Don't Forget the Bubbles

FEBRUARY 19, 2024

The American Psychiatric Association (APA) and the World Health Organization (WHO) have highlighted the need for research into the potential dysregulated aspects of Internet-based gaming. This topic remains contentious, with each new piece of research providing headlines on both sides of the political divide. Pew Research Center.

Academics 59

Academics Leadership Research Teamwork 59

The Skeptics' Guide to EM

SEPTEMBER 14, 2019

It was a classic EM paper published in the Lancet back in 2001 by the Legend of Emergency Medicine, Dr. Ian Stiell. The CCHR is the most researched CDR in mTBI [3] and ha. We have covered the CCHR on the SGEM with the EM Swami and Dr. Emily Junck back on SGEM#106. We also discussed three studies that compared CCHR to the NOC.

Head Injuries 52

Head Injuries Emergency Department Seizures EMS 52

Mind The Bleep

JANUARY 9, 2024

Diabet Med 2001; 18: 178–184 2 Nathan DM, Genuth S, Lachin J, et al.; Diabetes Control and Complications Trial Research Group. Relationship between the severity of retinopathy and progression to photocoagulation in patients with Type 2 diabetes mellitus in the UKPDS (UKPDS 52).

Stroke 52

Stroke Research 52

Emergency Medicine Journal

NOVEMBER 28, 2023

More research is needed to quantify the clinical significance of fat embolism and FES after IO infusion in adult major trauma patients. Although their use is widely accepted, there is a paucity of evidence exploring the risks of fat embolisation in IO infusions. The existing data is of low quality with a high risk of bias. doi:10.1111/j.1553

Administration 40

Administration Research Outcomes 40

The Skeptics' Guide to EM

MARCH 12, 2022

Dr. Varner’s research interests are in concussion and pregnancy care in the ED. This classic paper was published in Lancet 2001 and reviewed on SGEM#106. She is an emergency physician at Mount Sinai Hospital and a Clinician Scientist and the Deputy Director of the Schwartz-Reisman Emergency Medicine Institute.

Emergency Department 40

Emergency Department Head Injuries Pediatrics Research 40

Taming the SRU

OCTOBER 23, 2023

Best Practice & Research Clinical Obstetrics & Gynaecology, Volume 23, Issue 4, 2009. 2001 Jan;20(1):27-31; quiz 33. Am J Emerg Med. 2021 Nov;49:226-232. doi: 10.1016/j.ajem.2021.05.071. 2021.05.071. Epub 2021 Jun 9. PMID: 34146921. 6 – Emma Kirk, Tom Bourne. Diagnosis of ectopic pregnancy with ultrasound. PMID: 25817202.

Ultrasounds 98

Ultrasounds Operations Radiology Radiology 98

Broome Docs

AUGUST 2, 2022

Be wary of low quality before and after research. 2001 Feb;8(2):103-6. N Engl J Med. 2022 Jun 23;386(25):2387-2398. doi: 10.1056/NEJMoa2200644. PMID: 35704292 Bottom line: Sepsis is not treated with vitamins. Is apixaban better than rivaroxaban? Dawwas GK, Leonard CE, Lewis JD, Cuker A. Acad Emerg Med. doi: 10.1111/j.1553-2712.2001.tb01272.x.

Sepsis 52

Sepsis Emergency Department Radiology Radiology 52

PulmCCM

APRIL 1, 2024

Any longer-term benefits remain unknown, due to a paucity of research. Ultrasound guidance during CVC placement has been a recommended practice since 2001 by the Agency for Healthcare Research and Quality, with multiple professional societies echoing that recommendation in the following decade. Is this safe?

Ultrasounds 40

Ultrasounds Operations Outcomes Research 40

RebelEM

JANUARY 19, 2023

Investigators asked a patient-oriented research question. 2001 Dec;18(6):565-8. Pharmaceutical industry sponsorship and research outcome and quality: systematic review. Strengths: Randomized controlled, multicenter study increases external validity. Randomization was done through a centralized, computer-generated algorithm.

Outcomes 52

Outcomes Hospitals Research EMS 52

PulmCCM

OCTOBER 16, 2023

per 1,000 central-line days between 2001 and 2009. As effective practices spread (and changes in reporting occurred), nationwide rates of CLABSI in the U.S. also decreased from 3.64 CLABSI rates then increased dramatically during the Covid-19 pandemic. PSNet Preventing PICC Complications: Whose Line Is It?

CDC 52

CDC Hospitals Ultrasounds Documentation/Coding 52

RebelEM

JANUARY 23, 2023

Clark S, Bock SA, Gaeta TJ, Brenner BE, Cydulka RK, Camargo CA; Multicenter Airway Research Collaboration-8 Investigators. 2, 2001, pp. Multicenter study of emergency department visits for insect sting allergies. J Allergy Clin Immunol. 2005 Sep;116(3):643-9. PMID: 16159637. J Allergy Clin Immunol. 2004 Feb;113(2):347-52.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

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

Pediatric EM Morsels

JULY 21, 2023

Borgialli DA, Mahajan P, Hoyle JD Jr, Powell EC, Nadel FM, Tunik MG, Foerster A, Dong L, Miskin M, Dayan PS, Holmes JF, Kuppermann N; Pediatric Emergency Care Applied Research Network (PECARN). 2001 Apr;68(4):311-4. Systematic review showed 85% of studies with substantial reliability with kappa statistic >0.6 PMID: 1933914.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

RebelEM

MAY 29, 2023

Most of the research on the use of MB has been in patients with vasoplegia following cardiopulmonary bypass. Our study supports further research regarding MB in larger randomized clinical trials.” Crit Care Med 2001. Through these mechanisms it restores vasoregulation. vs 0.5% (Range 0.4 vs 0.5% (Range 0.4 Crit Care 2023.

Shock 145

Shock Fluid Resuscitation Sepsis Resuscitation 145

PulmCCM

APRIL 18, 2024

Video laryngoscopy was introduced in 2001 as a technique for orotracheal intubation. We reviewed the DEVICE trial in 2023, which you can read about here: The Goalposts Are Moving An increasing share of intubations have been performed with video since 2001.

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. Hershey Medical Center.

Forensics 98

Forensics Airway Management Emergency Department Administration 98

RebelEM

AUGUST 14, 2023

This varies from the 2001 definition, which used SIRS criteria and was thought to overly focus on inflammation. Investigators asked a patient-centered research question. Discussion: Inside the Numbers: The number needed to treat (NNT) is a fundamental concept in clinical research. The primary outcome was patient oriented.

Sepsis 98

Sepsis Outcomes Administration EMS 98

ACEP Now

SEPTEMBER 3, 2024

Low Medicaid and Medicare reimbursement, which according to the American Medical Association have “declined greatly between 2001 and 2023 after adjusting for inflation in practice costs,” increase the financial strain on providers of health care including both hospitals and physicians. Center for Economic and Policy Research (CEPR).

Hospitals 113

Hospitals Radiology Radiology Emergency Department 113

Advanced Emergency Nursing from AENJ

SEPTEMBER 13, 2016

It is a 11:39 minute film, by Walter Reid Army Institute of Research Production of experimental research done by Peter Safar, MD, and associates, at Baltimore City Hospital's Department of Anesthesiology. Research: an integral function of anesthesiology department. 1 (2001): 17-22. " Peter J. Baskett, P.

Resuscitation 40

Resuscitation CPR Emergency Nursing Basic Life Support 40

ACEP Now

OCTOBER 10, 2023

Research into urine fluorescence to help EG diagnosis has been both supportive and dismissive. Dr. Hack is chief of the division of medical toxicology and vice chair for research at East Carolina University in Greenville, North Carolina. Whitehouse Station (NJ):Merck & Co;2001:736. Winter, et al., Ann Emerg Med. Merck Index.

Poisoning 52

Poisoning Pediatrics Research Wellness 52

ACEP Now

APRIL 2, 2024

While the mechanism of hypoglycin A is not thoroughly understood, research demonstrates that its metabolism leads to the production of methylene cyclopropyl acetic acid (MCPA-CoA), which inhibits long-chain fatty acid beta-oxidation and ultimately causes depletion of glycogen stores. Am J Trop Med Hyg. 2015;93(5):1122–3. Clin Toxicol.

Poisoning 40

Poisoning Administration Documentation/Coding Urgent Care 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

Advanced Emergency Nursing from AENJ

APRIL 8, 2014

From the early 1950s to the early 1960s, validation by researchers such as James O. Pask) into drowning and funded early Cold War research into protection from Nerve Gas, that sprouted the saving of thousands of lives. James O. Dartmouth , Nova Scotia **Interesting report on life jackets and Pask's research.

Resuscitation 40

Resuscitation Ambulance Services Research Military 40

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? 2007;38:2001-2023. Guidelines for the Management of Spontaneous Intracerebral Hemorrhage in adults, 2007 Update. Hemphill JC, Greenberg SM, Anderson CS, et al.

Stroke 40

Stroke Outcomes Research 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

Advanced Emergency Nursing from AENJ

JUNE 7, 2016

Safar's research found "​Flexion of the neck caused complete obstruction in all 80 patients previously studied." Currently, research on hyper oxia indicates that it is not as innocent and helpful as once thought; moderations in treatment recommendations are evolving. Take active measures (bronchodilators, etc.)

Resuscitation 40

Resuscitation Wellness Research Emergency Nursing 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

111(3):177-84, 2001 Aug 15. Rajeswaran A. Metzger JT. Prospective evaluation of patients with syncope: a population-based study. American Journal of Medicine. Abstract PURPOSE: To determine the diagnostic yield of a standardized sequential evaluation of patients with syncope in a primary care teaching hospital. Sivilotti 3 , Brian H.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

Don't Forget the Bubbles

MARCH 3, 2025

However, despite the World Health Organization (WHO) recognising air pollution as a global emergency, there remains a significant lack of high-quality research, particularly from the UK and Europe. Incidence of sudden unexplained death in childhood for children aged 1-14 years in England and Wales during 2001-2020: an observational study.

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. 2001 Jun;86(6):754-62 Evans L et al. 11 A study by Stephan et al.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

EMDocs

NOVEMBER 25, 2024

However, recent progress in onchocerciasis research has led to an improved understanding of the immunopathology of O. Ongoing research aims to develop more effective treatments to target adult worms and reduce treatment duration. volvulus as well as improvements in the diagnosis and treatment of this morbid disease. Image source: 1.

Infectious Diseases 73

Infectious Diseases Emergency Department EMS Administration 73

EMDocs

NOVEMBER 2, 2024

A broad workup is initiated for altered mental status, including an STD panel, which shows a reactive Venereal Disease Research Laboratory (VDRL) and a negative CT head. A reactive venereal disease research laboratory test and a palpable epitrochlear node (D) is consistent with secondary syphilis. Laboratory testing protocols vary.

EMS 115

EMS Infectious Diseases CDC Research 115