The Skeptics' Guide to EM

JUNE 8, 2024

It has been shown in previous research that TGD individuals have both high ED avoidance due to discrimination, as well as a high need for emergency services due to the impacts of minority stress on this population [3,4]. Yes The outcomes were clinically relevant. of the overall population, and up to 4.1%

Best Practices 144

Best Practices Emergency Department Research Outcomes 144

ACEP Now

MARCH 10, 2025

A sense of purpose is an integral part of well-being. Passion for womens health may lead one to research and advocate for more effective emergency contraceptive options in your department. Ikigai and subsequent health and wellbeing among Japanese older adults: longitudinal outcome-wide analysis. New York, Penguin Books; 2017.

Academics 85

Academics Wellness CPR Hospitals 85

EMDocs

JANUARY 25, 2025

Well keep it short, while you keep that EM brain sharp. 0000000000000305 Kazumi Y (2023) The Epidemiology and Outcomes of Leukopenia in Different Populations and Regions. 10^9/L) Moderate (0.50.9 10^9/L) Severe (< 0.5 10^9/L) Generalized leukopenia (i.e. Most common causes of leukopenia Infections: 36.4% Medications: 25.6%

EMS 96

EMS Infectious Diseases Allergic Reactions Fluid Resuscitation 96

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

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

Sensible Medicine

AUGUST 12, 2024

Surely you do as well. You can improve your chances by eating well, exercising, avoiding smoking and too much alcohol. Cancer researchers recently quantified the costs of (initial) cancer screening in one year in the US. But first we should set out, as the researchers did, that this is an underestimate of the costs.

Outcomes 133

Outcomes Research Wellness Hospitals 133

The Trauma Pro

OCTOBER 6, 2023

At the time, there was a debate about whether the procedure should be done immediately versus waiting until the patient was well-resuscitated. Although many of these injuries were managed within hours, a growing number were delayed by a few days to improve outcomes. However, the same question arises: do it early or wait a while?

Head Injuries 147

Head Injuries Research Hospitals Resuscitation 147

RebelEM

FEBRUARY 1, 2024

Limitations : Open label study design Outcome assessments were done via telephone interview. mg/kg, max 25mg) vs. intravenous alteplase (0.09 mg/kg followed by 0.81 vs Alteplase 34.8% Unadjusted risk difference 2.1% [ 95% CI -2.6 mg/kg, max 25mg) vs. intravenous alteplase (0.09 mg/kg followed by 0.81 vs Alteplase 34.8% mg/kg followed by 0.81

Stroke 134

Stroke Blood Transfusions Outcomes EMS 134

The Skeptics' Guide to EM

JULY 2, 2023

He is the Creator and founder of REBEL EM, a free, critical appraisal blog that tries to cut down knowledge translation gaps of research to bedside clinical practice ( [link] ). His Glasgow Coma Scale (GCS) score is 13 with obvious head trauma as well. Salim Rezaie is a community emergency physician in San Antonio, TX.

EMS 145

EMS Outcomes Hospitals Research 145

Don't Forget the Bubbles

MARCH 31, 2025

The Bridge is a Postgraduate Doctor in Training (PGDiT)- led paediatric research forum in Yorkshire and Humber, UK, with the aim of bridging the gap in research access among PGDiT. This was a secondary analysis of the Management and Outcome of Fever in Children in Europe (MOFICHE) study. Whats it about?

Sepsis 59

Sepsis Fluid Resuscitation Shock Resuscitation 59

The Skeptics' Guide to EM

SEPTEMBER 21, 2024

Naloxone and Patient Outcomes in Out-of-Hospital Cardiac Arrests in California. Your partner asks if you want to administer naloxone as well. Naloxone is a well-established medication used primarily for reversing opioid overdoses. Naloxone and Patient Outcomes in Out-of-Hospital Cardiac Arrests in Cali.

Hospitals 104

Hospitals CPR EMS Outcomes 104

RebelEM

JANUARY 21, 2025

Wells’ , Revised Geneva ) or clinical gestalt. PMID: 39487597 Clinical Question: Can a negative D-dimer safely exclude PE in patients with high pre-test probability for PE (as determined by Wells or Revised Geneva Scores)? Population: Patients with a high clinical probability of PE and a D-dimer measurement in the ED.

EMS 45

EMS Research Wellness Outcomes 45

Sensible Medicine

JULY 29, 2024

The background for cash giveaways stem from the association of low income and worse health outcomes. The primary outcome was positive but there were caveats. Importantly, however, there were no differences in health outcome measures, such as BP, BMI, HbA1c or cholesterol level. More than 70% were first-language Spanish speaking.

Outcomes 118

Outcomes Research Sepsis Emergency Department 118

Don't Forget the Bubbles

MAY 31, 2023

The DIMPLES study by PERUKI sought to investigate the incidence of new-onset diabetes in the paediatric population across the UK and Ireland, as well as the characteristics of these ED presentations, and to determine if SARS-CoV2 infection was involved. What outcomes did they look at? Which patients were involved?

Emergency Department 135

Emergency Department Research Documentation/Coding Outcomes 135

RebelEM

OCTOBER 30, 2023

This could dilute any beneficial effects seen Lack of blinding may bias results (Although mortality is a solid objective primary outcome, bias may still creep in terms of management) Discussion: Authors were looking for an absolute mortality difference of 7% from baseline mortality of 26% with a 90% power. Cryoprecipitate Group: 25.3%

Administration 128

Administration Blood Transfusions Outcomes Hospitals 128

American Medical Compliance

FEBRUARY 24, 2025

Our Continuing Medical Education (CME) program is committed to enhancing the knowledge, skills, and professional performance of healthcare providers to improve patient care outcomes. Historically, the bulk of health studies have used adult men, with researchers and physicians left to infer how the studies apply to women and children.

Outcomes 52

Outcomes Research Wellness 52

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. AAST 2023 Plenary paper #29.

Military 113

Military Blood Transfusions Administration Outcomes 113

Sensible Medicine

NOVEMBER 13, 2023

of patients experienced a first primary outcome event in the semaglutide arm vs 8.0% The Kaplan-Meier curves for outcomes began separating early and continued over 3-4 years. There were other positive results as well. Each component of the primary outcome was lower. Patients in the trial were in their low sixties.

Outcomes 116

Outcomes Stroke Wellness Research 116

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

Sensible Medicine

AUGUST 21, 2023

On yesterday’s podcast , I talked with Bobby Yeh, an academic cardiologist who made a compelling case for enhancing credibility of observational research. The reasons are multiple, but I will articulate a few: Most epidemiological studies are done from large data sets that are not collected for the purpose of research.

Administration 97

Administration Outcomes Research COPD 97

Sensible Medicine

JUNE 8, 2024

First, there is a sizable literature on surgical outcomes— the more you do, the better you are. Ironically, for an expert to have better outcomes they have to have a disease modifying therapy AND others can’t know about it! the part-timer question) Lets tackle these, in reverse order First, the issue of part time work.

Research 121

Research Outcomes Hospitals Wellness 121

ACEP Now

MARCH 6, 2024

Every year, the volume of published research continues to outpace capacity to consume. 4 Repeated trials have not shown alteplase to have any signal of better outcomes, nor tenecteplase to have an association with increased adverse events. Gotta catch ‘em all!” How Best to Stop the Bleeding in Trauma?

Research 52

Research Airway Management Stroke Outcomes 52

ACEP Now

MARCH 11, 2025

1 Further, a Cochrane review found that LMWH is associated with improved outcomes compared with UFH including reduced incidence of major hemorrhage (odds ratio [OR]=0.69; 95 percent CI, 0.50-0.95) The pervasive maxim quick on, quick off for UFH doesnt hold up as well as touted. References Khor YH, Smith R, McDonald CF. Ann Emerg Med.

Hospitals 52

Hospitals Administration Outcomes Stroke 52

ACEP Now

SEPTEMBER 6, 2024

In this case, because outcomes are so dismal already from large-vessel occlusions, there is some benefit to treatment with tenecteplase, 33 percent versus 24 percent advantage for good or excellent functional outcomes. More troubling, however, were the poor patient-oriented outcomes observed in the trial. N Engl J Med.

Research 49

Research Stroke Outcomes Sepsis 49

Taming the SRU

MARCH 30, 2023

Diastolic shock index and clinical outcomes in patients with septic shock. The pathologic vasodilation observed in sepsis is thought to result from failure of the vascular smooth muscle to constrict appropriately, leading to hypotension as well as tissue hypoperfusion (2). Ospina-Tascón GA, Teboul J-L, Hernandez G, et al.

Shock 52

Shock Outcomes Sepsis Resuscitation 52

Sensible Medicine

AUGUST 26, 2024

In population studies, AF associates with worse outcomes. In CABANA, ablation reduced AF episodes on monitors, but hard outcomes did not differ significantly. The problem here is that it’s hard to compare a subjective outcome (like feeling better) when one group of patients get a procedure and the other group gets tablets.

Stroke 100

Stroke Outcomes Shock Research 100

Don't Forget the Bubbles

OCTOBER 2, 2023

P aediatric R esearch A cross the M idlands ( PRAM ) is a trainee-led research collaborative across the West Midlands, networking since 2016. This American single-centre retrospective review of 145 previously-well children referred to endocrinology to evaluate hypoglycaemia (<3.9 BMJ Paediatrics Open 2023;7:e001842.

Outcomes 138

Outcomes Research Wellness Emergency Department 138

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 Outcomes Operations Emergency Department 113

RebelEM

SEPTEMBER 14, 2023

to 1.03) Poor Neurologic Outcome (CPC 3 or 4): 24.8% to 1.03) Poor Neurologic Outcome (CPC 3 or 4): 24.8% to 1.03) Poor Neurologic Outcome (CPC 3 or 4): 24.8% to 1.03) Poor Neurologic Outcome (CPC 3 or 4): 24.8% Control: 53.4% D ECLS: 18.2% Control 8.7% Control 38.0% Control: 49.0% RR 0.98; 95% CI 0.80 to 1.19; p = 0.81

Shock 136

Shock Outcomes Resuscitation Stroke 136

Medagadget

OCTOBER 19, 2023

Researchers at the University of Bath in the United Kingdom have developed a shape-shifting ball that can inflate and deflate in response to someone’s breath. The idea is that the technology makes it easier to maintain focus on the breath, with the goal of better mental health outcomes. The ball works by mirroring someone’s breathing.

Research 80

Research Outcomes Wellness 80

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

Sensible Medicine

NOVEMBER 14, 2023

Stefan Kertesz is Professor of Medicine at the Heersink School of Medicine at the University of Alabama at Birmingham where his work includes leading VA and non-VA supported research focused on homeless healthcare and issues related to pain and opioids. Criticism of these programs is both well-deserved and unfair.

Research 132

Research Psychiatric CDC Best Practices 132

Medagadget

SEPTEMBER 14, 2023

Researchers at the National University of Singapore have developed a highly sensitive pressure sensor that can provide haptic feedback for surgeons using laparoscopic tools or for use in robotic grippers as part of robotic surgical systems. The introduction of soft and readily integrable eAir sensors, however, could be a game-changer.”

Research 93

Research Operations Outcomes Wellness 93

The Skeptics' Guide to EM

FEBRUARY 15, 2020

Case: A 32-year-old woman with no previous medical history calls you while a passenger on a […] The post SGEM#284: Might as Well Jump, but We would Recommend a Parachute first appeared on The Skeptics Guide to Emergency Medicine. Secondary Outcomes: Health status and subgroup analysis based on type of aircraft or previous parachute use.

Wellness 52

Wellness Outcomes Emergency Department Research 52

EMDocs

JUNE 8, 2023

and 9 hours after onset of symptoms, with non-infarcted brain tissue, does the administration of alteplase improve functional outcome at 90 days? and 9 hours of symptom onset; stroke symptoms that started during sleep were assumed to have started halfway between the actual last known well and the time of wake-up. to 53.54, p=0.053).

Stroke 98

Stroke Administration Documentation/Coding Outcomes 98

Sensible Medicine

MARCH 11, 2024

This is where we get into all the terms you see in research papers: p-values, and confidence intervals (typically 95%) – and in the media - margin of error. In the assessment of a clinical trial, we want to know if differences in baseline characteristics may have played a role in the observed outcome.

Outcomes 118

Outcomes Research Stroke COPD 118

RebelEM

JANUARY 25, 2024

What They Did: Design: Randomized, controlled, blinded-outcome trial Sites: Three emergency departments in Denmark Duration: October 9, 2019 to May 26, 2021. Outcomes: Primary Outcome: Reduction of dyspnea measured on a verbal dyspnea scale (VDS) from 0 to 10 recorded at enrollment, then at 2, 4, and 5 hours after arrival.

Ultrasounds 129

Ultrasounds Outcomes COPD Hospitals 129