Military, Outcomes and Wellness - Emergency Care Today

Best Of AAST #7: How Do You Like Your Platelets – Warm Or Cold?

The Trauma Pro

SEPTEMBER 20, 2023

Researchers from the US Army performed a retrospective registry study on a sample of military casualties over four years. The primary outcome was mortality, and secondary outcomes included the need for surgery, fluid and blood infusions, and the use of a massive transfusion protocol.

Military

Military Blood Transfusions Administration Outcomes

Universal Depression Screening Leads to Unnecessary Harm

Sensible Medicine

MAY 28, 2024

The adoption of depression screening is, of course, well-intentioned. A 2008 Cochrane review found adult depression screening does not improve outcomes. The last two trials convincingly demonstrate that when patients with postpartum depression have better access to mental health services, outcomes improve.

Outcomes

Outcomes Military Psychiatric Wellness

Hypothermia and drowning

Don't Forget the Bubbles

JUNE 30, 2023

Military medicine , 163 (10), 719-721. Military medicine , 163 (10), 719-721. Military medicine , 163 (10), 719-721. Extracorporeal life support rewarming rate is associated with survival with good neurological outcome in accidental hypothermia. If only I had a time machine, you think to yourself… Oh, we do! Let’s hop in.

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia Military CPR EKG/ECG

SGEM#385: If the Bones are Good, the Rest Don’t Matter – Operative vs Non-Operative Management of Scaphoid Fractures

The Skeptics' Guide to EM

DECEMBER 10, 2022

One-year outcome of surgery compared with immobilization in a cast for adults with an undisplaced or minimally displaced scaphoid fracture: A meta-analysis of randomized controlled trials. DISCLAIMER: THE VIEWS AND OPINIONS OF THIS BLOG AND PODCAST DO NOT REPRESENT THE UNITED STATES GOVERNMENT OR THE US MILITARY. Initial X-ray 0.24 (0.07–0.79)

Operations

Operations Fractures Military Emergency Department

Trauma Resuscitation Updates

RebelEM

MAY 25, 2023

CRYSTALLOIDS Too much crystalloid resuscitation in traumatic hemorrhagic shock can increase dilutional coagulopathy, as well as increase morbidity and mortality Bickell WH et al. Ann Emerg Med 2017 [6] This was a retrospective database review of 7521 traumatic brain injury patients SBP target ≥90mmHg resulted in a mortality of 7.8%

Resuscitation

Resuscitation Fluid Resuscitation Head Injuries Shock

Meet the Emergency Physicians Running for Congress

ACEP Now

OCTOBER 10, 2024

The reason I think orthopedists have done so well because they’ve been involved, they’ve been politically engaged, they’ve used their assets to preserve their assets. Another is to deliver the best patient care you possibly can, and those things don’t work very well together. You don’t get that from other places, maybe the military.

Critical Access

Critical Access Telemedicine Hospitals Administration

What Are the Complications of Sickle Cell Trait?

Pediatric Education

SEPTEMBER 3, 2023

He had no concerns and he was doing well in school and with his friends. He had a sprained ankle the previous year that he says was well-healed. High-quality studies in the SCT population are needed to clarify the health-outcomes as many studies are necessarily smaller or not able to be performed as rigorously. Ann Intern Med.

Dehydration

Dehydration Hyperthermia / Hypothermia Pediatrics Military

Prehospital Traumatic Cardiac Arrest: A Systematic Review and Meta-analysis

RebelEM

MARCH 13, 2023

Nevertheless, mortality of prehospital traumatic cardiac arrest (TCA), and survivability with good neurologic outcome, remain the gold standards of trauma care in and out of the hospital and are effectively the criterion by which we measure outcomes in the trauma literature. Discussion: Dead On Scene: The 96.2% mortality rate and 43.5%

Basic Life Support

Basic Life Support EMS Outcomes Resuscitation

Journal Club - Tranexamic Acid in Trauma

Downeast Emergency Medicine

APRIL 26, 2021

4] We also know that severe TBI is commonly associated with the development of intracranial hemorrhage where the presence and volume of blood are associated with increased mortality and poor outcomes.[5] Association between prehospital tranexamic acid administration and outcomes of severe traumatic brain injury. JAMA Neurol.

Head Injuries

Head Injuries Administration Outcomes Seizures

Episode 28 - Depressed and Suicidal Patients in the Emergency Department: An Evidence-Based Approach

EB Medicine

MAY 3, 2019

Jeff: And finally, how many of you wish there was a clearly outlined evidence-based approach to managing such patients to improve care and outcomes? The PSS-3 assesses for depression/hopelessness and suicidal ideations in the past 2 weeks as well as lifetime history of suicide attempt. Nachi: That would certainly be helpful.

Emergency Department

Emergency Department Psychiatric Documentation/Coding Outcomes

Sex, Gender, and Language in Public Health Communication

Sensible Medicine

JUNE 25, 2024

Some of the explanation for this could easily be social differences - things like military service and agricultural labor are considered risk factors for Parkinson’s, and it’s at least partly for social reasons that those risk factors are more common in men. Males are much more likely than females to develop Parkinson’s.

CDC

CDC Military Outcomes Wellness

ED Boarding

ACEP Now

AUGUST 1, 2023

8 Additionally, military branches have skilled workers with complementary skills where an existing workforce could be immediately deployed to meet these needs. military facilities. What’s clear from the emerging data: our experience as clinicians as well as our patients’ is that the system is unraveling. ACEP website.

Hospitals

Hospitals Emergency Department Military Leadership

The Nose: the other route to the lungs

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

Their focus was on developing a refined technique suitable for mass usage by the military who funded them and by the lay public. Lubricate well. 2014;46(6):814-820 on Medscape.com. ** Example trauma case report requiring airway control; the decision process, algorithms, and alternatives, outcome. Gerkin] Priceless. Rogue Medic.