The Trauma Pro

SEPTEMBER 12, 2023

The authors are given very little print space to fully describe their research idea, their methods, and their results’ significance. Even then, it needs to be taken in context with past, similar research before trickling down to patient care. Aspirin or Low-Molecular-Weight Heparin for Thromboprophylaxis after a Fracture.

Fractures 113

Fractures Head Injuries Research Outcomes 113

Pediatric EM Morsels

MAY 12, 2023

They have thinner bones of the skull which makes them more prone to skull fractures. of these had a CT performed 1 (0.2%) had a clinically important TBI (ciTBI) 10 (5.1%) had any TBI on CT 9 (4.6%) had skull fractures Remember to always watch out for NAT ! PECARN is highly sensitive for identifying those with clinically important TBI.

Head Injuries 130

Head Injuries Fractures Pediatrics EMS 130

The Trauma Pro

MAY 3, 2024

In the previous post in this series, I described an early review article summarizing several older studies comparing these two hemorrhage control techniques for pelvic fractures. They separated all patients with acetabular and pelvic ring fractures using ICD-10 codes. There is still room for research in this space.

Fractures 113

Fractures Radiology Radiology Documentation/Coding 113

PHARM

JUNE 11, 2024

Identification and Management of Pelvic Fractures in Prehospital and Emergency Department Settings – Journal of Surgical Research — Read on www.journalofsurgicalresearch.com/article/S0022-4804(24)00261-0/fulltext

Emergency Department 40

Emergency Department Fractures Research 40

Emergency Medicine Cases

JULY 18, 2023

He lives with autism spectrum disorder and is uncomfortable in X-ray rooms, and you wonder if there is a role for PoCUS to help exclude a fracture. With expert clinical commentary by Dr. Arun Sayal and Research Methodology Hot Take by Dr. Shelley Mcleod.

Fractures 52

Fractures Research EMS 52

The Skeptics' Guide to EM

AUGUST 24, 2024

Serratus Anterior Plane Blocks for Early Rib Fracture Pain Management: The SABRE Randomized Clinical Trial. Interests include information systems and digital health, research and education. He has three left-sided rib fractures on imaging without underlying complications. We have covered rib fractures twice on the SGEM.

Fractures 53

Fractures Emergency Department Ultrasounds Radiology 53

ALiEM

JUNE 10, 2024

Similarly, the Pediatric Emergency Care Applied Research Network (PECARN) has developed robust tools for assessing blunt head trauma in children. For years, adult literature has provided clear guidelines for cervical spine imaging through the NEXUS and Canadian C-spine Rule (CCR) tools. High Risk (>12.1% sensitivity and 99.9%

Pediatrics 126

Pediatrics Emergency Department Research Fractures 126

First 10 EM

APRIL 10, 2023

Apparently this paper was entirely fictional (or perhaps the […] The post Research Roundup (April 2023) appeared first on First10EM. Obviously the study was satire, and did an excellent job in making us laugh, but most satire studies (like those in the Christmas edition of the BMJ) are real studies.

Research 52

Research Sepsis Fractures EMS 52

The Trauma Pro

APRIL 30, 2024

Until we have better research to learn from, I suggest the following: Time is of the essence. Reference: Preperitoneal packing versus angioembolization for the initial management of hemodynamically unstable pelvic fracture: A systematic review and meta-analysis. Is packing “better” than embolization?

Radiology 113

Radiology Radiology Research Fractures 113

Don't Forget the Bubbles

DECEMBER 25, 2023

Interpreting Research Outcomes with a Little Bathroom Humour You have learned a method for how to read a research paper , and now you are faced with a bunch of outcomes. The researchers should have specified a clear research question or aim. Ultrasonography or radiography for suspected pediatric distal forearm fractures.

Research 83

Research Outcomes Fractures Pediatrics 83

Emergency Medicine Journal

NOVEMBER 28, 2023

Background There is a high rate of surgical fixation of displaced Colles’ type distal radial wrist fractures despite fracture manipulation in the ED. Point-of-care ultrasound has been used to guide ED manipulations but its effect on the quality of fracture reduction or subsequent need for surgical fixation is unknown.

Fractures 40

Fractures Ultrasounds Outcomes Research 40

EB Medicine

JUNE 1, 2018

Join hosts Jeff Nusbaum, MD, and Nachi Gupta, MD on this episode of EMplify as they take you through the June 2018 issue of Emergency Medicine Practice: Managing Shoulder Injuries in the Emergency Department Fracture, Dislocation, and Overuse. Conservative interventions for treating middle third clavicle fractures in adolescents and adults.

Dislocations 40

Dislocations Emergency Department Fractures Research 40

The Trauma Pro

DECEMBER 26, 2023

Screening looks at patient factors such as age, obesity, and previous VTE, as well as injury risk factors like spine and pelvic fractures and decreased mobility. But the simple truth is that we have no solid research that either supports or condemns the use of active compression devices in patients with known DVT.

Fractures 124

Fractures Documentation/Coding Hospitals Research 124

Don't Forget the Bubbles

NOVEMBER 13, 2023

Should we use ultrasound to diagnose distal forearm fractures in children and adolescents? Distal forearm fractures are common in children and adolescents, but the best method for diagnosing them is still debatable. Ultrasonography or Radiography for Suspected Pediatric Distal Forearm Fractures. N Engl J Med.

Fractures 64

Fractures Ultrasounds Emergency Department Pediatrics 64

Taming the SRU

MAY 11, 2024

r1 clinical knowledge - r4 capstone - research grand rounds - the art of em - Community corner - PEM Lecture r1 Clinical knowledge: transplant complications WITH dr. gabor Time-sensitive peri-transplant emergencies: Bleeding fistula- stop the bleed. Flood syndrome- start fluids, give antibiotics, consult surgery. Ways to get involved?

Administration 92

Administration Resuscitation Fluid Resuscitation Research 92

The Skeptics' Guide to EM

MARCH 27, 2021

He has a passion for FOAMed and is the creator of the […] The post SGEM#324: Blow Away, Blow Away, Blow Away – Spirometry for Discharging Older Patients with Rib Fractures first appeared on The Skeptics Guide to Emergency Medicine. Spirometry not pain level predicts outcomes in geriatric patients with isolated rib fractures.

Fractures 40

Fractures Outcomes Hospitals Emergency Department 40

Taming the SRU

JULY 25, 2024

Indication - skeletally mature patients with a radiographically documented femur fracture (hip to knee) Contraindications: Patient refusal Allergy to local anesthetic Infection over site of planned injection Obtunded/uncooperative patient Crush injury No available provider or space Medication: 0.5% Staphylococcus spp., and Pasteurella spp.

Stroke 98

Stroke Fractures Operations Outcomes 98

Don't Forget the Bubbles

NOVEMBER 29, 2023

Ben has a possible skull fracture and has been intubated, but his oxygen requirement is minimal. Intensive Care Research , 1 (3-4), pp.60-64. You are the Paediatric doctor on call and receive a call for an incoming patient to the emergency department. A 12-year-old male is being transported by ambulance after a road traffic accident.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

Don't Forget the Bubbles

SEPTEMBER 30, 2024

” Previous research recognises that long waiting times increase the number of patients who leave the ED before medical review, though much of this is based on the adult population. They also likely align with research by Simpson et al., These patients may be classified as “Did Not Wait” (DNW). and Suastegui et al.

Emergency Department 89

Emergency Department Research Pediatrics Hospitals 89

Taming the SRU

OCTOBER 16, 2024

Patients are unable to actively flex their DIP and x-ray imaging often will reveal and avulsion fracture. X-ray imaging should be obtained to evaluate for avulsion fracture. Splint in slight flexion and arrange close Hand Surgery follow-up as these injuries require surgical repair.

Airway Management 74

Airway Management Fractures CDC Pediatrics 74

Sensible Medicine

JANUARY 2, 2024

While trauma, fractures, and crystalline diseases can influence OA, metabolic- disease-associated osteoarthritis is becoming far more prevalent. Research indicates that inflammatory processes associated with metabolic syndrome, obesity, and diabetes play a crucial role in the degeneration of cartilage in OA.

Fractures 144

Fractures Wellness Research 144

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. This looks like the major fracture between the two expert panels.

Research 87

Research Documentation/Coding Outcomes Fractures 87

Don't Forget the Bubbles

JULY 31, 2023

Radiographs from children with fractures, or disease processes affecting bone growth, were excluded. The researchers delivered premature lambs at 125 days gestation (term being 147 days) and proceeded to intubation and drainage of lung fluid. Despite being 20 years old, this study is one of the driving forces for our guidelines.

Rapid Diagnostic Testing 98

Rapid Diagnostic Testing Resuscitation Emergency Department Pediatrics 98

The Skeptics' Guide to EM

NOVEMBER 9, 2019

This has included performing lumbar punctures, diagnosing acute abdominal aneurysms, acute heart failure, pediatric fractures, retinal detachments and endotracheal tube placement. Background: We have reviewed papers on POCUS many times over the years on the SGEM.

Ultrasounds 52

Ultrasounds Fractures Pediatrics Radiology 52

ETM Course

JUNE 17, 2015

In this episode we talk to Joseph Mathew, one of the authors of a great new article on a novel technique for tamponade of bleeding related to pelvic fractures. We also cover the oft-misunderstood procedure of retrograde urethrogram (RUG). This is a great locally written article and I’d recommend you check it out!

Fractures 40

Fractures Emergency Department Resuscitation Research 40

Don't Forget the Bubbles

MAY 17, 2023

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. Distribution and pattern of hand fractures in children and adolescents. Pediatrics. 2023 Apr 5:e2022059244. Arneitz C, et al. Eur J Pediatr. 2023 Apr 5. Pediatrics.

Pediatrics 72

Pediatrics X-Ray Interpretation Sepsis Fractures 72

PEMBlog

JUNE 5, 2024

It was inspired by a hot-off-the-presses publication from the Pediatric Emergency Care Applied Research Network (PECARN) focused on clinical decision rules for cervical spine imaging in children. Leonard JR, Jaffe DM, Kuppermann N, Olsen CS, Leonard JC; Pediatric Emergency Care Applied Research Network (PECARN) Cervical Spine Study Group.

Fractures 52

Fractures Pediatrics Radiology Radiology 52

Don't Forget the Bubbles

OCTOBER 10, 2024

The study excluded complex nail bed injuries, including those with distal phalanx fractures, germinal matrix injury or pulp lacerations, meaning outcomes are only relevant to simple nail bed injuries. Researchers evaluated the questionnaire and discharge plans against pre-defined criteria. 61 out of 77 departments responded.

Emergency Department 75

Emergency Department Outcomes Research Operations 75

EM Curious

JULY 24, 2015

It's a bit of a departure from what we've described above--he mainly goes right at a shaft fracture--but it's the same general idea: As always, these posts are for EDUCATIONAL PURPOSES ONLY. Do your research, and always be safe. Ultrasound-Guided Three-In-One Nerve Block for Femur Fractures. doi:10.1111/acem.12154 doi:10.1111/j.1742-6723.2009.01163.xdoi:10.1097/PEC.0000000000000101

Fractures 52

Fractures Ultrasounds Emergency Department Dislocations 52

Taming the SRU

OCTOBER 1, 2023

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. Blunt trauma can cause rib fracture or dislocation that may injure the visceral pleura. PPV, rib fractures, and decreased GCS were predictive of conservative management failure [23].

Fractures 96

Fractures COPD Hospitals Emergency Department 96

Sensible Medicine

MARCH 14, 2024

A more inquisitive approach would seek to understand why the educational bargain feels more fractured now despite ACGME work hours being more “protective” than ever before. ” They’re more likely to be found re-formatting and submitting research manuscripts in order to pad their CV.

Hospitals 100

Hospitals Wellness Fractures Academics 100

The Skeptics' Guide to EM

APRIL 8, 2023

John Brown PhD is a Professor of Health Services Research in Ireland who has been studying rural healthcare issues since 2012. The pre-specified subgroup analyses showed a decrease in in-hospital or 30-day mortality for myocardial infarction, stroke, aortic aneurysm, and major trauma but not for pneumonia, bowel perforation or hip fractures.

Stroke 56

Stroke Emergency Department COPD Academics 56

Emergency Medicine Journal

SEPTEMBER 27, 2023

The objective was to pilot new and existing measures to capture the perceived needs and expectations of young people attending ED following SH compared with those attending with suspected fractures (SFs). Further research is needed.

Fractures 40

Fractures Research Wellness 40

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. This looks like the major fracture between the two expert panels.

Research 52

Research Documentation/Coding Fractures Outcomes 52

The Skeptics' Guide to EM

JULY 17, 2018

Bill is a professor in-residence at the UCLA School of Medicine in Los Angeles and among many other things, the director of UCLA Emergency Medicine Research Assistance program.

Pediatrics 52

Pediatrics Head Injuries Academics Emergency Department 52

The Skeptics' Guide to EM

SEPTEMBER 14, 2019

The CCHR only applies to those patients with minor head injury and is not applicable to non-traumatic cases, GCS less than 13, age less than 16 years, coumadin or bleeding disorder or obvious open skull fractures. The CCHR is the most researched CDR in mTBI [3] and ha.

Head Injuries 52

Head Injuries Emergency Department Seizures EMS 52

Sensible Medicine

AUGUST 25, 2023

Over the years following her diagnosis, CT developed an impressive array of complications from the prednisone: hypertension, diabetes, a spinal compression fracture. I will work with you to control your symptoms as best we can and I am open to your knowledge, wisdom, and research.” I think we should focus on symptom relief.

Hospitals 97

Hospitals Urgent Care Wellness Fractures 97