ACEP Now

OCTOBER 10, 2023

The CT scan reveals a hemorrhage in the right internal capsule, suggestive of acute hypertensive hemorrhagic stroke. Both INTERACT-2 and ATACH-2 showed no statistical difference in their primary outcome between intensively lowering the BP and a less-intensive strategy. Reference Ma LM, Hu X, Song L, et.

Outcomes 52

Outcomes Stroke Emergency Department Hospitals 52

The Skeptics' Guide to EM

MAY 1, 2021

Review article: Why is there still a debate regarding the safety and efficacy of intravenous thrombolysis in the […] The post SGEM Xtra: The NNT is Mellow Yellow for tPA in Acute Ischemic Stroke first appeared on The Skeptics Guide to Emergency Medicine. improvement in good neurologic outcome, a 5.4% Emerg Med Australas 2016.

Stroke 52

Stroke Outcomes Wellness 52

ACEP Now

AUGUST 25, 2023

The National Heart, Lung, and Blood Institute released an expert panel report in 2014 with evidence-based guidelines for management of SCD recommending timely administration of parenteral opioids for VOE.2 Primary Outcome: Discharged home from the ED Secondary Outcomes: There were several secondary outcomes. Am J Hematol.

Administration 97

Administration Pediatrics Emergency Department Outcomes 97

Don't Forget the Bubbles

JUNE 30, 2023

The primary outcome was 28-day mortality – TXA improved survival with no increased risk of cerebral clots. Survival was better, both at 24 hours and six months, in the TXA group, although the primary outcome, a quality of life score at six months, called the Glasgow Outcome Scale Extended (GOS-E), was the same in both groups ( 53.7%

Head Injuries 145

Head Injuries Seizures Pediatrics Outcomes 145

The Skeptics' Guide to EM

MARCH 6, 2019

Shahriar also serves […] The post SGEM Xtra: Walk of Life – Thrombolysis for Acute Ischemic Stroke first appeared on The Skeptics Guide to Emergency Medicine. TheNNT.com updated their website January 11th, 2019 changing the recommendation of tPA for acute stroke from RED (no benefit) to GREEN (benefit > harms). a href="[link]

Stroke 40

Stroke Academics Hospitals Outcomes 40

The Skeptics' Guide to EM

JUNE 17, 2023

The National Heart, Lung, and Blood Institute (NHLBI) released an expert panel report in 2014 with evidence-based guidelines for management of sickle cell disease recommending timely administration of parenteral opioids for VOE. [7] 1-6] Children with SCD presenting to the ED with VOE require timely and effective pain control.

Emergency Department 74

Emergency Department Pediatrics Head Injuries Administration 74

All Ohio EM

SEPTEMBER 16, 2019

By Mike Pallaci, DO Research Question: Does rapid lowering of blood pressure improve the outcome in patients with intracerebral hemorrhage? The primary outcome was determined for 2794 of these; 45 patients (1.6%) lost to follow-up. How Many Patients: The investigators enrolled 2839 patients.

Stroke 40

Stroke Outcomes Research Hospitals 40

Northwestern EM Blog

MAY 16, 2022

Do outcomes for patients with suspected nephrolithiasis differ based on the initial imaging? However, with ultrasonography becoming more prevalent in EDs, it may be possible that initial imaging may avoid this radiation risk and still have similar outcomes for patients. He endorses nausea without vomiting and denies fever.

Ultrasounds 52

Ultrasounds Radiology Radiology Outcomes 52

The Skeptics' Guide to EM

DECEMBER 16, 2017

There was no statistical difference in the primary outcome between 33C vs. 36C ( SGEM#82 ). This definition has been changed to a single seizure lasting more than five minutes or two or more seizures within a five-minute period without the person returning to normal between them ( Al-Mufti and Claassen Neurocritical Care Oct 2014 ).

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Seizures Hospitals Stroke 40

Stop and Think

JUNE 27, 2022

The primary endpoints were simple: AF recurrences and safety outcomes. Worse, patients in the MRI-guided ablation group had more major complications (9 vs 0), including 6 strokes vs none in the standard arm. The trial enrolled more than 800 patients from 44 centers across the globe. And there were hints that it might work.

Outcomes 52

Outcomes Stroke Hospitals Wellness 52

ACEP Now

NOVEMBER 7, 2023

The primary outcome was survival to hospital discharge. Heart disease and stroke statistics—2014 update: a report from the American Heart Association. Published reports have demonstrated variable success rates for DSED and VC. Marco is professor of emergency medicine at Penn State Health-Milton S. Circulation.

Resuscitation 52

Resuscitation Hospitals Shock CPR 52

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]. Epub 2014 Dec 3. Epub 2014 Oct 27. Int J Rheum Dis. 2015 Mar;18(3):352-9. doi: 10.1111/1756-185X.12496.

Infectious Diseases 89

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

Pediatric Emergency Playbook

APRIL 1, 2016

Less common causes of troponemia are: Kawasaki disease, pediatric stroke, or neuromuscular disease. 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.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

Dr. Smith's ECG Blog

MARCH 6, 2019

I believe this is by far the most common outcome for this patient around the world in 2019. Just because none of them had a disastrous outcome in a small, highly monitored study population does not mean they won't have bad outcomes in normal practice. No other clinical outcomes were reported. vs. 6.6%, p=0.37).

EKG/ECG 52

EKG/ECG Outcomes Hospitals Wellness 52

Dr. Smith's ECG Blog

JULY 3, 2018

Free wall rupture, VSD, Dresslers Syndrome, chronic CHF, anatomic LV aneurysm, LV thrombus, stroke, etc). It is unclear what, if any impact opioid administration had on the outcome of this case. The full thickness infarction with LV aneurysm morphology places him at a higher risk for short and long term complications (e.g.,

EKG/ECG 52

EKG/ECG Documentation/Coding Administration Outcomes 52

Dr. Smith's ECG Blog

MAY 16, 2023

Other outcome information is not available. Like they would for any other acute arterial occlusion syndrome (such as suspicion of acute large vessel stroke), they take the patient across the hall and perform an immediate CT (coronary) angiogram, showing patent coronaries. Formal echo showed normal function, no WMA, and no effusion.

EKG/ECG 52

EKG/ECG Stroke Documentation/Coding Outcomes 52

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% 8 The data in Mayer et al.

Stroke 105

Stroke Radiology Radiology Emergency Department 105

EMDocs

NOVEMBER 4, 2024

80 It can be caused by traumatic nerve, spinal cord, or brain injury (including stroke) or can be a sequela of conditions like diabetes, HIV/AIDS, postherpetic neuropathies, multiple sclerosis, cancer, or chemotherapies. Cause and outcome of atypical chest pain in patients admitted to hospital. Am J Emerg Med. May 2014;32(5):421-31.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

Don't Forget the Bubbles

JULY 5, 2023

Furthermore, educating both patients and their families is important in order to achieve good treatment compliance and better clinical outcomes. The Kilifi algorithm includes five clinical situations that are common sickle cell presentations – clinical jaundice, severe anaemia, bone and joint infections, and stroke.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

PulmCCM

NOVEMBER 20, 2024

Large observational series and meta-analyses followed, suggesting strong tendencies toward improved outcomes in patients without ARDS treated with low tidal volumes. After 28 days, patients in the protective ventilation group had worse outcomes (all statistically significant): 28.9% 4 to 6 ml/kg) for patients with ARDS. versus 45.3%.

Stroke 98

Stroke Outcomes 98