PulmCCM

JUNE 12, 2023

” The treatment became widespread after a trial ( NEJM 2002, n=275) showed large neurologic and survival benefits from hypothermia; however, subsequent trials mostly failed to replicate those findings. Use code PULMCCM15 and get 15% off when you register online.

Hyperthermia / Hypothermia 105

Hyperthermia / Hypothermia Academics Documentation/Coding Outcomes 105

The Skeptics' Guide to EM

FEBRUARY 3, 2023

You are tidying your things in anticipation of the arrival of the dayshift when a code blue is called. The primary outcome was a good neurologic outcome within six months and occurred in 55% of the hypothermia group and 39% of the normothermia group (p=0.009, RR 1.40, 95% CI 1.08-1.81). It was also not blinded.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Hospitals Outcomes Documentation/Coding 52

Pediatric EM Morsels

JULY 28, 2023

A critical MORSEL is that every child you treat for DKA needs to have an initial thorough neuro exam including cranial nerves and then frequent neuro reassessments … and document it ( so your colleagues who take over care for the kid can know if there has been a change )! 2002 Dec;141(6):793-7. Then we’ve likely got DKA.

Fluid Resuscitation 245

Fluid Resuscitation Pediatrics Resuscitation Research 245

Don't Forget the Bubbles

JANUARY 1, 2024

Data collected from 2002 to 2021 revealed a 72% decline in IPD incidence among children (<18 years), with continued reductions after the transition from PCV7 to PCV13. Outcomes From a Randomized Clinical Trial. Two-Year Autism Risk Screening and 3-Year Developmental Outcomes in Very Preterm Infants. Lock JD, et al.

Pediatrics 98

Pediatrics Ultrasounds Blood Transfusions Sepsis 98

The Skeptics' Guide to EM

NOVEMBER 16, 2019

Do you continue with the ICE Code? But two earlier randomized controlled trials ( Hypothermia after Cardiac Arrest Study Group 2002 and Bernard et al 2002 ) showed benefit for good neurologic outcome when TTM was initiated in the hospital after ROSC was achieved. What do you say? What do you tell the patient’s family?

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia EMS Research Documentation/Coding 40

PHEM Cast

APRIL 21, 2021

Guidance documents College of Paramedics Statement on Intubation, available here. The Effect of Paramedic Rapid Sequence Intubation on Outcome in Patients with Severe Traumatic Brain Injury. Anesthesia and Analgesia, 2002; 94; S-123. AAGBI Safer Prehospital Anaesthesia 2017, available here. Tracheal intubation. 20(12);681-686.

Airway Management 52

Airway Management Resuscitation EMS Hospitals 52

Don't Forget the Bubbles

FEBRUARY 26, 2024

2002 Apr 1;3(2):181-4. Outcomes of paediatric critical care asthma patients. uk/document-library/clinical-information/asthma/btssign-asthma-guideline-2019. See their website for more: [link] References Akingbola OA, Simakajornboon N, Hadley Jr EF, Hopkins RL. Pediatric Critical Care Medicine. 2007 Jan 1;25(1):6-9. Scotland HI.

Pediatrics 72

Pediatrics Research Documentation/Coding Outcomes 72