RebelEM

DECEMBER 23, 2024

There has been ongoing study about the clinical significance of these effects, as well as whether and for whom LR might provide meaningfully better clinical outcomes ( Myburgh 2013 , Self 2018 , Semler 2018 , Self 2020 ). The enrollment was multicenter, large, and adequately powered for clinically meaningful changes in outcome.

Fluid Resuscitation 122

Fluid Resuscitation Resuscitation Documentation/Coding Outcomes 122

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

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 130

Stroke Outcomes Hospitals Administration 130

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 130

Poisoning Outcomes 130

Emergency Medicine Journal

JUNE 22, 2023

Methods This is a retrospective review of medical records of the ED of three public hospitals in Sydney, New South Wales, Australia from January 2016 to October 2021. The main outcome measures were ambulance transport, lumbar imaging, opioid administration and hospital admission.

Emergency Department 40

Emergency Department Administration Hospitals Outcomes 40

Taming the SRU

MARCH 30, 2023

Diastolic shock index and clinical outcomes in patients with septic shock. the diastolic shock index) could provide providers a tool to quickly identify patients that are at risk for unfavorable outcomes. Diastolic Shock Index: A clinically relevant predictor of poor outcome in septic shock? Ann Intensive Care 2020;10(1):41.

Shock 52

Shock Outcomes Sepsis Resuscitation 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!). AEM October 2023.

Emergency Department 108

Emergency Department Radiology Radiology Hospitals 108

Emergency Medicine Journal

JANUARY 22, 2024

1–3 However, the literature is sparse surrounding the characteristics, treatment, outcomes, costs, disposition and resource utilisation of people who co-use compared with those who use opioids alone. Many overdose deaths are associated with patient co-use of opioids and other substances, such as benzodiazepines.

Outcomes 40

Outcomes Emergency Department Poisoning Documentation/Coding 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

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 79

Stroke Outcomes Hospitals 79

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 80

Stroke Academics Outcomes Administration 80

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

Sensible Medicine

JANUARY 6, 2025

In fact, TAXUS-IV heralded future trials in finding no difference in hard outcomes such as CV death, MI or stent thrombosis between the two stent types. The main focus of today’s post is the huge NORSTENT trial, published in 2016 in NEJM. The composite of CV death and MI capture the outcomes we care about after coronary stenting.

Outcomes 83

Outcomes Academics 83

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 88

Hospitals Outcomes Wellness 88

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 96

Sepsis Outcomes Administration EMS 96

EMDocs

DECEMBER 18, 2024

2016; 83(1): 67-79. Alcohol withdrawal syndrome: improving outcomes through early identification and aggressive treatment strategies. fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold Management of drug and alcohol withdrawal. N Engl JMed. 2003; 348:1786-1795. Br J Addict.

Seizures 87

Seizures Hyperthermia / Hypothermia Emergency Department EMS 87

The Skeptics' Guide to EM

JUNE 4, 2017

Lancet August 2016. Lancet August 2016. A systematic review by the authors of the present study confirmed a possible benefit of the pan scan, but it showed a need for a well-designed, large, prospective randomized clinical trial with patient oriented outcomes ( Sierink et al 2012 ). Lancet August 2016.

Radiology 52

Radiology Radiology CPR Hospitals 52

RebelEM

JUNE 8, 2023

Assessed clinical practice, outcome, length of stay, safety, and efficacy of both phenylephrine and epinephrine peripherally administered through a push dose.

Administration 97

Administration Emergency Department Outcomes Documentation/Coding 97

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

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 71

Academics Research Burns Outcomes 71

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

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

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

The Skeptics' Guide to EM

JUNE 11, 2017

Lancet 2016. Lancet 2016. It stated that “none of these studies showed a mortality benefit or improved functional outcome with platelet transfusion in patients with spontaneous or traumatic intracerebral hemorrhage who were receiving antiplatelet medications.” Lancet 2016.

Stroke 52

Stroke EMS Outcomes 52

Sensible Medicine

NOVEMBER 14, 2023

He also co-led the team whose work led the CDC to issue a major clarification of its 2016 opioid prescribing guideline and is currently a principal investigator of the only national study to examine individual suicides that occur after the reduction of prescribed opioids. These higher quality studies usually achieved better outcomes.

Psychiatric 112

Psychiatric Research CDC Best Practices 112

RebelEM

APRIL 29, 2024

Given AHA guidelines recommend early epinephrine administration in cardiac arrest, obtaining access is imperative for resuscitative efforts ( 9) When evaluating over 300,000 out-of-hospital cardiac arrests, a meta-analysis found no significant change in primary outcomes when IV and IO access were compared ( 10 ). Resuscitation.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

Pediatric Emergency Playbook

NOVEMBER 1, 2017

Children with Arachnoid Cysts who Sustain Blunt Head Trauma: Injury Mechanisms and Outcomes. 2016; 23:358-361. The PECARN TBI Rules Do Not Apply To Abusive Head Trauma. Acad Emerg Med. 2017; 24(3)382-384. Rogers AJ et al. Acad Emerg Med.

Pediatrics 52

Pediatrics Emergency Department Outcomes 52

American Medical Compliance

JUNE 21, 2024

The Department of Health and Human Services (HHS) estimated that improper payments in the Medicare and Medicaid programs exceeded $100 billion from 2016 to 2023. Fraud, waste, and abuse (FWA) in healthcare present significant challenges, causing substantial financial losses, eroding public trust, and compromising the quality of patient care.

Documentation/Coding 90

Documentation/Coding Leadership Best Practices Outcomes 90

Don't Forget the Bubbles

AUGUST 7, 2023

The study also did not assess outcomes for each patient, and as such, the impact on deviation from the normal range was not explored. Yes Was the outcome accurately measured to minimize bias? NICE; 2016 [cited 2023 Mar 28]. CASP checklist for Cohort studies Does this address a clearly focused issue? cited 2023 Mar 28].

Sepsis 98

Sepsis Pediatrics Urgent Care Emergency Department 98

Don't Forget the Bubbles

JULY 19, 2023

This data was collected over a five-year period (2016-2020) had true papilloedema. Outcome of pediatric patients referred for papilledema. Enlarged optic discs or suspected optic nerve head elevation does not always equate to papilloedema. Interestingly, the child’s gender made a difference. Can J Ophthalmol. 2019 Dec 1;54(6):653–8.

Pediatrics 98

Pediatrics Emergency Department Outcomes Wellness 98

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

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

Pediatric Emergency Playbook

JULY 1, 2018

Psychiatric outcomes after pediatric sports-related concussion. Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, October 2016. 2016 Purcell LK et al. 2016 Jul 1; 33(13): 1227–1236. References Churchill NW et al. Neuroimage Clin. 2017; 14: 480–489.

Psychiatric 40

Psychiatric Pediatrics Research Outcomes 40

The Skeptics' Guide to EM

DECEMBER 16, 2017

NEJM Dec 2016 Guest Skeptic: Dr. Neal Little is an Emergency Physician who works at Chelsea Hospital in Chelsea, Michigan. NEJM Dec 2016 Guest Skeptic: Dr. Neal Little is an Emergency Physician who works at Chelsea Hospital in Chelsea, Michigan. There was no statistical difference in the primary outcome between 33C vs. 36C ( SGEM#82 ).

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Seizures Hospitals Stroke 40

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

PHEM Cast

APRIL 16, 2018

The outcomes from different resuscitative interventions in a haemorrhagic shock model in porcine model: From: Watts et al. 2016; 105: 52-58. Survival and neurological outcome after OOH TCA in pediatric & adult populations: a systematic review. Ultrasound during TCA: Cureton et al. 2012; 73: 102-10. EMJ 2017; 34: 860-900.

Resuscitation 52

Resuscitation Shock Ultrasounds CPR 52

Taming the SRU

JUNE 11, 2023

Enrollment period was from February 2016 to August 2018. The primary outcome was in-hospital mortality. The secondary outcome focused on ICU admissions. The tertiary outcome was the relationship between EtCO2 and serum lactate, anion gap and bicarb. The treatment team was blinded by these values.

Hospitals 87

Hospitals Emergency Department EMS Outcomes 87