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

RebelEM

DECEMBER 28, 2022

However, the optimal treatment duration for UTI in men is not well studied, and current practice guidelines are based on historical dogma. Another trial suggests that two weeks of treatment performed similarly to 4 weeks (Ulleryd, 2003). No difference in exploratory outcomes. Appropriately used a noninferiority study design.

Outcomes 52

Outcomes Documentation/Coding Hospitals EMS 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. Do you believe the results? 2022; 11:595478.

Pediatrics 59

Pediatrics Infectious Diseases Outcomes Research 59

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

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

PEMBlog

FEBRUARY 22, 2024

Pediatrics 2003 July; 112(1):191-2. Well, a lot of people out there are actually refusing vitamin k for their newborns. Well, families state that they have concerns about the preservative in the injection, maybe that it could cause autism. Encourage your colleagues to listen to the podcast as well. Ross, JA, Davies SM.

Pediatrics 72

Pediatrics Anaphylaxis Administration Wellness 72

ACEP Now

NOVEMBER 8, 2024

11 As with LMAs, Combitubes are at risk of balloon rupture as well, and attention is needed to avoid damaging the inflating sections of the device both while in storage and during placement. I-Gel The i-gel was designed in the UK in 2003 and features a gel-style cuff that surrounds the larynx. Accessed October 17, 2024.

Airway Management 40

Airway Management EMS Hospitals Administration 40

PHEM Cast

SEPTEMBER 6, 2017

trauma 2004) showed that end-tidal CO2 may be of value in predicting outcome from major trauma (19). H Spontaneously breathing carbon dioxide waveforms where phase III is not well delineated. In a study of 191 blunt trauma patients, only 5% of patients with an end-tidal CO2 determination of 3.25

CPR 52

CPR Resuscitation Operations Wellness 52

Pediatric EM Morsels

JULY 21, 2023

Motor Fingernail bed pressure with a pencil first If flexion outcome, then apply painful stimulus to neck or head (trapezius or supraorbital notch) to look for localization Spinal reflex can result in a falsely elevated score if lower extremity pain induced Verbal Orientated- Able to answer all questions. A practical scale. PMID: 4136544.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

EMDocs

JANUARY 29, 2024

However, other sources suggest that the optimal blood pressure target is not well established and may vary depending on the individual patient’s characteristics and the type of hemorrhagic transformation [7]. Lowering the MAP may mitigate these risks and possibly improve outcomes.

Stroke 83

Stroke Outcomes EMS Seizures 83

Dr. Smith's ECG Blog

FEBRUARY 6, 2024

Systolic function normal by visual assessment only, unable to visualize well for further characterization. The patient did well and was discharged. Atrial fibrillation is also a predictor of worse outcomes in this case (Alborzi). 2003, May). RV: Cavity size normal. 1900: RBBB and LAFB are almost fully resolved.

EKG/ECG 118

EKG/ECG Wellness Fractures Emergency Department 118

Don't Forget the Bubbles

JULY 5, 2023

SCD, therefore, is not only a mechanical disease but there are also many other cellular and plasma factors as well as endothelial interaction that generate chronic inflammation. Furthermore, educating both patients and their families is important in order to achieve good treatment compliance and better clinical outcomes. Ware et al.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

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

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 73

OB/GYN EMS Sepsis Fluid Resuscitation 73

ACEP Now

AUGUST 1, 2023

A rural ED staffed by a well-trained EP is an essential resource in small communities that may be otherwise lacking in readily available healthcare resources. Quillen College of Medicine (2003) Response The workforce study shook the foundation of emergency medicine (EM).

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

Pediatric Education

AUGUST 20, 2023

Patient Presentation An 8-year-old male came to clinic for his well-child care after moving to the area. Patients needed prolonged treatment and followup (up to 88 days) but did well without recurrences. Incidence Trends, Comorbidities, and Outcomes of Pyogenic Liver Abscess Among Children: A Nationwide Population-based Analysis.

Pediatrics 40

Pediatrics Infectious Diseases Wellness Sepsis 40

Taming the SRU

AUGUST 30, 2023

As the name would suggest, inflammatory markers are biological markers of, well, inflammation. 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]. J Clin Invest.

Infectious Diseases 88

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

EMDocs

FEBRUARY 12, 2024

ABG and VBG Correlation The correlation between venous and arterial blood gases is well-documented for standard differences (Table 1), and the data obtained from the VBG can be acted on as if it were an ABG (1, 3-6). While ABGs and VBGs usually correlate well, there are a few situations where this correlation is disturbed.

Emergency Department 98

Emergency Department Resuscitation COPD Shock 98

Dr. Smith's ECG Blog

APRIL 8, 2015

True Syncope: If, on the other hand, the patient is well, had no other serious symptoms , has a normal sinus rhythm, and normal physical exam , then you need to be certain the syncope was not due to a dangerous brady- or tachydysrhythmia that could recur. These premonitory symptoms were negative predictors of adverse outcomes in EGSYS.

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 141

Academics Research Administration Outcomes 141

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

Expiratory airway obstruction may well have been frequently misdiagnosed as it can produce breath-stacking and ball-valve obstruction that impedes any airflow with mask ventilation if neither a nasal nor an oral airway is used and the lips have closed under the mask. Lubricate well. Gerkin] Priceless. Rogue Medic. Ludwig’s angina.

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

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. Incidence, associated factors, and outcomes of delirium in critically ill children in China: a prospective cohort study.

Pediatrics 59

Pediatrics Hospitals Sepsis Administration 59