AENJ: Current Issue

MAY 8, 2024

This column on translating research into practice is crafted to offer advanced practice registered nurses an analysis of current research topics that hold practical relevance for emergency care settings.

Emergency Department 40

Emergency Department Outcomes Sepsis Research 40

Don't Forget the Bubbles

NOVEMBER 29, 2023

You are the Paediatric doctor on call and receive a call for an incoming patient to the emergency department. Tragically, several attempts at resuscitation upon arrival at the emergency department were unsuccessful. Intensive Care Research , 1 (3-4), pp.60-64. His name is Ben. While waiting, another call comes in.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

Pediatric EM Morsels

AUGUST 9, 2024

Neonates presenting to the Emergency Department often cause a lot of uncertainty. Let’s review how Congenital Syphilis may present to our Emergency Departments: Congenital Syphilis : Basics Occurs when the spirochete Treponema pallidum is transmitted from mother to fetus. Is this scalp swelling normal?

Hyperthermia / Hypothermia 152

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 152

The Skeptics' Guide to EM

OCTOBER 19, 2024

Comparison of Nebulized Ketamine to Intravenous Subdissociative Dose Ketamine for Treating Acute Painful Conditions in the Emergency Department: A Prospective, Randomized, Double-Blind, Double-Dummy Controlled Trial. Case: You’re working your usual day shift in the emergency department (ED) from 9 am to 5 pm on a Tuesday.

Emergency Department 79

Emergency Department EMS Research Administration 79

The Skeptics' Guide to EM

SEPTEMBER 9, 2023

Case: It is a steady Saturday afternoon in your rural emergency department (ED). Tessa Davis covered the FORCE trial on SGEM #372 which looked at buckle fractures and compared immobilization in a cast or splint vs. a soft bandage and they found no difference in pain scores or functional outcomes. Reference: Snelling et al.

Fractures 126

Fractures Ultrasounds Pediatrics Outcomes 126

The Skeptics' Guide to EM

NOVEMBER 16, 2024

He leads an AI team intending to improve patient outcomes and healthcare system efficiency. Michael has over 15 years of experience building and leading corporate strategies for innovation, social impact, and research and development for various organizations.

Administration 90

Administration Emergency Department Outcomes Patient Safety 90

Sensible Medicine

JULY 29, 2024

The background for cash giveaways stem from the association of low income and worse health outcomes. Their primary endpoint was emergency department visits. The primary outcome was positive but there were caveats. And, I am not against improving disparities in outcomes between richer and poorer citizens.

Outcomes 109

Outcomes Research Sepsis Emergency Department 109

ACEP Now

MARCH 6, 2024

Every year, the volume of published research continues to outpace capacity to consume. The Sisyphean task remains to try to keep up—and, in that vein—here is a light round of the emergency medicine literature from 2023. Gotta catch ‘em all!” may be an appealing mantra, however it is impracticable to achieve with the medical literature.

Research 52

Research Airway Management Stroke Outcomes 52

The Skeptics' Guide to EM

JUNE 1, 2024

Caleb Ward is a pediatric emergency medicine attending and Associate Professor of Pediatrics and Emergency Medicine at Children’s National Hospital and The George Washington School of Medicine and Health Sciences in Washington, DC. His research focuses on the pre-hospital care of children by EMS. Cochrane Database Syst Rev.

Pediatrics 83

Pediatrics EMS Emergency Department Research 83

Don't Forget the Bubbles

JANUARY 8, 2024

In paediatric emergency care, addressing the challenge of adolescent agitation is a complex and evolving task. Dr Elyssia Bourke, based at Ballarat Base Hospital, is actively engaged in this area through her ongoing PhD research. Organic Illnesses : Often overlooked, these can manifest as behavioural changes.

Research 105

Research Emergency Department Psychiatric Academics 105

EMDocs

AUGUST 22, 2024

12 How do we address these disparities in the emergency department? Certified interpreter use can improve communication and patient outcomes. Rockville: Agency for Healthcare Research and Quality. An implementation science approach improves language access in the emergency department. Lion KC, et al.

Documentation/Coding 94

Documentation/Coding Emergency Department Federal Emergency Management Agency Best Practices 94

ACEP Now

JULY 11, 2024

2 Although the opiate epidemic is certainly worthy of attention, it accounts for only about half of the number of deaths annually and only around a quarter of the number of emergency department visits annually relative to alcohol use. This medication has limited outcomes data and multiple contraindications. West J Emerg Med.

Emergency Department 98

Emergency Department Psychiatric Outcomes Wellness 98

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. Arch Dis Child.

Emergency Department 75

Emergency Department Outcomes Research Operations 75

RebelEM

NOVEMBER 25, 2024

Included patients from out-of-hospital, emergency department, intensive care unit, and operating-room intubations. Researchers used the Cochrane Risk of Bias Tool to assess bias in randomized controlled trials, and observational studies were assessed with the modified Newcastle-Ottawa scale. hypotension, hypoxemia).

Outcomes 93

Outcomes Emergency Department Operations Hospitals 93

RebelEM

JANUARY 25, 2024

In many emergency departments (ED), US machines are readily available and can be used to rapidly assess and monitor patients with acute dyspnea at the bedside. What They Did: Design: Randomized, controlled, blinded-outcome trial Sites: Three emergency departments in Denmark Duration: October 9, 2019 to May 26, 2021.

Ultrasounds 122

Ultrasounds Outcomes COPD Hospitals 122

Broome Docs

OCTOBER 6, 2024

Mols EM, Haak H, Holland M, Schouten B, Ibsen S, Merten H, Christensen EF, Nanayakkara PWB, Nickel CH, Weichert I, Kellett J, Subbe CP, Kremers MNT; Safer@Home Research Consortium. Can acutely ill patients predict their outcomes? Emerg Med J. Emergency Medicine Journal Published Online First: 12 September 2024.

Emergency Department 102

Emergency Department EMS Research Outcomes 102

RebelEM

DECEMBER 23, 2024

There has been ongoing study about the clinical significance of these effects, as well as whether and for whom LR might provide meaningfully better clinical outcomes ( Myburgh 2013 , Self 2018 , Semler 2018 , Self 2020 ). The enrollment was multicenter, large, and adequately powered for clinically meaningful changes in outcome.

Fluid Resuscitation 121

Fluid Resuscitation Resuscitation Documentation/Coding Outcomes 121

The Skeptics' Guide to EM

DECEMBER 28, 2024

Emergency department staff compassion is associated with lower fear of enacted stigma among patients with opioid use disorder. She is anAssistant Professor and Director of Research in theDepartment of Emergency Medicine at the NYU Grossman Long Island Hospital Campus. AEM December 2024 Guest Skeptic:Dr. Suchismita Datta.

Emergency Department 78

Emergency Department Research Academics Outcomes 78

Don't Forget the Bubbles

JUNE 19, 2024

In adult trauma cases, there has been significant research to help decide which patients require X-ray or CT imaging for possible cervical spine injuries, leading to the development of the National Emergency X-Ray (NEXUS) prediction rule and the Canadian C-Spine Rule (CCR). Why is this study needed? Lancet Child Adolesc Health.

CPR 124

CPR Research Outcomes Documentation/Coding 124

The Skeptics' Guide to EM

JUNE 17, 2023

Intranasal fentanyl and discharge from the emergency department among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. Her research interests include optimizing pain treatment in children. Date: June 15, 2023 Reference: Rees CA et al.

Emergency Department 72

Emergency Department Pediatrics Head Injuries Administration 72

Don't Forget the Bubbles

JULY 22, 2024

Randomised controlled trials addressing the benefit of steroids in preschool wheeze have compared different cohorts, used different trial designs and measured different outcomes. This is a way to overcome different trial outcomes. This paper’s primary outcome was a change in wheeze severity score (WSS).

Outcomes 105

Outcomes Research Pediatrics Hospitals 105

Sensible Medicine

FEBRUARY 18, 2025

Treatment failure, the primary outcome, was defined differently for each group: A need for subsequent appendectomy in the antibiotic group and negative appendectomy for the controls. An RCT measures an intervention’s effect on a single outcome. In this study, different outcomes were assessed for each group.

Outcomes 77

Outcomes Research Emergency Department Pediatrics 77

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives Chest drains are commonly inserted in the Emergency Department (ED) with a complication rate of 30-40%. Training in chest drain insertion is essential in Emergency Medicine (EM) as approximately 25,000 patients undergo in England and Wales undergo this procedure annually.

Emergency Department 40

Emergency Department EMS Research Operations 40

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives In recent years there has been a large increase in demand for emergency care across the country, particularly during winter. This study utilised 12 months’ of routinely collected data from Emergency Departments (EDs) and acute Admitted Patient Care Episodes (APCs) to understand trends in demand for emergency care.

Emergency Department 40

Emergency Department Hospitals Outcomes Research 40

Don't Forget the Bubbles

NOVEMBER 13, 2023

X-ray (radiography) is the standard imaging technique used in emergency departments. To determine the effectiveness of ultrasound, a recent study compared its diagnostic capabilities to radiography for distal forearm fractures in children and adolescents, with the primary outcome of functional recovery of the arm.

Fractures 64

Fractures Ultrasounds Emergency Department Pediatrics 64

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives Crowding is the most pressing issue currently faced by UK emergency departments (ED). When departments are crowded then hospital admissions are delayed, and the risk of mortality is increased. Professionals working in crowded departments feel unable to provide high quality care and are predisposed to burnout.

Emergency Department 40

Emergency Department Research Outcomes Hospitals 40

The Skeptics' Guide to EM

OCTOBER 14, 2023

Vicki Currie is a paediatric emergency medicine registrar in the West Midlands in the United Kingdom. She is also a member of the Don’t’ Forget the Bubbles team where she serves as the editor for the monthly research round up, Bubble WRAP. Time to change the reference ranges of children’s physiological observations in emergency care?

Pediatrics 90

Pediatrics Sepsis Urgent Care Emergency Department 90

RebelEM

FEBRUARY 5, 2024

They concluded that more research of higher quality is needed to strengthen the evidence in favor of one technique over the other. Sites: Investigators recruited patients at 31 French emergency departments at university and nonuniversity hospitals Duration : June 1, 2009 to March 31, 2015. than in the drainage group (3.6).

Outcomes 95

Outcomes Hospitals Research Emergency Department 95

RebelEM

JULY 3, 2023

Impact of intravenous calcium with diltiazem for atrial fibrillation/flutter in the emergency department. Am J Emerg Med. What They Did: Researchers conducted a multicenter, retrospective cohort study in three community hospitals and two freestanding emergency departments. received CaCl 89.3%

Administration 88

Administration Outcomes Documentation/Coding Emergency Department 88

ACEP Now

JULY 7, 2023

CASE A 30-year-old woman presents to the emergency department with left arm pain from a chronic wound. Prior to medical school, she received her MBA in Healthcare Management and currently works on health policy and outcomes-based research. Dr. Marco is professor of emergency medicine at Penn State Health Milton S.

Forensics 98

Forensics Airway Management Administration Emergency Department 98

ACEP Now

JUNE 6, 2023

When considering an optimized environment for compassionate patient communication, the chaotic emergency department (ED) probably gives some clinicians pause. 9) Tell Me More, or What Else, Statements Admittedly, this proficiency can be difficult in the busy emergency department. References Phillips KA, Ospina NS.

Emergency Department 98

Emergency Department Hospitals Best Practices Shock 98

The Skeptics' Guide to EM

NOVEMBER 11, 2023

Case: A 24-year-old manual labourer presents to the emergency department (ED) after drinking a few too many beers, having a disagreement with another beer drinker and gets knocked down. Yes The methodological quality of primary studies were assessed for common forms of diagnostic research bias.

Fractures 99

Fractures Military Radiology Radiology 99

The Skeptics' Guide to EM

JANUARY 20, 2024

Ellie Hill is a pediatric emergency medicine physician at Children’s National Hospital in Washington, DC and Assistant Professor of Pediatrics and Emergency Medicine at George Washington University School of Medicine and Health Sciences. Her research interests include improving the diagnosis of urinary tract infections in children.

Pediatrics 71

Pediatrics Anaphylaxis Emergency Department Outcomes 71

Emergency Medicine Journal

DECEMBER 22, 2023

Background Long waiting times in the ED have been shown to cause negative outcomes for patients. The Centre for Urgent and Emergency Care research database patient-level database (May 2015–April 2016), secondary literature and expert elicitation were used to inform the model.

Emergency Department 52

Emergency Department Research Outcomes Hospitals 52

Emergency Medicine Journal

SEPTEMBER 27, 2023

Although research from preoperative and primary care samples indicates that parents experience anxiety surrounding their children’s medical procedures, less is known about parental anxiety and factors that contribute to higher parental anxiety in the ED. Background Children experience significant anxiety in the paediatric ED.

Emergency Department 40

Emergency Department Psychiatric Research Outcomes 40

RebelEM

OCTOBER 26, 2023

PMID: 37358858 Clinical Question: In children aged 2 months to 10 years who exhibit clinical improvement after 5 days of antimicrobial therapy for UTIs, is short-course (5 days) oral antimicrobial therapy as effective as standard-course (10 days) therapy in preventing treatment failure and related outcomes? 1175 parents could not be reached.

Pediatrics 81

Pediatrics Infectious Diseases Outcomes Research 81

Emergency Medicine Journal

SEPTEMBER 25, 2024

This month’s update is by the Liverpool Emergency Department Research Unit Strategy Team. We used a multimodal search strategy, drawing on free open-access medical education resources and literature searches. Game changer—this paper could/should change practice.

Evidence-Based Practice 52

Evidence-Based Practice Emergency Department Research Outcomes 52