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. How well a patient can use their arm matters greatly to the patient!

Research 83

Research Outcomes Fractures Pediatrics 83

Don't Forget the Bubbles

AUGUST 23, 2023

Definitive emotional support is critical to our emotional and psychological well-being. 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. Psychological harm occurs.

Emergency Department 98

Emergency Department Resuscitation Documentation/Coding Best Practices 98

Don't Forget the Bubbles

JANUARY 24, 2024

The first human trials for children with SRSE were conducted in 2014 where 2 patients responded well to the treatment and there have been encouraging results in open label adult trials more recently. 2018 May 17;378(20):1888-1897. 2018 Dec;84(6):940-945. Epub 2018 Nov 30. N Engl J Med. doi: 10.1056/NEJMoa1714631.

Seizures 111

Seizures Pediatrics Outcomes Hyperthermia / Hypothermia 111

EMDocs

JUNE 8, 2023

and 9 hours of symptom onset; stroke symptoms that started during sleep were assumed to have started halfway between the actual last known well and the time of wake-up. 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%

Stroke 96

Stroke Administration Documentation/Coding Outcomes 96

Don't Forget the Bubbles

AUGUST 28, 2023

Management must be multidisciplinary involving anaesthetics, paediatric retrieval service/paediatric intensive care, ENT and oncology teams (as well as the cardiothoracic surgery team – not always available). Arguably, more robust research is neither feasible nor ethical to conduct in such a rare and time-critical emergency.

Pediatrics 97

Pediatrics Research Emergency Department Ultrasounds 97

RebelEM

AUGUST 14, 2023

Investigators asked a patient-centered research question. Demographics, severity of illness, and comorbidities were well balanced between groups and the intervention and control groups have the same prognosis. Many of the secondary outcomes were changed well after most of the data was acquired. 2018 Mar;36(3):480-487.

Sepsis 97

Sepsis Outcomes Administration EMS 97

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 106

Research Documentation/Coding Wellness 106

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

Don't Forget the Bubbles

JANUARY 29, 2024

He has a diagnosis of epilepsy and was on multiple anti-seizure medications as well as a ketogenic diet. 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., 2016;35:56-58 Thiele EA., The Lancet.

Seizures 122

Seizures Pediatrics Research Wellness 122

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. as well as patients less than 18 years old were excluded from analysis. Further, the authors speculate that this protocol may be appropriate for sicker patient populations though further research is needed.

Operations 97

Operations Hospitals Best Practices Wellness 97

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 Outcomes Administration Research 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. Well, instead of passively waiting for Godot, you can seize the initiative and bend the arc of your career into alignment with your values, strengths, and passions, and, by extension, toward fulfillment.

Academics 64

Academics Leadership Wellness Research 64

Taming the SRU

APRIL 14, 2024

You may place cold packs or ice packs to the hernia site to help reduce inflammation and swelling, as well as to assist in local analgesia. Symptoms include persistent tenderness in the area, as well as symptoms of obstruction including nausea, vomiting, and pain, despite reduction. (2) 1) In a study performed by Chen et al.

Ultrasounds 93

Ultrasounds Emergency Department Pediatrics Radiology 93

The Skeptics' Guide to EM

AUGUST 20, 2022

Stroke 2022 Guest: Dr. Jeff Saver is a Professor and SA Vice Chair for Clinical Research, Carol and James Collins Chair, Department of Neurology, Director of the UCLA Comprehensive Stroke and Vascular Neurology Program at the David Geffen School of Medicine at UCLA.

Stroke 52

Stroke Best Practices EMS Research 52

RebelEM

FEBRUARY 29, 2024

Patient data anonymized when presented to adjudication committee to avoid detection bias Well-balanced patient characteristics between groups. It was hypothesized that ceftriaxone may impact bacterial colonization, and further research should characterize respiratory flora prior to initiation of prophylactic antibiotics. Sahraei, Z.;

CDC 111

CDC Radiology Radiology Outcomes 111

Dr. Smith's ECG Blog

SEPTEMBER 7, 2024

Eur Heart J 2018. Evidence for Wellens as a reperfusion syndrome To my knowledge, there is no research paper demonstrating this. There is also a very negative (reciprocally inverted) T-wave in lead III, and a down-up T-wave in aVF, both of which are highly suggestive of occlusion of the LAD or D1. Lemkes et al. Full text link.

EKG/ECG 116

EKG/ECG Research Wellness 116

The Skeptics' Guide to EM

MAY 14, 2022

He is also one of the world’s leading researchers on pain management in the emergency department and specifically the use of ketamine. He denies numbness or paresthesia in both lower extremities, as well as bowel or bladder dysfunctions. His twitter handle is @PainFreeED. A heating pad and acetaminophen has not helped with the pain.

Emergency Department 52

Emergency Department Research Wellness 52

SheMD

NOVEMBER 9, 2023

Step 1: Be realistic with your schedule There is so much pressure to do it all: see our friends, sleep, volunteer, publish research, serve our communities, sit on committees, eat healthy, study, be leaders, mentor, exercise, pass whatever looming board exam there is, get accepted for whatever next thing we’re applying for.

Leadership 52

Leadership Wellness Research 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. When you are using CT imaging, a CT with IV contrast is preferred. Ann Emerg Med.

Radiology 67

Radiology Radiology Emergency Department Ultrasounds 67

EMDocs

JULY 1, 2023

Upon further research in the 1970’s, retrospective data from autopsies of those patients showed coronary aneurysms 5 Pathophysiology: Kawasaki Disease is a vasculitis of medium sized arteries. 2018; 3: e41-e45. Kawasaki disease: epidemiology and etiology. In: Post TW, ed. UpToDate;2022. Accessed December 31, 2022. link] Ramphul, K.,

EMS 87

EMS Infectious Diseases Pediatrics Research 87

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]. vs. 18.3%).

Ultrasounds 125

Ultrasounds Outcomes COPD Hospitals 125

American Medical Compliance

DECEMBER 7, 2022

In 2018, that number dropped to just 34 percent. Centering trust in patient-doctor interactions will be key to improving safety and well-being for everyone. Research often examines patient trust in doctors, but not doctors’ trust in patients. Causes of Lowered Physician-Patient Trust.

Sexual Assault 52

Sexual Assault Emergency Department Research Hospitals 52

Don't Forget the Bubbles

FEBRUARY 19, 2024

The Role of Gaming in Emotional Well-being Stress Relief: Gaming can be a form of relaxation and stress relief, providing an escape from the pressures of daily life. There is a complex interplay between gaming, psychological needs, and adolescent well-being. It can offer a safe environment to unwind and engage in enjoyable activities.

Academics 59

Academics Leadership Research Teamwork 59

Don't Forget the Bubbles

JUNE 17, 2024

Nonetheless, research has consistently shown that healthcare environments demonstrate higher-than-average levels of workplace incivility. Loss of psychological safety and mental well-being persist long after the episode and can impact future episodes of care. John Wiley & Sons, 2018 Edward KL, Ousey K, Warelow P, Lui S.

Leadership 105

Leadership Resuscitation Teamwork Patient Safety 105

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

Don't Forget the Bubbles

NOVEMBER 15, 2023

As well as requesting relevant investigations and reviewing her drugs, you send paired urine and serum electrolytes to calculate a fractional excretion of sodium to categorise the cause as pre-renal vs other (see [link] for more information). 2018 Apr;44(4):409-417. Epub 2018 Mar 27. Intensive Care Med.

Resuscitation 80

Resuscitation Dehydration Administration Shock 80

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

The Skeptics' Guide to EM

OCTOBER 3, 2020

She is the creator of the HEART Score and an enthusiastic researcher. She is the creator of the HEART Score and an enthusiastic researcher. NEJM July 2020 Case: A 65-year-old man with a history of well controlled hypertension presents to the emergency department and is diagnosed with a mild stroke (NIHSS score 3).

Stroke 40

Stroke Emergency Department Research Wellness 40

Don't Forget the Bubbles

JULY 26, 2023

A cardiac family history should of course be sought, but think a little outside the box as well. On arrival at hospital the child was well with normal observations. In some specific congenital heart diseases, the prevalence of arrhythmias is now being seen as a late surgical complication as children now survive into adulthood.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

EMDocs

JANUARY 29, 2024

However, other sources suggest that the optimal blood pressure target is not well established and may vary depending on the individual patient’s characteristics and the type of hemorrhagic transformation [7]. These targets can be achieved by using short-acting, titratable intravenous medications such as beta-blockers or nicardipine [1].

Stroke 94

Stroke Outcomes EMS Seizures 94

Don't Forget the Bubbles

FEBRUARY 26, 2024

Increasing PEEP is thought to cause bronchodilation by providing direct mechanical stimulus as well as secondary stimulation through pulmonary stretch receptors coupled with activation of the non-cholinergic parasympathetic pathway. 2018 Jun;54(6):633-7. This, in turn, inhibits the bronchoconstriction cholinergic pathway. Scotland HI.

Pediatrics 72

Pediatrics Research Documentation/Coding Outcomes 72

Northwestern EM Blog

JANUARY 24, 2022

Due to its extremely high morbidity and mortality as well as high healthcare costs, the prompt recognition, diagnosis and resuscitation of shock is key. To reverse these effects as well as refractory hypotension, hydrocortisone is the preferred agent due to both its glucocorticoid and mineralocorticoid properties. 2018; 22(1):215.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

PulmCCM

APRIL 1, 2024

Any longer-term benefits remain unknown, due to a paucity of research. That could (and should) change if improved functional outcomes, persisting for months after hospital discharge, are ever confirmed in large, well-conducted trials. Is this safe?

Ultrasounds 40

Ultrasounds Operations Outcomes Research 40

RebelEM

JANUARY 23, 2023

Second-generation H1 antihistamines (cetirizine, loratadine, and fexofenadine) do not cross the blood-brain barrier as easily (Bernstein J 2018). Philadelphia: Wolters Kluwer Health; 2018. Clark S, Bock SA, Gaeta TJ, Brenner BE, Cydulka RK, Camargo CA; Multicenter Airway Research Collaboration-8 Investigators. Antihistamines.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

Don't Forget the Bubbles

MARCH 19, 2024

Paediatric social admissions, unlike social determinants of health (SDOH) and adverse childhood experiences (ACEs) is under-researched. Just 20% of a person’s health and general well-being is related to access to care and the quality of services. More ACEs can lead to increased rates of common childhood illnesses. Dublin: Author.

Hospitals 52

Hospitals Psychiatric Documentation/Coding Pediatrics 52

EM SIM Cases

MARCH 14, 2023

He is a staff physian at McMaster Children’s Hospital, scholar with the McMaster Education Research, Innovation and Theory (MERIT) program and Founding Program Director for the Pediatric Emergency Medicine subspecialty residency program. Academic Life in Emergency Medicine. Ericsson KA. Psychological Review 100(3):363-406.

CPR 52

CPR Resuscitation Pediatrics Academics 52

PEMBlog

JUNE 5, 2024

It was inspired by a hot-off-the-presses publication from the Pediatric Emergency Care Applied Research Network (PECARN) focused on clinical decision rules for cervical spine imaging in children. Leonard JR, Jaffe DM, Kuppermann N, Olsen CS, Leonard JC; Pediatric Emergency Care Applied Research Network (PECARN) Cervical Spine Study Group.

Fractures 52

Fractures Pediatrics Radiology Radiology 52