Sensible Medicine

AUGUST 7, 2024

A 2015 Nature (Pediatric Research) paper by Nils J. Bergman summarizes a body of research that confirms the benefits of sleeping on the belly. Research by Collett et al (2018) shows that, despite some improvement in PP by 18 months, the deformations persist beyond 36 months. This may not be true for infants.

CDC 113

CDC Documentation/Coding Research Pediatrics 113

PulmCCM

JANUARY 16, 2024

The dueling guidelines conflict in parts, reflecting the fundamental ontological confusion and challenges to effective research on the amorphous syndrome that is ARDS. Progress in ARDS research has been very slow, from a clinical perspective. You can read the document for all the caveats. ” What About Statins for ARDS?

Research 87

Research Documentation/Coding Outcomes Fractures 87

Don't Forget the Bubbles

OCTOBER 10, 2024

Reviewed by: Isabella Davenport Article 2: Does it improve outcomes if you replace the nail in nail bed repair? Children with nail bed injuries were randomly assigned to nail replacement or discarding , with the primary outcomes being secondary infection in 7 days and cosmetic outcome in four months.

Emergency Department 75

Emergency Department Outcomes Research Operations 75

Dr. Smith's ECG Blog

MARCH 27, 2025

Nurse notes: the silent scream of the heart The emergency nursing notes document the patient complaining of chest pain refractory to nitro, with a rising trop: 2200: ECG shown to ED MD 0020: repeat ECG shown to ED MD, patient complain of midsternal chest pain 0520: nitro x 3. Troponin rose to 12,000 before cath.

EKG/ECG 79

EKG/ECG Documentation/Coding Research Outcomes 79

The Skeptics' Guide to EM

MARCH 22, 2019

She is a clinical researcher at Cabrini Hospital and an Adjunct Clinical Associate Professor at Monash University. She is a clinical researcher at Cabrini Hospital and an Adjunct Clinical Associate Professor at Monash University. Research by Hill et al (1) demonstrated that an ED shift can have 4,000 clicks.

Emergency Department 52

Emergency Department Dislocations Documentation/Coding Research 52

Taming the SRU

APRIL 22, 2023

Currently, there is limited data investigating outcome differences between beta blockers and calcium channel blockers for atrial fibrillation with rapid ventricular response in a patient diagnosed with heart failure. There were similar lengths of say overall and no significant difference in safety outcomes.

Outcomes 52

Outcomes Stroke Fractures Documentation/Coding 52

The Skeptics' Guide to EM

APRIL 24, 2021

Date: April 19th, 2021 Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine and Emergency Medicine Research Lead at Lancashire Teaching Hospitals Trust (North West England). Exclusions: Prisoners or those in police custody, pregnant or breast-feeding, or with documented allergy to any study medications.

Emergency Department 40

Emergency Department Research Outcomes Documentation/Coding 40

Greater Sydney Area HEMS

AUGUST 1, 2023

When I found it, I felt the documentation (if done at all) largely tended to be the bare minimum, and certainly not reflective of the beautiful learning conversations happening in the room. And so, for this project we made the decision to look solely at process measures that reflected our interventions, as opposed to broader outcome measures.

Documentation/Coding 52

Documentation/Coding Outcomes Hospitals Administration 52

PulmCCM

FEBRUARY 8, 2024

The dueling guidelines conflict in parts, reflecting the fundamental ontological confusion and challenges to effective research on the amorphous syndrome that is ARDS. Progress in ARDS research has been very slow, from a clinical perspective. You can read the document for all the caveats. ” What About Statins for ARDS?

Research 52

Research Documentation/Coding Fractures Outcomes 52

SheMD

JULY 27, 2023

What were their outcomes: Physician mothers report having more domestic responsibilities than their partners. Unequal distribution of domestic responsibility has been documented as a factor in the underrepresentation in female physicians in leadership roles in academic medicine as well as contributing to career satisfaction.

Academics 52

Academics Leadership Documentation/Coding Research 52

Ziqitza HealthCare Ltd

JUNE 18, 2023

Ziqitza Healthcare ltd embraces precision medicine by leveraging AI to analyze genomic data, enabling the delivery of tailored therapies to patients for improved treatment outcomes. NLP algorithms can transcribe and analyze voice recordings, enabling real-time documentation of patient information, symptoms, and interventions.

Documentation/Coding 52

Documentation/Coding Administration Ambulance Services Outcomes 52

Mind The Bleep

FEBRUARY 27, 2024

The children who received no bolus had significantly better outcomes and reduced mortality compared to the two bolus group. [2] saline), however more research is needed in this area. [4] Boluses were given in 20-40ml/kg aliquots.

Fluid Resuscitation 96

Fluid Resuscitation Dehydration Hospitals Research 96

Don't Forget the Bubbles

FEBRUARY 26, 2024

About PICSTAR PICSTAR is a trainee-led research network open to all doctors, nurses and allied health trainees within Paediatric Intensive Care. We are the trainee arm of the Paediatric Critical Care Society – Study Group (PCCS-SG) and work with them on research, audit and service evaluation. Paediatric respiratory reviews.

Pediatrics 72

Pediatrics Research Documentation/Coding Outcomes 72

The Skeptics' Guide to EM

DECEMBER 5, 2020

She is the New York ACEP liaison for the Research and Education Committee and is a past ALL NYC EM Resident Education Fellow. Over the past decade, some emergency physicians have adopted this examination into their own bedside clinical assessment and documentation. We’ve even used it to help decide whether or not to get a head CT.

Stroke 40

Stroke Documentation/Coding Emergency Department Hospitals 40

Pediatric Emergency Playbook

APRIL 1, 2016

We could use it to track treatment , and see if we can clear the lactate; decreased lactate levels are associated with a better outcome in adults. Myopericarditis in Children: Elevated Troponin I Level Does Not Predict Outcome. for the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

Cook County EM Blog

MARCH 20, 2023

Further document handedness, occupation, site of injury, and thorough review of systems to evaluate for potential complications ○ Complications as distant as pneumomediastinum following air injection of the hand have been reported5,6. ➢ Latex paint-gun injuries of the hand: are the outcomes better? J Am Acad Orthop Surg. Hand (N Y).

Fractures 52

Fractures Documentation/Coding Operations Research 52

Advanced Emergency Nursing from AENJ

NOVEMBER 27, 2017

New evidence will be reviewed, graded as to quality, recommendations proposed, and new research areas for the coming cycle prioritized. The following quotes from the ILCOR and AHA documents, under fair-use doctrine, will help summarize for you the changes. Omitted for brevity, please see original document.

CPR 40

CPR Basic Life Support Resuscitation Pediatrics 40

PulmCCM

APRIL 7, 2025

Care of families is a core component of high-quality care , as family support and engagement influence patients’ outcomes, and as ICU experiences have lasting impacts on family members themselves.” The usual outcome measured is a score on a questionnaire or survey. That’s a problem, as we’ll see.

Documentation/Coding 113

Documentation/Coding Outcomes Research CPR 113

EMDocs

NOVEMBER 16, 2024

Posterior – Shortened, adducted, internally rotated 5,6 Anterior – Shortened, abducted, externally rotated 5,6 As with all dislocations, perform and document distal neurovascular exam before and after management. 8 Perform and document distal neurovascular exam. 5 CT if concern for occult fracture. Hospitals, 2018.

EMS 97

EMS Dislocations Fractures Operations 97

Pediatric EM Morsels

JULY 28, 2023

Kendra Jackson and Rebecca Raffler While we’ve gotten to snack on a Morsel on this subject before , new guidelines and research surrounding DKA and cerebral edema have come to light since the first go ‘round! The Pediatric Emergency Medicine Collaborative Research Commitee. Authors: Drs. Then we’ve likely got DKA. PMID: 12461495.

Fluid Resuscitation 246

Fluid Resuscitation Pediatrics Resuscitation Research 246

PulmCCM

JANUARY 15, 2025

In 2020 during the Covid pandemic, researchers at the University of Michigan reported in a letter to the New England Journal of Medicine that in 12% of patients with darker skin, pulse oximeters overestimated their oxygen saturation, reading 92 to 96% when arterial blood gases confirmed the true value to be less than 88%. Nature (news).

Academics 81

Academics Documentation/Coding Administration Research 81

RebelEM

NOVEMBER 30, 2023

What They Did: Researchers performed a systematic review and meta-analysis. Outcomes: Primary Outcome: In-hospital mortality. Secondary Outcomes: Delayed hypotension, increased ICU stay, and other relevant outcomes. The study was conducted according to PRISMA guidelines. 2.89, p = 0.01.

Sepsis 121

Sepsis Fluid Resuscitation Resuscitation Administration 121

Don't Forget the Bubbles

JUNE 5, 2023

Every month we ask some of our friends from PERUKI (Paediatric Emergency Research in the UK and Ireland) to point out something that has caught their eye. Outcomes of the PREFER pre-post intervention study. This study also demonstrated the usefulness of social media as a research platform. BMJ Sex Reprod Health. PMID: 35228303.

Outcomes 124

Outcomes Research Wellness Documentation/Coding 124

ACEP Now

OCTOBER 3, 2023

This document is an update of guidelines first published in 2000, and then updated in 2007. 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.

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98

EMDocs

JUNE 8, 2023

and 9 hours after onset of symptoms, with non-infarcted brain tissue, does the administration of alteplase improve functional outcome at 90 days? Subsequently reduced enrollment to 310 patients because no patients had been lost to follow-up or had insufficient data documented. Intervention: Alteplase 0.9 in alteplase group versus 0.9%

Stroke 98

Stroke Administration Documentation/Coding Outcomes 98

Emergency Medicine Journal

JANUARY 21, 2025

The under-representation of women in clinical trials has been well documented but even less appreciated is the lack of attention to potential differences in outcomes according to sex and gender.

Documentation/Coding 52

Documentation/Coding Research Wellness Outcomes 52

Taming the SRU

JULY 25, 2024

More efficacious than parenteral opioids alone Safer than opioids Decreased delirium Patients have been shown to have improved functional outcomes at 30 days Early pain control matters! Currently EVT for large core is being looked at and so far the outcomes seem to be favorable Staphylococcus spp., and Pasteurella spp.

Stroke 98

Stroke Fractures Operations Outcomes 98

Dr. Smith's ECG Blog

AUGUST 9, 2024

He had no previously documented medical problems except polysubstance use. Opioids associate with worse outcomes in myocardial infarction , probably because they eliminate the pain signal that informs the clinician of the urgency of revascularization. Circulation Research , 56 (2), 184–194. Do not treat AIVR. & Lukas, A.

EKG/ECG 106

EKG/ECG EMS Emergency Department Wellness 106

RebelEM

OCTOBER 5, 2023

Secondary Outcome By day 90, mortality was 9.3% Strengths: The investigators framed a research question centered on patient outcomes, ensuring the study’s relevance and practicality. Control: Normal Saline via continuous infusion according to the same regimen used in the hydrocortisone group. to −0.8).

Research 94

Research Outcomes Administration Shock 94

American Medical Compliance

APRIL 23, 2024

Our Continuing Medical Education (CME) program is committed to enhancing the knowledge, skills, and professional performance of healthcare providers to improve healthcare outcomes. There have been numerous changes to the documents over time. Its guardian, the World Medical Association, recently requested further revisions.

Documentation/Coding 52

Documentation/Coding Research Best Practices Outcomes 52

The Skeptics' Guide to EM

JANUARY 23, 2021

She is the cofounder of FOAMcast and a pulmonary embolism and implementation science researcher. Dr. Westafer serves as the Social Media Editor and research methodology editor for Annals of Emergency Medicine […] The post SGEM#316: What A Difference An A.P.P. Diagnostic Testing Differences Between A.P.P.s Reference: Pines et al.

Poisoning 52

Poisoning Research Documentation/Coding Operations 52

Don't Forget the Bubbles

JULY 26, 2023

Cardiac testing and outcomes in infants after an ALTE, Hoki et al, Archives of Disease in Childhood 2012 showed significant cardiac disease was present in <1% of patients presenting with ALTE (although cardiac abnormalities were found in 4% overall). Choking or gagging in the history now precludes this description being applied.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

Don't Forget the Bubbles

JUNE 10, 2024

The history of necrotising enterocolitis The earliest documented cases resembling Necrotising enterocolitis (NEC) date back to the late 19th and early 20th centuries. Pediatric Research, 63(2), 117-123. What is the pathophysiology of necrotising enterocolitis? Can we prevent NEC? Hunter, C.J., Upperman, J.S., Meinzen-Derr, J.,

Pediatrics 40

Pediatrics Sepsis Fluid Resuscitation Outcomes 40

Downeast Emergency Medicine

APRIL 26, 2021

4] We also know that severe TBI is commonly associated with the development of intracranial hemorrhage where the presence and volume of blood are associated with increased mortality and poor outcomes.[5] Association between prehospital tranexamic acid administration and outcomes of severe traumatic brain injury. JAMA Neurol.

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

EM Updates

JUNE 15, 2021

Every patient admitted to the EDAT was followed to the conclusion of their hospital course; the development of this unit and patient outcomes resulting from its execution are presented here. Other agents, also part of research protocols, were not similarly limited to intubated patients.

Emergency Department 52

Emergency Department Hospitals Outcomes Wellness 52

EB Medicine

AUGUST 1, 2018

In fact, cannabis use has been documented for medical use dating as far back as 600 BC in West and Central Asia. Jeff: This DEA designation limits the ability to do research and obtain federal funding for such research. Synthetics were initially developed in the 1980s largely for research purposes.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

EB Medicine

OCTOBER 1, 2018

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

Sepsis Shock Fluid Resuscitation Hospitals 40