Emergency Live

OCTOBER 27, 2024

Changing the way surgeons prepare for surgery can reduce water consumption in hospitals A recent study by the Campus Bio-Medico in Rome has revealed an astonishing truth: changing the way surgeons prepare for surgery can drastically reduce water consumption in hospitals.

Operations 52

Operations Hospitals Research 52

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). Clinical Question: Is naloxone administration in undifferentiated OHCA associated with survival to hospital discharge?

Hospitals 103

Hospitals CPR EMS Outcomes 103

St. Emlyn

MARCH 8, 2024

St.Emlyn's - Emergency Medicine #FOAMed Is mechanical CPR associated with improved or worse outcomes in in-hospital cardiac arrest. FOAMed @stemlyns The post Is mCPR associated with better outcomes for in-hospital cardiac arrest? St Emlyn’s appeared first on St.Emlyn's.

Outcomes 119

Outcomes Hospitals CPR Research 119

The Trauma Pro

MAY 17, 2024

This is a major reason for the relative lack of availability, especially at smaller hospitals. Researchers have been trying to develop artificial blood substitutes for decades. However, it can be frozen and used only when needed. Platelets are another short-lifespan product, typically lasting only five days.

Resuscitation 263

Resuscitation Research Hospitals 263

The Trauma Pro

JUNE 13, 2023

For the longest time, one of my pet peeves has been potential conflicts of interest (COI) involving authors on research papers. The corollary of this is more useful when applying to research: “One can be led to believe anything when their salary depends on it.” What about a research grant? Or even give you a pen?

Research 189

Research Academics Operations Hospitals 189

The Trauma Pro

OCTOBER 6, 2023

The first is from an international research group that searched the usual databases and initially found 921 records. It is from a group of researchers from our big Boston trauma centers and the Netherlands. However, the same question arises: do it early or wait a while?

Head Injuries 147

Head Injuries Research Hospitals Resuscitation 147

The Skeptics' Guide to EM

NOVEMBER 9, 2024

Previously, she has been an ED medical director, quality chair, and regional hospital director. Background: In recent years, large language models (LLMs), such as GPT-4 and Claude, have shown remarkable potential in automating and improving various aspects of medical research.

Research 58

Research Emergency Department Outcomes Hospitals 58

The Skeptics' Guide to EM

JANUARY 6, 2024

July 2023 Date: Dec 11, 2023 Guest Skeptic: Dr. Rachel Hatcliffe is a pediatric emergency medicine attending at Children’s National Hospital in Washington, DC. Her research focuses on prehospital care of children with anaphylaxis. […] The post SGEM #425: Are You Ready for This? Veterans Affairs and prison hospitals.

Emergency Department 127

Emergency Department Pediatrics Anaphylaxis Leadership 127

PEMBlog

MARCH 4, 2025

Garcia T, Florin TA, Leonard J, Shah SS, Ruddy RM, Wallihan R, Desai AP, Alter S, El-Assal O, Marzec S, Keaton M, Yun KW, Leber AL, Mejias A, Cohen DM, Ramilo O, Ambroggio L; Childrens Hospitals Initiative for Research in Pneumonia (CHIRP). Clinical Features and Management Strategies in Children With Mycoplasma Pneumoniae. 2025 Feb 17.

Pediatrics 94

Pediatrics Military CDC Hospitals 94

Emergency Medicine Journal

OCTOBER 26, 2023

Objective Over 300 000 cases of out-of-hospital cardiac arrests (OHCAs) occur each year in the USA and Europe. Despite decades of investment and research, survival remains disappointingly low. Primary outcome was survival at hospital discharge with a good neurological outcome.

Resuscitation 75

Resuscitation Basic Life Support Hospitals CPR 75

ACEP Now

MARCH 10, 2025

At your monthly meeting with the chief medical officer (CMO) and chief nursing officer (CNO), they inform you of the hospitals plan to start a Sexual Assault Nurse Examiner (SANE) Program. 1 There are many program models including ED-based, non-ED hospital-based, hospital, and community-based programs. You accept the position.

Sexual Assault 52

Sexual Assault Forensics Leadership Pediatrics 52

The Skeptics' Guide to EM

NOVEMBER 25, 2023

She is the cofounder of FOAMcast and a pulmonary embolism and implementation science researcher. Dr. Westafer serves as the Social Media Editor and a research methodology editor for Annals of Emergency Medicine. Many hospitals do not provide PCI, prolonging transportation times, which disproportionately affects rural patients.

EMS 133

EMS EKG/ECG Research Hospitals 133

ACEP Now

MARCH 11, 2025

2-4 A study in Annals of Emergency Medicine of almost 300,000 patients hospitalized with acute PE between 2011-2020 found that the use of UFH increased from 41.9 no increase in vasopressor use, mechanical ventilation, admission to an intensive care unit, in-hospital mortality). percent to 56.3 percent despite guideline recommendations.

Hospitals 52

Hospitals Administration Outcomes Stroke 52

ACEP Now

JANUARY 11, 2024

The wave of increasing hospital closures and service line cutbacks continues to sweep the United States. hospitals that are closing clinical departments or ending or reducing services. 2 Of these 56 additional hospitals, many are not rural; thus, this specter is expanding. 56 hospitals closing departments or ending services.

Hospitals 52

Hospitals Administration Documentation/Coding Research 52

Sensible Medicine

SEPTEMBER 19, 2024

Emerging research is shedding light on where we need to turn our attention. We need to pivot our nation’s research priorities to examine our nation’s food supply. The National Institutes of Health has supported some excellent research—I’ve seen it. trillion health care economy. We need a new approach.

Research 145

Research Military Poisoning Burns 145

Medagadget

JUNE 6, 2023

Researchers at the University of California San Diego have created a wearable ultrasound system that can monitor deep tissues, as far as 16.5 “This technology has lots of potential to save and improve lives,” said Muyang Lin, a researcher involved in the study. inches) below the surface of the body.

Ultrasounds 125

Ultrasounds Research Hospitals Radiology 125

Mind The Bleep

JANUARY 18, 2024

Introduction Starting my research journey as a medical student has been an incredible and transformative experience. In this article, I wholeheartedly share my personal journey, and the invaluable lessons I’ve learned along the way, and offer friendly tips to fellow medical students who aspire to delve into the world of research.

Research 52

Research Administration Hospitals Outcomes 52

Emergency Medicine Journal

AUGUST 21, 2024

Methods This was a multicentre, parallel-group, open-label, feasibility RCT in seven hospitals in England and Scotland. Interviews and focus groups with trial participants and clinicians/research staff explored the understanding and acceptability of trial processes. Pain and some frailty-specific outcomes were not feasible to collect.

Fractures 97

Fractures Research Outcomes Hospitals 97

ACEP Now

MARCH 6, 2024

Every year, the volume of published research continues to outpace capacity to consume. Survival to hospital discharge favored the “standard care” group, 47.9 Dr. Radecki (@emlitofnote) is an emergency physician and informatician with Christchurch Hospital in Christchurch, New Zealand. Gotta catch ‘em all!” percent to 38.3

Research 52

Research Airway Management Stroke Outcomes 52

Emergency Live

APRIL 18, 2024

A transplant that is incredible and opens new avenues for both research and patients with rare diseases Two 16-year-old twin boys have been given a new lease on life thanks to the generosity of a donor family and the medical expertise of the Bambino Gesù Hospital in Rome.

Research 98

Research Hospitals 98

Medagadget

JUNE 9, 2023

Researchers at George Washington University have created a swallowable capsule containing a video camera that can assist in identifying lesions in the stomach. The researchers hope that the technique will provide a replacement for more invasive approaches, such as conventional endoscopies.

Research 110

Research Hospitals 110

Emergency Live

DECEMBER 15, 2023

Innovation and Challenges in the Future of Oncologic Treatment The Birth of a Revolution: Genenta and Genetic Therapy The story of Genenta began in 2014, as a spin-off from the San Raffaele Hospital in Milan.

Research 105

Research Hospitals 105

American Medical Compliance

NOVEMBER 29, 2024

Benefits of CGM Training in Diabetes Management Below, we explore the many benefits of CGM training and how it addresses common challenges in adoption: Improved Patient Outcomes Research shows that CGM users experience fewer episodes of hypoglycemia and hyperglycemia, leading to better overall glycemic control.

Outcomes 105

Outcomes Wellness Operations Pediatrics 105

Sensible Medicine

SEPTEMBER 16, 2024

The New York Times’ piece included this line: Now, a large-scale study from the Feinstein Institutes for Medical Research in Manhasset, N.Y., 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.

Outcomes 126

Outcomes Hospitals Research 126

PulmCCM

JANUARY 15, 2025

In 2020 during the Covid pandemic, researchers at the University of Michigan reported in a letter to the New England Journal of Medicine that in 12% of patients with darker skin, pulse oximeters overestimated their oxygen saturation, reading 92 to 96% when arterial blood gases confirmed the true value to be less than 88%. Nature (news).

Academics 81

Academics Documentation/Coding Administration Research 81

ACEP Now

SEPTEMBER 6, 2024

The hypothesis tested in INTERACT-4 is whether antihypertensive treatment might be started even earlier, in the pre-hospital setting, reducing any time-dependent negative effects. Dr. Radecki (@emlitofnote) is an emergency physician and informatician with Christchurch Hospital in Christchurch, New Zealand. N Engl J Med.

Research 49

Research Stroke Outcomes Sepsis 49

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 research to bedside clinical practice ( [link] ). Salim Rezaie is a community emergency physician in San Antonio, TX. Background: We have looked at the use of TXA many times on the SGEM.

EMS 140

EMS Outcomes Hospitals Research 140

Emergency Medicine Journal

JULY 22, 2024

Multivariable logistic regression was used to investigate factors associated with EMS recontact, ED presentation, hospital admission and serious adverse events (death, cardiac arrest, category 1 triage or intensive care unit admission) within 72 hours of the initial emergency call. were admitted to hospital and 0.3% Of these, 6.8%

Outcomes 98

Outcomes EMS Hospitals Research 98

The Trauma Pro

MAY 3, 2024

Various hospital outcomes were tabulated, including hospital charges, mortality, and discharge location. There is still room for research in this space. They further narrowed their dataset to patients with angioembolization (AE) or peri-pelvic packing (PPP) as their primary procedure. What about stable patients?

Fractures 113

Fractures Radiology Radiology Documentation/Coding 113

The Trauma Pro

APRIL 30, 2024

They performed a systematic search of the literature, analyzing the impact of each procedure on in-hospital mortality. Until we have better research to learn from, I suggest the following: Time is of the essence. The trauma group in Newcastle, Australia did just this. Is packing “better” than embolization?

Radiology 113

Radiology Radiology Research Fractures 113

Medagadget

SEPTEMBER 26, 2023

Researchers at the University of California San Francisco have developed an implantable bioreactor that may pave the way for artificial kidneys. Blood can flow through the device, and so far the researchers have shown that the cells inside can survive when it is implanted into pigs for at least seven days.

Research 105

Research Hospitals 105

Don't Forget the Bubbles

MARCH 19, 2024

This has coincided with a widespread shortage of specialist placements for children facing behavioural, psychiatric, and child protection challenges, leading to an over-reliance on the placement of these children in hospitals. A paediatric social admission is one where a child is admitted to the hospital but not for a medical reason.

Hospitals 52

Hospitals Psychiatric Documentation/Coding Pediatrics 52

Stop and Think

MARCH 31, 2024

As I walk through the hospital these days, having looked at the actual evidence for what we do, my brain struggles to resolve the tension between the popularity of treatments vs the dubious evidence. When Ahmed Sayed and Andrew Foy asked me to participate in a research project looking at industry payments to doctors I was happy to help.

Research 138

Research Shock Hospitals 138

The Trauma Pro

AUGUST 25, 2023

Unfortunately, there isn’t a lot of research material out there. Embolization patients had fewer infectious complications during their hospital stay and better immune function using the indirect methods noted above. The authors performed two comparisons: angioembolization vs. splenectomy and angioembolization vs. control.

Sepsis 186

Sepsis Research Outcomes Hospitals 186

RebelEM

OCTOBER 30, 2023

Cryoprecipitate Group: 25.3% OR 0.96; 95% CI 0.75 to 1.23; p = 0.74 vs 10%; OR 1.74; 95% CI 1.20 Cryoprecipitate Group: 25.3% OR 0.96; 95% CI 0.75 to 1.23; p = 0.74 vs 10%; OR 1.74; 95% CI 1.20 Cryoprecipitate Group: 25.3% OR 0.96; 95% CI 0.75 to 1.23; p = 0.74 vs 10%; OR 1.74; 95% CI 1.20 vs 10%; OR 1.74; 95% CI 1.20

Administration 125

Administration Blood Transfusions Outcomes Hospitals 125

Sensible Medicine

AUGUST 12, 2024

Cancer researchers recently quantified the costs of (initial) cancer screening in one year in the US. But first we should set out, as the researchers did, that this is an underestimate of the costs. Most hospitals have dedicated sections for screening. The screening industry is a money-making machine.

Outcomes 133

Outcomes Research Wellness Hospitals 133

Sensible Medicine

NOVEMBER 30, 2023

This procedure has no convincing evidence, very likely has harms exceeding benefits, may shorten her life (as lung transplant is morbid), is extremely costly, and should not be funded by insurance companies, but rather grant and research funding. Online protest led Cigna to cover the double lung transplant.

Research 145

Research Radiology Radiology Administration 145