PulmCCM

APRIL 1, 2024

That could (and should) change if improved functional outcomes, persisting for months after hospital discharge, are ever confirmed in large, well-conducted trials. ” But less than half of the included studies used ultrasound guidance during central line placements.

Ultrasounds 40

Ultrasounds Operations Outcomes Research 40

Pediatric EM Morsels

JULY 21, 2023

2001 Apr;68(4):311-4. Systematic review showed 85% of studies with substantial reliability with kappa statistic >0.6 Pediatr Neurol. 2006 May;34(5):379-87. doi: 10.1016/j.pediatrneurol.2005.10.012. 2005.10.012. PMID: 16647999. Chaturvedi P, Kishore M. Modified Glasgow Coma Scale to predict mortality in febrile unconscious children.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

RebelEM

AUGUST 14, 2023

This varies from the 2001 definition, which used SIRS criteria and was thought to overly focus on inflammation. This varies from the 2001 definition, which used SIRS criteria and was thought to overly focus on inflammation. 001) Hospital mortality: Placebo 22.8% 1,817 enrolled and randomized 911 randomized to the XBJ cohort.

Sepsis 98

Sepsis Outcomes Administration EMS 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 Hospitals Anaphylaxis Wellness 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

EB Medicine

DECEMBER 4, 2019

Well, with that, let’s get started on our final scheduled episode of EMplify ! Thanks as well to the peer editors, Dr. Knight, and Dr. Hill of the University of Cincinnati. Show More v Jeff: Well, this is a first! Jeff: Just as on the ground, shockable rhythms do well with good BLS care.

Dehydration 40

Dehydration EMS Wellness Burns 40

ACEP Now

APRIL 2, 2024

Under their recommendation, the patient was admitted to the hospital for observation on an intravenous dextrose infusion. Francis Hospital and Medical Center, as well as an assistant professor at University of Connecticut School of Medicine and Quinnipiac University School of Medicine. References Katibi OS, Olaosebikan R, et al.

Poisoning 40

Poisoning Administration Documentation/Coding Urgent Care 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

OCTOBER 9, 2023

After two studies published in NEJM 2001 and 2006 showed intensive glucose control (to 80-110 g/dL) improved outcomes in adult medical and surgical patients, and then in kids (all at a single center in Leuven, Belgium), tight glucose control quickly became standard care in the U.S. and many other countries. and many other countries.

Shock 52

Shock Outcomes Hospitals Wellness 52

Advanced Emergency Nursing from AENJ

JUNE 7, 2016

Greenland's two-curve theory); unloads the visceral weight that impedes the diaphragm, thus, increasing functional reserve capacity; and may well minimize silent aspiration of regurgitation. One hand may maintain this maneuver (so-so) but it's harder to initiate and may not maintain it as well under adverse conditions.

Resuscitation 40

Resuscitation Wellness Research Emergency Nursing 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: And the etiology of CHS is not well understood. Nachi: There is a well-studied theory here and it relates to the TRPV1 receptor that we talked about earlier.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

Pediatric Emergency Playbook

APRIL 1, 2017

16 found that of 142 patients evaluated at a single site university hospital, 61 had a foreign body. Look for a small tip diameter (to fit in the ear canal as well as the nose) and a strong “hold” (at least a 3-lb hold). Nonfatal Choking on Food Among Children 14 Years or Younger in the United States, 2001–2009. Broncoscopy!

Pediatrics 52

Pediatrics CPR Operations Resuscitation 52

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

Advanced Emergency Nursing from AENJ

APRIL 8, 2014

The idea of placing one's mouth on the mouth of an apparently dead victim, particularly where the mouth may be covered with foam, mucus or blood, as often the case in asphyxia victims, as well as the fear of possible transmittal of disease is revolting to the average person and is difficult to overcome." Bauer, Robert O.

Resuscitation 40

Resuscitation Ambulance Services Research Military 40

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. Peripheral obtained from IV line; central obtained from central venous line.

Emergency Department 98

Emergency Department Resuscitation COPD Shock 98

Dr. Smith's ECG Blog

APRIL 8, 2015

True Syncope: If, on the other hand, the patient is well, had no other serious symptoms , has a normal sinus rhythm, and normal physical exam , then you need to be certain the syncope was not due to a dangerous brady- or tachydysrhythmia that could recur. 111(3):177-84, 2001 Aug 15. Vasovagal syncope is generally benign.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

RebelEM

NOVEMBER 11, 2024

Learning to recognize a strong instrumental variable, as well as the inherent limitations, will likely become increasingly high yield. Cefepime vs Piperacillin-Tazobactam in Adults Hospitalized With Acute Infection: The ACORN Randomized Clinical Trial. 2001 Nov 8;345(19):1359-67. 2021 Oct 13;13(10):e18742. N Engl J Med.

Sepsis 113

Sepsis Outcomes Administration Shock 113

Taming the SRU

OCTOBER 28, 2024

Unported from wikimedia commons, File:2001 Heart Position in ThoraxN.jpg - Wikimedia Commons accessed 10/25/24 Epidemiology and etiology Pneumomediastinum is uncommon. Unique patient case from UCMC Hospital. unique patient case from ucmc hospital. left image: coronal view of structures within the mediastinum. PubMed] 13.

COPD 79

COPD Pediatrics Emergency Department Ultrasounds 79

EMDocs

JANUARY 20, 2025

1,2 For hypervolemia in heart failure patients, orthopnea >2 pillows is the most reliable clinical finding, 3,4 though an increase in peripheral edema and increased weight can be useful as well. 6-8 In patients who are on long-term hemodialysis, typical non-invasive signs of volume assessment seem to be unreliable as well.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

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.,

Psychiatric 89

Psychiatric Seizures Emergency Department Pediatrics 89

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]. However, there have been no studies statistically powered well enough regarding dog bite lacerations to confirm or dispute this claim. Considerations for antibiotics. Annals of Emergency Medicine. 2004;43(3):362-370.

Infectious Diseases 103

Infectious Diseases Emergency Department Administration Academics 103

EMDocs

NOVEMBER 2, 2024

The CSF studies return positive for CSF VDRL as well as for CSFfluorescent treponemal antibody-absorption test (FTA-ABS), with 75 WBCs/microL and a CSF protein of 60 mg/dL and elevated opening pressures. Neurology is consulted, treatment is started, and the patient is admitted to the hospital for further management.

EMS 115

EMS Infectious Diseases CDC Research 115