The Skeptics' Guide to EM

MARCH 18, 2023

Association of early oseltamivir with improved outcomes in hospitalized children with influenza, 2007-2020. Guest Skeptic: Dr. Marisu Rueda-Altez is a pediatric infectious disease fellow at Children’s National Hospital in Washington, DC. She is also the President of the Junior Section of the Society for Pediatric Research.

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RCEM Learning

APRIL 9, 2024

By following these steps and dedicating sufficient time and effort to your preparation, you can increase your chances of achieving a favourable outcome. Remember, consistent practice and exposure to a variety of SBA questions are key to success in the FRCEM SBA exam. The post FRCEM SBA appeared first on RCEMLearning.

Infectious Diseases 52

Infectious Diseases Airway Management Resuscitation Poisoning 52

Don't Forget the Bubbles

JANUARY 10, 2024

The factorial design chosen by Dr Maitland and her research group means that several comparisons in transfusion practice could be carried out at the same time. What were the research questions? Some wonder if giving blood to children with a haemoglobin <6g/dl will improve outcomes. N Engl J Med. 2019;381(5):407-419.

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

PulmCCM

JULY 17, 2023

vs 2.5%, a prespecified outcome. Read in Lancet Infectious Diseases Tranexamic acid for severe hemorrhage after trauma (PATCH) An astonishing 2 million people die from bleeding after trauma each year around the world, it is estimated. The findings met the prespecified threshold for non-inferiority margin set at 10%.

Infectious Diseases 52

Infectious Diseases Outcomes Operations Research 52

Don't Forget the Bubbles

FEBRUARY 28, 2024

Outcomes were: (1) crusting of the lesions; then (2) complete healing of lesions -the end goal of treatment. Yes, the study made its aims clear and tried to contribute data to an area of research where there is currently a paucity. This ttechnique relies on the researcher’s judgement, making it subject to bias, affecting validity.

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Pediatrics Infectious Diseases Outcomes Research 59

Sensible Medicine

SEPTEMBER 25, 2023

This has the effect of balancing known and unknown factors, which could affect the primary outcome. The primary outcome of interest was excess burden of multiorgan abnormalities (two or more organs) relative to controls. That places it in the top 5% of all research outputs scored by Altmetric.

Infectious Diseases 52

Infectious Diseases Hospitals Outcomes Research 52

Don't Forget the Bubbles

MARCH 18, 2024

It may worsen HUS, according to some research, though even if platelets are given, the risk of bleeding during a procedure in HUS may not change. Clinical Infectious Diseases [Internet]. Disease severity of Shiga toxin-producingE. Disease severity of Shiga toxin-producingE. Talk to your renal experts first.

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Dehydration Infectious Diseases Seizures Pediatrics 59

Pediatric Education

MAY 12, 2024

The actual language and what that language means has implications both for clinical treatment but also research results. These differences can be very important for outcomes of research studies. They can also be important for monitoring of clinical outcomes of treatment in gastroenterological diseases.

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Pediatrics Infectious Diseases Research Outcomes 40

PulmCCM

OCTOBER 30, 2023

Professional Medical Societies Call for Elimination of SEP-1 The Infectious Diseases Society of America (IDSA), along with societies for emergency medicine physicians and hospitalists, are again speaking up about the ongoing policy experiment known as the Centers for Medicare and Medicaid Severe Sepsis/Septic Shock Management Bundle (SEP-1).

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Sepsis Shock Hospitals Infectious Diseases 52

EMDocs

NOVEMBER 16, 2024

13 Management: Dislocation As with all dislocation, early reduction improves outcomes. Infections For stable patients, obtain microbiologic samples prior to antibiotics (per the American Academy of Orthopedic surgery and The Infectious Diseases Society of America). 7,8 Majority are managed operatively. Hospitals, 2018.

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Pediatric EM Morsels

SEPTEMBER 20, 2024

HUS findings: Microangiopathic hemolytic anemia , Renal failure , and Thrombocytopenia The most dreaded outcomes of HUS include need for renal replacement therapy both short and long term and unfortunately death. It is critical to detect HUS early in its disease course to ensure the best outcomes. 2021 May;232:200-206.e4.

Pediatrics 164

Pediatrics Ultrasounds Dehydration Emergency Department 164

Don't Forget the Bubbles

MARCH 4, 2024

Article 1: Infections in Foreign Travellers Bird C, Hayward GN, Turner PJ, Wasala D, Merrick V, Lyttle MD, Mullen N, Fanshawe TR; for Paediatric Emergency Research in the UK and Ireland (PERUKI). Without a clear definition, tailoring research and audit is difficult. Primary outcomes were sedation success and adverse event rates.

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

RebelEM

MAY 15, 2024

Read More: Infectious Disease Society of America 2010 Clinical Practice Guidelines Life in the Fast Lane: Febrile Neutropaenia Uptodate: overview of neutropenic fever syndromes EMRAP: Risk stratification of neutropenic fever MDCalc: MASCC Score MDCalc: CISNE Score References: Ahn S, Rice TW, Yeung SJ, Cooksley T. Raad, II, et al.,

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Infectious Diseases Administration Sepsis Anaphylaxis 90

EMDocs

DECEMBER 18, 2023

8 Based on multiple randomized controlled trials (RCTs), SSC 2021 guidelines suggest against using procalcitonin as a screening method to guide initiation of antibiotic therapy, as no difference in clinical outcomes was appreciated. 36 However, the literature has failed to prove that the double coverage has any effect on clinical outcomes.

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Sepsis Fluid Resuscitation Resuscitation Shock 83

The Skeptics' Guide to EM

NOVEMBER 28, 2020

We needed to extrapolate from previous research on masks and other respiratory illnesses. However, we do have a firm understanding of the germ theory of disease and masks have been used for over 100 years as an infectious disease strategy. As with all studies this one had limitations.

Infectious Diseases 52

Infectious Diseases Operations Outcomes Wellness 52

EMDocs

JANUARY 6, 2024

It is difficult to distinguish this from ACS secondary to acute plaque rupture in the ED, and management would be similar with antiplatelet agents, anticoagulation until coronary angiography can be performed to assess for the underlying disease process. Cardiac Transplant Research Database Group. Lab Invest. 2004;84(1):138-145.

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EMS Infectious Diseases Shock Emergency Department 80

RebelEM

OCTOBER 26, 2023

PMID: 37358858 Clinical Question: In children aged 2 months to 10 years who exhibit clinical improvement after 5 days of antimicrobial therapy for UTIs, is short-course (5 days) oral antimicrobial therapy as effective as standard-course (10 days) therapy in preventing treatment failure and related outcomes? Diagnosed with UTI.

Pediatrics 81

Pediatrics Infectious Diseases Outcomes Research 81

Sensible Medicine

JUNE 6, 2024

And, moreover, there is one criticism that no one can deny: Although he was director of the NIAID, and although he controlled a 5 billion dollar infectious disease research budget, he chose to launch, fund and conduct precisely ZERO randomized trials of non-pharmacologic interventions. Before I tell you their answer.

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Infectious Diseases Research Outcomes 145

Don't Forget the Bubbles

FEBRUARY 24, 2025

However, our true success is measured by how effectively we share knowledge, foster understanding, and improve patient outcomes. This reduction is consistently associated with improved outcomes in infants with severe pertussis. Pertussis: severe clinical presentation in pediatric intensive care and its relation to outcome.

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Pediatrics Outcomes Blood Transfusions Sepsis 59

PEMBlog

OCTOBER 31, 2024

A new study conducted by the Pediatric Emergency Care Applied Research Network (PECARN) aimed to determine whether LGG could reduce the severity of gastroenteritis in children. The trial found that LGG did not significantly improve outcomes compared to placebo. Why is this important for patients and caregivers ?

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Outcomes Pediatrics Emergency Department Research 105

American Medical Compliance

FEBRUARY 21, 2025

Understanding SDOH is critical, as social and environmental conditions, such as economic stability, education, healthcare access, and community support, play a significant role in health outcomes. This training equips providers with practical strategies to identify and address SDOH, ultimately improving health equity and patient outcomes.

Outcomes 52

Outcomes Infectious Diseases Wellness Academics 52

Don't Forget the Bubbles

SEPTEMBER 23, 2024

Consider CMV, EBV and BK-polyoma virus infections: Patients are often on prophylaxis for a variable length of time, with differing outcomes. CMV can present as a nonspecific viral illness or tissue-invasive CMV disease. Obesity: Obesity, whether before or after transplant, is linked to worse outcomes. Aydin, A.M., Dogan, H.S.,

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

PulmCCM

NOVEMBER 25, 2024

Surveyed infectious disease experts advise about 14 days of antibiotic treatment for most patients with bloodstream infections, especially the critically ill. days of treatment), or clunky composite outcomes (e.g., all-cause mortality/relapse/suppurative or distant complications/readmission/extended hospitalization).

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Infectious Diseases Research Hospitals Outcomes 40

Mind The Bleep

NOVEMBER 20, 2024

Infectious disease (ID) is much more than simply collecting blood cultures; it’s a dynamic and exciting specialty that offers the opportunity to work with patients of all ages, varying acuities, and diverse clinical presentations. We will also discuss strategies for enhancing your portfolio. What makes ID a great career choice?

Infectious Diseases 52

Infectious Diseases Research Patient Safety Sepsis 52

Don't Forget the Bubbles

NOVEMBER 5, 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. Reviews and opinion articles An update on the role of fluid overload in the prediction of outcome in acute kidney injury. What are some of this months highlights?

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Pediatrics Hospitals Infectious Diseases Outcomes 105

EMDocs

NOVEMBER 25, 2024

However, recent progress in onchocerciasis research has led to an improved understanding of the immunopathology of O. volvulus as well as improvements in the diagnosis and treatment of this morbid disease. million infected people suffer from skin disease and 1.15 7 Approximately 14.6 million from partial or complete blindness.

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