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 113

Shock Outcomes Hospitals EMS 113

RebelEM

JANUARY 18, 2024

It is well-established that earlier recognition and treatment can lead to better outcome for these patients . PMID: 35387313 Clinical Question: Do prehospital antibiotics impact 28 day mortality, length of stay in the hospital and ICU length of stay for patients triggering sepsis compared to usual care (No prehospital antibiotics)?

Sepsis 132

Sepsis Hospitals Administration Outcomes 132

PulmCCM

FEBRUARY 24, 2025

hospitals each year, physicians receive no formal guidance or training on how, when, or why it should be made. This series of posts explores the available data that can support clinicians in making the ultimate life-and-death decision: stopping CPR in the hospital. Should they also receive a different duration of CPR?

CPR 52

CPR Hospitals Resuscitation Outcomes 52

Sensible Medicine

MARCH 14, 2025

If sepsis screening was shown to be beneficial in one hospital, would it be beneficial in another, with an entirely different set of caregivers? Article Background With all that as background, I was excited when I saw the article Electronic Sepsis Screening Among Patients Admitted to Hospital Wards in JAMA. 0.93; P < 001.

Sepsis 98

Sepsis Wellness Documentation/Coding Fluid Resuscitation 98

St. Emlyn

JUNE 23, 2024

Out-of-hospital cardiac arrest (OHCA) is a leading cause of morbidity and mortality globally, with a survival rate of less than 10% despite […] The post JC: The impact of double sequential external defibrillation timing on outcomes during refractory out-of-hospital cardiac arrest appeared first on St.Emlyn's.

Outcomes 96

Outcomes Hospitals Resuscitation 96

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

The Skeptics' Guide to EM

NOVEMBER 16, 2024

He leads an AI team intending to improve patient outcomes and healthcare system efficiency. Case: The Chief of Emergency Medicine (EM) at a large urban hospital recently approached the AI Committee at Unity Health, intrigued by the CMAJ article describing the apparent success of CHARTWatch in detecting early signs of patient deterioration.

Emergency Department 110

Emergency Department Administration Outcomes Patient Safety 110

Emergency Medicine Journal

JANUARY 21, 2025

This month’s update is by the Emergency Department of the University Hospital of Heraklion, Crete, Greece. A randomised trial of drug route in out-of-hospital cardiac arrest. We used a multimodal search strategy, drawing on free open-access medical education resources and literature searches. Couper et al.

Emergency Department 98

Emergency Department Hospitals Outcomes 98

The Trauma Pro

JANUARY 28, 2025

Preventing death: This drug doesn’t appear to reduce mortality, which is the outcome we are most interested in when treating these patients. This is a decision that you and your hospital administration will have to work out. Thrombotic complications. These do seem to be more common when AA is given.

Administration 187

Administration Outcomes Hospitals 187

St. Emlyn

JUNE 14, 2024

The post JC: Does the outcome from refractory VF differ from recurrent VF in DOSE-VF patients? appeared first on St.Emlyn's.

Outcomes 116

Outcomes Hospitals Resuscitation 116

St. Emlyn

MAY 27, 2024

St.Emlyn's - Emergency Medicine #FOAMed This JC from St Emlyn's looks at a paper from SJTRM and explores the association between first-pass success (FPS) during pre-hospital intubation and 30-day mortality in patients treated by Finnish helicopter emergency medical services (HEMS). St Emlyn’s appeared first on St.Emlyn's.

Research 115

Research Outcomes Hospitals 115

Emergency Medicine Journal

JULY 22, 2024

Background The outcomes of patients who call an ambulance but are discharged at scene reflect the safety and quality of emergency medical service (EMS) care. While previous studies have examined the outcomes of patients discharged at scene, none have specifically focused on paramedic-initiated discharge. Of these, 6.8%

Outcomes 98

Outcomes EMS Hospitals Research 98

PulmCCM

NOVEMBER 7, 2024

For out-of-hospital cardiac arrest in particular, intravenous access can be difficult to establish, delaying the administration of epinephrine and other drugs and possibly worsening outcomes. During cardiac arrest, every second matters (at least potentially). Read more

Resuscitation 98

Resuscitation Administration Hospitals Outcomes 98

Sensible Medicine

MARCH 10, 2025

As a skeptic of this imaging test, I saw the headline and thought: finally, we will learn whether patients who have their chest radiated have better outcomes. Better outcomes, such as fewer heart attacks or strokes, or longer life, is why we interact with healthcare. Same with imaging tests. I will come back to this.)

Stroke 85

Stroke Outcomes Hospitals 85

The Skeptics' Guide to EM

SEPTEMBER 21, 2024

Naloxone and Patient Outcomes in Out-of-Hospital Cardiac Arrests in California. Background: We’ve discussed out-of-hospital cardiac arrest (OHCA) at least once or twice on the SGEM (see long list at end of blog). Naloxone and Patient Outcomes in Out-of-Hospital Cardiac Arrests in Cali. JAMA Network Open.

Hospitals 104

Hospitals CPR EMS Outcomes 104

PulmCCM

SEPTEMBER 17, 2023

The Centers for Disease Control and Prevention formally called on hospitals to develop robust sepsis care programs to systematically identify and treat sepsis, track outcomes, and improve care delivery. ” What is that, a sepsis Stasi? Unlike strokes and STEMIs, sepsis has no gold standard for diagnosis.

CDC 98

CDC Sepsis Hospitals Documentation/Coding 98

The Trauma Pro

JUNE 21, 2024

This situation was first documented in a paper published in the 1960s, which noted that VIP patients have worse outcomes. References: “ The VIP Syndrome”: A Clinical Study in Hospital Psychiatry. Who is a VIP? It may be a celebrity. A family member. Or even a colleague. Or the President of the United States. Cleve Clin J Med.

Documentation/Coding 290

Documentation/Coding Outcomes Hospitals Wellness 290

EMDocs

DECEMBER 18, 2024

Alcohol withdrawal syndrome: improving outcomes through early identification and aggressive treatment strategies. This series provides evidence-based updates to previous posts so you can stay current with what you need to know. fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold

Seizures 105

Seizures Hyperthermia / Hypothermia Emergency Department EMS 105

American Medical Compliance

NOVEMBER 29, 2024

Unlike traditional methods that rely on periodic fingerstick tests, CGM offers real-time insights into glucose levels, trends, and fluctuations, empowering proactive management and improving patient outcomes. However, to maximize its benefits, healthcare providers must be well-versed in the technology.

Outcomes 105

Outcomes Wellness Operations Pediatrics 105

Mount Sinai EM

AUGUST 7, 2024

Initially, data suggested that the use of ultrasound during arrest increased pauses between compressions which worsens outcomes. Rapidly intervened-upon cardiac tamponade in PEA during cardiac arrest has significantly higher hospital discharge rates. survival to hospital discharge rate.

Ultrasounds 235

Ultrasounds CPR Documentation/Coding COPD 235

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 Pediatr Orthop.

Fractures 290

Fractures Pediatrics Best Practices Outcomes 290

EMDocs

NOVEMBER 13, 2024

Older age, recurrent episodes of SBP, hepatorenal syndrome, hepatic encephalopathy, acute kidney injury (AKI), concurrent GI bleeding, and higher MELD scores are predictors of worse outcomes. Spontaneous bacterial peritonitis in patients with cirrhosis: incidence, outcomes, and treatment strategies. coli (50-90% of cases).

Hyperthermia / Hypothermia 105

Hyperthermia / Hypothermia Ultrasounds Shock Hospitals 105

Emergency Medicine Journal

JANUARY 21, 2025

This study compares the treatment outcomes of HDICS as add-on therapy to the outcomes of standard treatment in adult patients with acute asthma exacerbation in the ED. The primary endpoints were length of ED stay, hospital admission and ED revisit. min; 95% CI –242.4 to –24.8

Hospitals 52

Hospitals Outcomes 52

St. Emlyn

JANUARY 27, 2025

St.Emlyn's - Emergency Medicine #FOAMed What is the impact of physician-led interprofessional pre-hospital teams on survival and mortality outcomes for critically ill and injured patients. The post JC: Do physician led prehospital teams improve outcomes? appeared first on St.Emlyn's.

Outcomes 63

Outcomes Hospitals Research Resuscitation 63

The Trauma Pro

JANUARY 2, 2024

EAST sponsored a prospective, multicenter study to identify factors influencing neurologic outcomes after spinal cord injury. It would be interesting to see if patients who had very consistent MAP therapy, say greater than 90% or 95% of the time, had any difference in outcomes. Could a single low MAP cause damage?

Outcomes 264

Outcomes Hospitals 264

Don't Forget the Bubbles

DECEMBER 31, 2024

The skills needed to deliver the best possible outcomes for children and young people are multifaceted and constantly evolving. Reading Body language in tense meetings, phraseology when making referrals, and quick corridor conversations when hospital capacity is at a premium may all result in improved outcomes but are rarely intentional.

Leadership 140

Leadership Emergency Department Outcomes Operations 140

RebelEM

JUNE 1, 2023

Background: Achieving ROSC in out of hospital cardiac arrest (OHCA) is no easy feat but, care doesn’t end with ROSC. 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.

Outcomes 145

Outcomes Resuscitation Hospitals CPR 145

ACEP Now

MARCH 11, 2025

1 Further, a Cochrane review found that LMWH is associated with improved outcomes compared with UFH including reduced incidence of major hemorrhage (odds ratio [OR]=0.69; 95 percent CI, 0.50-0.95) no increase in vasopressor use, mechanical ventilation, admission to an intensive care unit, in-hospital mortality). percent to 56.3

Hospitals 52

Hospitals Administration Outcomes Stroke 52

EMDocs

DECEMBER 1, 2024

The disease is generally mild, but in untreated cases, it can lead to more severe outcomes, especially in patients with underlying conditions such as glucose-6-phosphate dehydrogenase deficiency. Even though the disease often resolves spontaneously, prompt antibiotic therapy is essential for optimal outcomes. pregnant patients).

EMS 104

EMS Infectious Diseases Shock Airway Management 104

Pediatric EM Morsels

JULY 21, 2023

Motor Fingernail bed pressure with a pencil first If flexion outcome, then apply painful stimulus to neck or head (trapezius or supraorbital notch) to look for localization Spinal reflex can result in a falsely elevated score if lower extremity pain induced Verbal Orientated- Able to answer all questions. A practical scale. PMID: 4136544.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Emergency Medicine Journal

MARCH 25, 2025

This month’s update is by the Emergency Department Team, Wexham Park Hospital, Slough, Frimley Health NHS Foundation Trust. We used a multimodal search strategy, drawing on free open-access medical education resources and literature searches. The 1-BED.

Sepsis 52

Sepsis Emergency Department Administration Outcomes 52

JournalFeed

FEBRUARY 1, 2025

Tuesday Spoon Feed: There was no difference in patient centered outcomes between trauma patients who received either restrictive or liberal oxygen therapy in this RCT. For access to more, please visit JournalFeed.org for details about becoming a member.

Hospitals 52

Hospitals Outcomes 52

Emergency Medicine Journal

MARCH 25, 2025

This month’s edition of the journal has a timely focus on pre-hospital medicine and trauma. For the record, fibrinogen is a case in point: while it is known that its depletion is associated with worse outcomes, it. Welcome to the April 2025 issue of the Emergency Medicine Journal.

Outcomes 52

Outcomes Hospitals 52

RebelEM

FEBRUARY 15, 2024

PMID: 38019968 Clinical Question: In patients with suspected acute poisoning and GCS <9, is a conservative airway strategy of withholding intubation associated with a reduction in death, ICU LOS, and hospital LOS compared with routine practice of intubation?

Poisoning 141

Poisoning Airway Management Seizures Shock 141

PHARM

JANUARY 27, 2025

St.Emlyn’s – Emergency Medicine #FOAMed This article explores the impact of physician-led interprofessional pre-hospital teams on survival and JC: Do physician led prehospital teams improve outcomes?

Outcomes 52

Outcomes Hospitals 52

Dr. Smith's ECG Blog

JULY 11, 2024

On day three of his hospital admission, he had a cardiac MRI taken: The MRI showed: Increased LV volume Severe segmental LV dysfunction with a calculated EF of 26% Thinning and akinesis of the entire anterior wall, apical segments, entire anterior septum, and the mid inferior wall. Here is the post-cath EKG: There is no change.

EKG/ECG 113

EKG/ECG Outcomes Hospitals Wellness 113

Sensible Medicine

SEPTEMBER 16, 2024

In the study by Makhnevich and colleagues, the team included adults with dementia who were admitted to 11 diverse hospitals in New York. The primary outcome was death in the hospital. Other outcomes included respiratory complications (pneumonia), intubation and hospital length of stay (LOS).

Outcomes 126

Outcomes Hospitals Research 126