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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. What’s New in Stroke Care? The simplicity of tenecteplase administration makes its use likely the preferred agent for treating acute ischemic stroke. the “ARAMIS” trial throws up another red flag for patients suffering mild stroke.

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Grand Rounds Recap 7.10.24

Taming the SRU

Femoral nerve block case review - morbidity & mortality - community practice - r2 Clinical pathologic case - visual diagnosis - when time matters - operational aspects of stroke care Femoral nerve Block Case Review WITH dr. stolz Why do we care about regional anesthesia, specifically femoral nerve blocks? Staphylococcus spp.,

Stroke 97
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Sniffing out Sepsis - Vibes vs Scoring Systems?

Taming the SRU

Population Patients were adult (18 or older) patients at a single academic emergency department who were triaged to a resuscitation bay and were not classified as a trauma, STEMI, stroke, cardiac arrest, or active labor. The physician was asked to do this at time point 15 minutes from patient arrival and 60 minutes from patient arrival.

Sepsis 89
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Middle meningeal artery embolization for subdural hematoma

PulmCCM

However, embolized patients had nominally higher rates of death at 90 days (5% vs ~3%), functional deterioration (~12% vs ~10%), and disabling stroke (2 patients), leading authors to suggest caution while awaiting further safety data on the procedure. that were not associated with any research study) between 2017 and 2023, according to CMS.

Stroke 52
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Serratus Anterior Plane Blocks for Rib Fractures in the ED

Taming the SRU

Broad strokes In this prospective, non-randomized study published by Kring et al in January 2022 out of Maine Medical Center, researchers compared mean pain scores at rest and during incentive spirometry before, at 15 minutes after, and then 60 minutes after treatment with a serratus anterior plane block. Ultrasound Med.

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Rethinking the Role of TXA: Are We Asking Too Much?

RebelEM

The PATCH-trauma researchers sought to address this critique. SBP < 75 mm Hg: 39% SBP 76-89 mm Hg: 33% Critical Findings: No statistically significant difference in safety outcomes (DVT, PE, MI, Stroke) TXA Placebo RR (95% CI) Primary Outcome Good Functional Outcome (6 months) 53.7% Prehospital Tranexamic Acid for Severe Trauma.

Outcomes 105
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Is it Time to Take Another Look at the State of Emergency Care in the U.S.? 

ACEP Now

Emergency Medicine research was and still is tremendously underfunded,” says John E. He’d hoped to establish a lead federal agency and funded emergency care research center at NIH, as well as concerted national attention to solve ER crowding, boarding inpatients in hallways and EMS diversion. It’s time for another push.”

EMS 45