ACEP Now

OCTOBER 3, 2023

This document is an update of guidelines first published in 2000, and then updated in 2007. These guidelines present the best available evidence to support clinical decision making in the prehospital setting when TBI care may have the most significant impact on outcomes; they also establish a research agenda for future investigations.

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98

EMDocs

JANUARY 29, 2024

Authors: Sameer Desai, MD (EM Attending Physician, University of Kentucky); Omar Abbas Ahmed Malik, MBBS (Patients’ Aid Foundation, Jinnah Postgraduate Medical Center) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University School of Medicine in St.

Stroke 99

Stroke Outcomes EMS Seizures 99

RebelEM

JANUARY 24, 2024

Wallace 2011 ) If addressed early and appropriately, most patients have good self-reported long-term outcomes regardless of the treatment modality Links Orthobullets: Achilles Tendon Rupture Resources: Sheth U et al. 2007; 31:279-284. Br J Sports Med. 2005; 39(11): 838-42. PMID: 16244194 Margetic P et al. Coll Antropol.

Operations 101

Operations Ultrasounds Fractures Outcomes 101

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

Critical Care Now

APRIL 5, 2022

Reading Time: 5 minutes Simon Taxel NRP, BA Simon is a paramedic, crew chief, and public safety diver with the Pittsburgh Bureau of EMS. While anyone can experience a TBI, the available data suggests that the social determinants of health have a substantive impact on the outcomes associated with them.

Airway Management 52

Airway Management EMS CDC Pediatrics 52

RebelEM

DECEMBER 1, 2022

Regardless of the cause, a thoracostomy is often required for treatment (Currie 2007 ). Heterogeneity was 0% for the primary outcome, and overall heterogeneity was low for secondary outcomes, which increases external validity. Included studies were conducted on four continents, increasing external validity. to -0.23]; P=.01;

Outcomes 52

Outcomes Hospitals Research Critical Access 52

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. April 2007. Karliner L, Jacobs E, et al. SAEM Pulse.

Documentation/Coding 104

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 104

ACEP Now

AUGUST 1, 2023

Factoring such, an order to transfer the patient immediately by ground or air EMS is the only actual support per se these non-physicians receive. 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

PulmCCM

JUNE 10, 2024

Background I’m not sure if you’ve noticed this, but patients and families frequently disagree with their physicians about the likely outcomes from critical illness. The Chest review identified 18 “empirical studies,” but only these two tested TLTs’ effects on patient outcomes in the ICU.) 202310-925ST.

COPD 45

COPD Outcomes Hospitals EMS 45

Emergency Medicine Ireland

NOVEMBER 30, 2020

Brief summaries follow: * DESTINY 2007 * this was a German multicentre RCT including 30 pts * there was a 90% v 50% survival favouring decompression * DECIMAL 2007 * this was a French multicentre RCT including 38 pts * they looked at the mRS as the primary outcome and found that those with decompression had much better neuro outcomes than those who (..)

Stroke 40

Stroke Outcomes EMS 40

EMDocs

SEPTEMBER 25, 2023

Still, there are those that believe that FPS is more of a physician-centered endpoint that does not fully reflect important patient-centric outcomes (16). 2007): 748. This suggests that differences in FPS rate likely account for the observed differences in adverse events between RSI and FI (14,15). We don’t want to go backwards!

Emergency Department 92

Emergency Department Soft Tissue Injuries Airway Management Operations 92

EMDocs

JANUARY 4, 2024

Whole bowel irrigation: 3 Not routinely performed and limited evidence to support improved outcome in general. Epub 2007 Sep 4. Clinical characteristics and outcomes associated with bupropion overdose: a Canadian perspective. Remember patients must be able to protect their airway/be intubated and have active bowel sounds.

Seizures 92

Seizures EKG/ECG Poisoning Shock 92

Taming the SRU

SEPTEMBER 8, 2023

NAC: Jiang SX, Hussaini T, Yoshida EM. doi: 10.1055/s-2007-1007253. Prognosis of acute severe autoimmune hepatitis (as-AIH): The role of corticosteroids in modifying outcome.” “Acute Liver Failure: Evidence-Based Evaluation and Management.” emDOCs.Net - Emergency Medicine Education, 26 Nov. Saudi J Gastroenterol. PMID: 9027953.

Radiology 59

Radiology Radiology Ultrasounds EMS 59

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. 2007 Jul-Aug;28(4):418-26. Resources: Banerji A, Long AA, Camargo CA Jr.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

Taming the SRU

MARCH 14, 2023

Case 2 19 year old seizure A 19-year-old male is brought into your emergency department via EMS for witnessed seizure-like activity. Estimated incidence of normal pressure hydrocephalus and shunt outcome in patients residing in assisted-living and extended-care facilities. The seizure abated with rectal diazepam given by the squad.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

Northwestern EM Blog

JANUARY 24, 2022

And for most forms, EM physicians are not typically shocked by shock. However, even subclinical hypothyroidism with an elevated TSH but normal T4 increases risk of poor outcomes due to effects on cardiac function. 2007; 25: 309-331. However, what happens when the trusted treatment paradigm fails? Understanding adrenal crisis.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

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. Point of care glucose in the field was 102 mg/dL. Cooling Methods in Heat Stroke. link] Swee, duS.,

Hyperthermia / Hypothermia 94

Hyperthermia / Hypothermia EMS Stroke Seizures 94

EB Medicine

JUNE 6, 2019

Nachi: And remember that hypothermic patients who are septic have worse outcomes than those who are hyperthermic and septic. Most EM training programs certainly emphasize the importance of the the pelvic exam for women with lower abdominal pain, but some recent papers have questioned its role. The max score is therefore 10.

Ultrasounds 40

Ultrasounds Radiology Radiology Sepsis 40

EMDocs

FEBRUARY 12, 2024

Authors: Rachel Kelly, MD ( EM Resident Physician, Stony Brook University Hospital); Robert Nocito, MD (EM Attending Physician, Stony Brook University Hospital) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. 2007 Aug;24(8):569-71. PMID: 16342377. (6) Emerg Med J. doi: 10.1136/emj.2007.046979.

Emergency Department 98

Emergency Department Resuscitation COPD Shock 98

EMDocs

JULY 17, 2023

Measures to optimize the patient for surgical intervention and treat shock, including antibiotics and fluid resuscitation, are associated with improved outcomes in these patients. Acute mechanical bowel obstruction: clinical presentation, etiology, management and outcome. 2007 Jan 21;13(3):432-7. World J Gastroenterol.

Operations 98

Operations EMS Fluid Resuscitation Resuscitation 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. 2007 Oct; 33(3): 233–239. Abnormal ECG – looks for cardiac syncope. Hemoglobin less than 10 (SF rule) 6. S yncope while supine (EGSYS) 8.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

EMDocs

OCTOBER 23, 2023

Author: Kristine Jeffers, MD ( EM Physician , San Antonio Uniformed Services Health Education Consortium) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. Morbidity outcomes of 78,577 hysterectomies for benign reasons over 23 years. 2020 Sep;127(10):1269-1279. BJOG 2008; 115:1473.

OB/GYN 93

OB/GYN Operations EMS Ultrasounds 93

RebelEM

FEBRUARY 3, 2025

Outcomes: Primary Outcome : Performance Characteristics of the AI Model in detecting STEMI. N=2699) Critical Pathway Cohort Patients who were activated at Severance Hospital via the CRITICAL PATHWAY (2 Physicians agreed on activation) between 2007-2020. PGY2 Internal Medicine Residents (based on 300 randomly selected ECGs).

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. Inwald et al. link] During the 2017 IV fluid shortage, Patino et al. Choudhari et al.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75