฎ ๐๐ป ๐บ๐ฎ๐ป๐ฒ๐ท๐ผ ๐ผฬ๐ฝ๐๐ถ๐บ๐ผ
๐ ๐๐ ๐ฅ๐๐ฃ๐๐ง๐๐๐ฉ๐๐ฉ๐๐จ ๐๐๐ช๐๐ ๐ง๐๐ฆ๐ช๐๐๐ง๐ ๐๐๐๐๐ฃ๐คฬ๐จ๐ฉ๐๐๐ค ๐ฎ ๐ข๐๐ฃ๐๐๐ค ๐ง๐ฬ๐ฅ๐๐๐ค ๐๐๐จ๐๐๐ค ๐๐ฃ ๐๐ซ๐๐๐๐ฃ๐๐๐.
โ
๐๐ก๐ช๐๐๐ค๐จ ๐ข๐ค๐๐๐ง๐๐๐ค๐จ, ๐๐ซ๐๐ฉ๐๐ฃ๐๐ค ๐จ๐ค๐๐ง๐๐๐๐๐ง๐๐ฉ๐๐๐๐คฬ๐ฃ.
โ
๐ผ๐ฃ๐๐ก๐๐๐จ๐๐ ๐๐๐๐๐ช๐๐๐ ๐๐ค๐ฃ ๐ผ๐๐๐๐จ ๐ช ๐ค๐ฅ๐๐ค๐๐๐๐จ.
โ
๐ฟ๐๐๐ฉ๐ ๐ค๐ง๐๐ก ๐ฉ๐๐ข๐ฅ๐ง๐๐ฃ๐ ๐จ๐ ๐๐ก ๐ฅ๐๐๐๐๐ฃ๐ฉ๐ ๐ก๐ ๐ฉ๐ค๐ก๐๐ง๐.
โ
๐๐จ๐ค ๐๐ ๐ฝ๐๐๐ผ๐ ๐ฅ๐๐ง๐ ๐๐จ๐ฉ๐ง๐๐ฉ๐๐๐๐๐๐ง ๐ง๐๐๐จ๐๐ค ๐ฎ ๐๐๐๐๐๐๐ง ๐๐ฃ๐๐ง๐๐จ๐ค ๐ค ๐๐ก๐ฉ๐.
๐ฌ ยฟ๐๐ฐฬ๐ฎ๐ฐ ๐ฎ๐ข๐ฏ๐ฆ๐ซ๐ข๐ด ๐ญ๐ข ๐ฑ๐ข๐ฏ๐ค๐ณ๐ฆ๐ข๐ต๐ช๐ต๐ช๐ด ๐ข๐จ๐ถ๐ฅ๐ข ๐ฆ๐ฏ ๐ต๐ถ ๐ฑ๐ณ๐ขฬ๐ค๐ต๐ช๐ค๐ข ๐ค๐ญ๐ชฬ๐ฏ๐ช๐ค๐ข๏ผ
๐Resumen ampliado en el blog #ClubCrit
๐ [buff.ly/rrzJJ1P]
#ICU #Pancreatitis #EmergencyMedicine #ER #MedicinaCrรญtica #FOAMed #icu #uci #intensivecare #criticalcare #MedTwitter #FOAMed #FOAMcc #MedED #MedX #MedEd #MedXCommunity #education #LecturaRecomendada #EducaciรณnMรฉdica #Medicina #medicaleducation #medicalstudent
#internalmedicine #medicalpractice #CuidadoCrรญtico #MedicinaInterna #MedicalEducation #ClinicalCases #DoctorsOfTwitter #MedicalStudents #Tratamiento #Diagnรณstico
JACEP Open retweeted
ACEP EMS Committee's latest recommendations for managing High-Risk Refusals
authors.elsevier.com/sd/artiโฆ
@winniemaggiore @embouncebacks @tlardaro @nerdymedic @NickCozziMDMBA @navinariya @JACEPOpen
JACEP Open retweeted
๐จThe ACEP EMS Committee's Policy Resource and Education Paper on Prehospital Blood:
JACEP Open retweeted
Our paper is out- limitations of course, but interesting stuff. @BradSpellberg @ABsteward
Methicillin-resistant Staphylococcus aureus and Vancomycin Prescribing in the Emergency Department- @JACEPOpen jacepopen.com/article/S2688-โฆ
JACEP Open retweeted
In @JACEPopen, co-author @craiggoolsbymd finds a small but growing body of literature exists describing #AI using prehospital features to make predictions that may support dispatchers, #EMS clinicians and #trauma teams in early traumatic injury care. rdcrss.org/4ixX9uM
JACEP Open retweeted
๐Our new pub on Emergency Department Left Without Being Seen is available in @JACEPOpen
onlinelibrary.wiley.com/doi/โฆ
๐ ED LWBS max exceeded baseline 15 out of 36 months
๐ Despite lower overall ED visits
๐ Despite more people triaged as higher acuity
@NashvegasEM
JACEP Open retweeted
๐Huge props to @emilyagerMD for having her article, Implementation of an EMS-based naloxone distribution program: A qualitative evaluation, published in @JACEPOpen!๐ฅณ
Link to article: onlinelibrary.wiley.com/doi/โฆ
