The Trauma Pro

FEBRUARY 7, 2025

Injury 2015, in press. In the next post, Ill review strategies to decrease the incidence of missed injury. Reference: Office hours vs after-hours: do presentation times affect the rate of missed injuries in trauma patients?

Hospitals 127

Hospitals 127

Emergency Live

JUNE 16, 2023

As technology evolved, the leadless pacemaker was introduced in 2015; a real revolution in cardiac electrostimulation The post Cardiac electrostimulation: the leadless pacemaker appeared first on Emergency Live.

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The Trauma Pro

DECEMBER 26, 2023

A meta-analysis of 13 studies published in 2015 showed that early ambulation was not associated with a higher incidence of new PE. PLOS One , April 10, 2015, [link] Bed Rest or Ambulation in the Initial Treatment of Patients With Acute Deep Vein Thrombosis or Pulmonary Embolism: Findings From the RIETE Registry.

Fractures 124

Fractures Documentation/Coding Hospitals Research 124

The Trauma Pro

APRIL 26, 2024

A multi-center trial published in 2015 showed an astounding 32% mortality rate for patients with shock from pelvic fracture. Next, I’ll review an early paper that compared the snippets of information we had to angioembolization. As I continue to preach, going anywhere but the OR is dangerous for the patient.

Fractures 147

Fractures Head Injuries Radiology Radiology 147

RebelEM

DECEMBER 17, 2024

One side argues that fever places additional physiological stress on patients, who are already ill ( Young 2015 ). On the other hand, fever may serve as a protective role by enhancing immune cell function and inhibiting pathogen growth and spread ( Young 2015 ). NEJM 2015; 373(23): 2215-24. PMID: 26436473 Schortgen F et al.

Sepsis 68

Sepsis Shock EMS Emergency Department 68

The Trauma Pro

MAY 12, 2023

American College of Surgeons Scientific Forum Abstracts pg S164, 2015. Don’t believe it. Reference: Leukocytosis after Splenic Injury: A Comparison of Splenectomy, Embolization, and Observation.

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First 10 EM

JANUARY 29, 2024

Norii 2015, […] The post The UK-REBOA trial appeared first on First10EM. There have been some observational studies that suggested REBOA was associated with worse outcomes, but the outcomes were largely assumed to be the result of confounders.

Resuscitation 87

Resuscitation Outcomes EMS 87

RebelEM

MAY 25, 2023

JAMA 2015 [7] The PROPPR Trial 680 severely injured adult trauma patients Patients randomized to Plasma, Platelets, and PRBCs in a 1:1:1 ratio vs 1:1:2 ratio No difference in overall mortality at 24 hrs BUT 1:1:1 achieved hemostasis faster and fewer experienced death due to exsanguination at 24hrs Crombie N et al. Lancet 2019.

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

Pediatric EM Morsels

MAY 12, 2023

2015 Nov;100(11):1032-7. Epub 2015 Aug 21. Burrows P, Trefan L, Houston R, Hughes J, Pearson G, Edwards RJ, Hyde P, Maconochie I, Parslow RC, Kemp AM. Head injury from falls in children younger than 6 years of age. Arch Dis Child. doi: 10.1136/archdischild-2014-307119. PMID: 26297697; PMCID: PMC4680174.

Head Injuries 130

Head Injuries Fractures Pediatrics EMS 130

Sensible Medicine

MAY 21, 2024

” My daughter answered: “In 2015, the city of Melbourne, Australia created a "tree-mail" service, in which all of the trees in the city received an email address so that residents could report any tree-related issues. 1 My son answered: “So where is Waldo, really?”

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The Trauma Pro

OCTOBER 6, 2023

vs. 2.1%), but significantly shorter ICU stay (7 vs 10 days) When patients who died within the first 24 hours were excluded, the in-hospital mortality remained significantly higher, and the ICU and hospital lengths of stay were significantly shorter Bottom line: Some society guidelines began recommending delayed TEVAR in 2015.

Head Injuries 147

Head Injuries Research Hospitals Resuscitation 147

Emergency Medicine Journal

JULY 22, 2024

Methods This was a retrospective data linkage study on consecutive adult EMS patients discharged at scene by paramedics in Victoria, Australia, between 1 January 2015 and 30 June 2019. This study aims to describe the outcomes of adult patients discharged at scene by paramedics and identify factors associated with 72-hour outcomes.

Outcomes 98

Outcomes EMS Hospitals Research 98

Mount Sinai EM

JANUARY 11, 2023

Saunders Ltd; 2015. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: [link] Raby Nigel, Berman L, Morley S, de Lacey G. Ankle & Hindfoot. Accident and Emergency Radiology: A Survival Guide,3e. Accessed January 04, 2023. Sports Medicine for the Emergency Physician A Practical Handbook, pp.

Radiology 130

Radiology Radiology Fractures Dislocations 130

The Skeptics' Guide to EM

APRIL 13, 2024

hours from onset of symptoms.

Stroke 117

Stroke Documentation/Coding Emergency Department EMS 117

EMDocs

JUNE 15, 2024

Source Shifts in Diagnostic Testing for Headache in the Emergency Department, 2015 to 2021. JAMA Netw Open. 2024 Apr 1;7(4):e247373. doi: 10.1001/jamanetworkopen.2024.7373. PMID: 38639937; PMCID: PMC11031686. The post Journal Feed Weekly Wrap-Up appeared first on emDOCs.net - Emergency Medicine Education.

Sepsis 84

Sepsis Emergency Department 84

RebelEM

MAY 27, 2024

Background: The REVERT Randomized Controlled Trial demonstrated the superiority of the modified valsalva maneuver (MVM) over the standard valsalva maneuver (VM) in re-establishing normal sinus rhythm (NSR) in patients with PSVT (Appelboam 2015). Using MVM in parallel while establishing IV access or preparing medications is practical.

Outcomes 132

Outcomes Research Operations Hospitals 132

PEMBlog

OCTOBER 31, 2024

N Engl J Med 2018; 379:2015-2026. N Engl J Med. 2018 Nov 22;379(21):2002-2014. doi: 10.1056/NEJMoa1802598. PMID: 30462938; PMCID: PMC6358014. Freedman et al. Multicenter Trial of a Combination Probiotic for Children with Gastroenteritis. DOI: 10.1056/NEJMoa1802597. Parker et al. Pediatrics, 2013. Szajewska et al.

Outcomes 105

Outcomes Pediatrics Emergency Department Research 105

RebelEM

NOVEMBER 6, 2024

2015 Jan;38(1):42-4. Anterior elbow dislocation with recurrent instability. Acta Orthop Belg. 2003 Apr;69(2):197-200. PMID: 12769023 Skelley NW, Chamberlain A. A novel reduction technique for elbow dislocations. Orthopedics. doi: 10.3928/01477447-20150105-05. PMID: 25611409 Stoneback JW, Owens BD, Sykes J, Athwal GS, Pointer L, Wolf JM.

Dislocations 103

Dislocations Fractures Soft Tissue Injuries Outcomes 103

The Skeptics' Guide to EM

JULY 27, 2024

Dave Schriger and colleagues reviewed publications in the Annals of Emergency Medicine from 1998 to 2015 and found that only 11% of the studies compared decision aids to clinical judgement [4]. A similar review by Sanders et al 2015 concludes that clinica.

Sepsis 76

Sepsis Outcomes Documentation/Coding Hospitals 76

RebelEM

DECEMBER 4, 2024

Ann Emerg Med 2015; 65(5): 532-9. Ann Emerg Med 2015; 65(5): 532-9. J Emerg Med 2015. Cardioversion recommendations exclude patients with recent strokes or valvular heart disease. REBEL Core Cast 132.0 – Recent-Onset AFib Click here for Direct Download of the Podcast. Read More Atzema CL, Barrett TW. JACC 2003; 41: 255-62.

Emergency Department 80

Emergency Department Stroke EMS Shock 80

Sensible Medicine

APRIL 25, 2024

Thanks to JAMA IM editor Rita Redberg In 2015, Rita Redberg— then JAMA IM editor took 2 papers from our group. But in work that Chul Kim and I did in 2016 we found this was not the case. The FDA repeatedly violated their stated standards, and granted full approval for wobbly surrogates. One examined this question.

Poisoning 128

Poisoning Outcomes 128

RebelEM

APRIL 29, 2024

In these situations, the American Heart Association (AHA) and the European Resuscitation Council (ERC) of 2015 recommend the intraosseous (IO) route after the peripheral route and before the central venous route ( 1). 2015 PMID: 25768683 8 Leidel BA. This can often lead to significant delays in proper resuscitation. Trauma 1996.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

The Skeptics' Guide to EM

OCTOBER 21, 2023

In SGEM#181, we were unconvinced of the value of routine use of whole body CT in trauma patients, and right back in 2015 on SGEM#106 discussing the Canadian CT head rule and the New Orleans Criteria. However, we’ve not previously looked at the intersection of non-traumatic back pain and rational investigation.

Emergency Department 108

Emergency Department Radiology Radiology Hospitals 108

RebelEM

SEPTEMBER 13, 2023

2015; 372(5):418-25. Read More EMCrit: Podcast 145 – Awake Intubation Lecture from SMACC ERCast: Angioedema References: Baş M et al. A randomized trial of icatibant in ACE-inhibitor-induced angioedema. N Engl J Med. PMID 25629740 Hassen GW et al. J Emerg Med 2013; 44 (4): 764-772.

Allergic Reactions 99

Allergic Reactions Airway Management Anaphylaxis Emergency Department 99

Don't Forget the Bubbles

JULY 19, 2023

2015 ) found an incidence of true papilloedema of 25% and 6%, respectively, in children referred to tertiary ophthalmology departments with suspected optic disc swelling. 2015 Aug 1;19(4):344–8. Interestingly, the child’s gender made a difference. Approximately 75% of patients were biologically female. 2023 and Kovarik et al.,

Pediatrics 98

Pediatrics Emergency Department Outcomes Wellness 98

Don't Forget the Bubbles

JUNE 30, 2023

20 (2015): 1898-1908 As the PICU reg finishes their teaching and prescribes some warm IV fluids, Elsa’s sats drop to 54%. 20 (2015): 1898-1908 The post Hypothermia and drowning appeared first on Don't Forget the Bubbles. Christensen, Vinay M. Nadkarni, Kathleen L. Meert et al. New England Journal of Medicine 372, no. Meert et al.

Hyperthermia / Hypothermia 145

Hyperthermia / Hypothermia Military CPR EKG/ECG 145

ALiEM

DECEMBER 20, 2024

Red Book: 2015 Report of the Committee on Infectious Diseases. Elk Grove Village, IL: American Academy of Pediatrics; 2015:432445. References American Academy of Pediatrics: Herpes simplex. In: Kimberlin DW, Brady MT, Jackson MA, Long SS, eds. Studdiford JS, Valko GP, Belin LJ, Stonehouse AR.

Infectious Diseases 64

Infectious Diseases Pediatrics Academics Emergency Department 64

ALiEM

APRIL 12, 2023

Figure 1: Peripheral IV ultrasound using alcohol under transparent film dressing and topical saline flush – all without ultrasound gel Read other Tricks of the Trade articles. References Cleaning and Disinfecting FUJIFILM SonoSite Products User Guide [PDF]. Accessed April 5, 2023. Accessed April 5, 2023 Afzal S, Zahid M, Rehan ZA, et al.

Ultrasounds 103

Ultrasounds Emergency Department Resuscitation Wellness 103

ALiEM

MAY 24, 2023

In: Fleisher and Ludwig’s Textbook of Pediatric Emergency Medicine, 7th ed, Shaw K, Bachur RG (Eds), Lippincott Williams & Wilkins, Philadelphia 2015. Genitourinary trauma.

Pediatrics 93

Pediatrics 93

RebelEM

SEPTEMBER 23, 2024

Opponents of ketamine often point to the risks of spiking intracranial pressure but this concern has been widely debunked ( Cohen 2015 ). Ann Emerg Med 2015; 65(1): 43-51. Unlike etomidate, ketamine offers the advantage of having no effect on the adrenal glands. Intensive Care Med. 2011;37(6):901-910. PMID: 21373823 Cohen L et al.

EMS 65

EMS Outcomes Resuscitation Wellness 65

Taming the SRU

JULY 2, 2023

Part 1: executive summary: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care." Circulation 132.18_suppl_2 (2015): S315-S367. Pediatric emergency care 12.4 1996): 249-251. Neumar, Robert W., Waugh, Jonathan B., Epps, and Yulia A.

Emergency Department 88

Emergency Department Pediatrics CPR Administration 88

Pediatric Emergency Playbook

FEBRUARY 1, 2020

2015; 46:870-873. 2015; e24-227 Sherren PB et al. Bedside Escharotomies for Burns Classic Paragraph Selected References Mahar PD et al. Clinical differences between major burns patients deemed survivable and non-survivable on admisssion. Mathis E et al. 2017; 4:91. Osuka A et al. 2017; 50(1):60-65. Sebastian R et al.

Burns 52

Burns Pediatrics Shock 52

Mind The Bleep

AUGUST 18, 2024

Figure 3 Lump in the parotid gland, likely a pleomorphic adenoma Conclusion Obstructive salivary gland pathology is common and can have a strong impact on quality of life and may lead to infections. These patients should be referred to the appropriate specialty. References Payne, K.F., Goodson, A.M., Tahim, A.S., and Fan, K.F., Libri Publishing.

Emergency Department 90

Emergency Department Ultrasounds 90

Sensible Medicine

JUNE 24, 2024

In 2015, FDA approved Impella again using data primarily from a trial called PROTECT II , which compared Impella to another LV support device called the intra-aortic balloon pump. Complex Regulatory History Impella was first approved in 2008 through a lax pathway wherein it was deemed sufficiently similar to a cardiac bypass pump.

Shock 100

Shock Hospitals 100

RebelEM

JANUARY 9, 2024

Additionally, multiple studies demonstrate increased harm with IV antibiotics such as increased rate of diarrhea ( Haran 2014 ), complications from IV placement ( Li 2015 ), and increased length of stay or cost ( Lorgelly 2010 ). 2015; 12(5):e1001825. The American journal of emergency medicine. 2014; 32(10):1195-9. PLoS medicine.

Infectious Diseases 92

Infectious Diseases Pediatrics EMS Administration 92

ALiEM

FEBRUARY 26, 2024

2015 Mar-Apr;60(2):211. Clinical and therapeutic approach to childhood acne: an update. Pediatr Dermatol. 2009 Jul-Aug;26(4):373-80. doi: 10.1111/j.1525-1470.2009.00932.x. 1525-1470.2009.00932.x. PMID: 19689511. Neonatal pustular dermatosis: an overview. Indian J Dermatol. doi: 10.4103/0019-5154.152558. PMID: 25814724; PMCID: PMC4372928.

Academics 78

Academics Pediatrics Wellness 78

The Skeptics' Guide to EM

OCTOBER 28, 2023

Acetaminophen ( Williams et al Lancet 2014) * Muscle relaxants ( Friedman et al JAMA 2015) * NSAIDs ( Machado et al Ann Rheum Dis 2017) * Steroids ( Balakrishnamoorthy et al Emerg Med J 2014) * Benzodiazepines ( Friedman et al Ann Emerg Med 2017) Many non-pharmacologic therapies have also been tried with limited efficacy.

Emergency Department 90

Emergency Department Research 90