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.

CDC 94

CDC Hospitals EMS Emergency Department 94

PHEM Cast

SEPTEMBER 25, 2019

2006 Jun 3;332(7553):1295–8. 2006 Jun 3;332(7553):1299–303. Sörensen HT, Nielsen GL, Schönheyder HC, Steffensen FH, Hansen I, Sabroe S, Dahlerup JF, Hamburger H, Olsen J: Outcome of pre-hospital antibiotic treatment of meningococcal disease. Hahné SJM, Charlett A, Purcell B, Samuelsson S, Camaroni I, Ehrhard I, et al.

Ambulance Services 52

Ambulance Services Sepsis Burns Hospitals 52

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. EMJ; 2005: 22-24. Hunt et al. Emergency thoracotomy in thoracic trauma: a review. Clay et al. Rhee et al.

Military 52

Military Resuscitation Emergency Department Documentation/Coding 52

ALiEM

NOVEMBER 6, 2023

Outcome and use of antiarrhythmic drugs during follow-up. 2006 Oct;11(4):340-53. Radiofrequency catheter ablation of accessory pathways. European heart journal. 1999 Dec 1;20(24):1826-32. Wolff L, Parkinson J, White PD. Bundle-branch block with short P-R interval in healthy young people prone to paroxysmal tachycardia. doi: 10.1111/j.1542-474X.2006.00127.x.

EKG/ECG 78

EKG/ECG Academics Outcomes Wellness 78

EMDocs

AUGUST 13, 2024

From 2006-2013, HTN emergencies occurred in approximately 2 of every 1000 adult ED visits. If the patient has asymptomatic elevated BP, the optimal management strategy is not clear, and there are no data that treating asymptomatic elevated BP (marked versus not) in the acute care setting improves clinical outcomes.

Stroke 85

Stroke Administration Outcomes Hospitals 85

Northwestern EM Blog

APRIL 15, 2024

“Tracheostomy: Epidemiology, Indications, Timing, Technique, and Outcomes.” 2006): 576-579. Tracheotomy outcomes and complications: a national perspective. Respiratory Care 59 (2014): 895 - 919. Rajendram, R., Repositioning a displaced tracheostomy tube with an Aintree intubation catheter mounted on a fibre-optic bronchoscope."

Emergency Department 98

Emergency Department Resuscitation Pediatrics Outcomes 98

EMDocs

JUNE 12, 2024

HypoCa is common in trauma patients and is associated with poor outcomes. We need RCTs to determine if Ca administration in trauma impacts mortality and other patient-centered outcomes. All are associated with critical illness and severe hemorrhage. However, this triad does not include hypoCa, which has a major role in trauma.

Hyperthermia / Hypothermia 90

Hyperthermia / Hypothermia Resuscitation Administration Blood Transfusions 90

Sensible Medicine

JULY 31, 2024

Fama’s series includes many of our favorite topics—doubts regarding plausibility, confounding in observational data, competing causes of outcomes, and, for the win, inadequate consideration of the downsides of a sweeping recommendation. By 2006, the National Infant Sleep Position household survey showed that 75% of U.S.

Research 92

Research Pediatrics Outcomes Wellness 92

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. Ultrasound during TCA: Cureton et al. 2012; 73: 102-10.

Resuscitation 52

Resuscitation Ultrasounds Shock CPR 52

EMDocs

JUNE 27, 2024

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. Factors associated with adverse outcome among children with sickle cell disease admitted to the pediatric intensive care unit: an observational cohort.

Pediatrics 76

Pediatrics Dehydration EMS Hospitals 76

Pediatric Emergency Playbook

MARCH 1, 2021

Pediatric Constipation in the Emergency Department: Evaluation, Treatment, and Outcomes. JPGN 2006; 43:e1-e13. JPGN 2014;59: 327–333. North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition. Clinical Practice Guideline: Evaluation and Treatment of Constipation in Infants and Children. Tabbers MM et al.

Pediatrics 52

Pediatrics Emergency Department Outcomes 52

Mind The Bleep

NOVEMBER 12, 2023

2006 Apr 11. Contemporary definitions and classification of the cardiomyopathies: an American Heart Association Scientific Statement from the Council on Clinical Cardiology, Heart Failure and Transplantation Committee; Quality of Care and Outcomes Research and Functio. Circulation. 113(14):1807–16. 2007 Dec 12.

EKG/ECG 96

EKG/ECG Research Outcomes 96

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 55

Stroke Emergency Department COPD Academics 55

The Skeptics' Guide to EM

JUNE 11, 2017

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 ). You wonder if they would benefit from a platelet transfusion.

Stroke 52

Stroke EMS Outcomes 52

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

Defibrillation is the treatment of choice in these cases but does not often result in sustained ROSC ( Kudenchuk et al 2006). There is evidence that taking those patients with ROSC and EKG showing STEMI directly for angiography +/- angioplasty is associated with positive patient-oriented outcomes.

EKG/ECG 52

EKG/ECG Academics EMS CPR 52

Pediatric Emergency Playbook

OCTOBER 1, 2017

Outcomes of Children Bridged to Heart Transplantation With Ventricular Assist Devices: A Multi-Institutional Study. 2006; 113: 2313-2319. Ventricular Assist Devices Blume ED, Naftel DC, Bastardi HJ et al. for the Pediatric Heart Transplant Study Investigators. Circulation. Colón JE, Laborde ME, Nossaman BD.

Pediatrics 52

Pediatrics Seizures Stroke Ultrasounds 52

Taming the SRU

JUNE 12, 2023

Finally, a randomized-control trial found that prophylactic antibiotics for dog bite wounds did not statistically change infection outcomes and was not cost-effective, recommending that prophylactic antibiotics only be used in high-risk wounds [12]. In 2006, only 79 dogs were found to have rabies in the United States [14].

Infectious Diseases 102

Infectious Diseases Emergency Department Administration Academics 102

PHEM Cast

APRIL 10, 2016

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. EMS Patients and Walk-In Patients Presenting With Severe Sepsis: Differences in Management and Outcome. South Med J.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

The Injectable Orange

JUNE 20, 2017

The world is a strange place when we can’t do something so simple when it’s critical, but we do it so well when the outcomes are meaningless. 1(1):49-55, Spring 2006 Symon, B, Simulcast Journal Club Summary August 2016 – Debrieifer Knows Best [link] This demands more research.” I’d better come back tomorrow.”

Head Injuries 52

Head Injuries Documentation/Coding Wellness Resuscitation 52

Don't Forget the Bubbles

OCTOBER 7, 2024

Prolonged CPR should be considered as outcomes are generally good, even if asystole is the presenting rhythm. The high voltage can cause direct thermal injuries, as well as mechanical injuries from falls or secondary trauma. In most paediatric cardiac arrests, the primary cause is respiratory – not so in cases of electrocution.

Burns 80

Burns Fluid Resuscitation Shock Resuscitation 80

PulmCCM

OCTOBER 9, 2023

Intensive blood glucose control in the ICU: Try, try again (TGC-FAST trial) Hyperglycemia is associated with worse outcomes in the ICU (and in medical patients generally), so correcting it must improve outcomes … right? ICU lengths of stay (the primary outcome) were identical between groups. and many other countries.

Shock 52

Shock Outcomes Hospitals Wellness 52

Pediatric Emergency Playbook

APRIL 1, 2016

We could use it to track treatment , and see if we can clear the lactate; decreased lactate levels are associated with a better outcome in adults. Myopericarditis in Children: Elevated Troponin I Level Does Not Predict Outcome. 2006; 118(4): 1165-1168. 2006; 107(1)21-31. We should use lactate to detect occult shock.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

Taming the SRU

JANUARY 29, 2024

Phlegmasia Cerulea Dolens in the Upper Extremity: A Case Report and Systematic Review and Outcomes Analysis. 2006 Apr;17(3):225-6. Greenberg J, Troutman DA, Shubinets V, Dougherty MJ, Calligaro KD. Vasc Endovascular Surg. 2016 Feb;50(2):98-101. Epub 2016 Feb 11. Bolitho DG, Elwood ET, Roberts F. Ann Plast Surg. 2000 Dec;45(6):644-6.

Emergency Department 92

Emergency Department Fractures Hospitals Operations 92

Pediatric Emergency Playbook

SEPTEMBER 1, 2015

Incidence, cause, and short-term outcome of convulsive status epilepticus in childhood: prospective population-based study. 2006; 368: 222–29. 2006; 5:246-256. 2013; 54 Suppl 7:23-34 Chin RFM et al., for the NLSTEPSS Collaborative Group. Chen JW, Chamberlain CG. Status epilepticus: pathophysiology and management in adults.

Pediatrics 40

Pediatrics Seizures Stroke Radiology 40

Taming the SRU

SEPTEMBER 8, 2023

Clinical Critical Care Medicine, 2006, pp. 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. Cross, Timothy, et al. Acute liver failure.” Hepatology, vol.

Radiology 59

Radiology Radiology Ultrasounds EMS 59

Pediatric Education

OCTOBER 22, 2023

Discussion The main outcome of any delivery is to have a healthy mother and healthy child. Subcutaneous fat necrosis of the newborn: a systematic evaluation of risk factors, clinical manifestations, complications and outcome of 16 children. The radiologic evaluation confirmed that these were subcutaneous fat necrosis. Br J Dermatol.

Radiology 52

Radiology Radiology Fractures Pediatrics 52

PulmCCM

SEPTEMBER 4, 2024

Might this novel measure predict outcome in critically-ill patients [ @ross_prager ]? Magder S, (2006) Central venous pressure monitoring. Best, JE Please enjoy other posts in this series, now over a decade running! Subscribe now References 1. Intensive Care Med 41: 265-272 20. Current opinion in critical care 12: 219-227 21.

Ultrasounds 84

Ultrasounds Operations Research Outcomes 84

Pediatric Emergency Playbook

AUGUST 1, 2017

2006; 26:1485-1500. 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. 2006; 22:1021-1024. Pediatr Rev. 1988; 9(7):219-226. Malrotation with Midgut Volvulus Applegate KE.

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. Annals of Emergency Medicine 2006; 47(6):548-555 Lewis SR, Butler AR, Parker J, Cook TM, Smith AF. J Trauma 2003; 54:444-453 Mort TC. Emergency tracheal intubation: complications associated with repeated laryngoscope attempts.

Airway Management 40

Airway Management Resuscitation EMS Hospitals 40

Pediatric Emergency Playbook

JANUARY 1, 2016

2006; 26(5):1485-500. 2006 Apr;7(2):75-80. Factors associated with adverse outcomes in children with diabetic ketoacidosis-related cerebral edema. Intestinal malrotation in children: a problem-solving approach to the upper gastrointestinal series. Radiographics. Glaser NS, Wootton-Gorges SL, Buonocore MH et al. Pediatr Diabetes.

Head Injuries 40

Head Injuries Pediatrics Shock Sepsis 40

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

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 40

Dehydration Fluid Resuscitation Sepsis Resuscitation 40

Dr. Smith's ECG Blog

DECEMBER 27, 2023

Comparative early and late outcomes after primary percutaneous coronary intervention in st-segment elevation and Non–St-segment elevation acute myocardial infarction (from the Cadillac trial). Stuckey, T., Zimetbaum, P. Tcheng, J. Guagliumi, G., Iwaoka, R. O’Neill, W. Lansky, A. & Griffin, J.

EKG/ECG 113

EKG/ECG Documentation/Coding Wellness Emergency Department 113

RebelEM

JANUARY 23, 2023

Health care professional involved in patient management and outcome assessment was completely blinded. 2006) “Management of acute allergic reactions and anaphylaxis in the Emergency Department between 1993-2003,” Journal of Allergy and Clinical Immunology , 117(2). Multicenter study of emergency department visits for food allergies.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Urgent Care Emergency Department 52

Dr. Smith's ECG Blog

NOVEMBER 15, 2013

Eur Heart J 2001;22:1997–2006. Silent ischemia as a marker for early unfavorable outcomes in patients with unstable angina. Gottlieb SO, et al. N Engl J Med 1986;314:1214–1219. Jernberg T, et al.

EKG/ECG 52

EKG/ECG Documentation/Coding Emergency Department Wellness 52

AED Leader

AUGUST 15, 2023

An umbrella review published in BMJ in 2023 revealed that dietary sugar consumption is associated with 10 cardiovascular outcomes, a greater risk of coronary artery disease, and an increased risk of all-cause mortality. However, “added” sugars affect heart health and the risk increases the more you consume.

Stroke 52

Stroke Outcomes Wellness 52

Cook County EM Blog

MARCH 20, 2023

2006 Jul;20(7):503-11. Latex paint-gun injuries of the hand: are the outcomes better? Epub 2008 Feb 2. PMID: 18427921; PMCID: PMC2291478. Hogan CJ, Ruland RT. High-pressure injection injuries to the upper extremity: a review of the literature. J Orthop Trauma. doi: 10.1097/00005131-200608000-00010. PMID: 16891944. 2014 Jan;22(1):38-45.

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Documentation/Coding Fractures Operations Research 52