Remove 2002 Remove Documentation/Coding Remove Outcomes
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Issue #4: The Latest in Critical Care, 6/12/23

PulmCCM

” 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.

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Post #2 Back-to-Sleep Series

Sensible Medicine

For example, Bergman reports a 2002 study in which ventilated premature babies were placed to sleep on either their tummies or backs, and the following states were measured: quiet sleep, active sleep (which is less restorative than quiet sleep), crying time, number of stress responses (startle, tremor, and twitch), and oxygen saturation.

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SGEM#391: Is it Time for a Cool Change (Hypothermia After In-Hospital Cardiac Arrest)?

The Skeptics' Guide to EM

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.

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SGEM#275: 10th Avenue Freeze Out – Therapeutic Hypothermia after Non-Shockable Cardiac Arrest

The Skeptics' Guide to EM

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?

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Intubation

PHEM Cast

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.

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Why we need continuous 12-lead ST segment monitoring in Wellens' syndrome

Dr. Smith's ECG Blog

The above principles are all well illustrated with this figure from my book, The ECG in Acute MI (2002). It is well documented with continuous 12-lead monitoring that acute re-occlusion is frequently asymptomatic. Silent ischemia as a marker for early unfavorable outcomes in patients with unstable angina. Gottlieb SO, et al.

EKG/ECG 52
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NIV for status asthmaticus

Don't Forget the Bubbles

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.