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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)?

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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.

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Best Practices for Upper Gastrointestinal Hemorrhage

ACEP Now

What is the best management of this condition? with 350,000 hospitalizations annually and a mortality rate of five to 10 percent. There are few data on the outcomes of UGIB when balloon tamponade is used as a temporizing measure. Outcomes in variceal hemorrhage following the use of a balloon tamponade device.

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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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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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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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emDOCs Podcast – Episode 89: Antibiotics for Uncomplicated Diverticulitis

EMDocs

No difference in their primary outcome of complications and need for emergency surgery (1.9% The recurrence rate and length of hospital stay were the same. Hospital stay was significantly shorter in the observation group (2 versus 3 days; P = 0·006). 623 patients included. versus 2.6%), ongoing diverticulitis (7·.3

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