Don't Forget the Bubbles

OCTOBER 19, 2023

Secondary outcome analysis showed there was no difference in length of hospital stay, ICU stay, or duration of oxygen therapy. This is what they found: Length of hospital stay (time from randomisation to the time of hospital discharge or death), the primary outcome, was significantly longer in the high-flow group at 1.77

Head Injuries 81

Head Injuries Fractures Outcomes Hospitals 81

Pediatric Emergency Playbook

NOVEMBER 1, 2016

Pediatric Elbow Films: Putting It All Together Watch this dynamic video by Dr Jeremy Jone s from Radiopaedia : Fracture Saviors: Fat Pads and Drawn Lines These three things can save us: fat pads, the anterior humeral line, and the radiocapitellar line. If not, assume a fracture-dislocation.

Pediatrics 52

Pediatrics Fractures Dislocations Radiology 52

PHEM Cast

JULY 27, 2021

Crit Care Med 2013; 41: 1774-81. Kenji Inaba. Kenji Inaba. 2015 Marik PE, Cavallazzi R. Does central venous pressure predict fluid responsiveness? An updated meta-analysis and a plea for some common sense. Cavallaro F, Sandroni C, Marano C, et al.

Ultrasounds 52

Ultrasounds Fractures Resuscitation EMS 52

Taming the SRU

SEPTEMBER 15, 2023

ETT onto a fiberoptic scope.

CPR 90

CPR Burns Airway Management Wellness 90

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 Fractures Outcomes 40

Taming the SRU

AUGUST 30, 2023

Significantly elevated CRP (>122mg/L) and PCT (>0.5ng/mL) levels are predictors of bad outcomes, and are useful for tracking therapy progress, but are not specific enough to rule-in infectious endocarditis [38-39]. Identifying serious causes of back pain: cancer, infection, fracture. 2013 Jun 15;13:272. Epub 2013 Feb 1.

Infectious Diseases 89

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

EMDocs

NOVEMBER 16, 2024

6 Periprosthetic fracture Occurs at an estimated rate of 3.5-4.1%. 5 CT if concern for occult fracture. Periprosthetic Fractures Pain prior to injury may point toward underlying pathology like infection, implant loosening, etc. Unified classification system used to describe periprosthetic hip fractures. 10% of patients.

EMS 98

EMS Dislocations Fractures Operations 98

Rural Doctors Net

AUGUST 30, 2013

Pull straight any fractures & splint them. Flooding him with crystalloid is going to dilute his clotting factors, make him hypothermic and potentially worsen outcomes. Belly needs to be evaluated for bleeding – there was initial concern re; LUQ pain – perhaps a splenic injury? Remember to apply splints to skin!

Burns 52

Burns Hospitals Ambulance Services Wellness 52

ACEP Now

MARCH 11, 2025

It is important that we identify eating disorders in the ED, as the earlier treatment is started, the better the long-term outcomes (similar to schizophrenia), the lower the mortality rate, and the less likely they are to develop serious medical complications. Comorbidity and outcome in eating disorders. Int J Eat Disorder.,

Emergency Department 83

Emergency Department Psychiatric Dehydration Pediatrics 83

EMDocs

JUNE 21, 2023

Functional outcomes Severe soft tissue injuries and damage to the bony structures => poor functional outcomes. Labs do not play a significant role Imaging X-ray : Start with plain films to look for fracture near laceration, intra-articular free air, radiopaque foreign body. 2013 Sep;27(9):509-14. Konda SR, et al.

Soft Tissue Injuries 95

Soft Tissue Injuries Fractures Dislocations Radiology 95

Don't Forget the Bubbles

JULY 22, 2024

Randomised controlled trials addressing the benefit of steroids in preschool wheeze have compared different cohorts, used different trial designs and measured different outcomes. This is a way to overcome different trial outcomes. This paper’s primary outcome was a change in wheeze severity score (WSS). What does this mean?

Outcomes 105

Outcomes Research Pediatrics Hospitals 105

Taming the SRU

MARCH 11, 2024

Reducing the total ischemic time in patients with vascular injury is the single most important variable in improving outcomes and reducing the risk of amputation; an ischemic time of >8 hours is associated with amputation rates of up to 85%, compared with <20% in those with ischemic time of <8 hours (2). Sports Med Arthrosc.

Dislocations 108

Dislocations Emergency Department Fractures Operations 108

EMDocs

NOVEMBER 13, 2023

2 Outcomes of patients presenting with ischemic stroke who received MRI as initial imaging modality have demonstrated similar outcomes to those with initial CTA, with Kim et al. demonstrating that functional outcome at 3 months did not differ between the CTA and MRI groups (38.5% vs. 38.1%) with a good functional outcome.

Stroke 105

Stroke Radiology Radiology Emergency Department 105

PulmCCM

MARCH 7, 2025

Ranganathan et al reviewed the outcomes for 429,691 patients undergoing commonly performed surgeries on Friday or Monday (or Tuesday after a holiday weekend) in multiple hospitals in Ontario, Canada, from 2007 to 2019. Aylin et al BMJ 2013) But that was in the U.K., Wait, what’s that you’re looking at?

Outcomes 116

Outcomes Hospitals Operations Radiology 116

Don't Forget the Bubbles

SEPTEMBER 23, 2024

Kidney transplant recipients have a higher risk of fractures. Consider CMV, EBV and BK-polyoma virus infections: Patients are often on prophylaxis for a variable length of time, with differing outcomes. Obesity: Obesity, whether before or after transplant, is linked to worse outcomes. Any history of injury? Prytuła, A.

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

Dr. Smith's ECG Blog

MARCH 8, 2025

She sustained a large scalp hematoma along with several rib and vertebral fractures, but with CT scanning of chest/abdomen/pelvis/C-T-L-spine and head, no life threatening injuries were found. Was her outcome to be expected for ostial RCA OMI? A woman in her late 60s presented after a car crash. They were hit at high speed.

EKG/ECG 75

EKG/ECG CPR Resuscitation Wellness 75