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Pre-Hospital Antibiotics in Sepsis?

RebelEM

It is well-established that earlier recognition and treatment can lead to better outcome for these patients . PMID: 35387313 Clinical Question: Do prehospital antibiotics impact 28 day mortality, length of stay in the hospital and ICU length of stay for patients triggering sepsis compared to usual care (No prehospital antibiotics)?

Sepsis 132
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Rebaked Morsel: Pediatric Buckle and Greenstick Forearm Fractures

Pediatric EM Morsels

No formal follow up was scheduled Outcomes were: effectiveness, parental satisfaction, and economic benefits The majority of children wore their braces as directed (94%)There was no re-fractureAll parents were happy with the treatment (100%) and felt comfortable removing the brace (100%). J Pediatr Orthop. 2005;25:322–325. 2001;83:556–560.

Fractures 290
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National Patient Safety Goals Training for Hospitals

American Medical Compliance

These goals provide a framework for hospitals to identify and mitigate risks, ensuring that patients receive the safest care possible. This course equips hospital staff to enhance safety protocols, reduce errors, and improve patient outcomes. Ensuring patient safety is a cornerstone of high-quality healthcare.

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Improving Care for Patients with a Non-English Language Preference (NELP)

EMDocs

3,4 Notably, institutions receiving federal funding (such as hospitals receiving Medicare reimbursement) must abide by Title VI of the 1964 Civil Rights Act, which entitles persons with NELP to language assistance. Certified interpreter use can improve communication and patient outcomes. Lion KC, et al. Pediatrics. 135:e709-e716.

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The Latest in Critical Care, 2/5/24 (Issue #28)

PulmCCM

Depends On the Patient, and Who You Ask The Centers for Disease Control and Prevention defines a fever (for general hospitalized patients) as >38°C. Also, many patients with infection won’t have fevers, and those that don’t may be at the highest risk for poor outcomes. You can read the document here.

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Common Infection Control Mistakes and How to Avoid Them

American Medical Compliance

More than a million hospitalized patients each year acquire healthcare-associated infections (HAIs) while being treated for other health conditions. This includes regular workshops, seminars, and online courses to keep staff informed about the latest best practices and guidelines.

PPE 105
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How Much O2 Is Right in COVID?

RebelEM

Early in the pandemic, extensive efforts were made to identify the best approach to oxygenation in this group of patients. Best practices settled on aggressive use of non-invasive ventilation (NIV) and delaying invasive mechanical ventilation (IMV) where feasible. Outcomes (secondary): 90-day all-cause mortality.