The Skeptics' Guide to EM

SEPTEMBER 2, 2023

The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics. She is an Assistant Professor and Director of Research in the Department of Emergency Medicine at the NYU Grossman Long Island Hospital Campus. AEM August 2023 Guest Skeptic: Dr. Suchismita Datta. It accounted for roughly 8.9

Diabetic Emergencies 102

Diabetic Emergencies Operations Hospitals Research 102

EMDocs

SEPTEMBER 4, 2024

The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. Discuss as often as possible.

Pediatrics 97

Pediatrics Outcomes Operations Hospitals 97

Taming the SRU

MARCH 12, 2024

The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics. ED visits per 1000 adults with diabetes based on 2018 data resulting in over 500,000 annual hospital days. This amounts to annual hospital costs of $5.1 Griffey RT, Schneider RM, Girardi M, et al. 10.1111/acem.14685

Operations 97

Operations Hospitals Best Practices Wellness 97

ACEP Now

NOVEMBER 7, 2023

Expand Your Knowledge of the Business of EM Practice Essentials, an online, asynchronous curriculum developed by ACEP and EMRA, dives into reimbursement, contracts, operations and risk management, and other topics that may not have been covered in depth during medical school or residency. Learn more at openbook.acep.org.

Leadership 98

Leadership Administration Research Risk Management 98

The Trauma Pro

OCTOBER 4, 2024

This was reduced based on our experience of no delayed complications and guidance from our sister pediatric trauma center at Children’s Hospital in Minneapolis. They bide their time waiting for new, published research that they can lean on for their changes.

Pediatrics 113

Pediatrics Operations Outcomes Emergency Department 113

Emergency Medicine Journal

JUNE 22, 2023

The study was advertised through social media, circulated to individual Helicopter Emergency Medical Service (HEMS) charities, and via the National HEMS Research & Audit Forum (NHRAF).

Research 40

Research Operations Hospitals 40

ACEP Now

MARCH 6, 2024

Every year, the volume of published research continues to outpace capacity to consume. 7 The operators involved in the trial were mostly emergency medicine residents or critical care fellows, but this fact does not diminish the generalizability of these observations. Survival to hospital discharge favored the “standard care” group, 47.9

Research 52

Research Airway Management Stroke Outcomes 52

Medagadget

AUGUST 4, 2023

Researchers at Duke University have developed a gravity-powered microfluidic device that is intended for use as a diagnostic technology in low-resource areas. The researchers hope that the technology could unlock point-of-care diagnostics for those living in the most remote and low-resource areas.

Point-of-Care Testing 75

Point-of-Care Testing Research Operations Hospitals 75

PulmCCM

JANUARY 6, 2025

With financial penalties coming for noncompliance with the new rule, hospital administrators rapidly deployed the alerts to fire on all eligible inpatients. The SCREEN Trial SCREEN was a stepped-wedge cluster randomized trial of an EMR alert for organ failure, conducted at 45 wards of 5 hospitals in Saudi Arabia from 2019 to 2021.

Sepsis 45

Sepsis Documentation/Coding Hospitals Outcomes 45

Don't Forget the Bubbles

NOVEMBER 29, 2023

Intensive Care Research , 1 (3-4), pp.60-64. A retrospective cohort analysis of the ED portion of the National Hospital Ambulatory Medical Care Survey from 2006 to 2009 in the US revealed that less than one-half of patients undergoing ETI in the ED received sedative drugs while in the ED. This article is based on: Mayberry, H.,

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

RebelEM

NOVEMBER 20, 2023

Researchers randomly assigned 90 eligible patients over ≈ 4.5 Comparator: The control group received standard care provided at a major trauma center, including intubation, blood product transfusion, interventions like tourniquet application, and early operative or endovascular hemorrhage control. 97% of patients sustained blunt trauma.

Resuscitation 91

Resuscitation Operations Outcomes Hospitals 91

SheMD

JULY 23, 2023

Talk about your major extra-curricular activities and research in the department. For example, one medical school student I recently interviewed who was applying for internal medicine – primary care spoke about her research with transgender individuals and their perceptions of sexual health. These reasons are TOO common. That’s great.

Research 98

Research Academics Hospitals Operations 98

ACEP Now

JUNE 21, 2023

The latest research Two new studies have investigated academic and clinical performance between the two EM training lengths. For example, four-year programs could offer formal research training or niche clinical experiences such as aeromedical or telemedicine, which a 3-year curriculum cannot not feasibly accommodate.

EMS 114

EMS Academics Telemedicine Operations 114

EMDocs

FEBRUARY 7, 2024

3 Increasing Strikes and Unions Labor actions in healthcare can disrupt normal hospital operations, potentially impacting costs and threatening patient quality of care. One study from the National Bureau of Economic Research on nursing strikes in New York State from 1984 to 2004 found that hospital mortality increased by 19.4%

Hospitals 95

Hospitals Research Patient Safety Wellness 95

RebelEM

MAY 27, 2024

It is the first research paper to explore the synergistic effects of combining MVM and IV Adenosine in treating PSVT. These rates are significantly lower than those in other research (Holdgate 2006). The study was conducted at multiple centers, increasing the data’s generalizability.

Outcomes 134

Outcomes Research Operations Hospitals 134

Greater Sydney Area HEMS

FEBRUARY 20, 2024

The cohort of patients that require this intervention in the pre-hospital setting are likely to be the most critically unwell patients we encounter. It is currently the subject of future research and publication in the emergency department setting. i] Leibowitz A, Oren-Grinberg A, Matyal R.

Ultrasounds 98

Ultrasounds Shock Research Operations 98

Don't Forget the Bubbles

JANUARY 8, 2024

Dr Elyssia Bourke, based at Ballarat Base Hospital, is actively engaged in this area through her ongoing PhD research. Although this research is still in progress, it promises to shed light on effective strategies for managing these difficult situations. Mulraney, M., Coghill, D., Sciberras, E., and Sawyer, M.,

Research 105

Research Emergency Department Psychiatric Academics 105

Sensible Medicine

SEPTEMBER 26, 2024

Employers will not hesitate to hire an applicant they discover has been hospitalized for 2 weeks with community acquired pneumonia or after a suicide attempt. US News and World Report hospital rankings don’t tell you who is a good doctor. We have ongoing research on the topic). ” This time, I did lol.

Psychiatric 99

Psychiatric Research Operations Hospitals 99

RebelEM

JANUARY 25, 2024

Point-of-care ultrasound (PoCUS) is inherently operator-dependent, which may have led to inconsistencies in the quality and findings of the ultrasound exams across different operators. Additionally, the serial US group had higher hospital readmission rates on days 0-7 and 8-30 without improving hospital or 30-day mortality.

Ultrasounds 125

Ultrasounds Outcomes COPD Hospitals 125

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? What were the limitations of the study?

CPR 124

CPR Research Documentation/Coding Outcomes 124

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

ACEP Now

SEPTEMBER 3, 2024

Hahnemann University Hospital in Philadelphia closed in 2019, a year and a half after it was acquired along with St. Christopher’s Hospital for Children by private equity (PE) firm Paladin Healthcare Capital for 170 million dollars. 14 Dr. Stinson remembers what it was like to work for a PE-owned hospital early in her career. “I

Hospitals 113

Hospitals Radiology Radiology Emergency Department 113

PulmCCM

JUNE 5, 2023

veterans’ hospitals did not show a mortality reduction from low-dose methylprednisolone. Patients receiving hydrocortisone required more insulin, but did not have higher observed rates of hospital-acquired infections or gastrointestinal bleeding. iatrogenic or hospital-acquired) were excluded.

Advances Cardiac Life Support (ACLS) 96

Advances Cardiac Life Support (ACLS) Documentation/Coding CPR Shock 96

Taming the SRU

NOVEMBER 3, 2023

Broad strokes In this prospective, non-randomized study published by Kring et al in January 2022 out of Maine Medical Center, researchers compared mean pain scores at rest and during incentive spirometry before, at 15 minutes after, and then 60 minutes after treatment with a serratus anterior plane block. Ultrasound Med. 41, 2695–2701 (2022).

Fractures 98

Fractures Ultrasounds Research Outcomes 98

ACEP Now

OCTOBER 15, 2023

4,5 Notably, patients weighing 166 kg or more may have altered absorption of insulin and were eventually excluded from one hospital system’s protocol. ICU and step-down beds are a limited resource and generate higher hospital charges. Diabetes care in the hospital: standards of care in diabetes-2023. Diabetes Care. 2016;2016(1).

Hospitals 80

Hospitals Operations Emergency Department Research 80

Don't Forget the Bubbles

OCTOBER 10, 2024

This time the team from Bristol Royal Children’s Hospital ED tell us what is new in the world of paediatric literature… Led by Dr John Coveney a Paediatric Emergency Medicine Trainee in Bristol who has revived The Journal Club at Bristol Royal Children’s Hospital ED on a monthly basis. 2023 Mar 30;110(4):432-438.

Emergency Department 75

Emergency Department Outcomes Research Operations 75

PulmCCM

MARCH 11, 2024

Ascension is a $27 billion, 140-hospital conglomerate operating in 19 states—the third largest system in the U.S Observational data suggests palliative care consultation might reduce length of stay and costs , but the question had never been put to a serious randomized trial. by some accounts (after HCA and the VA).

Operations 52

Operations Administration Research Hospitals 52

RebelEM

JUNE 19, 2023

The PATCH-trauma researchers sought to address this critique. Primary Results Patients enrolled from 15 emergency medical services at 21 hospitals across 3 countries over 7 years. The study is relatively small (CRASH2 enrolled > 20,000 patients); just 1300 patients from 21 hospitals over 7 years.

Blood Transfusions 105

Blood Transfusions Outcomes Administration Hyperthermia / Hypothermia 105

ACEP Now

NOVEMBER 14, 2023

In 1901, UVA opened its first hospital with 25 beds and three operating rooms. But inside these charming historic walls is a research-driven, quaternary-care, academic, medical center. The emergency department (ED) at UVA was rebuilt in 2019 and the department had not fully optimized its operations when COVID-19 hit.

Academics 52

Academics Emergency Department Leadership Operations 52

Sensible Medicine

MARCH 14, 2024

.” They’re more likely to be found re-formatting and submitting research manuscripts in order to pad their CV. The analogy of a physical hospital expanding from its original isolated ward to become an interconnected quaternary care center may help.

Hospitals 100

Hospitals Wellness Fractures Academics 100

Medagadget

MAY 23, 2023

A recent study in Nature Medicine , entitled “ An automated histological classification system for precision diagnostics of kidney allografts ,” has showcased the efforts of a group of researchers who have developed an automated system that can diagnose kidney transplant rejection.

Research 83

Research Hospitals Documentation/Coding Operations 83

The Skeptics' Guide to EM

NOVEMBER 20, 2021

Moving the Needle on Fall Prevention: A Geriatric Emergency Care Applied Research (GEAR) Network Scoping Review and Consensus Statement. AEM November 2021 Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine and Emergency Medicine Research Lead at Lancashire Teaching Hospitals Trust (North West England).

Geriatric Emergencies 52

Geriatric Emergencies Elder Abuse Research Academics 52

The Skeptics' Guide to EM

DECEMBER 12, 2020

AEM December 2020 Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine and Emergency Medicine Research Lead at Lancashire Teaching Hospitals Trust (North West England). A Randomized Controlled Trial of Novel Loop Drainage Technique Versus Drainage and Packing in the Treatment of Skin Abscesses.

Operations 52

Operations Outcomes Research Academics 52

ACEP Now

SEPTEMBER 5, 2024

With elimination of CME funding in many of our hospitals and groups, it is crucial to continue to add value and communicate that value to residents before graduation. While some issues are handled locally, many issues cannot be solved in our emergency department or hospital.

Leadership 98

Leadership PPE EMS Wellness 98

American Medical Compliance

JANUARY 12, 2024

The responsibility of ensuring patient safety has now moved from hospital staff to individual users with access to laser technology, which was previously only available in operating rooms of hospitals. Additionally, research has shown airborne contaminants generated by these surgical devices can be effectively controlled.

Operations 52

Operations Patient Safety Risk Management Hospitals 52

The Skeptics' Guide to EM

JULY 30, 2022

AEM July 2022 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. AEM July 2022 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. She is also the creator of all those wonderful Paper in a Pictures.

Ultrasounds 52

Ultrasounds Operations Documentation/Coding Outcomes 52

The Skeptics' Guide to EM

JANUARY 23, 2021

She is the cofounder of FOAMcast and a pulmonary embolism and implementation science researcher. Dr. Westafer serves as the Social Media Editor and research methodology editor for Annals of Emergency Medicine […] The post SGEM#316: What A Difference An A.P.P. Diagnostic Testing Differences Between A.P.P.s Reference: Pines et al.

Poisoning 52

Poisoning Research Documentation/Coding Operations 52