Don't Forget the Bubbles

DECEMBER 25, 2023

Interpreting Research Outcomes with a Little Bathroom Humour You have learned a method for how to read a research paper , and now you are faced with a bunch of outcomes. There are primary, secondary, composite , and safety outcomes. What are these outcomes? What should you focus on?

Research 83

Research Outcomes Fractures Pediatrics 83

Taming the SRU

NOVEMBER 3, 2023

Ultrasound‐Guided Serratus Anterior Plane Block (SAPB) Improves Pain Control in Patients With Rib Fractures. Ultrasound Med. Researchers then performed the serratus anterior plane block. The primary outcome in this study was a change in pain score at rest 60 minutes after block. 41, 2695–2701 (2022).

Fractures 98

Fractures Ultrasounds Research Outcomes 98

The Trauma Pro

OCTOBER 4, 2024

Clinical outcomes assessed at 60 days included an unplanned return to the emergency department (ED), re-admission, complications, and development of new bleeding confirmed by surgery, ultrasound, or computed tomography (CT) at 60 days post-injury. Adherence to guidelines was assessed by a follow-up phone call two months after injury.

Pediatrics 113

Pediatrics Operations Outcomes Emergency Department 113

RebelEM

JUNE 19, 2023

The PATCH-trauma researchers sought to address this critique. PMID: 37314244 Clinical Question: In advanced trauma systems, does prehospital administration of TXA increase the rate of survival with a favorable neurologic outcome in patients at risk for trauma-induced coagulopathy? Prehospital Tranexamic Acid for Severe Trauma.

Blood Transfusions 105

Blood Transfusions Outcomes Administration Hyperthermia / Hypothermia 105

Don't Forget the Bubbles

NOVEMBER 13, 2023

Should we use ultrasound to diagnose distal forearm fractures in children and adolescents? However, ultrasound is gaining popularity due to its portability, affordability, and lack of ionising radiation. However, ultrasound is gaining popularity due to its portability, affordability, and lack of ionising radiation.

Fractures 64

Fractures Ultrasounds Emergency Department Pediatrics 64

Emergency Medicine Journal

NOVEMBER 28, 2023

Point-of-care ultrasound has been used to guide ED manipulations but its effect on the quality of fracture reduction or subsequent need for surgical fixation is unknown. This study aims to assess the feasibility of conducting a definitive randomised controlled trial to assess the use of ultrasound to guide these fracture manipulations.

Fractures 40

Fractures Ultrasounds Outcomes Research 40

Taming the SRU

AUGUST 7, 2023

The patient needs a transvaginal ultrasound w/ doppler with gynecology consult and possible laparotomy TVUS is not just for torsion, it can also be used for ectopic pregnancies or pregnancy of unknown location Acute Ischemic Stroke Updates WITH Drs. hours increased the NNT for a good outcome to 20. Research Grand rounds WITH Drs.

Stroke 93

Stroke Outcomes EKG/ECG Research 93

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

PulmCCM

JUNE 26, 2023

No outcomes regarding the delirium itself were reported (i.e., Private equity-backed firms are buying and expanding physician practices and squeezing them for profit, with little regard for patient outcomes, professional standards, or ethics. whether haloperidol actually reduced delirium).

Outcomes 98

Outcomes Ultrasounds Hospitals Wellness 98

The Skeptics' Guide to EM

JULY 22, 2023

Jeff discusses the application of research in EMS on his podcast The EMS Lighthouse Project. The conclusion from that episode was it’s still uncertain if using etomidate decreases the patient-oriented outcome of survival with good neurologic function in critically ill patients requiring emergent endotracheal intubation.

EMS 88

EMS CPR Ultrasounds Research 88

The Skeptics' Guide to EM

AUGUST 24, 2024

Interests include information systems and digital health, research and education. More recently, the April 2024 SGEMHOP reviewed a trial on how effective and safe an ultrasound-guided erector spinae plane block (ESPB) in adult patients with rib fractures is. Comparison: Standard protocolized rib fracture care alone without the SAPB.

Fractures 53

Fractures Emergency Department Ultrasounds Radiology 53

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. Primary Outcome – Bleeding (Grade 2 to 4) Transfusion 4.8% Non-inferiority margin was set at 2.5% g/dl vs 8.5

Ultrasounds 58

Ultrasounds Outcomes Wellness Research 58

PulmCCM

APRIL 1, 2024

Any longer-term benefits remain unknown, due to a paucity of research. Physical therapy is probably under-provided to critically ill patients, and improving this might improve outcomes for many. Nor were there any significant between-group differences in need for life support or other clinical outcomes. Is this safe?

Ultrasounds 40

Ultrasounds Operations Outcomes Research 40

Dr. Smith's ECG Blog

AUGUST 9, 2024

However the patient continued to have chest pain and bedside ultrasound showed hypokinesis of the septum with significantly reduced LVEF. Opioids associate with worse outcomes in myocardial infarction , probably because they eliminate the pain signal that informs the clinician of the urgency of revascularization. Do not treat AIVR.

EKG/ECG 108

EKG/ECG EMS Emergency Department Wellness 108

Taming the SRU

OCTOBER 16, 2024

Ultrasound can be used to support the diagnosis by identifying anechoic or hypoechoic fluid within the flexor tendon sheath. Major contributing factors for poor outcomes in this patient population (Dalton et. These findings are highly sensitive (91-97%). X-ray imaging should be performed to evaluate for foreign body or bony injury.

Airway Management 74

Airway Management Fractures CDC Pediatrics 74

Don't Forget the Bubbles

MAY 17, 2023

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. Minor head trauma in infants – how accurate is cranial ultrasound performed by trained radiologists? Dias FC, et al. J Pediatr Gastroenterol Nutr. 2023 Apr 25.

Pediatrics 72

Pediatrics X-Ray Interpretation Sepsis Fractures 72

ACEP Now

SEPTEMBER 3, 2024

These stakeholders are similarly shielded in court when adverse patient outcomes, such as negligent deaths, occur under their management or when the bought-out companies are challenged for anticompetitive business practices overseen by the PE firm. Her primary interests are in ultrasound, machine learning, and health justice.

Hospitals 113

Hospitals Radiology Radiology Emergency Department 113

The Skeptics' Guide to EM

FEBRUARY 2, 2018

Melissa is passionate about clinical and translational research and focuses most of her work […] The post SGEM#205: Twist & Shout – Testicular Torsion first appeared on The Skeptics Guide to Emergency Medicine. Guest Skeptic: Dr. Melissa Langhan is an Associate Professor of Pediatric Emergency Medicine at Yale University in New Haven, CT.

Pediatrics 40

Pediatrics Ultrasounds Emergency Department Research 40

RebelEM

FEBRUARY 12, 2024

Research from our very own SIUH department of radiology recommended that contrast-enhanced CT scans can safely exclude obstructive urolithiasis just as well as noncontrast CTs. CT in Detecting Urinary Tract Calculi: Influence on Patient Imaging and Clinical Outcomes Radiology. ” The Journal of Urology 199.4S (2018): e683-e684.

Radiology 67

Radiology Radiology Emergency Department Ultrasounds 67

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. Front Pediatr.

Ultrasounds 52

Ultrasounds Research Emergency Department Outcomes 52

Taming the SRU

OCTOBER 1, 2023

There are many different types of pneumothorax (PTX), and the management paradigm has shifted in recent years as the research has exploded on this topic. As these patients are typically already at a high risk for poor health outcomes, secondary spontaneous PTX is often more serious in presentation and management more complex [11].

Fractures 96

Fractures COPD Hospitals Emergency Department 96

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

SEPTEMBER 14, 2019

He is interested in ultrasound and international emergency medicine. In an attempt to improve resource utilization, emergency department length of stay, limit cost and improve outcomes, there have been multiple Clinical Decision Rules (CDRs) created to help guide clinicians in their decision-making process.

Head Injuries 52

Head Injuries Emergency Department Seizures EMS 52

The Skeptics' Guide to EM

JULY 2, 2017

Impact of Thrombolytic Therapy
 on the Long-Term Outcome of Intermediate-Risk Pulmonary Embolism. Impact of Thrombolytic Therapy
 on the Long-Term Outcome of Intermediate-Risk Pulmonary Embolism. Kirsty did her residency in North West England and has a PhD in Health Services Research from Sheffield.

Fractures 40

Fractures Emergency Department Ultrasounds Outcomes 40

Dr. Smith's ECG Blog

NOVEMBER 15, 2023

The problem is difficult to study because angiographic visualization of arteries is not perfect, and not all angiograms employ intravascular ultrasound (IVUS) to assess for unseen plaque or for plaque whose rupture and ulceration cannot be seen on angiogram. There may be a chronic tight stenosis and a non-obstructed lesion that thrombosed.

EKG/ECG 110

EKG/ECG Ultrasounds Wellness Stroke 110

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 52

Head Injuries Administration Outcomes Seizures 52

Northwestern EM Blog

FEBRUARY 14, 2022

The primary outcome of the study was the response in MAP three hours after the start of angiotensin II infusion. It showed improvement in blood pressure which is a clinically important parameter but not a patient-oriented outcome. However, one limitation of the study was that it was underpowered to demonstrate a mortality difference.

Shock 52

Shock Resuscitation Fluid Resuscitation Sepsis 52

Taming the SRU

FEBRUARY 19, 2024

This has been the central question of many research projects with variable outcomes. Peripheral arterial measurements can be taken anywhere outside the thorax or abdomen but in practice and research is almost exclusively radial artery cannulation. But are they good enough? Cite As: Snyder, B. Broadstock, A.

Shock 59

Shock Resuscitation Ultrasounds Research 59

AED Leader

OCTOBER 25, 2023

VF is a critical medical emergency, demanding prompt treatment to ensure the best possible outcome. Note: Researchers are still unraveling the complexities of CPVT and its genetic components. An ultrasound of the heart is performed to inspect blood flow within the heart and assess overall heart function. Echocardiogram.

EKG/ECG 52

EKG/ECG Shock Ultrasounds Research 52

AED Leader

OCTOBER 25, 2023

VF is a critical medical emergency, demanding prompt treatment to ensure the best possible outcome. Note: Researchers are still unraveling the complexities of CPVT and its genetic components. An ultrasound of the heart is performed to inspect blood flow within the heart and assess overall heart function. Echocardiogram.

EKG/ECG 52

EKG/ECG Shock Ultrasounds Research 52

Taming the SRU

MAY 1, 2023

Paulsen - Taming the SRU: ETHYLENE GLycol POISONING WITH Dr. KletseL - R1 CLinical DIAGNOSTICS: Toxic Plants WITH Dr. Arnold - Quick Hit: FASCICULAR Blocks WITH Dr. Baez - Research Lit Blitz WITH Dr. Wosiski-Kuhn and Dr. Zalesky - Oral Boards CPC WITH Dr. Davis and Dr. Paulsen Patient is a teenager with a history of a seizure disorder… The patient (..)

Poisoning 52

Poisoning Hyperthermia / Hypothermia Seizures Emergency Department 52

Don't Forget the Bubbles

MAY 28, 2024

Were there any abnormalities on ultrasounds? Advances in understanding the pathophysiology and treatment have improved outcomes, yet PPHN is still associated with significant morbidity and mortality. Ongoing research and innovation are critical to develop strategies to reduce disease burden further. Does the baby look septic?

Sepsis 52

Sepsis Ultrasounds Pediatrics Research 52

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

This case was provided by Spencer Schwartz, an outstanding paramedic at Hennepin EMS who is on Hennepin EMS's specialized "P3" team, a team that receives extra training in advanced procedures such as RSI, thoracostomy, vasopressors, and prehospital ultrasound. Takotsubo is a sudden event, not one with crescendo angina.

EKG/ECG 52

EKG/ECG Emergency Department Ultrasounds Hospitals 52

EB Medicine

OCTOBER 1, 2018

Optimal management of septic patients has been a source of intense research, stemming from the landmark study by Rivers in 2001. Also, for research purposes we have to have a common definition, so Sepsis 3 came up with something called the SOFA score. Two, your ultrasound is your best tool for assessing volume status.

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40

Pediatric EM Morsels

SEPTEMBER 20, 2024

HUS findings: Microangiopathic hemolytic anemia , Renal failure , and Thrombocytopenia The most dreaded outcomes of HUS include need for renal replacement therapy both short and long term and unfortunately death. It is critical to detect HUS early in its disease course to ensure the best outcomes. Clin Pediatr (Phila). 2020.12.077.

Pediatrics 164

Pediatrics Ultrasounds Dehydration Emergency Department 164

Don't Forget the Bubbles

MARCH 4, 2024

Article 1: Infections in Foreign Travellers Bird C, Hayward GN, Turner PJ, Wasala D, Merrick V, Lyttle MD, Mullen N, Fanshawe TR; for Paediatric Emergency Research in the UK and Ireland (PERUKI). Without a clear definition, tailoring research and audit is difficult. Primary outcomes were sedation success and adverse event rates.

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

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