Don't Forget the Bubbles

JANUARY 8, 2024

This led to her death at 19, an outcome ruled as homicide at inquest, indicating others’ contribution to her demise. Verbal de-escalation not only helps in avoiding the need for physical intervention but also fosters a therapeutic relationship, crucial for successful treatment outcomes in these sensitive situations. Mulraney, M.,

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Research Emergency Department Psychiatric Academics 105

Sensible Medicine

JULY 17, 2023

And again, they reported no difference in outcomes. A year later, in 2008, COURAGE trialists published a follow-up paper looking at quality of life. The COURAGE investigators even carried out their study to ten years. You might wonder how PCI remained so popular after such a definitive study. Here is the key graph.

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PHEM Cast

DECEMBER 12, 2016

Emergency Department thoracotomy for the critically injured patient: Objectives, indications, and outcomes. Injury; 2008 (39): 967-969. Emergency thoracotomy in thoracic trauma: a review. Injury; 2006 (37): 1-19. Clay et al. World Journal of Emergency Surgery; 2006: 1:4. Rhee et al. J Am Coll Surg; 2000. J Am Coll Surg.

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Military Resuscitation Emergency Department Documentation/Coding 52

EMDocs

SEPTEMBER 7, 2023

Fatal Poisoning Among Young Children from Diethylene Glycol-Contaminated Acetaminophen — Nigeria, 2008—2009”. Long-Term Renal and Neurologic Outcomes among Survivors of Diethylene Glycol Poisoning.” Upon review of the history, several of the patients had been exposed to a liquid acetaminophen-based teething medication.

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Poisoning CDC Administration Emergency Department 76

PHEM Cast

APRIL 16, 2018

The outcomes from different resuscitative interventions in a haemorrhagic shock model in porcine model: From: Watts et al. Survival and neurological outcome after OOH TCA in pediatric & adult populations: a systematic review. 2008; 64: 9-14/ Ultrasound during TCA: Cureton et al. 2012; 73: 102-10. Grasner et al.

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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%

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Basic Life Support EMS Outcomes Resuscitation 52

Dr. Smith's ECG Blog

FEBRUARY 8, 2015

There was a good outcome. We believe this represents a form of “toxicomythology” given the millions of doses of beta -blockers administered in the past to patients with hyperadrenergic states, and a paucity of evidence of adverse outcomes (12). The one exception ADDIN EN.CITE McCord 2008 1774 1774 17 McCord, J. Wells, P.J.

Seizures 52

Seizures Administration Outcomes Hospitals 52

The Skeptics' Guide to EM

APRIL 16, 2022

Before we answer that question, let’s remind everyone that only a small number (2.8%) of interventions published in SRMA and relevant to emergency medicine have unbiased and strong evidence for improved outcomes ( SGEM#361 ). JAMA Feb 2009 looked at the ACC/AHA guidelines from 1984 to 2008. This is a broader problem in medicine.

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Military Operations Emergency Department Pediatrics 40

Northwestern EM Blog

FEBRUARY 14, 2022

The primary outcome of the study was the response in MAP three hours after the start of angiotensin II infusion. It showed improvement in blood pressure which is a clinically important parameter but not a patient-oriented outcome. NEJM 2008; 358(9): 877 – 87. Crit Care 2014; 18(5): 534. PMID: 25286986 Russell JA et al.

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Shock Resuscitation Fluid Resuscitation Sepsis 52

Dr. Smith's ECG Blog

APRIL 17, 2023

Full case details and outcomes are below. Emergency providers need to instinctively recognize this ECG pattern in a patient with new chest pain! == KEY POINTS regarding D e W inter T Waves : In 2008 — Robert J. de Winter et al in N Engl J Med 359:2071-2073, 2008. Case 1: Case 2: Case 1: What do you think? See text ).

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EKG/ECG Documentation/Coding Emergency Department Psychiatric 52

PulmCCM

OCTOBER 30, 2023

IDSA cites multiple large observational studies showing no improvement in sepsis outcomes at many centers after SEP-1 implementation. In 2008, the U.S. incidence of VAP has remained stubbornly persistent : though it declined from 20 cases to 15 per 1000 ventilated patients 2008-2015, the rate then crept back up to 17 per 1000 in 2017.

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Sepsis Shock Hospitals Infectious Diseases 52

The Skeptics' Guide to EM

MARCH 6, 2021

Background: Epistaxis is a common Emergency Department (ED) complaint with over 450,000 visits per year and a lifetime incidence of 60% ( Gifford 2008 , Pallin 2005 ). You administer phenylephrine topically, reapply pressure and, consider the use of tranexamic acid (TXA).

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EMS Emergency Department Outcomes 52

The Skeptics' Guide to EM

JANUARY 27, 2018

Outcome: * Primary Outcomes: Reduction in peripheral IV catheters placed post-intervention and usage * Secondary Outcome: PIVC insertion cost (staff and consumables) This is an SGEMHOP episode, so we have the lead author on the show. days after, the intervention. Yes * Was the exposure accurately measured to minimize bias?

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Emergency Department Academics Outcomes Research 40

Dr. Smith's ECG Blog

NOVEMBER 3, 2023

Yet this is rarely followed, and patient outcomes like this are the result once in a while. ECG changes in many of the cases I've seen are not “static” until reperfusion ( as had been initially reported in 2008 by deWinter et al. ). "

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EKG/ECG Shock Documentation/Coding Academics 86

The Skeptics' Guide to EM

MAY 11, 2019

Omar et al (2008) showed just how safe laparoscopic appendectomies have become. Secondary Outcomes: “Length of stay during index hospitalization, cost of index hospitalization, number of follow-up visits required in the following year, and the total cost of appendicitis-associated care in the year after diagnosis. .

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Documentation/Coding Operations Academics Ultrasounds 40

Emergency Medicine Ireland

OCTOBER 30, 2023

First up is the VASST trial, (Russel et al 2008 NEJM). Primary outcome here was kidney based rather than mortality. New Engl J Medicine 358 , 877–87 (2008). First up is the VASST trial, (Russel et al 2008 NEJM). A somewhat underwhelming start Second is the VANISH trial by Gordon et al, JAMA 2016. Nagendran 2019 in CCM.

Shock 52

Shock Sepsis Wellness Outcomes 52

ACEP Now

MAY 3, 2023

When she took the role in 2008, it was a newly created job tasked with expanding AARP’s approach to making health products and services available to its members from third party companies. Charlotte Yeh’s day-to-day work as the CMO of AARP Services, Inc.

EMS 52

EMS Outcomes Emergency Department Hospitals 52

PulmCCM

FEBRUARY 5, 2024

Fever in the ICU: Guideline Update The Society of Critical Care Medicine (SCCM) and the Infectious Diseases Society of America (IDSA) issued an interim update to their 2008 recommendations for the management of fever in the ICU. PulmCCM is not affiliated with SCCM or IDSA. °C oral measured multiple times).

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Best Practices Ultrasounds Infectious Diseases Sepsis 111

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

Sensible Medicine

JULY 28, 2023

Owing to a collaboration with the Wuhan University Medical School, I had visited Wuhan in 2008 and 2017. I had pored over a website, recommended by my gastroenterologist, on which IBD docs reported their patients’ COVID outcomes stratified by their medication. 2 These contacts and experiences added to my anxiety.

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Hospitals PPE Urgent Care Academics 98

PulmCCM

FEBRUARY 12, 2024

SCCM made its statement unilaterally, without the European Society of Intensive Care Medicine (ESICM), its partner on the 2008 and 2017 updates, or the American Thoracic Society (ATS). That could be because CIRCI is ill-defined, almost hypothetical. The new evidence prompted all three societies to issue new guideline updates.

Shock 52

Shock Administration Sepsis Fractures 52

The Skeptics' Guide to EM

FEBRUARY 24, 2018

The second, the larger CORTICUS study, published in the NEJM in 2008 found no benefit of the use of corticosteroids compared to placebo. While the primary outcome showed no difference between glucocorticoid treatment and placebo, there was also no secondary mortality benefit observed.

Shock 40

Shock Sepsis Emergency Department Resuscitation 40

Don't Forget the Bubbles

MARCH 18, 2024

Early Volume Expansion and Outcomes of Hemolytic Uremic Syndrome. Treatment and outcome of Shiga-toxin-associated hemolytic uremic syndrome (HUS). Disease severity of Shiga toxin-producingE. coliO157 and factors influencing the development of typical haemolytic uraemic syndrome: a retrospective cohort study, 2009–2012. F1000Research.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

Advanced Emergency Nursing from AENJ

APRIL 29, 2015

The association between hyperoxia and patient outcomes after cardiac arrest: analysis of a high-resolution database. The impact of oxygen and carbon dioxide management on outcome after cardiac arrest. Emergence Phenomena blog. Scutella, M., Pullalarevu, R., Vaghasia, N., Trzeciak, S., & Dezfulian, C. cited in : Pourmand, A.

Resuscitation 40

Resuscitation Pediatrics Administration Emergency Nursing 40

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. 2008) Shprecher, Schwalb, Kurlan. Lancet Neurol. Marmarou, Young, Aygok. Neurosurg Focus. Marmarou et al. Neuroradiology. Normal Pressure Hydrocephalus: Diagnosis and Treatment. Wallace et al.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

Sensible Medicine

SEPTEMBER 29, 2023

2008 Feb;117(6):743-53. The impact of the use of the Early Warning Score (EWS) on patient outcomes: a systematic review. General Cardiovascular Risk Profile for Use in Primary Care. Circulation. Available from: [link] [2] Alam N, Hobbelink EL, van Tienhoven AJ, van de Ven PM, Jansma EP, Nanayakkara PW. Resuscitation.

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Research Hospitals Academics Emergency Department 55

Dr. Smith's ECG Blog

MARCH 6, 2019

I believe this is by far the most common outcome for this patient around the world in 2019. Just because none of them had a disastrous outcome in a small, highly monitored study population does not mean they won't have bad outcomes in normal practice. No other clinical outcomes were reported. American Heart Journal 2008.

EKG/ECG 52

EKG/ECG Outcomes Hospitals Wellness 52

Northwestern EM Blog

JANUARY 2, 2023

While this may be surprising, there is literature that shows that catastrophic events can be associated with increased social support and reduce suicidal outcomes [4]. 2008 Dec;23(12):1231-8. Researchers found that internet searches for suicide decreased during the early stages of the COVID pandemic (March to July 2020).

Emergency Department 52

Emergency Department Research CDC Pediatrics 52

Dr. Smith's ECG Blog

OCTOBER 3, 2018

Details cannot be shared here, but suffice it to say that inability to recognize acute occlusive myocardial infarction in the presence of ventricular paced rhythm contributed to a poor outcome. Comments This appears to be a common misconception that MI cannot be diagnosed in paced rhythm. Wang asked readers for an interpretation.

EKG/ECG 52

EKG/ECG Emergency Department Research Outcomes 52

Sensible Medicine

SEPTEMBER 29, 2023

2008 Feb;117(6):743-53. The impact of the use of the Early Warning Score (EWS) on patient outcomes: a systematic review. General Cardiovascular Risk Profile for Use in Primary Care. Circulation. Available from: [link] [2] Alam N, Hobbelink EL, van Tienhoven AJ, van de Ven PM, Jansma EP, Nanayakkara PW. Resuscitation.

Research 40

Research Hospitals Academics Emergency Department 40

Thinking Critical Care

MAY 18, 2023

Richard was constructing a relational database of severity of illness scores and intensive care outcome at WIG. 14] N Engl J Med 2008; 358:111-124 DOI: 10.1056/NEJMoa071366 15 Anaesthesia 2020 May. He was alarmed to observe a big step-wise increase in ICU mortality occurring in 1982, and Watt’s new research brief was to investigate.

Shock 40

Shock Research Resuscitation Sepsis 40

Dr. Smith's ECG Blog

OCTOBER 6, 2018

Angiographic and clinical outcomes among patients with acute coronary syndromes presenting with isolated anterior ST-segment depressions. JACC 51(3):307-14; January 22, 2008. This is particularly remarkable considering that only 1 mm was used as criteria even for anterior MI. The recommended value for V2 and V3 is now 1.5 Pride et al.

EKG/ECG 40

EKG/ECG Seizures Documentation/Coding Outcomes 40

Pediatric EM Morsels

JULY 21, 2023

Motor Fingernail bed pressure with a pencil first If flexion outcome, then apply painful stimulus to neck or head (trapezius or supraorbital notch) to look for localization Spinal reflex can result in a falsely elevated score if lower extremity pain induced Verbal Orientated- Able to answer all questions. A practical scale. PMID: 4136544.

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Head Injuries Pediatrics Outcomes Shock 246

Intensive Blog

MARCH 13, 2024

A Japanese meta-analysis that analysed studies from 1983 to 2008 found the rate of survival to discharge was approximately 27%, with a large proportion having good neurological recovery 7. This showed a similar rate of survival to discharge (27%), of whom approximately 50% had a favourable neurological outcome on discharge (CPC 1 or 2).

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CPR Resuscitation Outcomes Hospitals 130

EMDocs

DECEMBER 1, 2024

The disease is generally mild, but in untreated cases, it can lead to more severe outcomes, especially in patients with underlying conditions such as glucose-6-phosphate dehydrogenase deficiency. Even though the disease often resolves spontaneously, prompt antibiotic therapy is essential for optimal outcomes. 6, 2008, pp.

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EMS Infectious Diseases Shock Airway Management 94

EMDocs

JANUARY 29, 2024

Finally, anticipating and addressing known complications such as seizures, increased intracranial pressure, or cerebral edema with appropriate measures, including antiepileptic drugs or osmotic agents, is essential for improving patient outcomes. Lowering the MAP may mitigate these risks and possibly improve outcomes. doi: 10.1161/01.str.0000014509.11540.66.

Stroke 83

Stroke Outcomes EMS Seizures 83

ACEP Now

SEPTEMBER 3, 2024

These stakeholders are similarly shielded in court when adverse patient outcomes, such as negligent deaths, occur under their management or when the bought-out companies are challenged for anticompetitive business practices overseen by the PE firm. 7-9 The PE model then aims to sell acquired businesses for a profit within three to six years.

Hospitals 113

Hospitals Radiology Radiology Administration 113