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. This may suggest a protective mechanism for fever.

Sepsis 71

Sepsis Shock EMS Emergency Department 71

Sensible Medicine

MARCH 11, 2024

In the assessment of a clinical trial, we want to know if differences in baseline characteristics may have played a role in the observed outcome. The question to consider is…are the actual differences seen between the groups with regards to baseline characteristics large enough to have influenced the outcome?

Outcomes 115

Outcomes Research Stroke COPD 115

RebelEM

MAY 18, 2023

The secondary outcome of mortality was not statistically different however numerically favored the early use of norepinephrine. It is unclear if outcomes would have differed with different targets or allowing for lower blood pressure values Trial protocol was only for 24 hours after randomization. Liberal: 14.9% Liberal: 14.9%

Sepsis 99

Sepsis Shock Resuscitation Outcomes 99

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. Lastly, two studies evaluated health economic and cost-effectiveness outcomes. One demonstrated.

Outcomes 40

Outcomes 40

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

ACEP Now

OCTOBER 3, 2023

This document is an update of guidelines first published in 2000, and then updated in 2007. These guidelines present the best available evidence to support clinical decision making in the prehospital setting when TBI care may have the most significant impact on outcomes; they also establish a research agenda for future investigations.

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation Pediatrics 98

PHEM Cast

DECEMBER 12, 2016

Emergency Department thoracotomy for the critically injured patient: Objectives, indications, and outcomes. J Am Coll Surg; 2000. 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

Cook County EM Blog

JUNE 2, 2022

If there are no indications for surgery, the patient can be immobilized in a cast for four weeks with good outcomes. 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.

Fractures 52

Fractures Soft Tissue Injuries Operations Emergency Department 52

PulmCCM

MAY 22, 2023

Early mobilizers got significantly more exercise, but had no improvement in any clinical outcome (days alive outside the hospital, ventilator-free days, ICU-free days, or cognitive or psychological function). In an NHLBI-sponsored trial enrolling 1563 patients at 60 U.S.

Fluid Resuscitation 86

Fluid Resuscitation Resuscitation Hospitals Sepsis 86

Sensible Medicine

AUGUST 7, 2024

And while PP is mostly aesthetic, severe cases are usually prescribed physical therapy and sometimes orthosis (helmets), although Collett et al shows that the outcome is the same with or without physical therapy, and with or without orthotic treatment. There is some evidence that PP may increase the need for orthodontic treatment.

CDC 110

CDC Documentation/Coding Research Pediatrics 110

Sensible Medicine

DECEMBER 15, 2023

I wish I had made it sooner, but in the long run, I am sure the prognosis is good and that the ultimate outcome won’t be different.” ” To keep this reflection under 2000 words, I leave out the stories of two other patients. ” “Why did you ignore my symptoms?”

Wellness 112

Wellness Documentation/Coding Outcomes 112

EMDocs

MAY 15, 2024

Causes and outcomes of the acute chest syndrome in sickle cell disease. National Acute Chest Syndrome Study Group [published correction appears in N Engl J Med 2000 Sep 14;343(11):824]. Am J Emerg Med. 2022 Aug;58:235-244. Epub 2022 Jun 11. PMID: 35717760. Vichinsky EP, Neumayr LD, Earles AN, et al. N Engl J Med.

Blood Transfusions 90

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 90

RebelEM

JUNE 5, 2023

With the recent elimination of the DATA 2000 (the X-waiver) requirement, anyone with a DEA license can prescribe buprenorphine. In the United States, methadone is only administered via a government-monitored opioid treatment program whereas buprenorphine is more accessible to patients. mg tablet) 1 Buprenorphine 0.5

Emergency Department 88

Emergency Department Hospitals Outcomes EMS 88

The Skeptics' Guide to EM

APRIL 24, 2021

Dr. Martel is a practicing emergency physician at Hennepin County medical center in Minneapolis, Minnesota since 2000. This is an SGEMHOP episode, which means we have the lead author on the show. He has been a nocturnist for essentially his entire career.

Emergency Department 40

Emergency Department Research Outcomes Documentation/Coding 40

EMDocs

MAY 28, 2024

Causes and outcomes of the acute chest syndrome in sickle cell disease. National Acute Chest Syndrome Study Group [published correction appears in N Engl J Med 2000 Sep 14;343(11):824]. Am J Emerg Med. 2022 Aug;58:235-244. Epub 2022 Jun 11. PMID: 35717760. Vichinsky EP, Neumayr LD, Earles AN, et al. N Engl J Med.

Blood Transfusions 88

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 88

Dr. Smith's ECG Blog

MARCH 9, 2013

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. Am Heart J (2000) 139 : pp 430-436. Wellen's syndrome is a Reperfusion syndrome.

EKG/ECG 52

EKG/ECG EMS Outcomes 52

The Skeptics' Guide to EM

DECEMBER 2, 2017

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. The survival rate for adults to hospital discharge is 24.8%.

Hospitals 40

Hospitals CPR Resuscitation Documentation/Coding 40

Sensible Medicine

SEPTEMBER 25, 2023

This has the effect of balancing known and unknown factors, which could affect the primary outcome. The primary outcome of interest was excess burden of multiorgan abnormalities (two or more organs) relative to controls. It was covered by 194 news outlets and tweeted by nearly 2000 accounts, including some very high profile doctors.

Infectious Diseases 52

Infectious Diseases Hospitals Outcomes Research 52

Sensible Medicine

JULY 28, 2023

1 Now, I realize that 2000 words on how COVID affected me, personally and professionally, when I lost only a few patients and no friends or family will seem insensitive, aggravating, and downright infuriating to some. Professionally, I have other reasons to not want to look back.

Hospitals 98

Hospitals PPE Urgent Care Academics 98

The Skeptics' Guide to EM

JANUARY 7, 2018

Edlow 2000 , Vermeulen 2007 ] Unfortunately, one-fourth of aneurysmal SAH victims die within one-day and 50% of SAH survivors never return to work. Identifying SAH early reduces these adverse outcomes if subsequent neurosurgical interventions (coiling or clipping) occur emergently.

Emergency Department 40

Emergency Department Academics Outcomes 40

Don't Forget the Bubbles

NOVEMBER 15, 2023

One-liner… Understanding how to manage maintenance fluids in critically unwell children best is a basic but important way to improve outcomes. The REVERSE-AKI feasibility trial suggests that fluid restriction can improve outcomes without significant renal consequences. Pediatrics. 1957 May;19(5):823-32. PMID: 13431307 J. Nicholson, M.

Resuscitation 80

Resuscitation Dehydration Administration Shock 80

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. Definition, Classification, and Routine Diagnosis of Urticaria: A Consensus report11this Consensus Report Is the Result of a Panel Discussion during the International Clinically Oriented ESDR Symposium ‘Urticaria 2000’.” 2, 2001, pp.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

Stop and Think

APRIL 12, 2022

They found no differences in outcomes—including admissions to the hospital for fluid excess. In fact, the control arm of this study ate only 2000 mg on average. For grins, multiply $20,000 by 1 million and you will get a hint at why US healthcare spends more than any other country, but does not get the best outcomes.)

Stroke 40

Stroke Hospitals Research Outcomes 40

PEMBlog

SEPTEMBER 13, 2023

The causes are many – it could be a force of habit, a medical liability concern for “missing something,” a desire to please the caregivers, a previous seizure patient of theirs who had a bad outcome, or numerous other causes. 2000; 55(5):616-623.

Seizures 52

Seizures Pediatrics Point-of-Care Testing Wellness 52

PEMBlog

FEBRUARY 22, 2024

2000 Jun;34(6):434-7. And I mentioned it before and I’ll say it again, but intracranial bleeding is the worst possible outcome. @PEMTweets on… sigh “X” (Twitter) My Instagram My Mastodon account @bradsobo Listen [link] Subscribe References American Academy of Pediatrics, Committee on Fetus and Newborn.

Pediatrics 72

Pediatrics Anaphylaxis Administration Wellness 72

Dr. Smith's ECG Blog

JUNE 28, 2018

2000 Mar;139(3):430-6. More outcome Peak troponin I was 0.58 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 52

EKG/ECG Burns Research Outcomes 52

Dr. Smith's ECG Blog

AUGUST 3, 2017

These patients had worse outcomes than patients with ST depression without occlusion; half of these were circumflex. 2000 Apr 1;85(7):911-2, A10. There are several studies that indirectly reveal the proportion of STEMIs that are isolated to the posterior wall, and they range from 3% to 11%. (1, J Am Coll Card 1999;34(3):748-53.

EKG/ECG 52

EKG/ECG Outcomes Wellness 52

Dr. Smith's ECG Blog

OCTOBER 11, 2020

Could this outcome have been prevented with emergent cath? JAMA 2000) showed that 1/3 of patients with STEMI, and 1/3 of patients with NSTEMI, present without chest pain. Like other cases on this blog who died before cath was done, I cannot prove that this patient had OMI. I think there is a significant chance that it could have been.

EKG/ECG 52

EKG/ECG Hospitals Outcomes Wellness 52

Sensible Medicine

FEBRUARY 28, 2024

Since 2000 the landmark MESA study has been looking at the prevalence, correlates, and progression of these nontraditional risk markers of subclinical atherosclerosis in a multi-ethnic population without known ASCVD at baseline.

Stroke 44

Stroke Documentation/Coding Outcomes Wellness 44

Pediatric EM Morsels

JULY 21, 2023

Motor Fingernail bed pressure with a pencil first If flexion outcome, then apply painful stimulus to neck or head (trapezius or supraorbital notch) to look for localization Spinal reflex can result in a falsely elevated score if lower extremity pain induced Verbal Orientated- Able to answer all questions. A practical scale. PMID: 4136544.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

PulmCCM

FEBRUARY 17, 2025

But if longer CPR does lead to improved survival with acceptable neurologic outcomes, should a specific duration of CPR be recommended? Duration of CPR’s Relationship to Outcomes The relationship between the duration of CPR for in-hospital cardiac arrest and outcomes was best explored in an analysis ( Okubo et al.,

CPR 103

CPR Hospitals Resuscitation Documentation/Coding 103

ACEP Now

SEPTEMBER 3, 2024

Private equity investment in health care has increased more than 20-fold since 2000, with 70 percent of this activity since 2010. Evaluating trends in private equity ownership and impacts on health outcomes, costs and quality: systematic review. Borsa A, Bejarano G, Ellen M, et al. 2023;382:e075244. Kannan S, Bruch JD, Song Z.

Hospitals 113

Hospitals Radiology Radiology Administration 113

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

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. PMID: 23911630 Kim WY et al. PLoS One 2014; 9(11): e112779. PMID: 25402500 Forsythe SM et al. WJEM 2015; 16(7): 1109 – 17.

Emergency Department 76

Emergency Department Soft Tissue Injuries Airway Management Operations 76

EMDocs

JULY 13, 2024

doi: 10.1002/(SICI)1098-0997(2000)8:2<77::AID-IDOG3>3.0.CO;2-6. Favorable infertility outcomes following anti-tubercular treatment prescribed on the sole basis of a positive polymerase chain reaction test for endometrial tuberculosis. Incidence, treatment and outcome of peripartum sepsis. Infect Dis Obstet Gynecol.

OB/GYN 73

OB/GYN EMS Sepsis Fluid Resuscitation 73

Don't Forget the Bubbles

OCTOBER 7, 2024

Prolonged CPR should be considered as outcomes are generally good, even if asystole is the presenting rhythm. 2000 Aug;46(1–3). The high voltage can cause direct thermal injuries, as well as mechanical injuries from falls or secondary trauma. Advanced Paediatric Life Support [Internet]. Wiley; 2016. Resuscitation. Pittman O, Toner H.

Burns 80

Burns Fluid Resuscitation Shock Resuscitation 80