EMDocs

JANUARY 16, 2024

Authors: Christian Gerhart, MD (EM Resident Physician, Washington University in St. Louis); Dr. Jessica Pelletier, DO (EM Attending Physician, Washington University in St. You receive a page for a cardiac arrest and take report from emergency medical services (EMS). Per EMS he was very cold to touch. 2009;338:b2085.

Hyperthermia / Hypothermia 109

Hyperthermia / Hypothermia Resuscitation CPR EMS 109

RebelEM

FEBRUARY 5, 2024

Sites: Investigators recruited patients at 31 French emergency departments at university and nonuniversity hospitals Duration : June 1, 2009 to March 31, 2015. Outcomes: Primary Outcome: Pulmonary expansion 24 hours after the procedure. Secondary Outcomes: Pulmonary expansion 7 days after the procedure.

Outcomes 104

Outcomes Hospitals Research Emergency Department 104

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.” 6, 8 July 2009, pp. 7 Considering epidemiologic trends, the data suggest that DEG mass poisonings will continue to occur.

Poisoning 92

Poisoning CDC Administration Emergency Department 92

RebelEM

APRIL 29, 2024

Given AHA guidelines recommend early epinephrine administration in cardiac arrest, obtaining access is imperative for resuscitative efforts ( 9) When evaluating over 300,000 out-of-hospital cardiac arrests, a meta-analysis found no significant change in primary outcomes when IV and IO access were compared ( 10 ).

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

RebelEM

MARCH 8, 2023

Rapid diagnosis and emergency referral improves outcomes of ophthalmologic interventions. Symptom characteristics ( Hollands 2009 ) Any flashers/floaters: (+) LR 1.2 Rezaie, MD (Twitter: @srrezaie ) The post REBEL Core Cast 97.0 – Acute Vision Loss II appeared first on REBEL EM - Emergency Medicine Blog. and (–) LR 0.9.

Stroke 52

Stroke Emergency Department Ultrasounds Outcomes 52

The Skeptics' Guide to EM

DECEMBER 7, 2018

You are the first provider on scene with Emergency Medical Services (EMS) and start high-quality Cardiopulmonary Resuscitation (CPR). There was also no increase in survivors with good neurological outcomes with ACLS. JAMA 2009, Hagihara et al. Jenn Doyle is a paramedic educator at Middlesex-London Paramedic Service.

Advances Cardiac Life Support (ACLS) 52

Advances Cardiac Life Support (ACLS) CPR Resuscitation Hospitals 52

Taming the SRU

SEPTEMBER 8, 2023

NAC: Jiang SX, Hussaini T, Yoshida EM. 2009 Sep;137(3):856-64, 864.e1. Epub 2009 Jun 12. 2009 Jun;136(7):2159-68. Prognosis of acute severe autoimmune hepatitis (as-AIH): The role of corticosteroids in modifying outcome.” “Acute Liver Failure: Evidence-Based Evaluation and Management.” Saudi J Gastroenterol.

Radiology 59

Radiology Radiology Ultrasounds EMS 59

The Skeptics' Guide to EM

SEPTEMBER 23, 2017

Case: You are the medical director of an EMS system in a large city deciding on whether to respond to all out of hospital cardiac arrests (OHCA) with ACLS capabilities, or if resources should be directed to those candidates for extracorporeal CPR. You need to recognize an arrest and activate your EMS system. JAMA 2009 * Jacobs et al.

CPR 52

CPR Academics Resuscitation Hospitals 52

The Skeptics' Guide to EM

FEBRUARY 26, 2019

Dr. Hoffman has published a graphic re-analysis of NINDS ( Annals EM 2009 ) and Sayer et al responded in print ( Annals EM 2010 ). We did not re-hash all the trials in our conversation but instead focused on a couple key publications like NINDS and IST-3.

Stroke 52

Stroke EMS Research Outcomes 52

RebelEM

JUNE 5, 2023

This study also identified improvements to study design which includes improving patient engagement with follow-up processes, considering more effective methods to obtain accurate outcomes including but not limited to pharmacy records and hospital records. Drug Alcohol Depend 2009; 104:73. mg tablet) 1 Buprenorphine 0.5 PMID 19443138.

Emergency Department 97

Emergency Department Hospitals Outcomes EMS 97

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

The Skeptics' Guide to EM

JULY 9, 2022

* Another reanalysis was done by Kwiatkowski et al 2005 that also confirmed that the baseline imbalance in the NINDS trial did not account for the better outcome of tPA-treated patients. They published their findings in Annals of EM 2009. Any brief comments on this reanalysis?

Stroke 52

Stroke Emergency Department EMS Outcomes 52

Dr. Smith's ECG Blog

JULY 7, 2013

He had walked into the ED (did not use EMS). and these are associated with larger MI and worse outcomes (2. Apr 28, 2009. A man in his 60's presented after 4 days of chest pain, with some increase of pain on the day of presentation. Exact pain history was difficult to ascertain. There was some SOB. Very unlikely. Raitt et al.)

Ultrasounds 52

Ultrasounds EKG/ECG Emergency Department Shock 52

RebelEM

MARCH 27, 2023

Ventilator-associated lung injury and inflammation can occur even during short-term mismanagement can worsen patient outcomes. This is a critical error that leads to poorer outcomes for patients in need of critical care. Over the past few years, there has been an increase in emergency department (ED) volumes and lengths of stay.

Emergency Department 52

Emergency Department Operations Academics Documentation/Coding 52

ACEP Now

FEBRUARY 11, 2024

Diagnosis and Outcome During her second emergency department visit, an infectious and metabolic workup was performed, demonstrating acute kidney injury (AKI), but otherwise no acute abnormalities. Polypharmacy prevalence in older adults seen in United States physician offices from 2009 to 2016. Published April 12, 2021.

Emergency Department 52

Emergency Department CDC Hospitals EMS 52

The Skeptics' Guide to EM

DECEMBER 5, 2020

She is the New York ACEP liaison for the Research and Education Committee and is a past ALL NYC EM Resident Education Fellow. As an alternative diagnostic method, the HINTS exam was first established in 2009 to better differentiate central from peripheral causes of AVS [4]. Mary McLean is an Assistant Program Director at St.

Stroke 40

Stroke Documentation/Coding Emergency Department Hospitals 40

RebelEM

NOVEMBER 3, 2022

Albert 2011, Jabre 2009) However, the existing literature comparing etomidate and ketamine is conflicting. Outcomes: Primary Outcome: Incidence of post-induction hypotension Secondary Outcome : First-pass success rate of endotracheal intubation Primary Results: 84 articles were identified for potential inclusion.

Emergency Department 52

Emergency Department Outcomes Sepsis Operations 52

Dr. Smith's ECG Blog

JULY 18, 2014

He had walked into the ED (did not use EMS). such Q-waves are associated with larger MI and worse outcomes (2. Apr 28, 2009. A man in his 60's presented after 4 days of chest pain, with some increase of pain on the day of presentation. Exact pain history was difficult to ascertain. There was some SOB. Obviously there is MI.

EKG/ECG 52

EKG/ECG Shock Ultrasounds Wellness 52

ACEP Now

APRIL 5, 2024

One 2009 study of four tertiary hospitals found that emergency physicians often misdiagnosed this presentation in pregnant women as “panic attack, domestic violence, or gastroenteritis.” Thus, early management is essential for patient outcomes. Even relatively small amounts of anti-ADAMTS13 autoantibodies can lead to TTP. J Clin Med.

Domestic Violence 40

Domestic Violence Emergency Department Outcomes EKG/ECG 40

EMDocs

JANUARY 20, 2024

We’ll keep it short, while you keep that EM brain sharp. link] Lee VH, Connolly HM, Fulgham JR, Manno EM, Brown RD Jr, Wijdicks EF. Clinical Features and Outcomes of Takotsubo (Stress) Cardiomyopathy. Clinical profile and in-hospital outcome of Caucasian patients with takotsubo syndrome and right ventricular involvement.

EMS 101

EMS Fluid Resuscitation Shock EKG/ECG 101

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. Appl Physiol Nutr Metab 2009; 34:582 Casa DJ, Armstrong LE, Kenny GP, O’Connor FG, Huggins RA.

Hyperthermia / Hypothermia 94

Hyperthermia / Hypothermia EMS Stroke Seizures 94

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. Yield of Diagnostic Tests in Evaluating Syncopal Episodes in Older Patients Arch Intern Med 2009 Jul 27; 169:1299-1305.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

EMDocs

DECEMBER 18, 2023

Today, she would not get out of bed, prompting the facility to call EMS. 8 Based on multiple randomized controlled trials (RCTs), SSC 2021 guidelines suggest against using procalcitonin as a screening method to guide initiation of antibiotic therapy, as no difference in clinical outcomes was appreciated. She had a fever of 38.7 °C

Sepsis 91

Sepsis Fluid Resuscitation Resuscitation Shock 91

RebelEM

MAY 15, 2024

Epub 2011 Apr 22 Coyne CJ, Le V, Brennan JJ, Castillo EM, Shatsky RA, Ferran K, Brodine S, Vilke GM. 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. doi: 10.1111/j.1365-2141.2011.08693.x.

Infectious Diseases 101

Infectious Diseases Administration Sepsis Anaphylaxis 101

EMDocs

JUNE 3, 2023

What is the EM physician’s role in the stabilization of unstable pelvic injuries? If a pelvic binder was placed by EMS, inquire whether this was placed empirically or if mechanical pelvic instability was already elicited. Her initial vital signs are blood pressure 76/54 mmHg, heart rate 128 bpm, temperature 37.0˚ J Clin Orthop Trauma.

Fractures 64

Fractures Resuscitation Operations EMS 64

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. 2009 Apr;49(2):198-201. BJOG 2008; 115:1473.

OB/GYN 93

OB/GYN Operations EMS Ultrasounds 93

RebelEM

NOVEMBER 11, 2024

4 The 2023 ACORN Trial ( covered here on REBEL EM ) randomized 2,511 patients requiring antipseudomonal coverage to receive either cefepime or piperacillin-tazobactam. Variations in compliance could have impacted patient outcomes. In 2021, Buckley et. 3 The same year, Ross et. address in the article discussed below.

Sepsis 113

Sepsis Outcomes Administration Shock 113

EMDocs

NOVEMBER 13, 2023

Authors: Mary Hamblen, DO (EM Resident Physician, TX); Justin Hacnik, MD (EM Resident Physician, TX); Katherine Spencer, MD (EM Resident Physician, TX); J.D. demonstrating that functional outcome at 3 months did not differ between the CTA and MRI groups (38.5% vs. 38.1%) with a good functional outcome. Molina, C.

Stroke 105

Stroke Radiology Radiology Emergency Department 105

Don't Forget the Bubbles

NOVEMBER 6, 2024

Edwards EM, et al. Rotavirus Vaccine Effectiveness Against Severe Acute Gastroenteritis: 2009-2022. Association of empiric antibiotic selection and clinical outcomes in hospitalised children with severe orbital infections: a retrospective cohort study. Pediatrics. Synnes A, et al. Pediatrics. 2024 Oct 1;154(4):e2024067390.

Pediatrics 52

Pediatrics Sepsis Fractures Hospitals 52

EMDocs

NOVEMBER 25, 2024

Vision loss carries a high degree of morbidity and is associated with higher all-cause mortality, 4 and it is our role as emergency providers to recognize potentially reversible causes of such adverse outcomes. Elsevier; 2009:274-278. 0000000000000483 Opoku NO, Bakajika DK, Kanza EM, et al. 7 Approximately 14.6 2005;4(1):1.

Infectious Diseases 73

Infectious Diseases Emergency Department EMS Administration 73

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

We’ve heard, or been through, tales of early EM when BNTI was the fall-back for awkward intubations before EM could claim credentialing for RSI. Ontario EMS Nasal Tracheal Intubation Video on the YouTube Channel of Ontario EMS. Should EMS Use Nasotracheal Intubation? Paralysis doesn’t open every oral cavity.

Resuscitation 40

Resuscitation Airway Management EMS CPR 40

Don't Forget the Bubbles

NOVEMBER 6, 2024

Edwards EM, et al. Rotavirus Vaccine Effectiveness Against Severe Acute Gastroenteritis: 2009-2022. Association of empiric antibiotic selection and clinical outcomes in hospitalised children with severe orbital infections: a retrospective cohort study. Pediatrics. Synnes A, et al. Pediatrics. 2024 Oct 1;154(4):e2024067390.

Pediatrics 59

Pediatrics Sepsis Fractures Hospitals 59