RebelEM

JANUARY 29, 2024

in the paper but 2.7% to ≈0.99 (p<0.001) Mean MPI/Tei Index≈ 0.47 in the paper but 2.7% to ≈0.99 (p<0.001) Mean MPI/Tei Index≈ 0.47 in the paper but 2.7% to ≈0.99 (p<0.001) Mean MPI/Tei Index≈ 0.47 to 4.0mg/hr typically given in EKOS therapy (See Below). to 4.0mg/hr typically given in EKOS therapy (See Below).

Stroke 130

Stroke Outcomes Hospitals Administration 130

RebelEM

DECEMBER 4, 2024

2010, (Ch) 79: p 1034-63. CJEM 2010; 12(3): 181-91. Thirty-day Outcomes of Emergency Department Patients Undergoing Electrical Cardioversion for Atrial Fibrillation or Flutter. Acad EM 2010; 17: 408-15. NEJM 2010; 362: 1363-73. Louis, Mosby, Inc., Decker WW, Stead LG. Ann Emerg Med 2011; 57(1): 32-3.

Emergency Department 80

Emergency Department Stroke EMS Shock 80

PulmCCM

MAY 12, 2024

Unfortunately, neurologic outcomes have remained poor over that time, with most survivors of out-of-hospital cardiac arrest remaining severely disabled. At least as far back as 2010, ghrelin was found to enhance dopaminergic neuronal survival , and is under stud… Read more

Hospitals 59

Hospitals Outcomes 59

EMDocs

JUNE 8, 2023

and 9 hours after onset of symptoms, with non-infarcted brain tissue, does the administration of alteplase improve functional outcome at 90 days? and 9 hours of symptom onset; stroke symptoms that started during sleep were assumed to have started halfway between the actual last known well and the time of wake-up. Intervention: Alteplase 0.9

Stroke 90

Stroke Administration Documentation/Coding Outcomes 90

EMDocs

JUNE 1, 2023

Several secondary outcomes suggest a signal toward harm with hypothermia, including incidence of pneumonia, bradycardia, and more days ventilated. Effect of Early Sustained Prophylactic Hypothermia on Neurologic Outcomes Among Patients with Severe Traumatic Brain Injury: The POLAR Randomized Clinical Trial. Bradycardia: 18.8%

Hyperthermia / Hypothermia 69

Hyperthermia / Hypothermia Outcomes Hospitals Emergency Department 69

The Skeptics' Guide to EM

MAY 30, 2020

The evidence for TXA providing a patient-oriented outcome (POO) has been mixed. It seems to work for epistaxis ( SGEM#53 and SGEM#210 ), failed to demonstrate a decrease in all-cause mortality in post-partum hemorrhage ( SGEM#214 ), and did not result in an improved neurologic outcome in hemorrhagic strokes ( SGEM#236 ). TXA vs. 19.8%

Head Injuries 52

Head Injuries Academics EMS Outcomes 52

Sensible Medicine

APRIL 16, 2024

The tool developed on the PLCO participants was used to analyze the CXRs of outpatients taken in 2010 or 2011 at 1 of 2 hospitals ( The General or The Brigham ). The primary outcome was incident MACE within 10 years of the CXR in populations who either did or did not have data from which ASCVD could be calculated.

Radiology 97

Radiology Radiology Stroke Hospitals 97

Don't Forget the Bubbles

MAY 6, 2024

This multicentre retrospective cohort study looked at 202 children in California aged 1- 24 months who presented acutely between 2010 and 2021. Outcomes included clinical status when urine culture was available, subsequent antibiotic treatment within seven days and subsequent UTI within 30 days. Why does it matter?

Sepsis 75

Sepsis Outcomes Pediatrics Documentation/Coding 75

PulmCCM

JANUARY 22, 2024

Background Therapeutic hypothermia, later rebranded as targeted temperature management, became a standard post-cardiac arrest therapy for comatose patients after two 2002 NEJM trials ( n=273 and n=77 ) suggested reducing core temperature to 32°C to 34°C markedly improved neurologic outcomes and survival.

Hyperthermia / Hypothermia 80

Hyperthermia / Hypothermia Outcomes Research Hospitals 80

PHEM Cast

JULY 27, 2021

Intensive Care Med 2010; 36: 1475-83. Kenji Inaba. 2015 Marik PE, Cavallazzi R. Does central venous pressure predict fluid responsiveness? An updated meta-analysis and a plea for some common sense. Cavallaro F, Sandroni C, Marano C, et al.

Ultrasounds 52

Ultrasounds Fractures Resuscitation EMS 52

The Skeptics' Guide to EM

JUNE 11, 2017

Taking antiplatelet therapy prior to a hemorrhagic stroke raises the risk of death by 27% and in high income countries more than 25% of patients with incident intracerebral hemorrhages were taking antiplatelet therapy (Thompson et al Neurology 2010). However, recommendations from the neurosurgical perspective differ.

Stroke 52

Stroke EMS Outcomes 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 ). The SGEM did a Classic Episode on NINDS with Anand Swaminathan ( SGEM#70 ). The other major trial that we discussed was the IST-3 study which was covered on SGEM#29.

Stroke 52

Stroke EMS Research Outcomes 52

Pediatric Emergency Playbook

OCTOBER 1, 2017

2010; 30:76–81. Outcomes of Children Bridged to Heart Transplantation With Ventricular Assist Devices: A Multi-Institutional Study. 2010; 6: 46-53. Journal of Chemical Neuroanatomy; 2011; 42: 288–296. Intrathecal Pumps Borowski A, Littleton AG, Borkhuu B et al. J Pediatr Orthop. Ghosh D, Mainali G, Khera J, Luciano M.

Pediatrics 52

Pediatrics Seizures Stroke Ultrasounds 52

SheMD

MAY 11, 2023

In medical emergencies, provider qualities which lead to greater performance and patient outcomes include leadership and teamwork. What were their outcomes: Of the 182 teams analyzed, females contributed significantly less leadership statements (53% vs 76%, p=0.001) and critical treatment decisions (57% vs 76%, p=0.018). Crit Care Med.

Leadership 52

Leadership Documentation/Coding Teamwork CPR 52

The Skeptics' Guide to EM

OCTOBER 17, 2020

Effect of Out-of-Hospital Tranexamic Acid vs Placebo on 6-Month Functional Neurologic Outcomes in Patients With Moderate or Severe Traumatic Brain Injury. Background: The CRASH-2 trial, published in 2010, showed a 1.5% Reference: Rowell et al. Other injuries appear minimal with some abrasions from the fall. Reference: Rowell et al.

EMS 52

EMS Head Injuries Outcomes Hospitals 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

PHEM Cast

APRIL 10, 2016

This was the same principle as in the Rivers trial: the standard care group is the ‘control’ group against which changes in outcome for the ‘intervention’ group are compared. 2010 Apr;38(4):1045–53. EMS Patients and Walk-In Patients Presenting With Severe Sepsis: Differences in Management and Outcome. 2010 Apr;14(2):145–52.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

Broome Docs

APRIL 6, 2023

Renal outcomes following intravenous contrast administration in patients with acute kidney injury: a multi-site retrospective propensity-adjusted analysis. 2010 Oct 5;182(14):1527-32. Epub 2010 Aug 23. Clinical Outcomes After Intensifying Antihypertensive Medication Regimens Among Older Adults at Hospital Discharge.

Sepsis 52

Sepsis Ultrasounds Hospitals Fractures 52

American Medical Compliance

APRIL 17, 2024

Our Continuing Medical Education (CME) program is committed to enhancing the knowledge, skills, and professional performance of healthcare providers to improve healthcare outcomes. American Medical Compliance is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education to physicians.

Outcomes 52

Outcomes 52

RebelEM

SEPTEMBER 26, 2022

Randomized study design Blind adjudication of transfusion reaction outcomes Follow-up was complete. The primary outcome was disease-oriented The enrolled cohort appears to be a convenience sample Sealed envelopes are a weak type of allocation and prone to error and manipulation. Significant coagulopathy: INR > 1.8

Resuscitation 52

Resuscitation Blood Transfusions Outcomes Hospitals 52

RebelEM

JANUARY 25, 2023

2010, (Ch) 92: p 1216-1227. Small bowel obstruction: Outcome and cost implications of admitting service. Am Surg 2010; 76:687-691. 2.3 – 5.4) (-) LR: 0.18 (0.09 – 0.35) Ultrasound Findings Dilated loops of bowel (diameter > 2.5 3.6 – 55.6) (-) LR: 0.13 (0.08 – 0.20) ED US (+) LR: 9.5 (2.1

Operations 52

Operations Sepsis Resuscitation Ultrasounds 52

RebelEM

JANUARY 23, 2023

Despite being highly effective in treating acute allergic reactions, first-generation H1 antihistamines cross the blood-brain barrier and bind to H1 receptors, which can lead to undesirable side effects, including drowsiness, sedation, fatigue, and decreased cognition (Church MK 2010). 2010 Apr;65(4):459-66. Epub 2010 Feb 8.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Urgent Care Emergency Department 52

Dr. Smith's ECG Blog

OCTOBER 20, 2013

We studied this and published the abstract below in 2010. Chicago November 2010. Data collected included demographics, initial rhythm, EKG, emergency department (ED) CT and outcomes. The data was analyzed in relation to initial rhythm, outcomes and changes or delay in treatment. Circulation 122:Abstract 101.

Resuscitation 52

Resuscitation EKG/ECG Hospitals Emergency Department 52

American Medical Compliance

JULY 9, 2024

Our Continuing Medical Education (CME) program is committed to enhancing the knowledge, skills, and professional performance of healthcare providers to improve patient care outcomes. By understanding these different types, healthcare providers can better protect and support vulnerable elders.

Elder Abuse 52

Elder Abuse Documentation/Coding Outcomes Wellness 52

Taming the SRU

JUNE 12, 2023

Finally, a randomized-control trial found that prophylactic antibiotics for dog bite wounds did not statistically change infection outcomes and was not cost-effective, recommending that prophylactic antibiotics only be used in high-risk wounds [12]. Healthcare cost and utilization project (HCUP) statistical briefs.

Infectious Diseases 102

Infectious Diseases Emergency Department Administration Academics 102

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

The Skeptics' Guide to EM

FEBRUARY 25, 2023

The latest guidelines from the AHA in 2020 state, “clinical trials and observational studies since the 2010 guidelines have yielded no new evidence that routine administration of sodium bicarbonate improves outcomes from undifferentiated cardiac arrest and evidence suggests that it may worsen survival and neurological recovery.” [4]

Pediatrics 52

Pediatrics Hospitals CPR Resuscitation 52

The Skeptics' Guide to EM

MARCH 31, 2023

Akerstedt 2010) Evidence is somewhat limited in medicine. Comparison: None * Outcome: A “Readiscore” fatigue score was measured before and during clinical shifts. Even moderate levels of fatigue can impact performance similarly to being intoxicated with alcohol.

Academics 52

Academics Documentation/Coding Emergency Department Outcomes 52

Taming the SRU

OCTOBER 30, 2024

Despite adherence to strict ACLS protocols, neurologic outcomes remain poor.​ The VA-ECMO set-up is specifically used for eCPR​ Meta-analyses for eCPR have shown aggregate survival rates with good neurologic outcomes up to 21.3% eCPR is the specific acronym for extracorporeal membrane oxygenation (ECMO) for the arresting patient.

Hospitals 52

Hospitals Emergency Department EKG/ECG Documentation/Coding 52

PulmCCM

JANUARY 24, 2024

Background Therapeutic hypothermia, later rebranded as targeted temperature management, became a standard post-cardiac arrest therapy for comatose patients after two 2002 NEJM trials ( n=273 and n=77 ) suggested reducing core temperature to 32°C to 34°C markedly improved neurologic outcomes and survival.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Outcomes Hospitals Stroke 52

RebelEM

JANUARY 19, 2023

Control: Standard treatment as per the 2010 BTS Pleural Guidelines. Secondary Outcomes: The need for further pleural procedures (any intervention that punctured the pleura after the first treatment intervention). A validated scoring system was used to measure the secondary outcome of pain and shortness of breath.

Outcomes 52

Outcomes Hospitals Research EMS 52

PulmCCM

OCTOBER 9, 2023

Intensive blood glucose control in the ICU: Try, try again (TGC-FAST trial) Hyperglycemia is associated with worse outcomes in the ICU (and in medical patients generally), so correcting it must improve outcomes … right? ICU lengths of stay (the primary outcome) were identical between groups. and many other countries.

Shock 52

Shock Outcomes Hospitals Wellness 52

Don't Forget the Bubbles

JUNE 26, 2023

These cases illustrate some of the common issues associated with each shunt type, but what does the evidence say about outcomes? The seminal trial addressing this in the Norwood population was The Single Ventricle Reconstruction Trial, published in 2010.

Operations 128

Operations Research Hyperthermia / Hypothermia Hospitals 128

EMDocs

SEPTEMBER 7, 2023

1, 2010, pp. Long-Term Renal and Neurologic Outcomes among Survivors of Diethylene Glycol Poisoning.” “Inhibition of Metabolism of Diethylene Glycol Prevents Target Organ Toxicity in Rats.” Toxicological Sciences , vol. link] Ballentine, Carol. Sulfanilamide Disaster.” FDA Consumer Magazine , June 1981, [link] Accessed August 2022.

Poisoning 76

Poisoning CDC Administration Emergency Department 76

Downeast Emergency Medicine

APRIL 26, 2021

4] We also know that severe TBI is commonly associated with the development of intracranial hemorrhage where the presence and volume of blood are associated with increased mortality and poor outcomes.[5] Association between prehospital tranexamic acid administration and outcomes of severe traumatic brain injury. JAMA Neurol.

Head Injuries 52

Head Injuries Administration Outcomes Seizures 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 2010 Jun 9.

COPD 45

COPD Outcomes Hospitals EMS 45

Advanced Emergency Nursing from AENJ

APRIL 29, 2015

In 2010, the AHA recommendation for pediatrics was : ”Hyperoxia can be toxic, particularly to the preterm infant. 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. Scutella, M.,

Resuscitation 40

Resuscitation Pediatrics Administration Emergency Nursing 40