PHEM Cast

DECEMBER 12, 2016

Injury; 2006 (37): 1-19. Emergency Department thoracotomy for the critically injured patient: Objectives, indications, and outcomes. World Journal of Emergency Surgery; 2006: 1:4. Joint Position Statement of Nat Assoc EMS Physicians and ACS Committee on Trauma. EMJ; 2005: 22-24. Hunt et al. Clay et al. Rhee et al.

Military 52

Military Resuscitation Emergency Department Documentation/Coding 52

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

Guest Skeptic: Dr. Stephen Meigher is the EM Chief Resident training with the Jacobi and Montefiore Emergency Medicine Residency Training Program. Guest Skeptic: Dr. Stephen Meigher is the EM Chief Resident training with the Jacobi and Montefiore Emergency Medicine Residency Training Program. The TOMAHAWK Investigators.

EKG/ECG 52

EKG/ECG Academics EMS CPR 52

PHEM Cast

APRIL 16, 2018

The outcomes from different resuscitative interventions in a haemorrhagic shock model in porcine model: From: Watts et al. Annals of Emergency Medicine; 2006. Survival and neurological outcome after OOH TCA in pediatric & adult populations: a systematic review. Anneals of EM; 2015: 297-307. 2012; 73: 102-10.

Resuscitation 52

Resuscitation Shock Ultrasounds CPR 52

PHEM Cast

APRIL 10, 2016

And from our buddies at HEFT EM CAST: [link] A bit more detail covering some of the research in an easy to understand way. This was the same principle as in the Rivers trial: the standard care group is the ‘control’ group against which changes in outcome for the ‘intervention’ group are compared. 2006 Jun 3;332(7553):1295–8.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

The Skeptics' Guide to EM

APRIL 8, 2023

This is something that has only happened once since 2006 ( Ottawa Citizen March 28, 2023 ) The study referred to in the editorial looks at the experience in Denmark with a reconfiguration of their emergency healthcare services ( Flojstrup et al 2023 ). It was a stepped-wedge reconfiguration of the entire Danish emergency healthcare system.

Stroke 56

Stroke Emergency Department COPD Academics 56

The Skeptics' Guide to EM

JUNE 11, 2017

Guest Skeptic: Dr. Robert Edmonds is an Emergency Medicine staff physician in Newport News, VA and a recent graduate of the University of Missouri-Kansas City EM residency. Background: In the US, daily or every other day aspirin use has been reported to be as high as 61% in adults aged 65 or older ( Ajani et al Am J Prev Med 2006 ).

Stroke 52

Stroke EMS Outcomes 52

Taming the SRU

SEPTEMBER 8, 2023

Clinical Critical Care Medicine, 2006, pp. NAC: Jiang SX, Hussaini T, Yoshida EM. Prognosis of acute severe autoimmune hepatitis (as-AIH): The role of corticosteroids in modifying outcome.” Gastroenterology. 2017 Feb;152(3):644-647. doi: 10.1053/j.gastro.2016.12.026. 2016.12.026. Epub 2017 Jan 2. PMID: 28056348. Hepatology, vol.

Radiology 59

Radiology Radiology Ultrasounds EMS 59

PHEM Cast

APRIL 21, 2021

The Effect of Paramedic Rapid Sequence Intubation on Outcome in Patients with Severe Traumatic Brain Injury. Annals of Emergency Medicine 2006; 47(6):548-555 Lewis SR, Butler AR, Parker J, Cook TM, Smith AF. Difficult prehospital endotracheal intubation – predisposing factors in a physician based EMS. DOI:10.1002/14651858.CD011136.pub2.

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. Noninferiority trials, covered here on REBEL EM , are helpful when the experimental treatment offers a distinct advantage over the standard treatment. The effectiveness of IV cetirizine was determined to be statistically non-inferior.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

Downeast Emergency Medicine

JULY 17, 2021

2006 Aug; 48(2): 173-81.[ The primary endpoint was pain reduction at 30 minutes with secondary outcomes looking at 15, 45, and 60 minute scores as well as need for rescue analgesia and adverse effects. American Journal of Emergency Medicine. 2020 Feb; 38 (2): 165-172.[ Pubmed ] 3. Ann Emerg Med. Pubmed ] Additional reading 4.

Emergency Department 52

Emergency Department Wellness Administration EMS 52

Dr. Smith's ECG Blog

NOVEMBER 15, 2013

It shows that on a 7 day angiogram, only 58% of re-occlusions were symptomatic: Ohman EM, Califf RM, Topol EJ et al. Eur Heart J 2001;22:1997–2006. Silent ischemia as a marker for early unfavorable outcomes in patients with unstable angina. Here is another classic article. Circulation 1991;84:1454-1455. Gottlieb SO, et al.

EKG/ECG 52

EKG/ECG Documentation/Coding Emergency Department Wellness 52

EMDocs

NOVEMBER 16, 2024

We’ll keep it short, while you keep that EM brain sharp. 13 Management: Dislocation As with all dislocation, early reduction improves outcomes. Rockville (MD): Agency for Healthcare Research and Quality (US); 2006 Feb-. Epidemiology of total hip arthroplasty: demographics, comorbidities and outcomes. Hospitals, 2018.

EMS 98

EMS Dislocations Fractures Operations 98

EB Medicine

SEPTEMBER 1, 2018

Both are at the University of Florida Jacksonville, and they reviewed a total of 120 articles from 2006-2017, in addition to reviews from both Cochrane and Dare. As some background, from 2006-2015 there were almost 66,000 reported snake exposures and 31 deaths from snake envenomation in the US. Jeff: What a team!

Emergency Department 40

Emergency Department Poisoning Anaphylaxis Allergic Reactions 40

EB Medicine

OCTOBER 1, 2018

Jeff : I’m an EMS fellow, what can I say… Anyway, on to my favorite section -- prehospital care. This is always a hot topic because the prehospital period is a special opportunity to get early interventions in for septic patients as 40 - 70% of all severe sepsis hospitalizations arrive via EMS. What does that mean?

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40

EMDocs

JANUARY 20, 2024

We’ll keep it short, while you keep that EM brain sharp. 2006 Jul;27(13):1523-9. link] Lee VH, Connolly HM, Fulgham JR, Manno EM, Brown RD Jr, Wijdicks EF. Clinical Features and Outcomes of Takotsubo (Stress) Cardiomyopathy. Accessed May 15, 2023. link] Gianni M, Dentali F, Grandi AM, Sumner G, Hiralal R, Lonn E.

EMS 101

EMS Fluid Resuscitation Shock EKG/ECG 101

EMDocs

DECEMBER 16, 2023

We’ll keep it short, while you keep that EM brain sharp. A 34-year-old male is brought via EMS after collapsing during an outdoor adventure race. EMS reports the patient was conscious but altered, with slurred speech and confusion. The post EM@3AM: Hyperthermia appeared first on emDOCs.net - Emergency Medicine Education.

Hyperthermia / Hypothermia 94

Hyperthermia / Hypothermia EMS Stroke Seizures 94

RebelEM

MAY 15, 2024

Epub 2011 Apr 22 Coyne CJ, Le V, Brennan JJ, Castillo EM, Shatsky RA, Ferran K, Brodine S, Vilke GM. Changing aetiology, clinical features, antimicrobial resistance, and outcomes of bloodstream infection in neutropenic cancer patients. 2006 May 15;106(10):2258-66. Neutropenic Fever: Fever (one reading of 38.3C doi: 10.1111/j.1365-2141.2011.08693.x.

Infectious Diseases 101

Infectious Diseases Administration Sepsis Anaphylaxis 101

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

EMDocs

JUNE 27, 2024

Sundd P, Gladwin MT, Novelli EM. 2006 Jul;134(1):109-15. Intravenous fluid therapy and hospital outcomes for vaso-occlusive episodes in children, adolescents, and young adults with sickle cell disease. Predictors of impending acute chest syndrome in patients with sickle cell anaemia. 2020 Feb 12;10(1):2470. Annu Rev Pathol.

Pediatrics 97

Pediatrics Dehydration EMS Hospitals 97

EMDocs

NOVEMBER 4, 2024

Bhana, MD (EM Resident Physician, University of Massachusetts/UMass Chan Medical School); Clarence Kong, MD (Pain Fellow, Eastern Virginia Medical School – Virginia Health Sciences at Old Dominion University); Mani Hashemi, MD (EM Attending, HCA Florida Mercy Hospital); S.M. 2017.04.011 Witt CE, Bulger EM. 2006 Jun;26(6):684-90.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

RebelEM

FEBRUARY 3, 2025

Whereas the 2006-2019 Model Development Data set was randomly split 9:1 into a training set and an internal validation set. Outcomes: Primary Outcome : Performance Characteristics of the AI Model in detecting STEMI. 300 ECGs were randomly taken from the 2020 test set and provided to three 2nd year residents in internal medicine.

EKG/ECG 87

EKG/ECG Emergency Department Outcomes Hospitals 87

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. 48 in 2006 enrolled 58 patients divided into two groups. Inwald et al. The first study was by Edna et al.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

We’ve heard, or been through, tales of early EM when BNTI was the fall-back for awkward intubations before EM could claim credentialing for RSI. Ontario EMS Nasal Tracheal Intubation Video on the YouTube Channel of Ontario EMS. Should EMS Use Nasotracheal Intubation? Paralysis doesn’t open every oral cavity.

Resuscitation 40

Resuscitation Airway Management EMS CPR 40

EMDocs

NOVEMBER 25, 2024

Vision loss carries a high degree of morbidity and is associated with higher all-cause mortality, 4 and it is our role as emergency providers to recognize potentially reversible causes of such adverse outcomes. 2006) River Blindness: A Success Story under Threat? 0000000000000483 Opoku NO, Bakajika DK, Kanza EM, et al.

Infectious Diseases 73

Infectious Diseases Emergency Department EMS Administration 73