Pediatric EM Morsels

AUGUST 9, 2024

Foles, 2024 ] In the US, from 2013-2018, cases increased from 362 to 1,306. Worldwide, congenital syphilis complicates about 1 million pregnancies / year. Hussain, 2023 ] Leads to >300,000 perinatal deaths / year globally. Rates of congenital syphilis are increasing. Can identify T. pallidum before antibodies against it can be detected.

Hyperthermia / Hypothermia 154

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 154

EMDocs

JULY 9, 2024

The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. Epub 2018 Nov 22. Acad Pediatr.

Pediatrics 70

Pediatrics Emergency Department Research Burns 70

Greater Sydney Area HEMS

FEBRUARY 20, 2024

It is currently the subject of future research and publication in the emergency department setting. Its use in the prehospital environment is not well known or studied and may be an interesting area for future research. [i] Anesthesiology 2018; 128 : 38–43. [v] Medicine 2018; 97 : e13661. Green et al. October 2023. [vi]

Ultrasounds 98

Ultrasounds Shock Research Operations 98

The Skeptics' Guide to EM

FEBRUARY 11, 2024

20] A retrospective observational study from Canadian researcher, Dr. Robert Ohle was published in CJEM in 2023. This study found that between 2003 and 2018, there were 1,299 cases of AAS in Ontario, the largest province in the country. The annual incidence rate of AD ranges between 2.9 per 100,000. [4-8]

Emergency Department 130

Emergency Department Resuscitation Hospitals EKG/ECG 130

Don't Forget the Bubbles

DECEMBER 25, 2023

Interpreting Research Outcomes with a Little Bathroom Humour You have learned a method for how to read a research paper , and now you are faced with a bunch of outcomes. The researchers should have specified a clear research question or aim. doi:10.1136/bmjebm-2018-110891 Perkins GD, Ji C, Deakin CD, et al.

Research 83

Research Outcomes Fractures Pediatrics 83

Sensible Medicine

SEPTEMBER 18, 2023

The title gives away the results: Here is what they did: They took 159 patients who had severe TR and were operated on from 2004-2018. I am shocked that academic researchers would publish such an exercise. These were operations solely for the tricuspid valve. Most tricuspid surgeries are done as add-on to other surgeries.

Operations 133

Operations Academics Shock Outcomes 133

Don't Forget the Bubbles

AUGUST 23, 2023

2018) “Benefits of using the pause after death in emergency departments: a Delphi study”. 2018) “Sacred Pause Imitative in the ICU: A survey of ICU physicians and nurses”. Spartan Medical Research Journal. . & Liska, H. 2016) “Implementation of a Post-Code Pause: Extending Post-Event Debriefing to Include Silence”.

Emergency Department 98

Emergency Department Resuscitation Documentation/Coding Best Practices 98

Sensible Medicine

MARCH 27, 2024

Peter Attia - From Surgeon to Longevity Guru I first encountered Peter Attia online while researching ketosis , the Atkins diet and low carb diets in 2012 and found his writing to be incredibly well-researched and helpful. The 2018 American guidelines recommend an LDL-C level <100 mg/dl for primary prevention.

Research 113

Research Documentation/Coding Wellness 113

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

RebelEM

SEPTEMBER 7, 2023

More research is needed to inform preventive treatment strategies for seizures in patients with spontaneous intracerebral hemorrhage (ICH). STRENGTHS Investigators asked a clinically relevant research question. Epub 2018 Oct 6. The long-term impact of these subclinical seizures is still unclear. Article : Peter-Derex et al.

Seizures 123

Seizures Stroke Outcomes Research 123

Don't Forget the Bubbles

JANUARY 24, 2024

We are the trainee arm of the Paediatric Critical Care Society – Study Group (PCCS-SG) and work with them on research, audit and service evaluation. 2018 May 17;378(20):1888-1897. 2018 Dec;84(6):940-945. Epub 2018 Nov 30. Effect of Cannabidiol on Drop Seizures in the Lennox-Gastaut Syndrome. N Engl J Med.

Seizures 111

Seizures Pediatrics Outcomes Hyperthermia / Hypothermia 111

EMDocs

FEBRUARY 12, 2025

Research indicates that timely intervention can significantly reduce morbidity associated with radiation skin injuries. The severity is influenced by radiation dose, exposure duration, and individual patient factors including age and skin type. Immediate symptoms can often mask more severe underlying damage, requiring vigilance in assessment.

Best Practices 54

Best Practices Documentation/Coding Radiology Radiology 54

RebelEM

AUGUST 14, 2023

Investigators asked a patient-centered research question. Discussion: Inside the Numbers: The number needed to treat (NNT) is a fundamental concept in clinical research. By systematically altering certain variables or assumptions, researchers can assess the robustness and reliability of their findings. 2018 Mar;36(3):480-487.

Sepsis 97

Sepsis Outcomes Administration EMS 97

ACEP Now

JUNE 21, 2023

The latest research Two new studies have investigated academic and clinical performance between the two EM training lengths. For example, four-year programs could offer formal research training or niche clinical experiences such as aeromedical or telemedicine, which a 3-year curriculum cannot not feasibly accommodate. Ann Emerg Med.

EMS 114

EMS Academics Telemedicine Operations 114

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

Emergency Live

DECEMBER 22, 2023

A 2018 study conducted by the Agency for Healthcare Research and Quality analyzed eight clinical trials involving 1,466 participants and found that […] The post Yoga for Back Pain: A Natural Solution appeared first on Emergency Live.

Research 52

Research 52

Don't Forget the Bubbles

AUGUST 28, 2023

Arguably, more robust research is neither feasible nor ethical to conduct in such a rare and time-critical emergency. Given that the study is now nearly 20 years old, newer research is needed to further back up current guidelines. doi:10.1136/archdischild-2018-315269 Hammer MM, Miskin N, Madan R, Hunsaker AR. RadioGraphics.

Pediatrics 97

Pediatrics Research Emergency Department Ultrasounds 97

The Trauma Pro

MAY 10, 2024

This may be helpful for future triage-related research. 2018 May;84(5):718-726. Once again, let’s look at over- and undertriage experience in the paper: Undertriage: 9.1% undertriage (Cribari) reduced to 3.3% It also standardizes comparisons between hospitals that use STAT. What Does It All Mean? J Trauma Acute Care Surg.

Blood Transfusions 113

Blood Transfusions Radiology Radiology Documentation/Coding 113

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

MAY 19, 2018

[display_podcast] Date: May 16, 2018 Reference: Freund et al. JAMA February 2018. display_podcast] Date: May 16, 2018 Reference: Freund et al. JAMA February 2018. JAMA February 2018. PROPER stands for PERC Rule to Exclude Pulmonary Embolism in the Emergency Department.

Emergency Department 52

Emergency Department Research EKG/ECG 52

PulmCCM

SEPTEMBER 23, 2024

Links: Ekström M et al; REDOX Collaborative Research Group. Report of the Medical Research Council Working Party. 2018 Aug 28;13:2623-2628. Long-Term Oxygen Therapy for 24 or 15 Hours per Day in Severe Hypoxemia. N Engl J Med. 2024 Sep 19;391(11):977-988. doi: 10.1056/NEJMoa2402638. Epub 2024 Sep 10. PMID: 39254466.

COPD 52

COPD Research Academics Hospitals 52

PHEM Cast

MARCH 18, 2021

Research advances in pathogenesis and prophylactic measures of acute high altitude illness. 2018; 145: 145-152. Consensus statement from the UIAA on People with Pre-Existing Conditions Going to the Mountains, and their website for more useful resources. Li Y, Zhang Y, Zhang Y. Respiratory Medicine.

Research 52

Research 52

Don't Forget the Bubbles

JANUARY 29, 2024

Research remains limited, with small sample sizes, open-label protocols and variability in dosage and timing of introduction of cannabidiol therapy. 2018; 391(10125):1085‐96 Vasquez, A., Case series show a significant reduction in seizures when used in children with FIRES. 2016;35:56-58 Thiele EA., The Lancet. Farias-Moeller, R.,

Seizures 122

Seizures Pediatrics Research Wellness 122

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. Dedication to your community may expand into areas of passion and/or vocation as you create CPR education workshops for your communitys daycares and schools. Garca H, Miralles F.

Academics 52

Academics Wellness CPR Hospitals 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

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

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. Read in WSJ Less can be more in cancer treatment , according to new research presented at the American Society of Clinical Oncology conference in Chicago.

Outcomes 98

Outcomes Ultrasounds Hospitals Wellness 98

ALiEM

NOVEMBER 27, 2023

Another case report from 2018 used ultrasonography to identify a thickened hepatic capsule in an 18-year-old female with RUQ pain, later confirming FHCS by CT without the need for laparotomy [3]. Yeungnam Univ J Med 35(1), 127-129 (2018). References Moon, Y.H., Theofanakis, C.P., Kyriakidis, A.V. Fitz-Hugh–Curtis syndrome.

Ultrasounds 64

Ultrasounds Academics Operations OB/GYN 64

PEMBlog

SEPTEMBER 23, 2024

51,2 (2018): 126-128. 2019, doi:10.1136/bcr-2018-228790 Jafrani, Ryan et al. Brain tumor research and treatment vol. “Post-traumatic intraosseous leptomeningeal cyst.” Radiologia brasileira vol. doi:10.1590/0100-3984.2016.0166 Furtado, Leopoldo Mandic Ferreira et al. 12,4 e228790. 2016 (2016): 6964713. 11,3 (2023): 210-215.

Pediatrics 59

Pediatrics Radiology Radiology Research 59

EMDocs

MAY 24, 2023

You should have done some research and followed up on it. A 2018 survey of EP’s showed that many do not: 30% for plain films and 57% for advanced imaging like CT and MRI. You never told me, you never told my PCP and you never told the emergency physician that I even had a mass and that it could be cancer.

Radiology 82

Radiology Radiology EKG/ECG Patient Safety 82

EMDocs

JUNE 8, 2023

Trial discontinued prematurely by data and safety monitoring board due to “loss of equipoise,” citing positive findings in the trial “Efficacy and Safety of MRI-Based Thrombolysis in Wake-Up Stroke (the WAKE-UP trial)” Ultimately, 225 patients were enrolled from August 2010 through June 2018. Intervention: Alteplase 0.9 to 53.54, p=0.053).

Stroke 95

Stroke Administration Documentation/Coding Outcomes 95

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. Date: February 11th, 2020 Reference: Yeh et al. Parachute use to prevent death and major trauma when jumping from aircraft: randomized controlled trial. Reference: Yeh et al.

Wellness 52

Wellness Outcomes Emergency Department 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

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

RebelEM

FEBRUARY 29, 2024

The authors rightfully note future research targets should include how/if the routine use of ceftriaxone increases antibiotic resistance in a population that is already quite vulnerable to devastating infection. Tanaffos 2018 , 17 (2), 110-116. Mortality is variable by study, but ranges from 16-70%. Sahraei, Z.; Hajiesmaeili, M.

CDC 111

CDC Radiology Radiology Head Injuries 111

The Skeptics' Guide to EM

MAY 24, 2019

Andrew Worster is a staff Emergency Physician and Professor of Emergency Medicine and Health Research Methods, Evidence, and Impact at McMaster University. He is an investigator for multiple clinical studies funded by the Canadian Institutes of Health Research. BMJ Dec 2018 * Feld et al. Pediatrics Dec 2018 * Frey et al.

Domestic Violence 40

Domestic Violence Sexual Assault Research Diabetic Emergencies 40

Don't Forget the Bubbles

MAY 29, 2023

Explored in seminal research, incivility is described as “ behaviours or mistreatment which violate the workplace norms of mutual respect “ Incivility isn’t just about obvious aggression but can take the form of passive aggression, public beratement, intimidation or habitual interruption. 2018 13(3): e0194933.

Leadership 98

Leadership Patient Safety Academics Research 98