EMDocs

OCTOBER 10, 2024

A delay in antibiotics administration was unfortunate but no one can say on a “more probable than not” basis that earlier treatment would have changed the outcome. At what point did which defendant actually fall below the standard of care for a reasonably prudent physician with similar training and experience in a similar situation?

Documentation/Coding 98

Documentation/Coding Hospitals Sepsis Infectious Diseases 98

The Skeptics' Guide to EM

SEPTEMBER 10, 2022

Pediatric Asthma Score (PAS) * Exclusion: Severe exacerbation (PAS >=12), systemic steroid use in the last two weeks, chronic lung disease (ie cystic fibrosis), or vomiting of two doses oral steroids in the ED * Intervention: Two-dose dexamethasone * Comparison: Single-dose dexamethasone * Outcome: * Primary Outcome: Return visits to either the (..)

Pediatrics 52

Pediatrics Emergency Department Urgent Care Hospitals 52

The Skeptics' Guide to EM

APRIL 29, 2023

Clinical Question: What is the effect of TMH, versus in-person consult, on 30-day outcomes and processes of care during the visit? The effect of telemental versus in-person mental health consults in the emergency department on 30-day utilization and processes of care. Yes * Was the outcome accurately measured to minimize bias?

Psychiatric 40

Psychiatric Emergency Department Urgent Care Academics 40

RebelEM

JANUARY 23, 2023

Health care professional involved in patient management and outcome assessment was completely blinded. PMID: 32653333 What They Did Multi-center, double-blind, randomized, phase 3 clinical trial with a parallel-group, active-controlled, non-inferiority design. Patients were randomized in a 1:1 ratio.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Urgent Care Emergency Department 52

Dr. Smith's ECG Blog

OCTOBER 13, 2023

He was seen in urgent care yesterday after his symptoms persisted, where he was discharged with a presumed diagnosis of GERD after improvement in symptoms with Maalox. On the other hand, IF an ECG was done in the urgent care center the day before — then there is no excuse for not obtaining a copy of that tracing.

EKG/ECG 116

EKG/ECG Urgent Care Emergency Department Outcomes 116

Emergency Medicine Journal

JANUARY 21, 2025

Background Female participants are underrepresented in randomised control trials conducted in urgent care settings. Although sex and gender are frequently reported within demographic data, it is less common for primary outcomes to be disaggregated by sex or gender. One trial reported the primary outcome stratified by sex.

Urgent Care 52

Urgent Care Research Outcomes 52

PulmCCM

NOVEMBER 18, 2021

Finally, a relatively small [n = 146] randomized, controlled trial in outpatients with no more than 7 days of COVID-19-related symptoms measured the effect of inhaled budesonide on urgent care utilization and symptom duration. This trend was in-line with the observations of the STOIC randomized trial.

Urgent Care 40

Urgent Care Hospitals Stroke Wellness 40

The Skeptics' Guide to EM

JANUARY 22, 2022

There is strong evidence that systemic steroids improve outcomes in patients with severe COVID-19 ( First10EM: Steroids for COVID ). Their primary outcome was a ‘COVID-19 related’ urgent care visit, emergency department assessment, or hospitalization, and was significantly reduced in the budesonide arm (15% vs 3%, p=0.009).

Urgent Care 40

Urgent Care COPD Outcomes Emergency Department 40

PulmCCM

SEPTEMBER 28, 2023

Systemic corticosteroids (such as intravenous dexamethasone) improve outcomes in severe pneumonia due to SARS-CoV-2 infection. It makes sense that inhaled steroids might improve outcomes from less severe infections. Do inhaled steroids improve Covid pneumonia? About two thirds of patients in each arm were vaccinated.

COPD 95

COPD Stroke Academics Urgent Care 95

Sensible Medicine

JULY 28, 2023

As our hospital filled up, I was left doing video visits with my patients (visits that I found unrewarding), educational sessions about COVID for doctors from other specialties, and urgent care shifts to see the patients who needed to be seen in person. MJ was the first person I diagnosed, definitively, with COVID.

Hospitals 95

Hospitals PPE Urgent Care Academics 95

Sensible Medicine

FEBRUARY 4, 2025

Is the time spent counseling changing patient-centered outcomes? Do we really think it is the job of a primary care doctor, with 7 years of medical training, to educate people on the basics of a healthy lifestyle? Sick patients can no longer see their primary care doctor. The US should take lead in reimagining primary care.

Urgent Care 111

Urgent Care Stroke Wellness Outcomes 111