Broome Docs

JANUARY 30, 2023

Association of Chest Pain Protocol-Discordant Discharge With Outcomes Among Emergency Department Patients With Modest Elevations of High-Sensitivity Troponin. Does wound eversion improve cosmetic outcome?: 2015 Apr;72(4):668-73. Epub 2015 Jan 23. 2015 Dec;21(6):1244-6. Epub 2015 Dec 29. Epub 2021 Apr 29.

Emergency Department 52

Emergency Department Outcomes Ultrasounds Pediatrics 52

PulmCCM

JANUARY 22, 2024

Background Therapeutic hypothermia, later rebranded as targeted temperature management, became a standard post-cardiac arrest therapy for comatose patients after two 2002 NEJM trials ( n=273 and n=77 ) suggested reducing core temperature to 32°C to 34°C markedly improved neurologic outcomes and survival.

Hyperthermia / Hypothermia 80

Hyperthermia / Hypothermia Outcomes Research Hospitals 80

Emergency Medicine Journal

DECEMBER 22, 2023

Background Long waiting times in the ED have been shown to cause negative outcomes for patients. The Centre for Urgent and Emergency Care research database patient-level database (May 2015–April 2016), secondary literature and expert elicitation were used to inform the model.

Emergency Department 52

Emergency Department Research Outcomes Hospitals 52

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. COVID19 vaccines have never shown benefit with respect to clinical outcomes among people who already had COVID. But in work that Chul Kim and I did in 2016 we found this was not the case. One examined this question.

Poisoning 135

Poisoning Outcomes 135

Emergency Medicine Journal

DECEMBER 22, 2023

Methods Emergency Department (ED) attenders and hospital inpatients between 2015 and 2019 were automatically screened for their risk of hospitalisation within 6 months of discharge using a locally trained CPM on routine data. Co-primary outcomes were emergency hospitalisation and ED attendances, which will be reported separately.

Emergency Department 52

Emergency Department Hospitals Outcomes 52

The Skeptics' Guide to EM

OCTOBER 21, 2023

SGEM#366 concluded that we could not recommend the routine use of skeletal muscle relaxants, SGEM#304 agreed that adding acetaminophen to ibuprofen did not improve one-week outcomes, while SGEM#173 concluded the same about diazepam (there’s a theme here!).

Emergency Department 106

Emergency Department Radiology Radiology Hospitals 106

PulmCCM

JANUARY 24, 2024

Background Therapeutic hypothermia, later rebranded as targeted temperature management, became a standard post-cardiac arrest therapy for comatose patients after two 2002 NEJM trials ( n=273 and n=77 ) suggested reducing core temperature to 32°C to 34°C markedly improved neurologic outcomes and survival.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Outcomes Hospitals Stroke 52

EMDocs

MAY 11, 2024

2015 Sep;66(3):322-333.e31. Endovascular and Clinical Outcomes of Vertebrobasilar Intracranial Atherosclerosis-Related Large Vessel Occlusion. Nov 10 th , 2015. Clinical Policy: Use of Intravenous Tissue Plasminogen Activator for the Management of Acute Ischemic Stroke in the Emergency Department. Ann Emerg Med. 2015.06.031.

Stroke 88

Stroke EMS EKG/ECG Radiology 88

The Skeptics' Guide to EM

MAY 20, 2023

However, we have not covered the Therapeutic Hypothermia after Out-of-Hospital Cardiac Arrest (OHCA) in Children or THAPCA-OH published in the New England Journal of Medicine in 2015. Clinical Question: Does therapeutic hypothermia provide any benefit in neurobehavioral outcomes and survival in out-of-hospital pediatric cardiac arrest?

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Pediatrics CPR Hospitals 52

Don't Forget the Bubbles

MAY 6, 2024

Outcomes included clinical status when urine culture was available, subsequent antibiotic treatment within seven days and subsequent UTI within 30 days. The primary outcome was the successful intubation on the second attempt. Secondary outcomes included tracheal intubation adverse events (TIAEs) or severe desaturation.

Sepsis 75

Sepsis Outcomes Pediatrics Documentation/Coding 75

Don't Forget the Bubbles

JUNE 30, 2023

Extracorporeal life support rewarming rate is associated with survival with good neurological outcome in accidental hypothermia. The THAPCA-OH trial found that hypothermia did not result in a statistically significant benefit for survival with good functional outcomes at one year compared to normothermia. Saczkowski, R., Meert et al.

Hyperthermia / Hypothermia 145

Hyperthermia / Hypothermia Military CPR EKG/ECG 145

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 102

Resuscitation Administration Emergency Department Hospitals 102

EMDocs

MAY 25, 2023

Outcome: No statistically significant difference in primary outcome, which was absence of clinically apparent seizures without the need for additional anti-convulsant medications AND improving responsiveness at 60 minutes after the start of trial-drug infusion, as determined by the treating physician.

Seizures 63

Seizures Administration Anaphylaxis Outcomes 63

SheMD

DECEMBER 17, 2023

What were their outcomes: 33.2% Gender Distribution of First and Senior Authorship Across Most Cited Studies Within the Top Ten Surgical Journals From 2015-2020: Cementing Women Academic Surgery Representation. Gender categorization was done utilizing faculty profiles and gender pronouns. of authors were female, while 62.9%

Academics 52

Academics Leadership Research Outcomes 52

PHARM

JUNE 6, 2023

Consecutive sampling of trauma patients who underwent PHEA using a fentanyl, ketamine, rocuronium drug regime were included, 2015–2020. The variables significantly associated with PIH only account for a small proportion of the observed outcome. Read on sjtrem.biomedcentral.com/articles/10.1186/s13049-023-01091-z

Resuscitation 40

Resuscitation Administration Outcomes 40

RebelEM

JANUARY 24, 2024

Wallace 2011 ) If addressed early and appropriately, most patients have good self-reported long-term outcomes regardless of the treatment modality Links Orthobullets: Achilles Tendon Rupture Resources: Sheth U et al. 2015; 3(4): PMID: 26665055 Post Peer Reviewed By: Salim R. J Bone Joint Surg Br 2011; 93(10):1362-6.

Operations 79

Operations Ultrasounds Outcomes Fractures 79

PHEM Cast

APRIL 16, 2018

It might be better to consider traumatic cardiac arrest as a completely different disease eg LOST: Low Output State due to Trauma The 2015 European Resuscitation Council and UK Resuscitation Council Algorithms for Traumatic Cardiac Arrest: To read the whole ERC guideline on special circumstances cardiac arrest including trauma, click here.

Resuscitation 52

Resuscitation Shock Ultrasounds CPR 52

Don't Forget the Bubbles

JANUARY 8, 2024

This led to her death at 19, an outcome ruled as homicide at inquest, indicating others’ contribution to her demise. Verbal de-escalation not only helps in avoiding the need for physical intervention but also fosters a therapeutic relationship, crucial for successful treatment outcomes in these sensitive situations. Mulraney, M.,

Research 105

Research Emergency Department Psychiatric Outcomes 105

EMDocs

JUNE 27, 2024

2015 May;169(4):492-505. Epub 2015 Mar 30. Intravenous fluid therapy and hospital outcomes for vaso-occlusive episodes in children, adolescents, and young adults with sickle cell disease. Howard J, Hart N, Roberts-Harewood M, Cummins M, Awogbade M, Davis B; BCSH Committee. Br J Haematol. PMID: 25824256. Front Physiol.

Pediatrics 75

Pediatrics Dehydration EMS Hospitals 75

ACEP Now

OCTOBER 15, 2023

Regardless, the reason this study became widely discussed is because the primary outcome of the trial was negative, concluding there was “no evidence that opioids should be prescribed for people with acute non-specific low back or neck pain.” The primary outcome was a more relevant seven-day outcome, rather than six-week follow-up.

Emergency Department 52

Emergency Department Outcomes CDC Research 52

Don't Forget the Bubbles

JANUARY 17, 2024

2015 But we all know that what happens in the lab does not always mirror what happens in real life. There have been reports of the Orbeez Challenge leading to serious outcomes. The liquids were chosen to “approximate a pediatric digestive environment.” ” ( Ed. After Darracq et al., Darracq, M.A., Rentmeester, L.,

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

Mind The Bleep

AUGUST 31, 2024

2015 Jan 30;112(5):71-81; quiz 82. Available from: [link] Balaram M, Schaumberg DA, Dana MR. Efficacy and tolerability outcomes after punctal occlusion with silicone plugs in dry eye syndrome. The pathophysiology, diagnosis, and treatment of dry eye disease. Dtsch Arztebl Int. Royal College of Ophthalmologists.

Burns 52

Burns EMS Outcomes 52

EMDocs

OCTOBER 21, 2023

The NIHSS cutoff that predicts outcomes is 4 points higher in AC compared with PC infarctions. Basilar artery occlusion remains a challenging diagnosis to make, and the delays in reaching the diagnosis can have considerable impact on health outcomes. 2015 Jul;5(3):142-50. 2015 Jan;46(1):102-7. hour IV thrombolytic window.

EMS 73

EMS Stroke Outcomes Hospitals 73

PHEM Cast

JULY 27, 2021

2015 Marik PE, Cavallazzi R. Kenji Inaba. Does central venous pressure predict fluid responsiveness? An updated meta-analysis and a plea for some common sense.

Ultrasounds 52

Ultrasounds Fractures Resuscitation EMS 52

RebelEM

MARCH 23, 2023

The primary outcome, hospital length of stay, was significantly shorter both before and after propensity score adjustment for the phenobarbital group. A broad range of variables were included that potentially influences treatment decisions and/or outcomes. The protocols used in the study were using symptom-driven medications.

Emergency Department 52

Emergency Department Outcomes Hospitals Burns 52

The Skeptics' Guide to EM

JUNE 5, 2021

Effect of Mechanical Thrombectomy Without vs With Intravenous Thrombolysis on Functional Outcome Among Patients With Acute Ischemic Stroke: The SKIP Randomized Clinical Trial. The tipping point came with the publication of MR. CLEAN in 2015. References: * Suzuki et al. JAMA 2021 * Zi et al.

Stroke 52

Stroke Urgent Care Critical Access Outcomes 52

Don't Forget the Bubbles

MARCH 18, 2024

Early Volume Expansion and Outcomes of Hemolytic Uremic Syndrome. 2015 Nov;46(5):586–9. 2015 Jul 4;30(12):2115–9. Treatment and outcome of Shiga-toxin-associated hemolytic uremic syndrome (HUS). 2015 [cited 2024 Jan 19]. Disease severity of Shiga toxin-producingE. 2016 Jan;6(1):e009933. 2016 Jan 1;137(1).

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

PulmCCM

MARCH 25, 2024

In a well-randomized trial, equal numbers of clinically important differences in outcomes in opposite directions could average out to a null result, hiding the variability between patients. Neither PILOT nor ICU-ROX found a difference in outcomes with higher vs lower oxygenation targets in mechanical ventilated patients.

COPD 52

COPD Outcomes Research Wellness 52

Don't Forget the Bubbles

JANUARY 10, 2024

Some wonder if giving blood to children with a haemoglobin <6g/dl will improve outcomes. Outcomes Primary outcome Mortality at 28 days after randomisation. The authors chose a patient-centred, primary outcome in keeping with their pragmatic design. What were the research questions? The study asked TWO questions: 1.

Blood Transfusions 78

Blood Transfusions Outcomes Research Hospitals 78

PulmCCM

APRIL 1, 2024

Physical therapy is probably under-provided to critically ill patients, and improving this might improve outcomes for many. That could (and should) change if improved functional outcomes, persisting for months after hospital discharge, are ever confirmed in large, well-conducted trials.

Ultrasounds 40

Ultrasounds Operations Outcomes Research 40

PulmCCM

APRIL 18, 2024

This outcome measure was less robust than intubation attempts, because the “failure” definition included simply switching devices, which the intubator was permitted to do at any time for any reason. Patients randomized to direct laryngoscopy were four times more likely to require multiple intubation attempts (7.6%

Airway Management 98

Airway Management Operations EMS Research 98

Taming the SRU

MAY 23, 2023

Certain injuries carry risks of further injury, injury-related complications, and poor outcomes which are exacerbated if they are inappropriately managed in the ED. 2015 Apr 28]. 2015 Dec;8(1):76. Epub 2015 Jul 25. This post will cover some of the most common and important injuries, but is not comprehensive.

Fractures 55

Fractures Dislocations Operations EMS 55

PHEM Cast

DECEMBER 12, 2016

For an entertaining and insightful discussion about the impact of undertaking thoracotomy, listen to Dr John Hinds talk from SMACC 2015. Journal of the Royal Society of Medicine 2015. Emergency Department thoracotomy for the critically injured patient: Objectives, indications, and outcomes. Highly recommended. 108(1): 11-16.

Military 52

Military Resuscitation Emergency Department Documentation/Coding 52

EMDocs

SEPTEMBER 27, 2023

The MIPS system was established in 2015 as part of an effort to combat the perverse incentive to provide more care in a traditional fee-for-service model. “Association Between Individual Primary Care Physician Merit-based Incentive Payment System Score and Measures of Process and Patient Outcomes.” link] Bond, A.

Emergency Department 62

Emergency Department Research Outcomes Hospitals 62

RebelEM

APRIL 17, 2023

2015 May;204(5):1064-8. 33 studies selected for full review Of those 33 studies, 17 of those met criteria for inclusion Of the 18 studies, 1 was an RCT, 14 were prospective cohort studies, and 3 were retrospective cohort studies Total of 812 patients of whom 541 had PTA from 17 studies. Epub 2020 Jun 2. PMID: 32482146. AJR Am J Roentgenol.

Ultrasounds 123

Ultrasounds Radiology Radiology Operations 123

The Skeptics' Guide to EM

NOVEMBER 6, 2021

There were a few earlier studies on MT that failed to demonstrate superiority, but it was the study MR CLEAN published in NEJM 2015 that really changed practice. The primary outcome was mRS 0-2 at 90 days and it showed an absolute difference of 14% favoring MT.

Stroke 52

Stroke Outcomes 52

RebelEM

MARCH 8, 2023

Rapid diagnosis and emergency referral improves outcomes of ophthalmologic interventions. Bagheri 2015 ). Rapid diagnosis and emergency referral improves outcomes of ophthalmologic interventions. Take Home Points: Assess patients with floaters or flashers for retinal or vitreous detachment.

Stroke 52

Stroke Emergency Department Ultrasounds Outcomes 52