Taming the SRU

OCTOBER 23, 2023

At this point, the patient is taken to the operating room for a diagnostic laparoscopy. She was taken to the operating room and found to have a right tubal ectopic pregnancy with a pseudogestational sac. Best Practice & Research Clinical Obstetrics & Gynaecology, Volume 23, Issue 4, 2009. Am J Emerg Med. 2021.05.071.

Ultrasounds 98

Ultrasounds Operations Radiology Radiology 98

RebelEM

JANUARY 25, 2024

Point-of-care ultrasound (PoCUS) is inherently operator-dependent, which may have led to inconsistencies in the quality and findings of the ultrasound exams across different operators. 2015 Oct;50(4):480-7. Epub 2015 May 22. J Pain Symptom Manage. PMID: 26004401.

Ultrasounds 129

Ultrasounds Outcomes COPD Hospitals 129

PulmCCM

JANUARY 6, 2025

Their spread has coincided with the Centers for Medicare and Medicaid’s “sepsis bundle quality measure” (SEP-1) going live in 2015. Saudi Arabia is considered an authoritarian society, and internationally significant research projects have important political value to the monarchy. And have they fired.

Sepsis 45

Sepsis Documentation/Coding Hospitals Outcomes 45

The Skeptics' Guide to EM

NOVEMBER 20, 2021

Moving the Needle on Fall Prevention: A Geriatric Emergency Care Applied Research (GEAR) Network Scoping Review and Consensus Statement. AEM November 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).

Geriatric Emergencies 52

Geriatric Emergencies Elder Abuse Research Academics 52

PulmCCM

SEPTEMBER 4, 2024

Kenny MD [ @heart_lung ] Since its first description [1], the Venous Excess Ultrasound Score [VExUS] has received much research attention. OP is operating point, the operating point defines the cardiac output on the y-axis and Pra on the x-axis; Rcardiac is cardiac resistance (i.e., OP1 is operating point 1 at baseline.

Ultrasounds 84

Ultrasounds Operations Research Outcomes 84

Advanced Medical Reviews

SEPTEMBER 15, 2017

The number of respondents to the annual Makovsky Pulse of Online Search Survey claiming to have done treatment research online climbed from 24 percent in 2015 to 29 percent in 2016. Responding to millennial influence on healthcare technology and operations.

Operations 56

Operations Research Wellness Hospitals 56

The Skeptics' Guide to EM

NOVEMBER 28, 2020

We needed to extrapolate from previous research on masks and other respiratory illnesses. It was surgeons in the late 1890’s that began wearing masks in the operating theaters. However, we do have a firm understanding of the germ theory of disease and masks have been used for over 100 years as an infectious disease strategy.

Infectious Diseases 52

Infectious Diseases Operations Outcomes Wellness 52

PulmCCM

OCTOBER 16, 2024

Animal studies have suggested that the body could be prepped or trained to better withstand ischemic-reperfusion injury, by inducing mild ischemia in another tissue bed before the operation. The mechanism is unclear. Circulation. 2024 Sep 25. doi: 10.1161/CIRCULATIONAHA.124.071408. 124.071408. Epub ahead of print. PMID: 39319450.

Outcomes 52

Outcomes Operations Research Hospitals 52

PulmCCM

APRIL 1, 2024

Any longer-term benefits remain unknown, due to a paucity of research. Authors included 130 studies published 2015-2023, “to ensure that included studies were representative of current medical practices, including ultrasonography guidance.” Authors also had no information on operators’ experience levels.

Ultrasounds 40

Ultrasounds Operations Outcomes Research 40

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Farrington] Rebuilding of outdated hospitals put emergency rooms on ground level with nearby X-ray service, and, ideally, sometimes closer to the Blood Bank and the Operating Rooms. 1950s & 1960s Resuscitation Research. PMID:23789199 ] National Research Council (US). Increasing public usage of EDs for care.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

Advanced Emergency Nursing from AENJ

SEPTEMBER 13, 2016

It is a 11:39 minute film, by Walter Reid Army Institute of Research Production of experimental research done by Peter Safar, MD, and associates, at Baltimore City Hospital's Department of Anesthesiology. Research: an integral function of anesthesiology department. Founded first ICU that was multi-disciplinary.

Resuscitation 40

Resuscitation CPR Emergency Nursing Basic Life Support 40

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. 2015 Sep;94(39):e1557. But are they good enough? Medicine (Baltimore).

Shock 59

Shock Resuscitation Ultrasounds Research 59

Don't Forget the Bubbles

JULY 26, 2023

REVERT trial (adults); Appelboam et al, Lancet 2015 showed that by modifying the traditional valsalva manoeuvre to be done semi-recumbent with a passive leg raise immediately afterwards increased the success from 17% cardioversion to 43%. Image from: [link] with thanks How often does the Valsalva manoeuvre work?

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

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. Leonard JR, Jaffe DM, Kuppermann N, Olsen CS, Leonard JC; Pediatric Emergency Care Applied Research Network (PECARN) Cervical Spine Study Group.

Fractures 52

Fractures Pediatrics Radiology Radiology 52

Taming the SRU

MARCH 14, 2023

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. Ultimately, definitive management is in the operating room with revision or replacement of the VP shunt. Lancet Neurol. Neurosurg Focus.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

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. Make sure that the patient knows not to operate vehicles or heavy machinery under the influence of drugs. 2015;313(24):2456-2473.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

EMDocs

NOVEMBER 16, 2024

4 Pain is the most common reason for presentation in the early post operative period. 5 Highest risk of dislocation early in the post operative course due to laxity of the soft tissue after surgery. 6 Hip flexion or adduction in the early post-operative period can cause atraumatic dislocations (typically avoided for 6 weeks post-op).

EMS 98

EMS Dislocations Fractures Operations 98

Dr. Smith's ECG Blog

NOVEMBER 24, 2017

Other Research: According to this study b y Batchvarov et al. , Acad Emerg Med 2015 Oct; 22(10):1139-44. A receiver operating characteristic graph over all the different percentage cutoffs might help more formally make those tradeoffs. In this study by Hasanien et al. , You will see this played out in the graphics below!

EKG/ECG 52

EKG/ECG Outcomes Wellness Hospitals 52

Pediatric Emergency Playbook

JANUARY 1, 2017

Neonatal observational scales have been validated in the intensive care and post-operative settings; ED-specific quantitative scales are lacking. CRIES ( Table 1 ) was validated for post-operative patients; to adapt its use for the ED, the most conservative approach is to substitute “preoperative baseline” with normal range for age.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Dr. Smith's ECG Blog

APRIL 8, 2015

Risk-score performance was measured by comparing the proportions of patients with arrhythmias at various levels of the score and receiver operating characteristic (ROC) curves. Annals of Emergency Medicine March 2015 ; Volume 65, Issue 3, Pages 268–276.e6 Logistic regression was used to identify predictors for the risk-score system.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

Taming the SRU

MAY 22, 2023

weight-bearing status, operative vs. non-operative) If necessary/helpful to ensure adequate follow-up At time of discharge: Counsel on expected course of injury, supportive care (e.g., Agency for Healthcare Research and Quality. A comparison between pre-operative ultrasonography and surgical findings. 2015 Dec;8(1):76.

Fractures 77

Fractures Dislocations Operations Radiology 77

Sensible Medicine

JANUARY 27, 2025

In the first publication from SCOT-HEART (2015), researchers reported that CTA clarified the diagnosis of coronary artery disease and led to changes in subsequent therapy—more preventive therapy and more coronary angiography. Nearly 90% of both groups had ECG stress tests at baseline. This was the original primary endpoint ).

Outcomes 124

Outcomes EKG/ECG Documentation/Coding Academics 124

PulmCCM

MARCH 7, 2025

Any self-respecting surgeon or anesthesiologist will tell you that patients undergoing surgery before the weekend receive just as high a quality of care as those operated on earlier in the week. overall—but they also found that patients with operations on Sundays had increased risk. BMJ Quality & Safety 2015; 24: 492-504.

Outcomes 116

Outcomes Hospitals Operations Radiology 116

EMDocs

JANUARY 16, 2025

Discordant identification of pediatric severe sepsis by research and clinical definitions in the SPROUT international point prevalence study. 2015 Sep 16;19(1):325. Kuppermann N, Dayan PS, Levine DA, et al; Febrile Infant Working Group of the Pediatric Emergency Care Applied Research Network (PECARN). but PPV ranges from 25.1-39.5%

Sepsis 95

Sepsis Pediatrics Shock Hospitals 95

Don't Forget the Bubbles

SEPTEMBER 23, 2024

suprapubic catheters, gastrostomy tubes, haemodialysis or peritoneal dialysis lines – may have been left in situ in the initial post-operative period), and central vascular catheters. Look for scars indicating previous central lines, peritoneal dialysis catheters or operations. Journal of Bone and Mineral Research , 21 (3), pp.380-387.

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

They also proved that only expired air resuscitation guaranteed sufficient inflation volumes; that exhaled air was a suitable resuscitating gas; and that the operator would have continuous feedback from each breath. Anesthesiology, 111(1), 63-71. ** Research results of airway changes while titrating propofol (similar to ED deep sedation).

Resuscitation 40

Resuscitation Airway Management EMS CPR 40

Advanced Emergency Nursing from AENJ

FEBRUARY 27, 2015

YouTube.com Published on Jan 27, 2015. Papers of Abraham Lincoln researcher discovers report of Dr. Charles A. President Eisenhower's Operation for Regional Enteritis A Footnote to History. Presidential Diseases. 2013] http://www.healthline.com. Presidents' Disabilities (1993) C-Span interview of Robert E. PBS NewsHour” Dec.

Stroke 40

Stroke COPD Emergency Nursing Sepsis 40