Cook County EM Blog

MARCH 20, 2023

2008 Apr;3(1):27-33. Epub 2008 Feb 2. 2008 Jan;12(1):33-6. Latex paint-gun injuries of the hand: are the outcomes better? 2008 Dec;3(4):340-5. Epub 2008 May 28. High-pressure injection injury of the hand: an often underestimated trauma: case report with study of the literature. Hogan CJ, Ruland RT.

Documentation/Coding 52

Documentation/Coding Fractures Operations Research 52

RebelEM

MARCH 13, 2023

Nevertheless, mortality of prehospital traumatic cardiac arrest (TCA), and survivability with good neurologic outcome, remain the gold standards of trauma care in and out of the hospital and are effectively the criterion by which we measure outcomes in the trauma literature. Discussion: Dead On Scene: The 96.2% mortality rate and 43.5%

Basic Life Support 52

Basic Life Support EMS Outcomes Resuscitation 52

The Skeptics' Guide to EM

MARCH 5, 2022

JAMA Feb 2009 looked at the ACC/AHA guidelines from 1984 to 2008. The level of high-quality evidence had not changed much when looking at the ACC/AHA guidelines from 2008-2018. The primary outcome was the quality of the evidence for each procedure. Tricoci et al. They found 53 guidelines with 7,196 recommendations.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Research Pediatrics Outcomes 40

Don't Forget the Bubbles

JANUARY 8, 2024

This led to her death at 19, an outcome ruled as homicide at inquest, indicating others’ contribution to her demise. Verbal de-escalation not only helps in avoiding the need for physical intervention but also fosters a therapeutic relationship, crucial for successful treatment outcomes in these sensitive situations. Mulraney, M.,

Research 105

Research Emergency Department Psychiatric Outcomes 105

The Skeptics' Guide to EM

APRIL 16, 2022

Before we answer that question, let’s remind everyone that only a small number (2.8%) of interventions published in SRMA and relevant to emergency medicine have unbiased and strong evidence for improved outcomes ( SGEM#361 ). JAMA Feb 2009 looked at the ACC/AHA guidelines from 1984 to 2008. This is a broader problem in medicine.

Military 40

Military Operations Emergency Department Pediatrics 40

EMDocs

JANUARY 29, 2024

Finally, anticipating and addressing known complications such as seizures, increased intracranial pressure, or cerebral edema with appropriate measures, including antiepileptic drugs or osmotic agents, is essential for improving patient outcomes. Lowering the MAP may mitigate these risks and possibly improve outcomes. doi: 10.1161/01.str.0000014509.11540.66.

Stroke 72

Stroke Outcomes EMS Seizures 72

PulmCCM

OCTOBER 30, 2023

IDSA cites multiple large observational studies showing no improvement in sepsis outcomes at many centers after SEP-1 implementation. In 2008, the U.S. incidence of VAP has remained stubbornly persistent : though it declined from 20 cases to 15 per 1000 ventilated patients 2008-2015, the rate then crept back up to 17 per 1000 in 2017.

Sepsis 52

Sepsis Shock Hospitals Outcomes 52

Taming the SRU

JUNE 12, 2023

In 2008, this led to greater than 316,000 emergency department (ED) visits and about 9,500 hospitalizations [1]. Emergency department visits and inpatient stays involving dog bites, 2008: Statistical brief #101. Human Rabies Prevention - United States, 2008: Recommendations of the Advisory Committee on Immunization Practices.

Infectious Diseases 94

Infectious Diseases Emergency Department Administration Academics 94

Dr. Smith's ECG Blog

MAY 31, 2023

Opiates are associated with worse outcomes in Myocardial Infarction. Association of intravenous morphine use and outcomes in acute coronary syndromes: Results from the CRUSADE Quality Improvement Initiative. de Winter et al in N Engl J Med 359:2071-2073, 2008. See this case: A man his 50s with chest pain. Am Heart J.

EKG/ECG 70

EKG/ECG Outcomes Academics Wellness 70

The Skeptics' Guide to EM

APRIL 3, 2021

Of the 13, eleven failed to show benefit for their primary outcome and four were stopped early due to harm or futility. Only two RCTs claimed benefit for their primary outcome. Those were ECASS-3 in 2008 and the NINDS trial from 1995. Good neurologic outcome was defined as a modified Rankin Scale (mRS) score of 0-2.

Stroke 52

Stroke Research Outcomes Hospitals 52

Emergency Medicine Ireland

OCTOBER 30, 2023

First up is the VASST trial, (Russel et al 2008 NEJM). Primary outcome here was kidney based rather than mortality. New Engl J Medicine 358 , 877–87 (2008). First up is the VASST trial, (Russel et al 2008 NEJM). A somewhat underwhelming start Second is the VANISH trial by Gordon et al, JAMA 2016. Nagendran 2019 in CCM.

Shock 52

Shock Sepsis Wellness Outcomes 52

Dr. Smith's ECG Blog

APRIL 17, 2023

Full case details and outcomes are below. Emergency providers need to instinctively recognize this ECG pattern in a patient with new chest pain! == KEY POINTS regarding D e W inter T Waves : In 2008 — Robert J. de Winter et al in N Engl J Med 359:2071-2073, 2008. Case 1: Case 2: Case 1: What do you think? See text ).

EKG/ECG 52

EKG/ECG Documentation/Coding Emergency Department Psychiatric 52

Sensible Medicine

JULY 17, 2023

And again, they reported no difference in outcomes. A year later, in 2008, COURAGE trialists published a follow-up paper looking at quality of life. The COURAGE investigators even carried out their study to ten years. You might wonder how PCI remained so popular after such a definitive study. Here is the key graph.

Shock 92

Shock Outcomes 92

EMDocs

SEPTEMBER 7, 2023

Fatal Poisoning Among Young Children from Diethylene Glycol-Contaminated Acetaminophen — Nigeria, 2008—2009”. Long-Term Renal and Neurologic Outcomes among Survivors of Diethylene Glycol Poisoning.” Upon review of the history, several of the patients had been exposed to a liquid acetaminophen-based teething medication.

Poisoning 65

Poisoning CDC Administration Emergency Department 65

PulmCCM

FEBRUARY 12, 2024

SCCM made its statement unilaterally, without the European Society of Intensive Care Medicine (ESICM), its partner on the 2008 and 2017 updates, or the American Thoracic Society (ATS). That could be because CIRCI is ill-defined, almost hypothetical. The new evidence prompted all three societies to issue new guideline updates.

Shock 52

Shock Administration Sepsis Fractures 52

ACEP Now

MAY 3, 2023

When she took the role in 2008, it was a newly created job tasked with expanding AARP’s approach to making health products and services available to its members from third party companies. Charlotte Yeh’s day-to-day work as the CMO of AARP Services, Inc.

EMS 52

EMS Outcomes Emergency Department Hospitals 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. NEJM 2008; 358(9): 877 – 87. Crit Care 2014; 18(5): 534. PMID: 25286986 Russell JA et al.

Shock 52

Shock Resuscitation Outcomes Fluid Resuscitation 52

EMDocs

MAY 11, 2024

Endovascular and Clinical Outcomes of Vertebrobasilar Intracranial Atherosclerosis-Related Large Vessel Occlusion. Salim Rezaie, “Thrombolysis in Acute Ischemic Stroke: Now We Have No Positive RCTs”, REBEL EM blog, July 27, 2020. Available at: [link]. Baek JH, Kim BM, Heo JH, et al. Front Neurol. 2019 Mar 19;10:215. 2019.00215.

Stroke 85

Stroke EMS EKG/ECG Radiology 85

Taming the SRU

JANUARY 29, 2024

Phlegmasia Cerulea Dolens in the Upper Extremity: A Case Report and Systematic Review and Outcomes Analysis. 2008 Aug;6(8):1262-6. Epub 2008 May 15. Greenberg J, Troutman DA, Shubinets V, Dougherty MJ, Calligaro KD. Vasc Endovascular Surg. 2016 Feb;50(2):98-101. Epub 2016 Feb 11. Bolitho DG, Elwood ET, Roberts F.

Emergency Department 82

Emergency Department Fractures Hospitals Operations 82

RebelEM

MAY 15, 2024

2008 Sep;1138:329-50. Changing aetiology, clinical features, antimicrobial resistance, and outcomes of bloodstream infection in neutropenic cancer patients. Time to antibiotics and outcomes in cancer patients with febrile neutropenia. Ann Emerg Med. 2017 Jun;69(6):755-764. doi: 10.1016/j.annemergmed.2016.11.007. 2016.11.007.

Infectious Diseases 78

Infectious Diseases Administration Sepsis Anaphylaxis 78

PHEM Cast

APRIL 16, 2018

The outcomes from different resuscitative interventions in a haemorrhagic shock model in porcine model: From: Watts et al. Survival and neurological outcome after OOH TCA in pediatric & adult populations: a systematic review. 2008; 64: 9-14/ Ultrasound during TCA: Cureton et al. 2012; 73: 102-10. Grasner et al.

Resuscitation 52

Resuscitation Shock Ultrasounds CPR 52

The Skeptics' Guide to EM

MARCH 6, 2021

Background: Epistaxis is a common Emergency Department (ED) complaint with over 450,000 visits per year and a lifetime incidence of 60% ( Gifford 2008 , Pallin 2005 ). You administer phenylephrine topically, reapply pressure and, consider the use of tranexamic acid (TXA).

EMS 52

EMS Emergency Department Outcomes 52

EMDocs

JANUARY 20, 2024

Clinical Features and Outcomes of Takotsubo (Stress) Cardiomyopathy. Clinical profile and in-hospital outcome of Caucasian patients with takotsubo syndrome and right ventricular involvement. 2008 Mar;155(3):408-17. Tako-tsubo cardiomyopathy in aneurysmal subarachnoid hemorrhage: an underappreciated ventricular dysfunction.

EMS 73

EMS Fluid Resuscitation Shock EKG/ECG 73

PHEM Cast

DECEMBER 12, 2016

Emergency Department thoracotomy for the critically injured patient: Objectives, indications, and outcomes. Injury; 2008 (39): 967-969. Emergency thoracotomy in thoracic trauma: a review. Injury; 2006 (37): 1-19. Clay et al. World Journal of Emergency Surgery; 2006: 1:4. Rhee et al. J Am Coll Surg; 2000. J Am Coll Surg.

Military 52

Military Resuscitation Emergency Department Documentation/Coding 52

The Skeptics' Guide to EM

MAY 11, 2019

Omar et al (2008) showed just how safe laparoscopic appendectomies have become. Secondary Outcomes: “Length of stay during index hospitalization, cost of index hospitalization, number of follow-up visits required in the following year, and the total cost of appendicitis-associated care in the year after diagnosis. .

Documentation/Coding 52

Documentation/Coding Operations Academics Ultrasounds 52

EMDocs

JUNE 21, 2023

Functional outcomes Severe soft tissue injuries and damage to the bony structures => poor functional outcomes. 2008 Feb;466(2):432-5. J Orthop Trauma. 2007 Aug;21(7):442-3. PMID: 17762473. Tornetta P 3rd, et al. How effective is a saline arthrogram for wounds around the knee? Clin Orthop Relat Res. PMID: 18196428.

Soft Tissue Injuries 68

Soft Tissue Injuries Fractures Dislocations Radiology 68

The Skeptics' Guide to EM

JANUARY 27, 2018

Outcome: * Primary Outcomes: Reduction in peripheral IV catheters placed post-intervention and usage * Secondary Outcome: PIVC insertion cost (staff and consumables) This is an SGEMHOP episode, so we have the lead author on the show. days after, the intervention. Yes * Was the exposure accurately measured to minimize bias?

Emergency Department 40

Emergency Department Academics Outcomes Research 40

Dr. Smith's ECG Blog

NOVEMBER 3, 2023

Yet this is rarely followed, and patient outcomes like this are the result once in a while. ECG changes in many of the cases I've seen are not “static” until reperfusion ( as had been initially reported in 2008 by deWinter et al. ). "

EKG/ECG 79

EKG/ECG Shock Documentation/Coding Academics 79

ACEP Now

AUGUST 1, 2023

It was submitted in 2008 to the National Quality Forum (NQF), which convenes external groups to endorse measures. ED crowding and boarding are causing patient experiences and outcomes to worsen. The effect of emergency department crowding on clinically oriented outcomes. NQF re-endorsed the measure in 2014. ACEP website.

Hospitals 98

Hospitals Emergency Department Military Leadership 98

PHEM Cast

MARCH 3, 2019

Long-term pain prevalence and health-related quality of life outcomes for patients enrolled in a ketamine versus morphine for prehospital traumatic pain randomised controlled trial. 2008 Aug 1;25(8):498–501. Emergency Medicine Journal. 2014 Dec;31(12):1029. Jennings PA, Cameron P, Bernard S, Walker T, Jolley D, Fitzgerald M, et al.

Emergency Department 52

Emergency Department Head Injuries Hospitals Pediatrics 52

All Ohio EM

SEPTEMBER 16, 2019

By Mike Pallaci, DO Research Question: Does rapid lowering of blood pressure improve the outcome in patients with intracerebral hemorrhage? The primary outcome was determined for 2794 of these; 45 patients (1.6%) lost to follow-up. How Many Patients: The investigators enrolled 2839 patients.

Stroke 40

Stroke Outcomes Research Hospitals 40

EMDocs

JANUARY 4, 2024

Whole bowel irrigation: 3 Not routinely performed and limited evidence to support improved outcome in general. 2008 Apr;51(4):412-5, 415.e1. Clinical characteristics and outcomes associated with bupropion overdose: a Canadian perspective. Can consider in massive overdose, especially of SR or XL formulations. Ann Emerg Med.

Seizures 65

Seizures EKG/ECG Poisoning Shock 65

Don't Forget the Bubbles

MARCH 18, 2024

Early Volume Expansion and Outcomes of Hemolytic Uremic Syndrome. Treatment and outcome of Shiga-toxin-associated hemolytic uremic syndrome (HUS). Disease severity of Shiga toxin-producingE. coliO157 and factors influencing the development of typical haemolytic uraemic syndrome: a retrospective cohort study, 2009–2012. F1000Research.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

PulmCCM

FEBRUARY 5, 2024

Fever in the ICU: Guideline Update The Society of Critical Care Medicine (SCCM) and the Infectious Diseases Society of America (IDSA) issued an interim update to their 2008 recommendations for the management of fever in the ICU. PulmCCM is not affiliated with SCCM or IDSA. °C oral measured multiple times).

Best Practices 111

Best Practices Ultrasounds Infectious Diseases Sepsis 111

Pediatric Emergency Playbook

AUGUST 1, 2017

J Med Genet 2008; 45:1. Does Functional Outcome Improve with Time Postsurgery for Hirschsprung Disease? J Pediatr Gastroenterol Nutr 2008; 46:13. Single-stage versus multi-stage pull-through for Hirschsprung's disease: practice trends and outcomes in infants. 2008; 15-21. 2008; 22-28. Hirschsprung's disease.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

EMDocs

OCTOBER 30, 2023

Background and Context Contrast-enhanced computed tomography (CECT) is of paramount importance in the emergency department (ED) due to its indispensable role in facilitating precise diagnostic outcomes. 3 A study of CT use trends in the ED has shown increasing use of CTs by almost 60% from 2005 to 2013. West J Emerg Med. 2017;18(5):835-845.

Radiology 72

Radiology Radiology Emergency Department Hospitals 72

Dr. Smith's ECG Blog

FEBRUARY 8, 2015

There was a good outcome. We believe this represents a form of “toxicomythology” given the millions of doses of beta -blockers administered in the past to patients with hyperadrenergic states, and a paucity of evidence of adverse outcomes (12). The one exception ADDIN EN.CITE McCord 2008 1774 1774 17 McCord, J. Wells, P.J.

Seizures 52

Seizures Administration Outcomes Hospitals 52