PulmCCM

AUGUST 21, 2023

A larger trial of 2500 patients published in NEJM in 2022 showed no difference in outcomes among patients ventilated with high vs. low oxygenation strategies. A meta-analysis also found no clear difference in outcomes between liberal and conservative oxygenation strategies, with low certainty in the results.

Telemedicine 88

Telemedicine CDC Sepsis Outcomes 88

Sensible Medicine

NOVEMBER 14, 2023

He also co-led the team whose work led the CDC to issue a major clarification of its 2016 opioid prescribing guideline and is currently a principal investigator of the only national study to examine individual suicides that occur after the reduction of prescribed opioids. These higher quality studies usually achieved better outcomes.

Research 117

Research Psychiatric CDC Best Practices 117

American Medical Compliance

MAY 16, 2024

CDC Guidelines for Opioid Therapy In response to the escalating opioid crisis, the Centers for Disease Prevention and Control (CDC) developed comprehensive safety guidelines aimed at improving the communication between prescribers and patients regarding the risks and benefits of opioid therapy for chronic pain.

CDC 52

CDC Evidence-Based Practice Best Practices Administration 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. National Center for Health Statistics: Mortality Data on CDC WONDER. Prehosp Emerg Care.

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98

ALiEM

DECEMBER 9, 2024

Serological studies in disseminated disease are highly sensitive and the CDC recommends two-step testing such as an enzyme immunoassay or immunofluorescent antibody assay followed by a Western blot if the initial testing is positive or equivocal. Treatment of disseminated Lyme depends on the systems involved. Clin Infect Dis. PMID: 20070237.

Emergency Department 60

Emergency Department CDC EMS Academics 60

PulmCCM

JUNE 5, 2023

There was no significant difference in survival with a favorable neurologic outcome at 30 days (20% vs 16% nominally favoring the ECMO group, P=0.52) or at 6 months. Read in NYT Dr. Mandy Cohen is expected to become the next CDC director after Dr. Rochelle Walensky steps down this month. In the U.S.,

Advances Cardiac Life Support (ACLS) 96

Advances Cardiac Life Support (ACLS) Documentation/Coding CPR Shock 96

Medagadget

AUGUST 25, 2023

The CDC recently released new recommendations for higher air replacement rates and the use of active air purification equipment in crowded spaces. Within this context, air purification by photocatalytic oxidation (a NASA-derived air-quality control technology) appears to be the preferred solution to this problem.

CDC 76

CDC Operations Hospitals Wellness 76

American Medical Compliance

NOVEMBER 30, 2022

With staffing shortages expected to worsen in the coming years, finding ways to protect patient safety and combat healthcare-associated infections will improve patient health outcomes. Ensuring all healthcare providers understand the basics of infection prevention goes a long way in improving patient safety and health outcomes.

Patient Safety 52

Patient Safety CDC Operations Outcomes 52

NIOSH Science Blog

JULY 22, 2022

Since early in the pandemic, reports have abounded of healthcare personnel (HCP) being infected, sometimes resulting in severe outcomes and death. As of July 20, 2022, there have been nearly 1 million COVID-19 cases and over 2,000 deaths reported to CDC among U.S.

CDC 40

CDC Emergency Department Outcomes 40

PulmCCM

SEPTEMBER 11, 2023

Can early mobility in the ICU improve cognitive outcomes? Although intensive early mobility didn’t improve physical outcomes, a small study suggests that frequent physical therapy initiated by default early in an ICU stay might improve cognitive outcomes. According to CDC: Paxlovid works against BA.2.86.

CDC 52

CDC Outcomes Documentation/Coding Hospitals 52

EMDocs

SEPTEMBER 7, 2023

2 Case Follow-up: Following an investigation, the Nigeria Field Epidemiology and Laboratory Training Program (N-FELTP), CDC, and the Food and Drug Administration (FDA) identified 57 cases of DEG poisoning among children £ 3 years old, of whom 54 died. CDC’s Morbidity and Mortality Weekly Report. References: Abubukar et al.

Poisoning 66

Poisoning CDC Administration Emergency Department 66

SheMD

APRIL 30, 2023

How they measured things: They performed a cross-sectional survey of women in emergency medicine to determine the rate of impaired fecundity and compared it to the national 2011–2015 CDC National Survey of Family Growth database. The survey was created based on questions from the National Survey of Family Growth sent by the CDC.

CDC 52

CDC EMS Outcomes 52

Taming the SRU

OCTOBER 16, 2024

VTE is associated significantly with maternal mortality, and has been cited by the CDC to be up associated with 10.5% Major contributing factors for poor outcomes in this patient population (Dalton et. of all cases of maternal mortality.

Airway Management 74

Airway Management Fractures CDC Pediatrics 74

ACEP Now

OCTOBER 15, 2023

Regardless, the reason this study became widely discussed is because the primary outcome of the trial was negative, concluding there was “no evidence that opioids should be prescribed for people with acute non-specific low back or neck pain.” The primary outcome was a more relevant seven-day outcome, rather than six-week follow-up.

Emergency Department 52

Emergency Department Outcomes CDC Research 52

ACEP Now

FEBRUARY 11, 2024

Diagnosis and Outcome During her second emergency department visit, an infectious and metabolic workup was performed, demonstrating acute kidney injury (AKI), but otherwise no acute abnormalities. Her physical exam revealed intermittent agitation and upper extremity myoclonus, but no meningismus.

Emergency Department 52

Emergency Department CDC Hospitals EMS 52

PulmCCM

OCTOBER 30, 2023

IDSA cites multiple large observational studies showing no improvement in sepsis outcomes at many centers after SEP-1 implementation. A few questions a larger trial or trials should seek to answer: Does nebulized amikacin (or another inhaled antibiotic) improve meaningful outcomes like mortality or ICU length of stay?

Sepsis 52

Sepsis Shock Hospitals Outcomes 52

EMDocs

OCTOBER 30, 2023

Background and Context Contrast-enhanced computed tomography (CECT) is of paramount importance in the emergency department (ED) due to its indispensable role in facilitating precise diagnostic outcomes. Under standard operating protocols, residual contrast materials are usually wasted, according to current CDC and JC standards.

Radiology 73

Radiology Radiology Emergency Department Hospitals 73

Northwestern EM Blog

JANUARY 2, 2023

While this may be surprising, there is literature that shows that catastrophic events can be associated with increased social support and reduce suicidal outcomes [4]. National Vital Statistics System, Mortality 1999-2020 on CDC WONDER Online Database, released in 2021. References 1. Accessed at [link] on Dec 1, 2022.

Emergency Department 52

Emergency Department Research CDC Pediatrics 52

Pediatric Education

DECEMBER 3, 2023

Learning Point “ Overall IVF is associated with an increased health risk for the offspring in the form of malformations, functional disorders and a poorer peripartum outcome. There are conflicting results for neurodevelopmental outcomes, some of which is improved when adjusted for multiple births. with confidence interval of 1.24-1.43

CDC 40

CDC Pediatrics Outcomes 40

Stop and Think

DECEMBER 4, 2022

Off the main stage, at the American Heart Association meeting last month, Dr. Rebecca Woodruff, a scientist from CDC, presented a study that found a spike in deaths due to heart disease in 2020. The irony is that the AHA meeting included many sessions on reducing disparities in health outcomes. Heart disease statistics can be mundane.

CDC 40

CDC Hospitals Outcomes Wellness 40

AED Leader

NOVEMBER 15, 2023

Making sure the AED is ready and functioning properly is essential for maximizing the odds of a positive outcome. According to the CDC, over 40 states require or encourage the ongoing maintenance and testing of AED devices. Because defibrillators are specifically used for cardiac emergencies, every second counts.

Shock 52

Shock CDC Pediatrics Wellness 52

AED Leader

NOVEMBER 15, 2023

Making sure the AED is ready and functioning properly is essential for maximizing the odds of a positive outcome. According to the CDC, over 40 states require or encourage the ongoing maintenance and testing of AED devices. Because defibrillators are specifically used for cardiac emergencies, every second counts.

Shock 52

Shock CDC Pediatrics Wellness 52

Critical Care Now

APRIL 5, 2022

According to CDC data , more than 64000 Americans died in 2020 from TBI, and many more experience long-term sequelae, making them one of the major causes of mortality and morbidity across all age groups.

Airway Management 52

Airway Management EMS CDC Pediatrics 52

EB Medicine

MAY 3, 2019

Jeff: And finally, how many of you wish there was a clearly outlined evidence-based approach to managing such patients to improve care and outcomes? Jeff: If those figures seem a bit high, another CDC study found that in a general population survey of a quarter million people between 2006-2008, 9% met the criteria for major depression.

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

Sensible Medicine

JUNE 23, 2023

Rochelle Walensky is handing the CDC over to Mandy Cohen–a woman who has supported 100% of Walensky’s policies. Most concerning, the pregnancy outcomes of those who participated in the trial, and their babies, are still not public today, nearly years later. But not having any good data didn’t seem to bother the CDC.

CDC 102

CDC Research Academics Administration 102

PulmCCM

OCTOBER 23, 2023

Read in JAMA Does Paxlovid Improve Covid-19 Outcomes in the Omicron Era? absolute risk reduction in the composite outcome among the immunocompromised or those with significant medical conditions. Both organisms have limited treatment options and have been identified as urgent health concerns by CDC and the WHO.

Hospitals 98

Hospitals Emergency Department COPD CDC 98

Sensible Medicine

JUNE 25, 2024

The Cleveland Clinic page on sex difference and sex terminology , for example, identifies the CDC’s alcohol guidelines as an example of a place where “the gender binary often shows up in places where it’s not needed.” As the CDC itself points out, males and females metabolize alcohol differently. Is it accurate?

CDC 139

CDC Military Outcomes Wellness 139

PulmCCM

FEBRUARY 26, 2024

Read in JAMA Covid Update: Two new drugs for mild-moderate symptoms; Fluvoxamine RCT; Covid “brain fog” Paxlovid improves outcomes for the elderly and other people at high risk for severe Covid, but the best available data suggest it doesn’t meaningfully help healthier, younger people. anytime soon.

Stroke 40

Stroke Psychiatric Hospitals CDC 40

RebelEM

NOVEMBER 11, 2024

They analyzed the electronic health records of patients presenting to the ED who met modified Center for Disease Control and Prevention (CDC) sepsis surveillance criteria and received empiric treatment with either vancomycin/piperacillin-tazobactam or vancomycin/cefepime. Variations in compliance could have impacted patient outcomes.

Sepsis 84

Sepsis Outcomes Administration Shock 84

EMDocs

NOVEMBER 4, 2024

A comprehensive, patient-centered approach to pain management ensures effective treatment across these diverse pain syndromes, ultimately improving patient outcomes. Cause and outcome of atypical chest pain in patients admitted to hospital. CDC Guideline for Prescribing Opioids for Chronic Pain–United States, 2016.

Emergency Department 99

Emergency Department Fractures Burns EMS 99

EMDocs

NOVEMBER 25, 2024

Vision loss carries a high degree of morbidity and is associated with higher all-cause mortality, 4 and it is our role as emergency providers to recognize potentially reversible causes of such adverse outcomes. 5 Epidemiology Onchocerciasis is endemic in 31 African countries but is also problematic in Brazil, Venezuela, and Yemen.

Infectious Diseases 54

Infectious Diseases Emergency Department EMS Administration 54

Sensible Medicine

NOVEMBER 26, 2024

The disparities in health outcomes in the US, most notably between black and white, is appalling. It is one thing to generate hypotheses about why disparities in health practices or outcomes exist, but wholly another to infer bad faith -- “inequity” – as their cause without adequate information.

Research 87

Research Outcomes CDC Hospitals 87

EMDocs

DECEMBER 9, 2024

The outbreak spread to four additional African countries, leading the Africa CDC to declare it a Public Health Emergency of Continental Security. 43 As shown in Table 1, the CDC recommends acetaminophen or NSAIDs for general pain relief, with gabapentin or opioids reserved for more severe cases. In: CDC Yellowbook. 43 Table 3.

CDC 59

CDC Documentation/Coding Infectious Diseases Dehydration 59

Sensible Medicine

DECEMBER 3, 2024

He told me that he followed me on X and was aware of my skeptical views of the covid boosters because of the lack of solid data behind their FDA approval and CDC recommendation. I realized that he was conveying to me (a lowly cardiologist) that he trusted my judgment on this question more than other physicians or the CDC.

CDC 129

CDC Outcomes Hospitals Wellness 129

Sensible Medicine

JANUARY 3, 2024

The predictable outcome has been mass hysteria. Former White House COVID-19 Response Coordinator shares a celebrity endorsement and suggests any critic is “a fool” Benefits The CDC recently outlined benefits to expect from repeat COVID vaccination in 2023-2024. Direct evidence on hard clinical outcomes is needed.

CDC 142

CDC Allergic Reactions Hospitals COPD 142

Sensible Medicine

SEPTEMBER 4, 2024

Biden-Harris’ CDC recommends boosters even for people who have had COVID 4 times before. Furthermore, this administration just paid for more COVID19 tests without data that these tests improve outcomes. Here is Vinay Prasad: Harris plans to continue Biden’s agenda, as such, there are 4 ways in which she is anti-science.

Administration 130

Administration Operations CDC Documentation/Coding 130