EMDocs

NOVEMBER 19, 2024

1,2 Neuroleptic malignant syndrome (NMS) (hyperthermia, autonomic instability, rigidity, altered mental status [AMS]) can occur as well and is most often seen with clozapine but has been observed with other atypicals. Second-generation antipsychotic medications: Pharmacology, administration, and side effects. Innov Clin Neurosci.

Poisoning 111

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 111

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. These low numbers and the nature of this particular registry could inject significant bias as well. They identified soldiers who received either room-temperature or cold-stored platelets.

Military 113

Military Blood Transfusions Administration Outcomes 113

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). Previous inceptions of MPI technology were too large and expensive and were primarily designed for use in experimental animals.

Research 90

Research Administration Wellness Radiology 90

ACEP Now

MARCH 10, 2025

Although not typical, a medical director may be asked to participate in staff hiring and recruitment, as well as fiscal management of the program. You take a few days to research the role and formulate your questions. Conclusion Click to enlarge.

Sexual Assault 52

Sexual Assault Forensics Leadership Pediatrics 52

ACEP Now

MARCH 11, 2025

First, UFH is often perceived as stronger than alternatives, partially owing to the intravenous route of administration. First, UFH is often perceived as stronger than alternatives, partially owing to the intravenous route of administration. The pervasive maxim quick on, quick off for UFH doesnt hold up as well as touted.

Hospitals 52

Hospitals Administration Outcomes Stroke 52

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. A greater number of patients randomized to “standard of care” attained modified Rankin scores of 0 to 3 than the Andexxa cohort, as well. N Engl J Med. 2024;390(19):1745-1755.

Research 49

Research Stroke Outcomes Sepsis 49

RebelEM

FEBRUARY 1, 2024

Tenecteplase, a modified version of alteplase, is being increasingly utilized for AIS due to its favorable pharmacological profile, ease of administration, and cost effectiveness. Reliance on research coordinators to accurately determine mRS scores over a telephone interview could suffer from issues of reliability. vs Alteplase 34.8%

Stroke 134

Stroke Blood Transfusions Outcomes EMS 134

Mind The Bleep

APRIL 10, 2025

AI can book appointments and perform other administrative tasks, for instance, retrieving medical information and billing. Well, it could be argued AI would be faster and hence more efficient. They performed consistently well with or without AI. National Bureau of Economic Research Roberta Kwok (2023).

Documentation/Coding 52

Documentation/Coding Research Outcomes Administration 52

RebelEM

JULY 3, 2023

Currently, the infusion of IV calcium before diltiazem is not well understood, and more studies have focused on administering IV calcium prior to verapamil than diltiazem. What They Did: Researchers conducted a multicenter, retrospective cohort study in three community hospitals and two freestanding emergency departments.

Administration 96

Administration Outcomes Documentation/Coding Emergency Department 96

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. How well a patient can use their arm matters greatly to the patient!

Research 83

Research Outcomes Fractures Pediatrics 83

Sensible Medicine

NOVEMBER 28, 2023

People can rise through the academic ranks as gifted clinicians, creative and effective educators, and talented administrators. [i] i] Though I’ve never been a traditional researcher, I’ve added quite a bit to “medical literature” over the years. Being perfectly honest, not all the articles have aged well.

Stroke 99

Stroke Academics Outcomes Administration 99

The Skeptics' Guide to EM

DECEMBER 23, 2023

Nov 7, 2023 Guest Skeptic: Dr. Mahaleh Mekalai Kumanan attended Dalhousie University for her undergraduate studies, Master of Health Administration degree and medical school before completing her residency at the University of Western Ontario. Well done CFPC. Well, it is because we are all on Team Patient. million in 2018.

Administration 61

Administration Research Wellness 61

EMDocs

AUGUST 31, 2023

Approximately 12 hours following F(ab’) 2 antivenom administration, the child is noted to have progressive swelling, firmness, tension, and pain of the right calf. On follow-up 1 week later, the patient was doing well, ambulating and playing without significant discomfort. 2016;8(1):113-119. Accessed May 7, 2022.

Allergic Reactions 96

Allergic Reactions Anaphylaxis Poisoning EMS 96

Don't Forget the Bubbles

NOVEMBER 15, 2023

Currently, the administration of water for the paediatric population is based on the Holliday-Segar formula (100ml/kg/day for the first 10kg of weight, 50ml/kg/day for the second 10kg of weight and 20ml/kg/day for weight over 20kg). As well as considering volume, hyponatraemia is a harmful consequence of incorrect administration of fluids.

Resuscitation 80

Resuscitation Dehydration Administration Shock 80

ACEP Now

JUNE 7, 2023

Whereas previous versions of GPT were unable to pass the medical examinations, GPT-4 demonstrated scores of approximately 85 percent correct on each Step of USMLE, well above the passing threshold. Another proposed application for LLMs involves transcription and summarization services to reduce administrative overhead.

Documentation/Coding 78

Documentation/Coding Wellness Administration Research 78

ACEP Now

FEBRUARY 10, 2024

The program provides an opportunity to recognize members in all career stages and environments for significant professional contributions as well as for service to the College. Leadership Award Nominations Due March 12 ACEP’s Awards Program was developed for one reason—to recognize your leadership and excellence. Rorrie, Jr.,

Leadership 52

Leadership Academics Administration EMS 52

ACEP Now

JUNE 13, 2024

This fall, ACEP will participate in the Agency for Healthcare Research and Quality (AHRQ) Director’s summit on emergency department boarding. ACEP’s participation in such a pivotal meeting was not just luck or convenience. And they listened.

Hospitals 52

Hospitals Emergency Department Psychiatric Administration 52

Don't Forget the Bubbles

OCTOBER 2, 2024

A previously well 6-year-old boy is brought into the emergency department at a major trauma centre via HEMS following a road traffic accident, in which he was hit by a car while crossing the road. No studies involving mannitol administration met the foundation’s inclusion criteria. What Other Research Is There On The Topic?

Administration 49

Administration Pediatrics Outcomes Research 49

The Skeptics' Guide to EM

AUGUST 22, 2020

The US Federal Drug Administration (FDA) allowed for emergency development and use of rt-PCR assays, and dozens of companies released assay kits. This review discusses the diagnostic accuracy of rt-PCR for COVID-19, as well as signs, symptoms, imaging, and other laboratory tests. Reference: Carpenter et al.

Emergency Department 52

Emergency Department Academics Research Administration 52

EMDocs

JULY 1, 2023

Upon further research in the 1970’s, retrospective data from autopsies of those patients showed coronary aneurysms 5 Pathophysiology: Kawasaki Disease is a vasculitis of medium sized arteries. This is the only situation in which aspirin is recommended for administration in children, as the benefits outweigh the risks of Reye syndrome.

EMS 91

EMS Infectious Diseases Pediatrics Research 91

PulmCCM

DECEMBER 11, 2024

It’s a wonderful contribution to the literature and well worth reading. These are nonfalsifiable claims that illustrate the problem well. As for the body of research literature, clinical researchers usually do not have access to superior diagnostic techniques.

Sepsis 45

Sepsis Shock Research Wellness 45

Stop and Think

MAY 10, 2023

” Dan also noted that before we invest millions of dollars in well-designed RCTs, it might be wise to do some less costly observational studies first. The next comment comes from an academic cardiologist who has a stellar record of publication—and is known for making cautious conclusions when leading observational research.

Academics 52

Academics Research Administration Wellness 52

The Skeptics' Guide to EM

JUNE 24, 2018

Lucas Silva is a 5th year medical student from Brazil (6-years program in Latin America) and a former Research Fellow in the Department of Emergency Medicine at the Mayo Clinic (Rochester, Minnesota). Sergey Motov is an Emergency Physician in the Department of Emergency Medicine, Maimonides Medical Center in New York City.

Emergency Department 52

Emergency Department Administration Outcomes Research 52

EMDocs

JANUARY 29, 2024

hypertensive emergency, need for thrombolytic administration) [1]. However, other sources suggest that the optimal blood pressure target is not well established and may vary depending on the individual patient’s characteristics and the type of hemorrhagic transformation [7].

Stroke 98

Stroke Outcomes EMS Seizures 98

The Skeptics' Guide to EM

NOVEMBER 25, 2017

You know her well, and none of the usual anti-emetics seem to help her symptoms. While inwardly wishing you worked in a country where droperidol was available, you wonder whether there is any new research to guide your management. Unfortunately, nothing really works well for this condition.

Psychiatric 40

Psychiatric Emergency Department Operations Hospitals 40

The Skeptics' Guide to EM

MARCH 21, 2020

He appears well, with a temperature of 38.7 Pervious research has demonstrated that individual signs and symptoms have limited accuracy in the diagnosis of CAP. Disclaimer: This is Not an Episode on COVID19 Things are changing quickly with the COVID19 pandemic.

Hospitals 40

Hospitals Emergency Department Administration Wellness 40

EMDocs

OCTOBER 30, 2023

Some institutions developed a tier-based system for outpatient imaging as well which was updated in real-time. At the same time, newer research has shown that the diagnostic safety despite withholding contrast in abdominal pain may actually be overstated. Contrast Media, Iodinated, Dose, and Administration. J Am Coll Radiol.

Radiology 99

Radiology Radiology Emergency Department Hospitals 99

RebelEM

JANUARY 23, 2023

Clark S, Bock SA, Gaeta TJ, Brenner BE, Cydulka RK, Camargo CA; Multicenter Airway Research Collaboration-8 Investigators. The effectiveness of IV cetirizine was determined to be statistically non-inferior. Clinical Bottom Line This trial was funded, designed, and written with direction from a pharmaceutical company. J Allergy Clin Immunol.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

ACEP Now

JULY 6, 2023

Emergency physicians have become leaders in achieving cost efficiency in health care, predominantly through implementation of new processes and research findings, enabling us to achieve significant financial savings. Pediatric Emergency Care Applied Research Network head injury clinical prediction rules are reliable in practice.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52

RebelEM

DECEMBER 19, 2022

trying harder and longer knowing they are enrolled in this study) Use of two different models of defibrillators may negatively impact the internal validity of this pilot study Certain baseline characteristics were not balanced, such as: prehospital intubation and Epinephrine administration.

EMS 52

EMS CPR Shock Resuscitation 52

PulmCCM

JANUARY 4, 2022

As well, the volume of administration might be much lower than 500 mL, with previous research indicating that 4 mL/kg of crystalloid was an optimal volume needed to increase mean systemic filling pressure. Indeed, a recent consensus statement suggested a fluid challenge be 500 mL infused in less than 30 minutes.

Wellness 40

Wellness Outcomes Sepsis Stroke 40

Dr. Smith's ECG Blog

FEBRUARY 8, 2015

We believe more research is needed in this area, as amphetamine derivatives are one of the most widely abused drugs worldwide, and we expect this problem to worsen in the future." Wells, P.J. University of Pittsburgh, Veterans Administration Medical Center, Pennsylvania 15240. ADDIN EN.CITE Lange 1990 734 734 17 Lange, R.A.

Seizures 52

Seizures Administration Outcomes Hospitals 52

RebelEM

MARCH 23, 2023

and IM, and the physician was able to choose the method of administration. This study differed in that the phenobarbital administration was administered in a symptom-triggered protocol as opposed to a bolus. The protocols in the hospitals in the study included phenobarbital and lorazepam IV, p.o., Epub 2014 Jan 8. PMID: 24407777.

Emergency Department 52

Emergency Department Burns Outcomes Hospitals 52

SheMD

OCTOBER 15, 2023

Yes, I am a woman, yes I am a feminist, yes I am a physician, yes I am in academic leadership for a well-known emergency department… The yes’s are many, but what do I have to say that is so meaningful or useful that people would want to publish it? Well first of all, I didn’t do it in my 20’s, and I didn’t do it in residency.

Emergency Department 52

Emergency Department EMS Leadership Academics 52

Sensible Medicine

MARCH 8, 2024

He has been doing well but has noticed worsening exercise tolerance. In 2022, I gave up didactic teaching and administrative roles in our medical school, so it made sense that I would soon step away from this course. PF is a 72-year-old man with heart failure with preserved ejection fraction. 1] That child is now a senior in college.

Academics 49

Academics Administration Research Wellness 49

Greater Sydney Area HEMS

AUGUST 1, 2023

Why does it work so well? We have written a proposal for a qualitative research project which aims to capture staff perceptions of QIP impact on performance and culture change – this will put much more flesh on bone than the quantitative data we’ve collected. It also dovetails with our governance process.

Documentation/Coding 52

Documentation/Coding Outcomes Hospitals Administration 52

American Medical Compliance

NOVEMBER 14, 2024

Training goes beyond basic vaccine administration. Regular sessions ensure that providers stay informed about the latest vaccine research, techniques for managing hesitancy, and evolving cultural contexts. This approach fosters more understanding of vaccine hesitancy across the healthcare team.

Pediatrics 105

Pediatrics Administration CDC Research 105