Don't Forget the Bubbles

NOVEMBER 11, 2024

One-liner… Traumatic brain injury (TBI) is a leading cause of mortality and morbidity in paediatric populations, and fever is associated with worse outcomes. The aim of TTM is to control the body and brain’s temperature, thus reducing secondary brain injury and improving the neurological outcome.

Hyperthermia / Hypothermia 117

Hyperthermia / Hypothermia Pediatrics Outcomes Resuscitation 117

St. Emlyn

MAY 27, 2024

The post JC: Is First Pass Success an important outcome in PHEA research? St Emlyn’s appeared first on St.Emlyn's.

Research 115

Research Outcomes Hospitals 115

St. Emlyn

NOVEMBER 19, 2024

This review explores outcomes in drainage efficacy, complication rates, and patient comfort, showing that small-bore thoracostomy may be a reliable alternative for non-emergent cases. However, for severe trauma or urgent settings, large-bore remains the go-to option.

Outcomes 113

Outcomes 113

Sensible Medicine

JULY 30, 2024

In this context, the Canary Prostate Active Surveillance Study ( PASS ) sought to understand the long-term outcomes of active surveillance. Question What are the long-term outcomes for patients with favorable risk prostate cancer managed with protocol-directed active surveillance?

Outcomes 102

Outcomes Research 102

St. Emlyn

JUNE 23, 2024

Patients presenting […] The post JC: The impact of double sequential shock timing on outcomes during refractory out-of-hospital cardiac arrest appeared first on St.Emlyn's.

Shock 113

Shock Outcomes Hospitals EMS 113

Dr. Smith's ECG Blog

MARCH 10, 2025

They concluded, "Our findings increase confidence in the normal automated GE Marquette 12 SL ECG software interpretation to predict a benign outcome. Smith comment: this is a very stupid outcome measure) What if we use that methodology for the ECG above? What is the gold standard for ECG interpretation: patient outcome!!!

EKG/ECG 89

EKG/ECG Outcomes Documentation/Coding Emergency Department 89

Sensible Medicine

MARCH 10, 2025

As a skeptic of this imaging test, I saw the headline and thought: finally, we will learn whether patients who have their chest radiated have better outcomes. Better outcomes, such as fewer heart attacks or strokes, or longer life, is why we interact with healthcare. Same with imaging tests. I will come back to this.)

Stroke 85

Stroke Outcomes Hospitals 85

The Skeptics' Guide to EM

NOVEMBER 16, 2024

He leads an AI team intending to improve patient outcomes and healthcare system efficiency. In healthcare, AI is being leveraged to enhance clinical decision-making, streamline administrative processes, and improve patient outcomes. Despite the potential benefits, integrating AI into clinical workflows presents challenges.

Emergency Department 110

Emergency Department Administration Outcomes Patient Safety 110

American Medical Compliance

NOVEMBER 29, 2024

Unlike traditional methods that rely on periodic fingerstick tests, CGM offers real-time insights into glucose levels, trends, and fluctuations, empowering proactive management and improving patient outcomes. However, to maximize its benefits, healthcare providers must be well-versed in the technology.

Outcomes 105

Outcomes Wellness Operations Pediatrics 105

The Trauma Pro

JANUARY 28, 2025

Preventing death: This drug doesn’t appear to reduce mortality, which is the outcome we are most interested in when treating these patients. Restoring clotting: Most of these studies indicated that andexanet alfa may restore hemostasis more effectively. Thrombotic complications. These do seem to be more common when AA is given.

Administration 187

Administration Outcomes Hospitals 187

PulmCCM

FEBRUARY 5, 2025

In a meta-analysis published in Stroke , however, aggregating the 8 trials (n=1,742) led to a positive finding of improved neurologic outcomes overall for patients treated with thrombolytics given more than 4.5 1.75) for excellent functional outcomes; An odds ratio of 1.36 (CI 1.12-1.66) 1.66) for good neurologic outcomes.

Stroke 101

Stroke Documentation/Coding Outcomes 101

Sensible Medicine

FEBRUARY 18, 2025

Treatment failure, the primary outcome, was defined differently for each group: A need for subsequent appendectomy in the antibiotic group and negative appendectomy for the controls. An RCT measures an intervention’s effect on a single outcome. In this study, different outcomes were assessed for each group.

Outcomes 91

Outcomes Research Emergency Department Pediatrics 91

Sensible Medicine

MARCH 14, 2025

Outcomes and patients The primary outcome was 90-day in-hospital mortality. Secondary outcomes included code activation, pressor therapy, initiation of HD, MDROs, and C. When I first briefly skimmed this article — and tweeted about it — I was more impressed with the outcome than I should have been.

Sepsis 98

Sepsis Wellness Documentation/Coding Fluid Resuscitation 98

St. Emlyn

DECEMBER 16, 2024

These guidelines aim to enhance decision-making in pediatric trauma imaging, incorporating new evidence and clinical tools to optimize patient outcomes while adhering to the principle of ALARP (As Low As Reasonably Practicable). Key updates include algorithms for blunt trauma, penetrating trauma, and blast injuries.

Mass Casualty Incidents 102

Mass Casualty Incidents Pediatrics Outcomes 102

Pediatric EM Morsels

JULY 26, 2024

Higher titers in both CSF and serum were associated with poor outcomes. Earlier diagnosis leads to better outcomes. Younger Age at Onset Is Associated With Worse Long-term Behavioral Outcomes in Anti-NMDA Receptor Encephalitis. HSV serum and CSF PCR HSV is one of the most common etiologies of encephalitis and is devastating.

Psychiatric 271

Psychiatric Seizures Outcomes Pediatrics 271

First 10 EM

DECEMBER 2, 2024

Despite being widely talked about in glowing terms, the original WOMAN trial was clearly negative, with no benefit in their primary outcome, and no change in all cause mortality, and therefore no hint of benefit.

Outcomes 91

Outcomes EMS 91

PulmCCM

FEBRUARY 27, 2025

Does the choice of balanced solution make a difference in patient outcomes from critical illness? Based on their similarities, you might expect no differences in outcomes between patients resuscitated with LR or Normosol-R. There were no significant differences in any outcome: Bicarbonate levels: (-1.2 Buffering capacity (i.e.,

Resuscitation 95

Resuscitation Outcomes Research 95

PulmCCM

MARCH 24, 2025

This post focuses on the effects of age on outcomes after cardiac arrest in the hospital. The new data can help inform questions like: How much does a person’s age determine their outcome after in-hospital cardiac arrest? In-Hospital Cardiac Arrest Outcomes By Age and Rhythm Type Read more

CPR 59

CPR Hospitals Resuscitation Outcomes 59

Emergency Medicine Journal

JANUARY 21, 2025

Topic: Cardiac arrest Outcome rating: Head turner Securing intravenous access during out-of-hospital cardiac arrests (OHCA) can be challenging and time-consuming. We first present two related studies, published in the same issue of the New England Journal of Medicine , with a similar bottom line. Couper et al.

Emergency Department 98

Emergency Department Hospitals Outcomes 98

PulmCCM

NOVEMBER 7, 2024

For out-of-hospital cardiac arrest in particular, intravenous access can be difficult to establish, delaying the administration of epinephrine and other drugs and possibly worsening outcomes.

Resuscitation 98

Resuscitation Administration Hospitals Outcomes 98

American Medical Compliance

OCTOBER 31, 2024

This strategy improves patient outcomes and increases overall satisfaction. Key Components of Effective Healthcare Personnel Training for Senior and Disabled Care An effective training program should cover several core areas to ensure comprehensive care.

Best Practices 105

Best Practices Outcomes Patient Safety Wellness 105

The Skeptics' Guide to EM

MARCH 8, 2025

Outcome: Primary Outcome(s): Successful lumbar puncture on the first attempt, with < 500 red blood cells/mm3. Secondary Outcomes: Time to perform LP, episodes of desaturation (SpO2 <80%), apnea, need for pain/sedation medication, skin changes at LP site, infection rate related to LP, pain, and parental satisfaction.

Outcomes 71

Outcomes Emergency Department Wellness 71

Pediatric EM Morsels

APRIL 19, 2024

No formal follow up was scheduled Outcomes were: effectiveness, parental satisfaction, and economic benefits The majority of children wore their braces as directed (94%)There was no re-fractureAll parents were happy with the treatment (100%) and felt comfortable removing the brace (100%). West, 2005. Plint, 2006.

Fractures 290

Fractures Pediatrics Best Practices Outcomes 290

Mind The Bleep

FEBRUARY 2, 2025

The longer these negative interactions go on, the more likely they are to significantly impact on outcomes for our patients, our colleagues and ourselves. Are disagreements tolerated and discussed, and do both sides contribute to the final outcome? Is there defensiveness or conflict bubbling up?Are Level 2: Alert.

Documentation/Coding 98

Documentation/Coding Outcomes Burns Wellness 98

Dr. Smith's ECG Blog

JULY 11, 2024

In general, family medicine physicians may not have the same amount of exposure to EKGs as an emergency medicine specialist or a cardiologist, but they shouldn’t have to rely on the traditional diagnostic computer algorithm.

EKG/ECG 113

EKG/ECG Outcomes Hospitals Wellness 113

Don't Forget the Bubbles

DECEMBER 31, 2024

The skills needed to deliver the best possible outcomes for children and young people are multifaceted and constantly evolving. Reading Body language in tense meetings, phraseology when making referrals, and quick corridor conversations when hospital capacity is at a premium may all result in improved outcomes but are rarely intentional.

Leadership 140

Leadership Emergency Department Outcomes Operations 140

The Trauma Pro

JUNE 21, 2024

This situation was first documented in a paper published in the 1960s, which noted that VIP patients have worse outcomes. The VIP syndrome occurs in healthcare when a celebrity or other well-connected “important” person receives a level of care that the average person does not. Who is a VIP? It may be a celebrity. A family member.

Documentation/Coding 290

Documentation/Coding Outcomes Hospitals Wellness 290

The Trauma Pro

JANUARY 2, 2024

EAST sponsored a prospective, multicenter study to identify factors influencing neurologic outcomes after spinal cord injury. It would be interesting to see if patients who had very consistent MAP therapy, say greater than 90% or 95% of the time, had any difference in outcomes. Could a single low MAP cause damage?

Outcomes 264

Outcomes Hospitals 264

St. Emlyn

JANUARY 13, 2025

Ideal for clinicians and researchers aiming to optimise anaesthesia practices and enhance patient outcomes in emergency settings. With insights into drug protocols, administration methods, and governance, the article highlights challenges and opportunities for standardisation in prehospital care.

Administration 60

Administration Research Outcomes 60

EMDocs

DECEMBER 1, 2024

The disease is generally mild, but in untreated cases, it can lead to more severe outcomes, especially in patients with underlying conditions such as glucose-6-phosphate dehydrogenase deficiency. Even though the disease often resolves spontaneously, prompt antibiotic therapy is essential for optimal outcomes. pregnant patients).

EMS 104

EMS Infectious Diseases Shock Airway Management 104

Pediatric EM Morsels

JULY 21, 2023

Motor Fingernail bed pressure with a pencil first If flexion outcome, then apply painful stimulus to neck or head (trapezius or supraorbital notch) to look for localization Spinal reflex can result in a falsely elevated score if lower extremity pain induced Verbal Orientated- Able to answer all questions. A practical scale. PMID: 4136544.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

PulmCCM

OCTOBER 30, 2024

The presence, intensity, and persistence of fevers are associated with worse outcomes after strokes of any type. In a case series of 390 patients with ischemic stroke (almost 30 years ago), each 1 degree Celsius of fever doubled the risk of death or poor neurologic outcome. Read more

Stroke 52

Stroke Outcomes 52

The Trauma Pro

AUGUST 19, 2024

I’ve seen the clinical problems and poor outcomes that can arise from ignoring it many times over the years. Here’s another one. You’ve ordered a CT or a conventional x-ray image. The result comes back in your EMR. You take a quick glance at the summary at the bottom of the report. No abnormal findings are listed.

Outcomes 199

Outcomes 199

RebelEM

NOVEMBER 6, 2024

Elbow Dislocation Definition: Disarticulation of the proximal radius & ulna bones from the humerus Epidemiology: Incidence Second most common joint dislocation (after shoulder) in adults Most commonly dislocated joint in children Accounts for 10-25% of all injuries to the elbow ( Cohen 1998 ) Posterolateral is the most common type of dislocation (..)

Dislocations 114

Dislocations Fractures Soft Tissue Injuries Outcomes 114

Emergency Medicine Cases

FEBRUARY 18, 2025

The earlier an eating disorder is identified and the earlier that appropriate treatment is initiated the better the long term outcomes. Missing the diagnosis has important consequences.

Psychiatric 87

Psychiatric Emergency Department EMS Outcomes 87

RebelEM

JUNE 1, 2023

Post-ROSC management is nuanced and challenging but helps to ensure good outcomes. In theory, rapid identification of the underlying cause should improve outcomes by allowing clinicians to tailor management. Diagnostic yield, safety, and outcomes of Head-to-pelvis sudden death CT imaging in post arrest care: The CT FIRST cohort study.

Outcomes 145

Outcomes Resuscitation Hospitals CPR 145

PulmCCM

FEBRUARY 24, 2025

Here we examine the category of cardiac arrests with the best outcomes: shockable rhythms. While informative, these plots hide enormous complexity among the patients experiencing in-hospital cardiac arrests, which contribute directly to a wide variety in outcomes. Should they also receive a different duration of CPR?

CPR 52

CPR Hospitals Resuscitation Outcomes 52