The Skeptics' Guide to EM

SEPTEMBER 10, 2017

Alfred Sacchetti is a full time practicing Emergency Physician, who is also the Chief of Emergency Medicine at Our Lady of Lourdes Medical Center in Camden, New Jersey, USA, an Assistant Clinical Professor of Emergency Medicine and an Active Researcher. However, they come with many side effects and concerns about addiction and diversion.

Emergency Department 52

Emergency Department Research 52

PHEM Cast

JULY 14, 2016

Value of a rigid collar: in need of more research and better devices. 2007 Aug 1;:1–18. 2007 Jul 1;24(7):501–3. Smyth M, Cooke MW. Emergency Medicine Journal. 2013 May 13;30(6):516–6. Crane T, Cooke MW, Wellings R, Wayte S, Higgins J. MRI study of effectiveness of cervical spine immobilisation- a pilot study. J Neurotrauma.

Fractures 52

Fractures Hospitals Shock Research 52

American Medical Compliance

JANUARY 9, 2024

A patient’s record serves as the only permanent documentation of their care as it changes over time and is a valuable source of information for emergency care, research, and quality control. HCFAC received $248,459,000 from HHS and the Attorney General in 2007 to combat healthcare fraud and abuse.

Documentation/Coding 52

Documentation/Coding Risk Management Research 52

RebelEM

DECEMBER 1, 2022

Regardless of the cause, a thoracostomy is often required for treatment (Currie 2007 ). 875 patients from Africa, Asia, Europe, and North America RCTs or retrospective cohort studies Strengths Researchers followed PRISMA guidelines. 2007 Nov;83(985):722]. They performed a comprehensive search of multiple large databases.

Outcomes 52

Outcomes Hospitals Research Critical Access 52

Don't Forget the Bubbles

NOVEMBER 8, 2023

JAMA, 2007. RIFT Study Group on behalf of the West Midlands Research Collaborative. Bachur, R.G., Diagnostic imaging and negative appendectomy rates in children: effects of age and gender. Pediatrics, 2012. 129 (5): p. Bundy, D.G., Does This Child Have Appendicitis? Fawkner-Corbett, D., BMJ Open, 2022. 12 (11): p. Acad Emerg Med.

Emergency Department 105

Emergency Department Ultrasounds Pediatrics Best Practices 105

PulmCCM

FEBRUARY 19, 2024

Over six years of study (2007-2013): There were 83 MET calls activated by parents (~1.2 Well … no. And you did read that right: patients activated their own rapid response evaluations in over half of the 25 RRT calls at Shands, authors reported.) per month, about 3% of all MET calls). Patient-Centered, or Pandora’s Box?

Hospitals 52

Hospitals Resuscitation Burns Documentation/Coding 52

Don't Forget the Bubbles

FEBRUARY 26, 2024

About PICSTAR PICSTAR is a trainee-led research network open to all doctors, nurses and allied health trainees within Paediatric Intensive Care. We are the trainee arm of the Paediatric Critical Care Society – Study Group (PCCS-SG) and work with them on research, audit and service evaluation. 2007 Jan 1;25(1):6-9.

Pediatrics 72

Pediatrics Research Documentation/Coding Outcomes 72

EMDocs

JANUARY 29, 2024

Yaghi S, Willey JZ, Cucchiara B, Goldstein JN, Gonzales NR, Khatri P, Kim LJ, Mayer SA, Sheth KN, Schwamm LH; on behalf of the American Heart Association Stroke Council; Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; and Council on Quality of Care and Outcomes Research. 2007 Jul 18;2007(3):CD000277.

Stroke 99

Stroke Outcomes EMS Seizures 99

Mind The Bleep

JULY 23, 2023

H, 2007) AXR will frequently be normal Management: Ladds procedure which involves untwisting the bowel, resecting any ischaemic / non viable bowel tissue. H, 2007) “Spiral sign” in malrotation: Duodenum and Proximal Jejunum have a Spiral configuration and are located in the right side of the abdomen. (H, Green for Danger!

Sepsis 52

Sepsis Blood Transfusions Dehydration Wellness 52

Taming the SRU

OCTOBER 23, 2023

Best Practice & Research Clinical Obstetrics & Gynaecology, Volume 23, Issue 4, 2009. 2007), Free Fluid in Morison's Pouch on Bedside Ultrasound Predicts Need for Operative Intervention in Suspected Ectopic Pregnancy. Diagnosis of ectopic pregnancy with ultrasound. Pages 501-508, ISSN 1521-6934. Ultrasonography. O'Brien, E.

Ultrasounds 98

Ultrasounds Operations Radiology Radiology 98

RebelEM

JANUARY 23, 2023

2007 Jul-Aug;28(4):418-26. Clark S, Bock SA, Gaeta TJ, Brenner BE, Cydulka RK, Camargo CA; Multicenter Airway Research Collaboration-8 Investigators. While second-generation antihistamines such as cetirizine may offer some clear advantages over diphenhydramine, we see no clear benefit for parenteral therapy in this study.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

Pediatric EM Morsels

JULY 21, 2023

Borgialli DA, Mahajan P, Hoyle JD Jr, Powell EC, Nadel FM, Tunik MG, Foerster A, Dong L, Miskin M, Dayan PS, Holmes JF, Kuppermann N; Pediatric Emergency Care Applied Research Network (PECARN). PMID: 1933914. Performance of the Pediatric Glasgow Coma Scale Score in the Evaluation of Children With Blunt Head Trauma. Acad Emerg Med.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Sensible Medicine

APRIL 29, 2024

Specification curve analysis is similar to a multiverse analysis, meaning it’s a way of defining and implementing all plausible and valid analytic approaches to a research question. I will explain why it’s so nifty. This time in nutritional epidemiology. Say blueberries and rates of stroke.

Stroke 142

Stroke Documentation/Coding Shock Research 142

Don't Forget the Bubbles

AUGUST 21, 2023

About PICSTAR PICSTAR is a trainee-led research network open to all doctors, nurses and allied health trainees within Paediatric Intensive Care. We are the trainee arm of the Paediatric Critical Care Society – Study Group (PCCS-SG) and work with them on research, audit and service evaluation. Progress in Pediatric Cardiology.

Pediatrics 98

Pediatrics Outcomes Research Sepsis 98

Don't Forget the Bubbles

DECEMBER 11, 2023

Neglect Emotional Physical A subsequent study, ‘ The Philadelphia ACE Study ’, in 2015, identified that community factors were routinely neglected from research and so added in five community domains. To list all of the known impacts of ACEs would be to write a rather large textbook, so I encourage you to research your field of practice.

Wellness 104

Wellness Research Outcomes Shock 104

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. She is also the President of the Junior Section of the Society for Pediatric Research. JAMA Pediatr. JAMA Pediatr.

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 Pediatrics 98

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

DECEMBER 16, 2023

BMC research notes , 8 , 758. [link] Gaudio, & Grissom, C. Cooling Methods in Heat Stroke. The Journal of Emergency Medicine. , 50 (4), 607–616. link] Bouchama, Dehbi, M., & Chaves-Carballo, E. Cooling and hemodynamic management in heatstroke: practical recommendations. link] Kakoki, K., Hakariya, T., Takehara, K., Izumida, S.,

Hyperthermia / Hypothermia 94

Hyperthermia / Hypothermia EMS Stroke Seizures 94

Advanced Emergency Nursing from AENJ

SEPTEMBER 13, 2016

It is a 11:39 minute film, by Walter Reid Army Institute of Research Production of experimental research done by Peter Safar, MD, and associates, at Baltimore City Hospital's Department of Anesthesiology. Research: an integral function of anesthesiology department. Founded first ICU that was multi-disciplinary.

Resuscitation 40

Resuscitation CPR Emergency Nursing Basic Life Support 40

ACEP Now

SEPTEMBER 13, 2023

This funding expanded the committee’s work to include three reports: Hospital Based Emergency Care – at the Breaking Point ; Emergency Medical Services – at the Crossroads ; and Emergency Care for Children – Growing Pains ,” all released in 2007. Prescott, MD, another member of the committee. “We

EMS 45

EMS Research Academics Military 45

Pediatric Emergency Playbook

AUGUST 1, 2016

in 2007 compared subcutaneous administration of lactated ringer’s solution by gravity with and without hyalurondase. References Allen CH, Etzwiler LS, Miller MK, Maher G, Mace S, Hostetler MA, Smith SR, Reinhardt N, Hahn B, Harb G; INcreased Flow Utilizing Subcutaneously-Enabled Pediatric Rehydration Study Collaborative Research Group.

Allergic Reactions 52

Allergic Reactions Dehydration Pediatrics Geriatric Emergencies 52

Greater Sydney Area HEMS

APRIL 26, 2023

Thus, ST management has been heavily based on lay opinion, and until recently, lightly on peer-reviewed research. Health and Safety Executive Research Report 451. Lee C, Porter KM (2007) Suspension trauma. A literature search on ST as recently as 2009 yielded only 5 articles, as compared to thousands of non-medical commentaries.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Shock Research Operations 52

Don't Forget the Bubbles

DECEMBER 16, 2024

Research indicates that vaccine-induced antibodies persist for 412 years, while immunity from natural infection lasts between 4 and 20 years. Manual for the laboratory diagnosis of measles and rubella infection Geneva: WHO Documents Production Services, 2007 Available from: [link] [Accessed 4 Oct 2024] Government of the United Kingdom.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

Taming the SRU

MARCH 14, 2023

VP Shunt - Courtesy of Cancer Research UK via wikimedia - CC-4.0 - [link] Case courtesy of Paul Simkin, Radiopaedia.org, rID: 30453 Case courtesy of Dr Ruslan Asadov, Radiopaedia.org, rID: 8401. The drainage catheter is tunneled under the skin and terminates in the peritoneal cavity. Marmarou, Young, Aygok. Neurosurg Focus. Marmarou et al.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

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? However, the 2007 AHA/ASA guidelines, the most current guidelines at the time the study commenced, stated only that lowering blood pressure “may be considered.” 2007;38:2001-2023.

Stroke 40

Stroke Outcomes Research Hospitals 40

Northwestern EM Blog

JANUARY 24, 2022

2007; 25: 309-331. Critical Care Research and Practice. Hypothyroidism and Adrenal Insufficiency in Sepsis and Hemorrhagic Shock. Arch Surgery. 2004; 139(11):1199-1203. 5) Kerns W. Management of B-Adrenergic Blocker and Calcium Channel Antagonist Toxicity. Emergency Medicine Clinics of North America. 6) Levy B, Collin S, Sennoun N, et.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

Advanced Emergency Nursing from AENJ

JANUARY 26, 2015

2014) Medscape.com Sullivan, MG (2007) Time Is Critical for Success in Perimortem C-Section ACEP News. Journal of clinical and diagnostic research: JCDR, 8(10), FC05. Reid, C (2011) Prehospital resuscitative hysterotomy op.cit. Resusme.em.extrememember.com Roe III, EJ , MD , MBA, FACEP, FAAEM, MSF, CPE. Emergency, 129, 80-1.

OB/GYN 40

OB/GYN Ultrasounds Emergency Department Resuscitation 40

RebelEM

MARCH 13, 2023

In this systematic review and meta-analysis, researchers aim to establish an accurate prehospital TCA mortality rate and explore associations between survivability and the many factors contributing to prehospital TCA management. 2007, 13: 691-6. Are any pre- or intra-arrest factors prognostic of prehospital TCA mortality? 10.1097/MCC.0b013e3282f1e77e.

Basic Life Support 52

Basic Life Support EMS Resuscitation Outcomes 52

Dr. Smith's ECG Blog

JANUARY 30, 2019

I remember Allie well from her days in the Research volunteer program at Hennepin. This was submitted by Alexandra Schick. Dr. Schick is a PGY3 at the Brown Emergency Medicine Residency in Rhode Island. The article is edited by Smith. Title: Is it just hot in here or is it a OMI? Circ Res, 85(9), 803-809. [6]: 6]: Deschênes I and Laurita KR.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia EKG/ECG Wellness Documentation/Coding 52

ACEP Now

APRIL 2, 2024

Dr. Hack is chief of the division of medical toxicology and vice chair for research at East Carolina University in Greenville, North Carolina. Boca Raton (FL): CRC Press/Taylor & Francis; 2007. References Barboza GE, García CC, et al. An amazing new Capsicum (Solanaceae) species from the Andean-Amazonian piedmont.

Burns 40

Burns Poisoning Seizures Stroke 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. Choking or gagging in the history now precludes this description being applied. Do all infants with ALTEs need to be admitted?

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

Pediatric Education

DECEMBER 10, 2023

Multiple factors may not be noted on a death certificate or medical record which are often used for research studies. One study of US National Center for Health Statistics found from 2007-2016 that infants’ deaths from strangulation/suffocation increased for all groups studied.

Pediatrics 40

Pediatrics Documentation/Coding Research Hospitals 40

EB Medicine

MAY 3, 2019

And while safety planning typically is most effective when combined with other interventions, research suggests that it does enhance outpatient treatment engagement after an ED visit and in one study, reduce subsequent suicide attempts by 30% vs usual care. Rockville (MD): Agency for Healthcare Research and Quality (US); 2006. (US

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

EMDocs

FEBRUARY 12, 2024

Some studies have found that VBGs and ABGs do correlate well in trauma patients but are not clinically equivalent; these studies still call for obtaining routine ABGs in patients with major traumatic injuries until more research has been done comparing ABGs and VBGs in the setting of severe traumatic injury (17-19). 2007 Aug;24(8):569-71.

Emergency Department 98

Emergency Department Resuscitation COPD Shock 98

Pediatric Emergency Playbook

JANUARY 1, 2017

Surgical pain is not “erased” by opioids ( Thomas 2003 , Poonai 2014 ); treating pain improves specificity to certain surgical emergencies with retained diagnostic accuracy ( Manterola 2007 ). Researchers are currently working to offer an evidence base to this anecdotal practice.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

ACEP Now

DECEMBER 11, 2023

1 This publication would not come as a surprise to those following the past 15 years of efforts by the research teams examining phenylephrine. These changes are of note because data regarding limited efficacy were presented to the FDA in 2007 and 2015. Since the 2007 meeting, several clinical trials were performed.

Administration 64

Administration Outcomes Research Stroke 64