Sensible Medicine

JANUARY 29, 2024

ISIS-4, with it’s nearly 60,000 patients and more than 2000 events in each treatment group, definitively shows that IV-Mg had no effect on mortality. The meta-analyses came out in 1991-1992. LIMIT-2 publishes in 1992. For a half-century, doctors felt that IV-Mg reduced death after MI. Even a trend toward increased death.

Stroke 130

Stroke Outcomes 130

Greater Sydney Area HEMS

AUGUST 8, 2024

Wed 18th Sept 2024, 1630-2000 In person at Bankstown Aerodrome or via Livestream – REGISTRATION ESSENTIAL FOR FACE-TO-FACE ATTENDANCE The NSW Institute of Trauma and Injury Management proudly presents the Pre-Hospital Trauma Evening in collaboration with the NSW Ambulance Service.

Ambulance Services 52

Ambulance Services Hospitals 52

RebelEM

DECEMBER 17, 2024

A large observational study of > 2000 patients found an association with fever at presentation and ICU survival for patients with severe sepsis or septic shock ( Sunden-Culberg 2017 ). This may suggest a protective mechanism for fever.

Sepsis 71

Sepsis Shock EMS Emergency Department 71

PEMBlog

MAY 27, 2024

What if a boy band from the year 2000 wrote a song about he management of status asthmaticus and then someone made a video and then posted that video to a Pediatric Emergency Medicine blog. You’d think that would be pretty silly right? Lyrics Difficulty breathing, asthma’s bad tonight albuterol and atrovent Dexamethasone All right!

Pediatrics 52

Pediatrics 52

Sensible Medicine

JUNE 5, 2023

In multiple centers, slightly more than 2000 patients were randomized to either early or later starting of the anticoagulant drugs. In other words—a composite of bad things that can occur from not treating (more clots) or treating (bleeding). A primary outcome occurred in 2.9% of the patients in the early arm vs 4.1%

Stroke 98

Stroke Hyperthermia / Hypothermia Outcomes Shock 98

Sensible Medicine

SEPTEMBER 25, 2023

It was covered by 194 news outlets and tweeted by nearly 2000 accounts, including some very high profile doctors. Media Attention: This paper received a high altmetric score of 2252. That places it in the top 5% of all research outputs scored by Altmetric. Comments: Mrs Onderdonk has long taught her students to choose a control arm with care.

Infectious Diseases 112

Infectious Diseases Hospitals Outcomes Research 112

Emergency Medicine Cases

FEBRUARY 21, 2017

While missing aortic dissection was considered "the standard" in the late 20th century, our understanding of the clinical diagnoses has improved considerably since the landmark International Registry of Aortic Dissection (IRAD) study in 2000.

EMS 52

EMS Wellness 52

Sensible Medicine

JANUARY 8, 2024

In this study, among 10,000 adults, nearly 2000 had completed hearing tests and had hearing loss. NHANES is one of the many registries that measure health parameters in adults and then follow them for years. Such registries create huge databases. Roughly 13% of these adults regularly used hearing aids.

Research 112

Research 112

ALiEM

SEPTEMBER 29, 2023

2000 Aug;216(2):356-62. Múnera F, Soto JA, Palacio D, Velez SM, Medina E. Diagnosis of arterial injuries caused by penetrating trauma to the neck: comparison of helical CT angiography and conventional angiography. doi: 10.1148/radiology.216.2.r00jl25356. r00jl25356. PMID: 10924553.

Radiology 70

Radiology Radiology Academics Ultrasounds 70

Sensible Medicine

MAY 30, 2023

Ioannidis's first paper , that was published in JAMA and co-authored by two Italian researchers, focused on mega-journals, i.e. open-access peer-reviewed journals publishing more than 2000 articles per year.

Research 100

Research Academics Wellness 100

RebelEM

FEBRUARY 21, 2024

Schwartz and colleagues performed an ingenious trial ( Schwartz 2000 ) Enrolled 64 ED patients with acute pain. Acad Emerg Med 2000; 7: 857-61. While this dogmatic claim is often made, the data doesn’t appear to support it. 2019; 36: 401-6. PMID: 31217178 Schwartz NA et al. PMID: 10958124 Motov S et al.

Administration 63

Administration Emergency Department EMS Research 63

Sensible Medicine

AUGUST 4, 2024

The authors obtained incidence data for 34 types of cancer and mortality data for 25 types of cancer for individuals aged 25–84 years for the period Jan 1, 2000, to Dec 31, 2019 from the North American Association of Central Cancer Registries and the US National Center for Health Statistics, respectively.

Academics 109

Academics Outcomes Wellness 109

Taming the SRU

DECEMBER 17, 2024

Preparation requires: One liter of safe water Half a small spoon of salt (3.5 This has been particularly validated in pediatric literature; however, this can be applicable to the adult patient population within the right circumstances i.e ability to protect airway and the lack of clinical findings suggesting a need for IV fluid resuscitation.

Dehydration 83

Dehydration Fluid Resuscitation Administration Resuscitation 83

Dr. Smith's ECG Blog

SEPTEMBER 27, 2023

Troponin T peaked at "only" just above 2000 ng/L. The hospital stay was complicated by aspiration pneumonia, recurring ventricular tachycardia and a mural thrombus. Echocardiography showed and anterior and apical WMA with estimated LVEF 40%. An ICD was placed. The patient ultimately did well. Is there OMI? Learning points from Smith: 1.

EKG/ECG 136

EKG/ECG Resuscitation Academics EMS 136

RebelEM

JUNE 26, 2024

Am J Emerg Med 2000; 18: 721-9. Definition: A serum potassium level > 5.5 patients can jump from peaked T waves to sine wave) Management Basics: ABCs, IV, O 2 , Cardiac Monitor and, 12-lead EKG Identify + treat underlying cause of hyperkalemia (i.e. rhabdomyolysis -> hydration) Remove inciting factors (i.e.

EKG/ECG 58

EKG/ECG Administration Burns EMS 58

PHEM Cast

FEBRUARY 7, 2022

2000; 25(5): 969-978. The value of technetium 99 scintigraphy in the prognosis of amputation in severe frostbite injuries of the extremities: A retrospective study of 92 severe frostbite injuries. The Journal of Hand Surgery. Cauchy et al. A Controlled Trial of a Prostacyclin and rt-PA in the Treatment of Severe Frostbite. 2011; 364: 189-190.

Hospitals 52

Hospitals 52

PEMBlog

MAY 15, 2023

2000): e58-e58. Life in the Fast Lane • LITFL , 20 Sept. 2022, litfl.com/brugada-syndrome-ecg-library/. Ritter, Saskia, et al. “What is the yield of screening echocardiography in pediatric syncope? ” Pediatrics 105.5 Sanatani, Shubhayan, et al. ” Canadian Journal of Cardiology 33.2 2017): 189-198.

Pediatrics 97

Pediatrics EKG/ECG Emergency Department Burns 97

Don't Forget the Bubbles

SEPTEMBER 13, 2023

2000; 55(5):616-623. Practice parameter: Evaluating a first nonfebrile seizure in children. Report of the Quality Standards Subcommittee of the American Academy of Neurology, the Child Neurology Society, and the American Epilepsy Society. Reaffirmed October 17, 2020 Jaffe M, Bar-Joseph G, Tirosh E. Pediatrics.

Seizures 131

Seizures Pediatrics Emergency Department Radiology 131

Emergency Medicine Journal

JUNE 20, 2024

1 In their EMJ paper, Bath et al report the results of a systematic review of comparator study types published since 2000 that investigated the impact of organised trauma systems on morbidity, quality of life and economic outcomes. 2 The study screened 8181 articles and found only 7 addressing this important issue.

Outcomes 40

Outcomes 40

PHEM Cast

DECEMBER 12, 2016

J Am Coll Surg; 2000. Emergency Department thoracotomy for the critically injured patient: Objectives, indications, and outcomes. World Journal of Emergency Surgery; 2006: 1:4. Rhee et al. Survival after Emergency Department thoracotomy: review of published data for last 25 years. 190(3): 288-298 ACS Committee on Trauma Working Group.

Military 52

Military Resuscitation Emergency Department Documentation/Coding 52

ALiEM

NOVEMBER 1, 2023

2000 Jun;59(6):1233-50. Medicine (Baltimore) 1999;78(6):361-9. PMID 10575418 Kaakkola S. Clinical pharmacology, therapeutic use and potential of COMT inhibitors in Parkinson’s disease. PMID: 10882160 The meaning behind the color of urine. The Meaning Behind the Color of Urine – Urology Care Foundation. American Urological Society.

Shock 64

Shock Poisoning Pediatrics 64

Sensible Medicine

JUNE 12, 2023

They have randomized 2000 patients to two strategies. We also believe that the complexity of managing patients with AF early on after [stroke] precludes simplified dichotomous decision-making and necessitates some leeway for individual decision-making. ELAN authors ask us to be mature rational decision makers. They want us to be doctors.

Stroke 98

Stroke Outcomes 98

Cook County EM Blog

JUNE 2, 2022

2000 Sep;25(5):817-23. Metacarpal fractures: treatment and complications. Hand (N Y). 2014;9(1):16-23. doi:10.1007/s11552-013-9562-1 Stern PJ. Management of fractures of the hand over the last 25 years. J Hand Surg Am. doi: 10.1053/jhsu.2000.4214. PMID: 11040296

Fractures 52

Fractures Soft Tissue Injuries Operations Emergency Department 52

PulmCCM

MAY 22, 2023

They were then randomized to receive (in an unblinded fashion) either liberal fluids along with vasopressors (advising at least 2000 mL crystalloid initially for most patients, with vasopressors as second-line) or a restrictive fluid strategy (favoring vasopressors, with rescue fluids allowed as needed), for the first 24 hours of resuscitation.

Fluid Resuscitation 86

Fluid Resuscitation Resuscitation Hospitals Sepsis 86

RebelEM

AUGUST 28, 2023

Schwartz and colleagues performed an ingenious trial ( Schwartz 2000 ) Enrolled 64 ED patients with acute pain. Acad Emerg Med 2000; 7: 857-61. While this dogmatic claim is often made, the data doesn’t appear to support it. 2019; 36: 401-6. PMID: 31217178 Schwartz NA et al. PMID: 10958124 Motov S et al.

Administration 52

Administration Emergency Department EMS Research 52

Dr. Smith's ECG Blog

SEPTEMBER 7, 2024

2000 Mar;139(3):430-6. A comparison of electrocardiographic changes during reperfusion of acute myocardial infarction by thrombolysis or percutaneous transluminal coronary angioplasty. Am Heart J. PubMed PMID: 10689257. Doevendans PA, Gorgels AP, van der Zee R, Partouns J, Bär FW, Wellens HJ.

EKG/ECG 119

EKG/ECG Research Wellness 119

EMDocs

JUNE 1, 2023

Bradycardia: 18.8% Average ventilator days (8.3 Take Aways: The data do not suggest that targeted hypothermia improves neurological function, reduces death, or reduces hospital length of stay as compared to normothermia.

Hyperthermia / Hypothermia 69

Hyperthermia / Hypothermia Outcomes Hospitals Emergency Department 69

Rural Doctors Net

JANUARY 21, 2014

There’s an old Oxylog 2000 plus transport ventilator. Facilities include small resus bay with point-of-care INR, proBNP and Chem 4/Chem 8 iStat, CXR (but you have to take the radiograph yourself), and the usual resus drugs, 2 lead ECG, telemetry, adrenaline as sole inotrope etc. Nearest CT scanner is 300 km away.

EKG/ECG 52

EKG/ECG Ultrasounds 52

Emergency Medicine Journal

JUNE 20, 2024

All comparator study types published since 2000 were included, both retrospective and prospective in nature, and no limits were placed on language. Data were reported as a narrative review.

Outcomes 40

Outcomes 40

The Injectable Orange

FEBRUARY 14, 2017

link] In the early 2000’s, Safer Healthcare Now and other initiatives were launched to improve the 10% error rate in hospitals worldwide. There are many pressures in healthcare, all of which have an impact on people who work on the front lines. Resilience Challenge, a new interactive videogame, aims to raise awareness about these pressures.

Patient Safety 52

Patient Safety Research Hospitals 52

Sensible Medicine

DECEMBER 15, 2023

” To keep this reflection under 2000 words, I leave out the stories of two other patients. Sometimes it takes time for symptoms to become specific enough to suggest a diagnosis.” ” “Can you refer me to a new primary care doctor?” I am also not sure I could have tolerated writing more.

Wellness 112

Wellness Documentation/Coding Outcomes 112

Mind The Bleep

APRIL 2, 2023

It is worth reaching out to them by phone (0333 444 2000) or email and we’re thankful for them supporting this website and our readers! We liked them as they have a UK and Australia-based office and were really organised and supportive. Don’t forget to mention Mind the Bleep when you contact them!

Hospitals 59

Hospitals Wellness 59

The Skeptics' Guide to EM

APRIL 17, 2021

The PRAM was published in 2000 ( Chalut et al ) and validated in 2008 ( Ducharme et al ). The PRAM consists of five clinical elements: O2 saturation, suprasternal retractions, scalene muscle contraction, air entry and wheezing.

Pediatrics 52

Pediatrics PPE Emergency Department Hospitals 52

Advanced Emergency Nursing from AENJ

OCTOBER 8, 2017

Journal of Emergency Nursing , 29 (5), 431-439. [ PDF ] Fadale, J. As we celebrate: reflections on Anita Dorr and early ENA days. Journal of Emergency Nursing , 26 (1), 31-34. [ PDF ] Jezierski, M. Anita Dorr: her legacy to ENA. Journal of Emergency Nursing , 22 (3), 258-260. [ PDF ] Kelleher, J.

Emergency Nursing 40

Emergency Nursing Emergency Department Hospitals Academics 40

EMDocs

MAY 15, 2024

National Acute Chest Syndrome Study Group [published correction appears in N Engl J Med 2000 Sep 14;343(11):824]. Vichinsky EP, Neumayr LD, Earles AN, et al. Causes and outcomes of the acute chest syndrome in sickle cell disease. N Engl J Med. 2000;342(25):1855-1865. PMID: 10861320 Spring J, Munshi L. 2022;161(5):1285-1296.

Blood Transfusions 90

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 90

ACEP Now

APRIL 2, 2024

Due to concerns regarding THS, the import of ackee fruit was outlawed in 1972, but since 2000 canned exports have been allowed by certain “green listed” manufacturers by the Federal Drug Administration. Ackee fruit poisoning: an outbreak investigation in Haiti 2000–2001, and review of the literature. Am J Trop Med Hyg. Clin Toxicol.

Poisoning 40

Poisoning Administration Documentation/Coding Urgent Care 40

Dr. Smith's ECG Blog

JANUARY 30, 2018

Originally published January 22, 2018 Here is a case from Circulation year 2000 that was misdiagnosed as due to pancreatitis. Asymptomatic ST-Segment–Elevation ECG in Patient With Kidney Failure. link] Circulation. 2018; 137: 402-404. Why is there also artifact in precordial leads?

EKG/ECG 52

EKG/ECG 52