ACEP Now

JULY 7, 2023

Her last hospitalization was one month ago for a similar wound, at which time she received intravenous antibiotics and was subsequently discharged. Many of these infections require hospitalization with intravenous antibiotics and surgical debridement. 10 The wounds are purulent and often polymicrobial. Forensic Sci Int. 2014;240:1-8.

Forensics 98

Forensics Airway Management Emergency Department Administration 98

Mind The Bleep

OCTOBER 17, 2024

I am a GP at a large practice based in a town in southwest Scotland, and I also work as a doctor in the Emergency Department in our local district general hospital. BASICS responders have additional skills and can provide pre-hospital emergency care to patients delivering time-critical interventions to improve outcomes.

Ambulance Services 52

Ambulance Services Anaphylaxis Hospitals Wellness 52

EMDocs

SEPTEMBER 27, 2023

In years previous, the conversion factor has largely stayed the same resulting in physician pay falling 22% from 2001 to 2021 when adjusted for inflation (3). This would be similar to how all other Medicare providers (long-term care facilities, hospital payments, etc.) are already reimbursed (5). link] Bond, A.

Emergency Department 88

Emergency Department Research Outcomes Hospitals 88

The Skeptics' Guide to EM

JUNE 6, 2020

It was the landmark paper published 19 years ago by Dr. Emanuel Rivers on early goal directed therapy in the treatment of severe sepsis and septic shock that sensitized the medical community ( Rivers et al NEJM 2001). However, it has become evident that patients are often over-resuscitated with IV fluids which adversely impacts outcome.

Sepsis 52

Sepsis Shock Resuscitation Administration 52

RebelEM

JANUARY 19, 2023

However, management continues to be debated and may lead to unnecessary hospitalization. PMID: 32622394 Clinical Question: Can ambulatory management of patients with primary spontaneous pneumothorax reduce the length of hospitalization? Often patients are otherwise young and healthy. Paper: Hallifax RJ et al. 2020;396(10243):39-49.

Outcomes 52

Outcomes Hospitals Research EMS 52

RebelEM

AUGUST 7, 2023

The authors of the AID-ICU study aim to determine whether haloperidol leads to a significantly greater number of days alive and out of the hospital at 90 days than placebo in ICU patients with delirium. Paper: Andersen-Ranberg NC,et al; AID-ICU Trial Group. Haloperidol for the Treatment of Delirium in ICU Patients. N Engl J Med. 2022 Dec 29.

Outcomes 52

Outcomes Hospitals EMS Administration 52

PulmCCM

OCTOBER 9, 2023

Intensive blood glucose control in the ICU: Try, try again (TGC-FAST trial) Hyperglycemia is associated with worse outcomes in the ICU (and in medical patients generally), so correcting it must improve outcomes … right? ICU lengths of stay (the primary outcome) were identical between groups. and many other countries.

Shock 52

Shock Outcomes Hospitals Wellness 52

All Ohio EM

SEPTEMBER 16, 2019

By Mike Pallaci, DO Research Question: Does rapid lowering of blood pressure improve the outcome in patients with intracerebral hemorrhage? The primary outcome was determined for 2794 of these; 45 patients (1.6%) lost to follow-up. How Many Patients: The investigators enrolled 2839 patients.

Stroke 40

Stroke Outcomes Research Hospitals 40

Taming the SRU

OCTOBER 23, 2023

After a short period of recovery in the hospital, she is discharged home in stable condition with follow-up with OBGYN. Discrimination between an IUP and an interstitial pregnancy is critical as interstitial pregnancies can have devastating outcomes. 2001 Jan;20(1):27-31; quiz 33. PMID: 25817202. J Ultrasound Med. 2001.20.1.27.

Ultrasounds 98

Ultrasounds Operations Radiology Radiology 98

RebelEM

JANUARY 23, 2023

Health care professional involved in patient management and outcome assessment was completely blinded. 2, 2001, pp. 2, 2001, pp. The effectiveness of IV cetirizine was determined to be statistically non-inferior. Journal of Investigative Dermatology Symposium Proceedings , vol.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

PulmCCM

APRIL 1, 2024

Physical therapy is probably under-provided to critically ill patients, and improving this might improve outcomes for many. That could (and should) change if improved functional outcomes, persisting for months after hospital discharge, are ever confirmed in large, well-conducted trials.

Ultrasounds 40

Ultrasounds Operations Outcomes Research 40

EB Medicine

OCTOBER 1, 2018

For those listening, my hospital probably looks a little bit like yours. Roughly half of in-hospital mortality is associated with septic in some fashion. clearly this is an important topic if it warrants it’s own chair at a major hospital in NYC. Then in 2001, sepsis-2 was introduced. We like it that way. 3 Criteria.

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40

PulmCCM

FEBRUARY 17, 2025

hospitals each year. How do physicians and providers decide to stop CPR after in-hospital cardiac arrest—and how should they? This allows for flexibility in treating individual patients, but also results in wide variability in the observed duration of CPR after in-hospital cardiac arrests. who died) was 21 minutes.

CPR 112

CPR Hospitals Resuscitation Documentation/Coding 112

EB Medicine

DECEMBER 4, 2019

Nachi: AEDs are also required and have been since 2001 and amazingly when a shock was delivered in flight, 40% survived to hospital discharge with a good outcome. Nachi: The Good Samaritan law provides legal protection to medical providers who perform their services in response to medical emergencies outside of the hospital.

Dehydration 40

Dehydration EMS Wellness Burns 40

EB Medicine

AUGUST 1, 2018

Nachi: Sometimes… Jeff: This month’s issue was authored by Mollie Williams, who is the EM residency program director at the Brooklyn Hospital Center. Jeff: It’s also worth noting that cannabis is known to cause adverse outcomes on babies such as low birth weight and more frequent perinatal ICU placement.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

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. Clinical predictors of cardiac syncope at initial evaluation in patients referred urgently to general hospital: the EGSYS score.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

EMDocs

FEBRUARY 12, 2024

Authors: Rachel Kelly, MD ( EM Resident Physician, Stony Brook University Hospital); Robert Nocito, MD (EM Attending Physician, Stony Brook University Hospital) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. 2001 Oct;27(10):1606-13. N Engl J Med. 1989 May 18;320(20):1312-6. 10) Jubran A.

Emergency Department 98

Emergency Department Resuscitation COPD Shock 98

RebelEM

NOVEMBER 11, 2024

Outcomes: Primary outcome: All-cause mortality within 90 days of ED presentation Secondary outcomes: Organ-failure-free days at 28 days, that is how many days in the first 28 after arriving in the ED not requiring mechanical ventilation, vasopressors, or dialysis. Variations in compliance could have impacted patient outcomes.

Sepsis 113

Sepsis Outcomes Administration Shock 113

Taming the SRU

NOVEMBER 13, 2024

haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S.,

Psychiatric 89

Psychiatric Seizures Emergency Department Pediatrics 89

Don't Forget the Bubbles

MARCH 3, 2025

Royal Manchester Childrens Hospital (RMCH) is a tertiary and major trauma centre in the North-West of England. Most studies in this review used quasi-Poisson regression with a general additive model to analyse the association between air pollution and respiratory-related hospital visits. Approximate annual attendance is 50,000.

Hospitals 88

Hospitals Emergency Department Research Forensics 88

EMDocs

JANUARY 20, 2025

2001 12 found similar results among a cohort of critically ill patients. One of the hallmarks of sepsis care, based on the Rivers 2001 17 trial and still recommended by the latest SCCM guidelines is early detection of sepsis and initiation of early resuscitation. 9 In terms of assessing volume status in general, Joseph et al.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

Taming the SRU

JUNE 12, 2023

In 2008, this led to greater than 316,000 emergency department (ED) visits and about 9,500 hospitalizations [1]. Although not every person seeks health care for these injuries, the majority of those that do end up in the emergency department. Sterile versus nonsterile gloves for repair of uncomplicated lacerations in the emergency department.

Infectious Diseases 103

Infectious Diseases Emergency Department Administration Academics 103