Don't Forget the Bubbles

SEPTEMBER 30, 2024

” Previous research recognises that long waiting times increase the number of patients who leave the ED before medical review, though much of this is based on the adult population. They also likely align with research by Simpson et al., These patients may be classified as “Did Not Wait” (DNW). Gaucher et al. and Suastegui et al.

Emergency Department 89

Emergency Department Research Pediatrics Hospitals 89

PHEM Cast

JULY 14, 2016

Value of a rigid collar: in need of more research and better devices. 2013 May 13;30(6):516–6. 2013 Jul 19;30(8):679–82. 2013 Dec 22;31(1):86–6. Elsevier Ltd; 2013 Jan 1;44(1):122–7. 2013 Dec 1;30(12):1067–9. 2013 May 23. Should suspected cervical spinal cord injury be immobilised?: Smyth M, Cooke MW.

Fractures 52

Fractures Hospitals Shock Research 52

Sensible Medicine

MARCH 11, 2024

This is where we get into all the terms you see in research papers: p-values, and confidence intervals (typically 95%) – and in the media - margin of error. Inferential statistics actually do NOT help us test a research hypothesis about whether an intervention worked or not. This is the null hypothesis (no effect).

Outcomes 118

Outcomes Research Stroke COPD 118

SheMD

SEPTEMBER 28, 2023

Domestic tethers: Gender differences in career paths and domestic responsibilities of top-research medical school graduates. 2013 Oct;94:17-25. Epub 2013 Jun 25. Such involvement is a known factor in career advancement and may explain some of the differences between genders in leadership in medicine. 2022 Apr 20;17(4):e0267288.

Leadership 52

Leadership Research Outcomes Wellness 52

American Medical Compliance

APRIL 17, 2024

Evidently, ICU survivability has grown in importance, and strategies to improve patient outcomes and recuperation are crucial goals for medical professionals, patients’ families, and researchers.

Evidence-Based Practice 52

Evidence-Based Practice Outcomes Research 52

The Skeptics' Guide to EM

MAY 14, 2022

He is also one of the world’s leading researchers on pain management in the emergency department and specifically the use of ketamine. J Emerg Med 2022 Guest Skeptic: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. His twitter handle is @PainFreeED.

Emergency Department 52

Emergency Department Research Wellness 52

The Skeptics' Guide to EM

APRIL 24, 2021

Date: April 19th, 2021 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). Droperidol has been used widely, particularly in Australasia, for acute severe agitation.

Emergency Department 40

Emergency Department Research Outcomes Documentation/Coding 40

PulmCCM

JANUARY 22, 2024

Most large subsequent trials showed no beneficial effects of TTM: In 2013, a trial more than three times larger than the original trials (NEJM, n=950) showed no benefit of cooling to 33°C compared to maintenance at 36°C, in either survival or neurologic outcome.

Hyperthermia / Hypothermia 80

Hyperthermia / Hypothermia Outcomes Research Hospitals 80

Don't Forget the Bubbles

OCTOBER 21, 2024

Family studies have shown that tics have a genetic element, and although researchers have implicated several genes, they have not identified a specific one. Researchers have also linked environmental factors, such as smoking during pregnancy and poor economic background, to tic disorders. Why do children get tics? World Psychiatry.

Emergency Department 59

Emergency Department Research Hospitals Wellness 59

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. These tables are used when assessing the usefulness of a test (or it’s sensitivity and specificity), and, when researching how useful tests are we need the majority of patients to fall into the green boxes.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

EMDocs

JANUARY 29, 2024

Yaghi S, Willey JZ, Cucchiara B, Goldstein JN, Gonzales NR, Khatri P, Kim LJ, Mayer SA, Sheth KN, Schwamm LH; on behalf of the American Heart Association Stroke Council; Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; and Council on Quality of Care and Outcomes Research. 2013 Jul;44(7):1846-51. 113.001212.

Stroke 99

Stroke Outcomes EMS Seizures 99

Maria Yang, MD

APRIL 21, 2024

It’s a review and analysis of past research related to this topic (a research study of past research studies, if you will). Other highlights included in the abstract include prevalence rates for antisocial personality disorder (26%) (one of my most popular posts —from 2013!—is

Psychiatric 52

Psychiatric Research Wellness 52

The Skeptics' Guide to EM

AUGUST 28, 2021

They include: Cognitive Behavioural Therapy and mindfulness ( Cherkin et al JAMA 2016), chiropractic ( Paige et al JAMA 2017), physical therapy ( Paolucci et al J Pain Research 2018) and acupuncture (Colquhoun and Novella Anesthesia and Analgesia 2013 ). None of these other treatments has high-quality evidence supporting their use.

Emergency Department 52

Emergency Department Research Outcomes 52

RebelEM

JANUARY 19, 2023

Previous studies regarding ambulatory management included randomized trials that lacked adequate power, and recently, a 2013 systematic review that, although showed promise in the ambulatory approach, had poor data quality with a high risk of bias. Investigators asked a patient-oriented research question. 2013 Jul;68(7):664-9.

Outcomes 52

Outcomes Hospitals Research EMS 52

ACEP Now

DECEMBER 11, 2023

The time interval referred to as ED boarding time has been part of the hospital’s required data submission to CMS since 2013. Despite the work of ED and hospital leaders to reduce this time interval, Boarding Times had been stuck at around 120 minutes from 2013 to 2019. The pandemic saw the time interval increase.

Emergency Department 52

Emergency Department Hospitals EMS Operations 52

RebelEM

JANUARY 25, 2024

R I Med J (2013). Emerg Med J. 2023;40(10):700-707. PMID: 37595984. Arabiat M, Foderaro AE, Levinson AT. Lung Ultrasound for Diagnosing Patients with Severe Dyspnea and Acute Hypoxic Respiratory Failure. 2019 Dec 2;102(10):34-38. PMID: 31795532. Cardinale L, Volpicelli G, Binello F, Garofalo G, Priola SM, Veltri A, Fava C.

Ultrasounds 129

Ultrasounds Outcomes COPD Hospitals 129

Don't Forget the Bubbles

FEBRUARY 19, 2024

2013) found that adults who engaged in gaming reported higher levels of relaxation and stress relief. The American Psychiatric Association (APA) and the World Health Organization (WHO) have highlighted the need for research into the potential dysregulated aspects of Internet-based gaming. Pew Research Center. Lenhart, A.,

Academics 59

Academics Leadership Research Teamwork 59

Pediatric Emergency Playbook

JULY 1, 2018

and the Committee on Sports-Related Concussions in Youth; Board on Children, Youth, and Families; Institute of Medicine; National Research Council. 2013; 47:15-26. Graham R et al. Sports-Related Concussions in Youth: Improving the Science, Changing the Culture. Washington (DC): National Academies Press (US); 2014 Feb 4.

Psychiatric 40

Psychiatric Pediatrics Research Outcomes 40

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. Then came the Targeted Temperature Management (TTM) Trial ( Nielsen et al NEJM 2013 ). Circulation 2016. display_podcast] Date: June 20th, 2017 Reference: Bernard et al.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia CPR Resuscitation EMS 40

Emergency Medicine Journal

NOVEMBER 28, 2023

Previous research in adults identified low patient compliance with NHS111 advice and risk-averse over-triaging by ‘Non-Clinically Trained Call-handlers’ (NCTCs) as contributing to UEC demand. However, some studies show NHS111 is associated with increased UEC use.

Emergency Department 40

Emergency Department Research 40

PulmCCM

OCTOBER 16, 2024

RenalRIPC Trial In the RenalRIPC trial, investigators at four hospitals in Germany randomized 240 patients planned for cardiac surgery who were at high risk for acute kidney injury in 2013 and 2014 to receive remote ischemic preconditioning or sham remote ischemic preconditioning (control).

Outcomes 52

Outcomes Operations Research Hospitals 52

ACEP Now

OCTOBER 30, 2023

28, 2012, the Emirates Society of Emergency Medicine (ESEM) was established by a group of emergency physicians who recognized the necessity for a unified body dedicated to the advancement of emergency medicine practice and research. The UAE government’s support took the country to another level and on Aug.

Leadership 52

Leadership Emergency Department Ultrasounds CPR 52

The Injectable Orange

JUNE 20, 2017

This demands more research.” doi: 10.1136/bmjopen-2013-003525 Lorello, G, Hicks, C et al. 2013 Dec;26(6):699-706. Maybe people get angrier when pickles turn up on their double cheeseburger than when we give their grandma the wrong drug? he thought as he turned his car keys and backed out the car park. 2016 Mar;18(2):136-42.

Head Injuries 52

Head Injuries Documentation/Coding Wellness Resuscitation 52

PulmCCM

FEBRUARY 19, 2024

Over six years of study (2007-2013): There were 83 MET calls activated by parents (~1.2 And you did read that right: patients activated their own rapid response evaluations in over half of the 25 RRT calls at Shands, authors reported.) per month, about 3% of all MET calls). Patient-Centered, or Pandora’s Box?

Hospitals 52

Hospitals Resuscitation Burns Documentation/Coding 52

Advanced Emergency Nursing from AENJ

NOVEMBER 20, 2014

Rohit Shahani , MD , MS, MCh & Jan David Galla, MD, PhD Penetrating Chest Trauma Treatment & Management Medscape Updated: Dec 13, 2013 Dicpinigaitis, P. New CPRC Report: Errors in Bloomberg’s latest report on Mass Shootings October 2, 2014 Crime Prevention Research Center Lott, John R., Khoshdel, A. Modaghegh, M.

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

Pediatric Emergency Playbook

APRIL 1, 2016

Cardiology in the Young; 2013. 2013; 88(10): 1127–1140. 2013; 29:715-719. for the Pediatric Emergency Care Applied Research Network. 2013; 14(8): e380–e387. ACCF 2012 Expert Consensus Document on Practical Clinical Considerations in the Interpretation of Troponin Elevations. J Am Coll Cardiol. 23: 353–360.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

Dr. Smith's ECG Blog

OCTOBER 28, 2013

The last section is a detailed discussion of the research on aVR in both STEMI and NonSTEMI. Current Emergency and Hospital Medicine Reports (2013) 1:4352. I repeat that ST elevation in aVR is not diagnostic of left main occlusion. Here is an article I wrote: Updates on the ECG in ACS. If you want to understand aVR, read this.]

EKG/ECG 52

EKG/ECG CPR Resuscitation Research 52

EM Curious

JULY 24, 2015

Do your research, and always be safe. Sure, it feels good to be a trailblazer, but it definitely doesn't feel good to be a lawsuit prone bumbler. jps Sources Roberts and Hedges Clinical Procedures in Emergency Medicine. Saunders 2014, Chapter 31 Beaudoin, F. P., & Liebmann, O.

Fractures 52

Fractures Ultrasounds Emergency Department Dislocations 52

ACEP Now

JULY 7, 2024

2 A study of routine EEG in the ED in 2013 found that five percent of ED patients with altered mental status had nonconvulsive seizures (of whom 75 percent were in nonconvulsive status epilepticus). The Neuroscience Research Group (NeuRos). 12 A point-of-care (POC) EEG system has been developed to provide real-time EEG data.

Seizures 52

Seizures Emergency Department Outcomes EMS 52

EMDocs

OCTOBER 30, 2023

3 A study of CT use trends in the ED has shown increasing use of CTs by almost 60% from 2005 to 2013. At the same time, newer research has shown that the diagnostic safety despite withholding contrast in abdominal pain may actually be overstated. Overall accuracy of unenhanced CT was 70% (faculty, 68% to 74%; residents, 69% to 70%).

Radiology 99

Radiology Radiology Emergency Department Hospitals 99

Broome Docs

AUGUST 2, 2022

Be wary of low quality before and after research. 2013 Mar 25;173(6):407-16. N Engl J Med. 2022 Jun 23;386(25):2387-2398. doi: 10.1056/NEJMoa2200644. PMID: 35704292 Bottom line: Sepsis is not treated with vitamins. Is apixaban better than rivaroxaban? Dawwas GK, Leonard CE, Lewis JD, Cuker A. Rolfe A, Burton C. JAMA Intern Med.

Sepsis 52

Sepsis Emergency Department Radiology Radiology 52

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. Shock 40(6):p 527-531, December 2013. | But are they good enough?

Shock 59

Shock Resuscitation Ultrasounds Research 59

Northwestern EM Blog

SEPTEMBER 16, 2024

2013 Sep;20(9):920-5. Even with the best technique, our local teaching, clinical use, and pilot research has consistently confirmed the need for obtaining multiple measurements of the small optic nerve sheath. Treasure Island (FL): StatPearls Publishing; 2022 Jan. Point-of-care ocular ultrasound to detect optic disc swelling.

Ultrasounds 52

Ultrasounds Emergency Department Academics EMS 52

Dr. Smith's ECG Blog

NOVEMBER 15, 2023

Contemporary research studies of MINOCA have evaluated the prognosis of these patients, reporting a 12-month all-cause mortality of 4.7% (95% confidence interval, 2.6–6.9), Even if there is a tight stenosis, it is not proof of culprit, as many individuals have tight fixed stenoses at baseline.

EKG/ECG 109

EKG/ECG Ultrasounds Wellness Stroke 109

ACEP Now

APRIL 3, 2024

1,2 However, the European TTM1 trial in 2013 showed similar outcomes for those cooled to 33 degrees Celsius compared to 36 degrees Celsius, leading to a 2015 AHA class I recommendation of “cooling between 32 degrees Celsius-36 degrees Celsius.” 5,6 In 2021, the TTM2 trial was published. Dr. Abella is the William G.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Resuscitation Outcomes Hospitals 40

Pediatric Emergency Playbook

DECEMBER 1, 2016

2013 Mar;131 Suppl 1:S103-9. Oakley E, Borland M, Neutze J, Acworth J, Krieser D, Dalziel S, Davidson A, Donath S, Jachno K, South M, Theophilos T, Babl FE; Paediatric Research in Emergency Departments International Collaborative (PREDICT). 2013 Apr;1(2):113-20. 2013 Jun 13;368(24):2286-93. Pediatrics. Pediatrics.

Pediatrics 40

Pediatrics Emergency Department Hospitals Wellness 40

Dr. Smith's ECG Blog

JUNE 1, 2022

Moreover, the research which appears to confirm this idea was indeed in relation to the circumflex, but they did not study Occlusion ; rather, they studied asymptomatic coronary disease. I am glad that Ken Grauer (below) brings up the issue of whether the presence of "T-wave in V1 taller than T-wave in V6" is evidence for OMI.

EKG/ECG 52

EKG/ECG Research 52