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Serial PoCUS for ED Patients with Acute Dyspnea: Is More Actually Better?

RebelEM

It can be used to distinguish between various conditions, including chronic obstructive pulmonary disease (COPD) exacerbation, acute heart failure (AHF), pleural effusion, pulmonary edema, pericardial effusion, pneumothorax, and pneumonia [2,3]. Patients : Compared standard of care to serial US plus stand care in patients with dyspnea.

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A Brilliant Comment Makes the Study of the Week

Sensible Medicine

On yesterday’s podcast , I talked with Bobby Yeh, an academic cardiologist who made a compelling case for enhancing credibility of observational research. The reasons are multiple, but I will articulate a few: Most epidemiological studies are done from large data sets that are not collected for the purpose of research.

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Doing statistics can be difficult but understanding them can be fairly simple

Sensible Medicine

This is where we get into all the terms you see in research papers: p-values, and confidence intervals (typically 95%) – and in the media - margin of error. In the assessment of a clinical trial, we want to know if differences in baseline characteristics may have played a role in the observed outcome.

Outcomes 119
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The Latest in Critical Care, 3/25/24 (Issue #35)

PulmCCM

In a well-randomized trial, equal numbers of clinically important differences in outcomes in opposite directions could average out to a null result, hiding the variability between patients. Neither PILOT nor ICU-ROX found a difference in outcomes with higher vs lower oxygenation targets in mechanical ventilated patients.

COPD 52
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SGEM Xtra: This is My Life – Centralization of Rural Emergency Healthcare

The Skeptics' Guide to EM

John Brown PhD is a Professor of Health Services Research in Ireland who has been studying rural healthcare issues since 2012. The main outcome was the adjusted odds ratio for in-hospital mortality and hazard ratio for 30-day mortality with some pre-specified subgroups. Her main job is working for a think tank.

Stroke 56
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Diagnostics and Therapeutics: Managing Pneumothorax

Taming the SRU

There are many different types of pneumothorax (PTX), and the management paradigm has shifted in recent years as the research has exploded on this topic. As these patients are typically already at a high risk for poor health outcomes, secondary spontaneous PTX is often more serious in presentation and management more complex [11].

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Episode 21- Updates and Controversies in the Early Management of Sepsis and Septic Shock

EB Medicine

Optimal management of septic patients has been a source of intense research, stemming from the landmark study by Rivers in 2001. Also, for research purposes we have to have a common definition, so Sepsis 3 came up with something called the SOFA score. Jeremy, can you give us a little historical context there? Nachi : What a struggle.

Sepsis 40