EMDocs

AUGUST 22, 2024

have limited English proficiency according to the 2015 U.S. Certified interpreter use can improve communication and patient outcomes. Rockville: Agency for Healthcare Research and Quality. Conducting research regarding best practices for improving health outcomes for NELP patients. Lion KC, et al. Pediatrics.

Documentation/Coding 104

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 104

Don't Forget the Bubbles

JANUARY 8, 2024

Dr Elyssia Bourke, based at Ballarat Base Hospital, is actively engaged in this area through her ongoing PhD research. Although this research is still in progress, it promises to shed light on effective strategies for managing these difficult situations. Organic Illnesses : Often overlooked, these can manifest as behavioural changes.

Research 105

Research Emergency Department Psychiatric Academics 105

RebelEM

FEBRUARY 29, 2024

1, 2 Its occurrence often portends worse outcomes in intubated patients, whose projected hospital course was already tenuous. SECONDARY OUTCOMES At day 28 , ceftriaxone group had (vs placebo): Lower VAP risk (20% vs 36%); hazard ratio 0.62 4, 8 Paper: Dahyot-Fizelier, C.,

CDC 122

CDC Radiology Radiology Head Injuries 122

Don't Forget the Bubbles

JUNE 17, 2024

Nonetheless, research has consistently shown that healthcare environments demonstrate higher-than-average levels of workplace incivility. High levels of incivility correlate with adverse outcomes for patients, staff, and the organisation. 2015 May;30:656-74. Conclusion Critical care resuscitation is stressful.

Leadership 105

Leadership Resuscitation Teamwork Patient Safety 105

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. A cluster randomized trial using all-cause mortality as an outcome was always needed to determine whether EMR alerts improve outcomes for suspected severe infection.

Sepsis 45

Sepsis Documentation/Coding Hospitals Outcomes 45

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

Taming the SRU

JULY 25, 2024

More efficacious than parenteral opioids alone Safer than opioids Decreased delirium Patients have been shown to have improved functional outcomes at 30 days Early pain control matters! Currently EVT for large core is being looked at and so far the outcomes seem to be favorable Staphylococcus spp., and Pasteurella spp.

Stroke 98

Stroke Fractures Operations Outcomes 98

Don't Forget the Bubbles

JANUARY 24, 2024

Mortality is high, between 16-43.5% , and neurological outcomes are generally poor amongst survivors. These poor outcomes are related to both the SRSE itself and as a result of the prolonged PICU stay. One study suggests remission in 6 out of 7 patients where it was used, but long-term clinical outcomes remained poor.

Seizures 111

Seizures Pediatrics Outcomes Hyperthermia / Hypothermia 111

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. While laudable in theory, research has continued to show that in practice the program is bureaucratically burdensome costing $12,800 per physician and over 53 hours per year (6).

Emergency Department 88

Emergency Department Research Outcomes Hospitals 88

Sensible Medicine

AUGUST 7, 2024

A 2015 Nature (Pediatric Research) paper by Nils J. Bergman summarizes a body of research that confirms the benefits of sleeping on the belly. Research by Collett et al (2018) shows that, despite some improvement in PP by 18 months, the deformations persist beyond 36 months. This may not be true for infants.

CDC 113

CDC Documentation/Coding Research Pediatrics 113

Don't Forget the Bubbles

JANUARY 10, 2024

The factorial design chosen by Dr Maitland and her research group means that several comparisons in transfusion practice could be carried out at the same time. What were the research questions? Some wonder if giving blood to children with a haemoglobin <6g/dl will improve outcomes. N Engl J Med. 2019;381(5):407-419.

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

SheMD

DECEMBER 17, 2023

What were their outcomes: 33.2% There is significant gender misrepresentation in emergency medicine academic medical research, as evidenced by publications and first and last authorships. Comparison of the Proportions of Female and Male Corresponding Authors in Preprint Research Repositories Before and During the COVID-19 Pandemic.

Academics 52

Academics Leadership Research Outcomes 52

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

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

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

RebelEM

OCTOBER 31, 2022

Used an intention-to-treat analysis for the primary outcome, resembling real-world practice instead of a per-protocol analysis. Image courtesy of Salim Rezaie first appeared on SGEM Composite outcomes Investigators used a composite for the primary outcome. Follow up on >80% of patients.

Sepsis 52

Sepsis Outcomes Research Shock 52

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

The Skeptics' Guide to EM

APRIL 21, 2018

American College of Emergency Physicians (ACEP) published a guideline in 2015 for the diagnosis of acute aortic dissection. Comparison: None * Outcome: Diagnostic accuracy of various tests, features of aortic dissection and clinical decision instruments (sensitivity, specificity and likelihood ratios). This is an SGEMHOP episode.

Emergency Department 52

Emergency Department Academics EKG/ECG Research 52

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. This was the same principle as in the Rivers trial: the standard care group is the ‘control’ group against which changes in outcome for the ‘intervention’ group are compared. 2015 Aug 26;:1–31. Elsevier B.V;

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

The Skeptics' Guide to EM

NOVEMBER 28, 2020

We needed to extrapolate from previous research on masks and other respiratory illnesses. There was one recent cluster randomized control trial looking at surgical masks, cloth masks or a control group in healthcare workers ( MacIntyre et al BMJ 2015 ). A limitation of science is the available evidence.

Infectious Diseases 52

Infectious Diseases Operations Outcomes Wellness 52

The Skeptics' Guide to EM

SEPTEMBER 10, 2022

Previous research has compared the efficacy of a multi-day course of prednisone/prednisolone to single dose or two doses of dexamethasone [1-4]. Background: Asthma affects around 9% of children in the United States and asthma exacerbations are a common cause for ED visits. Pediatr Emerg Care.

Pediatrics 52

Pediatrics Emergency Department Urgent Care Hospitals 52

RebelEM

JUNE 5, 2023

One study from a county in Massachusetts found that of all nonfatal opioid doses seen in the emergency department from 2011-2015, 1 in 20 patients subsequently died within one year of initial visit with 66% of these deaths being directly related to an opioid overdose (4). mg tablet) 1 Buprenorphine 0.5 for the low-dose induction and 23.8%

Emergency Department 97

Emergency Department Hospitals Outcomes EMS 97

Don't Forget the Bubbles

NOVEMBER 15, 2023

One-liner… Understanding how to manage maintenance fluids in critically unwell children best is a basic but important way to improve outcomes. The REVERSE-AKI feasibility trial suggests that fluid restriction can improve outcomes without significant renal consequences. A fluid shift, if you will. Lancet (London, England).

Resuscitation 80

Resuscitation Dehydration Administration Shock 80

ACEP Now

OCTOBER 15, 2023

Rather, the research protocol describes a prolonged six-week program of follow-up and repeated prescribing. Published in JAMA in 2015, the authors conducted a three-arm trial comparing cyclobenzaprine, oxycodone-acetaminophen, and placebo. 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

FEBRUARY 26, 2024

In 2015, Silva et al. About PICSTAR PICSTAR is a trainee-led research network open to all doctors, nurses and allied health trainees within Paediatric Intensive Care. We are the trainee arm of the Paediatric Critical Care Society – Study Group (PCCS-SG) and work with them on research, audit and service evaluation.

Pediatrics 72

Pediatrics Research Documentation/Coding Outcomes 72

Pediatric Emergency Playbook

JULY 1, 2018

Psychiatric outcomes after pediatric sports-related concussion. 2015; 16:709-718. and the Committee on Sports-Related Concussions in Youth; Board on Children, Youth, and Families; Institute of Medicine; National Research Council. Neuroimage Clin. 2017; 14: 480–489. Ellis MJ et al. J Neurosurg Pediatr. Graham R et al.

Psychiatric 40

Psychiatric Pediatrics Research Outcomes 40

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

Taming the SRU

OCTOBER 23, 2023

Discrimination between an IUP and an interstitial pregnancy is critical as interstitial pregnancies can have devastating outcomes. Best Practice & Research Clinical Obstetrics & Gynaecology, Volume 23, Issue 4, 2009. 2015 Jun;33(6):743-8. Epub 2015 Feb 21. Am J Emerg Med. 2021 Nov;49:226-232. doi: 10.1016/j.ajem.2021.05.071.

Ultrasounds 98

Ultrasounds Operations Radiology Radiology 98

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 Burns Outcomes Hospitals 52

The Skeptics' Guide to EM

JANUARY 12, 2019

He is also one of the world’s leading researchers on pain management in the […] The post SGEM#240: I Can’t Get No Satisfaction for My Chronic Non-Cancer Pain first appeared on The Skeptics Guide to Emergency Medicine. Date: January 10th , 2019 Reference: Busse JW et al. His twitter handle is @PainFreeED.

Emergency Department 40

Emergency Department Research Outcomes Hospitals 40

Don't Forget the Bubbles

JULY 3, 2023

This retrospective cohort study compared pre- and post-guideline outcomes. Waterfield T, Foster S, Platt R On behalf of Paediatric Emergency Research in the UK and Ireland (PERUKI), et al. Four hundred data sets were included, 54% belonging to female patients. Discharge home from ED was the primary.

Emergency Department 105

Emergency Department Hospitals Domestic Violence Pediatrics 105

Advanced Emergency Nursing from AENJ

APRIL 29, 2015

Yet, ongoing research indicates that excessive oxygen is damaging rather than helpful. Ongoing research supports moderating inspired oxygen concentrations in critical illness and injury. The association between hyperoxia and patient outcomes after cardiac arrest: analysis of a high-resolution database. Scutella, M.,

Resuscitation 40

Resuscitation Pediatrics Administration Emergency Nursing 40

The Skeptics' Guide to EM

JULY 2, 2017

Impact of Thrombolytic Therapy
 on the Long-Term Outcome of Intermediate-Risk Pulmonary Embolism. Impact of Thrombolytic Therapy
 on the Long-Term Outcome of Intermediate-Risk Pulmonary Embolism. Kirsty did her residency in North West England and has a PhD in Health Services Research from Sheffield.

Fractures 40

Fractures Emergency Department Ultrasounds Outcomes 40

Don't Forget the Bubbles

MARCH 18, 2024

It may worsen HUS, according to some research, though even if platelets are given, the risk of bleeding during a procedure in HUS may not change. Early Volume Expansion and Outcomes of Hemolytic Uremic Syndrome. 2015 Nov;46(5):586–9. 2015 Jul 4;30(12):2115–9. 2015 [cited 2024 Jan 19]. 2016 Jan;6(1):e009933.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

PulmCCM

OCTOBER 30, 2023

IDSA cites multiple large observational studies showing no improvement in sepsis outcomes at many centers after SEP-1 implementation. ICUs, and a popular research focus for academics, generating a steady stream of papers. It used to be highly prevalent in U.S. Then, in 2009, the condition disappeared completely. Just kidding!

Sepsis 52

Sepsis Shock Hospitals Infectious Diseases 52

The Injectable Orange

JUNE 20, 2017

The world is a strange place when we can’t do something so simple when it’s critical, but we do it so well when the outcomes are meaningless. This demands more research.” Epub 2015 Apr 10. Cheng (2015). he thought as he turned his car keys and backed out the car park. I’d better come back tomorrow.” 2016 Mar;18(2):136-42.

Head Injuries 52

Head Injuries Documentation/Coding Wellness Resuscitation 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. Might this novel measure predict outcome in critically-ill patients [ @ross_prager ]? Jon-Emile S. ’ But what exactly does VC mean? Subscribe now References 1. Crit Care 28: 52 19.

Ultrasounds 84

Ultrasounds Operations Research Outcomes 84