Pediatric EM Morsels

AUGUST 9, 2024

Foles, 2024 ] In the US, from 2013-2018, cases increased from 362 to 1,306. If not treated early, then increased risk of poor outcomes and death. Worldwide, congenital syphilis complicates about 1 million pregnancies / year. Hussain, 2023 ] Leads to >300,000 perinatal deaths / year globally. Can identify T.

Hyperthermia / Hypothermia 154

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 154

Sensible Medicine

NOVEMBER 14, 2023

Stefan Kertesz is Professor of Medicine at the Heersink School of Medicine at the University of Alabama at Birmingham where his work includes leading VA and non-VA supported research focused on homeless healthcare and issues related to pain and opioids. These higher quality studies usually achieved better outcomes.

Research 131

Research Psychiatric CDC Best Practices 131

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

ACEP Now

JUNE 21, 2023

The latest research Two new studies have investigated academic and clinical performance between the two EM training lengths. The lack of differences in the observed outcomes do not suggest one EM training length is superior. American board of emergency medicine report on residency and fellowship training information (2017-2018).

EMS 114

EMS Academics Telemedicine Operations 114

RebelEM

JANUARY 25, 2024

A 2018 systematic review and meta-analysis of 25 studies focusing on the accuracy of emergency lung ultrasound showed sensitivity of 85-95% and specificity of 75-90% for pneumonia, sensitivity of 78% and specificity of 94% for COPD/asthma, and sensitivity of 75-90% and specificity of 80-90% for acute heart failure [4].

Ultrasounds 125

Ultrasounds Outcomes COPD Hospitals 125

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 111

CDC Radiology Radiology Head Injuries 111

EMDocs

JUNE 8, 2023

and 9 hours after onset of symptoms, with non-infarcted brain tissue, does the administration of alteplase improve functional outcome at 90 days? More research is needed on this topic, yet the authors of the EXTEND trial discontinued enrollment. Intervention: Alteplase 0.9 in alteplase group versus 0.9% to 53.54, p=0.053).

Stroke 95

Stroke Administration Documentation/Coding Outcomes 95

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 114

CDC Documentation/Coding Research Pediatrics 114

PulmCCM

JUNE 26, 2023

After the 2018 MIND-USA trial found neither haloperidol nor ziprasidone reduced delirium in the ICU, critical care guidelines advised against their wide use. No outcomes regarding the delirium itself were reported (i.e., Read in NYT Deadly fungal infections are on the rise, and are often diagnosed late, leading to worse outcomes.

Outcomes 98

Outcomes Ultrasounds Hospitals Wellness 98

Emergency Medicine Journal

AUGUST 23, 2023

While previous research often highlighted the benefits of these targets, some studies found negative consequences of their implementation. Methods We conducted a before and after, retrospective, observational study using anonymised, routinely collected, patient-level data from a single English NHS ED between April 2018 and December 2019.

Hospitals 73

Hospitals Research Outcomes 73

The Trauma Pro

MAY 10, 2024

And its correlation with outcomes varies. This may be helpful for future triage-related research. 2018 May;84(5):718-726. The most important one is that it relies only on the Injury Severity Score (ISS) to judge whether some type of mistriage occurred. What is NFTI, Exactly? undertriage (Cribari) reduced to 3.3%

Blood Transfusions 113

Blood Transfusions Radiology Radiology Documentation/Coding 113

RebelEM

NOVEMBER 20, 2023

Researchers randomly assigned 90 eligible patients over ≈ 4.5 Outcome: Primary Outcome: All-cause mortality at 90 days. The primary outcome focused on patient-centered outcomes. The outcomes were predominantly binary and objective, reducing the potential for subjective interpretation and bias.

Resuscitation 91

Resuscitation Operations Outcomes Hospitals 91

The Skeptics' Guide to EM

JULY 17, 2018

[display_podcast] Date: July 16th, 2018 Reference: Gupta M et al. AEM July 2018 Guest Skeptics: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. display_podcast] Date: July 16th, 2018 Reference: Gupta M et al. AEM July 2018 Guest Skeptics: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia.

Pediatrics 52

Pediatrics Head Injuries Academics Emergency Department 52

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. John Wiley & Sons, 2018 Edward KL, Ousey K, Warelow P, Lui S. Australian Health Review.

Leadership 105

Leadership Resuscitation Teamwork Patient Safety 105

ACEP Now

MARCH 10, 2025

Passion for womens health may lead one to research and advocate for more effective emergency contraceptive options in your department. The Experiment ; 2018. Ikigai and subsequent health and wellbeing among Japanese older adults: longitudinal outcome-wide analysis. Garca H, Miralles F. New York, Penguin Books; 2017.

Academics 52

Academics Wellness CPR Hospitals 52

The Skeptics' Guide to EM

APRIL 21, 2018

[display_podcast] Date: April 12th, 2018 Reference: Ohle R et al. AEM April 2018 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. display_podcast] Date: April 12th, 2018 Reference: Ohle R et al. AEM April 2018 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia.

Emergency Department 52

Emergency Department Academics EKG/ECG Research 52

The Skeptics' Guide to EM

JUNE 24, 2018

[display_podcast] Date: June 15th, 2018 Reference: Silva et al. 2018 Guest Skeptics: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. display_podcast] Date: June 15th, 2018 Reference: Silva et al. Ann Emerg Med. Ann Emerg Med. Reference: Silva et al.

Emergency Department 52

Emergency Department Administration Outcomes Research 52

EMDocs

SEPTEMBER 27, 2023

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). Medicare and Budget Sequestration, Congressional Research Service. The goal was to promote quality instead of quantity. link] American Medical Assoication.

Emergency Department 79

Emergency Department Research Outcomes Hospitals 79

The Skeptics' Guide to EM

FEBRUARY 15, 2020

After years of trying to organize a trial, researchers were finally able to recruit some volunteers to jump out of a plane with a parachute or backpack. Secondary Outcomes: Health status and subgroup analysis based on type of aircraft or previous parachute use. . Date: February 11th, 2020 Reference: Yeh et al. Reference: Yeh et al.

Wellness 52

Wellness Outcomes Emergency Department Research 52

The Skeptics' Guide to EM

JULY 30, 2022

CT is generally the first choice of imaging, the “abdominal series” of plain X-rays have been demonstrated to have poor predictive value, but a 2018 meta-analysis found 92.4% AEM July 2022 * Population: Patients with ICD-10 coding “intestinal obstruction” from 2018 National Hospital Ambulatory Medical Care Survey. sensitivity and 96.6%

Ultrasounds 52

Ultrasounds Operations Documentation/Coding Outcomes 52

The Skeptics' Guide to EM

JANUARY 27, 2018

[display_podcast] Date: January 25th, 2018 Reference: Hawkins et al. AEM Jan 2018 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. display_podcast] Date: January 25th, 2018 Reference: Hawkins et al. AEM Jan 2018 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia.

Emergency Department 40

Emergency Department Academics Outcomes Research 40

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 91

Stroke Outcomes EMS Seizures 91

Taming the SRU

MARCH 12, 2024

ED visits per 1000 adults with diabetes based on 2018 data resulting in over 500,000 annual hospital days. The study’s primary outcomes were the operational impacts of the SQuID protocol on EDLOS and ICU admission rates. Secondary outcomes included fidelity to and safety of the intervention.

Operations 97

Operations Hospitals Best Practices Wellness 97

RebelEM

DECEMBER 1, 2022

Additionally, small-bore catheter placement is performed via the Seldinger technique;’ a skill possessed by all Emergency Physicians (Bauman 2018). 153,5 (2018): 1201-1212. 875 patients from Africa, Asia, Europe, and North America RCTs or retrospective cohort studies Strengths Researchers followed PRISMA guidelines.

Outcomes 52

Outcomes Hospitals Research Critical Access 52

Pediatric Emergency Playbook

JULY 1, 2018

Psychiatric outcomes after pediatric sports-related concussion. and the Committee on Sports-Related Concussions in Youth; Board on Children, Youth, and Families; Institute of Medicine; National Research Council. 2018; 0:1-15. 2018; 18(2):165-180. Neuroimage Clin. 2017; 14: 480–489. Ellis MJ et al. J Neurosurg Pediatr.

Psychiatric 40

Psychiatric Pediatrics Research Outcomes 40

Cook County EM Blog

APRIL 27, 2022

2019.09.007 What : Retrospective cohort study of all droperidol administrations between January 2012 and April 2018 at an academic and pediatric emergency department in the US with 77,000 annual visits. Chair of Division of Research Department of Emergency Medicine | Cook County Health Am J Emerg Med. 2020;38(7):1310-1314.

Administration 52

Administration EKG/ECG Emergency Department EMS 52

RebelEM

FEBRUARY 12, 2024

Research from our very own SIUH department of radiology recommended that contrast-enhanced CT scans can safely exclude obstructive urolithiasis just as well as noncontrast CTs. ” The Journal of Urology 199.4S (2018): e683-e684. CT in Detecting Urinary Tract Calculi: Influence on Patient Imaging and Clinical Outcomes Radiology.

Radiology 67

Radiology Radiology Emergency Department Ultrasounds 67

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

The Skeptics' Guide to EM

AUGUST 28, 2021

While preparing her for discharge you wonder if seeing a physiotherapist before going home from the ED would improve her outcome. You know mechanical low back pain is difficult to treat effectively and are trying to set expectations. Background: Acute and chronic back pain has been covered many times on the SGEM.

Emergency Department 52

Emergency Department Research Outcomes 52

ALiEM

OCTOBER 30, 2023

The same goes for clinical operations and research – interesting, but there hasn’t been any “a ha” moment to illuminate her calling. 2018; 10(2):227-228. The Uphill Battle of Performing Education Scholarship: Barriers Educators and Education Researchers Face. 2018 May;19(3):619-629. What should I look for in a coach?

Academics 64

Academics Leadership Wellness Research 64

The Skeptics' Guide to EM

FEBRUARY 2, 2018

[display_podcast] Date: January 31st, 2018 Reference: Frohlich LC, et al. Melissa is passionate about clinical and translational research and focuses most of her work […] The post SGEM#205: Twist & Shout – Testicular Torsion first appeared on The Skeptics Guide to Emergency Medicine. AEM Dec 2017. AEM Dec 2017.

Pediatrics 40

Pediatrics Ultrasounds Emergency Department Research 40

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. 2018 Apr;44(4):409-417. Epub 2018 Mar 27.

Resuscitation 80

Resuscitation Dehydration Administration Shock 80

The Skeptics' Guide to EM

JANUARY 12, 2019

JAMA December 2018 Guest Skeptic: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City. JAMA December 2018 Guest Skeptic: Dr. Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City.

Emergency Department 40

Emergency Department Research Outcomes Hospitals 40

The Skeptics' Guide to EM

FEBRUARY 10, 2018

[display_podcast] Date: February 6th, 2018 Reference: Foster SJ et al. Lancet January 2018 Guest Skeptic: Dr. Tessa Davis is a Pediatrician specialising in Pediatric Emergency Medicine and currently practicing in a central London hospital. display_podcast] Date: February 6th, 2018 Reference: Foster SJ et al.

Emergency Department 40

Emergency Department Pediatrics Sepsis Hospitals 40

ACEP Now

NOVEMBER 16, 2023

The Latest Research One study was conducted by the American Board of Emergency Medicine (ABEM). The lack of differences in the observed outcomes do not suggest one EM training length is superior. Dr. Nikolla is core faculty and the director of research at the Saint Vincent Emergency Medicine Residency in Erie, Pa.

Academics 52

Academics EMS Telemedicine Research 52

The Skeptics' Guide to EM

MAY 19, 2019

Civil Monetary Penalties Resulting from Violations of the Emergency Medical Treatment and Labor Act (EMTALA) Involving Psychiatric Emergencies, 2002 to 2018. Civil Monetary Penalties Resulting from Violations of the Emergency Medical Treatment and Labor Act (EMTALA) Involving Psychiatric Emergencies, 2002 to 2018.

Psychiatric 40

Psychiatric Academics Emergency Department Hospitals 40

SheMD

APRIL 16, 2023

Article Summary What they looked at: The researchers utilized a comprehensive literature review looking for articles with subjects on gender in graduate medical education. They focused on original research with publication dates between 1998 and 2018, and articles were blinded before determining inclusion into the review.

Research 52

Research Outcomes 52