St. Emlyn

JUNE 23, 2024

St.Emlyn's - Emergency Medicine #FOAMed Background Out-of-hospital cardiac arrest (OHCA) is a leading cause of morbidity and mortality globally, with a survival rate of less than 10% despite emergency medical services (EMS) interventions.

Shock 112

Shock Outcomes Hospitals EMS 112

ACEP Now

JUNE 21, 2023

emergency medicine (EM) residency training length has been a decades-long dilemma: four vs. three years. First, is three years enough time to become an EM physician? But critical questions remain unanswered when it comes to specialization, career trajectory, and actual competence as an EM physician. 11 What should we take away?

EMS 114

EMS Academics Telemedicine Operations 114

EMDocs

SEPTEMBER 7, 2024

We’ll keep it short, while you keep that EM brain sharp. A 25-year-old man presents to the ED via EMS after he sustained a gunshot wound to the left flank. Spontaneous retroperitoneal hematoma: etiology, characteristics, management, and outcome. Available from: [link] Guldner GT, Smith T, Magee EM. J Emerg Med.

EMS 97

EMS Fluid Resuscitation Resuscitation Radiology 97

EMDocs

JULY 13, 2024

We’ll keep it short, while you keep that EM brain sharp. Favorable infertility outcomes following anti-tubercular treatment prescribed on the sole basis of a positive polymerase chain reaction test for endometrial tuberculosis. Incidence, treatment and outcome of peripartum sepsis. Am J Clin Pathol. 1999 Aug;112(2):211-5.

OB/GYN 88

OB/GYN EMS Sepsis Fluid Resuscitation 88

Emergency Medicine Cases

FEBRUARY 18, 2025

The earlier an eating disorder is identified and the earlier that appropriate treatment is initiated the better the long term outcomes. Missing the diagnosis has important consequences. Eating disorders need to be thought of as both a psychiatric condition and medical condition to optimize the pick up rate and appropriate management.

Psychiatric 91

Psychiatric Emergency Department EMS Outcomes 91

Emergency Medicine Cases

FEBRUARY 13, 2024

In order fix EM, each of us needs to understand systems issues and systems thinking, and advocate for a better system based on sound systems principles and specific solutions. In this main episode EM Cases podcast Anton is joined by Dr. Alecs Chochinov and Dr. Davie Petrie, two systems thinkers and leaders in EM. and many more.

EMS 94

EMS Operations Outcomes Wellness 94

St. Emlyn

JUNE 23, 2024

St.Emlyn's - Emergency Medicine #FOAMed Background Out-of-hospital cardiac arrest (OHCA) is a leading cause of morbidity and mortality globally, with a survival rate of less than 10% despite emergency medical services (EMS) interventions.

Shock 91

Shock Outcomes Hospitals EMS 91

EMDocs

APRIL 27, 2024

We’ll keep it short, while you keep that EM brain sharp. However, the bioavailability of antipseudomonal antibiotics has improved outcomes, limiting surgery as a confirmatory diagnostic procedure and as needed for granulation tissue removal. He says the pain is worse at night and when he is chewing. Reyes Suarez, L.

EMS 105

EMS Infectious Diseases Radiology Radiology 105

Pediatric EM Morsels

APRIL 19, 2024

No formal follow up was scheduled Outcomes were: effectiveness, parental satisfaction, and economic benefits The majority of children wore their braces as directed (94%)There was no re-fractureAll parents were happy with the treatment (100%) and felt comfortable removing the brace (100%). West, 2005. Plint, 2006. J Bone Joint Surg Br.

Fractures 290

Fractures Pediatrics Best Practices Outcomes 290

EMDocs

OCTOBER 21, 2023

We’ll keep it short, while you keep that EM brain sharp. 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.

EMS 97

EMS Stroke Outcomes Hospitals 97

Pediatric EM Morsels

JULY 26, 2024

Higher titers in both CSF and serum were associated with poor outcomes. Earlier diagnosis leads to better outcomes. Younger Age at Onset Is Associated With Worse Long-term Behavioral Outcomes in Anti-NMDA Receptor Encephalitis. HSV serum and CSF PCR HSV is one of the most common etiologies of encephalitis and is devastating.

Psychiatric 271

Psychiatric Seizures Outcomes Pediatrics 271

Dr. Smith's ECG Blog

JANUARY 3, 2024

Written by Pendell Meyers A woman in her 70s had acute chest pain and called EMS. On arrival, EMS recorded relatively normal vital signs and this EMS ECG: What do you think? The EMS crew recorded another ECG about 10 minutes later (unknown if pain changed): New LAFB. The patient survived with unknown long term outcome.

EMS 102

EMS EKG/ECG Wellness Outcomes 102

Dr. Smith's ECG Blog

SEPTEMBER 11, 2024

Here is the case: Report from EMS was witnessed syncope, his son did CPR, but the patient had pulses when EMS arrived. When the patient arrived in the ED, he was still hypotensive in 70s, slowly improving with EMS fluids. Smith : "What was the outcome?" Hope you’re doing well! No Chest Pain, but somnolent.

EMS 114

EMS CPR EKG/ECG Wellness 114

Pediatric EM Morsels

SEPTEMBER 22, 2023

To celebrate the end of trauma season ( is it ever really over? ), we here at the Ped EM Morsels Bakery have cooked up a morsel to remind you that pediatric trauma can be even more difficult than you think. Available from: [link] The post Neurogenic Shock in Children appeared first on Pediatric EM Morsels. Never fear. J Pediatr Surg.

Shock 304

Shock Pediatrics Hyperthermia / Hypothermia Dislocations 304

RebelEM

FEBRUARY 1, 2024

Limitations : Open label study design Outcome assessments were done via telephone interview. mg/kg, max 25mg) vs. intravenous alteplase (0.09 mg/kg followed by 0.81 vs Alteplase 34.8% Unadjusted risk difference 2.1% [ 95% CI -2.6 mg/kg, max 25mg) vs. intravenous alteplase (0.09 mg/kg followed by 0.81 vs Alteplase 34.8% mg/kg followed by 0.81

Stroke 134

Stroke Blood Transfusions Outcomes EMS 134

RebelEM

NOVEMBER 6, 2024

PMID: 31082090 Post Peer Reviewed By: Anand Swaminathan MD, MPH (Insta @EMSwami) The post Elbow Dislocations appeared first on REBEL EM - Emergency Medicine Blog. Treasure Island (FL): StatPearls Publishing; 2024 Jan–.

Dislocations 114

Dislocations Fractures Soft Tissue Injuries Outcomes 114

First 10 EM

DECEMBER 2, 2024

Despite being widely talked about in glowing terms, the original WOMAN trial was clearly negative, with no benefit in their primary outcome, and no change in all cause mortality, and therefore no hint of benefit.

Outcomes 95

Outcomes EMS 95

The Skeptics' Guide to EM

SEPTEMBER 21, 2024

Naloxone and Patient Outcomes in Out-of-Hospital Cardiac Arrests in California. August 20, 2024 Guest Skeptic: Dr. Chris Root is an emergency medicine and emergency medicine service (EMS) physician at the University of New Mexico, Albuquerque. Chris completed his emergency medicine residency and EMS fellowship at UNM.

Hospitals 104

Hospitals CPR EMS Outcomes 104

Dr. Smith's ECG Blog

NOVEMBER 29, 2023

Written by Pendell Meyers Two adult patients in their 50s called EMS for acute chest pain that started within the last hour. Both cases had an EMS ECG that was transmitted to the ED physician asking "should we activate the cath lab?" 25 minutes later, EMS called back with this new ECG: Super obvious STEMI(+) OMI.

EKG/ECG 125

EKG/ECG EMS Outcomes Wellness 125

The Skeptics' Guide to EM

APRIL 27, 2024

She is also the local director of the difficult airway EMS course at Washington State. Case: EMS arrives with a 58-year-old woman who suffered an out-of-hospital cardiac arrest (OOHCA). Despite that weak evidence, placement of IO in OOHCA has become a routine procedure for many EMS providers. tibial & 2.3%

Resuscitation 93

Resuscitation Airway Management EMS Outcomes 93

Pediatric EM Morsels

NOVEMBER 17, 2023

Differences in intubation outcomes for pediatric patients between pediatric and general Emergency Departments. Intubation practice and outcomes among pediatric emergency departments: A report from National Emergency Airway Registry for Children (NEAR4KIDS). That sounds reasonable, so what has changed? 0.41), p < 0.001.

Pediatrics 187

Pediatrics Emergency Department Outcomes Sepsis 187

The Skeptics' Guide to EM

JANUARY 6, 2024

She is an executive lead for the EMS for Children Innovation and Improvement Center. She is the co-Principal Investigator for the EMS for Children Data Center. She is nationally known for her work as an EMS researcher and educator. Veterans Affairs and prison hospitals.

Emergency Department 137

Emergency Department Pediatrics Anaphylaxis Leadership 137

RebelEM

JANUARY 21, 2025

Outcomes: Primary: Rate of missed PE in high-risk patients with a negative D-dimer at index visit or 3-month follow-up Secondary: Rate of missed PE in high-risk patients using a 500ng/mL D-dimer threshold at index visit or 3-month follow-up Design: Post hoc analysis of three European studies: PROPER, MODIGLIANI, and TRYSPEED.

EMS 45

EMS Research Wellness Outcomes 45

RebelEM

JANUARY 18, 2024

It is well-established that earlier recognition and treatment can lead to better outcome for these patients . Three outcomes were evaluated, with none being deemed the primary outcome. appeared first on REBEL EM - Emergency Medicine Blog. Background: Sepsis remains one of the leading causes of morbidity and mortality.

Sepsis 132

Sepsis Hospitals Administration Outcomes 132

RebelEM

SEPTEMBER 19, 2022

Background: There are only two interventions that have been proven in the medical literature to improved outcomes in cardiac arrest: high-quality CPR and early defibrillation. Over the years, we as a scientific community have worked extensively to find other interventions that improve outcomes. However, human data is sorely lacking.

CPR 52

CPR Outcomes Resuscitation EMS 52

RebelEM

FEBRUARY 19, 2024

PMID: 34599691 For More Thoughts on This Topic Checkout: REBEL EM: The Safety and Efficacy of Push Dose Vasopressors in Critically Ill Adults REBEL EM: Are Peripheral Vasopressors Causing Too Many Complications? REBEL EM: Peripheral Vasopressors – Safe or Dangerous? Crit Care Med 2021.

Administration 137

Administration Sepsis EMS Shock 137

RebelEM

JULY 1, 2024

PMID: 34277241 For More Thoughts on This Topic Checkout: EMCrit 341: AVAPS (Average Volume Assured Pressure Support) NIPPV with Alex Bracey Post Peer Reviewed By: Anand Swaminathan, MD (Twitter/X: @EMSwami ) The post BPAP vs AVAPS for Hypercapnic Respiratory Failure in the ED appeared first on REBEL EM - Emergency Medicine Blog. AVAPS: 0.07

COPD 132

COPD Emergency Department Outcomes EMS 132

RebelEM

MAY 27, 2024

The primary outcomes are patient-centered and objectively measured, potentially ensuring relevance and reliability. The unblinded nature of the study could influence outcomes due to observer bias. Employing P-values to compare demographics between groups could mislead interpretations of the data’s relevance to the primary outcomes.

Outcomes 137

Outcomes Research Operations Hospitals 137

Emergency Medicine Cases

JANUARY 18, 2022

The post EM Quick Hits 35 – 10 Best Papers of 2021, Peripartum Cardiomyopathy, Crashing Asthmatic, Febrile Neutropenia, Anaphylaxis update appeared first on Emergency Medicine Cases.

Anaphylaxis 52

Anaphylaxis EMS Outcomes Hyperthermia / Hypothermia 52

The Skeptics' Guide to EM

OCTOBER 19, 2024

Annals of EM 2024. Annals of EM 2024. mg/kg plus nebulized saline Outcome: Primary Outcome: Reduction in pain scores on. Guest Skeptic: Dr. Brendan Freeman is an emergency medicine physician, assistant professor of emergency medicine, and medical education fellow at Staten Island University Hospital.

Emergency Department 100

Emergency Department EMS Research Administration 100

The Skeptics' Guide to EM

JUNE 1, 2024

His research focuses on the pre-hospital care of children by EMS. He is the principal investigator for EMSC State Partnership in Washington, DC and is also involved in various multi-center EMS studies with the Pediatric Emergency Care Applied Research Network (PECARN). EMS placed him in a C-collar and brought him to you.

Pediatrics 88

Pediatrics EMS Emergency Department Research 88

Ziqitza HealthCare Ltd

JANUARY 23, 2024

In the rapidly changing landscape of healthcare, Emergency Medical Services (EMS) play a critical role in saving lives and providing timely medical assistance. As we step into 2024, one company stands out as a pioneer in transforming EMS – Ziqitza Healthcare ltd.

EMS 52

EMS Telemedicine Ambulance Services Operations 52

Emergency Medicine Cases

JULY 30, 2024

A cultural shift emphasizing the importance of compassion in patient care needs to occur to improve outcomes of our patients and our job satisfaction; as such, compassion should be part of our training and CME. The post Compassionate Care to Improve Patient Outcomes and Your Career from EMU 2024 appeared first on Emergency Medicine Cases.

Outcomes 52

Outcomes EMS 52

Ziqitza HealthCare Ltd

FEBRUARY 7, 2024

In the ever-changing landscape of emergency medical services (EMS), innovation is the key to saving lives and improving patient outcomes. The post Ziqitza – Emergency Medical Services (EMS) Innovations appeared first on Ziqitza HealthCare Ltd | Emergency Medical/Ambulance Service Provider.

Telemedicine 52

Telemedicine EMS Ambulance Services Hospitals 52

Dr. Smith's ECG Blog

JUNE 21, 2023

EMS was called, and they recorded the following ECG on scene at 13:16: What do you think? In this medical system, the EMS provider can then be routed to the ED or to a type of urgent care facility that is open 24 hrs/day and staffed by a primary care provider. In this case, the EMS provider was routed to the urgent care facility.

Urgent Care 98

Urgent Care EKG/ECG EMS Emergency Department 98

RebelEM

FEBRUARY 8, 2024

patients with more discrepant readings had NIBP checked more frequently) Some patients were on multiple vasopressors, but for an unclear reason the authors decided to only evaluate the dose of norepinephrine MAP discrepancy is not a patient oriented outcome (i.e. appeared first on REBEL EM - Emergency Medicine Blog. to 1.12; p = 0.03

Resuscitation 123

Resuscitation Outcomes EMS Sepsis 123

Pediatric EM Morsels

AUGUST 11, 2023

This is the 601st Ped EM Morsel ! Infections there become complicated very quickly and the outcomes can be very poor. The post Perichondritis of the Ear in Children appeared first on Pediatric EM Morsels. Having authored 575 ( well, now 576 ) of them, I am often quite convinced that there are no new topics to discuss.

Burns 130

Burns Pediatrics EMS Outcomes 130