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 132

Operations Academics Shock Outcomes 132

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. A practical scale. PMID: 4136544.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Stop and Think

MAY 10, 2023

You should first know Dan is one of the smartest and kindest academics I have met. It’s quite an honor to have legit academics comment on my Substack. My response: While I believe that academics have--as one goal—the discovery of answers to help our patients. Regarding outsized conclusions, I could not agree more.

Academics 52

Academics Research Administration Wellness 52

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 136

Shock Outcomes Resuscitation Stroke 136

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. The reasons are multiple, but I will articulate a few: Most epidemiological studies are done from large data sets that are not collected for the purpose of research.

Administration 97

Administration Outcomes Research COPD 97

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. Being perfectly honest, not all the articles have aged well.

Stroke 96

Stroke Academics Outcomes Administration 96

Don't Forget the Bubbles

JANUARY 8, 2024

Dr Elyssia Bourke, based at Ballarat Base Hospital, is actively engaged in this area through her ongoing PhD research. Although this research is still in progress, it promises to shed light on effective strategies for managing these difficult situations. Organic Illnesses : Often overlooked, these can manifest as behavioural changes.

Research 105

Research Emergency Department Psychiatric Academics 105

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 122

CDC Radiology Radiology Head Injuries 122

PulmCCM

JANUARY 6, 2025

A cluster randomized trial using all-cause mortality as an outcome was always needed to determine whether EMR alerts improve outcomes for suspected severe infection. Saudi Arabia is considered an authoritarian society, and internationally significant research projects have important political value to the monarchy.

Sepsis 45

Sepsis Documentation/Coding Hospitals Outcomes 45

Taming the SRU

APRIL 17, 2024

3) Methods This study was a retrospective observational study at a single academic tertiary care facility in their medical intensive care unit (MICU). The primary outcome was defined as agreement of less than 10 % of the mean arterial pressure (MAP) between simultaneously recorded IABP and NIBP measurements.

Sepsis 94

Sepsis Research Stroke Academics 94

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. Senior faculty face entirely different challenges; once-sharp clinical skills may have dulled over time, or the academic career hits a dead end – be it through stagnation, boredom, or waning interests.

Academics 64

Academics Leadership Wellness Research 64

Sensible Medicine

JULY 10, 2023

At the risk of sounding naive, I want to believe that people who choose academic medicine do so to answer important scientific questions. I’ve traveled the world and met academics. To compare these two devices, the authors chose an endpoint with 5 bad outcomes from the implant.

Academics 98

Academics Research Outcomes 98

EMDocs

NOVEMBER 25, 2023

Spoon Feed In this multicenter, randomized controlled trial comparing suturing the fingernail back onto the nail bed versus simply covering the nail bed with a non-adherent dressing after repair of a nail bed injury, there was no statistically significant difference in infection rate or cosmetic outcome. 2023 Mar 30;110(4):432-438.

Sepsis 72

Sepsis Emergency Department Pediatrics Academics 72

Sensible Medicine

JUNE 6, 2023

Lee Goldman used to talk about the difference between playwrights and theater critics as applied to research. Being a useful and constructive critic of research means identifying the strengths and weaknesses of studies. Long ago I decided that I was better suited as a critic rather than a creator.

Outcomes 96

Outcomes Infectious Diseases Research Academics 96

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

Stop and Think

JUNE 13, 2023

One of my colleagues, a former academic, who is now in industry, tells me I shouldn’t have this chapter. He says it is cynical and if I say a study was done for marketing it might insult the researchers. PARAGLIDE-HF and it’s 466 patients had no chance of showing any signal of clinical outcomes.

Outcomes 98

Outcomes Academics Shock Hospitals 98

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 Stroke 52

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. Residency length has varied since the inception of the specialty of EM.

Academics 52

Academics EMS Telemedicine Research 52

The Skeptics' Guide to EM

AUGUST 22, 2020

He is also the CME editor for Academic Emergency Medicine. He is also the CME editor for Academic Emergency Medicine. Louis and a member of their Emergency Medicine Research Core. Date: August 18th, 2020 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. Reference: Carpenter et al.

Emergency Department 52

Emergency Department Academics Research Administration 52

Sensible Medicine

OCTOBER 4, 2023

are similar from an analytical – and certainly outcomes–- perspective). There are even pay-to-participate research studies, like ZOE , which encourages CGM use to study effects of different foods on glucose levels and the microbiome. [i] As researchers we need to ask ourselves – is my study worth doing?

Research 86

Research Outcomes Stroke Academics 86

EMDocs

OCTOBER 30, 2023

Background and Context Contrast-enhanced computed tomography (CECT) is of paramount importance in the emergency department (ED) due to its indispensable role in facilitating precise diagnostic outcomes. 3 A study of CT use trends in the ED has shown increasing use of CTs by almost 60% from 2005 to 2013.

Radiology 101

Radiology Radiology Emergency Department Hospitals 101

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

The Skeptics' Guide to EM

NOVEMBER 20, 2021

Moving the Needle on Fall Prevention: A Geriatric Emergency Care Applied Research (GEAR) Network Scoping Review and Consensus Statement. AEM November 2021 Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine and Emergency Medicine Research Lead at Lancashire Teaching Hospitals Trust (North West England).

Geriatric Emergencies 52

Geriatric Emergencies Elder Abuse Research Academics 52

The Skeptics' Guide to EM

JULY 17, 2018

He is also the CME editor for Academic Emergency Medicine Case: You’re […] The post SGEM#225: NEXUS II – Validation of the Pediatric Head CT Decision Instrument first appeared on The Skeptics Guide to Emergency Medicine. AEM July 2018 Guest Skeptics: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia.

Pediatrics 52

Pediatrics Head Injuries Academics Emergency Department 52

The Skeptics' Guide to EM

DECEMBER 12, 2020

AEM December 2020 Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine and Emergency Medicine Research Lead at Lancashire Teaching Hospitals Trust (North West England). Secondary Outcomes: Ease of procedure, pain at the time of treatment, ease of care at 36 hours, pain at 36 hours. .

Operations 52

Operations Outcomes Research Academics 52

The Skeptics' Guide to EM

APRIL 21, 2018

He is also the CME editor for Academic Emergency Medicine (AEM). He is also the CME editor for Academic Emergency Medicine (AEM). Comparison: None * Outcome: Diagnostic accuracy of various tests, features of aortic dissection and clinical decision instruments (sensitivity, specificity and likelihood ratios).

Emergency Department 52

Emergency Department Academics EKG/ECG Research 52

The Skeptics' Guide to EM

APRIL 6, 2024

He is the designer of Empiric Game, a medical editor and contributor to Pediatrics Reviews and Perspectives (PedsRAP) and the digital media editor at Academic Pediatrics. This tragic outcome slowed the development of an RSV vaccine for years. Michael Cosimini is a pediatrician in Portland Oregon.

Pediatrics 54

Pediatrics Hospitals Research Academics 54

The Skeptics' Guide to EM

APRIL 8, 2023

2023 Apr Guest Skeptics: Dr. Louella Vaugh is an internist practising as a hospitalist physician at an academic centre in London, UK with a special interest in smaller, rural and remote healthcare. John Brown PhD is a Professor of Health Services Research in Ireland who has been studying rural healthcare issues since 2012.

Stroke 57

Stroke Emergency Department COPD Academics 57

SheMD

JULY 27, 2023

What were their outcomes: Physician mothers report having more domestic responsibilities than their partners. Unequal distribution of domestic responsibility has been documented as a factor in the underrepresentation in female physicians in leadership roles in academic medicine as well as contributing to career satisfaction.

Academics 52

Academics Leadership Documentation/Coding Research 52

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

The Skeptics' Guide to EM

JANUARY 27, 2018

He is also the CME editor for Academic Emergency. He is also the CME editor for Academic Emergency. Outcome: * Primary Outcomes: Reduction in peripheral IV catheters placed post-intervention and usage * Secondary Outcome: PIVC insertion cost (staff and consumables) This is an SGEMHOP episode, so we have the lead author on the show.

Emergency Department 40

Emergency Department Academics Outcomes Research 40

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

Mind The Bleep

OCTOBER 6, 2023

Small changes on a population level can lead to huge differences in outcomes, and this can be incredibly rewarding. Conferences: A great opportunity to network and present your research findings. Publications and public health research: Getting involved in research is a great way to network and learn more.

Academics 52

Academics Teamwork Research Outcomes 52

Cook County EM Blog

APRIL 27, 2022

2019.09.007 What : Retrospective cohort study of all droperidol administrations between January 2012 and April 2018 at an academic and pediatric emergency department in the US with 77,000 annual visits. Chair of Division of Research Department of Emergency Medicine | Cook County Health Am J Emerg Med. 2020;38(7):1310-1314.

Administration 52

Administration EKG/ECG Emergency Department EMS 52

The Skeptics' Guide to EM

DECEMBER 11, 2021

Date: December 10th, 2021 Guest Skeptic: Dr. Carly Eastin is an Associate Professor, Division of Research and Evidence Based Medicine, Department of Emergency Medicine, University of Arkansas for Medical Sciences. no statistical difference in primary outcome of SOFA scores at 72 hours or the secondary outcome of 30-day mortality.

Sepsis 40

Sepsis Shock Outcomes Research 40

ACEP Now

DECEMBER 10, 2023

Today Dr. Calderon is known for her research into HIV and Hepatitis C prevention, but she didn’t start off on an academic track. She was 10 years into being an attending physician when she realized that to make an impact on the problems she was seeing in her ED, she would need a better understanding of how to do research. “I

Research 52

Research Point-of-Care Testing Burns Academics 52

ACEP Now

JUNE 7, 2023

Background DHH patients experience disparities in social outcomes as well as health inequities. However, little research has been done to compare ED-focused outcomes for these two groups of patients. 1 This is likely due to audism, which creates privilege for non-DHH people in our society. 1,6 Reference: James TG, et al.

Emergency Department 52

Emergency Department Outcomes Research Academics 52