EMDocs

NOVEMBER 13, 2024

Older age, recurrent episodes of SBP, hepatorenal syndrome, hepatic encephalopathy, acute kidney injury (AKI), concurrent GI bleeding, and higher MELD scores are predictors of worse outcomes. Spontaneous bacterial peritonitis in patients with cirrhosis: incidence, outcomes, and treatment strategies. 2016; 63:1299-1309.

Hyperthermia / Hypothermia 105

Hyperthermia / Hypothermia Ultrasounds Shock Hospitals 105

PulmCCM

APRIL 3, 2025

In the meta-analysis of 14 trials testing weakness as an outcome (n=1,427), enhanced mobilization significantly reduced ICU-acquired weakness with a relative risk of 0.77, with a 95% confidence interval of 0.64 2016 May;13(5):724-30. What did the data show? The strongest finding was for the prevention of ICU-acquired weakness.

Hospitals 45

Hospitals Outcomes 45

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 187

Pediatrics Emergency Department Outcomes Sepsis 187

EMDocs

DECEMBER 6, 2024

7 Workup other than serum iron concentration at 4 hours after ingestion not shown to accurately predict clinical outcomes or severity of toxicity. McGraw Hill; 2016. If large number of tablets are visualized on abdominal x-ray, it can help guide GI decontamination decisions. 1 Management: Supportive care first and foremost.

Poisoning 98

Poisoning Fluid Resuscitation Seizures Resuscitation 98

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 121

Sepsis Fluid Resuscitation Resuscitation Administration 121

PulmCCM

OCTOBER 7, 2024

What’s the evidence for this practice, in terms of efficacy, outcomes, and safety? Observational Trials of Midodrine in the ICU At least six observational studies on midodrine in the ICU were published between 2016 and 2021. All but one were retrospective.

Shock 98

Shock Outcomes 98

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 134

Emergency Department Radiology Radiology Hospitals 134

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 104

Stroke Outcomes Hospitals 104

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 59

Pediatrics Poisoning Research Outcomes 59

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 113

Pediatrics Operations Emergency Department Outcomes 113

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 98

Stroke Academics Outcomes Administration 98

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 136

Stroke Outcomes Hospitals Administration 136

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

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

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

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 113

Hospitals Outcomes Wellness 113

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

Don't Forget the Bubbles

AUGUST 2, 2023

Early management leads to better outcomes. That being said, younger patients tend to have better outcomes with a multidisciplinary team approach leading to remission in approximately 90% of children. Outcomes of children with complex regional pain syndrome after intensive inpatient rehabilitation. Published 2016 Apr 29.

Psychiatric 98

Psychiatric Pediatrics Outcomes Fractures 98

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

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 99

Stroke Outcomes EMS Seizures 99

EMDocs

JANUARY 25, 2025

0000000000000305 Kazumi Y (2023) The Epidemiology and Outcomes of Leukopenia in Different Populations and Regions. Geneva: World Health Organization; 2016. An update on the diagnosis and treatment of chronic idiopathic neutropenia. Curr Opin Hematol. 2017;24(1):46-53. doi:10.1097/MOH.0000000000000305 J Blood Disord Transfus.

EMS 95

EMS Infectious Diseases Allergic Reactions Fluid Resuscitation 95

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

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 97

EMS Stroke Outcomes Hospitals 97

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 86

Academics Research Burns Outcomes 86

Don't Forget the Bubbles

OCTOBER 2, 2023

P aediatric R esearch A cross the M idlands ( PRAM ) is a trainee-led research collaborative across the West Midlands, networking since 2016. The most common negative ones were stress and fear, loss of equilibrium due to the child’s medical fragility, concerns about developmental outcomes and the child’s vulnerability.

Outcomes 138

Outcomes Research Wellness Emergency Department 138

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

EMDocs

DECEMBER 23, 2024

Gorgels et al (5) looked at procainamide vs lidocaine and again and primary outcome was VTach termination. Epub 2016 Oct 15. Learning that we can be calling lidocaine Lignocaine from now on. Sotalol terminated 69% of arrhythmias compared to lidocaines 18% termination rate. J Emerg Med. 2017 Apr;52(4):484-492. doi: 10.1016/j.jemermed.2016.09.010.

EKG/ECG 75

EKG/ECG Shock Wellness EMS 75

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 134

Psychiatric Research CDC Best Practices 134

Dr. Smith's ECG Blog

DECEMBER 11, 2023

We have shown that morphine is associated with worse outcomes (see learning points below) and have published many blog posts about it , such as this one: Another myocardial wall is sacrificed at the altar of the STEMI/NonSTEMI mass delusion (and Opiate pain relief). link] Opiates are associated with worse outcomes in Myocardial Infarction.

EKG/ECG 123

EKG/ECG Outcomes Academics Documentation/Coding 123

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 115

EKG/ECG Wellness Fractures Emergency Department 115

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 98

Administration Emergency Department Outcomes Documentation/Coding 98

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 105

Documentation/Coding Leadership Best Practices Outcomes 105

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

Don't Forget the Bubbles

JUNE 30, 2023

The primary outcome measure was chest drain failure, i.e., retained haemothorax requiring a secondary interventional procedure. A recent review was conducted on Trauma Quality Improvement Program data between 2014 and 2016. Injury 2016; 47: 797– 804. Blood product ratios made no difference to complications such as ARDS and AKI.

Resuscitation 139

Resuscitation Operations Sepsis Pediatrics 139

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