Taming the SRU

JULY 24, 2024

Ann Emerg Med 2024 Background Sepsis remains an increasingly common emergency department condition that is tied to higher morbidity and mortality across the United States as well as the rest of the world. They then tested the LASSO model using the remaining 20% of data to see how well it could detect sepsis at the same time points.

Sepsis 89

Sepsis Resuscitation Emergency Department Wellness 89

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. Research Grand rounds WITH Drs. The expanded window of 3-4.5

Stroke 93

Stroke Outcomes EKG/ECG Research 93

Medagadget

OCTOBER 19, 2023

Researchers at the University of Cincinnati have developed a lateral flow assay that can detect bacterial toxins from Porphyromonas gingivalis , the causative bacteria for gingivitis. In this instance, these researchers at the University of Cincinnati have developed a lateral flow assay to detect the bacteria responsible for gingivitis.

Point-of-Care Testing 85

Point-of-Care Testing Research Stroke Wellness 85

Sensible Medicine

AUGUST 26, 2024

Strokes and heart failure are the main complications of AF. And even when drugs suppress AF, trials failed to show that doing so reduces stroke or heart failure. 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.

Stroke 85

Stroke Outcomes Shock Research 85

Sensible Medicine

NOVEMBER 28, 2023

i] Though I’ve never been a traditional researcher, I’ve added quite a bit to “medical literature” over the years. Being perfectly honest, not all the articles have aged well. First, it renewed my faith that occasionally well-done studies address interesting and important questions. to 0.88; P=0.007).

Stroke 82

Stroke Academics Outcomes Administration 82

Sensible Medicine

NOVEMBER 13, 2023

We call the primary endpoint of SELECT—CV death, MI or stroke—a hard cardiovascular endpoint. There were other positive results as well. But this study shows that a weight lost drug (perhaps through other mechanisms as well) reduces hard cardiac outcomes. Meaning this was a secondary prevention study.) mg) vs 8.2%

Outcomes 111

Outcomes Stroke Wellness Research 111

RebelEM

FEBRUARY 29, 2024

3, 6 Among patients with stroke or traumatic brain injury (TBI), the risk may be as high as 28%-76% and 23%-60%, respectively. Patient data anonymized when presented to adjudication committee to avoid detection bias Well-balanced patient characteristics between groups. 4, 8 Paper: Dahyot-Fizelier, C.,

CDC 125

CDC Outcomes Radiology Radiology 125

EMDocs

JANUARY 29, 2024

This article will discuss blood pressure goals and preferred pharmacotherapy for non-traumatic ischemic and hemorrhagic strokes. Ischemic Strokes: Ischemic stroke is characterized by a blockage of a blood vessel in the brain. The BP targets for patients with ischemic strokes depend on the available therapeutic options.

Stroke 73

Stroke Outcomes EMS Seizures 73

RebelEM

SEPTEMBER 14, 2023

bleeding, stroke, limb ischemia, and hemolysis). Many centers have attempted ECLS to achieve hemodynamic stabilization in this group of patients. The benefits of this strategy may be outweighed by the risk of the device-related complications (i.e. The evidence for this practice has been sparse until now. Zeymer HT et al. Control: 53.4%

Shock 136

Shock Outcomes Resuscitation Stroke 136

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). PMID: 1933914. Performance of the Pediatric Glasgow Coma Scale Score in the Evaluation of Children With Blunt Head Trauma. Acad Emerg Med. 107.498345.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

The Skeptics' Guide to EM

OCTOBER 3, 2020

She is the creator of the HEART Score and an enthusiastic researcher. Ticagrelor and Aspirin or Aspirin Alone in Acute Ischemic Stroke or TIA. NEJM […] The post SGEM#303: Two Can Make It – Less likely to have another stroke but more likely to have a bleed (THALES Trial) first appeared on The Skeptics Guide to Emergency Medicine.

Stroke 40

Stroke Emergency Department Research Wellness 40

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. Inferential statistics actually do NOT help us test a research hypothesis about whether an intervention worked or not. This is the null hypothesis (no effect).

Outcomes 108

Outcomes Research Stroke COPD 108

Taming the SRU

APRIL 17, 2024

Results They studied 1852 patients in the MICU with the most common admission diagnoses being respiratory failure (34 %), sepsis (23 %), and primary CNS disease such as stroke or hemorrhage (23 %). Continuous data were analyzed using a student T-test and Wilcoxon rank-sum test and categorical data were analyzed via X2 test.

Sepsis 93

Sepsis Research Stroke Academics 93

Taming the SRU

NOVEMBER 3, 2023

Broad strokes In this prospective, non-randomized study published by Kring et al in January 2022 out of Maine Medical Center, researchers compared mean pain scores at rest and during incentive spirometry before, at 15 minutes after, and then 60 minutes after treatment with a serratus anterior plane block. Ultrasound Med.

Fractures 98

Fractures Ultrasounds Outcomes Research 98

American Medical Compliance

JUNE 28, 2024

Furthermore, understanding the generalities of depression in elderly patients within assisted living facilities is crucial to provide a healthy state of well-being. This course is aimed towards achieving the best and most compassionate care regarding depression in older adults.

Stroke 72

Stroke Research Outcomes Wellness 72

RebelEM

JUNE 19, 2023

The PATCH-trauma researchers sought to address this critique. SBP < 75 mm Hg: 39% SBP 76-89 mm Hg: 33% Critical Findings: No statistically significant difference in safety outcomes (DVT, PE, MI, Stroke) TXA Placebo RR (95% CI) Primary Outcome Good Functional Outcome (6 months) 53.7% Prehospital Tranexamic Acid for Severe Trauma.

Outcomes 105

Outcomes Blood Transfusions Administration Hyperthermia / Hypothermia 105

PulmCCM

JANUARY 22, 2024

Although come to think of it, there was a risk of publication and other bias in those studies as well … ) But today, are there any conditions, a specific patient profile, etc., A Final Note And with that, another 20-year boom-bust cycle in critical care research ends (for now).

Hyperthermia / Hypothermia 80

Hyperthermia / Hypothermia Outcomes Research Hospitals 80

PulmCCM

DECEMBER 11, 2024

It’s a wonderful contribution to the literature and well worth reading. These are nonfalsifiable claims that illustrate the problem well. As for the body of research literature, clinical researchers usually do not have access to superior diagnostic techniques.

Sepsis 45

Sepsis Research Shock Wellness 45

Sensible Medicine

OCTOBER 4, 2023

The device becomes a screening test or provides information to “promote wellness.” Perhaps the most well-known example happened when the nature of primary hyperparathyroidism changed with the advent of automated multi-channel chemistry tests. As researchers we need to ask ourselves – is my study worth doing?

Research 77

Research Outcomes Stroke Academics 77

RebelEM

MARCH 13, 2024

This was not a Code 3 respiratory distress, fentanyl overdose with minimal response to Narcan or even an unconscious stroke patient with the blood pressure of a giraffe. Would they ever be well enough to be extubated? The patient came in working hard to breath, had minimal improvement after meds and treatments and was clearly tiring.

Documentation/Coding 58

Documentation/Coding Outcomes EMS Stroke 58

Taming the SRU

APRIL 22, 2023

If untreated, atrial fibrillation can increase clot formation and lead to an increased risk for heart attack and stroke as well as development of congestive heart failure. Additionally, a higher HR reduction at 30 and 60 minutes, as well as ED discharge/transfer. There was no difference in safety outcomes.

Outcomes 52

Outcomes Stroke Documentation/Coding Fractures 52

The Skeptics' Guide to EM

SEPTEMBER 28, 2019

Dr. Carly Eastin is an Associate Professor, Division of Research and Evidence Based Medicine, Department of Emergency Medicine, University of Arkansas for Medical Sciences. This was because of a well-known critical care physician Dr. Paul Marik.

Sepsis 52

Sepsis Shock Outcomes Stroke 52

ACEP Now

SEPTEMBER 13, 2023

Emergency Medicine research was and still is tremendously underfunded,” says John E. We wanted to reach emergency physicians, nurses and others working in trauma as well as those at Health and Human Services and the Centers for Disease Control. Prescott, MD, another member of the committee. “We It’s time for another push.”

EMS 45

EMS Research Academics Military 45

ACEP Now

OCTOBER 3, 2023

These guidelines present the best available evidence to support clinical decision making in the prehospital setting when TBI care may have the most significant impact on outcomes; they also establish a research agenda for future investigations. The GCS must be obtained through interaction with the patient (i.e.,

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98

Taming the SRU

AUGUST 4, 2024

We discussed some practices to push learners outside of their comfort zone and promote learning, based on their level as well as their goals for the shift.

Emergency Department 85

Emergency Department Dislocations Documentation/Coding Burns 85

Dr. Smith's ECG Blog

NOVEMBER 15, 2023

Over some time and the pain moved into her other arm as well as her jaw. Stroke-volume:50 ml. Contemporary research studies of MINOCA have evaluated the prognosis of these patients, reporting a 12-month all-cause mortality of 4.7% (95% confidence interval, 2.6–6.9), She said this was midsternal and felt like a tightness.

EKG/ECG 108

EKG/ECG Ultrasounds Wellness Stroke 108

ACEP Now

JULY 6, 2023

Emergency physicians have become leaders in achieving cost efficiency in health care, predominantly through implementation of new processes and research findings, enabling us to achieve significant financial savings. Pediatric Emergency Care Applied Research Network head injury clinical prediction rules are reliable in practice.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52

EMDocs

OCTOBER 30, 2023

Some institutions developed a tier-based system for outpatient imaging as well which was updated in real-time. At the same time, newer research has shown that the diagnostic safety despite withholding contrast in abdominal pain may actually be overstated. 4) Utilization of Alternative Imaging Technique Table 5.

Radiology 73

Radiology Radiology Emergency Department Hospitals 73

Don't Forget the Bubbles

NOVEMBER 18, 2024

Various studies, such as those pooling data from the National Neonatal Research Database, indicate that the incidence of hypotension varies based on neonatal age, with the highest rates observed immediately post-birth and within the first days of life. CO = SV x HR SV is Stroke Volume (the amount of blood ejected with each heartbeat).

Sepsis 59

Sepsis Shock Hyperthermia / Hypothermia Administration 59

PulmCCM

JANUARY 4, 2022

For example, should a fluid challenge fail to raise stroke volume [SV], a state of physiological preload intolerance exists and additional volume is arguably harmful ; further attempts to increase tissue perfusion might then be best achieved with vasoactives. For what are intravenous fluids diagnostic? the Frank-Starling mechanism].

Wellness 40

Wellness Outcomes Sepsis Stroke 40

Downeast Emergency Medicine

APRIL 26, 2021

MI or stroke). Secondary outcomes were early head injury related death (within 24 hours after injury), all-cause and cause-specific mortality, disability, vascular occlusive events (MI, stroke, DVT, PE), seizures, complications, neurosurgery, days of ICU care, and adverse events within 28 days. in the TXA group and 9.9%

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

Taming the SRU

MAY 3, 2023

She was noted to have improvement in her underlying respiratory status as well and was extubated approximately three weeks later. This targeted pulmonary vasodilation is thought to improve underlying ventilation-perfusion mismatch, leading to increased blood flow to already well-ventilated lung tissue (3).

Wellness 52

Wellness Hospitals Shock Outcomes 52

Advanced Emergency Nursing from AENJ

JULY 10, 2016

Gather around, for a story. … "A long time ago, before our planet went digital … Well, it wasn't quite copyist monks illuminating vellum, nor was it even Dickens's Bob Cratchit labouring with quill and ink." Better education and careers were sought for their baby-boomer children, as well. " It took longer than expected.

Military 40

Military Emergency Nursing Stroke Wellness 40

Sensible Medicine

OCTOBER 4, 2023

The device becomes a screening test or provides information to “promote wellness.” Perhaps the most well-known example happened when the nature of primary hyperparathyroidism changed with the advent of automated multi-channel chemistry tests. As researchers we need to ask ourselves – is my study worth doing?

Research 40

Research Outcomes Stroke Academics 40

PulmCCM

SEPTEMBER 13, 2021

While more detailed analyses are available for the keen reader [1-3], this brief approach will consider a simplified model first proposed well over a century ago. This is analogous to a left ventricle with constant stroke volume and heart rate, respectively. Circulation research 1980, 46(3):363-372.

Burns 40

Burns Stroke Ultrasounds Wellness 40

Taming the SRU

MAY 1, 2023

Exertional Hyperthermia Patients with heat stroke will present with Temp > 104, AMS, or seizures.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Emergency Department Seizures 52

Pediatric Emergency Playbook

APRIL 1, 2016

Less common causes of troponemia are: Kawasaki disease, pediatric stroke, or neuromuscular disease. Brain natriuretic peptide (BNP) In adults, we typically think of a BNP Luckily, we have data in children with congenital heart disease as well. for the Pediatric Emergency Care Applied Research Network. Pediatr Emer Care.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52