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

ECG Guru

JULY 30, 2024

After a further pause of just under 2000 ms, 2 sinus node beats follow, which merge into a sinus tachycardia or atrial tachycardia (heart rate approx. Initially, a sinus rhythm with a heart rate of approx. 70 bpm is seen. 120 bpm here).

EKG/ECG 52

EKG/ECG 52

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

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 111

Stroke Outcomes 111

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

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 110

Research 110

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 110

Infectious Diseases Hospitals Outcomes Research 110

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

PHEM Cast

SEPTEMBER 19, 2016

2000; 5: 302-311. References Baile WF, Buckman R, Lenzi R, Glober G, Beale EA, Kudelka AP. Spikes – a six-step protocol for delivering bad news: Application to the patient with cancer. The Oncologist. Hobgood C, Harward D, Newton K, Davis W. The educational intervention “GRIEV_ING” improves the death notification skills of residents.

Ambulance Services 52

Ambulance Services Resuscitation Academics 52

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

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 82

Dehydration Fluid Resuscitation Administration Resuscitation 82

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 88

Stroke Outcomes Hyperthermia / Hypothermia Shock 88

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

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

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

Don't Forget the Bubbles

JULY 24, 2023

2000 Jun 1;105. MRI of disc space infection in infants and children. Pediatric Radiology. 1990 Jan;20. Fernandez M, Carrol CL, Baker CJ. Discitis and Vertebral Osteomyelitis in Children: An 18-Year Review. PEDIATRICS. Hensey OJ, Coad N, Carty HM, Sills JM. Juvenile discitis. Archives of Disease in Childhood. 1983 Dec 1;58.

Radiology 98

Radiology Radiology Infectious Diseases Pediatrics 98

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

Broome Docs

APRIL 30, 2024

2000 Jul;39(7):515-8. PMID: 38497992 Preventing poison ivy? Why is there so much I never knew Stibich AS, Yagan M, Sharma V, Herndon B, Montgomery C. Cost-effective post-exposure prevention of poison ivy dermatitis. Int J Dermatol. doi: 10.1046/j.1365-4362.2000.00003.x. 1365-4362.2000.00003.x. Rauwerdink D, Balak D.

Poisoning 70

Poisoning Dislocations Operations Ultrasounds 70

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 133

EKG/ECG Resuscitation Academics EMS 133

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

Pediatric Emergency Playbook

OCTOBER 1, 2019

Otolaryngol Clin North Am 2000; 33:1309. Thyroglossal duct cyst: a comparison between children and adults. Am J Otolaryngol 2008; 29:83. Mandell DL. Head and neck anomalies related to the branchial apparatus. Marler JJ, Mulliken JB. Current management of hemangiomas and vascular malformations. Clin Plast Surg 2005; 32:99. Silverman, J.

Pediatrics 52

Pediatrics 52

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

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 Emergency Department Operations 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 117

EKG/ECG Research Wellness 117

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

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 89

Academics Outcomes Wellness 89

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 77

Research Academics Wellness 77

Don't Forget the Bubbles

DECEMBER 2, 2024

Cohort studies published between 2000 and November 2022, with 40 children, were included in the review. This systematic review identified and evaluated potentialmodifiable risk factors associated with developing otitis media with effusion (OME) in children under 12. Seven studies, with 2,760,292 children, were included in the analysis.

Documentation/Coding 98

Documentation/Coding Pediatrics Emergency Department Fractures 98

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

The Skeptics' Guide to EM

MARCH 16, 2024

Therefore, I created this talk using the Matrix as a more contemporary theme from the late 1990’s early 2000’s. I’ve come to recognize that many SGEMers are not very familiar with the best movie decade of all time, the 1980’s. The Matrix was a groundbreaking movie created by Lana and Lily Wachowski and released in 1999.

Wellness 57

Wellness 57

Mind The Bleep

JULY 23, 2023

Abnormal location of superior mesenteric vessels (Kimura K, 2000), abnormal location of duodenal-jejunal (DJ) flexure seen on upper GI contrast (should normally be sited to the left of the spine at the same level or higher than the pylorus) “Corckscrew” sign on contrast due to incomplete obstruction with some contrast passing through.

Sepsis 52

Sepsis Blood Transfusions Dehydration Wellness 52

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