Dr. Smith's ECG Blog

FEBRUARY 6, 2024

Atrial fibrillation is also a predictor of worse outcomes in this case (Alborzi). Between 81-95% of life-threatening ventricular dysrhythmias and acute cardiac failure occur within 24-48 hours of hospitalization. 2003, May). RBBB in blunt chest trauma seems to be indicative of several RV injury. Cramer, M. & Burgersdijk, C.

EKG/ECG 116

EKG/ECG Wellness Fractures Emergency Department 116

EMDocs

AUGUST 22, 2024

3,4 Notably, institutions receiving federal funding (such as hospitals receiving Medicare reimbursement) must abide by Title VI of the 1964 Civil Rights Act, which entitles persons with NELP to language assistance. Certified interpreter use can improve communication and patient outcomes. Lion KC, et al. Pediatrics. 135:e709-e716.

Documentation/Coding 100

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 100

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 91

Stroke Outcomes EMS Seizures 91

RebelEM

JANUARY 19, 2023

However, management continues to be debated and may lead to unnecessary hospitalization. PMID: 32622394 Clinical Question: Can ambulatory management of patients with primary spontaneous pneumothorax reduce the length of hospitalization? Often patients are otherwise young and healthy. Paper: Hallifax RJ et al. 2020;396(10243):39-49.

Outcomes 52

Outcomes Hospitals Research EMS 52

EMDocs

JULY 13, 2024

A) Administer ceftriaxone 500 mg IM and doxycycline 100 mg PO B) Consult OB/GYN for incision and drainage C) Establish IV access and administer clindamycin and gentamicin D) Prescribe doxycycline with metronidazole and ensure close OB/GYN follow-up Answer: C Most postpartum infections are identified after hospital discharge. Am J Clin Pathol.

OB/GYN 81

OB/GYN EMS Sepsis Fluid Resuscitation 81

Taming the SRU

JANUARY 29, 2024

Hospital Course The patient was initiated on a therapeutic heparin drip in the emergency department with vascular surgery consultation. She had improvement of the swelling in her left arm with return of sensation and function during her five-day hospital course. 2003 Jun;123(6):1953-6. 2003 Jul;4(3):146-52. Ann Vasc Surg.

Emergency Department 94

Emergency Department Fractures Hospitals Operations 94

RebelEM

MAY 11, 2023

History of liver disease, history of substance abuse disorder, and history of delirium tremens were also extracted from the hospital EMR. 11 of those were admitted to the hospital. New England Journal of Medicine 2003 , 348 (18), 1786-1795. Strengths Investigators asked a clinically valuable question that is patient-oriented.

Emergency Department 89

Emergency Department Administration Hospitals Academics 89

RebelEM

MARCH 13, 2023

Nevertheless, mortality of prehospital traumatic cardiac arrest (TCA), and survivability with good neurologic outcome, remain the gold standards of trauma care in and out of the hospital and are effectively the criterion by which we measure outcomes in the trauma literature. Discussion: Dead On Scene: The 96.2%

Basic Life Support 52

Basic Life Support EMS Outcomes Resuscitation 52

Emergency Medicine Journal

FEBRUARY 20, 2024

Unfortunately, there are no accurate estimates of the miss rate for AAS, risk factors for missed diagnosis or its effect on outcomes. Incident cases of AAS were identified between 2003 and 2018 using a validated algorithm based on ICD codes and death. Non-teaching and non-cardiac hospitals had a higher incidence of missed cases.

Documentation/Coding 40

Documentation/Coding Hospitals Outcomes 40

Pediatric Emergency Playbook

AUGUST 1, 2017

Does Functional Outcome Improve with Time Postsurgery for Hirschsprung Disease? Pediatr Surg Int 2003; 19:439. Pediatr Surg Int 2003; 19:247. Single-stage versus multi-stage pull-through for Hirschsprung's disease: practice trends and outcomes in infants. 2003; 12(4):241-253. 2003; 21:909-935. Dias SC et al.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

RebelEM

DECEMBER 28, 2022

Another trial suggests that two weeks of treatment performed similarly to 4 weeks (Ulleryd, 2003). Other studies in afebrile men with UTI have been observational and suggested that longer-duration therapy was not associated with any benefit (Ulleryd, 2003). No difference in exploratory outcomes.

Outcomes 52

Outcomes Documentation/Coding Hospitals EMS 52

PHEM Cast

APRIL 21, 2021

The Effect of Paramedic Rapid Sequence Intubation on Outcome in Patients with Severe Traumatic Brain Injury. J Trauma 2003; 54:444-453 Mort TC. The success of pre-hospital tracheal intubation by different pre-hospital providers: a systematic literature review and meta-analysis. Anesth Analg. Crit Care 21, 31 (2017).

Airway Management 40

Airway Management Resuscitation EMS Hospitals 40

RebelEM

JANUARY 23, 2023

Health care professional involved in patient management and outcome assessment was completely blinded. Studies funded by pharmaceutical companies are four times more likely to have favorable results than studies from other sources (Lexchin 2003). The effectiveness of IV cetirizine was determined to be statistically non-inferior.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

Taming the SRU

AUGUST 30, 2023

In a small study involving 79 hospitalized children, PCT was found to be elevated in bacterial infections, with a decrease after appropriate antibiotic therapy, and decreased in viral infections [24]. 2003 Jun;111(12):1805-12. 2003 Jul;112(2):299. 2003 Jun;111(12):1805-12. 2003 Jul;112(2):299. J Clin Invest.

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

Don't Forget the Bubbles

FEBRUARY 28, 2024

Outcomes were: (1) crusting of the lesions; then (2) complete healing of lesions -the end goal of treatment. Was the exposure and outcome accurately measured to minimise bias? It was not clear if there was any vested interest in ensuring a certain outcome. 2003; 59(1): 49–56. Frontier Immunology. 2022; 11:595478.

Pediatrics 59

Pediatrics Infectious Diseases Outcomes Research 59

Pediatric Education

AUGUST 20, 2023

In a study from the US of 4075 admissions nationwide (ages 6-19 years) from 2003-14 found a low but increasing incidence of PLA from 9.63 per 100,000 hospitalizations in 2014. Incidence Trends, Comorbidities, and Outcomes of Pyogenic Liver Abscess Among Children: A Nationwide Population-based Analysis. 2020;71(1):106-111.

Pediatrics 40

Pediatrics Infectious Diseases Wellness Sepsis 40

Intensive Blog

MARCH 13, 2024

Whilst acknowledging not all centres who provide ECMO are registered with ELSO 3 , an analysis of this dataset showed that in 2003 there were < 50 ECPR runs reported in total 4. This showed a similar rate of survival to discharge (27%), of whom approximately 50% had a favourable neurological outcome on discharge (CPC 1 or 2).

CPR 130

CPR Resuscitation Hospitals Outcomes 130

ACEP Now

AUGUST 1, 2023

Our Indiana ACEP colleagues have helped us all as emergency physicians in championing the passage of state legislation mandating a physician leading a hospital’s emergency department to be physically present in that hospital.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

Don't Forget the Bubbles

FEBRUARY 7, 2024

My first real encounter with the healthcare system took place when I was about seven years old and had to go into hospital for an orchidopexy, so I can empathize with all the young people who come through our emergency department with acute testicular pain. Increased awareness and education may reduce embarrassment and get people talking.

Pediatrics 111

Pediatrics Ultrasounds Operations Hospitals 111

EMDocs

FEBRUARY 12, 2024

Authors: Rachel Kelly, MD ( EM Resident Physician, Stony Brook University Hospital); Robert Nocito, MD (EM Attending Physician, Stony Brook University Hospital) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. Notably, in the initial analysis of blunt chest trauma (i.e. Open Access Emerg Med.

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. Clinical predictors of cardiac syncope at initial evaluation in patients referred urgently to general hospital: the EGSYS score.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

PEMBlog

FEBRUARY 22, 2024

Pediatrics 2003 July; 112(1):191-2. Approximately 1 half of the severe cases of vitamin k deficient bleeding are associated with parental refusal vitamin k during the birth and hospitalization. Home delivered infants don’t have access to immediate vitamin k prophylaxis at the same rates that hospitalized infants do.

Pediatrics 72

Pediatrics Anaphylaxis Administration Wellness 72

Don't Forget the Bubbles

JULY 5, 2023

Furthermore, educating both patients and their families is important in order to achieve good treatment compliance and better clinical outcomes. GPs and local hospitals should provide easy access to medication and vaccinations to ensure good compliance. What medications would you give to control pain in hospital?

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

2014;46(6):814-820 on Medscape.com. ** Example trauma case report requiring airway control; the decision process, algorithms, and alternatives, outcome. doi:10.4103/2229-5151.128014 ** Broad review of the spectrum of current out-of-hospital airway management. Raja, MD, MBA, MPH Trauma Airway Management J Emerg Med. Rogue Medic.

Resuscitation 40

Resuscitation Airway Management EMS CPR 40

Sensible Medicine

SEPTEMBER 29, 2024

People conducting research outside of universities and hospitals are not required to obtain IRB approval. Nor do they publish information on patient outcomes. This submission is the outcome of that collaboration. Nor do they publish information on patient outcomes. ” I am skeptical that this will happen.

Academics 145

Academics Research Administration Outcomes 145

Don't Forget the Bubbles

DECEMBER 9, 2024

The SANDWICH trial found that children exposed to prolonged sedation and ventilation had a higher incidence of delirium, indicating the strong influence of sedation practices on delirium outcomes in critically ill patients. Georges hospital , London in pictorial format: What is the role of Alpha2-agonists in sedation, and how to wean them?

Pediatrics 59

Pediatrics Sepsis Hospitals Administration 59

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.

Domestic Violence 52

Domestic Violence Leadership Ultrasounds Academics 52