Don't Forget the Bubbles

JUNE 30, 2023

The primary outcome was 28-day mortality – TXA improved survival with no increased risk of cerebral clots. Survival was better, both at 24 hours and six months, in the TXA group, although the primary outcome, a quality of life score at six months, called the Glasgow Outcome Scale Extended (GOS-E), was the same in both groups ( 53.7%

Head Injuries 145

Head Injuries Seizures Pediatrics Outcomes 145

EMDocs

AUGUST 17, 2023

mL/kg/hr for 2 consecutive hours OR Decrease in serum lactate by more than 10% from initial level Primary outcome – Early norepinephrine group vs. the control group demonstrated higher rates of shock control at 6 hours: 76.1% vs 48.4% (OR 3.4, vs 48.4% (OR 3.4, vs 48.4% (OR 3.4, vs 48.4% (OR 3.4,

Sepsis 86

Sepsis Shock Resuscitation Fluid Resuscitation 86

RebelEM

AUGUST 7, 2023

What They Did: Prospective randomized clinical trial Patients randomized to: Delayed Sequence Intubation (DSI): IV ketamine 1.5mg/kg in 0.5 What They Did: Prospective randomized clinical trial Patients randomized to: Delayed Sequence Intubation (DSI): IV ketamine 1.5mg/kg in 0.5

Head Injuries 96

Head Injuries Airway Management Outcomes Burns 96

EB Medicine

APRIL 30, 2017

In it, co-authors Emily Singer Fisher, MD, and Boyd Burns, DO, FACEP, FAAEM, both of the University of Oklahoma School of Community Medicine, cover evidence published in 190 articles, and 10 reviews from the Cochrane database, as well as current guidelines issued by the American Heart Association and the American College of Cardiology Foundation.

Outcomes 40

Outcomes Burns Best Practices Ultrasounds 40

RebelEM

FEBRUARY 19, 2024

events/1000d of peripheral IV infusion) 60% of extravasations caused no or minimal tissue injury (Infiltration grade 0 to 1) No patient required surgical intervention Protocol Criteria Met: 355 patients (55.1%) failed to meet at least one component of the protocol at some point during peripheral IV norepinephrine Catheter size: 83.3% (i.e.

Administration 134

Administration Sepsis EMS Shock 134

American Medical Compliance

APRIL 15, 2024

Our Continuing Medical Education (CME) program is committed to enhancing the knowledge, skills, and professional performance of healthcare providers to improve patient care outcomes. In particular, it’s a form of abuse that healthcare providers are often in a unique position to notice due to visible signs on the child’s body.

Burns 95

Burns Wellness Outcomes 95

Taming the SRU

SEPTEMBER 15, 2023

ETT onto a fiberoptic scope.

CPR 90

CPR Burns Airway Management Wellness 90

Dr. Smith's ECG Blog

JUNE 13, 2024

Click here to sign up for Queen of Hearts Access Case A 58-year-old woman presented to the ED with burning chest pain that started 2-3 hours earlier while sitting on a porch swing. Don't miss his analysis and assessment of the Queen of Hearts AI OMI ECG bot -- that assessment is at the very bottom of the post. The family sued.

EKG/ECG 93

EKG/ECG Documentation/Coding EMS Burns 93

Taming the SRU

MAY 11, 2024

Usually presents consistent with failure of that organ. For mid-shaft femur fractures, traction appears to may reduce blood loss and pulmonary complications, but the available data is very scarce.

Administration 92

Administration Resuscitation Fluid Resuscitation Research 92

American Medical Compliance

JUNE 4, 2024

This course will enhance your expertise, promote safer patient outcomes, and contribute positively to the ongoing efforts in combating opioid misuse. Understanding this complexity is crucial for dental healthcare professionals in providing effective pain relief and improving patient outcomes. There is also neuropathic pain.

Burns 52

Burns Outcomes Wellness 52

Ziqitza HealthCare Ltd

JUNE 13, 2024

Knowledge of life-saving skills can significantly impact patient outcomes, potentially saving lives and avoiding future health complications. Rapid medical response is essential in this case to prevent long-term complications and death and improve outcomes. This should be done in case of minor burns for instant relief.

Burns 52

Burns Stroke Ambulance Services Seizures 52

Sensible Medicine

JUNE 21, 2024

From these reductions, whether they proceeded quickly or slowly, I saw terrible outcomes. To be clear, a substantial number of patients who reduce doses obtain good outcomes. Cautious professionals, it turns out, try not to burn what they’ve built. Later papers substantiated these warnings.

Academics 86

Academics Research Burns Outcomes 86

RebelEM

APRIL 29, 2024

Given AHA guidelines recommend early epinephrine administration in cardiac arrest, obtaining access is imperative for resuscitative efforts ( 9) When evaluating over 300,000 out-of-hospital cardiac arrests, a meta-analysis found no significant change in primary outcomes when IV and IO access were compared ( 10 ).

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

PHEM Cast

SEPTEMBER 25, 2019

Sörensen HT, Nielsen GL, Schönheyder HC, Steffensen FH, Hansen I, Sabroe S, Dahlerup JF, Hamburger H, Olsen J: Outcome of pre-hospital antibiotic treatment of meningococcal disease. From: [link] Non accidental injury Sadly, NAI in under 2’s causes more than 10% of serious injuries to children. 2006 Jun 3;332(7553):1299–303.

Ambulance Services 52

Ambulance Services Sepsis Burns Hospitals 52

EMDocs

OCTOBER 21, 2023

The NIHSS cutoff that predicts outcomes is 4 points higher in AC compared with PC infarctions. Basilar artery occlusion remains a challenging diagnosis to make, and the delays in reaching the diagnosis can have considerable impact on health outcomes. link] Burns JD, Rindler RS, Carr C, et al. hour IV thrombolytic window.

EMS 93

EMS Stroke Outcomes Hospitals 93

ALiEM

OCTOBER 11, 2023

Tetrodotoxin poisoning: a clinical analysis, role of neostigmine and short-term outcome of 53 cases. Shebl E, Mirabile VS, Sankari A, Burns B. 2014;6:693–755.PMID: PMID: 24566728. Chowdhury FR, Nazmul Ahasan HA, Mamunur Rashid AK, Al Mamun A, Khaliduzzaman SM. Singapore Med J. 2007;48(9):830-833. PMID: 17728964. Tetrodotoxin poisoning.

Poisoning 81

Poisoning Burns Wellness Outcomes 81

Dr. Smith's ECG Blog

DECEMBER 23, 2014

An otherwise health male in his early 40's presented with "burning" in his epigastrium that radiated to his throat and was relieved with Maalox and lidocaine. He underwent PCI and had a good outcome. He had an ECG recorded: Sinus Rhythm. This was read as normal by the emergency physician and by the computer. QTc is 400 ms.

EKG/ECG 52

EKG/ECG Burns Resuscitation Outcomes 52

RebelEM

MARCH 23, 2023

The primary outcome, hospital length of stay, was significantly shorter both before and after propensity score adjustment for the phenobarbital group. A broad range of variables were included that potentially influences treatment decisions and/or outcomes. The protocols used in the study were using symptom-driven medications.

Emergency Department 52

Emergency Department Burns Outcomes Hospitals 52

Critical Care Now

APRIL 21, 2022

Outcomes of sustained low-efficiency dialysis versus continuous renal replacement therapy in critically ill adults with acute kidney injury: a cohort study. BMC Nephrol 2015;16:127.

Burns 52

Burns Administration Outcomes Hospitals 52

ACEP Now

OCTOBER 9, 2024

In the emergency department (ED), physicians face the challenge of making rapid decisions that can significantly impact patient outcomes. This mindset shift is crucial for improving outcomes and fostering a more inclusive and equitable health care system. Burns E, Buttner R. Revista Portuguesa de Cardiologia. 2003;22(3):465-466.

EKG/ECG 52

EKG/ECG Fluid Resuscitation Ultrasounds Burns 52

Mind The Bleep

AUGUST 31, 2024

Stinging: Sensations of burning or stinging, often worsened by environmental conditions or extended periods of visual focus. Available from: [link] Balaram M, Schaumberg DA, Dana MR. Efficacy and tolerability outcomes after punctal occlusion with silicone plugs in dry eye syndrome. Serum Eye Drops Guideline [Internet].

Burns 52

Burns EMS Outcomes 52

ACEP Now

DECEMBER 10, 2023

If there are health outcomes that are not the same, and one group is benefiting more than another, one has to find that and then correct it. We also need to be committed to making sure that our outcomes are equitable and that we’re doing as much as we can to eliminate any inequities.” What fuels her to keep going? “I

Research 52

Research Point-of-Care Testing Burns Academics 52

American Medical Compliance

FEBRUARY 28, 2023

Children need adequate support to develop fully, and a lack of parental presence can have detrimental impacts of child outcomes. These could include burns, bites, or bruises. Signs of Child Abuse There are often several signs of physical abuse that victims exhibit. Here are a few of them: Unexplained injuries is a common sign of abuse.

Burns 52

Burns Patient Safety Fractures Outcomes 52

Northwestern EM Blog

FEBRUARY 28, 2022

As your post alludes to, sometimes patients remain hypoxemic despite our usual efforts and refractory hypoxemia can be an intimidating beast when you’ve got a busy ED burning down around you. In these situations, your respiratory therapist is going to be your best friend in managing this patient-ventilator interactions2.

Emergency Department 52

Emergency Department Burns Resuscitation Outcomes 52

Rural Doctors Net

AUGUST 30, 2013

The visual confrontation of a man in pain with an obvious amputation and airway burns will induce a catecholamine surge in all but the psychopathic. Flooding him with crystalloid is going to dilute his clotting factors, make him hypothermic and potentially worsen outcomes. Airway compromised by burns. Keep him warm and covered.

Burns 52

Burns Hospitals Ambulance Services Wellness 52

Northwestern EM Blog

DECEMBER 27, 2021

Expert commentary is provided by Dr. Anne Lambert Wagner, medical director of the Burn and Frostbite Center at the University of Colorado Health. Combined with active rewarming strategies, tPA use results in significantly improved outcomes. The expert review of Dr. Matthew Levine, Dr.

Dislocations 52

Dislocations Emergency Department Burns Shock 52

Taming the SRU

MARCH 17, 2023

mg/kg IV Versed: 0.2 mg/kg IM, 0.2 mg/kg IN (may repeat to max of 0.4 mg/kg IN), 0.2

Seizures 40

Seizures Fractures Burns Pediatrics 40

Don't Forget the Bubbles

FEBRUARY 5, 2025

E.g. burns, neurosurgery, interventional radiology. There is significant evidence in adults and developing in the paediatric population that TXA results in better outcomes if given early in patients with mild to moderate traumatic brain injury (TBI) and does not cause harm.

Domestic Violence 59

Domestic Violence Fluid Resuscitation Head Injuries Sexual Assault 59

Dr. Smith's ECG Blog

OCTOBER 26, 2011

In spite of aggressive questioning, he denied chest pain, but he did tell one triage nurse that he had had some chest burning, and so he underwent an ECG: There are deep Q-waves and QS-waves in precordial leads V2-V3, with a bit of R-wave left in V4. He had been awakened by cough at 3 AM 2 days earlier. Circulation 1999;99(15):1972-7.

EKG/ECG 52

EKG/ECG Burns Administration Outcomes 52

ALiEM

JULY 17, 2023

Our deep dive into the factors contributing to these outcomes shed light on several program characteristics associated with unfilled positions. Murano T, Weizberg M, Burns B, Hopson LR. It’s important, however, not to let these figures contribute to a panic regarding the future of EM. Ann Emerg Med. PMID: 37436344.

EMS 52

EMS Burns Emergency Department Shock 52

Dr. Smith's ECG Blog

DECEMBER 11, 2018

Destruction of red blood cells due to trauma, severe injury or burns. Failure to do so may affect clinical outcome in other cases. Use of K+-retaining medications or K+ supplementation ( especially if the patient has underlying renal impairment ). Severe dehydration. Addison’s disease ( adrenal insufficiency ) — which is not common.

EKG/ECG 52

EKG/ECG Dehydration Burns Outcomes 52

Northwestern EM Blog

JANUARY 24, 2022

Those at higher risk of hypocalcemia (vitamin D deficiency, ESRD, hyperparathyroidism, burns, multiple blood transfusions, etc.) However, even subclinical hypothyroidism with an elevated TSH but normal T4 increases risk of poor outcomes due to effects on cardiac function. may have greater severity of shock with increased mortality.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

Dr. Smith's ECG Blog

JUNE 28, 2018

More outcome Peak troponin I was 0.58 Ed Burns has a very nice complete summary of Wellens' syndrome here: [link] = Comment by KEN GRAUER, MD ( 6/28/2018 ): = Highly insightful post with superb explanation by Dr. Electrocardiographic diagnosis of reperfusion during thrombolytic therapy in acute myocardial infarction. Am J Cardiol.

EKG/ECG 52

EKG/ECG Burns Research Outcomes 52

Don't Forget the Bubbles

OCTOBER 16, 2024

Are there distinctive sub-specialty referral pathways for your area e.g. liver, burns, surgery, neurosurgery etc. Mutual respect, communication, and willingness to learn from one another can greatly enrich your experience along with patient outcomes. How do I use the bleep/ SmartApp communication system? Where is the staff room?

Documentation/Coding 52

Documentation/Coding Teamwork Leadership Burns 52

ACEP Now

JULY 7, 2023

This is a discussion of a potentially disastrous airway outcome. Burns B, Habig K, Eason H, Ware S. As with other entities, management of the airway must take precedence. While unusual, nosebleeds may present with life-threatening airway compromise. Ann Am Thoracic Soc. 2017;14(3):368-375. 2016;35(1):28-32.

Airway Management 45

Airway Management EMS Burns Operations 45

Taming the SRU

AUGUST 30, 2023

However, PCT can be elevated in severe trauma, such as burns or surgery [5,25]. Significantly elevated CRP (>122mg/L) and PCT (>0.5ng/mL) levels are predictors of bad outcomes, and are useful for tracking therapy progress, but are not specific enough to rule-in infectious endocarditis [38-39].

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

The Skeptics' Guide to EM

SEPTEMBER 26, 2020

Case: A 34-year-old male presents to the emergency department with burning epigastric pain after eating two hours ago. Secondary Outcomes: Medication palatability (taste, bitterness, texture, and overall acceptability) using a VAS, change in pain score 60 minutes post administration and adverse events. AEM Sept 2020.

Emergency Department 52

Emergency Department Burns Outcomes Administration 52