EMDocs

OCTOBER 19, 2024

We’ll keep it short, while you keep that EM brain sharp. 2][3][9] Glucocorticoid were not shown to alter clinical course or patient outcomes. [2][3] Care Variations and Outcomes for Children Hospitalized With Bacterial Tracheostomy-Associated Respiratory Infections. Rev Infect Dis. 1990;12(5):729-735. Hospital Pediatrics.

EMS 106

EMS Pediatrics Sepsis Airway Management 106

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 109

Shock Outcomes Hospitals EMS 109

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 87

Psychiatric Emergency Department EMS Outcomes 87

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 93

EMS Fluid Resuscitation Resuscitation Radiology 93

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 89

EMS Operations Outcomes Wellness 89

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

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.

Seizures 271

Seizures Psychiatric Outcomes Pediatrics 271

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 86

Shock Outcomes Hospitals EMS 86

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 103

EMS EKG/ECG Wellness Outcomes 103

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 115

EMS CPR EKG/ECG Wellness 115

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

JUNE 29, 2023

Back on June 1 st , 2023, Swami wrote a blog post on REBEL EM titled, The CT FIRST Trial, Should We Pan-CT After ROSC? REBEL EM Blog, June 1, 2023. Diagnostic yield, safety, and outcomes of Head-to-pelvis sudden death CT imaging in post arrest care: The CT FIRST cohort study. Below you will find some of the points we discussed.

CPR 144

CPR EMS Documentation/Coding Outcomes 144

The Skeptics' Guide to EM

JULY 2, 2023

He is the Creator and founder of REBEL EM, a free, critical appraisal blog that tries to cut down knowledge translation gaps of […] The post SGEM#408: Hey, I, Oh I’m Still Alive – Is it due to TXA? Most of the times the RCTs we critically appraised did not demonstrate superiority for their primary outcome.

EMS 140

EMS Outcomes Hospitals Research 140

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 107

Dislocations Fractures Soft Tissue Injuries Outcomes 107

The Skeptics' Guide to EM

OCTOBER 5, 2024

Case: The family of a 69-year-old woman activated emergency medical services (EMS) for slurred speech that they noticed when she woke up a couple of hours before. Prehospital identification of LVO stroke remains a significant challenge for emergency medical services (EMS) [6]. Comparison: The Los Angeles Motor Scale (LAMS).

Stroke 115

Stroke EMS Outcomes Research 115

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 103

Hospitals CPR EMS Outcomes 103

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 127

EKG/ECG EMS Outcomes Wellness 127

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 88

Outcomes EMS 88

RebelEM

JUNE 1, 2023

Post-ROSC management is nuanced and challenging but helps to ensure good outcomes. In theory, rapid identification of the underlying cause should improve outcomes by allowing clinicians to tailor management. Diagnostic yield, safety, and outcomes of Head-to-pelvis sudden death CT imaging in post arrest care: The CT FIRST cohort study.

Outcomes 144

Outcomes Resuscitation Hospitals CPR 144

Pediatric EM Morsels

MAY 24, 2024

Evaluation of unintentional injury and trauma is one of the hallmarks of the EM and PEM physician. Low Risk Inta-Adbominal Trauma: Just Light ‘Em Up? The post Low Risk Intra-Abdominal Trauma: Rebaked Morsel appeared first on Pediatric EM Morsels. J Am Coll Surg. 2017;224:449-460. doi:10.1016/j.jamcollsurg.2016.12.041.

Pediatrics 164

Pediatrics Blood Transfusions EMS Fractures 164

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 90

Resuscitation Airway Management EMS Outcomes 90

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

Pediatric EM Morsels

JULY 28, 2023

Factors associated with adverse outcomes in children with diabetic ketoacidosis-related cerebral edema. 13406 The post Cerebral Edema and Diabetic Ketoacidosis: Rebaked appeared first on Pediatric EM Morsels. Is your patient hyperglycemic, acidotic, with ketonuria? Then we’ve likely got DKA. Triple bag, triple bag, triple bag!

Fluid Resuscitation 246

Fluid Resuscitation Pediatrics Resuscitation Research 246

Dr. Smith's ECG Blog

SEPTEMBER 12, 2024

Written by Pendell Meyers A man in his 40s called EMS for acute chest pain that awoke him from sleep, along with nausea and shortness of breath. Long term outcome is unavailable. For clarity in Figure-1 — I've labeled the 2 EMS ECGs and the baseline ECG recorded ~1 month earlier.

EKG/ECG 122

EKG/ECG EMS Documentation/Coding Shock 122

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

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 130

Sepsis Hospitals Administration Outcomes 130

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 127

Emergency Department Pediatrics Anaphylaxis Leadership 127

RebelEM

JUNE 19, 2023

PMID: 37314244 Clinical Question: In advanced trauma systems, does prehospital administration of TXA increase the rate of survival with a favorable neurologic outcome in patients at risk for trauma-induced coagulopathy? 1.00 (0.9 – 1.12) Secondary Outcome Mortality 24h 9.7% Prehospital Tranexamic Acid for Severe Trauma.

Blood Transfusions 105

Blood Transfusions Outcomes Administration Hyperthermia / Hypothermia 105

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 134

Administration Sepsis EMS Shock 134

RebelEM

FEBRUARY 15, 2024

not a patient oriented outcome) Single country study which may limit generalizability Excluded pregnancy where risk of emesis is increased due to gravid uterus Alcohol was the implicated in the overwhelming majority of patients.

Poisoning 139

Poisoning Airway Management Seizures Shock 139

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 129

COPD Emergency Department Outcomes EMS 129

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

RebelEM

JUNE 26, 2023

Interventions such as early application of hemorrhage control, tranexamic acid, reduction of crystalloid fluid administration and balanced ratio blood product transfusion have improved many patients’ outcomes. However, mortality still remains high due to trauma-induced coagulopathy. Severe acute traumatic coagulopathy = PT >1.5

Administration 139

Administration Outcomes Resuscitation Radiology 139

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 134

Outcomes Research Operations Hospitals 134

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 87

Pediatrics EMS Emergency Department Research 87

RebelEM

SEPTEMBER 14, 2023

to 1.03) Poor Neurologic Outcome (CPC 3 or 4): 24.8% to 1.03) Poor Neurologic Outcome (CPC 3 or 4): 24.8% to 1.03) Poor Neurologic Outcome (CPC 3 or 4): 24.8% Control: 53.4% D ECLS: 18.2% Control 8.7% Control 38.0% Control: 49.0% RR 0.98; 95% CI 0.80 to 1.19; p = 0.81 vs 13.9% (RR 0.58; 95% CI 0.33 Control: 9.6% Control 3.8%

Shock 133

Shock Outcomes Resuscitation Stroke 133