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Fourteen Emergency Medicine Research Gems from 2023

ACEP Now

Every year, the volume of published research continues to outpace capacity to consume. A Myriad of Infectious Disease Papers The use of steroids in severe sepsis remains challenging, primarily as proper patient selection is necessary to tease out those with the greatest likelihood of benefit. Gotta catch ‘em all!”

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The Latest in Critical Care, 10/30/23 (Issue #18)

PulmCCM

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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EM@3AM: Kawasaki Disease

EMDocs

Upon further research in the 1970’s, retrospective data from autopsies of those patients showed coronary aneurysms 5 Pathophysiology: Kawasaki Disease is a vasculitis of medium sized arteries. He has had a high fever of > 103°F (39.4°C) C) for the past week.

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Are we on the right TRACT? 

Don't Forget the Bubbles

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? Does the study address a clearly focused research question? N Engl J Med. 2019;381(5):407-419. Was blinding achieved?

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The 79th Bubble Wrap x Bristol Royal Hospital For Children

Don't Forget the Bubbles

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). Reviewed by: John Coveney Article 2: How do we define sepsis in children? Paediatr Int Child Health. 2024 Jan 11:1-7. doi:10.1001/jama.2024.0179

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Is this MPox?

Pediatric Education

Complications include death, scarring, skin superinfection, sepsis, encephalitis, meningitis, febrile seizures, and premature birth. link] How Canadian researchers reconstituted an extinct poxvirus for $100,000 using mail-order DNA. Patients are not contagious after the crusts fall off. 2006;80(18):9244-9258. doi:10.1128/JVI.00945-06

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Sepsis Updates Relevant to the Emergency Physician

EMDocs

Introduction Sepsis and septic shock are life-threatening conditions characterized by severe systemic inflammation and organ dysfunction due to a dysregulated host response to infection. 3,4 Prompt recognition and management of sepsis and septic shock are paramount for the ED clinician. vs. 0.91), positive predictive value (0.27

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