EB Medicine

MAY 31, 2017

This month's episode of EMplify, a podcast corollary to the Emergency Medicine Practice journal, focuses on management strategies that improve dental emergency outcomes. This podcast is based on the full-length review published in the June 2017 issue of Emergency Medicine Practice.

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Outcomes Fractures Emergency Department 40

EMDocs

AUGUST 17, 2023

mL/kg/hr for 2 consecutive hours OR Decrease in serum lactate by more than 10% from initial level Primary outcome – Early norepinephrine group vs. the control group demonstrated higher rates of shock control at 6 hours: 76.1% vs 48.4% (OR 3.4, vs 48.4% (OR 3.4, vs 48.4% (OR 3.4,

Sepsis 92

Sepsis Shock Resuscitation Fluid Resuscitation 92

ACEP Now

MARCH 10, 2025

New York, Penguin Books; 2017. Ikigai and subsequent health and wellbeing among Japanese older adults: longitudinal outcome-wide analysis. The Experiment ; 2018. Garca H, Miralles F. Ikigai: The Japanese Secret to a Long and Happy Life. Okuzono S, Shiba K, Kim E, et al. Lancet Reg Health West Pac. 2022;21:100391.

Academics 85

Academics Wellness CPR Hospitals 85

The Skeptics' Guide to EM

JANUARY 18, 2025

The last time we spoke in 2017, FemInEM was making waves by empowering women in emergency medicine and fostering conversations about gender equity. Can you elaborate on the evidence-based protocols and resources FemInEM plans to implement and how they will impact patient outcomes?

Academics 47

Academics Emergency Department EMS Outcomes 47

The Skeptics' Guide to EM

JULY 8, 2023

Despite these findings, the World Health Organization (WHO), Infection Disease Society of America (IDSA) and the Center for Disease Control and Prevention (CDC) all continue to recommend use of oseltamivir, particularly in patients at increased risk of hospitalization and bad outcomes.

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EMDocs

JANUARY 25, 2025

0000000000000305 Kazumi Y (2023) The Epidemiology and Outcomes of Leukopenia in Different Populations and Regions. 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. 14:559 Tilahun, M., Gedefie, A., Ebrahim, E., Najivash, P.,

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EMS Infectious Diseases Allergic Reactions Fluid Resuscitation 94

EB Medicine

APRIL 30, 2017

The podcast is based on the full-length review published in the May 2017 issue of Emergency Medicine Practice. The podcast is based on the full-length review published in the May 2017 issue of Emergency Medicine Practice.

Outcomes 40

Outcomes Burns Best Practices Ultrasounds 40

RebelEM

FEBRUARY 5, 2024

Outcomes: Primary Outcome: Pulmonary expansion 24 hours after the procedure. Secondary Outcomes: Pulmonary expansion 7 days after the procedure. Blinding the outcome assessors to the initial assessment reduces the risk of measurement bias, enhancing the objectivity of the results.

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Outcomes Hospitals Research Emergency Department 103

ACEP Now

JUNE 21, 2023

The lack of differences in the observed outcomes do not suggest one EM training length is superior. The additional year may improve career trajectory or longevity, entrance into fellowship or academic practice, or other longer-term outcomes including successful development of a niche in the specialty. 11 What should we take away?

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EMS Academics Telemedicine Operations 114

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. 2017; 99-B(1): 78-86. Bone Joint J. PMID: 28053261 Chiodo CP, Wilson MG.

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Operations Ultrasounds Fractures Outcomes 98

Taming the SRU

JULY 3, 2023

2017-3068). 2017-0695) WBC count Absolute neutrophil count Procalcitonin (one model done without procal and one with) They repeated the same model for factors associated with IBI in febrile infants with UTIs. This definition of a positive UA and UTI were based on a prior PECARN study (doi.org/10.1542/peds.2017-3068).

Pediatrics 91

Pediatrics Research Outcomes 91

ACEP Now

JULY 7, 2023

2,3 In general, patients who develop cardiac arrest with an initial rhythm of VT or VF tend to have favorable outcomes compared to patients who develop cardiac arrest from either asystole or pulseless electrical activity. Heart disease and stroke statistics-2017 update: A report from the American Heart Association. Circulation.

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Resuscitation Shock Stroke Hospitals 98

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.

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Emergency Department Outcomes 52

The Skeptics' Guide to EM

SEPTEMBER 16, 2017

[display_podcast] Date: September 12th, 2017 Reference: Sinert et al. J Allergy Clin Immunol Pract 2017. display_podcast] Date: September 12th, 2017 Reference: Sinert et al. J Allergy Clin Immunol Pract 2017. J Allergy Clin Immunol Pract 2017. Reference: Sinert et al.

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Anaphylaxis Administration EMS Emergency Department 52

PHEM Cast

APRIL 16, 2018

The outcomes from different resuscitative interventions in a haemorrhagic shock model in porcine model: From: Watts et al. EMJ 2017; 34: 860-900. Epidemiology and aetiology of TCA in England… Resuscitation; 110 (2017): 90-94. The heart of the matter: utility of ultrasound of cardiac activity during traumatic arrest.

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Resuscitation Shock Ultrasounds CPR 52

The Skeptics' Guide to EM

SEPTEMBER 23, 2017

[display_podcast] Date: September 19th, 2017 Reference: Cournoyer et al. September 2017. display_podcast] Date: September 19th, 2017 Reference: Cournoyer et al. September 2017. It also did not show an increase in good neurologic outcome in the survivors (78.3% Academic Emergency Medicine. vs. 5.1%, p=0.83).

CPR 52

CPR Academics Resuscitation Hospitals 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.

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Hyperthermia / Hypothermia Outcomes Research Hospitals 80

The Skeptics' Guide to EM

JANUARY 20, 2018

BMJ 2017 Guest Skeptic: Meghan Groth is an Emergency Medicine Pharmacist at the UMass Memorial Medical Center in Worcester, Massachusetts. BMJ 2017 Guest Skeptic: Meghan Groth is an Emergency Medicine Pharmacist at the UMass Memorial Medical Center in Worcester, Massachusetts. Reference: Sadeghirad B, et al.

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Academics Emergency Department EMS Administration 52

EMDocs

AUGUST 22, 2024

Certified interpreter use can improve communication and patient outcomes. Conducting research regarding best practices for improving health outcomes for NELP patients. Pearls NELP patients have worse health outcomes despite widespread language-access policies. Utilizing certified interpreters and documenting their use.

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

Taming the SRU

SEPTEMBER 8, 2023

2017 May;66(5):1047-1081. 2017 Feb;152(3):644-647. 2017 Feb;152(3):644-647. Epub 2017 Jan 2. 2017 May;37(5):473-482. Prognosis of acute severe autoimmune hepatitis (as-AIH): The role of corticosteroids in modifying outcome.” doi: 10.1016/j.jhep.2016.12.003. 2016.12.003. PMID: 28417882. Gastroenterology.

Radiology 59

Radiology Radiology Ultrasounds EMS 59

Pediatric Emergency Playbook

JULY 1, 2020

Central Nervous System Manifestations of Childhood Shigellosis: Prevalence, Risk Factors, and Outcome. 2017 Jul; 96(30): e7641. Pediatrics. 1999 Feb;103(2):E18 Lee JY et al. Diagnostic yield of stool culture and predictive factors for positive culture in patients with diarrheal illness. Medicine (Baltimore). Nelson JD et al.

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Poisoning Pediatrics 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. 2017 Aug;9(8):722-726. hour IV thrombolytic window. J Neurointerv Surg.

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EMS Stroke Outcomes Hospitals 97

Dr. Smith's ECG Blog

AUGUST 14, 2024

Similar to the prognostic implications of Mobitz I AV block — SA Wenckebach is not necessarily pathologic, and not necessarily associated with adverse outcome. In contrast — true Type II SA Exit Block ( like the Mobitz II form of AV block ) — is much more likely to be associated with adverse outcome and potential need for cardiac pacing. (

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EKG/ECG Outcomes Wellness 110

PulmCCM

FEBRUARY 12, 2024

The Society of Critical Care Medicine (SCCM) expanded its prior 2017 guidance, now recommending strongly that corticosteroids be given for severe community-acquired pneumonia, and also suggesting steroids for patients with acute respiratory distress syndrome (ARDS) and septic shock of any severity.

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Shock Administration Sepsis Fractures 52

EMDocs

MAY 11, 2024

2017 Nov;70(5):758. Endovascular and Clinical Outcomes of Vertebrobasilar Intracranial Atherosclerosis-Related Large Vessel Occlusion. Ann Emerg Med. 2015 Sep;66(3):322-333.e31. doi: 10.1016/j.annemergmed.2015.06.031. 2015.06.031. Erratum in: Ann Emerg Med. PMID: 26304253. Available at: [link]. Baek JH, Kim BM, Heo JH, et al.

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Stroke EMS EKG/ECG Radiology 111

The Skeptics' Guide to EM

MAY 7, 2017

[display_podcast] Date: May 1st, 2017 Reference: Poonai et al. Point-of-care ultrasound for non-angulated distal forearm fractures in children: test performance characteristics and patient-centered outcomes. Acad Emerg Med May 2017. display_podcast] Date: May 1st, 2017 Reference: Poonai et al. Acad Emerg Med May 2017.

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Fractures Pediatrics Ultrasounds Academics 40

PHEM Cast

SEPTEMBER 25, 2019

Sörensen HT, Nielsen GL, Schönheyder HC, Steffensen FH, Hansen I, Sabroe S, Dahlerup JF, Hamburger H, Olsen J: Outcome of pre-hospital antibiotic treatment of meningococcal disease. Sepsis Click for UK Sepsis Trust guidance for different clinical settings. 2006 Jun 3;332(7553):1299–303. J Clin Epidemiol 1998, 51:717–721.

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Ambulance Services Sepsis Burns Hospitals 52

Pediatric Emergency Playbook

NOVEMBER 1, 2017

2017; 24(3)382-384. Children with Arachnoid Cysts who Sustain Blunt Head Trauma: Injury Mechanisms and Outcomes. JAMA Pediatr. 2014; 168(9):837-843. Magana JN, Kuppermann N. The PECARN TBI Rules Do Not Apply To Abusive Head Trauma. Acad Emerg Med. Rogers AJ et al. Acad Emerg Med. 2016; 23:358-361.

Pediatrics 52

Pediatrics Emergency Department Outcomes 52

The Skeptics' Guide to EM

JULY 2, 2017

[display_podcast] Date: June 21st, 2017 Reference: Konstantinides et al. Impact of Thrombolytic Therapy
 on the Long-Term Outcome of Intermediate-Risk Pulmonary Embolism. JACC March 2017 Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals Trust (North West England).

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Fractures Emergency Department Ultrasounds Outcomes 40

PulmCCM

JANUARY 16, 2024

Back in 2017, the American Thoracic Society, the European Society of Intensive Care Medicine, and the Society of Critical Care Medicine together issued a clinical practice guideline for the management of acute respiratory distress syndrome (ARDS). Note: PulmCCM has no affiliation with ATS, ESICU, SCCM or any other professional society.

Research 87

Research Documentation/Coding Outcomes Fractures 87

The Skeptics' Guide to EM

APRIL 28, 2018

December 2017. December 2017. December 2017. Outcome: * Primary Outcome: All-cause mortality at 30 days after randomization. If 30-day mortality not reported then the outcome closest to 30-days was used. Cochrane Database of Systematic Reviews. Cochrane Database of Systematic Reviews.

Hospitals 40

Hospitals Emergency Department Outcomes Shock 40

Cook County EM Blog

MAY 1, 2023

2017 Oct;53(4):475-484. Clinical characteristics and outcomes of septic bursitis.  2017 Dec;45(6):781-786. Blumberg G, Long B, Koyfman A. Clinical mimics: an emergency medicine-focused review of cellulitis mimics.  J Emerg Med. Lieber SB, Fowler ML, Zhu C, Moore A, Shmerling RH, Paz Z. Pritchard RJ, Bodeau H, Bonson P, Borloz M.

Ultrasounds 52

Ultrasounds Emergency Department Hospitals Outcomes 52

Don't Forget the Bubbles

OCTOBER 23, 2023

The ICISS study in 2017 showed dual therapy to be more effective at stopping spasms than steroids or Vigabatrin alone. Outcomes are extremely variable, dependent on the cause, and include developmental delays, neurodivergence, or behavioural issues. Prompt treatment is key and a matter of priority.

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Seizures Outcomes Wellness 75

The Skeptics' Guide to EM

OCTOBER 19, 2019

Yes * Was the outcome accurately measured to minimize bias? Clinical Question: Does using a bougie increase first pass intubation success? Reference: Driver et al. The Bougie and First-Pass Success in the Emergency Department. Yes * Did the authors use an appropriate method to answer their question? Yes * How precise are the results?

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Emergency Department Outcomes 52

SheMD

MAY 11, 2023

In medical emergencies, provider qualities which lead to greater performance and patient outcomes include leadership and teamwork. What were their outcomes: Of the 182 teams analyzed, females contributed significantly less leadership statements (53% vs 76%, p=0.001) and critical treatment decisions (57% vs 76%, p=0.018). Crit Care Med.

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Leadership Documentation/Coding CPR Teamwork 52

Dr. Smith's ECG Blog

OCTOBER 18, 2023

1-3] But these studies were very short duration and used cardiology interpretation of ECGs or emergent angiography rather than patient outcomes. 2017 ; 24 ( 1 ): 120 - 124 2. Emergent cardiac outcomes in patients with normal electrocardiograms in the emergency department. Hughes KE , Lewis SM , Katz L , Jones J. Acad Emerg Med.

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EKG/ECG Documentation/Coding Emergency Department Outcomes 119

The Skeptics' Guide to EM

MARCH 4, 2018

JAMA May 2017. JAMA May 2017. JAMA May 2017. Intervention – Cephalexin 500mg four times daily plus TMP-SMX 160/800 two tables twice daily for seven days * Comparison – Cephalexin plus placebo for seven days * Outcome: * Primary Outcome: Clinical cure at 14-21 days after enrollment.

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Infectious Diseases Documentation/Coding Ultrasounds Outcomes 40