Medagadget

AUGUST 4, 2023

Researchers at Duke University have developed a gravity-powered microfluidic device that is intended for use as a diagnostic technology in low-resource areas. The researchers hope that the technology could unlock point-of-care diagnostics for those living in the most remote and low-resource areas.

Point-of-Care Testing 75

Point-of-Care Testing Research Operations Hospitals 75

Taming the SRU

MARCH 12, 2024

The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics. as well as patients less than 18 years old were excluded from analysis. The study’s primary outcomes were the operational impacts of the SQuID protocol on EDLOS and ICU admission rates. Acad Emerg Med 2023;30(8):800–8.

Operations 97

Operations Hospitals Best Practices Wellness 97

ACEP Now

MARCH 6, 2024

Every year, the volume of published research continues to outpace capacity to consume. 7 The operators involved in the trial were mostly emergency medicine residents or critical care fellows, but this fact does not diminish the generalizability of these observations. Gotta catch ‘em all!” How Best to Stop the Bleeding in Trauma?

Research 52

Research Airway Management Stroke Outcomes 52

Don't Forget the Bubbles

JUNE 19, 2024

In adult trauma cases, there has been significant research to help decide which patients require X-ray or CT imaging for possible cervical spine injuries, leading to the development of the National Emergency X-Ray (NEXUS) prediction rule and the Canadian C-Spine Rule (CCR). Why is this study needed?

CPR 124

CPR Research Documentation/Coding Outcomes 124

RebelEM

FEBRUARY 1, 2024

Reliance on research coordinators to accurately determine mRS scores over a telephone interview could suffer from issues of reliability. But, if a thrombolytic agent is to be given, tenecteplase would be a reasonable alternative to alteplase with similar efficacy, safety profile, and improved operational logistics. vs Alteplase 34.8%

Stroke 134

Stroke Blood Transfusions Outcomes EMS 134

Greater Sydney Area HEMS

FEBRUARY 20, 2024

The evidence for improved safety and quality with the use of ultrasound for CVC implementation is well established [i]. It is currently the subject of future research and publication in the emergency department setting. i] Leibowitz A, Oren-Grinberg A, Matyal R.

Ultrasounds 98

Ultrasounds Shock Research Operations 98

Taming the SRU

MAY 11, 2024

r1 clinical knowledge - r4 capstone - research grand rounds - the art of em - Community corner - PEM Lecture r1 Clinical knowledge: transplant complications WITH dr. gabor Time-sensitive peri-transplant emergencies: Bleeding fistula- stop the bleed. Flood syndrome- start fluids, give antibiotics, consult surgery. Ways to get involved?

Administration 92

Administration Resuscitation Fluid Resuscitation Research 92

Sensible Medicine

SEPTEMBER 26, 2024

Doctors need to be upfront about issues with their doctors and some well-chosen friends and colleagues. If a surgeon arrives with both wrists in casts after a weekend fall off of a bicycle, having made the senseless decision that she remains well enough to operate, her colleagues will call her on it.

Psychiatric 97

Psychiatric Research Operations Hospitals 97

Intensive Blog

JUNE 4, 2024

Author: Dr Josh Mclarty Peer Reviewer: Dr Ken Hoffman It is important to understand Temporary Pacing Threshold Checks when caring for post-operative patients in cardiac ICU. The post Temporary Pacing Threshold Checks appeared first on INTENSIVE.

Operations 53

Operations Research Wellness 53

PulmCCM

APRIL 18, 2024

The real world success rates by operators experienced with intubation remained unknown. In the relatively few studies comparing video to direct laryngoscopy, intubations were usually performed by inexperienced trainees, and sample sizes were small. The results seem to hold for both major video laryngoscopes (GlideScope and McGrath).

Airway Management 98

Airway Management Operations EMS Research 98

EMDocs

FEBRUARY 7, 2024

3 Increasing Strikes and Unions Labor actions in healthcare can disrupt normal hospital operations, potentially impacting costs and threatening patient quality of care. One study from the National Bureau of Economic Research on nursing strikes in New York State from 1984 to 2004 found that hospital mortality increased by 19.4%

Hospitals 98

Hospitals Research Patient Safety Wellness 98

Don't Forget the Bubbles

OCTOBER 10, 2024

Ten thousand children in the UK are operated on a year for fingertip injuries, and 96% of surgeons currently report replacing the nail plate intra-operatively. Adopting this approach would reduce time in surgery for the child as well as the financial cost of nail bed repair. 61 out of 77 departments responded.

Emergency Department 75

Emergency Department Outcomes Research Operations 75

Taming the SRU

NOVEMBER 3, 2023

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. 41, 2695–2701 (2022).

Fractures 98

Fractures Ultrasounds Research Outcomes 98

ACEP Now

SEPTEMBER 5, 2024

Creation of an accurate database of emergency physicians living and working within a state, as well as a network of each states’ EM groups and ED medical directors would help chapter leaders disseminate relevant information, strengthen advocacy efforts, and plan regional solutions summits to focus on unique challenges.

Leadership 98

Leadership PPE EMS Wellness 98

RebelEM

JUNE 19, 2023

The PATCH-trauma researchers sought to address this critique. Demographics were well balanced in the two groups. We should expect TXA to help in immediate stabilization and allow trauma teams the time to intervene (whether that be continued resuscitation, interventional or operative procedures).

Blood Transfusions 105

Blood Transfusions Outcomes Administration Hyperthermia / Hypothermia 105

RebelEM

JANUARY 25, 2024

Point-of-care ultrasound (PoCUS) is inherently operator-dependent, which may have led to inconsistencies in the quality and findings of the ultrasound exams across different operators. CHF, in particular, lends itself well to diagnosis and treatment with PoCUS, as it readily reveals the presence of B lines. vs. 18.3%).

Ultrasounds 129

Ultrasounds Outcomes COPD Hospitals 129

The Skeptics' Guide to EM

DECEMBER 12, 2020

AEM December 2020 Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine and Emergency Medicine Research Lead at Lancashire Teaching Hospitals Trust (North West England). She is systemically well and there is no sign of tracking, so you decide to perform incision and drainage in the ED.

Operations 52

Operations Outcomes Research Academics 52

The Skeptics' Guide to EM

JANUARY 23, 2021

She is the cofounder of FOAMcast and a pulmonary embolism and implementation science researcher. Dr. Westafer serves as the Social Media Editor and research methodology editor for Annals of Emergency Medicine […] The post SGEM#316: What A Difference An A.P.P. Diagnostic Testing Differences Between A.P.P.s Reference: Pines et al.

Poisoning 52

Poisoning Research Documentation/Coding Operations 52

Medagadget

AUGUST 25, 2023

During operation, the space to be disinfected must be evacuated since germicidal UV light is harmful, causing damage to nucleic acids, and generates Ozone, which can be a harmful gas by itself. PCO has the capability to oxidize organic matter, VOCs and other organic molecules as well as airborne contaminants / pathogens.

CDC 76

CDC Operations Hospitals Wellness 76

Advanced Medical Reviews

SEPTEMBER 15, 2017

Especially since millennial satisfaction with the healthcare system is lower – only 32 percent report being treated well , according to an Accenture survey – than it is for preceding generations. Access to personalized recommendations, as well as public reviews, is a defining feature of the current media landscape.

Operations 56

Operations Research Wellness Hospitals 56

Medagadget

MAY 23, 2023

A recent study in Nature Medicine , entitled “ An automated histological classification system for precision diagnostics of kidney allografts ,” has showcased the efforts of a group of researchers who have developed an automated system that can diagnose kidney transplant rejection.

Research 83

Research Hospitals Documentation/Coding Operations 83

Sensible Medicine

MARCH 14, 2024

I’ve heard arguments that frame this discussion in terms of trainee wellness, physician burnout, social contract, and patient outcomes. In short, it’s a mistake to picture medical students on their wellness days off just “kicking their feet up.” Burnout rates have never been higher.

Hospitals 98

Hospitals Wellness Academics Fractures 98

ALiEM

OCTOBER 30, 2023

The same goes for clinical operations and research – interesting, but there hasn’t been any “a ha” moment to illuminate her calling. Well, instead of passively waiting for Godot, you can seize the initiative and bend the arc of your career into alignment with your values, strengths, and passions, and, by extension, toward fulfillment.

Academics 64

Academics Leadership Wellness Research 64

The Skeptics' Guide to EM

NOVEMBER 28, 2020

He is the President of the national charity Canadian Association of Physicians for the Environment (CAPE), as well as the co-founder and co-chair of the local non-profit the Calgary Climate Hub, and […] The post SGEM#309: That’s All Joe Asks of You – Wear a Mask first appeared on The Skeptics Guide to Emergency Medicine.

Infectious Diseases 52

Infectious Diseases Operations Outcomes Wellness 52

Don't Forget the Bubbles

JUNE 17, 2024

Nonetheless, research has consistently shown that healthcare environments demonstrate higher-than-average levels of workplace incivility. Loss of psychological safety and mental well-being persist long after the episode and can impact future episodes of care. The lasting effects of incivility cannot be understated.

Leadership 105

Leadership Resuscitation Teamwork Patient Safety 105

RebelEM

AUGUST 31, 2023

CVC placement under ultrasound guidance has decreased overall complication rates and there is increased awareness of transfusion reactions, alloimmunization, acute lung injury, circulatory overload, as well as infection. Transfusion, Upper margin two-sided 90% CI, relative risk of 3.5 Non-inferiority margin was set at 2.5% g/dl vs 8.5

Ultrasounds 59

Ultrasounds Outcomes Wellness Research 59

PulmCCM

APRIL 1, 2024

Any longer-term benefits remain unknown, due to a paucity of research. That could (and should) change if improved functional outcomes, persisting for months after hospital discharge, are ever confirmed in large, well-conducted trials. Authors also had no information on operators’ experience levels. Is this safe?

Ultrasounds 40

Ultrasounds Operations Outcomes Research 40

ACEP Now

SEPTEMBER 13, 2023

Emergency Medicine research was and still is tremendously underfunded,” says John E. We wanted to reach emergency physicians, nurses and others working in trauma as well as those at Health and Human Services and the Centers for Disease Control. Prescott, MD, another member of the committee. “We

EMS 45

EMS Research Academics Military 45

Advanced Emergency Nursing from AENJ

MAY 3, 2014

Although told several times, the story of the development by Henning Ruben of the prototypical modern manual resuscitator, the self-refilling bag with unidirectional non-rebreathing valves which now dominate the world of resuscitation, is still not well-known. What were its recent antecedents? What further developments occurred?

Resuscitation 40

Resuscitation Military Operations Emergency Nursing 40

Downeast Emergency Medicine

DECEMBER 17, 2021

To learn more about students’ pathways into EM as well as the ways in which medical schools can best support these paths, we surveyed the Tufts University School of Medicine’s (TUSM) 2021 graduating class of EM-bound students. Look for deans, professors, or other faculty with a background in EM that you’ve met and admired along the way.

EMS 52

EMS Academics Operations Emergency Department 52

ACEP Now

DECEMBER 10, 2023

Today Dr. Calderon is known for her research into HIV and Hepatitis C prevention, but she didn’t start off on an academic track. She was 10 years into being an attending physician when she realized that to make an impact on the problems she was seeing in her ED, she would need a better understanding of how to do research. “I

Research 52

Research Point-of-Care Testing Burns Academics 52

AED Leader

SEPTEMBER 24, 2024

It features a pediatric mode, enabling safe treatment for children as well. This defibrillator for home use features a robust design that allows it to operate in varying conditions. Devices with simple instructions make it easier for anyone to operate them during crises.

Pediatrics 52

Pediatrics Shock Operations Wellness 52

Greater Sydney Area HEMS

APRIL 26, 2023

Both the stuff of legend and go by multiple names including harness hang syndrome and orthostatic intolerance, as well as bigfoot and the abominable snowman, respectively. Thus, ST management has been heavily based on lay opinion, and until recently, lightly on peer-reviewed research. Health and Safety Executive Research Report 451.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Shock Research Operations 52

RebelEM

DECEMBER 19, 2022

While many healthcare systems across the world operate in a similar fashion, the United States does not. I am hopeful this trial encourages future research on the subject matter so we can answer additional questions it has left us (ie. REFERENCES: Cheskes S, et al. Defibrillation Strategies for Refractory Ventricular Fibrillation.

EMS 52

EMS CPR Shock Resuscitation 52

The Skeptics' Guide to EM

NOVEMBER 25, 2017

You know her well, and none of the usual anti-emetics seem to help her symptoms. While inwardly wishing you worked in a country where droperidol was available, you wonder whether there is any new research to guide your management. Unfortunately, nothing really works well for this condition.

Psychiatric 40

Psychiatric Emergency Department Operations Hospitals 40

ACEP Now

JULY 8, 2024

1 Other, non-transformer-based ML methods can be used on clean, well-structured data sets, but LLMs are frequently capable of feats of unanticipated competence right out of the box. As a mechanism for augmenting clinical operations, this approach may show value in passively collecting and feeding information into other systems.

Emergency Department 52

Emergency Department Operations Documentation/Coding EKG/ECG 52

Taming the SRU

AUGUST 4, 2024

We discussed some practices to push learners outside of their comfort zone and promote learning, based on their level as well as their goals for the shift. The largest retrospective cohort study to date (Beyde et al.) shows that most will improve with empiric antibiotics.

Dislocations 85

Dislocations Emergency Department Documentation/Coding Burns 85