The Skeptics' Guide to EM

JULY 8, 2023

The Cochrane collaboration published analyses of the available data in 1999, 2003 and 2006. Safety issues popped up soon after widespread use of the drug including neuropsychiatric effects as well as the more common adverse effects of nausea and vomiting. There was a large unblinded RCT of over 3,000 patients published in the Lancet in 2020.

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CDC Hospitals EMS Emergency Department 92

Dr. Smith's ECG Blog

FEBRUARY 6, 2024

Atrial fibrillation is also a predictor of worse outcomes in this case (Alborzi). 2003, May). RBBB in blunt chest trauma seems to be indicative of several RV injury. Myocardial contusion in an 8-year-old boy. Circulation: Cardiovascular Imaging. Retrieved July 2, 2022, from [link] Sybrandy, K. Cramer, M. & Burgersdijk, C.

EKG/ECG 109

EKG/ECG Wellness Fractures Hospitals 109

RebelEM

JANUARY 19, 2023

If aspiration is unsuccessful based on the criteria above → Chest tube is inserted (size 8-14Fr) and admitted to the hospital. Outcomes: Primary Outcome: Total length of hospital stay up to 30 days after randomization, including initial hospital stay and readmissions.

Outcomes 52

Outcomes Hospitals Research EMS 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

The Skeptics' Guide to EM

MARCH 31, 2023

Knutsson 2003) I imagine many of us know of a doctor who has been in a car accident when driving home from work. Comparison: None * Outcome: A “Readiscore” fatigue score was measured before and during clinical shifts. Our sleep schedules impact our overall health.

Academics 52

Academics Documentation/Coding Emergency Department Outcomes 52

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% mortality rate and 43.5%

Basic Life Support 52

Basic Life Support EMS Outcomes Resuscitation 52

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 57

Pediatrics Infectious Diseases Outcomes Research 57

EMDocs

AUGUST 22, 2024

Certified interpreter use can improve communication and patient outcomes. Conducting research regarding best practices for improving health outcomes for NELP patients. Pearls NELP patients have worse health outcomes despite widespread language-access policies. July-August 2003. Betancourt J, Green A, et al.

Documentation/Coding 82

Documentation/Coding Emergency Department Best Practices Federal Emergency Management Agency 82

The Skeptics' Guide to EM

FEBRUARY 15, 2020

Despite the near universal application, a systematic review from 2003 ( Smith and Pell, BMJ ) found no RCTs of parachute intervention. Secondary Outcomes: Health status and subgroup analysis based on type of aircraft or previous parachute use.

Wellness 52

Wellness Outcomes Emergency Department Research 52

EMDocs

JULY 13, 2024

Favorable infertility outcomes following anti-tubercular treatment prescribed on the sole basis of a positive polymerase chain reaction test for endometrial tuberculosis. Incidence, treatment and outcome of peripartum sepsis. 2003 Aug;82(8):730-5. Plasma cell endometritis is associated with Chlamydia trachomatis infection.

OB/GYN 64

OB/GYN EMS Sepsis Fluid Resuscitation 64

Taming the SRU

JANUARY 29, 2024

2003 Jun;123(6):1953-6. Phlegmasia Cerulea Dolens in the Upper Extremity: A Case Report and Systematic Review and Outcomes Analysis. 2003 Jul;4(3):146-52. Ann Vasc Surg. 2021 Oct;76:601.e7-601.e11. Epub 2021 Jun 25. Mustafa S, Stein PD, Patel KC, Otten TR, Holmes R, Silbergleit A. Upper extremity deep venous thrombosis.

Emergency Department 93

Emergency Department Fractures Hospitals Operations 93

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

PHEM Cast

DECEMBER 12, 2016

Emergency Department thoracotomy for the critically injured patient: Objectives, indications, and outcomes. J Am Coll Surg; 2003 (1): 106-111. Emergency thoracotomy in thoracic trauma: a review. Injury; 2006 (37): 1-19. Clay et al. World Journal of Emergency Surgery; 2006: 1:4. Rhee et al. J Am Coll Surg; 2000.

Military 52

Military Resuscitation Emergency Department Documentation/Coding 52

RebelEM

MAY 11, 2023

New England Journal of Medicine 2003 , 348 (18), 1786-1795. Cambron, DO Assistant Professor Department of Emergency Medicine Christus Health/Texas A&M University School of Medicine References: (1) Kosten, T. O’Connor, P. Management of Drug and Alcohol Withdrawal. DOI: 10.1056/NEJMra020617. (2) 2) Schuckit, M.

Emergency Department 98

Emergency Department Administration Hospitals Academics 98

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. 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. Anesth Analg. 2004 Aug;99(2):607-13, Hasegawa K et al.

Airway Management 52

Airway Management Resuscitation EMS Hospitals 52

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 Incidence Trends, Comorbidities, and Outcomes of Pyogenic Liver Abscess Among Children: A Nationwide Population-based Analysis. per 100,000 hospitalizations in 2014. J Pediatr Gastroenterol Nutr.

Pediatrics 40

Pediatrics Infectious Diseases Wellness Sepsis 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

ACEP Now

NOVEMBER 8, 2024

I-Gel The i-gel was designed in the UK in 2003 and features a gel-style cuff that surrounds the larynx. Effect of a strategy of a supraglottic airway device vs tracheal intubation during out-of-hospital cardiac arrest on functional outcome: the AIRWAYS-2 Randomized Clinical Trial. Accessed October 17, 2024. 2018;320(8):779-791.

Airway Management 52

Airway Management EMS Hospitals Administration 52

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]. Another study looked at suicide rates in Hong Kong during the Severe Acute Respiratory Syndrome (SARS) outbreak in 2003.

Emergency Department 52

Emergency Department Research Pediatrics CDC 52

The Skeptics' Guide to EM

OCTOBER 31, 2018

Standard therapy at this time for both symptomatic and asymptomatic VTE is with LMWH based on results from the CLOT trial ( Lee 2003 ). Treatment in this group entails a number of challenges including a higher rate of thrombosis recurrence and a higher risk of bleeding. The NOACs also add ease of use for the patient. .

EMS 52

EMS 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]. 2003 Jun;111(12):1805-12. 2003 Jul;112(2):299. 2003 Jun;111(12):1805-12. 2003 Jul;112(2):299.

Infectious Diseases 88

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 88

The Skeptics' Guide to EM

JANUARY 7, 2018

Edlow 2003 ] Missed SAH diagnosis occurs between 12%-53% of cases with emergency department providers estimated to miss 5% of them. Identifying SAH early reduces these adverse outcomes if subsequent neurosurgical interventions (coiling or clipping) occur emergently.

Emergency Department 40

Emergency Department Academics Outcomes 40

PEMBlog

FEBRUARY 22, 2024

Pediatrics 2003 July; 112(1):191-2. And I mentioned it before and I’ll say it again, but intracranial bleeding is the worst possible outcome. Controversies Concerning Vitamin K and the Newborn. Ross, JA, Davies SM. Vitamin K prophylaxis and childhood cancer. Med Pediatr Oncol. 2000 Jun;34(6):434-7. Cornelissen, M.,

Pediatrics 72

Pediatrics Anaphylaxis Administration Wellness 72

Advanced Emergency Nursing from AENJ

APRIL 29, 2015

The association between hyperoxia and patient outcomes after cardiac arrest: analysis of a high-resolution database. The impact of oxygen and carbon dioxide management on outcome after cardiac arrest. Emergence Phenomena blog. Scutella, M., Pullalarevu, R., Vaghasia, N., Trzeciak, S., & Dezfulian, C. cited in : Pourmand, A.

Resuscitation 40

Resuscitation Pediatrics Administration Emergency Nursing 40

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. Incentive spirometry has also demonstrated to improve outcomes in SCD without respiratory symptoms and with back pain. 2003; 5: 229–240. Stinson J, Naser B. Ware et al. 2018; 1–7.

Blood Transfusions 125

Blood Transfusions Stroke Dehydration Sepsis 125

PHEM Cast

SEPTEMBER 6, 2017

trauma 2004) showed that end-tidal CO2 may be of value in predicting outcome from major trauma (19). Qvigstad et al showed in again in Resuscitation in 2013, confirming inter-individual variation in effectiveness of CPR using ETCO2 as a surrogate for CO Trauma Deakin et al. (J.

CPR 52

CPR Resuscitation Operations Wellness 52

Don't Forget the Bubbles

FEBRUARY 7, 2024

This week, NCEPOD (National Confidential Enquiry into Patient Outcomes and Death) produced a much-anticipated report on how we manage acute testicular torsion in young people. A systematic review and meta-analysis revealing realistic outcomes following paediatric torsion of testes. Frontiers in Pediatrics , 8 , p.601892. MacDonald, C.,

Pediatrics 109

Pediatrics Ultrasounds Operations Hospitals 109

EMDocs

FEBRUARY 12, 2024

There is well-documented evidence that low systolic blood pressure, a low Glasgow Coma Score (GCS), and a high Injury Severity Score (ISS) are known predictors of poor outcomes, and in combination with serum lactate provide adequate prognostic value. 2003 Aug;10(8):836-41. Notably, in the initial analysis of blunt chest trauma (i.e.

Emergency Department 94

Emergency Department Resuscitation COPD Shock 94

ACEP Now

AUGUST 1, 2023

Quillen College of Medicine (2003) Response The workforce study shook the foundation of emergency medicine (EM). As your council officer, I commit to ensuring your voice contributes to the best outcome for our College, our members, EM residents, and our patients.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 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. 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

Sensible Medicine

SEPTEMBER 29, 2024

Nor do they publish information on patient outcomes. This submission is the outcome of that collaboration. Nor do they publish information on patient outcomes. We will keep you informed of the outcome of these investigations in due course as per COPE best practice guideline.” Why Was the Article Retracted?

Academics 144

Academics Research Administration Outcomes 144

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. Raja, MD, MBA, MPH Trauma Airway Management J Emerg Med. Rogue Medic. Should EMS Use Nasotracheal Intubation? Hillman, D. R., & Eastwood, P. The upper airway during anaesthesia.

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