RebelEM

SEPTEMBER 19, 2022

Background: There are only two interventions that have been proven in the medical literature to improved outcomes in cardiac arrest: high-quality CPR and early defibrillation. Over the years, we as a scientific community have worked extensively to find other interventions that improve outcomes. Resuscitation 2022; 179: 9-17.

CPR 52

CPR Outcomes Resuscitation EMS 52

EMDocs

NOVEMBER 20, 2023

High certainty of evidence: further research is unlikely to change the confidence in the estimate of the effect. Moderate certainty of evidence: further research is likely to have an important impact and may change the estimate. Low certainty of evidence: further research is very likely to change the estimate.

Resuscitation 103

Resuscitation Fluid Resuscitation Hospitals Research 103

ACEP Now

JUNE 21, 2023

The latest research Two new studies have investigated academic and clinical performance between the two EM training lengths. The lack of differences in the observed outcomes do not suggest one EM training length is superior. A study of 92 EM programs from 1999 observed similar counts for most procedures between training lengths.

EMS 114

EMS Academics Telemedicine Operations 114

Taming the SRU

OCTOBER 5, 2023

morbidity and mortality - quality improvement - research grand rounds - r1 clinical knowledge: pres/rcvs - r4 case follow-up: compartment syndrome Morbidity and Mortality WITH dr. finney Takotsubo Cardiomyopathy with COVID-19 Increasing incidence of Takotsubo Cardiomyopathy with the COVID-19 pandemic Morbidity and mortality is similar to that of ACS (..)

Stroke 92

Stroke EKG/ECG Seizures CPR 92

St. Emlyn

JUNE 4, 2024

Prioritising rapid resuscitation and OR transfer over ED intubation may improve outcomes. Further prospective research is needed The post JC: Risky intubations in the Emergency Department appeared first on St.Emlyn's.

Emergency Department 48

Emergency Department Resuscitation Research Outcomes 48

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 113

Military Blood Transfusions Administration Outcomes 113

PulmCCM

JANUARY 22, 2024

Background Therapeutic hypothermia, later rebranded as targeted temperature management, became a standard post-cardiac arrest therapy for comatose patients after two 2002 NEJM trials ( n=273 and n=77 ) suggested reducing core temperature to 32°C to 34°C markedly improved neurologic outcomes and survival.

Hyperthermia / Hypothermia 80

Hyperthermia / Hypothermia Outcomes Research Hospitals 80

Don't Forget the Bubbles

JUNE 26, 2023

The team start CPR, and this is emergently converted to extra-corporeal cardiopulmonary resuscitation via the open sternotomy wound. These cases illustrate some of the common issues associated with each shunt type, but what does the evidence say about outcomes? What is the best option for repair? 2017;51(1):50-57.

Operations 128

Operations Research Hyperthermia / Hypothermia Hospitals 128

Don't Forget the Bubbles

NOVEMBER 15, 2023

One-liner… Understanding how to manage maintenance fluids in critically unwell children best is a basic but important way to improve outcomes. In a PICU setting, sodium can come from various sources (resuscitation fluids, IV drugs and infusions, enteral feed), not just the maintenance fluids we prescribe. sodium chloride.

Resuscitation 80

Resuscitation Dehydration Administration Shock 80

EMDocs

JANUARY 29, 2024

Finally, anticipating and addressing known complications such as seizures, increased intracranial pressure, or cerebral edema with appropriate measures, including antiepileptic drugs or osmotic agents, is essential for improving patient outcomes. Lowering the MAP may mitigate these risks and possibly improve outcomes. doi: 10.1161/01.str.0000014509.11540.66.

Stroke 98

Stroke Outcomes EMS Seizures 98

The Skeptics' Guide to EM

JUNE 24, 2017

His background includes working as a Research Assistant […] The post SGEM#183: Don’t RINSE, Don’t Repeat first appeared on The Skeptics Guide to Emergency Medicine. They arrive quickly and take over the resuscitation. Our review supports the current best medical practice as recommended by the International Resuscitation Guidelines.”

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia CPR Resuscitation EMS 40

SheMD

MAY 11, 2023

Research indicates that the gender of a provider may impact their performance. In medical emergencies, provider qualities which lead to greater performance and patient outcomes include leadership and teamwork. Female physician leadership during cardiopulmonary resuscitation is associated with improved patient outcomes*.

Leadership 52

Leadership Documentation/Coding CPR Teamwork 52

Don't Forget the Bubbles

MAY 8, 2024

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. The researchers compared children diagnosed via screening with those diagnosed after clinical symptoms appeared. Dell KM, et al. Koenis MM et al. Eur J Pediatr.

Pediatrics 69

Pediatrics Emergency Department Outcomes Research 69

AED Leader

JULY 5, 2024

It features a clear and intuitive interface that guides users through the resuscitation process with step-by-step voice prompts and visual instructions. Smart CPR Guidance Cardiopulmonary resuscitation (CPR) is a critical component of saving a life during a cardiac arrest.

CPR 52

CPR Resuscitation Shock Pediatrics 52

ACEP Now

APRIL 3, 2024

Targeted temperature management (TTM) for patients following cardiac arrest resuscitation has gone through several dosing iterations in the past two decades. Finally, the guidelines support active temperature management’s (though not necessarily hypothermia) role in improving post-arrest outcomes. degrees Celsius for 72 hours.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Resuscitation Outcomes Hospitals 40

PHEM Cast

APRIL 10, 2016

And from our buddies at HEFT EM CAST: [link] A bit more detail covering some of the research in an easy to understand way. This was the same principle as in the Rivers trial: the standard care group is the ‘control’ group against which changes in outcome for the ‘intervention’ group are compared. Scand J Trauma Resusc Emerg Med.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

Northwestern EM Blog

FEBRUARY 14, 2022

Severe shock is defined as persistent hypotension requiring vasopressors to maintain a mean arterial pressure of 65mmHg and serum lactate <2 despite adequate volume resuscitation. The primary outcome of the study was the response in MAP three hours after the start of angiotensin II infusion.

Shock 52

Shock Resuscitation Fluid Resuscitation Sepsis 52

RCEM Learning

APRIL 9, 2024

Ensure that you have a solid understanding of the core subjects, including emergency medicine, critical care, resuscitation, trauma management, and relevant guidelines. By following these steps and dedicating sufficient time and effort to your preparation, you can increase your chances of achieving a favourable outcome.

Infectious Diseases 52

Infectious Diseases Airway Management Resuscitation Poisoning 52

Don't Forget the Bubbles

OCTOBER 2, 2024

As the resuscitation continues, his heart rate falls, his respiratory effort becomes increasingly irregular and his systolic blood pressure rises. Given the lack of high-quality studies – particularly for mannitol – there is s need for further research in hyperosmolar therapy. What Other Research Is There On The Topic?

Administration 49

Administration Pediatrics Outcomes Research 49

RebelEM

DECEMBER 19, 2022

I am hopeful this trial encourages future research on the subject matter so we can answer additional questions it has left us (ie. With everything just mentioned considered, DED, in addition to other resuscitative therapies, should still be used for patients in RVF.

EMS 52

EMS CPR Shock Resuscitation 52

ACEP Now

NOVEMBER 16, 2023

The Latest Research One study was conducted by the American Board of Emergency Medicine (ABEM). The lack of differences in the observed outcomes do not suggest one EM training length is superior. ultrasound and resuscitation procedures) may become a new standard for programs and require a longer training period.

Academics 52

Academics EMS Telemedicine Research 52

The Skeptics' Guide to EM

NOVEMBER 13, 2021

Cardiopulmonary resuscitation (CPR) is in progress. We covered another SRMA that was published in 2021 looking at the same issue of whether the use of corticosteroids impact neurologic outcomes and mortality in patients with a cardiac arrest ( SGEM#329 )? The monitor shows a non-shockable rhythm.

Advances Cardiac Life Support (ACLS) 40

Advances Cardiac Life Support (ACLS) Hospitals Emergency Department Resuscitation 40

PulmCCM

MARCH 7, 2022

” -Joni Mitchell Background As remarked by the authors of the recent PLUS trial , a systematic review and meta-analysis of randomized controlled trials comparing balanced resuscitation fluid to 0.9% saline for resuscitation and/or maintenance therapy. saline was reported in the New England Journal of Medicine Evidence.

Resuscitation 40

Resuscitation Outcomes Research 40

Mind The Bleep

FEBRUARY 27, 2024

There could be any number of reasons for this but some examples are: they have severe D&V and aren’t keeping fluids down, or because they are pre or post-op, or have presented very unwell and need fluid resuscitation. saline), however more research is needed in this area. [4] Boluses were given in 20-40ml/kg aliquots.

Fluid Resuscitation 96

Fluid Resuscitation Dehydration Hospitals Research 96

University of Maryland CC Project

JANUARY 31, 2024

Elizabeth Munroe, MD, MSc is a clinical instructor and post-doctoral research fellow in the dvision of Pulmonary and Critical Care Medicine at the University of Michigan. Elizabeth Munroe, MD, MSc is a clinical instructor and post-doctoral research fellow in the dvision of Pulmonary and Critical Care Medicine at the University of Michigan.

Administration 40

Administration Sepsis Research Outcomes 40

Taming the SRU

FEBRUARY 19, 2024

This has been the central question of many research projects with variable outcomes. One such study of 263 patients without hypertensive emergencies treated in a resuscitation unit found that 40% of patients had a MAP difference ≥ 10 mmHg between IABP and NIBP measurements. Critical care and resuscitation, 11(1).

Shock 59

Shock Resuscitation Ultrasounds Research 59

EM Literature of Note

JANUARY 9, 2022

The Annals of Emergency Medicine Podcast continues apace, with free monthly updates from the original research published in the journal: iTunes Link SoundCloud Link Likewise, the Annals of Emergency Medicine Journal Club has published several monthly installments: Predicting Outcomes in Pediatric Pneumonia: Are We Omnipotent or Incompetent?

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Stroke Emergency Department Outcomes 40

Advanced Emergency Nursing from AENJ

NOVEMBER 27, 2017

AHA gives focused recommendations ​. ​ ​​ The International Liaison Committee on Resuscitation (ILCOR) has for some years been meeting and agreeing upon resuscitation practices every five years; in addition to which there is the necessary slack time before and after each meeting to produce and disseminate the newly appropriate course materials.

CPR 40

CPR Basic Life Support Resuscitation Pediatrics 40

Don't Forget the Bubbles

SEPTEMBER 5, 2024

This time, Doctors from ‘The Bridge ‘ tell us what is new in the world of paediatric literature… The Bridge: Is a Post Graduate Doctor in Training (PGDiT) -led paediatric research forum in Yorkshire and Humber, UK, with the aim of bridging the gap in research access amongst PGDiT. Arch Dis Child.

Ultrasounds 52

Ultrasounds Research Emergency Department Outcomes 52

Dr. Smith's ECG Blog

OCTOBER 28, 2013

The last section is a detailed discussion of the research on aVR in both STEMI and NonSTEMI. The patient was resuscitated for 50 minutes, and then this ECG was recorded: Sinus rhythm. I repeat that ST elevation in aVR is not diagnostic of left main occlusion. Here is an article I wrote: Updates on the ECG in ACS.

EKG/ECG 52

EKG/ECG CPR Resuscitation Research 52

PulmCCM

JANUARY 4, 2022

” -Fran Lebowitz Background Quite recently, the BaSICS investigators evaluated the infusion rate of a fluid bolus on patient outcome. The primary outcome was identification of the optimal volume for assessing fluid responsiveness. If I get to the dry cleaners without having a huge fight, that’s challenging enough.”

Wellness 40

Wellness Outcomes Sepsis Stroke 40

The Injectable Orange

JUNE 20, 2017

The world is a strange place when we can’t do something so simple when it’s critical, but we do it so well when the outcomes are meaningless. This demands more research.” Mental practice: a simple tool to enhance team-based trauma resuscitation. he thought as he turned his car keys and backed out the car park. doi: 10.1017/cem.2015.4.

Head Injuries 52

Head Injuries Documentation/Coding Wellness Resuscitation 52

Pediatric Emergency Playbook

APRIL 1, 2016

We could use it to track treatment , and see if we can clear the lactate; decreased lactate levels are associated with a better outcome in adults. Myopericarditis in Children: Elevated Troponin I Level Does Not Predict Outcome. for the Pediatric Emergency Care Applied Research Network. Clinical Chemistry. Pediatr Cardiol.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

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. What do the guidelines recommend?

Hyperthermia / Hypothermia 117

Hyperthermia / Hypothermia Pediatrics Outcomes Resuscitation 117

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

Then she began complaining of severe dizziness and quickly went into ventricular fibrillation and resuscitation was initiated by hospital staff. She was defibrillated and resuscitated. Medical Therapy for Secondary Prevention and Long-Term Outcome in Patients With Myocardial Infarction With Nonobstructive Coronary Artery Disease.

EKG/ECG 52

EKG/ECG Emergency Department Ultrasounds Hospitals 52

Sensible Medicine

MARCH 14, 2025

I’ve also been attracted to the research because too often I see systems interventions adopted without data. Instead of just instituting the screening, the researchers did a cluster randomization wherein the alert was sequentially adopted. Outcomes and patients The primary outcome was 90-day in-hospital mortality.

Sepsis 103

Sepsis Wellness Documentation/Coding Fluid Resuscitation 103

RebelEM

NOVEMBER 30, 2023

This systematic review and meta-analysis attempts to elucidate whether a more conservative fluid resuscitation approach is warranted in volume sensitive sepsis patients, such as those with congestive heart failure (CHF). What They Did: Researchers performed a systematic review and meta-analysis. Am J Emerg Med. 2023;73:34-39.

Sepsis 121

Sepsis Fluid Resuscitation Resuscitation Administration 121