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

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 81

Documentation/Coding Emergency Department Best Practices Federal Emergency Management Agency 81

RebelEM

MAY 25, 2023

vs 3U) but no difference in mortality (Study not powered for this outcome) Clinical Take Home Point: The use of vasopressors is controversial and requires a nuanced approach SUMMARY OF MINIMIZING IATROGENIC INJURY RESTORE PERFUSION VOLUME REPLACEMENT Blood Products >>> Crystalloids Holcomb JB et al. NEJM 1994. [2]

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

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

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

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 66

Sepsis Shock Resuscitation Fluid Resuscitation 66

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

MARCH 18, 2024

2012 Mar 19 [cited 2023 Nov 30];55(1):33–41. coliO157 and factors influencing the development of typical haemolytic uraemic syndrome: a retrospective cohort study, 2009–2012. Early Volume Expansion and Outcomes of Hemolytic Uremic Syndrome. 2012 Jul 19 [cited 2023 Nov 30];345:e4565. 2016 Jan;6(1):e009933. F1000Research.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

PulmCCM

JUNE 26, 2023

No outcomes regarding the delirium itself were reported (i.e., Private equity-backed firms are buying and expanding physician practices and squeezing them for profit, with little regard for patient outcomes, professional standards, or ethics. An expert panel broadened the definition of acute respiratory distress syndrome (ARDS).

Outcomes 98

Outcomes Ultrasounds Hospitals Wellness 98

Sensible Medicine

SEPTEMBER 11, 2023

Then in 2012, the same authors of ECLS-SHOCK, presented results of the IABP-SHOCK II Trial. In fact, a smaller trial, called, ECMO-CS found no difference in outcomes. In medicine, you have to show something works to reduce an important outcome in real patients. IABP vs standard care in patients with cardiogenic shock.

Shock 113

Shock Outcomes 113

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 63

OB/GYN EMS Sepsis Fluid Resuscitation 63

EMDocs

NOVEMBER 7, 2023

2012 Apr;99(4):532-9. No difference in their primary outcome of complications and need for emergency surgery (1.9% Outcome measures were complicated diverticulitis, recurrent diverticulitis and sigmoid resection at 24 months’ follow up. Included 480 patients, with primary outcome return visit with hospital admission.

Sepsis 88

Sepsis Best Practices Hospitals Outcomes 88

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

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 85

Academics Outcomes 85

The Skeptics' Guide to EM

AUGUST 5, 2023

Population: Children less than 18 years of age presenting with head injury to a level 2 pediatric trauma center in the United States between 2012-2013. Annals of Emergency Medicine 2014.

Head Injuries 40

Head Injuries Pediatrics Outcomes Fractures 40

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

ACEP Now

NOVEMBER 7, 2024

To begin, a 2012 prospective pediatric study found a failure rate of 16.9 Outcome analysis of ventriculoperitoneal shunt surgery in pediatric hydrocephalus. Sometimes it is; most often it’s not. While we often evaluate the shunt for malfunction, is there a particular time window where shunt malfunction is more common?

Pediatrics 52

Pediatrics Poisoning Research Outcomes 52

Don't Forget the Bubbles

JANUARY 17, 2024

Mirza and Sheikh reported perhaps the first unfortunate case in 2012. There have been reports of the Orbeez Challenge leading to serious outcomes. In 2012, one brand of SAP beads – Water Balz – was recalled by the U.S. 2012 Jan;3(1):6. Unfortunately, the anastomosis broke down. Krisch et al. Mirza B, Sheikh A.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

Cook County EM Blog

APRIL 27, 2022

2019.09.007 What : Retrospective cohort study of all droperidol administrations between January 2012 and April 2018 at an academic and pediatric emergency department in the US with 77,000 annual visits. Am J Emerg Med. 2020;38(7):1310-1314. doi:10.1016/j.ajem.2019.09.007 Zero deaths were attributed to droperidol administration.

Administration 52

Administration EKG/ECG Emergency Department EMS 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

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

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 Outcomes Research Academics 52

The Skeptics' Guide to EM

DECEMBER 17, 2022

Background: Major trauma in older patients is increasing in frequency (1), with the median age of major trauma patients in the UK from 2012-2017 being 63.6 years ( 2 ). Falling is the most common cause of traumatic injury resulting in older adults presenting to the ED [4].

Blood Transfusions 52

Blood Transfusions Fractures EMS Hospitals 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

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

Sensible Medicine

JULY 31, 2024

Fama’s series includes many of our favorite topics—doubts regarding plausibility, confounding in observational data, competing causes of outcomes, and, for the win, inadequate consideration of the downsides of a sweeping recommendation. I had no idea how weak the evidence was for this recommendation. I plan to interview Ms.

Research 99

Research Pediatrics Outcomes Wellness 99

EMDocs

NOVEMBER 13, 2024

Older age, recurrent episodes of SBP, hepatorenal syndrome, hepatic encephalopathy, acute kidney injury (AKI), concurrent GI bleeding, and higher MELD scores are predictors of worse outcomes. Spontaneous bacterial peritonitis in patients with cirrhosis: incidence, outcomes, and treatment strategies. 2012; 55:1551-1561.

Hyperthermia / Hypothermia 71

Hyperthermia / Hypothermia Ultrasounds Shock Hospitals 71

The Skeptics' Guide to EM

APRIL 8, 2023

John Brown PhD is a Professor of Health Services Research in Ireland who has been studying rural healthcare issues since 2012. The main outcome was the adjusted odds ratio for in-hospital mortality and hazard ratio for 30-day mortality with some pre-specified subgroups. Her main job is working for a think tank.

Stroke 55

Stroke Emergency Department Academics COPD 55

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 74

EMS Fluid Resuscitation Resuscitation Radiology 74

PHEM Cast

FEBRUARY 25, 2021

Prognostication Better outcomes: Rescued and BLS commenced < 5-10 min Children Those who have not aspirated Water temperature < 10 o C, core body temperature 33-35 o C Neurologically intact on arrival at hospital Minimum blood pH > 7.1, References Szpilman D, Bierens JJ, Handley AJ, Orlowski JP (2012) Drowning.

Resuscitation 52

Resuscitation Hospitals Outcomes Wellness 52

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

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

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

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 Hospitals 105

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

RebelEM

AUGUST 7, 2023

Outcome of delirium in critically ill patients: systematic review and meta-analysis. Crit Care 16, R115 (2012). Over half the patients (540) were hypoactive delirium and we typically don’t see a benefit in treating these patients with antipsychotics The median daily dose of haloperidol given was 8.3mg over 3.6 N Engl J Med.

Outcomes 52

Outcomes Hospitals EMS Administration 52

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