Pediatric EM Morsels

JUNE 9, 2023

Luoto, 2020 ] Increase resistance can be related to pre-hepatic , intra-hepatic , or post-hepatic etiologies. Luoto, 2020 ] Increase resistance can be related to pre-hepatic , intra-hepatic , or post-hepatic etiologies. Banc-Husu, 2023 ; Luoto, 2020; Carneiro de Moura, 2018 ] Basics are best (always)! 2020 May;70(5):628-634.

Pediatrics 152

Pediatrics Head Injuries Airway Management Administration 152

EMDocs

AUGUST 3, 2024

He Was Right Spoon Feed This systematic review found that approximately 4%-27% of patients presenting to the ED with presyncope experienced serious outcomes within a 30-day period. Source Serious outcomes among emergency department patients with presyncope: A systematic review. Acad Emerg Med. 2024 Jun 9. doi: 10.1111/acem.14943.

Emergency Department 74

Emergency Department Outcomes Hospitals 74

Emergency Medicine Journal

APRIL 22, 2024

Methods This was a multicentre prospective observational study of adult ED patients presenting to five Australian hospitals between November 2020 and September 2021. The primary outcome was index AMI, including type 1 or 2 non-ST segment elevation MI (NSTEMI) or ST-elevation MI (STEMI) following presentation.

Emergency Department 98

Emergency Department Outcomes EKG/ECG Hospitals 98

Pediatric EM Morsels

AUGUST 11, 2023

Infections there become complicated very quickly and the outcomes can be very poor. 2020 Oct 24;12(10):e11141. Inpatient Vs Outpatient Therapy No standard approach… but… here is what I say: “ Always Fear Infections in the Hands, Feet, or Face.” ” Those areas have very important and delicate structures.

Burns 130

Burns Pediatrics EMS Outcomes 130

Sensible Medicine

JUNE 6, 2024

The first two weeks of March 2020 were jolting. Although he initially rejected it, by April 2020, he recommended community cloth masking to slow the coronavirus (an intervention for which we now have randomized data showing it doesn’t work). In other words, if policies actually work, this method is able to prove that they work.

Infectious Diseases 145

Infectious Diseases Research Outcomes 145

Emergency Medicine Journal

JUNE 22, 2023

The primary outcome was intubation or non-invasive ventilation, death or intensive care unit admission at 30 days. Results Of the 446 084 patients, 15 397 (3.45%, 95% CI 34% to 35.1%) experienced the primary outcome. Clinical decision-making for inpatient admission achieved a sensitivity of 0.77 (95% CI 0.76

Outcomes 98

Outcomes 98

Pediatric EM Morsels

AUGUST 9, 2024

2019, there were 1,875 and this trend has continued to increase (2,157 case in 2020; 2,855 cases in 2021). If not treated early, then increased risk of poor outcomes and death. doi: 10.1136/bcr-2020-240532. Rates of congenital syphilis are increasing. Foles, 2024 ] In the US, from 2013-2018, cases increased from 362 to 1,306.

Emergency Department 152

Emergency Department Hyperthermia / Hypothermia Seizures Pediatrics 152

PulmCCM

APRIL 29, 2024

Simvastatin has anti-inflammatory properties, and while it isn’t an effective treatment for ARDS overall, it may improve outcomes in the subset of people with ARDS due to increased inflammation.

Outcomes 52

Outcomes 52

Emergency Medicine Journal

MARCH 21, 2024

Pandemic phase-related racial and ethnic disparities in COVID-19 positivity and outcomes among patients presenting to emergency departments during the first two pandemic waves in the USA The COVID-19 pandemic will likely be one of the most significant clinic events for any of us in our professional lives.

Emergency Department 52

Emergency Department Outcomes 52

RebelEM

JANUARY 18, 2024

It is well-established that earlier recognition and treatment can lead to better outcome for these patients . Three outcomes were evaluated, with none being deemed the primary outcome. Background: Sepsis remains one of the leading causes of morbidity and mortality. to 0.97; p = 0.02 to 2.07; p = 0.91 to 12.33; p = 0.26

Sepsis 121

Sepsis Hospitals Administration Outcomes 121

Taming the SRU

JUNE 28, 2024

In 2018, Cheskes et al in Canada decided to examine these therapies and compare their outcomes. They utilized paramedic services to compare outcomes of dual sequence vs vector change defibrillation in regards to survival to hospital discharge as well as termination of v fib, rates of ROSC, and neurologic outcome at discharge.

Shock 69

Shock Hospitals Outcomes CPR 69

Taming the SRU

MARCH 27, 2024

The parent trial was conducted from October 2020 to July 2022 in the capital region of Denmark. The primary outcome was cumulative norepinephrine use during the first 48 hours of admission. That said, outcomes for these patients are generally poor and the use of steroids as a one-time dose likely has little risk. Hill, J.

Resuscitation 91

Resuscitation Outcomes CPR Hospitals 91

EMDocs

NOVEMBER 7, 2023

No difference in their primary outcome of complications and need for emergency surgery (1.9% Outcome measures were complicated diverticulitis, recurrent diverticulitis and sigmoid resection at 24 months’ follow up. 2020 Mar 30:S1542-3565(20)30426-2. 623 patients included. in the observational group versus 14.9%

Sepsis 88

Sepsis Best Practices Hospitals Outcomes 88

EMDocs

SEPTEMBER 7, 2024

Spontaneous retroperitoneal hematoma: etiology, characteristics, management, and outcome. Clinical spectrum, risk factors, management and outcome of patients with retroperitoneal hematoma: a retrospective analysis of 3-year experience. 2020 May;13(5):545-555. Epub 2020 Mar 3. 2020 Jun;13(6):i. J Emerg Med.

EMS 58

EMS Fluid Resuscitation Resuscitation Radiology 58

PulmCCM

SEPTEMBER 28, 2023

Systemic corticosteroids (such as intravenous dexamethasone) improve outcomes in severe pneumonia due to SARS-CoV-2 infection. It makes sense that inhaled steroids might improve outcomes from less severe infections. Predominant SARS-CoV-2 strains during that trial’s enrollment (July-December 2020) were Wuhan, Alpha and Delta.

COPD 95

COPD Stroke Academics Urgent Care 95

Emergency Medicine Journal

JUNE 20, 2024

The associations between where you live and your health outcomes are increasingly understood. In 2020, Quality Watch, a joint venture funded by the Nuffield Trust and the Health Foundation, found that long waits for emergency care were greater in the most deprived areas.

Outcomes 40

Outcomes 40

PulmCCM

NOVEMBER 6, 2023

The therapy was approved for emergency use in 2020 by FDA after an observational study of 10 patients showed likely benefit (yes, 10, which should remind us of our collective desperation). patients infected with the Wuhan/Delta variants in 2020-2021). Thromboelastometry (e.g., The balloon generally required 30 minutes to insert.

Blood Transfusions 98

Blood Transfusions Operations Resuscitation Infectious Diseases 98

The Skeptics' Guide to EM

MARCH 18, 2023

Association of early oseltamivir with improved outcomes in hospitalized children with influenza, 2007-2020. Association of early oseltamivir with improved outcomes in hospitalized children with influenza, 2007-2020. Association of early oseltamivir with improved outcomes in hospitalized children with influenza, 2007-2020.

Pediatrics 40

Pediatrics Infectious Diseases Administration Outcomes 40

RebelEM

APRIL 17, 2023

An extensive systematic review with more than 30,000 patients found no difference in the odds of treatment failure for patients with PTA managed with medical intervention alone or surgically (Forner 2020). 2020 Nov;163(5):915-922. Epub 2020 Jun 2. 2020, August 18). Otolaryngol Head Neck Surg. PMID: 32482146. Podcast Blog.

Ultrasounds 123

Ultrasounds Radiology Radiology Operations 123

Dr. Smith's ECG Blog

JUNE 5, 2024

IMPRESSION: The finding of sinus bradycardia with 1st-degree AV block + marked sinus arrhythmia + the change in PR interval from beat #5-to-beat #6 — suggests a form of vagotonic block ( See My Comment in the October 9, 2020 post in Dr. Smith's ECG Blog ).

EKG/ECG 106

EKG/ECG Outcomes 106

Emergency Medicine Journal

NOVEMBER 28, 2023

Methods We conducted a pragmatic randomised controlled feasibility trial in two EDs in England over a 6-month period (7 October 2019 to 6 April 2020). The primary outcome for this study was trial recruitment rate. Other measures were recorded to assess potential future definitive trial outcomes and feasibility.

Fractures 40

Fractures Ultrasounds Outcomes Research 40

The Skeptics' Guide to EM

NOVEMBER 21, 2020

Date: November 19th, 2020 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. AEM November 2020. Date: November 19th, 2020 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. AEM November 2020. AEM November 2020. Reference: Pines et al. Reference: Pines et al.

Emergency Department 52

Emergency Department Telemedicine Academics Outcomes 52

SheMD

DECEMBER 17, 2023

What were their outcomes: 33.2% Similar Articles Jens Peter Andersen, Mathias Wullum Nielsen, Nicole L Simone, Resa E Lewiss, Reshma Jagsi (2020) Meta-Research: COVID-19 medical papers have fewer women first authors than expected eLife 9:e58807. ,, [link] ,, Sauder M, Newsome K, Zagales I, Autrey C, Das S, Zagales R, Bilski T, Elkbuli A.

Academics 52

Academics Leadership Research Outcomes 52

Emergency Medicine Journal

MARCH 21, 2024

Methods MEDLINE, Embase, Cochrane Central Register databases, Web of Science, ClinicalTrials.gov and grey literature were searched for articles published from February 2020 to May 2023. The main outcome was the prevalence of IBI (a pathogen bacterium identified in blood and/or cerebrospinal fluid (CSF)).

Research 52

Research Outcomes 52

Don't Forget the Bubbles

MAY 31, 2023

What outcomes did they look at? Was the outcome accurately measured to minimise bias? The inability to test for SARS-CoV-2 antibodies may have led to an underestimation of the impact of the virus on the reported outcomes. Mintegi, S., & Country Leads (2020). Was the follow-up of subjects complete enough? Bressan, S.,

Emergency Department 135

Emergency Department Research Documentation/Coding Outcomes 135

PulmCCM

JUNE 12, 2023

TTM2 found no improvement in survival or neurologic outcome among patients randomized to cooling to a target of 33 °C, as compared to controls receiving fever prevention (e.g. with acetaminophen) until temperatures reached 37.8 °C who then received external cooling to maintain a target temperature of 37.5 °C.

Hyperthermia / Hypothermia 105

Hyperthermia / Hypothermia Academics Documentation/Coding Outcomes 105

EB Medicine

JUNE 20, 2022

Association of High-Sensitivity Cardiac Troponin I Concentration With Cardiac Outcomes in Patients With Suspected Acute Coronary Syndrome. 2020 Nov;76(5):690-692. 2020 Dec;9(23):e019678. Epub 2020 Nov 26. 2020 Nov;76(5):690-692. 2020 Dec;9(23):e019678. Epub 2020 Nov 26. Circulation. 120.052380.

Outcomes 52

Outcomes 52

Taming the SRU

SEPTEMBER 25, 2023

Functional outcome of bimalleolar ankle fractures treated with fibular plate for lateral malleolus and C.C. 2020 Feb 12;4(2):e20.00005. 2020 Dec;12(6):1644-1651. Epub 2020 Sep 7. Functional outcome of bimalleolar ankle fractures treated with fibular plate for lateral malleolus and C.C. screws for medial malleolus.

Fractures 95

Fractures Operations Emergency Department EMS 95

Emergency Medicine Journal

NOVEMBER 28, 2023

Methods This multicentre randomised controlled trial was undertaken between December 2018 and July 2020 in the ED of four hospitals in the Netherlands. The primary outcome was the proportion of patients requiring more than one reduction attempt.

Fractures 40

Fractures Ultrasounds Emergency Department Operations 40

The Skeptics' Guide to EM

NOVEMBER 28, 2020

Date: November 25th, 2020 Guest Skeptic: Dr. Joe Vipond has worked as an emergency physician for twenty years, currently at the Rockyview General Hospital. Date: November 25th, 2020 Guest Skeptic: Dr. Joe Vipond has worked as an emergency physician for twenty years, currently at the Rockyview General Hospital. Should they do it?

Infectious Diseases 52

Infectious Diseases Outcomes Wellness Operations 52

Emergency Medicine Journal

MARCH 21, 2024

Patients with proven or probable COVID-19 attending 34 EDs in France, Monaco and Belgium between April and May 2020 were included. The main outcome was non-invasive or invasive ventilation or all-cause death within 7 days following inclusion.

Outcomes 52

Outcomes 52

JournalFeed

AUGUST 1, 2020

Here is the JournalFeed Podcast for the week of July 27-31, 2020. We cover pros and cons of antibiotics for dog bites, risk of delayed antibiotics in severe infection, immediate (<1h) vs early (<3h) antibiotic outcomes, and the largest meta-analysis to date on POCUS for cellulitis vs abscess.

Sepsis 52

Sepsis Outcomes 52

Sensible Medicine

JULY 28, 2023

MJ is a 24-year-old man who presents to his primary care physician on March 16, 2020 with fever, myalgia, and sore throat. March 2020: COVID strips a veteran physician of his invincibility. Early 2020 was scary. July 2020: A reprieve. June and July of 2020 felt like February 2020. Case rates were low.

Hospitals 82

Hospitals PPE Urgent Care Academics 82

Dr. Smith's ECG Blog

DECEMBER 13, 2023

Outcome: 100% LAD Occlusion Here the Queen explains why: The dark blue tells us that she is looking especially at the QRS in V3 and the T-wave in V2 and V3. Not OMI, and we (Pendell and I) always take proportionality into account. So we taught the Queen on cases with very low voltage that were OMI.

EKG/ECG 112

EKG/ECG COPD Wellness Outcomes 112

Emergency Medicine Journal

JULY 24, 2023

Methods A retrospective analysis of all referrals to critical care during the first COVID-19 surge (cohort 1, March/April 2020) and a late surge (cohort 2, October/November 2021) was undertaken. Patients with confirmed or high clinical suspicion of COVID-19 infection were included.

Hospitals 52

Hospitals Outcomes 52

Don't Forget the Bubbles

JUNE 30, 2023

American Thoracic Society, 2020 c) Rewarm and give IV K+ As the infusion is put up, Elsa goes into a VF rhythm due to a rapid shift in potassium and arrests soon after. Extracorporeal life support rewarming rate is associated with survival with good neurological outcome in accidental hypothermia. ” In C44. A5175-A5175.

Hyperthermia / Hypothermia 145

Hyperthermia / Hypothermia Military CPR EKG/ECG 145

The Skeptics' Guide to EM

JUNE 6, 2020

Date: June 2nd, 2020 Reference: Permpikul et al. Date: June 2nd, 2020 Reference: Permpikul et al. However, it has become evident that patients are often over-resuscitated with IV fluids which adversely impacts outcome. Early Use of Norepinephrine in Septic Shock Resuscitation (CENSER): A Randomized Trial. increase in MAP).

Sepsis 52

Sepsis Shock Resuscitation Outcomes 52