Taming the SRU

JULY 24, 2024

Population Patients were adult (18 or older) patients at a single academic emergency department who were triaged to a resuscitation bay and were not classified as a trauma, STEMI, stroke, cardiac arrest, or active labor. sensitivity, 84.9% specificity) and 60 minutes (85.1% sensitivity, 87.2% specificity).

Sepsis 89

Sepsis Resuscitation Emergency Department Wellness 89

PulmCCM

JANUARY 6, 2025

Rather, CMS should seek counsel from leaders in systems-based processes of care, teamed with frontline emergency physicians and intensivists from academic centers and the community, who could call for briefing and expertise from other sources as appropriate.

Sepsis 45

Sepsis Documentation/Coding Hospitals Outcomes 45

EMDocs

OCTOBER 30, 2023

Relative proportions of reported diagnostic indications versus clinical outcomes in a retrospective analysis of all CT imaging in 3 EDs over 1 year at an academic center. Under standard operating protocols, residual contrast materials are usually wasted, according to current CDC and JC standards. West J Emerg Med. 2017;18(5):835-845.

Radiology 101

Radiology Radiology Emergency Department Hospitals 101

RebelEM

JUNE 8, 2023

They can be associated with side effects such as reflex bradycardia, decreased stroke volume in phenylephrine, tachycardia and hypertension associated with epinephrine. However, peripherally dosed push dose pressors, (PDPs), are beginning to be administered more frequently for management of acute hypotension.

Administration 98

Administration Emergency Department Outcomes Documentation/Coding 98

Taming the SRU

AUGUST 4, 2024

The largest retrospective cohort study to date (Beyde et al.) shows that most will improve with empiric antibiotics.

Dislocations 85

Dislocations Emergency Department Documentation/Coding Burns 85

Taming the SRU

AUGUST 30, 2023

A 2011 meta-analysis in the journal of Academic Emergency Medicine found ESR, CRP, and PCT were not acutely useful in the diagnosis of septic arthritis due to wildly varying sensitivities and specificities between studies. They recommend synovial joint aspiration and analysis for bacteria (and leukocytes) to diagnose SANJO [28].

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

ACEP Now

JANUARY 5, 2025

In a prospective study comparing clinician gestalt against systemic inflammatory response syndrome, Sequential Organ Failure Assessment (SOFA), quick SOFA, Modified Early Warning Score (MEWS), and a logistic regression machine learning model using Least Absolute Shrinkage and Selection Operator (LASSO), the obvious winner was the clinician.

Sepsis 40

Sepsis Research Airway Management Stroke 40