EMDocs

SEPTEMBER 25, 2023

Still, there are those that believe that FPS is more of a physician-centered endpoint that does not fully reflect important patient-centric outcomes (16). Chest 2000; 117(1): 260 – 7. 2000 Jan-Mar;4(1):14-8. We don’t want to go backwards! PMID: 23911630 Kim WY et al. PLoS One 2014; 9(11): e112779. PMID: 10631227 Mosier JM et al.

Emergency Department 92

Emergency Department Soft Tissue Injuries Airway Management Operations 92

RebelEM

JUNE 5, 2023

With the recent elimination of the DATA 2000 (the X-waiver) requirement, anyone with a DEA license can prescribe buprenorphine. Rezaie, MD (Twitter: @srrezaie ) The post REBEL Cast Ep117: Low Dose vs Standard Dose Take-Home Buprenorphine From the ED appeared first on REBEL EM - Emergency Medicine Blog. mg tablet) 1 Buprenorphine 0.5

Emergency Department 97

Emergency Department Hospitals Outcomes EMS 97

ACEP Now

AUGUST 1, 2023

Factoring such, an order to transfer the patient immediately by ground or air EMS is the only actual support per se these non-physicians receive. Quillen College of Medicine (2003) Response The workforce study shook the foundation of emergency medicine (EM). The workforce dilemma is a challenge we will face for years to come.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

Dr. Smith's ECG Blog

MARCH 9, 2013

He awoke from sleep with crushing central chest pain and called ems. EMS recorded a 12-lead, then gave 2 sublingual nitros with complete relief of pain. I have seen cases of Wellens' syndrome that were ignored because of either negative troponins or normal echo or both and the patient did not get an angiogram and had a bad outcome.

EKG/ECG 52

EKG/ECG EMS Outcomes 52

The Skeptics' Guide to EM

APRIL 24, 2021

On investigating you find a collection of nursing, EMS and hospital security personnel surrounding an obviously agitated patient with blood on his head who is attempting to punch them. Dr. Martel is a practicing emergency physician at Hennepin County medical center in Minneapolis, Minnesota since 2000.

Emergency Department 40

Emergency Department Research Outcomes Documentation/Coding 40

The Skeptics' Guide to EM

DECEMBER 2, 2017

SGEM#64 : Classic EM Papers (OPALS Study) * SGEM#136 : CPR – Man or Machine? The survival rate for IHCA has almost doubled from the year 2000 when it was only 13.7%. From a patient oriented outcome perspective, more than 80% of adults with IHCA who do survive end up having a favorable neurologic outcome at discharge.

Hospitals 40

Hospitals CPR Resuscitation Documentation/Coding 40

Taming the SRU

SEPTEMBER 8, 2023

NAC: Jiang SX, Hussaini T, Yoshida EM. Prognosis of acute severe autoimmune hepatitis (as-AIH): The role of corticosteroids in modifying outcome.” 2, 2000, pp. “Acute Liver Failure: Evidence-Based Evaluation and Management.” emDOCs.Net - Emergency Medicine Education, 26 Nov. Saudi J Gastroenterol. 2022 Mar-Apr;28(2):85-91.

Radiology 59

Radiology Radiology Ultrasounds EMS 59

RebelEM

MARCH 27, 2023

Ventilator-associated lung injury and inflammation can occur even during short-term mismanagement can worsen patient outcomes. This is a critical error that leads to poorer outcomes for patients in need of critical care. 2000 May 4; PMID: 10793162 Harvey CE, et al. REFERENCES: Acute Respiratory Distress Syndrome Network et al.

Emergency Department 52

Emergency Department Operations Academics Documentation/Coding 52

RebelEM

JANUARY 23, 2023

Health care professional involved in patient management and outcome assessment was completely blinded. Noninferiority trials, covered here on REBEL EM , are helpful when the experimental treatment offers a distinct advantage over the standard treatment. The effectiveness of IV cetirizine was determined to be statistically non-inferior.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

EB Medicine

AUGUST 6, 2019

In the end, they reported similar rates of recurrence and bleeding outcomes for acute treatment. Interestingly, one retrospective study found limited agreement between EMS records and hospital documentation on current DOAC usage. This strategy reduces hospital days and costs with otherwise similar outcomes - total win all around.

Emergency Department 40

Emergency Department Stroke Wellness Outcomes 40

EMDocs

OCTOBER 5, 2024

We’ll keep it short, while you keep that EM brain sharp. 12 Complications Inadequate empiric therapy can lead to treatment delays and worse outcomes. Imipenem confers highest risk of seizures ESBL-E are often hospital acquired infections and can prolong hospital stay or lead to worse outcomes. 2000; 6:460–3.

EMS 97

EMS Infectious Diseases Sepsis Hospitals 97

Don't Forget the Bubbles

DECEMBER 2, 2024

The majority of them focused on the care process (86.8%), while a smaller percentage focused on care outcomes (9.3%) and structural aspects (3.9%). Most QIs focus on the care process; however, there is a lack of QIs that assess clinical outcomes. Expert panel studies and observational studies proposed 129 QIs.

Documentation/Coding 98

Documentation/Coding Pediatrics Emergency Department Fractures 98

Dr. Smith's ECG Blog

APRIL 8, 2015

Cardiac Syncope ("True Syncope") Independent Predictors of Adverse Outcomes condensed from multiple studies 1. These premonitory symptoms were negative predictors of adverse outcomes in EGSYS. Abnormal ECG – looks for cardiac syncope. Hemoglobin less than 10 (SF rule) 6. Syncope with Exertion (EGSYS) 7. S yncope while supine (EGSYS) 8.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

EMDocs

JUNE 3, 2023

What is the EM physician’s role in the stabilization of unstable pelvic injuries? If a pelvic binder was placed by EMS, inquire whether this was placed empirically or if mechanical pelvic instability was already elicited. Her initial vital signs are blood pressure 76/54 mmHg, heart rate 128 bpm, temperature 37.0˚ J Clin Orthop Trauma.

Fractures 64

Fractures Resuscitation Operations EMS 64

EB Medicine

JANUARY 2, 2019

With opportunities to improve outcomes for both the fetus and the mother, I’m confident that this episode will be worth your time. Nachi: For patient who have a threatened miscarriage in the first trimester, there is a 2-fold increased risk of subsequent maternal and fetal adverse outcomes. Jeff: Oh it certainly is.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

EMDocs

NOVEMBER 4, 2024

Bhana, MD (EM Resident Physician, University of Massachusetts/UMass Chan Medical School); Clarence Kong, MD (Pain Fellow, Eastern Virginia Medical School – Virginia Health Sciences at Old Dominion University); Mani Hashemi, MD (EM Attending, HCA Florida Mercy Hospital); S.M. 2017.04.011 Witt CE, Bulger EM. Authors: Nikhil B.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

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 ). Read More REBEL EM: The HEAT Trial: Acetaminophen for Fever? appeared first on REBEL EM - Emergency Medicine Blog.

Sepsis 75

Sepsis Shock EMS Emergency Department 75

ACEP Now

FEBRUARY 11, 2025

Reimbursement for emergency physician services decreased by 29 percent between 2000 and 2020. This can lengthen ED wait times, delay critical interventions, and potentially worsen health outcomes, especially among vulnerable populations. Overview: what every EM resident needs to know about reimbursement in 2023.

Hospitals 80

Hospitals Emergency Department Wellness Outcomes 80

Broome Docs

DECEMBER 22, 2024

2000 Aug;31(2):513-8. Epub 2000 Sep 14. PARAMEDIC 3 randomized 6,000 (but they were supposed to get to 15,000) patients with out of hospital arrest from multiple EMS agencies in the UK to either an IO or IV to start. Their primary outcome was survival at 30 days, and there was no difference between the two groups (4.5%

Blood Transfusions 52

Blood Transfusions Hospitals Outcomes Emergency Department 52

EMDocs

MARCH 6, 2025

There has been some evidence to suggest that free radical scavengers, including Vitamins E, D, and B6 have beneficial outcomes on patients with early TD (within the first 3 years of symptom development). TD may be a permanent outcome if not recognized early and treated accordingly. 2 Adapted from: Bashir, H. H., & Jankovic, J.

Psychiatric 74

Psychiatric Emergency Department Administration Wellness 74