RebelEM

JANUARY 24, 2024

You will notice the squeeze will cause no motion if there is a full rupture/tear, and diminished motion if there is a partial tear Performance Characteristics ( Garras 2012 ) Sensitivity Specificity (+) LR (-) LR 96-100% 93-100% 13.7 Clin Orthop Relat Res 2012; 470(8): 2268-2273. Coll Antropol. 2007; 31:279-284. Bone Joint Surg Am.

Operations 98

Operations Ultrasounds Fractures Outcomes 98

EMDocs

AUGUST 17, 2023

mL/kg/hr for 2 consecutive hours OR Decrease in serum lactate by more than 10% from initial level Primary outcome – Early norepinephrine group vs. the control group demonstrated higher rates of shock control at 6 hours: 76.1% vs 48.4% (OR 3.4, vs 48.4% (OR 3.4, vs 48.4% (OR 3.4, vs 48.4% (OR 3.4,

Sepsis 92

Sepsis Shock Resuscitation Fluid Resuscitation 92

EMDocs

AUGUST 22, 2024

Certified interpreter use can improve communication and patient outcomes. Conducting research regarding best practices for improving health outcomes for NELP patients. Pearls NELP patients have worse health outcomes despite widespread language-access policies. Utilizing certified interpreters and documenting their use.

Documentation/Coding 104

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 104

Sensible Medicine

JUNE 28, 2023

In 2012, outgoing editor-in-chief, Dr. Harlan Krumholz, titled this essay in Hitchens-esque fashion: A Note to My Younger Colleagues…Be Brave. He had grown the once small Circulation--Cardiovascular Quality and Outcomes into a prominent journal in the academic cardiology space. First a note on Dr. Krumholz.

Academics 100

Academics Outcomes 100

EMDocs

JULY 13, 2024

Favorable infertility outcomes following anti-tubercular treatment prescribed on the sole basis of a positive polymerase chain reaction test for endometrial tuberculosis. 2012 May;27(5):1368-74. Epub 2012 Mar 14. Incidence, treatment and outcome of peripartum sepsis. PMID: 10439801. Jindal UN, Verma S, Bala Y. Hum Reprod.

OB/GYN 88

OB/GYN EMS Sepsis Fluid Resuscitation 88

PHEM Cast

APRIL 16, 2018

2012; 73: 102-10. 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. Critical Care; 2012. Ultrasound during TCA: Cureton et al. Zwingmann et al.

Resuscitation 52

Resuscitation Shock Ultrasounds CPR 52

ALiEM

JANUARY 29, 2024

Case Question: What treatments can you perform in the ED for this diagnosis and do they improve outcomes? 2012 Dec;33(7):E263-E267. Epub 2012 Sep 21. This has the potential to expedite consultations with specialty teams and treatment. Ultraschall Med. doi: 10.1055/s-0032-1312925. PMID: 23023446. Nedelmann, Matt et al.

Stroke 64

Stroke Ultrasounds Academics Outcomes 64

ALiEM

JANUARY 8, 2024

2012 Jul;51(7):1278-84. Epub 2012 Feb 29. References Huang K, Levy RD, Avina-Zubieta JA. Successful lung transplant in rapid progressive interstitial lung disease associated with anti-melanoma differentiation associated gene 5. Rheumatology (Oxford). doi: 10.1093/rheumatology/ker518. PMID: 22378718.

Academics 60

Academics Hospitals Outcomes 60

Don't Forget the Bubbles

OCTOBER 10, 2024

Reviewed by: Isabella Davenport Article 2: Does it improve outcomes if you replace the nail in nail bed repair? Children with nail bed injuries were randomly assigned to nail replacement or discarding , with the primary outcomes being secondary infection in 7 days and cosmetic outcome in four months.

Emergency Department 75

Emergency Department Outcomes Research Operations 75

Pediatric Emergency Playbook

AUGUST 1, 2017

2012; 43(1):49-51. BMJ 2012; 345:e5521. Does Functional Outcome Improve with Time Postsurgery for Hirschsprung Disease? Single-stage versus multi-stage pull-through for Hirschsprung's disease: practice trends and outcomes in infants. 2012; 3:247-250. 2012; 92:527-39. 2012; 30:426-431. J Am Coll Surg.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

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 ). 2012 PMID: 21893125.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

EMDocs

SEPTEMBER 7, 2024

Spontaneous retroperitoneal hematoma: etiology, characteristics, management, and outcome. 2012 Aug;43(2):e157-61. Clinical spectrum, risk factors, management and outcome of patients with retroperitoneal hematoma: a retrospective analysis of 3-year experience. J Emerg Med. doi: 10.1016/j.jemermed.2011.06.006. 2011.06.006.

EMS 97

EMS Fluid Resuscitation Resuscitation Radiology 97

Emergency Medicine Journal

JULY 24, 2023

Methods A retrospective analysis using the Healthcare Cost and Utilization Project State Emergency Department Databases (2012–2017) for individuals aged 18–59 who visited any ED in Florida, Massachusetts and New York was conducted. million ED visits in the baseline year (2012). million patients, who accounted for 4.5

Emergency Department 40

Emergency Department Outcomes 40

EMDocs

MAY 11, 2024

Endovascular and Clinical Outcomes of Vertebrobasilar Intracranial Atherosclerosis-Related Large Vessel Occlusion. 2012) 43:2904–9. Salim Rezaie, “Thrombolysis in Acute Ischemic Stroke: Now We Have No Positive RCTs”, REBEL EM blog, July 27, 2020. Available at: [link]. Baek JH, Kim BM, Heo JH, et al. Front Neurol.

Stroke 111

Stroke EMS EKG/ECG Radiology 111

The Skeptics' Guide to EM

AUGUST 17, 2019

Pain 2012). ACEP has a clinical policy regarding prescribing of opioids for adult ED patients that was published in 2012 ( Cantrill et al ). The literature has shown that more educated patients would rather receive less opioids and live with some pain compared to less educated patients. Platts-Mills TF, et al.

Emergency Department 52

Emergency Department Academics Fractures Outcomes 52

The Skeptics' Guide to EM

DECEMBER 12, 2020

Way back in 2012 we looked at packing after incision and drainage (I&D) on SGEM#13 and concluded routine packing might not be necessary. Secondary Outcomes: Ease of procedure, pain at the time of treatment, ease of care at 36 hours, pain at 36 hours. Background: We have covered the issue of abscesses multiple times on the SGEM.

Operations 52

Operations Academics Outcomes Research 52

The Skeptics' Guide to EM

JUNE 5, 2021

Effect of Mechanical Thrombectomy Without vs With Intravenous Thrombolysis on Functional Outcome Among Patients With Acute Ischemic Stroke: The SKIP Randomized Clinical Trial. Background: Management of acute ischemic stroke has been discussed on the SGEM ever since this knowledge translation project was launched in 2012.

Stroke 52

Stroke Urgent Care Critical Access Outcomes 52

ACEP Now

AUGUST 25, 2023

However, a 2012 systematic review and meta-analysis (SRMA) reported that etomidate was associated with adrenal insufficiency and increased mortality in septic patients. 2 The primary outcome was all-cause mortality at seven days and showed an eight percent absolute increase for patients allocated to the etomidate group. to 1.21]).

Outcomes 52

Outcomes Emergency Department Sepsis Hospitals 52

The Skeptics' Guide to EM

DECEMBER 7, 2018

There was also no increase in survivors with good neurological outcomes with ACLS. JAMA 2012 and Cournoyer et al. Clinical Question: Does the use of epinephrine in cardiac arrest improve survival rates with a favourable neurological outcome? JAMA 2009, Hagihara et al. Reference: Perkins et al.

Advances Cardiac Life Support (ACLS) 52

Advances Cardiac Life Support (ACLS) CPR Resuscitation Hospitals 52

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. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine; 2012 Jun 27;20(1):1–1. 2012 Jan;30(1):51–6. 2012 Dec 15;186(12):1264–71.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

Pediatric Emergency Playbook

APRIL 1, 2016

We could use it to track treatment , and see if we can clear the lactate; decreased lactate levels are associated with a better outcome in adults. Myopericarditis in Children: Elevated Troponin I Level Does Not Predict Outcome. 2012; 33:1040–1045. 2012; 60(23): 2427-2463. 2012; 19:1276–1280. Clinical Chemistry.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

RebelEM

JANUARY 25, 2023

J Trauma Acute Care Surg 2012; 73(5): S362-9. Small bowel obstruction: Outcome and cost implications of admitting service. 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 PMID: 23114494 Paradis M.

Operations 52

Operations Sepsis Resuscitation Ultrasounds 52

The Skeptics' Guide to EM

FEBRUARY 26, 2019

Hoffman and Cooper provided commentary on some of the limitations of IST-3 ( EMA 2012 ). Hoffman has published a graphic re-analysis of NINDS ( Annals EM 2009 ) and Sayer et al responded in print ( Annals EM 2010 ). 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

The Skeptics' Guide to EM

MARCH 6, 2021

The episode included the Dundee protocol for adult epistaxis management from 2012. That episode we discussed 11 questions concerning epistaxis. It is a great review on the management of nosebleeds. I searched and could not find an updated version.

EMS 52

EMS Emergency Department Outcomes 52

Pediatric Emergency Playbook

OCTOBER 1, 2017

Outcomes of Children Bridged to Heart Transplantation With Ventricular Assist Devices: A Multi-Institutional Study. Baclofen Toxicity in an 8-year-old with an Intrathecal Baclofen Pump. J Emerg Med. 2004; 26(4): 163–167. Ventricular Assist Devices Blume ED, Naftel DC, Bastardi HJ et al. for the Pediatric Heart Transplant Study Investigators.

Pediatrics 52

Pediatrics Seizures Stroke Ultrasounds 52

The Skeptics' Guide to EM

MARCH 4, 2023

The episode included the Dundee protocol for adult epistaxis management from 2012. Lastly, the primary outcome was different than the previous two RCTs claiming efficacy. . * Trauma (CRASH-2): 1.5% Trauma (CRASH-2): 1.5% It’s a good overview on the management of epistaxis. They also used a lower dose of TXA in the noPAC study.

Outcomes 40

Outcomes EMS Emergency Department Hospitals 40

The Skeptics' Guide to EM

JUNE 24, 2017

The Cochrane Collaboration updated their review on hypothermia for neuroprotection in adults after CPR in 2012. They concluded: * “Conventional cooling methods to induce mild therapeutic hypothermia seem to improve survival and neurologic outcome after cardiac arrest. Reference: Bernard et al.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia CPR Resuscitation EMS 40

RebelEM

MARCH 8, 2023

Rapid diagnosis and emergency referral improves outcomes of ophthalmologic interventions. Rapid diagnosis and emergency referral improves outcomes of ophthalmologic interventions. Take Home Points: Assess patients with floaters or flashers for retinal or vitreous detachment. >10 floaters, (+) LR 8.1-36

Stroke 52

Stroke Emergency Department Ultrasounds Outcomes 52

RebelEM

JANUARY 19, 2023

If aspiration is unsuccessful based on the criteria above → Chest tube is inserted (size 8-14Fr) and admitted to the hospital. Outcomes: Primary Outcome: Total length of hospital stay up to 30 days after randomization, including initial hospital stay and readmissions.

Outcomes 52

Outcomes Hospitals Research EMS 52

ACEP Now

JULY 7, 2023

However, rapid initiation of treatment is actually patient-centered care that can both lead to better outcomes and limit ED boarding. 2012 Feb;13(1):17-25. 2012 Feb;13(1):26-34. Mental health evaluation teams can rely on documentation and interviews to understand a patient’s initial agitation level. West J Emerg Med.

Emergency Department 52

Emergency Department Psychiatric Administration Best Practices 52

RebelEM

DECEMBER 28, 2022

Conducted at 2 US Veterans Affairs medical centers from 2012–2019. No difference in exploratory outcomes. Low rates of missing data allowed other exploratory outcomes Included a diverse and potentially high-risk group, including patients with indwelling catheters and intermittent catheter use.

Outcomes 52

Outcomes Documentation/Coding Hospitals EMS 52

Pediatric Emergency Playbook

SEPTEMBER 1, 2015

2012; DOI 10.1007/s12028-012-9695-z Capovilla G et al. Incidence, cause, and short-term outcome of convulsive status epilepticus in childhood: prospective population-based study. 2012; 79:2355-2358. Guidelines for the Evaluation and Management of Status Epilepticus. Neurocrit Care. 2013; 54 Suppl 7:23-34 Chin RFM et al.,

Pediatrics 40

Pediatrics Seizures Stroke Radiology 40

Dr. Smith's ECG Blog

JANUARY 2, 2016

Birnbaum writes: "In patients with ACS without LVH, ST depression with negative T waves in the lateral leads is a sign of sub-endocardial ischemia and is an independent predictor of adverse outcome [11 – 13]. October 1, 2012; Volume 110, Issue 7, Pages 977–983. However, no study has evaluated the accuracy of this sign."

EKG/ECG 52

EKG/ECG Outcomes 52

Dr. Smith's ECG Blog

DECEMBER 27, 2023

Comparative early and late outcomes after primary percutaneous coronary intervention in st-segment elevation and Non–St-segment elevation acute myocardial infarction (from the Cadillac trial). Stuckey, T., Zimetbaum, P. Tcheng, J. Guagliumi, G., Iwaoka, R. O’Neill, W. Lansky, A. & Griffin, J. Tikkanen, J. Wellens, H., & & Yan, G.-X.

EKG/ECG 129

EKG/ECG Documentation/Coding Wellness Emergency Department 129

PEMBlog

MAY 11, 2023

The primary outcome was the difference between the Neonatal Faces Coding Scale (NFCS) before the procedure and during LP needle insertion. 2012 Jul;28(7):687-90. Patients got randomized to J-Tip syringe containing 1% lidocaine and a placebo TA cream or J-Tip syringe containing saline and TA. Ferayorni A, Yniguez R, Bryson M, Bulloch B.

Documentation/Coding 52

Documentation/Coding Pediatrics Emergency Department Academics 52

Mind The Bleep

OCTOBER 22, 2024

Whether you enjoy working in the high-stakes setting of a cath lab or improving patient outcomes through prevention and rehabilitation, cardiology offers something that aligns with your interests and career aspirations. Cardiology applications typically open around November, and since 2012, there has been no Round 2 for Cardiology.

Evidence-Based Practice 52

Evidence-Based Practice Academics Operations Hospitals 52

PHEM Cast

APRIL 21, 2021

The Effect of Paramedic Rapid Sequence Intubation on Outcome in Patients with Severe Traumatic Brain Injury. Annals of Emergency Medicine 2012; Volume 60, Issue 6, Pages 749–754.e2 Click here to hear what our friends over at the Resus Room think about Airways 2 References (kindly shared by Rich) Davis DP et al. e2 Delson NJ et.

Airway Management 40

Airway Management Resuscitation EMS Hospitals 40