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

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

The Skeptics' Guide to EM

SEPTEMBER 21, 2024

Your partner asks if you want to administer naloxone as well. Naloxone is a well-established medication used primarily for reversing opioid overdoses. Its safety profile is well-tolerated, with the primary adverse effects related to the abrupt reversal of opioid effects, such as acute withdrawal symptoms.

Hospitals 103

Hospitals CPR EMS Outcomes 103

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

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 108

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 108

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

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. Criticism of these programs is both well-deserved and unfair.

Research 134

Research Psychiatric CDC Best Practices 134

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. Gotta catch ‘em all!” may be an appealing mantra, however it is impracticable to achieve with the medical literature.

Research 52

Research Airway Management Stroke Outcomes 52

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

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? and 9 hours of symptom onset; stroke symptoms that started during sleep were assumed to have started halfway between the actual last known well and the time of wake-up. to 53.54, p=0.053).

Stroke 95

Stroke Administration Documentation/Coding Outcomes 95

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

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? Demographics were well balanced in the two groups.

Blood Transfusions 105

Blood Transfusions Outcomes Administration Hyperthermia / Hypothermia 105

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 91

Administration Outcomes Documentation/Coding Emergency Department 91

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 98

Stroke Academics Outcomes Administration 98

RebelEM

AUGUST 14, 2023

4 XBJ received approval from the China Food and Drug Administration in 2004, 2 although the FDA of the United States has not approved it. Investigators asked a patient-centered research question. Many of the secondary outcomes were changed well after most of the data was acquired. The primary outcome was patient oriented.

Sepsis 97

Sepsis Outcomes Administration EMS 97

EMDocs

FEBRUARY 7, 2024

One study from the National Bureau of Economic Research on nursing strikes in New York State from 1984 to 2004 found that hospital mortality increased by 19.4% Unionization of healthcare providers can create opportunities to improve staff’s financial and general well-being, but may also facilitate future strikes. Navarez, M.

Hospitals 95

Hospitals Research Patient Safety Wellness 95

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

Dr. Smith's ECG Blog

AUGUST 9, 2024

The LCx and OM vessels are not as well visualized. Although recognition of OMI was not affected by administration of morphine in this case, use caution with analgesia in ongoing ACS without a definitive plan for angiography. Circulation Research , 56 (2), 184–194. & Lukas, A. studies on isolated canine ventricular tissues.

EKG/ECG 109

EKG/ECG EMS Emergency Department Wellness 109

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

PulmCCM

AUGUST 7, 2023

As late as May 2023, Yale myocarditis researchers continue to preferentially cite the CDC MMWR data for young men, ignoring the stronger and clearer risk signal from European data. But well after it became clear in 2022, Covid vaccine mandates persisted, and continue at a large number of U.S. We didn’t know all this in 2021.

CDC 98

CDC Hospitals Administration Research 98

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 Administration Psychiatric 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

RebelEM

FEBRUARY 29, 2024

Patient data anonymized when presented to adjudication committee to avoid detection bias Well-balanced patient characteristics between groups. It was hypothesized that ceftriaxone may impact bacterial colonization, and further research should characterize respiratory flora prior to initiation of prophylactic antibiotics.

CDC 111

CDC Radiology Radiology Head Injuries 111

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

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

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 84

EMS Infectious Diseases Pediatrics Research 84

The Skeptics' Guide to EM

SEPTEMBER 28, 2019

Dr. Carly Eastin is an Associate Professor, Division of Research and Evidence Based Medicine, Department of Emergency Medicine, University of Arkansas for Medical Sciences. This was because of a well-known critical care physician Dr. Paul Marik. Reference: Putzu et al.

Sepsis 52

Sepsis Shock Outcomes Stroke 52

The Skeptics' Guide to EM

APRIL 29, 2023

Case: You are moonlighting at the Veterans Administration emergency department (ED) and are caring for an Iraq veteran complaining of post-traumatic stress disorder (PTSD) and severe anxiety. AEM April 2023 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia.

Psychiatric 40

Psychiatric Emergency Department Urgent Care Academics 40

ACEP Now

APRIL 2, 2024

While the mechanism of hypoglycin A is not thoroughly understood, research demonstrates that its metabolism leads to the production of methylene cyclopropyl acetic acid (MCPA-CoA), which inhibits long-chain fatty acid beta-oxidation and ultimately causes depletion of glycogen stores. Food and Drug Administration website. Clin Toxicol.

Poisoning 40

Poisoning Administration Documentation/Coding Urgent Care 40

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

The Skeptics' Guide to EM

OCTOBER 17, 2020

It is a free, critical appraisal blog and podcast that try to cut down knowledge translation gaps of research to bedside clinical practice. Clinical Question: Does pre-hospital administration of TXA to patients with moderate or severe traumatic brain injury improve neurologic outcomes at 6 months? Reference: Rowell et al.

EMS 52

EMS Head Injuries Outcomes Hospitals 52

ACEP Now

OCTOBER 3, 2023

These guidelines present the best available evidence to support clinical decision making in the prehospital setting when TBI care may have the most significant impact on outcomes; they also establish a research agenda for future investigations. The GCS must be obtained through interaction with the patient (i.e., References Lulla A, et al.

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98

ACEP Now

MARCH 12, 2024

In December, the Department of Health and Human Services (HHS) announced it would convene stakeholders to address boarding concerns through the Agency for Healthcare Research and Quality (AHRQ). Reauthorization ensures continued support for health care workers’ well-being. ACEP conversations continue with teh AHRQ.

Leadership 52

Leadership Emergency Department Pediatrics Research 52

Downeast Emergency Medicine

APRIL 26, 2021

2][3] If earlier treatment with TXA is better, would there be benefit in its administration in the prehospital setting? Association between prehospital tranexamic acid administration and outcomes of severe traumatic brain injury. If so, could this be done safely? These questions are asked in the first paper that we reviewed.

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52