Pediatric EM Morsels

JULY 21, 2023

Borgialli DA, Mahajan P, Hoyle JD Jr, Powell EC, Nadel FM, Tunik MG, Foerster A, Dong L, Miskin M, Dayan PS, Holmes JF, Kuppermann N; Pediatric Emergency Care Applied Research Network (PECARN). Pediatric adjusted reverse shock index multiplied by Glasgow Coma Scale as a prospective predictor for mortality in pediatric trauma.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

RebelEM

NOVEMBER 30, 2023

Current SSC guidelines recommend fluid resuscitation with at least 30mL/kg IV crystalloid in patients with sepsis induced hypoperfusion or septic shock within the first three hours of resuscitation, regardless of comorbidities. What They Did: Researchers performed a systematic review and meta-analysis. times more intubations and 2.15

Sepsis 118

Sepsis Fluid Resuscitation Resuscitation Administration 118

The Skeptics' Guide to EM

FEBRUARY 11, 2023

Research interests include simulation-based assessment, transport medicine, and critical care analgesia. Intervention: * Vector Change Defibrillation: Pads are placed in an anterior-posterior pad placement after standard anterior-anterior configuration following the third shock with standard defibrillation.

Shock 56

Shock CPR Hyperthermia / Hypothermia Hospitals 56

The Trauma Pro

SEPTEMBER 12, 2023

The authors are given very little print space to fully describe their research idea, their methods, and their results’ significance. Even then, it needs to be taken in context with past, similar research before trickling down to patient care. But mercifully, this does not happen often. The first abstract is fascinating.

Fractures 113

Fractures Head Injuries Research Outcomes 113

Stop and Think

MARCH 31, 2024

When Ahmed Sayed and Andrew Foy asked me to participate in a research project looking at industry payments to doctors I was happy to help. We excluded research payments, royalty fees, debt forgiveness and loans for supplies and devices. His list of device approvals despite dodgy evidence is shocking. Subscribe now So.

Research 138

Research Shock Hospitals 138

Sensible Medicine

SEPTEMBER 18, 2023

Comments: I show you this study because it shocks me. I am shocked that academic researchers would publish such an exercise. Differences in baseline characteristics between the 2 groups likely largely explain the differences in their outcomes as discussed above, and propensity matching was not performed.

Operations 133

Operations Academics Shock Outcomes 133

EMDocs

NOVEMBER 19, 2024

2 Lipid emulsion has been considered due to the lipophilic nature of atypical antipsychotics; however, studies are limited on this topic, and this is an area that could benefit from further research. Low-dose lipid emulsion for pediatric vasoplegic shock due to quetiapine and fluvoxamine overdose: a case report. Hum Exp Toxicol.

Poisoning 108

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 108

Medagadget

JULY 18, 2023

Researchers at the University of British Columbia have developed a protein-based hydrogel that is highly adapted for articular cartilage repair. These researchers looked at the structure of native cartilage, which contains entangled collagen and proteoglycans, as inspiration for a new biomaterial.

Research 86

Research Shock 86

RebelEM

OCTOBER 5, 2023

Strengths: The investigators framed a research question centered on patient outcomes, ensuring the study’s relevance and practicality. The researchers employed a double-blind, placebo-controlled, randomized controlled trial design to minimize potential biases, enhancing the reliability of the results. In the placebo group, 20.5

Research 94

Research Outcomes Administration Shock 94

Sensible Medicine

DECEMBER 16, 2024

No prior studies have shown that ICDs reduce heart failure hospitalizations—on the contrary, ICDs are often associated with increased hospitalizations due to the progression of heart failure, particularly when frequent shocks are involved ( Goldenberg I et al ). No efficacy claims should be made in underpowered studies.

Shock 97

Shock Hospitals Outcomes Research 97

Sensible Medicine

AUGUST 26, 2024

It was a shocking result. The SHAM-PVI trial Next weekend at the European Society of Cardiology meeting in London, a UK team of researchers will present results of the SHAM-PVI trial. Patients with severe partial blockages were randomized to a stent or a placebo procedure. They have published their rationale and protocol paper.

Stroke 101

Stroke Outcomes Shock Research 101

PulmCCM

JUNE 5, 2023

Corticosteroids for community-acquired pneumonia have been studied with inconclusive results, and expert guidelines currently advise against their use except in patients with refractory septic shock. Patients with septic shock or influenza were excluded. standards of care.

Advances Cardiac Life Support (ACLS) 96

Advances Cardiac Life Support (ACLS) Documentation/Coding CPR Shock 96

Taming the SRU

JULY 24, 2024

National campaigns to improve sepsis care, namely the Centers for Medicare and Medicaid Services’ introduction of “Severe Sepsis and Septic Shock Early Management Bundle”, have faced many challenges in physician and provider adherence. Sepsis as a disease process has been difficult to both clearly define and quickly recognize.

Sepsis 89

Sepsis Resuscitation Emergency Department Wellness 89

Emergency Medicine Journal

OCTOBER 26, 2023

Despite decades of investment and research, survival remains disappointingly low. Inclusion criteria were non-traumatic cardiac arrests treated with at least one external electric shock with an automated external defibrillator from the basic life support team and resuscitated by a physician-staffed ALS team.

Resuscitation 75

Resuscitation Basic Life Support Hospitals CPR 75

Medagadget

JUNE 26, 2023

. “This paper uses imaging, behavioral and histological techniques to show how these tissue-integrated electrodes improve the efficacy of stimulation,” said Lan Luan, a researcher involved in the study. “Conventional electrodes are very invasive,” said Chong Xie, another researcher involved in the study.

Research 77

Research Shock 77

EB Medicine

OCTOBER 1, 2018

This month, we’ll be talking Updates and Controversies in the Early Management of Sepsis and Septic Shock. Optimal management of septic patients has been a source of intense research, stemming from the landmark study by Rivers in 2001. Jeff : Welcome back to Emplify, the podcast corollary to EB Medicine’s Emergency Medicine Practice.

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40

Sensible Medicine

FEBRUARY 16, 2024

One was a future interventional cardiologist who was so calm and determined that you would have been happy to have her leading your tribe during a zombie apocalypse; the other is now a world-famous cardiologist, researcher, and educator. I was, to put it mildly, not shocked.

Documentation/Coding 135

Documentation/Coding Academics Shock Research 135

JournalFeed

MARCH 23, 2024

Tuesday Spoon Feed: This Bayesian network meta-analysis of RCTs indirectly compares hydrocortisone + fludrocortisone to hydrocortisone alone or placebo in septic shock and finds superiority with the combination regimen.

Sepsis 52

Sepsis Shock Research 52

Sensible Medicine

SEPTEMBER 3, 2024

Here is a sample of what I have heard: “You don’t want to raise research funds? We are still conducting clinical trials and research.” ” To some extent I understand the reasoning here for “research". If I was a doctor at a pediatric research hospital, I would focus on transformational drugs.

Pediatrics 78

Pediatrics Poisoning Research Military 78

Don't Forget the Bubbles

JUNE 26, 2023

But, they may present postnatally with cyanosis/hypoxaemia due to insufficient pulmonary blood flow, cardiogenic shock due to insufficient systemic blood flow, or both. Researchers also looked at neurodevelopmental status three years after the operation. Eur J cardio-thoracic Surg Off J Eur Assoc Cardio-thoracic Surg. 2017;51(1):50-57.

Operations 128

Operations Research Hyperthermia / Hypothermia Hospitals 128

Taming the SRU

APRIL 17, 2024

Ultimately, the presented data is likely no sufficient to suggest that IABP measurements are not needed; rather, it suggests that further research into specific protocols in which invasive blood pressure measurements are not needed is required. Surviving sepsis campaign: International Guidelines for Management of Sepsis and Septic Shock 2021.

Sepsis 94

Sepsis Research Stroke Academics 94

AENJ: Current Issue

MAY 8, 2024

This column on translating research into practice is crafted to offer advanced practice registered nurses an analysis of current research topics that hold practical relevance for emergency care settings.

Emergency Department 40

Emergency Department Outcomes Sepsis Research 40

RebelEM

AUGUST 14, 2023

in both groups Mean APACHE II score was 12 in both groups Almost half of the patients had septic shock at enrollment Mean time from sepsis identification to randomization was 1.4 Investigators asked a patient-centered research question. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3).

Sepsis 97

Sepsis Outcomes Administration EMS 97

University of Maryland CC Project

AUGUST 18, 2024

His research focuses on monitoring cerebral perfusion and pathophysiology in patients with […] Dr. Imad Khan is an assistant professor in the Division of NeuroCritical Care at the University of Rochester. Imad Khan is an assistant professor in the Division of NeuroCritical Care at the University of Rochester.

Shock 40

Shock Research 40

PulmCCM

DECEMBER 11, 2024

An excellent review article titled “Sepsis and Septic Shock” was published 4 December 2024 in the New England Journal of Medicine. As for the body of research literature, clinical researchers usually do not have access to superior diagnostic techniques. But it feels like something important was missed, or misplaced.

Sepsis 45

Sepsis Shock Research Wellness 45

Sensible Medicine

AUGUST 20, 2023

His most recent Circulation paper: Bringing the Credibility Revolution to Observational Research in Cardiology. Here is the profile for Harvard Professor Robert (Bobby) Yeh. To receive new posts and support our work, consider becoming a free or paid subscriber. I learned a lot from this conversation.

Shock 52

Shock Research Wellness 52

AED Leader

MAY 30, 2024

AEDs are portable devices that deliver an electric shock to the heart, restoring its rhythm. Regular battery replacement guarantees that the device is always powered and ready to deliver a life-saving shock. Software Updates : AED manufacturers often release updates to enhance device performance and address potential issues.

Shock 52

Shock Resuscitation Best Practices CPR 52

AED Leader

APRIL 21, 2024

An AED is a portable device that delivers an electric shock to the heart to restore its normal rhythm. Research AED Brands : Visit our website, AED Leader, to explore the wide range of AED brands and models available. Q: What should I do if the AED does not deliver a shock? This is where an AED comes into play.

Shock 52

Shock CPR Research Wellness 52

Northwestern EM Blog

JANUARY 24, 2022

Written by: Elizabeth Stulpin, MD (NUEM ‘23) Edited by: Aaron Wibberly, MD (NUEM ‘22) Expert Commentary by : Joshua Zimmerman, MD (NUEM ‘17) Non-Response to Vasopressors Shock is defined as a state of cellular and tissue hypoxia resulting in end organ dysfunction. And for most forms, EM physicians are not typically shocked by shock.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

Thinking Critical Care

MAY 18, 2023

In 1983 I was an Englishman abroad, the London anaesthetist who was appointed to be the English anaesthetist on the Shock Team only because the outstanding candidate from Oxford had preferred to take up a job doing muscle relaxant research with Kitz and Katz in the USA. 4] The research agenda at the time was broad.

Shock 40

Shock Research Sepsis Resuscitation 40

RebelEM

NOVEMBER 20, 2023

Military practice guidelines recommend REBOA for profound shock (SBP <90mmHg) 1 and ACEP along with the American College of surgeons recommend REBOA for traumatic life-threatening hemorrhage below the diaphragm in patients with hemorrhagic shock who are unresponsive or transiently responsive to resuscitation.

Resuscitation 91

Resuscitation Operations Outcomes Hospitals 91

The Skeptics' Guide to EM

SEPTEMBER 28, 2019

Carly Eastin is an Associate Professor, Division of Research and Evidence Based Medicine, Department of Emergency Medicine, University of Arkansas for Medical Sciences. Case: A 45-year-old female in the emergency department is being admitted to the intensive care unit (ICU) for septic shock secondary to urinary tract infection (UTI).

Sepsis 52

Sepsis Shock Outcomes Stroke 52

EMDocs

MAY 24, 2023

He and his physician are shocked at the report and the lack of follow-up. You should have done some research and followed up on it. A new chest CTA reveals a mass surrounding the vena cava. The patient recalls his prior CTA – which is requested for comparison and mailed directly to the patient.

Radiology 82

Radiology Radiology EKG/ECG Patient Safety 82

AED Leader

JULY 5, 2024

The HeartStart OnSite AED boasts a quick start-up time and delivers a shock within eight seconds if it detects a shockable rhythm. The HeartStart OnSite AED has a long-life lithium battery that can deliver up to 200 shocks or provide approximately four hours of continuous monitoring.

CPR 52

CPR Shock Resuscitation Pediatrics 52

Northwestern EM Blog

FEBRUARY 14, 2022

The ATHOS-3 trial in 2017 explored the efficacy of angiotensin II as a vasopressor for severe vasodilatory shock. 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.

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. A recent observational study was performed to pragmatically assess clinically meaningful differences in BP in a diverse critically ill cohort with shock. Damping Damping is essentially the shock absorbers in the pressurized system. Keville, M.

Shock 59

Shock Resuscitation Ultrasounds Research 59

AED Leader

SEPTEMBER 28, 2024

Key takeaways AEDs, like the Philips HeartStart OnSite and ZOLL AED Plus, help save lives during sudden cardiac arrest by checking the heart’s rhythm and delivering a shock if needed. Models designed for home or public spaces have different features like durability and automatic shocks. They are easy for anyone to use.

CPR 52

CPR Shock Pediatrics Operations 52