Taming the SRU

FEBRUARY 24, 2024

Early recognition and prompt treatment is key. non-invasive positive pressure ventilation and IV nitroglycerin infusion have been shown to reduce morbidity (intubation rates, ICU admission) & mortality.

Leadership 93

Leadership EMS Pediatrics Stroke 93

ALiEM

JANUARY 29, 2024

It requires immediate consultation with ophthalmology as well as neurology as it is considered a stroke equivalent. Stroke workup for CRAO is necessary, and don’t forget about secondary prevention/risk stratification which must be part of the management. RBSS may predict poor response to systemic thrombolysis. PMID: 23023446.

Stroke 64

Stroke Ultrasounds Academics Outcomes 64

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 largest analysis of 736 critically ill patients found a mean difference of 1 mmHg which was not statistically significant, however, there was only one measurement recorded per patient.(2)

Sepsis 93

Sepsis Research Stroke Academics 93

The Skeptics' Guide to EM

MAY 30, 2020

He is also the CME editor for Academic Emergency Medicine. He is also the CME editor for Academic Emergency Medicine. Lancet 2010 ) CRASH-3 was a well-designed, large, multi-centred randomized placebo controlled trial published in October 2019 ( The Lancet ). He is hypotensive and tachycardic.

Head Injuries 52

Head Injuries Academics EMS Outcomes 52

Taming the SRU

AUGUST 4, 2024

We discussed some practices to push learners outside of their comfort zone and promote learning, based on their level as well as their goals for the shift.

Dislocations 85

Dislocations Emergency Department Documentation/Coding Burns 85

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 97

Administration Emergency Department Outcomes Documentation/Coding 97

Dr. Smith's ECG Blog

MAY 30, 2023

We recorded an ECG in which V1-V3 were put in the position of V4R-V6R, and V4-6 were placed in V7-9 to (academically) confirm posterior OMI. I say academically because the STD in V2 is diagnostic -- posterior leads are NOT necessary. The RV is supplied during systole as well as diastole. What to do? RV MI can cause hypotension.

Shock 97

Shock EKG/ECG Academics Stroke 97

Sensible Medicine

OCTOBER 4, 2023

The device becomes a screening test or provides information to “promote wellness.” Perhaps the most well-known example happened when the nature of primary hyperparathyroidism changed with the advent of automated multi-channel chemistry tests. Devices used to monitor disease in patients often get marketed to healthy people.

Research 82

Research Outcomes Stroke Academics 82

ACEP Now

SEPTEMBER 13, 2023

“We wanted to reach emergency physicians, nurses and others working in trauma as well as those at Health and Human Services and the Centers for Disease Control. as well as working closely on behalf of the association on projects with the White House and the Departments of Veterans Affairs, Defense, and Health and Human Services.

EMS 45

EMS Research Military Academics 45

Stop and Think

OCTOBER 2, 2024

It is actually simple: you use an online calculator to get your 10-year risk of a heart attack or stroke. Well known is the fact that procedures put out a much stronger placebo effect than tablets. Academic Publishing I am now up to a modest 76 peer-reviewed co-authored papers. If not, you don’t take the pill.

Stroke 44

Stroke Academics Shock Ultrasounds 44

ACEP Now

JULY 6, 2023

5 Patients with acute ischemic strokes, STEMIs, and trauma, as well as many other diagnoses, have their workup largely completed, and even sometimes definitive therapy executed, before they leave the emergency department, rather than requiring inpatient units.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52

Taming the SRU

MARCH 31, 2023

Charon, Academic Med 2012) embracing fear in emergency medicine WITH dr. arlene chung What is fear? Narratives trigger changes of many kinds in both the teller and the listener, yielding meanings that are reciprocally produced by each teller-listener dyad.”

Allergic Reactions 40

Allergic Reactions Seizures Anaphylaxis Leadership 40

Sensible Medicine

OCTOBER 4, 2023

The device becomes a screening test or provides information to “promote wellness.” Perhaps the most well-known example happened when the nature of primary hyperparathyroidism changed with the advent of automated multi-channel chemistry tests. Devices used to monitor disease in patients often get marketed to healthy people.

Research 40

Research Outcomes Stroke Academics 40

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. Some institutions developed a tier-based system for outpatient imaging as well which was updated in real-time. West J Emerg Med. 2017;18(5):835-845. 2019;70(1):13-22.

Radiology 84

Radiology Radiology Emergency Department Hospitals 84

Pediatric EM Morsels

JULY 21, 2023

Academic emergency medicine 12.9 Acad Emerg Med. 2016 Aug;23(8):878-84. doi: 10.1111/acem.13014. Epub 2016 Aug 1. PMID: 27197686. Holmes, James F et al. Performance of the Pediatric Glasgow Coma Scale in Children with Blunt Head Trauma.” 2005): 814–819. Chung CY, Chen CL, Cheng PT, See LC, Tang SF, Wong AM. 2008 Apr;39(4):1347-8. 107.498345.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

RebelEM

FEBRUARY 29, 2024

3, 6 Among patients with stroke or traumatic brain injury (TBI), the risk may be as high as 28%-76% and 23%-60%, respectively. Patient data anonymized when presented to adjudication committee to avoid detection bias Well-balanced patient characteristics between groups. Post-stroke infection: a systematic review and meta-analysis.

CDC 107

CDC Radiology Radiology Head Injuries 107

Don't Forget the Bubbles

JUNE 30, 2023

Again, there was no increase in thrombotic stroke in the TXA group – TXA looks safe. Well, one study in Kornelson’s systematic review and meta-analysis is interesting. But remember – although the academic debate is great fun, don’t let it delay neuro-protective measures while debating the evidence!

Head Injuries 145

Head Injuries Seizures Pediatrics Outcomes 145

Taming the SRU

JUNE 6, 2023

then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9, then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9, then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9,

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64

Dr. Smith's ECG Blog

JANUARY 5, 2020

speci fi city of the General Electric (GE) algorithm for AF, but they excluded cases with ventricular paced rhythm (VPR), in which the underlying atrial rhythm was frequently AF;we did not exclude VPR, as accurate identi fi cation of AF in VPR is important for determination of stroke risk [ 22 ]. Poon et al. sensitivity and 98.9%

EKG/ECG 52

EKG/ECG COPD Wellness Sepsis 52

Taming the SRU

MAY 3, 2023

Ultimately, on the cusp of deterioration, the patient was deemed most appropriate for transfer to a medical intensive care unit (MICU) at a large academic hospital via helicopter emergency medical services (HEMS). She was noted to have improvement in her underlying respiratory status as well and was extubated approximately three weeks later.

Wellness 52

Wellness Hospitals Shock Outcomes 52

Taming the SRU

AUGUST 30, 2023

As the name would suggest, inflammatory markers are biological markers of, well, inflammation. 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.

Infectious Diseases 88

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 88

EMDocs

NOVEMBER 13, 2023

2 Outcomes of patients presenting with ischemic stroke who received MRI as initial imaging modality have demonstrated similar outcomes to those with initial CTA, with Kim et al. Stroke Authors’ Recommendation: CTA head/neck should be acquired in patients with stroke symptoms presenting within 24 hours of symptom onset.

Stroke 98

Stroke Radiology Radiology Emergency Department 98

Dr. Smith's ECG Blog

APRIL 8, 2015

True Syncope: If, on the other hand, the patient is well, had no other serious symptoms , has a normal sinus rhythm, and normal physical exam , then you need to be certain the syncope was not due to a dangerous brady- or tachydysrhythmia that could recur. Academic Emergency Medicine., Vasovagal syncope is generally benign. Mukarram, M.,

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

EMDocs

FEBRUARY 3, 2025

These complications affect both the central and peripheral nervous systems and encompass a wide range of conditions, including transient ischemic attacks (TIA), stroke, headaches, mood disorders, seizures, psychosis, neuropathy, and cognitive dysfunction (1,6,7).

Stroke 58

Stroke EMS Seizures Outcomes 58