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

Don't Forget the Bubbles

MARCH 18, 2024

It may worsen HUS, according to some research, though even if platelets are given, the risk of bleeding during a procedure in HUS may not change. 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.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

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. Chair of Division of Research Department of Emergency Medicine | Cook County Health Am J Emerg Med. 2020;38(7):1310-1314.

Administration 52

Administration EKG/ECG Emergency Department EMS 52

PHEM Cast

APRIL 10, 2016

And from our buddies at HEFT EM CAST: [link] A bit more detail covering some of the research in an easy to understand way. 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. 2012 Jan;30(1):51–6.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

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 56

Stroke Emergency Department COPD Academics 56

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

Sensible Medicine

SEPTEMBER 29, 2023

Here are the Authors’ Bios: Adrian Barnett is a professor of statistics who has worked for over 29 years in health and medical research. His current research concerns improving statistical practice to reduce research waste. Nicole White is a statistician and Senior Research Fellow at Queensland University of Technology.

Research 60

Research Hospitals Academics Emergency Department 60

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 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. Investigators asked a patient-oriented research question.

Outcomes 52

Outcomes Hospitals Research EMS 52

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

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. Research remains encouraged within cardiology, and there will be an opportunity to develop a range of academic interests.

Evidence-Based Practice 52

Evidence-Based Practice Academics Operations Hospitals 52

RebelEM

DECEMBER 28, 2022

Conducted at 2 US Veterans Affairs medical centers from 2012–2019. No difference in exploratory outcomes. Strengths Randomized, double-blinded, placebo-controlled, dual-site trial Investigators asked a patient-focused research question. Flexible recruitment methods allowed enrollment by mail or from home (52.2%

Outcomes 52

Outcomes Documentation/Coding Hospitals EMS 52

Don't Forget the Bubbles

JULY 26, 2023

Cardiac testing and outcomes in infants after an ALTE, Hoki et al, Archives of Disease in Childhood 2012 showed significant cardiac disease was present in <1% of patients presenting with ALTE (although cardiac abnormalities were found in 4% overall). Choking or gagging in the history now precludes this description being applied.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

EM Guide Wire

NOVEMBER 2, 2020

Primary outcome was discharge to home at 24 hours. mg/kg/hr Narrow therapeutic index and is associated with a wide range of adverse effects Does an aminophylline injection in addition to bronchodilators for an asthma attack improve lung function and other outcomes or cause harm? mg may be nebulized Q4-6 hours. final FEV1 was 51.1%

Pediatrics 52

Pediatrics Anaphylaxis Emergency Department Administration 52

Sensible Medicine

SEPTEMBER 29, 2023

Here are the Authors’ Bios: Adrian Barnett is a professor of statistics who has worked for over 29 years in health and medical research. His current research concerns improving statistical practice to reduce research waste. Nicole White is a statistician and Senior Research Fellow at Queensland University of Technology.

Research 40

Research Hospitals Academics Emergency Department 40

Taming the SRU

FEBRUARY 19, 2024

This has been the central question of many research projects with variable outcomes. Peripheral arterial measurements can be taken anywhere outside the thorax or abdomen but in practice and research is almost exclusively radial artery cannulation. But are they good enough? of failed lines.

Shock 59

Shock Resuscitation Ultrasounds Research 59

Thinking Critical Care

MAY 18, 2023

In 1983 I was an Englishman abroad, the London anaesthetist who was appointed to be the English anaesthetist on the Shock Team only because the outstanding candidate from Oxford had preferred to take up a job doing muscle relaxant research with Kitz and Katz in the USA. 4] The research agenda at the time was broad.

Shock 40

Shock Research Sepsis Resuscitation 40

Taming the SRU

MARCH 14, 2023

VP Shunt - Courtesy of Cancer Research UK via wikimedia - CC-4.0 - [link] Case courtesy of Paul Simkin, Radiopaedia.org, rID: 30453 Case courtesy of Dr Ruslan Asadov, Radiopaedia.org, rID: 8401. Estimated incidence of normal pressure hydrocephalus and shunt outcome in patients residing in assisted-living and extended-care facilities.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

EMDocs

NOVEMBER 16, 2024

13 Management: Dislocation As with all dislocation, early reduction improves outcomes. Rockville (MD): Agency for Healthcare Research and Quality (US); 2006 Feb-. Epidemiology of total hip arthroplasty: demographics, comorbidities and outcomes. 2012 Sep;3(3):107-20. Hospitals, 2018. 2021 Aug 31. Statistical Brief #281.

EMS 94

EMS Dislocations Fractures Operations 94

EMDocs

FEBRUARY 12, 2024

Some studies have found that VBGs and ABGs do correlate well in trauma patients but are not clinically equivalent; these studies still call for obtaining routine ABGs in patients with major traumatic injuries until more research has been done comparing ABGs and VBGs in the setting of severe traumatic injury (17-19). 2012 Oct;30(8):1371-7.

Emergency Department 98

Emergency Department Resuscitation COPD Shock 98

Don't Forget the Bubbles

DECEMBER 11, 2023

Neglect Emotional Physical A subsequent study, ‘ The Philadelphia ACE Study ’, in 2015, identified that community factors were routinely neglected from research and so added in five community domains. To list all of the known impacts of ACEs would be to write a rather large textbook, so I encourage you to research your field of practice.

Wellness 104

Wellness Research Outcomes Shock 104

The Skeptics' Guide to EM

JUNE 24, 2017

His background includes working as a Research Assistant […] The post SGEM#183: Don’t RINSE, Don’t Repeat first appeared on The Skeptics Guide to Emergency Medicine. The Cochrane Collaboration updated their review on hypothermia for neuroprotection in adults after CPR in 2012. Circulation 2016. Circulation 2016.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia CPR Resuscitation EMS 40

EB Medicine

AUGUST 1, 2018

Jeff: This DEA designation limits the ability to do research and obtain federal funding for such research. Synthetics were initially developed in the 1980s largely for research purposes. And the US DEA maintains cannabis as a Schedule I substance. Nachi: A free issue for our listeners, that’s nice!

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

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 fell down a rabbit hole of research: What is the evidence about sleep position and SIDS?

Research 114

Research Pediatrics Outcomes Wellness 114

Don't Forget the Bubbles

FEBRUARY 24, 2025

We know that vaccination is key for protection, as there were 63 deaths in just one year before the vaccination was recommended in pregnancy in 2012. However, our true success is measured by how effectively we share knowledge, foster understanding, and improve patient outcomes. 2012 May 7;11(1):70 Berger et al.

Pediatrics 59

Pediatrics Outcomes Blood Transfusions Sepsis 59

EMDocs

JANUARY 20, 2024

It was first described in Japan in 1991, where researchers noted a balloon shape to the left atrium resembling a trap used to catch octopuses in Japan. Clinical Features and Outcomes of Takotsubo (Stress) Cardiomyopathy. 2012 Aug;164(2):215-21. J Neurosurg. 2006;105(2):264-270. doi:10.3171/jns.2006.105.2.264 N Engl J Med.

EMS 93

EMS Fluid Resuscitation Shock EKG/ECG 93

Taming the SRU

MAY 22, 2023

Certain injuries carry risks of further injury, injury-related complications, and poor outcomes which are exacerbated if they are inappropriately managed in the ED. Agency for Healthcare Research and Quality. 2012 Nov; 470(11):3270-3274. Injuries discussed are shown in Image 1. Foot & Ankle Specialist. 9(1):31-36.

Fractures 77

Fractures Dislocations Operations Radiology 77

Don't Forget the Bubbles

FEBRUARY 17, 2025

Although at a population level, elevated CVP is associated with acute kidney injury (AKI) and other adverse outcomes, the sensitivity and specificity to predict these outcomes for an individual patient is poor. Goldstein, The role of fluid overload in the prediction of outcome in acute kidney injury. Pediatr Crit Care Med, 2012.

Pediatrics 78

Pediatrics Ultrasounds Shock Resuscitation 78

Don't Forget the Bubbles

JANUARY 4, 2024

This retrospective, observational study used data from the UK Trauma Audit & Research Network (TARN) between 2012 and 2021. in 2012 to 5.3% Clinically Relevant Bottom Line: The study highlights new research into the prevention of refractive errors, which can significantly reduce future sight-threatening complications.

Burns 129

Burns Academics Hospitals Outcomes 129

Don't Forget the Bubbles

JANUARY 13, 2025

Outcome Surgical outcomes in non-obstructive TAPVD are generally good, with a reported mortality of 5% to 10% 3,4. In obstructed TAPVD or when there is an associated heterotaxia syndrome, the outcome dramatically changes, with short-term mortality rates between 50% and 89%. Ann Thorac Surg, 2012. 2010;122(25):27182726.

Operations 59

Operations Outcomes Pediatrics EKG/ECG 59

EMDocs

JANUARY 20, 2025

13 While there is good data that early antibiotics for patients in septic shock reduce mortality 18-19 the role of early and aggressive volume resuscitation and its impacts on patient-centered outcomes remain unclear. Inwald et al. link] During the 2017 IV fluid shortage, Patino et al. The first study was by Edna et al. Choudhari et al.

Dehydration 73

Dehydration Fluid Resuscitation Sepsis Resuscitation 73

Dr. Smith's ECG Blog

MARCH 8, 2025

Was her outcome to be expected for ostial RCA OMI? Circulation Research , 114 (12), 18521866. The patient certainly had OMI and received treatment for it. There is no specific treatment for stress cardiomyopathy, only supportive treatment. Or was it out of proportion, perhaps worsened by the sympathetic surge? link] Bentzon, J.

EKG/ECG 77

EKG/ECG CPR Resuscitation Wellness 77

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

Subsequent research and experience shows that while some cervical spine movement occurs with direct laryngoscopy, it appears that with Manual Inline Stabilization, the anterior portion of the rescue collar could be loosened and direct laryngoscopy carefully done without clinically significant injury. Rogue Medic. & Bhure, A. Barton, E.

Airway Management 40

Airway Management Resuscitation EMS CPR 40

PulmCCM

MARCH 7, 2025

The Weekend Effect For decades, researchers have tracked a concerning signal that patients undergoing surgery later in the week experience higher rates of complications, including death. 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

Don't Forget the Bubbles

NOVEMBER 5, 2023

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. Reviews and opinion articles An update on the role of fluid overload in the prediction of outcome in acute kidney injury. What are some of this months highlights?

Pediatrics 105

Pediatrics Hospitals Infectious Diseases Outcomes 105