PulmCCM

SEPTEMBER 4, 2024

OP is operating point, the operating point defines the cardiac output on the y-axis and Pra on the x-axis; Rcardiac is cardiac resistance (i.e., OP1 is operating point 1 at baseline. With tamponade, operating point 2 (OP2) is formed. Might this novel measure predict outcome in critically-ill patients [ @ross_prager ]?

Ultrasounds 84

Ultrasounds Operations Research Outcomes 84

Don't Forget the Bubbles

JANUARY 17, 2024

Forrester reported data from the Texas Poison Centers surrounding 110 cases of superabsorbent polymer bead ingestions between 2011 and 2016. They passed away a few days after a second operation. There have been reports of the Orbeez Challenge leading to serious outcomes. Children will swallow almost anything.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

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. More pertinent and relevant takeaway messages have to do with staffing and operations.

Emergency Department 52

Emergency Department Operations Academics Documentation/Coding 52

RebelEM

SEPTEMBER 11, 2023

Outcomes: Primary: Percent change in management decisions after introducing the Radiology Department RUQ US. Similarly, surgeons might hesitate to operate on older patients with multiple comorbidities due to higher associated risks. 2011 Mar;18(3):227-35. Acad Emerg Med. PMID: 21401784.

Ultrasounds 68

Ultrasounds Radiology Radiology Emergency Department 68

Taming the SRU

JANUARY 29, 2024

Variations in sensitivity are thought to be related to operator technique, patient habitus, and difficulty evaluating the subclavian vein beneath the clavicle. [12] Phlegmasia Cerulea Dolens in the Upper Extremity: A Case Report and Systematic Review and Outcomes Analysis. 2011 Dec;77(12):1606-12. Vasc Endovascular Surg.

Emergency Department 94

Emergency Department Fractures Hospitals Operations 94

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

Taming the SRU

AUGUST 30, 2023

A 2011 meta-analysis in the journal of Academic Emergency Medicine found ESR, CRP, and PCT were not acutely useful in the diagnosis of septic arthritis due to wildly varying sensitivities and specificities between studies. 2011 Jan;3(1):118-27. 2011 Aug;18(8):781-96. 2011 Sep;18(9):1011. In: StatPearls [Internet].

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

PHEM Cast

SEPTEMBER 6, 2017

trauma 2004) showed that end-tidal CO2 may be of value in predicting outcome from major trauma (19). Qvigstad et al showed in again in Resuscitation in 2013, confirming inter-individual variation in effectiveness of CPR using ETCO2 as a surrogate for CO Trauma Deakin et al. (J. 2013;118(1):192-201. doi:10.1097/ALN.0b013e318278c8b6

CPR 52

CPR Resuscitation Operations Shock 52

Dr. Smith's ECG Blog

NOVEMBER 24, 2017

However, none of the formulas have proven to be definitively better than another and none are well correlated with outcomes or events! None is considered definitive due to the paucity of data (and conflicting data) relating QTc to outcomes. We compare this rule to the 4 common formulas for correcting the QT. short QT syndrome , SQTS).

EKG/ECG 52

EKG/ECG Outcomes Wellness Hospitals 52

EB Medicine

AUGUST 1, 2018

From 2010 to 2011, the number of ED visits by children aged 12 to 17 years old due to synthetic cannabinoid use also has doubled. Jeff: It’s also worth noting that cannabis is known to cause adverse outcomes on babies such as low birth weight and more frequent perinatal ICU placement. Counsel them on drug abuse also.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

Don't Forget the Bubbles

FEBRUARY 7, 2024

This week, NCEPOD (National Confidential Enquiry into Patient Outcomes and Death) produced a much-anticipated report on how we manage acute testicular torsion in young people. One systematic review of 1283 patients showed that if you got to the operating room within 6 hours, you had a 97% chance of saving the testicle. MacDonald, C.,

Pediatrics 111

Pediatrics Ultrasounds Operations Hospitals 111

EMDocs

JUNE 21, 2023

Functional outcomes Severe soft tissue injuries and damage to the bony structures => poor functional outcomes. Common operator errors Failing to enter joint capsule before injecting STS. 2011 Nov;71(5):E110-3. Inject lidocaine first, then slowly start injecting STS looking at the wound for saline coming out.

Soft Tissue Injuries 95

Soft Tissue Injuries Fractures Dislocations Radiology 95

Taming the SRU

SEPTEMBER 1, 2023

to divert the plane). for detecting major injuries Abnormal CXR Rapid deceleration mechanism Presence of a distracting injury Chest wall tenderness Sternal/thoracic spine/scapular tenderness There are limited decision-making rules for thoracic spine imaging Yet a study (Inaba et al., 2015) reported a sensitivity of 98.9%

Sepsis 95

Sepsis Fractures Documentation/Coding Administration 95

EB Medicine

JANUARY 2, 2019

With opportunities to improve outcomes for both the fetus and the mother, I’m confident that this episode will be worth your time. Nachi: For patient who have a threatened miscarriage in the first trimester, there is a 2-fold increased risk of subsequent maternal and fetal adverse outcomes. Jeff: Up first is the urine pregnancy test.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

EMDocs

SEPTEMBER 9, 2023

Results of primary extensor tendon repair in relation to the zone of injury and pre-operative outcome estimation. New York, NY: McGraw-Hill Medical; 2011:207-211. Emergency Medicine News 33(12):p 8,9, December 2011. | Arch Orthop Trauma Surg. 2007;127:115-119. Chapter 11: Hand. In: Simon RR, Sherman SC, eds.

EMS 103

EMS Fractures Soft Tissue Injuries Ultrasounds 103

PulmCCM

MARCH 7, 2025

Any self-respecting surgeon or anesthesiologist will tell you that patients undergoing surgery before the weekend receive just as high a quality of care as those operated on earlier in the week. 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

APRIL 1, 2025

thrombophilia, head/neck operation or trauma, dehydration, etc.) Several studies have found reduced mortality and improved neurologic outcomes with anticoagulation (UFH or LMWH) (4-6). 2011 Aug 10;2011(8):CD002005. Hypopituitarism due to ischemia or the direct spread of infection. What is the ED evaluation? Neuroophthalmology.

Dehydration 95

Dehydration Sepsis Seizures Resuscitation 95

Don't Forget the Bubbles

AUGUST 10, 2023

Non-operative approaches There is ongoing controversy regarding the best treatment of fingertip amputations, More extensive wounds are treated surgically. Operative approaches (from orthoinfo & the plasticsfella) More extensive wounds (often zone 2 & 3) are treated surgically. They do not improve outcomes.

Fractures 52

Fractures Soft Tissue Injuries Emergency Department Operations 52

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

They also proved that only expired air resuscitation guaranteed sufficient inflation volumes; that exhaled air was a suitable resuscitating gas; and that the operator would have continuous feedback from each breath. June 6, 2011. Blind nasotracheal intubation in the presence of facial trauma—Is it safe? Levitan, Richard M. Rogue Medic.

Resuscitation 40

Resuscitation Airway Management EMS CPR 40