RebelEM

JANUARY 23, 2023

Health care professional involved in patient management and outcome assessment was completely blinded. Clark S, Bock SA, Gaeta TJ, Brenner BE, Cydulka RK, Camargo CA; Multicenter Airway Research Collaboration-8 Investigators. 2, 2001, pp. The effectiveness of IV cetirizine was determined to be statistically non-inferior.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

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

Pediatric EM Morsels

JULY 28, 2023

Kendra Jackson and Rebecca Raffler While we’ve gotten to snack on a Morsel on this subject before , new guidelines and research surrounding DKA and cerebral edema have come to light since the first go ‘round! The Pediatric Emergency Medicine Collaborative Research Commitee. 2001 Jan 25;344(4):264-9. Authors: Drs. PMID: 12461495.

Fluid Resuscitation 246

Fluid Resuscitation Pediatrics Resuscitation Research 246

RebelEM

MAY 29, 2023

Most of the research on the use of MB has been in patients with vasoplegia following cardiopulmonary bypass. MB decreases nitric oxide levels by inhibiting inducible nitric oxide synthase (iNOS) and soluble guanylate cyclase (sGC). Through these mechanisms it restores vasoregulation. NaCl over 6hrs once daily x3 doses Placebo: 500mL of 0.9%

Shock 145

Shock Fluid Resuscitation Sepsis Resuscitation 145

RebelEM

AUGUST 14, 2023

This varies from the 2001 definition, which used SIRS criteria and was thought to overly focus on inflammation. Secondary Outcome Results: ICU mortality: placebo 20.0% Investigators asked a patient-centered research question. The primary outcome was patient oriented. 906 randomized to the Placebo cohort. vs. XBJ 14.4%

Sepsis 98

Sepsis Outcomes Administration EMS 98

PulmCCM

APRIL 18, 2024

Video laryngoscopy was introduced in 2001 as a technique for orotracheal intubation. This outcome measure was less robust than intubation attempts, because the “failure” definition included simply switching devices, which the intubator was permitted to do at any time for any reason.

Airway Management 98

Airway Management Operations EMS Research 98

ACEP Now

JULY 7, 2023

Prior to medical school, she received her MBA in Healthcare Management and currently works on health policy and outcomes-based research. Isha Joshi (@ISHAJOSHIII) is a third-year medical student at Penn State College of Medicine in Hershey, Pa. Dr. Marco is professor of emergency medicine at Penn State Health Milton S. 2014;240:1-8.

Forensics 98

Forensics Airway Management Emergency Department Administration 98

ACEP Now

SEPTEMBER 3, 2024

These stakeholders are similarly shielded in court when adverse patient outcomes, such as negligent deaths, occur under their management or when the bought-out companies are challenged for anticompetitive business practices overseen by the PE firm. Center for Economic and Policy Research (CEPR). Finance research letters, forthcoming.

Hospitals 113

Hospitals Radiology Radiology Emergency Department 113

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

EB Medicine

OCTOBER 1, 2018

Optimal management of septic patients has been a source of intense research, stemming from the landmark study by Rivers in 2001. Then in 2001, sepsis-2 was introduced. Also, for research purposes we have to have a common definition, so Sepsis 3 came up with something called the SOFA score. Jeff : Yes it has!

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40

EB Medicine

AUGUST 1, 2018

Jeff: This DEA designation limits the ability to do research and obtain federal funding for such research. Synthetics were initially developed in the 1980s largely for research purposes. And the US DEA maintains cannabis as a Schedule I substance. Nachi: A free issue for our listeners, that’s nice!

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

EMDocs

FEBRUARY 12, 2024

Some studies have found that VBGs and ABGs do correlate well in trauma patients but are not clinically equivalent; these studies still call for obtaining routine ABGs in patients with major traumatic injuries until more research has been done comparing ABGs and VBGs in the setting of severe traumatic injury (17-19). 2001 Oct;27(10):1606-13.

Emergency Department 98

Emergency Department Resuscitation COPD Shock 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

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

Don't Forget the Bubbles

MARCH 3, 2025

Over half (53.3%) of the included studies had a moderate or high risk of bias, and due to the heterogeneity of study designs and outcomes, a meta-analysis could not be performed. However, the review was limited by a significant risk of bias due to missing outcome data and a lack of information on opioid co-administration.

Hospitals 88

Hospitals Emergency Department Research Forensics 88

EMDocs

NOVEMBER 25, 2024

However, recent progress in onchocerciasis research has led to an improved understanding of the immunopathology of O. Vision loss carries a high degree of morbidity and is associated with higher all-cause mortality, 4 and it is our role as emergency providers to recognize potentially reversible causes of such adverse outcomes.

Infectious Diseases 74

Infectious Diseases Emergency Department EMS Administration 74