Sensible Medicine

MARCH 27, 2024

Peter Attia - From Surgeon to Longevity Guru I first encountered Peter Attia online while researching ketosis , the Atkins diet and low carb diets in 2012 and found his writing to be incredibly well-researched and helpful. To support his Medicine 3.0 We want it as low as possible, sooner rather than later."

Research 113

Research Documentation/Coding Wellness 113

ALiEM

OCTOBER 20, 2023

Raised reddish-brown well-demarcated plaques with waxy centers were also noted on the dorsal forearms and hands. 2012 Jul;16(4):614-20. Additional Images Physical Exam Vitals : T 37.2°C; Laboratory Data Glucose : 539 (with a normal anion gap) Hemoglobin A1C : 10.9 Available from: [link] PMID:29083569. Indian J Endocrinol Metab.

Academics 64

Academics Emergency Department Wellness Research 64

Don't Forget the Bubbles

OCTOBER 10, 2024

Adopting this approach would reduce time in surgery for the child as well as the financial cost of nail bed repair. This study aimed to assess discharge practices for children presenting with acute wheeze in emergency departments in the Paediatric Emergency Research in the UK and Ireland (PERUKI) network. Why does it matter?

Emergency Department 75

Emergency Department Outcomes Research Operations 75

The Skeptics' Guide to EM

DECEMBER 12, 2020

AEM December 2020 Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine and Emergency Medicine Research Lead at Lancashire Teaching Hospitals Trust (North West England). She is systemically well and there is no sign of tracking, so you decide to perform incision and drainage in the ED.

Operations 52

Operations Outcomes Research Academics 52

Don't Forget the Bubbles

NOVEMBER 8, 2023

Tilly is normally fit and well, with no significant past medical history. The Shera Score Children with a low Shera score (less than 3) who are otherwise systemically well may be suitable for discharge home with safety netting advice , whereas patients with high scores (8 or more) warrant immediate surgical referral. Pediatrics, 2012.

Emergency Department 105

Emergency Department Ultrasounds Pediatrics Best Practices 105

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

The Skeptics' Guide to EM

OCTOBER 3, 2020

She is the creator of the HEART Score and an enthusiastic researcher. She is the creator of the HEART Score and an enthusiastic researcher. NEJM July 2020 Case: A 65-year-old man with a history of well controlled hypertension presents to the emergency department and is diagnosed with a mild stroke (NIHSS score 3).

Stroke 40

Stroke Emergency Department Research Wellness 40

PEMBlog

APRIL 26, 2023

Kit Carney and Dr. Kristen Humphrey discuss gun violence, its impact on our patients and their families, as well as practical tips on advocating for safe storage of firearms, and how we can support victims of violence. Pediatrics November 2012; 130 (5): e1416–e1423. 2012-2481 Haasz, M., Melzer-Lange, Joseph O’Neil, Wendy J.

Pediatrics 52

Pediatrics Wellness Poisoning Burns 52

Pediatric Emergency Playbook

APRIL 1, 2016

Brain natriuretic peptide (BNP) In adults, we typically think of a BNP Luckily, we have data in children with congenital heart disease as well. This has been studied in children as well, and an elevated lactate in children – typically above 4 – was a predictor of prolonged ICU course and mortality in septic patients. Pediatr Cardiol.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

PHEM Cast

JULY 14, 2016

Value of a rigid collar: in need of more research and better devices. Crane T, Cooke MW, Wellings R, Wayte S, Higgins J. 2012 May;37(11):937–42. : A systematic review. Elsevier Ltd; 2015 Apr 1;46(4):528–35. Smyth M, Cooke MW. Emergency Medicine Journal. 2013 May 13;30(6):516–6. The University of Warwick. 2007 Aug 1;:1–18.

Fractures 52

Fractures Hospitals Shock Research 52

RebelEM

MARCH 13, 2023

In this systematic review and meta-analysis, researchers aim to establish an accurate prehospital TCA mortality rate and explore associations between survivability and the many factors contributing to prehospital TCA management. 2012 Jul 6;16(4):R117. Are any pre- or intra-arrest factors prognostic of prehospital TCA mortality?

Basic Life Support 52

Basic Life Support EMS Outcomes Resuscitation 52

Mind The Bleep

OCTOBER 22, 2024

Research remains encouraged within cardiology, and there will be an opportunity to develop a range of academic interests. Cardiology applications typically open around November, and since 2012, there has been no Round 2 for Cardiology. There are a range of skills to develop with cardiology.

Evidence-Based Practice 52

Evidence-Based Practice Academics Operations Hospitals 52

Advanced Emergency Nursing from AENJ

NOVEMBER 20, 2014

If you think your patient is the perpetrator, he may well be an innocent, or even an off-duty or undercover officer. 8, 2012 12:12 a.m. New CPRC Report: Errors in Bloomberg’s latest report on Mass Shootings October 2, 2014 Crime Prevention Research Center Lott, John R., Do not compromise your care. By John Fund.

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

The National Academy of Sciences – National Research Council (the Federal Government's official science and medicine advisor, in 1966 produced a landmark paper: "Accidental Death and Disability: The Neglected Disease of Modern Society." 1950s & 1960s Resuscitation Research. Increasing public usage of EDs for care.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

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

Pediatric Emergency Playbook

DECEMBER 1, 2016

If the otherwise healthy child one month and older is: Euvolemic Not hypoxic Well appearing He can likely go home. The short answer is that the American Academy of Pediatrics, the UK’s National Institute for Health and Care Excellence, as well as the Canadian Pediatric Society currently recommend against them. 2012 Mar;129(3):e605-10.

Pediatrics 40

Pediatrics Emergency Department Hospitals Wellness 40

Don't Forget the Bubbles

JULY 26, 2023

A cardiac family history should of course be sought, but think a little outside the box as well. On arrival at hospital the child was well with normal observations. In some specific congenital heart diseases, the prevalence of arrhythmias is now being seen as a late surgical complication as children now survive into adulthood.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

PulmCCM

FEBRUARY 19, 2024

Well … no. So SCCM smuggling in a pet policy prescription as “evidence-based,” with outdated, scant, inconclusive research mostly in children, reads to me like activism tinged with an acknowledgement that hospital stays are becoming increasingly dangerous. Patient-Centered, or Pandora’s Box?

Hospitals 52

Hospitals Resuscitation Burns Documentation/Coding 52

Dr. Smith's ECG Blog

JANUARY 30, 2019

I remember Allie well from her days in the Research volunteer program at Hennepin. Smith comment: 1) Brugada ECG may have ST shifts in limb leads as well as precordial leads. A repeat EKG was performed at that time and showed this: The STE had almost completed resolved and the STE depression is improved as well.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia EKG/ECG Wellness Documentation/Coding 52

SheMD

OCTOBER 15, 2023

Yes, I am a woman, yes I am a feminist, yes I am a physician, yes I am in academic leadership for a well-known emergency department… The yes’s are many, but what do I have to say that is so meaningful or useful that people would want to publish it? Well first of all, I didn’t do it in my 20’s, and I didn’t do it in residency.

Emergency Department 52

Emergency Department EMS Leadership Academics 52

PEMBlog

JUNE 5, 2024

It was inspired by a hot-off-the-presses publication from the Pediatric Emergency Care Applied Research Network (PECARN) focused on clinical decision rules for cervical spine imaging in children. 2012 Jan 13;61(RR-1):1-20. Cervical Spine Injuries are fortunately rare in children. Here is the aforementioned PECARN paper: Leonard, J.

Fractures 52

Fractures Pediatrics Radiology Radiology 52

RebelEM

JANUARY 19, 2023

Investigators asked a patient-oriented research question. The study was well-powered, with target participants reaching 236 total patients. Pharmaceutical industry sponsorship and research outcome and quality: systematic review. doi: 10.1136/thoraxjnl-2012-202875. PMID: 28881006 Lexchin J, Bero LA, Djulbegovic B, Clark O.

Outcomes 52

Outcomes Hospitals Research EMS 52

Downeast Emergency Medicine

APRIL 26, 2021

9] The BRAIN-PROJECT was a multicenter observational study of the prehospital treatment of patients with severe TBI (based on trauma mechanism or clinical findings and a prehospital GCS <9) who were treated by one of the four Dutch physician-staffed Helicopter Emergency Medical Services from 2012-2017. Arch Surg 2012; 147:113-119.[

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

Advanced Emergency Nursing from AENJ

MAY 27, 2014

He took up many clinical researches feeling that physiology should be an applied science contributing to the solution of human problems. He took part in high altitude respiratory physiology research on Pike’s Peak with J.S. Researches to establish or refute CO2 therapy in CO intoxication. a Yale physiologist. Roizen, Ron.

Resuscitation 40

Resuscitation Poisoning Research Administration 40

EM Guide Wire

NOVEMBER 2, 2020

2012 Cochrane Review - aminophylline is not significantly better than other bronchodilator drugs, and has more adverse effects. However, the available evidence cannot be considered as conclusive, as further high-quality research is likely to have impacts on and change the estimates of effects. mg may be nebulized Q4-6 hours.

Pediatrics 52

Pediatrics Anaphylaxis Emergency Department Administration 52

Pediatric Education

MARCH 24, 2024

In the meantime, I’m more concerned about you resting and taking care of yourselves than you doing a lot of research, but will also give you some online resources if you want to explore them,” he offered. Some people recommend boiling these utensils for 5 minutes as well. which can also touch the formula.

Pediatrics 40

Pediatrics Poisoning Research Wellness 40

Taming the SRU

MARCH 14, 2023

He appears well and is triaged to an ESI 4. 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. More on this below as we work through a few cases…. The shunt matured with minimal complications.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

RebelEM

DECEMBER 28, 2022

However, the optimal treatment duration for UTI in men is not well studied, and current practice guidelines are based on historical dogma. Conducted at 2 US Veterans Affairs medical centers from 2012–2019. Strengths Randomized, double-blinded, placebo-controlled, dual-site trial Investigators asked a patient-focused research question.

Outcomes 52

Outcomes Documentation/Coding Hospitals EMS 52

Don't Forget the Bubbles

DECEMBER 11, 2023

Naturally, it can seem obvious to us now that abuse and trauma in childhood can affect your health and well-being quite significantly, but what was surprising at the time was not just that these events had an impact but how much of an impact these adverse childhood events had. Could there be an element of causation as well as correlation?

Wellness 104

Wellness Research Outcomes Shock 104

EMDocs

FEBRUARY 12, 2024

ABG and VBG Correlation The correlation between venous and arterial blood gases is well-documented for standard differences (Table 1), and the data obtained from the VBG can be acted on as if it were an ABG (1, 3-6). While ABGs and VBGs usually correlate well, there are a few situations where this correlation is disturbed.

Emergency Department 98

Emergency Department Resuscitation COPD Shock 98

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. Jeff: And the etiology of CHS is not well understood. And the US DEA maintains cannabis as a Schedule I substance.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

Advanced Emergency Nursing from AENJ

SEPTEMBER 4, 2014

It was extremely well-liked by field personnel, but virtually unknown in hospitals. However, they could be used easily and well with the assist of head-straps which were never sold as part of the complete “kit” but only as an uncataloged “spare part.” Journal of the Royal Society of Medicine, 97(10), 489-493. Developmental history.

Resuscitation 40

Resuscitation CPR Documentation/Coding Military 40

Pediatric Emergency Playbook

JANUARY 1, 2017

For example, a very anxious caregiver can easily transmit his or her anxiety to the child, which may either inhibit or amplify presentation of symptoms ( Bearden 2012 ). Tachycardia, tachypnea, and a change in behavior can be indicators not only to the presence of pain, but possibly to its etiology as well.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Taming the SRU

JULY 21, 2023

Patients will often have objective visual acuity impairment as well as a fever or leukocytosis. Corneal ulcers are most frequently caused by Pseudomonas (especially if they wear contact lens), as well as S. They report blurred vision as well as photophobia and redness / watery discharge of the eye. October 2012 revision.

Emergency Department 88

Emergency Department EMS Burns Wellness 88

Sensible Medicine

JULY 31, 2024

They slept well and thrived. I fell down a rabbit hole of research: What is the evidence about sleep position and SIDS? Researchers observe that SIDS rates declined as more parents took the back-sleeping advice, but the drop is also coincidental with many other changes. I vividly remember whisper-sobbing: please don’t die.

Research 114

Research Pediatrics Outcomes Wellness 114

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. The most common findings on ECG are ST elevation , most often in the anterior precordial leads, as well as sinus tachycardia and QT interval prolongation. 2012 Aug;164(2):215-21.

EMS 93

EMS Fluid Resuscitation Shock EKG/ECG 93

Taming the SRU

MAY 22, 2023

Use your exam to guide your initial management as well as your imaging decisions and differential diagnosis. Fracture incidence in adults in relation to age and gender: A study of 27,169 fractures in the Swedish Fracture Register in a well-defined catchment area. Agency for Healthcare Research and Quality. 12): e0244291.

Fractures 77

Fractures Dislocations Operations Radiology 77