RebelEM

NOVEMBER 30, 2023

For those with sepsis, the administration of intravenous fluids (IVF) at the volumes recommended in the Surviving Sepsis Campaign (SSC) requires careful consideration of an individual’s chronic medical conditions and subsequent sensitivity to IVF. What They Did: Researchers performed a systematic review and meta-analysis.

Sepsis 118

Sepsis Fluid Resuscitation Resuscitation Administration 118

RebelEM

OCTOBER 30, 2023

The optimal approach to fibrinogen administration in massive hemorrhage protocols is unknown. Most major hemorrhage protocols give a balanced transfusion of PRBCs, FFP, and platelets in ratios approaching concentrations found in whole blood. Fibrinogen products may also be needed to stabilize clots and stem bleeding. Paper: Davenport R et al.

Administration 125

Administration Blood Transfusions Outcomes Hospitals 125

Sensible Medicine

JUNE 15, 2024

They would rather hire more compliance officers and mid-level administrators. We force students to do fake research. This is almost exclusively low value, irreproducible, unhelpful research. There is an illness in medical schools — the idea that everyone, no matter how disinterested, should do a useless research project.

Research 144

Research Wellness Academics Administration 144

ACEP Now

NOVEMBER 7, 2023

Members in the News Ricardo Martinez, MD, FACEP has been appointed to the Executive Committee of the Transportation Research Board (TRB) of the National Academies of Science, Engineering and Medicine. An increasing focus of the TRB is to strengthen the link between mobility, transportation, and health.

Leadership 98

Leadership Administration Research Risk Management 98

Mind The Bleep

JANUARY 18, 2024

Introduction Starting my research journey as a medical student has been an incredible and transformative experience. In this article, I wholeheartedly share my personal journey, and the invaluable lessons I’ve learned along the way, and offer friendly tips to fellow medical students who aspire to delve into the world of research.

Research 52

Research Administration Hospitals Outcomes 52

ACEP Now

MARCH 6, 2024

Every year, the volume of published research continues to outpace capacity to consume. The simplicity of tenecteplase administration makes its use likely the preferred agent for treating acute ischemic stroke. The post Fourteen Emergency Medicine Research Gems from 2023 appeared first on ACEP Now. Gotta catch ‘em all!”

Research 52

Research Airway Management Stroke Outcomes 52

ACEP Now

MARCH 11, 2025

First, UFH is often perceived as stronger than alternatives, partially owing to the intravenous route of administration. 11 Most patients hospitalized with PE undergo neither CDT nor thrombolysis and, even if they do, administration of LMWH is not a contraindication. References Khor YH, Smith R, McDonald CF.

Hospitals 52

Hospitals Administration Outcomes Stroke 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. 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 98

Administration Outcomes Research COPD 98

Sensible Medicine

NOVEMBER 30, 2023

This procedure has no convincing evidence, very likely has harms exceeding benefits, may shorten her life (as lung transplant is morbid), is extremely costly, and should not be funded by insurance companies, but rather grant and research funding. Online protest led Cigna to cover the double lung transplant.

Research 145

Research Radiology Radiology Administration 145

EB Medicine

JUNE 12, 2024

Practical use and research on co-ingestions Emergency Medical Services (EMS) and Pre-Hospital Care Importance of ABCs in acute opioid overdose cases. Anecdotal insights on changing naloxone administration dosages. Urine drug testing limitations and false positives/negatives. Naloxone usage trends and an empirical approach.

Emergency Department 84

Emergency Department Administration EMS Research 84

ACEP Now

MARCH 10, 2025

You take a few days to research the role and formulate your questions. There may also be external meeting requirements such as participation in the regions Sexual Assault Response Team or multidisciplinary team meetings. Conclusion Click to enlarge.

Sexual Assault 52

Sexual Assault Forensics Leadership Pediatrics 52

Life in the Fast Lane

SEPTEMBER 3, 2023

Pramod Chandru Network Five: Emergency Medicine Conversations Network Five Emergency Medicine Conversations Episode 24 - an interview with Dr Amith Shetty on medical administration, leadership, and more!

Leadership 98

Leadership Administration Patient Safety Research 98

Medagadget

AUGUST 9, 2023

Researchers at the University of Würzburg in Germany have developed a portable scanner that is the first to be able to image humans using Magnetic Particle Imaging (MPI). Study in journal Scientific Reports : iMPI: portable human-sized magnetic particle imaging scanner for real-time endovascular interventions Via: University of Würzburg

Research 90

Research Administration Wellness Radiology 90

PEMBlog

MARCH 4, 2025

Garcia T, Florin TA, Leonard J, Shah SS, Ruddy RM, Wallihan R, Desai AP, Alter S, El-Assal O, Marzec S, Keaton M, Yun KW, Leber AL, Mejias A, Cohen DM, Ramilo O, Ambroggio L; Childrens Hospitals Initiative for Research in Pneumonia (CHIRP). Clinical Features and Management Strategies in Children With Mycoplasma Pneumoniae. Pediatr Emerg Care.

Pediatrics 94

Pediatrics Military CDC Hospitals 94

ACEP Now

SEPTEMBER 6, 2024

This is not unwelcome in the slightest, as tenecteplase administration in stroke is more straightforward than the bolus-plus-infusion requirement for alteplase. The post The Latest Research in Neurologic Emergencies appeared first on ACEP Now. Connolly SJ, Sharma M, Cohen AT, et al. N Engl J Med. 2024;390(19):1745-1755.

Research 49

Research Stroke Outcomes Sepsis 49

Taming the SRU

MAY 11, 2024

r1 clinical knowledge - r4 capstone - research grand rounds - the art of em - Community corner - PEM Lecture r1 Clinical knowledge: transplant complications WITH dr. gabor Time-sensitive peri-transplant emergencies: Bleeding fistula- stop the bleed. Flood syndrome- start fluids, give antibiotics, consult surgery. Ways to get involved?

Administration 92

Administration Resuscitation Fluid Resuscitation Research 92

University of Maryland CC Project

JANUARY 31, 2024

Elizabeth Munroe, MD, MSc is a clinical instructor and post-doctoral research fellow in the dvision of Pulmonary and Critical Care Medicine at the University of Michigan. Elizabeth Munroe, MD, MSc is a clinical instructor and post-doctoral research fellow in the dvision of Pulmonary and Critical Care Medicine at the University of Michigan.

Administration 40

Administration Sepsis Research Outcomes 40

Intensive Blog

AUGUST 19, 2024

Author: Dr Ken Hoffman Peer Reviewer: A/Prof Chris Nickson In this 5 minute video we examine the use of inhaled nitric oxide in ICU, reviewing the administration, mechanism of action, indications and side effects. If you find these videos useful, please hit the like button on Youtube and subscribe to see more!

Administration 75

Administration Research Wellness 75

Sensible Medicine

MAY 9, 2024

But, can consideration of funding source blind us to important research and opinions? In opposing tobacco-harm-reduction research and communication, the playbook is clear: blame the funder, evoke outrage, suppress the content. There is no question that this is appropriate. Sally Satel always gets me thinking.

Research 98

Research COPD Academics Administration 98

EMDocs

NOVEMBER 19, 2024

2 Lipid emulsion has been considered due to the lipophilic nature of atypical antipsychotics; however, studies are limited on this topic, and this is an area that could benefit from further research. Second-generation antipsychotic medications: Pharmacology, administration, and side effects. Innov Clin Neurosci. 2018;15(7-8):20-22.

Poisoning 108

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 108

Medagadget

OCTOBER 23, 2023

Researchers at ETH Zurich in Switzerland have developed an alternative to injections as a way to deliver large drugs, such as peptides, minimally invasively into the blood stream. The suction cup created by these researchers is inspired by octopus suckers, and it affixes to the mucosal lining of the inside of the cheek.

Research 84

Research Administration 84

RebelEM

MAY 29, 2023

Judicious fluid resuscitation is indicated in patients with signs of hypo perfusion but is often inadequate necessitating the administration of vasoactive medications. Most of the research on the use of MB has been in patients with vasoplegia following cardiopulmonary bypass. septic shock). 95% CI 15.4 vs 0.5% (Range 0.4

Shock 145

Shock Fluid Resuscitation Sepsis Resuscitation 145

The Skeptics' Guide to EM

OCTOBER 19, 2024

Ketamine’s administration is flexible, with several routes available including IV, intranasal (IN), and more recently, nebulized forms. Each method has its advantages, and ongoing research continues to refine the efficacy and safety of these delivery methods in acute pain management in the ED​​. mg/kg, 1 mg/kg, and 1.5

Emergency Department 94

Emergency Department EMS Research Administration 94

Sensible Medicine

NOVEMBER 14, 2023

Stefan Kertesz is Professor of Medicine at the Heersink School of Medicine at the University of Alabama at Birmingham where his work includes leading VA and non-VA supported research focused on homeless healthcare and issues related to pain and opioids. Practices are improving, but not quickly.

Research 134

Research Psychiatric CDC Best Practices 134

The Trauma Pro

SEPTEMBER 20, 2023

Researchers from the US Army performed a retrospective registry study on a sample of military casualties over four years. They are generally kept at room temperature, while the red cells and plasma are kept very cold to preserve their shelf life. They identified soldiers who received either room-temperature or cold-stored platelets.

Military 113

Military Blood Transfusions Administration Outcomes 113

RebelEM

OCTOBER 5, 2023

Strengths: The investigators framed a research question centered on patient outcomes, ensuring the study’s relevance and practicality. The researchers employed a double-blind, placebo-controlled, randomized controlled trial design to minimize potential biases, enhancing the reliability of the results. In the placebo group, 20.5

Research 94

Research Outcomes Administration Shock 94

Medagadget

OCTOBER 23, 2023

Researchers at MIT have developed an enhanced mRNA vaccine system that can elicit a greater immune response at lower doses. Moreover, a highly potent vaccine may be suitable for intranasal administration. The vaccine technology is so potent that it may be useful for intranasal COVID-19 vaccines.

Research 82

Research Administration 82

The Skeptics' Guide to EM

SEPTEMBER 21, 2024

However, the efficacy of naloxone in improving outcomes in such cardiac arrests remains a topic of ongoing research and debate. Clinical Question: Is naloxone administration in undifferentiated OHCA associated with survival to hospital discharge? Reference: Dillon et al.

Hospitals 103

Hospitals CPR EMS Outcomes 103

RebelEM

JULY 3, 2023

What They Did: Researchers conducted a multicenter, retrospective cohort study in three community hospitals and two freestanding emergency departments. Critical information such as HR, SBP, drug administration times were occasionally missing. received CaCl 89.3% The study was dependent on EMR documentation which is prone to error.

Administration 91

Administration Outcomes Documentation/Coding Emergency Department 91

The Skeptics' Guide to EM

SEPTEMBER 2, 2023

She is an Assistant Professor and Director of Research in the Department of Emergency Medicine at the NYU Grossman Long Island Hospital Campus. She is an Assistant Professor and Director of Research in the Department of Emergency Medicine at the NYU Grossman Long Island Hospital Campus. This is the last show for Season#11.

Diabetic Emergencies 102

Diabetic Emergencies Operations Hospitals Research 102

RebelEM

JUNE 19, 2023

The PATCH-trauma researchers sought to address this critique. PMID: 37314244 Clinical Question: In advanced trauma systems, does prehospital administration of TXA increase the rate of survival with a favorable neurologic outcome in patients at risk for trauma-induced coagulopathy? Prehospital Tranexamic Acid for Severe Trauma.

Blood Transfusions 105

Blood Transfusions Outcomes Administration Hyperthermia / Hypothermia 105

Don't Forget the Bubbles

DECEMBER 25, 2023

Interpreting Research Outcomes with a Little Bathroom Humour You have learned a method for how to read a research paper , and now you are faced with a bunch of outcomes. The researchers should have specified a clear research question or aim. There are primary, secondary, composite , and safety outcomes. vs. 2.4% ).

Research 83

Research Outcomes Fractures Pediatrics 83

SheMD

JULY 23, 2023

Talk about your major extra-curricular activities and research in the department. For example, one medical school student I recently interviewed who was applying for internal medicine – primary care spoke about her research with transgender individuals and their perceptions of sexual health. These reasons are TOO common. That’s great.

Research 98

Research Academics Hospitals Operations 98

Emergency Medicine Journal

AUGUST 23, 2023

Interviews were transcribed verbatim and coded inductively by the primary researcher. We coded all items to capture experiences of 111 First within the full project coding tree and from this constructed two explanatory themes which were refined by the wider research team.

Emergency Department 75

Emergency Department Urgent Care Documentation/Coding Patient Safety 75

ACEP Now

JULY 7, 2023

Since 2020 to 2021, the Drug Enforcement Administration has reported a sharp rise in xylazine use across the U.S., Prior to medical school, she received her MBA in Healthcare Management and currently works on health policy and outcomes-based research. US Department of Justice, Drug Enforcement Administration. Click to enlarge.)

Forensics 98

Forensics Airway Management Emergency Department Administration 98

ACEP Now

DECEMBER 11, 2023

Dr. Severance is a clinically practicing physician, an educator, and researcher. Conditions in the Workplace Over 20 percent of our health care workforce left health care in the last two years, and 10 percent of all practicing U.S. physicians quit in 2021 alone. industries, and the most dangerous of all U.S. workplace professions.

Hospitals 98

Hospitals Administration Documentation/Coding Research 98

EMDocs

JUNE 8, 2023

and 9 hours after onset of symptoms, with non-infarcted brain tissue, does the administration of alteplase improve functional outcome at 90 days? More research is needed on this topic, yet the authors of the EXTEND trial discontinued enrollment. Intervention: Alteplase 0.9 in alteplase group versus 0.9% to 53.54, p=0.053).

Stroke 95

Stroke Administration Documentation/Coding Outcomes 95