The Skeptics' Guide to EM

FEBRUARY 11, 2023

Sean Moore is an emergency physician working in Kenora Ontario, where he is Chief of Staff at Lake of the Woods District Hospital, Northern Medical Director for the Ornge air medical transport program and associate medical director with CritiCall Ontario. Defibrillation Strategies for Refractory Ventricular Fibrillation.

Shock 56

Shock CPR Hyperthermia / Hypothermia Hospitals 56

Don't Forget the Bubbles

JANUARY 10, 2024

Severe anaemia is a common and life-threatening cause of hospital admission in children in sub-Saharan Africa. 8% die in hospital, with a further 12% dying in the six months following discharge. What were the research questions? However, there is a huge variation in transfusion practice globally. N Engl J Med.

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

Don't Forget the Bubbles

JANUARY 24, 2024

One case-series of children with SRSE showed a median PICU stay of 27 days and hospital length of stay of 62 days. PICU-related co-morbidities include but are not limited to, hypotension, respiratory failure, hospital-acquired infections, and prolonged immobility. Hypothermia for Neuroprotection in Convulsive Status Epilepticus.

Seizures 111

Seizures Pediatrics Outcomes Hyperthermia / Hypothermia 111

ACEP Now

OCTOBER 3, 2023

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. There are at least 600 TBI-related hospitalizations and 175 TBI-related deaths per day.

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98

Don't Forget the Bubbles

MAY 17, 2023

The Bubble Wrap Plus is a monthly paediatric journal club reading list from Anke Raaijmakers, working with Professor Jaan Toelen and his team at the University Hospitals in Leuven. Disparities in Clinical Ethics Consultation Among Hospitalized Children: A Case-Control Study. Kurepa D, et al. Arch Dis Child Fetal Neonatal Ed.

Pediatrics 72

Pediatrics X-Ray Interpretation Sepsis Fractures 72

EM Literature of Note

JANUARY 9, 2022

The Annals of Emergency Medicine Podcast continues apace, with free monthly updates from the original research published in the journal: iTunes Link SoundCloud Link Likewise, the Annals of Emergency Medicine Journal Club has published several monthly installments: Predicting Outcomes in Pediatric Pneumonia: Are We Omnipotent or Incompetent?

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Stroke Emergency Department Outcomes 40

Broome Docs

OCTOBER 31, 2022

PMID: 34904190 Not surprisingly, this paper has been covered by basically everyone who talks about research, so if you want to hear some other opinions, check out the SGEM , REBEL EM , or St. Temperature Control After In-Hospital Cardiac Arrest: A Randomized Clinical Trial. Intensive Care Med. 2022 Jan;48(1):78-91. Epub 2021 Dec 14.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Fluid Resuscitation Seizures Emergency Department 52

The Skeptics' Guide to EM

FEBRUARY 27, 2021

Previous research in Australia has shown that the median time can be between 40-70 minutes for analgesia administration (19, 20). In Australia, Methoxyflurane has been widely used at sub-anesthetic doses for analgesia in the pre-hospital setting since 1975.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Emergency Department Administration Research 52

Taming the SRU

MAY 1, 2023

Trauma/Pre-Hosp Optimal Out-of-Hospital Blood Pressure in Major Traumatic Brain Injury: A Challenge to the Current Understanding of Hypotension Link: [link] Bottom Line: Think about maintaining normotension rather than simply avoiding hypotension in isolated TBI. and NPV(50%).

Poisoning 52

Poisoning Hyperthermia / Hypothermia Seizures Emergency Department 52

Don't Forget the Bubbles

AUGUST 12, 2024

There is weak evidence to suggest that moderate hypothermia (32-33 o C) can be used for ICP control in specialist settings. About PICSTAR PICSTAR is a trainee-led research network open to all doctors, nurses and allied health trainees within Paediatric Intensive Care.

Seizures 75

Seizures Pediatrics Emergency Department Ambulance Services 75

Greater Sydney Area HEMS

APRIL 26, 2023

– Eventual hospital assessment demonstrated no traumatic injuries. Thus, ST management has been heavily based on lay opinion, and until recently, lightly on peer-reviewed research. Health and Safety Executive Research Report 451. . – Prior to extraction, he was GCS 15 and talking. I thought you’d never ask.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Shock Research Operations 52

Thinking Critical Care

MAY 18, 2023

In 1983 I was an Englishman abroad, the London anaesthetist who was appointed to be the English anaesthetist on the Shock Team only because the outstanding candidate from Oxford had preferred to take up a job doing muscle relaxant research with Kitz and Katz in the USA. 4] The research agenda at the time was broad.

Shock 40

Shock Research Sepsis Resuscitation 40

Advanced Emergency Nursing from AENJ

SEPTEMBER 13, 2016

It is a 11:39 minute film, by Walter Reid Army Institute of Research Production of experimental research done by Peter Safar, MD, and associates, at Baltimore City Hospital's Department of Anesthesiology. Research: an integral function of anesthesiology department. Founded first ICU that was multi-disciplinary.

Resuscitation 40

Resuscitation CPR Emergency Nursing Basic Life Support 40

The Skeptics' Guide to EM

JUNE 24, 2017

Induction of Therapeutic Hypothermia During Out-of-Hospital Cardiac Arrest Using a Rapid Infusion of Cold Saline
The RINSE Trial (Rapid Infusion of Cold Normal Saline). His background includes working as a Research Assistant […] The post SGEM#183: Don’t RINSE, Don’t Repeat first appeared on The Skeptics Guide to Emergency Medicine.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia CPR Resuscitation EMS 40

The Skeptics' Guide to EM

MARCH 5, 2022

AEM 2021 Guest Skeptic: Professor Daniel Fatovich is an emergency physician and clinical researcher based at Royal Perth Hospital, Western Australia. AEM 2021 Guest Skeptic: Professor Daniel Fatovich is an emergency physician and clinical researcher based at Royal Perth Hospital, Western Australia. Tricoci et al.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Research Pediatrics Outcomes 40

EB Medicine

AUGUST 1, 2018

Nachi: Sometimes… Jeff: This month’s issue was authored by Mollie Williams, who is the EM residency program director at the Brooklyn Hospital Center. Jeff: This DEA designation limits the ability to do research and obtain federal funding for such research. And the US DEA maintains cannabis as a Schedule I substance.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

RebelEM

DECEMBER 19, 2022

The authors sought to answer whether double defibrillation and/or vector change defibrillation lead to a greater number of RVF patients surviving to hospital discharge when compared to standard defibrillation therapy. Now that same group has published the results of their full randomized control trial.

EMS 52

EMS CPR Shock Resuscitation 52

Don't Forget the Bubbles

AUGUST 4, 2024

The Bubble Wrap Plus is a monthly Paediatric Journal Club reading list from Professor Jaan Toelen (University Hospitals Leuven) and Dr Anke Raaijmakers (Sydney Children’s Hospital). Morris and colleagues investigated the efficacy of refrigerated gel packs for therapeutic hypothermia in neonatal retrieval. Brewster RCL, et al.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Pediatrics Burns Sepsis 52

Don't Forget the Bubbles

OCTOBER 2, 2024

The Bubble Wrap Plus is a monthly Paediatric Journal Club reading list from Professor Jaan Toelen (University Hospitals Leuven) and Dr Anke Raaijmakers (Sydney Children’s Hospital). Original clinical studies Prevention of NICU Admission Hypothermia in Moderate- and Late-Preterm Infants. Can’t get enough of Bubble Wrap?

Pediatrics 52

Pediatrics Hyperthermia / Hypothermia Emergency Department Urgent Care 52

Don't Forget the Bubbles

DECEMBER 6, 2023

The Bubble Wrap Plus is a monthly Paediatric Journal Club reading list from Professor Jaan Toelen (University Hospitals Leuven) and Dr Anke Raaijmakers (Sydney Children’s Hospital). Future research should incorporate longitudinal analyses to test these associations robustly. Can’t get enough of Bubble Wrap? healthcare setting.

Pediatrics 52

Pediatrics Hyperthermia / Hypothermia Research Hospitals 52

PulmCCM

JANUARY 20, 2025

Although millions of cardiac arrests happen each year globally, high-quality clinical research on resuscitation is very difficult to conduct, due in part to challenges in obtaining consent and randomization. Hospitals not using backboards were not encouraged to start. Reproduced from Boulton et al. CAC = cardiac arrest center.

CPR 75

CPR Resuscitation Hyperthermia / Hypothermia Seizures 75

Don't Forget the Bubbles

NOVEMBER 18, 2024

Various studies, such as those pooling data from the National Neonatal Research Database, indicate that the incidence of hypotension varies based on neonatal age, with the highest rates observed immediately post-birth and within the first days of life. Hypothermia: Newborns, particularly preterm infants, are prone to hypothermia.

Sepsis 59

Sepsis Shock Hyperthermia / Hypothermia Administration 59

Don't Forget the Bubbles

JANUARY 6, 2025

Reviewed by: Mikaeel Jaffer Article 2: Does the duration of pre-hospital CPR affect neurological outcomes? Yasuda M, Amagasa S, Kashiura M, et alDuration of prehospital and in-hospital cardiopulmonary resuscitation and neurological outcome in paediatric out-of-hospital cardiac arrestEmergency Medicine Journal 2024;41:742-748.

Dislocations 59

Dislocations CPR Ultrasounds Resuscitation 59

Don't Forget the Bubbles

JANUARY 2, 2025

The Bubble Wrap Plus is a monthly paediatric Journal Club reading list from Professor Jaan Toelen (University Hospitals Leuven) and Dr Anke Raaijmakers (Sydney Childrens Hospital). 2024 Dec 26;184(1):106 Artificial intelligence in pediatric allergy research. Cant get enough of Bubble Wrap? Turchiano F, et al. Eur J Pediatr.

Pediatrics 59

Pediatrics Ultrasounds Ethical Issues Hospitals 59

Don't Forget the Bubbles

MARCH 4, 2025

The Bubble Wrap Plus is a monthly paediatric Journal Club reading list from Professor Jaan Toelen (University Hospitals Leuven) and Dr Anke Raaijmakers (Sydney Childrens Hospital). Further research is needed to establish its long-term safety and efficacy in this population fully. Cant get enough of Bubble Wrap? Arch Dis Child.

Pediatrics 59

Pediatrics Hyperthermia / Hypothermia Hospitals Documentation/Coding 59