RebelEM

JANUARY 29, 2024

in the paper but 2.7% to ≈0.99 (p<0.001) Mean MPI/Tei Index≈ 0.47 in the paper but 2.7% to ≈0.99 (p<0.001) Mean MPI/Tei Index≈ 0.47 in the paper but 2.7% to ≈0.99 (p<0.001) Mean MPI/Tei Index≈ 0.47 to 4.0mg/hr typically given in EKOS therapy (See Below). to 4.0mg/hr typically given in EKOS therapy (See Below).

Stroke 136

Stroke Outcomes Hospitals Administration 136

RebelEM

AUGUST 14, 2023

4 XBJ received approval from the China Food and Drug Administration in 2004, 2 although the FDA of the United States has not approved it. Secondary Outcome Results: ICU mortality: placebo 20.0% The primary outcome was patient oriented. Many of the secondary outcomes were changed well after most of the data was acquired.

Sepsis 98

Sepsis Outcomes Administration EMS 98

Don't Forget the Bubbles

AUGUST 2, 2023

CRPS subtypes Type I absence of significant nerve damage Type II very rare in childhood occurs in the setting of known nerve damage CRPS-NOS (not otherwise specified) only partially meets CRPS criteria not better explained by any other condition Budapest Criteria In 2004, the Budapest Criteria were suggested. Pain Res Manag. 2012;4(5):349–54.

Psychiatric 98

Psychiatric Pediatrics Outcomes Fractures 98

EMDocs

APRIL 27, 2024

However, the bioavailability of antipseudomonal antibiotics has improved outcomes, limiting surgery as a confirmatory diagnostic procedure and as needed for granulation tissue removal. Immediate surgical debridement (A) was previously the mainstay of care in necrotizing external otitis, a rare complication of acute otitis externa. The Lancet.

EMS 105

EMS Infectious Diseases Radiology Radiology 105

Taming the SRU

JANUARY 29, 2024

Phlegmasia Cerulea Dolens in the Upper Extremity: A Case Report and Systematic Review and Outcomes Analysis. 2004 Sep 21;110(12):1605-11. Epub 2004 Sep 7. 2004 Jul-Aug;32(4):429-35. Greenberg J, Troutman DA, Shubinets V, Dougherty MJ, Calligaro KD. Vasc Endovascular Surg. 2016 Feb;50(2):98-101. Epub 2016 Feb 11.

Emergency Department 94

Emergency Department Fractures Hospitals Operations 94

ACEP Now

MARCH 9, 2025

Although it is the ethical obligation of emergency physicians at the bedside to respond to the individual patients needs seeking their best outcome and best interest, the swelling landscape of crowded ED waiting rooms and delayed ED care cannot be resolved at the bedside but at the federal level. References Miles, SH. Ann Emerg Med.

Emergency Department 90

Emergency Department Point-of-Care Testing Documentation/Coding Hospitals 90

The Skeptics' Guide to EM

JULY 9, 2022

This committee’s findings supported the use of tPA in less than three hours ( Ingall et al 2004). Another reanalysis was done by Kwiatkowski et al 2005 that also confirmed that the baseline imbalance in the NINDS trial did not account for the better outcome of tPA-treated patients. What are your thoughts on this commissioned report?

Stroke 52

Stroke Emergency Department EMS Outcomes 52

Pediatric Emergency Playbook

OCTOBER 1, 2017

2004; 26(4): 163–167. Outcomes of Children Bridged to Heart Transplantation With Ventricular Assist Devices: A Multi-Institutional Study. Yeh RN, Nypaver MM, Deegan TJ, Ayyangar R. Baclofen Toxicity in an 8-year-old with an Intrathecal Baclofen Pump. J Emerg Med. Ventricular Assist Devices Blume ED, Naftel DC, Bastardi HJ et al.

Pediatrics 52

Pediatrics Seizures Stroke Ultrasounds 52

Maria Yang, MD

JUNE 4, 2023

Long time readers (from 2004—close to 20 years ago! My own view is that involuntary psychiatric treatment (inclusive of detention and medications) is a bad outcome. I’ll say more about compulsory mental health care (also called involuntary psychiatric treatment) and involuntary medications in a separate post.

Psychiatric 59

Psychiatric Outcomes 59

Don't Forget the Bubbles

JANUARY 17, 2024

Closer to home, the New South Wales Poisons Information Centre (NSWPIC) reported 129 incidents involving water-absorbing beads since 2004. There have been reports of the Orbeez Challenge leading to serious outcomes. The vast majority were managed at home, with no adverse events reported. Again, the majority were managed at home.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

PulmCCM

JANUARY 16, 2024

Their effects on meaningful patient outcomes are unclear, though, and their appropriate use continues to be debated. However, ATS’s statement does seem to suggest considering the PEEP titration strategy from a 2004 trial that used even higher levels of PEEP than this. Routine Neuromuscular Blockade for ARDS: Yes or No?

Research 87

Research Documentation/Coding Outcomes Fractures 87

Dr. Smith's ECG Blog

JUNE 18, 2013

This formerly met "criteria" for thrombolytics in the ACC/AHA guidelines of 2004, though of course this amount of ST elevation is very nonspecific. These patients have worse outcomes: higher mortality, more CHF, higher biomarkers, and worse ejection fractions than the NonSTEMI patients with open arteries. Marti D et al.

EKG/ECG 52

EKG/ECG Outcomes Emergency Department Hospitals 52

Pediatric Emergency Playbook

AUGUST 1, 2017

2004; 199(4):628-635. Does Functional Outcome Improve with Time Postsurgery for Hirschsprung Disease? Single-stage versus multi-stage pull-through for Hirschsprung's disease: practice trends and outcomes in infants. 2004 Aug;44(2):131-7. Radiographics. 2006; 26:1485-1500. Kapfer SA, Rappold JF. J Am Coll Surg.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

PHEM Cast

APRIL 21, 2021

The Effect of Paramedic Rapid Sequence Intubation on Outcome in Patients with Severe Traumatic Brain Injury. 2004 Aug;99(2):607-13, Hasegawa K et al. 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. Anesth Analg.

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. 2004 Feb;113(2):347-52. The effectiveness of IV cetirizine was determined to be statistically non-inferior. Clark S, Bock SA, Gaeta TJ, Brenner BE, Cydulka RK, Camargo CA; Multicenter Airway Research Collaboration-8 Investigators.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

Dr. Smith's ECG Blog

NOVEMBER 15, 2023

Medical Therapy for Secondary Prevention and Long-Term Outcome in Patients With Myocardial Infarction With Nonobstructive Coronary Artery Disease. N Engl J Med [Internet] 2013;368(21):2004–13. References: 1. Lindahl B, Baron T, Erlinge D, et al. Circulation [Internet] 2017;135(16):1481–9. Available from: [link] [link] 2.

EKG/ECG 109

EKG/ECG Ultrasounds Wellness Stroke 109

Taming the SRU

AUGUST 30, 2023

Bacterial Meningitis: IDSA guidelines for 2004 report that a normal CRP value has a high negative predictive value for bacterial meningitis, but sensitivities and specificities vary between studies [35]. Incorporation of inflammatory markers into the Duke Criteria as minor criteria has been proposed, but not accepted [37]. Cleve Clin J Med.

Infectious Diseases 89

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

Don't Forget the Bubbles

MAY 28, 2024

Advances in understanding the pathophysiology and treatment have improved outcomes, yet PPHN is still associated with significant morbidity and mortality. PPHN remains a complex clinical challenge requiring timely recognition, comprehensive evaluation, and a multidisciplinary management approach. Great Ormond Street Hospital.

Sepsis 52

Sepsis Ultrasounds Pediatrics Research 52

Northwestern EM Blog

JANUARY 24, 2022

However, even subclinical hypothyroidism with an elevated TSH but normal T4 increases risk of poor outcomes due to effects on cardiac function. By running through this list of alternate causes of refractory shock, other methods of resuscitation can be added to improve patient outcomes and stabilize the patient. Intensive Care Medicine.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

PulmCCM

FEBRUARY 8, 2024

Their effects on meaningful patient outcomes are unclear, though, and their appropriate use continues to be debated. However, ATS’s statement does seem to suggest considering the PEEP titration strategy from a 2004 trial that used even higher levels of PEEP than this. Routine Neuromuscular Blockade for ARDS: Yes or No?

Research 52

Research Documentation/Coding Fractures Outcomes 52

ACEP Now

AUGUST 1, 2023

Premier Physician Services, Toledo, Ohio Internships and Residency: Emergency medicine residency, The Ohio State University Medical Center, Columbus Medical Degree: MD, Medical College of Ohio at Toledo (2004) Response The Council Officers actively participate in ACEP Board Meetings to ensure that the Council’s will and voice is represented.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

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 Shock 52

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

Medical Therapy for Secondary Prevention and Long-Term Outcome in Patients With Myocardial Infarction With Nonobstructive Coronary Artery Disease. N Engl J Med [Internet] 2013;368(21):2004–13. References: 1. Lindahl B, Baron T, Erlinge D, et al. Circulation [Internet] 2017;135(16):1481–9. Available from: [link] [link] 2.

EKG/ECG 52

EKG/ECG Emergency Department Ultrasounds Hospitals 52

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. 2004 Nov;30(11):2017-20. Epub 2004 Jul 24. 2004 Sep;70(9):805-10.

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. 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

PHEM Cast

MARCH 3, 2019

Long-term pain prevalence and health-related quality of life outcomes for patients enrolled in a ketamine versus morphine for prehospital traumatic pain randomised controlled trial. 2004 May 1;21(3):275–80. 2004 May 1;21(3):351–4. 2004 May 1;21(3):290–5. Emergency Medicine Journal. 2014 Dec;31(12):1029. Emerg Med J.

Emergency Department 52

Emergency Department Head Injuries Pediatrics Hospitals 52

RebelEM

MAY 15, 2024

Changing aetiology, clinical features, antimicrobial resistance, and outcomes of bloodstream infection in neutropenic cancer patients. Time to antibiotics and outcomes in cancer patients with febrile neutropenia. Neutropenic Fever: Fever (one reading of 38.3C Eur J Haematol 2005; 75:1. Gudiol C, Bodro M, Simonetti A, et al.

Infectious Diseases 101

Infectious Diseases Administration Sepsis Anaphylaxis 101

EMDocs

OCTOBER 23, 2023

Complications after benign hysterectomy, according to procedure: a population-based prospective cohort study from the Danish hysterectomy database, 2004-2015. Morbidity outcomes of 78,577 hysterectomies for benign reasons over 23 years. 21 May 2004 Hoges K, Davids B, Swaim L. 2020 Sep;127(10):1269-1279. BJOG 2008; 115:1473.

OB/GYN 93

OB/GYN Operations EMS Ultrasounds 93

The Skeptics' Guide to EM

FEBRUARY 29, 2020

Anxiety disorders are the most common ( Marchesi et al EMJ 2004 ). Secondary Outcomes: Survey questions regarding value of therapy and level of engagement with treatment packs (length of time) This is an SGEMHOP episode which means we have the lead author on the show.

Emergency Department 40

Emergency Department Academics Psychiatric Outcomes 40

EMDocs

JUNE 27, 2024

2004 Jul;15(4):248-250. Intravenous fluid therapy and hospital outcomes for vaso-occlusive episodes in children, adolescents, and young adults with sickle cell disease. Factors associated with adverse outcome among children with sickle cell disease admitted to the pediatric intensive care unit: an observational cohort.

Pediatrics 97

Pediatrics Dehydration EMS Hospitals 97

Don't Forget the Bubbles

JULY 17, 2023

Clinical Outcomes of COVID-19 in Newborns and Infants: A Multicenter Experience of 576 Cases. 2023 Jun Oral food challenge outcomes in children and adolescents in a tertiary centre: A 5-year experience. Effects of size at birth on health, growth and developmental outcomes in children up to age 18: an umbrella review. 2023 Jun 9.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

The Skeptics' Guide to EM

NOVEMBER 30, 2024

An alumnus of Tacoma Community College's paramedic program Missy served as a paramedic for the Bremerton Fire Department for nearly 12 years and has been involved in paramedic education since 2004. With a survival rate to discharge often below 10% globally, rapid, effective interventions are needed to improve patient outcomes.

Administration 99

Administration CPR Airway Management Resuscitation 99

Sensible Medicine

JANUARY 6, 2025

The DES story begins in 2004 when the TAXUS-IV trial showed that a drug-eluting stent reduced angiographic restenosis vs a bare-metal stent. In fact, TAXUS-IV heralded future trials in finding no difference in hard outcomes such as CV death, MI or stent thrombosis between the two stent types. You’d think it was evidence.

Outcomes 106

Outcomes Academics 106

American Medical Compliance

FEBRUARY 21, 2025

Effective pain management is essential for improving patient outcomes and quality of life. hospitals in 2004; of these patients, 46 percent had a surgical procedure and 16 percent had one or more diagnostic procedures. Postoperative pain is common but often poorly managed, affecting patient outcomes and costs.

Best Practices 52

Best Practices Teamwork Psychiatric Outcomes 52

EMDocs

JANUARY 20, 2025

13 While there is good data that early antibiotics for patients in septic shock reduce mortality 18-19 the role of early and aggressive volume resuscitation and its impacts on patient-centered outcomes remain unclear. Inwald et al. link] During the 2017 IV fluid shortage, Patino et al. Choudhari et al.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

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.” The Supreme Court Review, 2004, 271-354.

Academics 145

Academics Research Administration Outcomes 145

Sensible Medicine

JUNE 23, 2023

Most concerning, the pregnancy outcomes of those who participated in the trial, and their babies, are still not public today, nearly years later. In 2004, Merck famously withheld clinical trial findings that their newly approved drug Vioxx increased heart attack risks as 80 million Americans took their product.

CDC 101

CDC Research Academics Administration 101