Sensible Medicine

JULY 17, 2023

Let’s start in 2007. And again, they reported no difference in outcomes. In the end, I hope to show the folly of “screening” for heart disease. Sensible Medicine is a reader-supported publication. To receive new posts and support our work, consider becoming a free or paid subscriber. None of them.

Shock 98

Shock Outcomes 98

The Skeptics' Guide to EM

MARCH 18, 2023

Association of early oseltamivir with improved outcomes in hospitalized children with influenza, 2007-2020. Association of early oseltamivir with improved outcomes in hospitalized children with influenza, 2007-2020. Association of early oseltamivir with improved outcomes in hospitalized children with influenza, 2007-2020.

Pediatrics 40

Pediatrics Infectious Diseases Administration Outcomes 40

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

Taming the SRU

NOVEMBER 14, 2023

Complications of auricular hematoma drainage include pain, paresthesia, bleeding, infection, poor cosmetic outcome, scar formation, and re-accumulation of hematoma after the procedure. 2007 Oct;26(10):879-91. 2007 Jun;121(6):530-4. Accessed November 9, 2023. DeBoard RH, Rondeau DF, Kang CS, Sabbaj A, McManus JG. 25(1):23-39.

Emergency Department 94

Emergency Department Pediatrics Wellness Fractures 94

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

EMDocs

MAY 11, 2024

2007 Jan 27;369(9558):293-8. Endovascular and Clinical Outcomes of Vertebrobasilar Intracranial Atherosclerosis-Related Large Vessel Occlusion. Chalela JA, Kidwell CS, Nentwich LM, et al. Magnetic resonance imaging and computed tomography in emergency assessment of patients with suspected acute stroke: a prospective comparison.

Stroke 110

Stroke EMS EKG/ECG Radiology 110

EMDocs

OCTOBER 21, 2023

The NIHSS cutoff that predicts outcomes is 4 points higher in AC compared with PC infarctions. Basilar artery occlusion remains a challenging diagnosis to make, and the delays in reaching the diagnosis can have considerable impact on health outcomes. link] January 24, 2007. hour IV thrombolytic window. Updated 2022 Oct 15].

EMS 97

EMS Stroke Outcomes Hospitals 97

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

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.) Epub 2007 Nov 1.

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

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.

EMS 105

EMS Infectious Diseases Radiology Radiology 105

Mind The Bleep

NOVEMBER 12, 2023

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. 2007 Dec 12. Circulation. 113(14):1807–16.

EKG/ECG 96

EKG/ECG Research Outcomes 96

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

All Ohio EM

SEPTEMBER 16, 2019

By Mike Pallaci, DO Research Question: Does rapid lowering of blood pressure improve the outcome in patients with intracerebral hemorrhage? The primary outcome was determined for 2794 of these; 45 patients (1.6%) lost to follow-up. How Many Patients: The investigators enrolled 2839 patients.

Stroke 40

Stroke Outcomes Research Hospitals 40

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

Pediatric Emergency Playbook

AUGUST 1, 2017

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. 2007; 16:27-33. 2007; 298(4):438-451. 2007; 25:1009-1040. J Med Genet 2008; 45:1. Arshad A, Powell C, Tighe MP.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

Critical Care Now

APRIL 5, 2022

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. The Excellence in Prehospital Injury (EPIC) Study The EPIC TBI study ran from 2007 to 2019 and involved an EMS and public health partnership in Arizona.

Airway Management 52

Airway Management EMS CDC Pediatrics 52

Taming the SRU

SEPTEMBER 8, 2023

doi: 10.1055/s-2007-1007253. Prognosis of acute severe autoimmune hepatitis (as-AIH): The role of corticosteroids in modifying outcome.” Coagulopathy: Pereira SP, Langley PG, Williams R. The management of abnormalities of hemostasis in acute liver failure. Semin Liver Dis. 1996 Nov;16(4):403-14. PMID: 9027953. Hepatology, vol.

Radiology 59

Radiology Radiology Ultrasounds EMS 59

Dr. Smith's ECG Blog

AUGUST 19, 2023

Circulation 2007 2. Contemporary trends and outcomes in patients with ST-segment elevation myocardial infarction and end-stage renal disease on dialysis: insights from the National Inpatient Sample. Clinical characteristics of dialysis patients with acute myocardial infarction in the United States. Khan et al.

EKG/ECG 98

EKG/ECG Wellness Outcomes Hospitals 98

The Skeptics' Guide to EM

JANUARY 7, 2018

Edlow 2000 , Vermeulen 2007 ] Unfortunately, one-fourth of aneurysmal SAH victims die within one-day and 50% of SAH survivors never return to work. Identifying SAH early reduces these adverse outcomes if subsequent neurosurgical interventions (coiling or clipping) occur emergently.

Emergency Department 40

Emergency Department Academics Outcomes 40

Don't Forget the Bubbles

JULY 26, 2023

Claudius et al, Pediatrics 2007 here a US-based study showed that of all admitted patients only 14% had a subsequent clinical course requiring admission. Referring back to Paediatric survivors of out-of hospital VF: etiologies and outcomes, Silka et al, Heart Rhythm 2018, prior to the arrest, 26% of patients had pre-existing cardiac symptoms.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

Dr. Smith's ECG Blog

OCTOBER 20, 2013

Methods: Between June 2007 - July 2009 all NT-OHCA patients aged >18, transported to our hospital, an urban, level one trauma teaching hospital were included. Data collected included demographics, initial rhythm, EKG, emergency department (ED) CT and outcomes. This is due to the severity of brain damage.

Resuscitation 52

Resuscitation EKG/ECG Hospitals Emergency Department 52

Mind The Bleep

AUGUST 5, 2023

One-year outcomes following surgery for necrotising enterocolitis: a UK-wide cohort study. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: [link] Allin, B. Lakhoo, K. & & Knight, M. – Fetal Neonatal Ed. fetalneonatal-2017-313113 (2017). link] Neu J, Walker WA. Pneumoperitoneum.

Sepsis 52

Sepsis Ultrasounds Radiology Radiology 52

Dr. Smith's ECG Blog

AUGUST 3, 2017

2007; 15: 16-21. These patients had worse outcomes than patients with ST depression without occlusion; half of these were circumflex. 2007 Nov;27(6):368-74. The ECG in Acute MI - An Evidence Based Manual of Reperfusion Therapy 2002. Van Gorselen EO, Verheugt FW, Meursing BT, Oude Ophuis AJ. Neth Heart J. Wung SF, Drew BJ.

EKG/ECG 52

EKG/ECG Outcomes Wellness 52

Taming the SRU

OCTOBER 23, 2023

Discrimination between an IUP and an interstitial pregnancy is critical as interstitial pregnancies can have devastating outcomes. 2007), Free Fluid in Morison's Pouch on Bedside Ultrasound Predicts Need for Operative Intervention in Suspected Ectopic Pregnancy. Pages 501-508, ISSN 1521-6934. Ultrasonography. O'Brien, E. and Lin, H.

Ultrasounds 98

Ultrasounds Operations Radiology Radiology 98

Don't Forget the Bubbles

FEBRUARY 26, 2024

2007 Jan 1;25(1):6-9. Outcomes of paediatric critical care asthma patients. Pediatric Critical Care Medicine. 2002 Apr 1;3(2):181-4. Beers SL, Abramo TJ, Bracken A, Wiebe RA. Bilevel positive airway pressure in the treatment of status asthmaticus in pediatrics. The American journal of emergency medicine. Pediatric pulmonology.

Pediatrics 72

Pediatrics Research Documentation/Coding Outcomes 72

RebelEM

JANUARY 23, 2023

Health care professional involved in patient management and outcome assessment was completely blinded. 2007 Jul-Aug;28(4):418-26. The effectiveness of IV cetirizine was determined to be statistically non-inferior. Resources: Banerji A, Long AA, Camargo CA Jr. Allergy Asthma Proc. PMID: 17883909. Bernstein J, Leslie T.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Urgent Care Emergency Department 52

Taming the SRU

MARCH 14, 2023

Estimated incidence of normal pressure hydrocephalus and shunt outcome in patients residing in assisted-living and extended-care facilities. Kazui H, Miyajima M, Mori E, Ishikawa M: SINPHONI-2 Investigators: Lumboperitoneal shunt surgery for idiopathic normal pressure hydrocephalus (SINPHONI-2): an open-label randomized trial. Lancet Neurol.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

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). PMID: 33308912 Neilipovitz, David T.,

Emergency Department 92

Emergency Department Soft Tissue Injuries Airway Management Operations 92

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. 2007; 25: 309-331.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

ACEP Now

AUGUST 1, 2023

As your council officer, I commit to ensuring your voice contributes to the best outcome for our College, our members, EM residents, and our patients. If and when differences arise, I have the expertise to bring all sides together while adhering to our governing principles.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

EB Medicine

MAY 3, 2019

Jeff: And finally, how many of you wish there was a clearly outlined evidence-based approach to managing such patients to improve care and outcomes? The strongest predictor for suicide-related outcomes is history of prior suicidal ideation or suicide attempt. Show More v Nachi: Again, just about all of our listeners I’m sure!

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

EB Medicine

JUNE 6, 2019

Nachi: And remember that hypothermic patients who are septic have worse outcomes than those who are hyperthermic and septic. Nachi: A 2007 study suggests that using the Alvarado score along with bedside ultrasound might allow for rapid and inexpensive diagnosis of appendicitis. The max score is therefore 10.

Ultrasounds 40

Ultrasounds Radiology Radiology Sepsis 40

Don't Forget the Bubbles

AUGUST 21, 2023

What are the long-term outcomes for children with dilated cardiomyopathy? Outcomes at 1 year seem to be influenced by the severity of illness at presentation. Outcomes at 5 years, though, are better amongst those patients admitted to intensive care. Female sex and younger age favour better outcomes. 34; 963 – 969.

Pediatrics 98

Pediatrics Outcomes Research Sepsis 98

Don't Forget the Bubbles

FEBRUARY 7, 2024

This week, NCEPOD (National Confidential Enquiry into Patient Outcomes and Death) produced a much-anticipated report on how we manage acute testicular torsion in young people. A systematic review and meta-analysis revealing realistic outcomes following paediatric torsion of testes. Frontiers in Pediatrics , 8 , p.601892. MacDonald, C.,

Pediatrics 111

Pediatrics Ultrasounds Operations Hospitals 111

EMDocs

JUNE 21, 2023

Functional outcomes Severe soft tissue injuries and damage to the bony structures => poor functional outcomes. 2007 Aug;21(7):442-3. If we miss the diagnosis and there’s a delay in washout and debridement, patients can have chronic pain, a limp, decreased ROM, etc. J Shoulder Elbow Surg. 2020 Sep;29(9):1869-1875.

Soft Tissue Injuries 95

Soft Tissue Injuries Fractures Dislocations Radiology 95

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