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.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Sensible Medicine

JULY 30, 2024

In this context, the Canary Prostate Active Surveillance Study ( PASS ) sought to understand the long-term outcomes of active surveillance. Question What are the long-term outcomes for patients with favorable risk prostate cancer managed with protocol-directed active surveillance? The cohort enrolled patients from 2008 to 2022.

Outcomes 105

Outcomes Research 105

Don't Forget the Bubbles

JUNE 5, 2023

Every month we ask some of our friends from PERUKI (Paediatric Emergency Research in the UK and Ireland) to point out something that has caught their eye. Outcomes of the PREFER pre-post intervention study. This study also demonstrated the usefulness of social media as a research platform. BMJ Sex Reprod Health. PMID: 35228303.

Outcomes 124

Outcomes Research Wellness Documentation/Coding 124

Don't Forget the Bubbles

JANUARY 8, 2024

Dr Elyssia Bourke, based at Ballarat Base Hospital, is actively engaged in this area through her ongoing PhD research. Although this research is still in progress, it promises to shed light on effective strategies for managing these difficult situations. Organic Illnesses : Often overlooked, these can manifest as behavioural changes.

Research 105

Research Emergency Department Psychiatric Academics 105

Intensive Blog

MARCH 13, 2024

Everything ECMO 048: History of ECPR evidence and considerations for future research Author: Dr George Walker Peer reviewer: A/Prof Aidan Burrell Introduction The first recorded attempts to resuscitate patients were as early as 1530 where Swiss physician Paracelsus used fireplace bellows to reinflate the lungs of those who had stopped breathing.

CPR 130

CPR Resuscitation Hospitals Outcomes 130

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.

Pediatrics 98

Pediatrics Outcomes Research Sepsis 98

PulmCCM

OCTOBER 30, 2023

IDSA cites multiple large observational studies showing no improvement in sepsis outcomes at many centers after SEP-1 implementation. ICUs, and a popular research focus for academics, generating a steady stream of papers. In 2008, the U.S. It used to be highly prevalent in U.S. Just kidding!

Sepsis 52

Sepsis Shock Hospitals Infectious Diseases 52

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. Center for Economic and Policy Research (CEPR). Finance research letters, forthcoming.

Hospitals 113

Hospitals Radiology Radiology Emergency Department 113

Sensible Medicine

SEPTEMBER 29, 2023

Here are the Authors’ Bios: Adrian Barnett is a professor of statistics who has worked for over 29 years in health and medical research. His current research concerns improving statistical practice to reduce research waste. Nicole White is a statistician and Senior Research Fellow at Queensland University of Technology.

Research 64

Research Hospitals Academics Emergency Department 64

RebelEM

MAY 15, 2024

2008 Sep;1138:329-50. Changing aetiology, clinical features, antimicrobial resistance, and outcomes of bloodstream infection in neutropenic cancer patients. Time to antibiotics and outcomes in cancer patients with febrile neutropenia. BMC Health Services Research. Ann Emerg Med. 2017 Jun;69(6):755-764. 2016.11.007.

Infectious Diseases 98

Infectious Diseases Administration Sepsis Anaphylaxis 98

The Skeptics' Guide to EM

APRIL 3, 2021

Date: March 31st, 2021 Guest Skeptic: Prof Daniel Fatovich is an emergency physician and clinical researcher based at Royal Perth Hospital, Western Australia. Date: March 31st, 2021 Guest Skeptic: Prof Daniel Fatovich is an emergency physician and clinical researcher based at Royal Perth Hospital, Western Australia.

Stroke 52

Stroke Research Outcomes Emergency Department 52

The Skeptics' Guide to EM

MARCH 5, 2022

AEM 2021 Guest Skeptic: Professor Daniel Fatovich is an emergency physician and clinical researcher based at Royal Perth Hospital, Western Australia. AEM 2021 Guest Skeptic: Professor Daniel Fatovich is an emergency physician and clinical researcher based at Royal Perth Hospital, Western Australia. Tricoci et al.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Research Pediatrics Outcomes 40

Advanced Emergency Nursing from AENJ

APRIL 29, 2015

Yet, ongoing research indicates that excessive oxygen is damaging rather than helpful. Ongoing research supports moderating inspired oxygen concentrations in critical illness and injury. The association between hyperoxia and patient outcomes after cardiac arrest: analysis of a high-resolution database. Scutella, M.,

Resuscitation 40

Resuscitation Pediatrics Administration Emergency Nursing 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

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

Don't Forget the Bubbles

JUNE 10, 2024

NEC remains a significant challenge in neonatology, prompting ongoing research and clinical trials to understand its pathogenesis better, improve prevention strategies, and develop more effective treatments. Pediatric Research, 63(2), 117-123. What is the pathophysiology of necrotising enterocolitis? Can we prevent NEC? Hunter, C.J.,

Pediatrics 40

Pediatrics Sepsis Fluid Resuscitation Outcomes 40

Sensible Medicine

SEPTEMBER 29, 2023

Here are the Authors’ Bios: Adrian Barnett is a professor of statistics who has worked for over 29 years in health and medical research. His current research concerns improving statistical practice to reduce research waste. Nicole White is a statistician and Senior Research Fellow at Queensland University of Technology.

Research 40

Research Hospitals Academics Emergency Department 40

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. Estimated incidence of normal pressure hydrocephalus and shunt outcome in patients residing in assisted-living and extended-care facilities.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

Don't Forget the Bubbles

MARCH 18, 2024

It may worsen HUS, according to some research, though even if platelets are given, the risk of bleeding during a procedure in HUS may not change. Early Volume Expansion and Outcomes of Hemolytic Uremic Syndrome. Treatment and outcome of Shiga-toxin-associated hemolytic uremic syndrome (HUS). Talk to your renal experts first.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

Northwestern EM Blog

JANUARY 2, 2023

In Japan, researcher used a cross-sectional study to analyze national suicide rates during the COVID-19 pandemic. The researchers point to a sense of shared purpose, connections via video platforms, anticipated government aid, and mental health awareness campaigns as possible explanations for the stable rate of suicide deaths [3].

Emergency Department 52

Emergency Department Research CDC Pediatrics 52

Thinking Critical Care

MAY 18, 2023

In 1983 I was an Englishman abroad, the London anaesthetist who was appointed to be the English anaesthetist on the Shock Team only because the outstanding candidate from Oxford had preferred to take up a job doing muscle relaxant research with Kitz and Katz in the USA. 4] The research agenda at the time was broad.

Shock 40

Shock Research Sepsis Resuscitation 40

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

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? Jeff: If those figures seem a bit high, another CDC study found that in a general population survey of a quarter million people between 2006-2008, 9% met the criteria for major depression.

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

EMDocs

JANUARY 20, 2024

It was first described in Japan in 1991, where researchers noted a balloon shape to the left atrium resembling a trap used to catch octopuses in Japan. Clinical Features and Outcomes of Takotsubo (Stress) Cardiomyopathy. 2008 Mar;155(3):408-17. J Neurosurg. 2006;105(2):264-270. doi:10.3171/jns.2006.105.2.264 N Engl J Med.

EMS 103

EMS Fluid Resuscitation Shock EKG/ECG 103

EMDocs

NOVEMBER 4, 2024

A comprehensive, patient-centered approach to pain management ensures effective treatment across these diverse pain syndromes, ultimately improving patient outcomes. Cause and outcome of atypical chest pain in patients admitted to hospital. Jan 23 2008;(1):CD000396. Am J Emerg Med. May 2014;32(5):421-31. doi:10.1016/j.ajem.2014.01.015

Emergency Department 106

Emergency Department Fractures Burns EMS 106

Don't Forget the Bubbles

MARCH 17, 2025

This approach, often called data-dredging, involves searching for multiple outcomes from a single dataset. The more outcomes examined, the higher the likelihood of finding a statistically significant result purely by chance, increasing the risk of a Type 1 error. Were all important outcomes considered? vs 12.2% , 95% CI 9.7-14.9;

Outcomes 59

Outcomes Infectious Diseases Pediatrics Research 59

Sensible Medicine

SEPTEMBER 29, 2024

Subscribe now The Rapid Ideological Retraction of a Scientific Article on Rapid Onset-Gender Dysphoria By Michael Bailey My research article “ Rapid Onset Gender Dysphoria: Parent Reports of 1,655 Possible Cases ” (Diaz & Bailey, 2023a) was published in the Archives of Sexual Behavior in March 2023.

Academics 145

Academics Research Administration Outcomes 145

PulmCCM

MARCH 7, 2025

The Weekend Effect For decades, researchers have tracked a concerning signal that patients undergoing surgery later in the week experience higher rates of complications, including death. More Weekend Worries An even larger study a decade earlier had raised concerns for worse outcomes occurring after Friday surgeries.

Outcomes 116

Outcomes Hospitals Operations Radiology 116

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

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

Subsequent research and experience shows that while some cervical spine movement occurs with direct laryngoscopy, it appears that with Manual Inline Stabilization, the anterior portion of the rescue collar could be loosened and direct laryngoscopy carefully done without clinically significant injury. McLachlan, G. Rogue Medic. Barton, E.

Airway Management 40

Airway Management Resuscitation EMS CPR 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.

Hospitals 94

Hospitals PPE Urgent Care Academics 94

Don't Forget the Bubbles

JANUARY 2, 2025

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. As our highlights may show A study in JAMA Pediatrics assessed the impact of foetal major congenital heart defects (MCHDs) on the risk of adverse obstetric outcomes.

Pediatrics 59

Pediatrics Ultrasounds Ethical Issues Hospitals 59