Sensible Medicine

MARCH 11, 2024

A couple of real-life examples A) The main outcome from the 2000 HOPE trial (ramipril versus placebo in higher cardiovascular risk patients) was the risk of heart attacks/strokes (CVD) over 5 years. if the risk of heart attacks/strokes in each group was the same, say, 10%, then the risk ratio, 10%/10% = 1. in favour of ramipril.

Outcomes 108

Outcomes Research Stroke COPD 108

EMDocs

MAY 15, 2024

National Acute Chest Syndrome Study Group [published correction appears in N Engl J Med 2000 Sep 14;343(11):824]. Infectious: bacterial or viral pneumonia ( M. pneumoniae, C. Based on light absorption from blood flow at the sensor site (using HbA, not HbS) Underestimates alveolar hypoxemia. Vichinsky EP, Neumayr LD, Earles AN, et al.

Blood Transfusions 78

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 78

ACEP Now

OCTOBER 3, 2023

This document is an update of guidelines first published in 2000, and then updated in 2007. This guideline revision is particularly timely as EMS systems have shown their abilities to dramatically improve survival and neurologic outcome after cardiac arrest, STEMI, acute stroke, and other time-sensitive conditions.

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98

EMDocs

MAY 28, 2024

National Acute Chest Syndrome Study Group [published correction appears in N Engl J Med 2000 Sep 14;343(11):824]. Infectious: bacterial or viral pneumonia ( M. pneumoniae, C. Based on light absorption from blood flow at the sensor site (using HbA, not HbS). Underestimates alveolar hypoxemia. Vichinsky EP, Neumayr LD, Earles AN, et al.

Blood Transfusions 75

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 75

ACEP Now

SEPTEMBER 13, 2023

In 2000, as he was completing his second term on ACEP’s Board, he was elected to the IOM – now National Academy of Medicine – in 2000. He then moved to Atlanta, to establish the Emory Center for Injury Control and later served as founding chair of Emory’s Department of Emergency Medicine.

EMS 45

EMS Research Academics Military 45

Sensible Medicine

FEBRUARY 28, 2024

JMM Although the skeptical cardiologist questions the value of many procedures and diagnostic tests in cardiology, he remains an enthusiastic advocate of the use of coronary artery calcium (CAC) testing to better personalize each individual's risk of heart attack and stroke.

Stroke 48

Stroke Documentation/Coding Outcomes Wellness 48

Pediatric Emergency Playbook

MAY 1, 2016

For altered adults, use AEIOU TIPS (Alcohol-Epilepsy-Insulin-Overdose-Uremia-Trauma-Infection-Psychosis-Stroke). Keep your mind open to the possibilities, and be ready to change it, when new information becomes available. Try this for altered children: remember that they need their VITAMINS! V – Vascular (e.g. Ann Intern Med 1984; 101:692.

Seizures 40

Seizures Sepsis Stroke Pediatrics 40

Stop and Think

APRIL 12, 2022

In fact, the control arm of this study ate only 2000 mg on average. The idea of putting a plug in the left atrial appendage is that preventing clots in that structure would help decrease stroke rates and allow patients to get off anticoagulant drugs. This doesn’t translate to patients with heart failure should eat tons of salt.

Stroke 40

Stroke Hospitals Research Outcomes 40

Critical Care Now

MAY 12, 2022

The Pre-brief When we think of lysing things in the emergency department (ED), we think of alteplase busting up a blood clot in either ischemic stroke or in patients experiencing a massive pulmonary embolism. 2000; 36(3): 228 – 32. Interests include trauma, toxicology, and infectious diseases. 2017; 156(1_suppl): S1 – S29.

Infectious Diseases 52

Infectious Diseases Stroke Administration Emergency Department 52

Taming the SRU

OCTOBER 7, 2024

It is estimated to affect every 1 in 500 to 2000 pregnancies. The contraindications are the same as for the non-pregnant patient including: prior ICH, known brain lesion/malignancy, ischemic stroke in the past three months, suspected aortic dissection, active bleeding, and closed head trauma in the past three months.

Ultrasounds 63

Ultrasounds CDC Research Stroke 63

EB Medicine

AUGUST 6, 2019

Nachi: Specifically, we’ll be focusing on the use of DOACs for the indications of stroke prevention in atrial fibrillation and the treatment and prevention of recurrent venous thromboembolisms. Jeff: Rivaroxaban, trade name Xarelto, the second FDA approved DOAC, is used for stroke prevention in those with nonvalvular afib and VTE treatment.

Emergency Department 40

Emergency Department Stroke Wellness Outcomes 40

Pediatric Emergency Playbook

NOVEMBER 1, 2015

That is not usually a problem, but for those with preexisting or inducible hyperkalemia, it can precipitate an arrest, as in renal failure, underlying neurologic or myopathic conditions like multiple sclerosis, muscular dystrophy, ALS, or those who had a stroke or a burn more than 72 hours prior. in Anethesia and Analgesia in 2000.

Shock 40

Shock Sepsis Airway Management Pediatrics 40

Taming the SRU

AUGUST 30, 2023

2000 Aug;30(1):17-24. Infective Endocarditis in Adults: Diagnosis, Antimicrobial Therapy, and Management of Complications: A Scientific Statement for Healthcare Professionals From the American Heart Association. Semin Arthritis Rheum. doi: 10.1053/sarh.2000.8366. PMID: 10966209.

Infectious Diseases 88

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 88

Pediatric Emergency Playbook

JANUARY 1, 2017

Facial grimacing is a weak indicator of pain in neonates ( Liebelt 2000 ). Use soothing sensory measures: speak softly, offer a pacifier, and stroke the skin softly. 2000 Aug;106(2 Pt 1):351-7. 2000; 1(4):260-269. Do not expect typical pain behaviors in neonates. References American Academy of Pediatrics. Pediatrics.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Pediatric Emergency Playbook

JUNE 1, 2017

The previously well child now decompensated: undiagnosed thrombophilia Asymptomatic patent foramen ovale (PFO) is the cause of some cases of cryptogenic vascular disease, such as stroke and MI. 2000; 35(6):618-622. However, the presence of PFO alone does not connote higher risk. Infectious Cunningham R et al. Ann Emerg Med.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Advanced Emergency Nursing from AENJ

FEBRUARY 27, 2015

Woodrow Wilson Wilson suffered several strokes, and was isolated in the White House by his second wife, Edith, who allowed only herself and his physician to see him. He survived only four months into his fourth term, dying of a massive hemorrhagic stroke in Warm Springs, Georgia, where he would vacation and do physical therapy.

Stroke 40

Stroke COPD Emergency Nursing Sepsis 40

EB Medicine

FEBRUARY 1, 2019

Nachi: And patients with neurologic deficits or severe sudden-onset headaches, should be transported immediately to the nearest available stroke center. Jeff: In terms of BP management, guidelines from the american stroke association recommend targeting a SBP of 160 with a titratable agent like nicardipine or clevidipine.

Emergency Department 40

Emergency Department Stroke Outcomes Ultrasounds 40

Dr. Smith's ECG Blog

APRIL 8, 2015

to 1.45) for fatal or nonfatal stroke. Of the 67 patients who underwent targeted tests, suspected diagnoses were confirmed in 49 (73%) patients: aortic stenosis (n = 8, 1%), pulmonary embolism (n = 8, 1%), seizures/stroke (n = 30, 5%), and other diseases (n = 3). 21(11):935-40, 2000 Jun. g/dL —Hypotension (obviously!)

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

EMDocs

NOVEMBER 4, 2024

80 It can be caused by traumatic nerve, spinal cord, or brain injury (including stroke) or can be a sequela of conditions like diabetes, HIV/AIDS, postherpetic neuropathies, multiple sclerosis, cancer, or chemotherapies. Prevalence and treatment of pain in EDs in the United States, 2000 to 2010. Am J Emerg Med. May 2014;32(5):421-31.

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Emergency Department Fractures Burns EMS 99

EMDocs

NOVEMBER 2, 2024

During the decade of the 1990s, trends showed a year-to-year decline that reached a nadir in the year 2000. cognitive and behavioral impairment) – 33% Ataxia – 28% Stroke – 23% Ophthalmic symptoms (e.g., Since then, rates of syphilis have been on the rise [2,5]. Symptoms: Personality change (i.e.,

EMS 92

EMS Infectious Diseases CDC Research 92