ALiEM

NOVEMBER 1, 2024

2016 Nov;48(5):1377-1385. doi: 10.1183/13993003.01044-2016. Epub 2016 Oct 6. Pulmonary embolism with clot in transit: An analysis of risk factors and outcomes. Barrios D, Rosa-Salazar V, Jiménez D, Morillo R, Muriel A, Del Toro J, López-Jiménez L, Farge-Bancel D, Yusen R, Monreal M; RIETE investigators. Eur Respir J.

Ultrasounds 64

Ultrasounds Academics Research Outcomes 64

Pediatric EM Morsels

JULY 21, 2023

Motor Fingernail bed pressure with a pencil first If flexion outcome, then apply painful stimulus to neck or head (trapezius or supraorbital notch) to look for localization Spinal reflex can result in a falsely elevated score if lower extremity pain induced Verbal Orientated- Able to answer all questions. A practical scale. PMID: 4136544.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Emergency Medicine Journal

OCTOBER 23, 2024

This study aimed to analyse the advice provided in NHS 111 calls, the duration between the call and ED attendance, and the outcomes of such attendances made by children and young people (C&YP). This linked-data study examined NHS 111 calls and ED outcomes. This linked-data study examined NHS 111 calls and ED outcomes.

Emergency Department 52

Emergency Department Outcomes 52

The Trauma Pro

OCTOBER 4, 2024

years from 2013 to 2016. Clinical outcomes assessed at 60 days included an unplanned return to the emergency department (ED), re-admission, complications, and development of new bleeding confirmed by surgery, ultrasound, or computed tomography (CT) at 60 days post-injury. J Ped Surg 54:335-339, 2019.

Pediatrics 147

Pediatrics Outcomes Operations Emergency Department 147

The Trauma Pro

OCTOBER 3, 2023

The first was published in 2016 and examined papers comparing postop bracing vs. no postop bracing. There was no difference in pain, return to work, functional outcome, or instrumentation failure. World Neurosurg 93:221-228, 2016. I found two systematic reviews and a ten-year prospective clinical trial. First, the reviews.

Fractures 243

Fractures Dislocations Operations Burns 243

EMDocs

SEPTEMBER 8, 2024

Delaying treatment of elevated BP in patients may lead to worse outcomes, and an optimal IV antihypertensive medication will reach the BP goal rapidly while avoiding hypotension and causing end organ injury. Authors extracted proportions dichotomous outcomes (in-hospital mortality) and calculated risk ratios. clevidipine).

Stroke 81

Stroke Outcomes Hospitals 81

Pediatric EM Morsels

NOVEMBER 17, 2023

Differences in intubation outcomes for pediatric patients between pediatric and general Emergency Departments. Intubation practice and outcomes among pediatric emergency departments: A report from National Emergency Airway Registry for Children (NEAR4KIDS). 2016 Feb;30(1):3-11. That sounds reasonable, so what has changed?

Pediatrics 183

Pediatrics Emergency Department Outcomes Sepsis 183

Don't Forget the Bubbles

JULY 22, 2024

Randomised controlled trials addressing the benefit of steroids in preschool wheeze have compared different cohorts, used different trial designs and measured different outcomes. This is a way to overcome different trial outcomes. This paper’s primary outcome was a change in wheeze severity score (WSS). What does this mean?

Outcomes 104

Outcomes Research Pediatrics Hospitals 104

RebelEM

NOVEMBER 30, 2023

Studies without IRB approval Studies older than 2016 Intervention: Administration of <30 mL/kg IV crystalloid fluids within three hours of sepsis identification. Outcomes: Primary Outcome: In-hospital mortality. Secondary Outcomes: Delayed hypotension, increased ICU stay, and other relevant outcomes.

Sepsis 122

Sepsis Fluid Resuscitation Resuscitation Administration 122

Emergency Medicine Education

MAY 9, 2023

NEJM study in 2016 showed no survival benefits or favorable neurological outcome regarding use of Amiodarone vs Lidocaine vs placebo in OHCA. NEJM study in 2016 Acad Emerg Med

Outcomes 40

Outcomes 40

EB Medicine

FEBRUARY 13, 2017

For the first episode, we are going to focus on one of the most popular articles from last year, the October 2016 issue, entitled “Optimizing Survival Outcomes For Adult Patients With Nontraumatic Cardiac Arrest.” Welcome to the inaugural episode of EMplify, the podcast corollary to EB Medicine’s Emergency Medicine Practice journal.

Outcomes 40

Outcomes Resuscitation Shock 40

Emergency Medicine Journal

OCTOBER 26, 2023

Methods All cases of OHCA between 1 January 2016 and 31 December 2021 in the Helsinki University Hospital catchment area in which the ECPR protocol was activated were included in the study. Cases of hypothermic cardiac arrest were excluded. Results The prehospital ECPR protocol was activated in 73 cases of normothermic OHCA.

Hospitals 75

Hospitals CPR Resuscitation Outcomes 75

RebelEM

NOVEMBER 6, 2024

Elbow Dislocation Definition: Disarticulation of the proximal radius & ulna bones from the humerus Epidemiology: Incidence Second most common joint dislocation (after shoulder) in adults Most commonly dislocated joint in children Accounts for 10-25% of all injuries to the elbow ( Cohen 1998 ) Posterolateral is the most common type of dislocation (..)

Dislocations 59

Dislocations Fractures Soft Tissue Injuries Outcomes 59

Sensible Medicine

NOVEMBER 28, 2023

One of these was an article that Vinay Prasad and I wrote back in 2016: Wearables, Smartphones and Novel Anticoagulants: We Will Treat More Atrial Fibrillation, but Will Patients Be Better Off? The primary outcome was stroke or systemic embolism and the primary safety outcome was major bleeding.

Stroke 83

Stroke Academics Outcomes Administration 83

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 109

Seizures Pediatrics Outcomes Hyperthermia / Hypothermia 109

Emergency Medicine Journal

NOVEMBER 28, 2023

Method and Design All patients ≥16 years old attending the East of England Major Trauma Centre (2016-2019) who met Trauma Audit Research Network (TARN) criteria were included. The primary outcome was 30-day mortality; secondary outcomes included admission clotting profile (PT/aPTT).

Outcomes 40

Outcomes Research 40

RebelEM

JANUARY 29, 2024

in the paper but 2.7% to ≈0.99 (p<0.001) Mean MPI/Tei Index≈ 0.47 in the paper but 2.7% to ≈0.99 (p<0.001) Mean MPI/Tei Index≈ 0.47 in the paper but 2.7% to ≈0.99 (p<0.001) Mean MPI/Tei Index≈ 0.47 to 4.0mg/hr typically given in EKOS therapy (See Below). to 4.0mg/hr typically given in EKOS therapy (See Below).

Stroke 137

Stroke Outcomes Hospitals Administration 137

Sensible Medicine

MARCH 28, 2024

In 2016, Jonathan Reiner said this about Carrie Fisher’s mother, who died very shortly after her daughter. There has never been any credible data that disease awareness improves outcomes for people — and more to the point — that gossiping about a celebrities condition causes such disease awareness.

Hospitals 91

Hospitals Outcomes Wellness 91

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

Advanced Emergency Nursing from AENJ

OCTOBER 30, 2016

" This puts into play the powerful forces of expectation of a positive outcome. The key is to be warm, engaging, cognizant of present difficulties yet optimistic and good-natured as to outcome and how to get there. ." "How soon, I wonder, do you think you'll be able to feel that way?" You, too, should definitely do so.

Outcomes 40

Outcomes Emergency Nursing Pediatrics Wellness 40

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!). AEM October 2023.

Emergency Department 103

Emergency Department Radiology Radiology Hospitals 103

Sensible Medicine

JUNE 21, 2024

Governor Pete Shumlin of Vermont, speaking in 2016 , captured the zeitgeist: “We didn’t have a heroin crisis in America before OxyContin was approved and started being handed out like candy. From these reductions, whether they proceeded quickly or slowly, I saw terrible outcomes. Later papers substantiated these warnings.

Academics 73

Academics Research Burns Outcomes 73

Sensible Medicine

APRIL 25, 2024

But in work that Chul Kim and I did in 2016 we found this was not the case. COVID19 vaccines have never shown benefit with respect to clinical outcomes among people who already had COVID. Regular approval means that there are no post marketing efficacy commitments, and the surrogate has to have a strong correlation with survival.

Poisoning 131

Poisoning Outcomes 131

EMDocs

JANUARY 29, 2024

Finally, anticipating and addressing known complications such as seizures, increased intracranial pressure, or cerebral edema with appropriate measures, including antiepileptic drugs or osmotic agents, is essential for improving patient outcomes. Lowering the MAP may mitigate these risks and possibly improve outcomes. doi: 10.1161/01.str.0000014509.11540.66.

Stroke 73

Stroke Outcomes EMS Seizures 73

EMDocs

DECEMBER 1, 2024

The disease is generally mild, but in untreated cases, it can lead to more severe outcomes, especially in patients with underlying conditions such as glucose-6-phosphate dehydrogenase deficiency. Even though the disease often resolves spontaneously, prompt antibiotic therapy is essential for optimal outcomes. 2016 Oct;29(5):433-9.

EMS 75

EMS Infectious Diseases Shock Resuscitation 75

RebelEM

AUGUST 14, 2023

days 2 most common sites of infection were lung (44.8%) and inta-abdominal (32.1%) Majority of infections were community-acquired (≈84%) Over half the patients were on mechanical ventilation (≈53%) Primary Outcome Results: 28-day mortality rate: Placebo 26.1% (230/882) vs. XBJ 18.8% (165/878); P<0.001 The risk difference was 7.3% (95% CI, 3.4-11.2)

Sepsis 98

Sepsis Outcomes Administration EMS 98

RebelEM

NOVEMBER 6, 2023

to 1mg/kg/hr) Information regarding the vasopressors used in the study is as follows: Norepinephrine equivalents = norepinephrine mcg/kg/min + (phenylephrine mcg/kg/min/10) + epinephrine mcg/kg/min + (vasopressin units/min x2.5)

Shock 72

Shock Administration Academics Hospitals 72

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. doi: 10.1136/neurintsurg-2016-012515. Epub 2016 Jul 15.

EMS 74

EMS Stroke Outcomes Hospitals 74

The Skeptics' Guide to EM

JULY 30, 2022

Somewhat surprisingly, we’ve never covered SBO on the SGEM, although Ped EM Superhero, Dr Anthony Crocco shared his views on the (lack of) utility of abdominal X-rays in paediatric constipation back in 2016 ( SGEM Xtra: RANThony#4 ). Charles Brower is a second-year resident training in Emergency Medicine at the University of Cincinnati.

Ultrasounds 52

Ultrasounds Operations Documentation/Coding Outcomes 52

Don't Forget the Bubbles

MARCH 18, 2024

2016 Oct 10 [cited 2023 Nov 30];281(2):123–48. 2016 Jan;6(1):e009933. Early Volume Expansion and Outcomes of Hemolytic Uremic Syndrome. 2016 Jan 1;137(1). 2017 Sep 12 [cited 2023 Nov 30];archdischild-2016-311377. Treatment and outcome of Shiga-toxin-associated hemolytic uremic syndrome (HUS). Andreoli SP.

Dehydration 57

Dehydration Infectious Diseases Seizures Pediatrics 57

Emergency Medicine Journal

MAY 23, 2023

Methods A single-centre retrospective study was performed including patients with suspected UGIB visiting the ED of Saint-Antoine hospital (Paris, France) from January 2016 to December 2018. Demographic and medical data needed to calculate GBS and CANUKA were collected, as well as outcomes data.

Emergency Department 40

Emergency Department Blood Transfusions Hospitals Wellness 40

The Skeptics' Guide to EM

MAY 1, 2021

Emerg Med Australas 2016. Their efficacy endpoint was good functional outcome, defined as a modified Rankin Score (mRS) of 3 or less. improvement in good neurologic outcome, a 5.4% Emberson and colleagues reported only on alteplase (a problem we will discuss further) and found a 5% improvement in neurologic outcomes, a 5.5%

Stroke 52

Stroke Outcomes Wellness 52

ACEP Now

NOVEMBER 7, 2024

A 2016 multicenter prospective study evaluated 1,036 pediatric patients for shunt failure who received CSF shunts over a four-year period. Outcome analysis of ventriculoperitoneal shunt surgery in pediatric hydrocephalus. The author found the VP shunt revision rate to be 11.9 percent (40 of 336 children). J Neurosurg Pediatr.

Pediatrics 52

Pediatrics Poisoning Research Outcomes 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 Burns Hospitals 52

Dr. Smith's ECG Blog

FEBRUARY 6, 2024

Atrial fibrillation is also a predictor of worse outcomes in this case (Alborzi). 2016, April 13). RBBB in blunt chest trauma seems to be indicative of several RV injury. In patient's at risk, physical activity should be limited for several months after the injury. References Alborzi, Z., Zangouri, V., Ghahramani, Z., Ziaeian, B.,

EKG/ECG 109

EKG/ECG Wellness Fractures Hospitals 109

Taming the SRU

FEBRUARY 24, 2024

ENRICH Trial - the leadership journey - EMS grand rounds - r4 capstone - r1 clinical knowledge - pediatric lecture ENRICH Trial WITH visiting professor Dr. david wright ICH makes up only 10-15% of all strokes yet has a higher mortality than ischemic strokes and SAH Current 2022 AHA/ASA guidelines for spontaneous ICH (prior to ENRICH Trial) minimally-invasive (..)

Leadership 93

Leadership EMS Pediatrics Stroke 93

ACEP Now

OCTOBER 11, 2024

1,2 Clinical outcomes in submersion injuries are largely dependent on the degree of hypoxic injury experienced by the victim, making prehospital care of paramount importance. Pediatric hypothermic submersion injury and protective factors associated with optimal outcome: a case report and literature review. pediatric hospitals.

Pediatrics 52

Pediatrics Hyperthermia / Hypothermia Emergency Department Resuscitation 52