RebelEM

MAY 25, 2023

vs 3U) but no difference in mortality (Study not powered for this outcome) Clinical Take Home Point: The use of vasopressors is controversial and requires a nuanced approach SUMMARY OF MINIMIZING IATROGENIC INJURY RESTORE PERFUSION VOLUME REPLACEMENT Blood Products >>> Crystalloids Holcomb JB et al. NEJM 1994. [2]

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

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.

Hyperthermia / Hypothermia 98

Hyperthermia / Hypothermia Academics Documentation/Coding Outcomes 98

The Skeptics' Guide to EM

JULY 3, 2021

Background: Hypothermia has been a mainstay of post-arrest care after the publication of two trials in 2002 that both suggested a benefit. Hypothermia resulted in a large improvement in neurologic outcomes, defined as well enough to be sent home or to a rehab facility. The results of this Australian trial seemed too good to be true.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Hospitals Outcomes Wellness 52

RebelEM

FEBRUARY 12, 2024

CT in Detecting Urinary Tract Calculi: Influence on Patient Imaging and Clinical Outcomes Radiology. 2002; 225(2):441-449. Radiological Imaging of Patients With Suspected Urinary Tract Stones: National Trends, Diagnoses, and Predictors. 2011; 18(7):699-707. Gottlieb RH, La TC, Erturk EN, et al.

Radiology 85

Radiology Radiology Emergency Department Ultrasounds 85

PulmCCM

JANUARY 22, 2024

Background Therapeutic hypothermia, later rebranded as targeted temperature management, became a standard post-cardiac arrest therapy for comatose patients after two 2002 NEJM trials ( n=273 and n=77 ) suggested reducing core temperature to 32°C to 34°C markedly improved neurologic outcomes and survival.

Hyperthermia / Hypothermia 80

Hyperthermia / Hypothermia Outcomes Research Hospitals 80

Sensible Medicine

AUGUST 7, 2024

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.

CDC 106

CDC Documentation/Coding Research Pediatrics 106

ACEP Now

MAY 9, 2024

The procedure has soared in popularity as beauty standards have shifted and cosmetic surgery has become increasingly transparent on social media platforms, with reported cases in the United States increasing from 614 in 2002 to 61,387 by 2021, a nearly 10,000 percent increase. These questionable practices led to a rash of bad outcomes.

Emergency Department 52

Emergency Department Operations Ultrasounds Hospitals 52

EMDocs

MAY 15, 2024

Causes and outcomes of the acute chest syndrome in sickle cell disease. Clinical Guide for the Management of Sickle Cell Disease, 2002. Published January 2002. High risk and low prevalence diseases: Acute chest syndrome in sickle cell disease. Am J Emerg Med. 2022 Aug;58:235-244. Epub 2022 Jun 11. PMID: 35717760. N Engl J Med.

Blood Transfusions 77

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 77

EMDocs

MAY 28, 2024

Causes and outcomes of the acute chest syndrome in sickle cell disease. Clinical Guide for the Management of Sickle Cell Disease, 2002. Published January 2002. High risk and low prevalence diseases: Acute chest syndrome in sickle cell disease. Am J Emerg Med. 2022 Aug;58:235-244. Epub 2022 Jun 11. PMID: 35717760. N Engl J Med.

Blood Transfusions 75

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 75

PulmCCM

JANUARY 24, 2024

Background Therapeutic hypothermia, later rebranded as targeted temperature management, became a standard post-cardiac arrest therapy for comatose patients after two 2002 NEJM trials ( n=273 and n=77 ) suggested reducing core temperature to 32°C to 34°C markedly improved neurologic outcomes and survival.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Outcomes Hospitals Stroke 52

EMDocs

JANUARY 29, 2024

Finally, anticipating and addressing known complications such as seizures, increased intracranial pressure, or cerebral edema with appropriate measures, including antiepileptic drugs or osmotic agents, is essential for improving patient outcomes. Lowering the MAP may mitigate these risks and possibly improve outcomes. doi: 10.1161/01.str.0000014509.11540.66.

Stroke 73

Stroke Outcomes EMS Seizures 73

The Skeptics' Guide to EM

MAY 19, 2019

Civil Monetary Penalties Resulting from Violations of the Emergency Medical Treatment and Labor Act (EMTALA) Involving Psychiatric Emergencies, 2002 to 2018. Civil Monetary Penalties Resulting from Violations of the Emergency Medical Treatment and Labor Act (EMTALA) Involving Psychiatric Emergencies, 2002 to 2018.

Psychiatric 40

Psychiatric Academics Emergency Department Hospitals 40

ACEP Now

APRIL 3, 2024

Early work on TTM in 2002 showed benefit to cooling to 33 degrees Celsius, which subsequently influenced international resuscitation guidelines to recommend mild hypothermia at 32 degrees to 34 degrees Celsius in 2005. 5,6 In 2021, the TTM2 trial was published. degrees Celsius for 72 hours. N Engl J Med. 2002;346(8):549-56.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Resuscitation Outcomes Hospitals 40

The Skeptics' Guide to EM

NOVEMBER 16, 2019

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. It showed cooling patients to 33C was not superior to 36C for the primary outcome ( SGEM#82 ).

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia EMS Research Documentation/Coding 40

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

PHEM Cast

APRIL 21, 2021

The Effect of Paramedic Rapid Sequence Intubation on Outcome in Patients with Severe Traumatic Brain Injury. Anesthesia and Analgesia, 2002; 94; S-123. Click here to hear what our friends over at the Resus Room think about Airways 2 References (kindly shared by Rich) Davis DP et al. J Trauma 2003; 54:444-453 Mort TC. e2 Delson NJ et.

Airway Management 52

Airway Management Resuscitation EMS Hospitals 52

ACEP Now

MAY 10, 2024

External auditory canal foreign body extraction outcomes. Epidemiological trends and outcomes of children with aural foreign bodies in Singapore. 2002; 23(4):473-5. Ann Oto Rhinol Laryngol. 2017;126(11):755-761. Mingo K, Eleff D, Anne S et al. Pediatric ear foreign body retrieval: a comparison across specialties. Otol Neurotol.

Pediatrics 52

Pediatrics Emergency Department Poisoning Outcomes 52

ACEP Now

MAY 8, 2023

Normal serum AST and ALT levels alone are not predictors of outcome. Blood lactate as an early predictor of outcome in paracetamol-induced acute liver failure: a cohort study. Serum phosphate is an early predictor of outcome in severe acetaminophen-induced hepatotoxicity. 2002 Sep;36(3):659-65. 2002;359: 558–563.

Poisoning 52

Poisoning Outcomes Administration EMS 52

Don't Forget the Bubbles

FEBRUARY 26, 2024

2002 Apr 1;3(2):181-4. Outcomes of paediatric critical care asthma patients. See their website for more: [link] References Akingbola OA, Simakajornboon N, Hadley Jr EF, Hopkins RL. Noninvasive positive-pressure ventilation in pediatric status asthmaticus. Pediatric Critical Care Medicine. Beers SL, Abramo TJ, Bracken A, Wiebe RA.

Pediatrics 72

Pediatrics Research Documentation/Coding Outcomes 72

The Skeptics' Guide to EM

JANUARY 7, 2018

Landtblom 2002 , Delasobera 2012 , de Bruijn 1996 , Pascual 1996 , Dodick 1999 ] Migraine headaches are at least 50-times more common than SAH amongst emergency department headache patients, so SAH represents a needle in a haystack for a very common chief complaint.

Emergency Department 40

Emergency Department Academics Outcomes 40

Taming the SRU

JANUARY 29, 2024

Phlegmasia Cerulea Dolens in the Upper Extremity: A Case Report and Systematic Review and Outcomes Analysis. 2002 Feb 25;162(4):401-4. Greenberg J, Troutman DA, Shubinets V, Dougherty MJ, Calligaro KD. Vasc Endovascular Surg. 2016 Feb;50(2):98-101. Epub 2016 Feb 11. Bolitho DG, Elwood ET, Roberts F. Ann Plast Surg. Arch Intern Med.

Emergency Department 92

Emergency Department Fractures Hospitals Operations 92

The Skeptics' Guide to EM

FEBRUARY 24, 2018

The first, the Annane et al trial published in JAMA in 2002, suggested a mortality benefit in favor of the corticosteroid group in the subset of patients who were found to have relative adrenal insufficiency. There have been two contradictory randomized control trials.

Shock 40

Shock Sepsis Emergency Department Resuscitation 40

Don't Forget the Bubbles

JULY 26, 2023

Cardiac testing and outcomes in infants after an ALTE, Hoki et al, Archives of Disease in Childhood 2012 showed significant cardiac disease was present in <1% of patients presenting with ALTE (although cardiac abnormalities were found in 4% overall). How might these present in a less catastrophic way to the ED?

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

PHEM Cast

APRIL 18, 2016

Hauwald, 2002 A co-operative patient does not require immobilization unless their conscious level deteriorates. The periscope video of the SKEPTIC trial presentation is accessible here: [link] The Royal Flying Doctors Service (RFDS) use infusion of ketamine to manage agitated mental health patient without need for intubation.

Fractures 40

Fractures Administration Operations Shock 40

Northwestern EM Blog

JANUARY 2, 2023

While this may be surprising, there is literature that shows that catastrophic events can be associated with increased social support and reduce suicidal outcomes [4]. They found an increase in older adult suicide in April 2003 when compared to 2002.

Emergency Department 52

Emergency Department Research CDC Pediatrics 52

Pediatric Emergency Playbook

JANUARY 1, 2016

Factors associated with adverse outcomes in children with diabetic ketoacidosis-related cerebral edema. 2002; 141(6):793-7. Intestinal Malrotation and Catastrophic Volvulus in Infancy. J Emerg Med. 2012; 43(1): e49–e51. Marcin JP, Glaser N, Barnett P et al. Parashette KR, Croffie J.

Head Injuries 40

Head Injuries Pediatrics Shock Sepsis 40

Dr. Smith's ECG Blog

AUGUST 3, 2017

The ECG in Acute MI - An Evidence Based Manual of Reperfusion Therapy 2002. These patients had worse outcomes than patients with ST depression without occlusion; half of these were circumflex. Electrocardiographic Manifestations: Acute posterior wall myocardial infarction. J Emerg Med 2001; 20:391-401. Neth Heart J. 2007; 15: 16-21.

EKG/ECG 52

EKG/ECG Outcomes Wellness 52

Taming the SRU

AUGUST 30, 2023

Significantly elevated CRP (>122mg/L) and PCT (>0.5ng/mL) levels are predictors of bad outcomes, and are useful for tracking therapy progress, but are not specific enough to rule-in infectious endocarditis [38-39]. 2002 Jan 2;287(1):92-101. Polymyalgia rheumatica in patients with a normal erythrocyte sedimentation rate.

Infectious Diseases 87

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 87

Don't Forget the Bubbles

AUGUST 2, 2023

Early management leads to better outcomes. That being said, younger patients tend to have better outcomes with a multidisciplinary team approach leading to remission in approximately 90% of children. Outcomes of children with complex regional pain syndrome after intensive inpatient rehabilitation. 2002 Jul;141(1):135-40.

Psychiatric 98

Psychiatric Pediatrics Outcomes Academics 98

PulmCCM

FEBRUARY 26, 2024

Read in JAMA Covid Update: Two new drugs for mild-moderate symptoms; Fluvoxamine RCT; Covid “brain fog” Paxlovid improves outcomes for the elderly and other people at high risk for severe Covid, but the best available data suggest it doesn’t meaningfully help healthier, younger people. anytime soon.

Stroke 40

Stroke Psychiatric Hospitals CDC 40

The Skeptics' Guide to EM

JUNE 24, 2017

Background: Therapeutic hypothermia post cardiac arrest has received a great deal of attention since 2002. They concluded: * “Conventional cooling methods to induce mild therapeutic hypothermia seem to improve survival and neurologic outcome after cardiac arrest. Reference: Bernard et al.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia CPR Resuscitation EMS 40

EMDocs

DECEMBER 16, 2023

Clinical characteristics and outcome of thyroid storm: a case series and review of neuropsychiatric derangements in thyrotoxicosis. Outcome and risk factors associated with extent of central nervous system injury due to exertional heat stroke. BMC research notes , 8 , 758. link] Swee, duS., L., & Lim, A. S., & Mendal, L.

Hyperthermia / Hypothermia 68

Hyperthermia / Hypothermia EMS Stroke Seizures 68

Downeast Emergency Medicine

MARCH 13, 2022

Case Outcome The abdominal CT showed uncomplicated diverticulitis! If his CT shows diverticulitis or his CBC shows overt infection, we can treat him with antibiotics as an inpatient or outpatient depending on the severity of the infection.” Imaging Patients with Acute Abdominal Pain.” Radiology , RSNA, 1 Oct. Full Tex t] 3. Sparks, Amy R.,

Ultrasounds 52

Ultrasounds EKG/ECG Radiology Radiology 52

EMDocs

NOVEMBER 13, 2023

2 Outcomes of patients presenting with ischemic stroke who received MRI as initial imaging modality have demonstrated similar outcomes to those with initial CTA, with Kim et al. demonstrating that functional outcome at 3 months did not differ between the CTA and MRI groups (38.5% vs. 38.1%) with a good functional outcome.

Stroke 86

Stroke Radiology Radiology Emergency Department 86

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

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

March, 2002) Emergency Care Essentials: 'Nasal Intubation Strategies'. 2014;46(6):814-820 on Medscape.com. ** Example trauma case report requiring airway control; the decision process, algorithms, and alternatives, outcome. 10 (2002), pp. High, Kevin, Kevin High, RN, EMT, MPH, MHPE. Cheryl Lynn Horton, MD, Calvin A. Rogue Medic.

Resuscitation 40

Resuscitation Airway Management EMS CPR 40

Taming the SRU

JULY 24, 2024

jarrell and kimmel Violence is a social determinant of health Direct injury Vicarious trauma Cardiovascular health Psychological health Birth outcomes Risky sexual behavior Substance use Socioeconomic health The link between violence and direct injury is obvious, however there is evidence linking exposure to violence to other health consequences.

Leadership 52

Leadership Domestic Violence Ultrasounds Academics 52