RebelEM

OCTOBER 2, 2023

No statistical differences in safety between groups Operational Impact Median ED LOS (PRIMARY OUTCOME): SQuID: 8.9hrs (6.5 No statistical differences in safety between groups Operational Impact Median ED LOS (PRIMARY OUTCOME): SQuID: 8.9hrs (6.5 tests/hr (0.8 Traditional: 1.0 tests/hr (0.8 Pre-Intervention: 1.0 tests/hr (0.9

Operations 105

Operations Academics Outcomes Fluid Resuscitation 105

Sensible Medicine

SEPTEMBER 18, 2023

They then looked at a primary outcome of death. Earlier surgery may improve outcomes in these high-risk patients. Differences in baseline characteristics between the 2 groups likely largely explain the differences in their outcomes as discussed above, and propensity matching was not performed. vs 18.2% ; P =.036). I am asking.

Operations 121

Operations Academics Shock Outcomes 121

Sensible Medicine

JANUARY 17, 2024

The episode details examples of academic papers with fraud — the data were fabricated, and there were many tell tale signatures of fraud along the way. Most academics create causal conclusions that aren’t true. This week Freakonomics has an interesting podcast about science. It explores how and why this happens.

Academics 108

Academics Outcomes Wellness 108

ALiEM

OCTOBER 30, 2023

Those who take the academic route face unclear promotion expectations, uncertainty about their niche, and a double-whammy of high clinical burden and a tacit expectation that you “prove” your worth as a teacher by taking on more tasks before being rewarded with salary support. And that’s exactly the purpose of a coach.

Academics 64

Academics Leadership Wellness Research 64

Sensible Medicine

SEPTEMBER 12, 2024

3 Another meta-analysis in HF patients indicated that higher doses of ACEIs and ARBs, compared to lower doses, significantly improved outcomes. 4 The study's open-label design increases the risk of differential misclassification of outcomes and performance biases. References 1. Bocchi EA, Echeverria LE, Demacq C, et al.

Academics 64

Academics Outcomes Hospitals Wellness 64

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 102

Hyperthermia / Hypothermia Academics Documentation/Coding Outcomes 102

SheMD

DECEMBER 17, 2023

Emergency medicine has a notable gender gap in publications, which is a factor in career advancement in academic medicine. How they measured things: Articles published in Annals of Emergency Medicine and Academic Emergency Medicine from March 2019 to February 2021 were included, aside from the annual scientific assembly.

Academics 52

Academics Leadership Research Outcomes 52

EMDocs

SEPTEMBER 30, 2024

5 urban academic EDs, attending charts. Primary outcome: Prescription of ICS on ED discharge from the index visit Secondary outcomes: ICS prescription rates in high-risk subgroups Rates of outpatient follow-up within 30 days of an ED visit for asthma Variation in ICS prescription rates among attending ED physicians.

Outcomes 82

Outcomes Academics Documentation/Coding Administration 82

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. Do inhaled steroids improve Covid pneumonia? About two thirds of patients in each arm were vaccinated.

COPD 85

COPD Stroke Academics Urgent Care 85

The Skeptics' Guide to EM

JANUARY 6, 2024

One of the key motivations was the recognition that we needed to get out of the ivory towers of academic pediatric emergency medicine centers as most children are cared for outside of academic centers. Background: Back in August of 2022, we announced the start of #SGEMPeds for SGEM Season 11. Veterans Affairs and prison hospitals.

Emergency Department 104

Emergency Department Pediatrics Anaphylaxis Leadership 104

Taming the SRU

OCTOBER 31, 2024

Ann Emerg Med 2024; Study Design Validation of the qPS4 was performed as part of a retrospective cohort study of pediatric patients presenting to a tertiary academic emergency department between the ~9 year study period (01/01/2012 - 12/31/2021). The primary outcome (development of septic shock) was present in 0.3% of patients.

Sepsis 72

Sepsis Shock Pediatrics Administration 72

ACEP Now

NOVEMBER 16, 2023

2,3 In the 2021-2022 academic year, categorical (non-combined) EM residency lengths included 221 (80 percent) PGY 1-3 and 55 (20 percent) PGY 1-4 programs. A fourth year of EM training offers additional supervised clinical and academic experience. Academic career preparation for residents – are we on the right track?

Academics 52

Academics EMS Telemedicine Research 52

Stop and Think

JANUARY 14, 2024

Since Andrew Foy and I wrote our Case Against Coronary Artery Scans in an academic journal, the test has only increased in popularity. The academic proponents of CAC scans strongly recommend CAC scans only to guide decision-making about using primary prevention therapies, such as statin drugs, in medium risk people. Pause there.

Academics 122

Academics Outcomes Wellness 122

SheMD

MAY 4, 2023

80% of department chair roles in academic medicine are held by men. Article Summary What they looked at: This article aimed to look at career trajectory differences between genders in faculty who have attained academic chair roles in emergency medicine. How does this apply to us? JAMA Netw Open. 2020;3(7):e2011292. Moran, C.J.

Leadership 52

Leadership Academics Operations Administration 52

Sensible Medicine

SEPTEMBER 16, 2023

Noting that the former is a difference in outcome, and the latter is treating someone differently based solely on consideration of race. Instead, their work product merely serves to further the careers of mediocre academics, performing irreproducible, low quality and often unhelpful research. Same is true for many other interventions.

Research 127

Research Academics Outcomes Administration 127

RebelEM

SEPTEMBER 14, 2023

to 1.03) Poor Neurologic Outcome (CPC 3 or 4): 24.8% to 1.03) Poor Neurologic Outcome (CPC 3 or 4): 24.8% to 1.03) Poor Neurologic Outcome (CPC 3 or 4): 24.8% to 1.03) Poor Neurologic Outcome (CPC 3 or 4): 24.8% Control: 53.4% D ECLS: 18.2% Control 8.7% Control 38.0% Control: 49.0% RR 0.98; 95% CI 0.80 to 1.19; p = 0.81

Shock 137

Shock Outcomes Resuscitation Stroke 137

Sensible Medicine

NOVEMBER 28, 2023

For many doctors in academic medicine, publishing in peer reviewed journal is an important part of their careers. People can rise through the academic ranks as gifted clinicians, creative and effective educators, and talented administrators. Patients were then randomly assigned to apixaban or 81 mg of ASA.

Stroke 78

Stroke Academics Outcomes Administration 78

Sensible Medicine

JUNE 28, 2024

If I had it all to do again, there is no doubt that I would choose medicine in general and academic general internal medicine in particular, but occasionally we all have a bad week. There were no personal crises or untoward patient outcomes. Last week was one of them. By the time she leaves the hospital, she has no residual symptoms.

Stroke 89

Stroke Academics Hospitals EKG/ECG 89

SheMD

MAY 18, 2023

There is a shortage of female physicians in academic medicine, which may be contributed to by differences in work-life balance and child rearing. Childbearing leave policies at academic medical institutions may have an impact on gender differences in faculty retention. What were their outcomes: 8.6

Academics 52

Academics Pediatrics Outcomes Hospitals 52

ALiEM

NOVEMBER 1, 2024

Pulmonary embolism with clot in transit: An analysis of risk factors and outcomes. Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. Thromb Res. 2020;187:139-147. doi: 10.1016/ j.thromres.2020.01.006.

Ultrasounds 64

Ultrasounds Academics Research Outcomes 64

SheMD

AUGUST 24, 2023

Medical specialty society membership can have an impact on the development of an academic physician’s career through networking, speaking opportunities, and awards. Underrepresentation of female faculty members may be an obstacle to career advancement in academic medicine. Why is this article important? Am J Clin Pathol. 2022.40001.

Leadership 52

Leadership Academics Outcomes Wellness 52

Pediatric EM Morsels

JULY 21, 2023

Motor Fingernail bed pressure with a pencil first If flexion outcome, then apply painful stimulus to neck or head (trapezius or supraorbital notch) to look for localization Spinal reflex can result in a falsely elevated score if lower extremity pain induced Verbal Orientated- Able to answer all questions. Academic emergency medicine 12.9

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Dr. Smith's ECG Blog

MARCH 14, 2024

Written by Jesse McLaren Three patients presented with acute chest pain and ECGs that were labeled by the computer as completely normal, and which was confirmed by the final cardiology interpretation (which is blinded to patient outcome) also as completely normal. The reliability of these ECGs should be based on patient outcome.

EKG/ECG 107

EKG/ECG Documentation/Coding Patient Safety Outcomes 107

Emergency Medicine Journal

JANUARY 22, 2024

Methods We conducted a parallel-arm, triple-blind, pilot RCT of adults (≥18 years) with DKA at a Canadian academic tertiary care ED. The primary feasibility outcome was recruitment rate (target ≥41.3% Patients, clinicians and outcome assessors were blinded to allocation.

Emergency Department 40

Emergency Department Academics Outcomes 40

SheMD

JULY 20, 2023

Four Archetypes to Help Mentees Succeed in Academic Medicine? " Mentorship is viewed as a vital part of medical education and academic medicine as a whole. In academic medicine, mentees benefit from input from all types of mentors and may have multiple mentors at once. Why is this article important? What does this mean?

Academics 40

Academics Outcomes 40

ACEP Now

AUGUST 13, 2024

Furthermore, the importance of DEI in medical education goes beyond academic discussions. Studies consistently show that having a diverse physician workforce leads to improved patient outcomes, lower mortality, reduced morbidity rates, and, ultimately, a more robust health care system. Diversity improves performance and outcomes.

Leadership 111

Leadership Outcomes Academics Emergency Department 111

The Skeptics' Guide to EM

APRIL 29, 2023

He is also the CME editor for Academic Emergency Medicine. He is also the CME editor for Academic Emergency Medicine. Clinical Question: What is the effect of TMH, versus in-person consult, on 30-day outcomes and processes of care during the visit? Yes * Was the outcome accurately measured to minimize bias?

Psychiatric 40

Psychiatric Emergency Department Urgent Care Academics 40

The Skeptics' Guide to EM

NOVEMBER 26, 2022

He is also the CME editor for Academic Emergency Medicine. He is also the CME editor for Academic Emergency Medicine. Deaf and hard-of-hearing (DHH) experience disparities in social outcomes as well as health inequities (1), likely due to audism, which creates privilege for non-DHH people in our society (2).

Academics 40

Academics Emergency Department Research Outcomes 40

Taming the SRU

SEPTEMBER 22, 2023

Several single-center and moderately-sized studies have compared the outcomes of these two methods with varying results. Trial personnel reviewed the medical record to collect each patient's baseline characteristics, periprocedural care, and clinical outcomes.

Operations 104

Operations Outcomes Emergency Department Academics 104

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 126

CDC Radiology Outcomes Radiology 126

Emergency Medicine Journal

JUNE 22, 2023

This encounter affects immediate actions and long-term outcomes by influencing future help-seeking behaviour. The questionnaire was designed by the research team and piloted by four YAS academic paramedics (see ). Self-harm is one of the most common reasons for people to present to EDs.

Ambulance Services 40

Ambulance Services Academics Research Outcomes 40

Sensible Medicine

SEPTEMBER 23, 2024

They also found that the largest difference between truncated and nontruncated trials occurred when the truncated trials had fewer than 500 outcome events. The rate of the composite primary outcome of CV death, MI, unstable angina, stroke or transient attack was 4.29% with asa vs 4.48% with placebo. The six-year trial was not stopped.

Academics 89

Academics Stroke Outcomes Shock 89

Stop and Think

OCTOBER 8, 2024

The puzzle : older trials found big gains in major outcomes (death) and newer trials struggle to show incremental gains in composite endpoints, such as one of many causes of hospitalization. Yes, hospitalizations for heart failure are 29% lower with the drug. This endpoint represents only 10% of total hospitalizations.

Hospitals 70

Hospitals Academics Outcomes 70

Mind The Bleep

OCTOBER 22, 2024

Whether you enjoy working in the high-stakes setting of a cath lab or improving patient outcomes through prevention and rehabilitation, cardiology offers something that aligns with your interests and career aspirations. Research remains encouraged within cardiology, and there will be an opportunity to develop a range of academic interests.

Evidence-Based Practice 52

Evidence-Based Practice Academics Operations Hospitals 52

The Skeptics' Guide to EM

SEPTEMBER 19, 2020

Robert’s academic interests include research and evidence-based medicine. Audrey’s academic interests include trauma and resuscitation. Robert’s academic interests include research and evidence-based medicine. Audrey’s academic interests include trauma and resuscitation. Reference: Roberts et al.

Academics 52

Academics Resuscitation EMS Research 52

PulmCCM

DECEMBER 18, 2023

In a large, complicated pragmatic cluster-crossover study at a single academic center, there was no difference in any meaningful outcome (death, ventilator-free days, or severe complications) between patients randomized to an oxygen saturation target of 90%, 94%, or 98%. NICO trial ) Does oxygen target matter?

Outcomes 52

Outcomes Academics Wellness 52

Sensible Medicine

AUGUST 21, 2023

On yesterday’s podcast , I talked with Bobby Yeh, an academic cardiologist who made a compelling case for enhancing credibility of observational research. Another problem, which is possibly surmountable, is the conflation of what one can call “patient outcomes” versus “doctor outcomes.”

Administration 84

Administration Outcomes Research COPD 84