The Trauma Pro

DECEMBER 26, 2023

A meta-analysis of 13 studies published in 2015 showed that early ambulation was not associated with a higher incidence of new PE. PLOS One , April 10, 2015, [link] Bed Rest or Ambulation in the Initial Treatment of Patients With Acute Deep Vein Thrombosis or Pulmonary Embolism: Findings From the RIETE Registry.

Documentation/Coding 162

Documentation/Coding Fractures Hospitals Research 162

The Trauma Pro

APRIL 26, 2024

A multi-center trial published in 2015 showed an astounding 32% mortality rate for patients with shock from pelvic fracture. Next, I’ll review an early paper that compared the snippets of information we had to angioembolization. As I continue to preach, going anywhere but the OR is dangerous for the patient.

Fractures 147

Fractures Head Injuries Radiology Radiology 147

PulmCCM

MAY 2, 2024

Candida auris is a multi-drug resistant fungus discovered in 2009 in Japan. The fungus spread across Asia, the Mideast, and Africa before arriving in the U.S. Since 2018, C. auris cases have required reporting to public health officials, allowing more effective tracking. auris cases has been accelerating.

Hospitals 52

Hospitals 52

ETM Course

JUNE 11, 2015

If you’re interested in trauma systems and their effect on patient outcomes, this is a great presentation by Russell Gruen at the recent TAC – MUARC Symposium.

Outcomes 52

Outcomes 52

RebelEM

AUGUST 30, 2023

Most common organism is Staph Aureus (36-67% of cases) ( Boody 2015 ). Executive Summary: 2015 Infectious Disease Society of America (IDSA) Clinical Practice Guidelines for the Diagnosis and Treatment of Native Vertebral Osteomyelitis in Adults. Clin Infect Dis 2015 Sept 15;61(6):859-63. Other pathogens include: E.

Infectious Diseases 73

Infectious Diseases Fractures Radiology Radiology 73

The Trauma Pro

SEPTEMBER 26, 2023

RadioGraphics 35:6, 1751-1765, 2015. There are many, many permutations of injuries and diagnostics. These cases will put your clinical judgment to the test, for sure! References: Imaging Pregnant and Lactating patients. Imaging of the pregnant trauma patient. RadioGraphics 34:3, 748-763,2014. Fetal doses from radio logical examinations.

Radiology 288

Radiology Radiology Ultrasounds Wellness 288

American Medical Compliance

JANUARY 9, 2024

trillion in 2015. More than 3,900 cases of medical identity theft involving patients and providers were recorded in 2015, according to the most recent FTC data, with over 10,000 cases reported between 2013 and 2015. As a result of their large size, these healthcare systems are easy targets for fraud.

Wellness 52

Wellness 52

The Trauma Pro

MAY 12, 2023

American College of Surgeons Scientific Forum Abstracts pg S164, 2015. Don’t believe it. Reference: Leukocytosis after Splenic Injury: A Comparison of Splenectomy, Embolization, and Observation.

130

130

Pediatric EM Morsels

MAY 12, 2023

2015 Nov;100(11):1032-7. Epub 2015 Aug 21. Burrows P, Trefan L, Houston R, Hughes J, Pearson G, Edwards RJ, Hyde P, Maconochie I, Parslow RC, Kemp AM. Head injury from falls in children younger than 6 years of age. Arch Dis Child. doi: 10.1136/archdischild-2014-307119. PMID: 26297697; PMCID: PMC4680174.

Head Injuries 130

Head Injuries Fractures Pediatrics Research 130

Emergency Medicine Journal

NOVEMBER 28, 2023

Practice resource summary: September 2015 [Internet]. 2015 [cited 2022 Nov 17]. 2015 Dec; 12 (6):618–26. Jill Roberts Public Health England. Local action on health inequalities. Improving health literacy to reduce health inequalities. Available from: [link] 2. Frayne SM, Burns RB, Hardt EJ, Rosen AK, Moskowitz MA.

Research 40

Research Burns Wellness 40

Dr. Smith's ECG Blog

FEBRUARY 2, 2024

Sci 5[4] 268-270, 2015 ) both highlight a likely association between acute development of ischemic J waves — and high risk of developing malignant ventricular arrhythmias ( My Comment in the September 23, 2020 post ). Rituparna et al — as well as Chauhan and Brahma ( Int. Smith’s ECG Blog ).

Hyperthermia / Hypothermia 122

Hyperthermia / Hypothermia EKG/ECG Wellness 122

RebelEM

APRIL 29, 2024

In these situations, the American Heart Association (AHA) and the European Resuscitation Council (ERC) of 2015 recommend the intraosseous (IO) route after the peripheral route and before the central venous route ( 1). 2015 PMID: 25768683 8 Leidel BA. This can often lead to significant delays in proper resuscitation. Trauma 1996.

Resuscitation 102

Resuscitation Administration Emergency Department Hospitals 102

Pediatric EM Morsels

OCTOBER 27, 2023

Britnell 2015] Broselow tape performed better than APLS method in Chinese children. Khouli 2015] In South Sudan, the Broselow system overestimated weight by 26.6% [Gültekingil-Keser 2017] Broselow out-performed age-based formulas (Theron, APLS, and Shann) in New Zealand, estimating within 10% of actual weight 73% of the time.

Pediatrics 243

Pediatrics Resuscitation Documentation/Coding Wellness 243

The Trauma Pro

OCTOBER 6, 2023

vs. 2.1%), but significantly shorter ICU stay (7 vs 10 days) When patients who died within the first 24 hours were excluded, the in-hospital mortality remained significantly higher, and the ICU and hospital lengths of stay were significantly shorter Bottom line: Some society guidelines began recommending delayed TEVAR in 2015.

Head Injuries 147

Head Injuries Research Hospitals Resuscitation 147

Emergency Medicine Journal

MARCH 21, 2024

Methods A cross-sectional study enrolled adults and children who sought care during 2015–2020 at Karolinska University Hospital, Stockholm, Sweden with fever within 2 months after returning from travel to a tropical/subtropical area. Data on symptoms and laboratory parameters were prospectively and retrospectively collected.

Hospitals 52

Hospitals 52

EMDocs

MAY 11, 2024

2015 Sep;66(3):322-333.e31. Nov 10 th , 2015. Available from: [link] American College of Emergency Physicians Clinical Policies Subcommittee (Writing Committee) on Use of Intravenous tPA for Ischemic Stroke:; Brown MD, Burton JH, Nazarian DJ, Promes SB. Ann Emerg Med. doi: 10.1016/j.annemergmed.2015.06.031. 2015.06.031. PMID: 26304253.

Stroke 79

Stroke EMS EKG/ECG Radiology 79

Broome Docs

JANUARY 30, 2023

2015 Apr;72(4):668-73. Epub 2015 Jan 23. 2015 Dec;21(6):1244-6. Epub 2015 Dec 29. PMID: 36442064 Kappel S, Kleinerman R, King TH, Sivamani R, Taylor S, Nguyen U, Eisen DB. Does wound eversion improve cosmetic outcome?: Results of a randomized, split-scar, comparative trial. J Am Acad Dermatol. doi: 10.1016/j.jaad.2014.11.032.

Emergency Department 52

Emergency Department Outcomes Ultrasounds Pediatrics 52

Pediatric EM Morsels

JUNE 30, 2023

Let’s take a moment to digest a morsel on this condition that may lead to recurrent pulmonary problems: Congenital Pulmonary Airway Malformation: Basics Developmental lesion of the lungs characterized by pseudocysts, lesions, and dilated airways (Dessole, 2019) Incidence is 1 in 11,000 to 1 in 35,000 (Dessole, 2019) Most often unilateral 85% (..)

Ultrasounds 208

Ultrasounds Pediatrics Operations EMS 208

American Medical Compliance

DECEMBER 29, 2022

The last outbreak was in March, with two others occurring in 2015 and 2016. In 2015, a Georgia dental clinic infected 24 children with NTM. Nontuberculosis Mycobacteria occur in water, soil, and dust. It can cause serious infections in the blood, lymph nodes, skin, or lungs.

CDC 52

CDC 52

Sensible Medicine

APRIL 25, 2024

Thanks to JAMA IM editor Rita Redberg In 2015, Rita Redberg— then JAMA IM editor took 2 papers from our group. But in work that Chul Kim and I did in 2016 we found this was not the case. The FDA repeatedly violated their stated standards, and granted full approval for wobbly surrogates. One examined this question.

Poisoning 134

Poisoning Outcomes 134

Emergency Medicine Journal

MAY 23, 2023

Methods State-wide population-based cohort study of consecutive adult patients attended by ambulance for acute chest pain with individual linkage to emergency and hospital admission data in Victoria, Australia (1 January 2015–30 June 2019). million in 2015 vs $384.5 million ($68 per capita per annum). million).

Hospitals 40

Hospitals 40

PEMBlog

AUGUST 8, 2023

2015 Feb;11(1):29-34. Listen Henoch–Schönlein Purpura (HSP) – PEM Currents: The Pediatric Emergency Medicine Podcast – Brad Sobolewski, MD, MEd [link] Subscribe References Chen JY et al. Henoch-Schönlein purpura nephritis in children: incidence, pathogenesis and management. World J Pediatr. Medicine (Baltimore) 78: pp.

Pediatrics 52

Pediatrics 52

Mount Sinai EM

JANUARY 11, 2023

Saunders Ltd; 2015. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: [link] Raby Nigel, Berman L, Morley S, de Lacey G. Ankle & Hindfoot. Accident and Emergency Radiology: A Survival Guide,3e. Accessed January 04, 2023. Sports Medicine for the Emergency Physician A Practical Handbook, pp.

Radiology 130

Radiology Radiology Fractures Dislocations 130

ALiEM

FEBRUARY 26, 2024

2015 Mar-Apr;60(2):211. Clinical and therapeutic approach to childhood acne: an update. Pediatr Dermatol. 2009 Jul-Aug;26(4):373-80. doi: 10.1111/j.1525-1470.2009.00932.x. 1525-1470.2009.00932.x. PMID: 19689511. Neonatal pustular dermatosis: an overview. Indian J Dermatol. doi: 10.4103/0019-5154.152558. PMID: 25814724; PMCID: PMC4372928.

Academics 78

Academics Pediatrics Wellness 78

ALiEM

DECEMBER 4, 2023

2015 Jul;66(1):133-46. Epub 2015 May 7. [link] Nigwekar SU, Kroshinsky D, Nazarian RM, Goverman J, Malhotra R, Jackson VA, Kamdar MM, Steele DJ, Thadhani RI. Calciphylaxis: risk factors, diagnosis, and treatment. Am J Kidney Dis. doi: 10.1053/j.ajkd.2015.01.034. 2015.01.034. PMID: 25960299; PMCID: PMC4696752.

Academics 60

Academics Seizures Hospitals Emergency Department 60

Emergency Medicine Journal

DECEMBER 22, 2023

The Centre for Urgent and Emergency Care research database patient-level database (May 2015–April 2016), secondary literature and expert elicitation were used to inform the model. Methods Discrete event simulation was used to model a large urban teaching hospital in the UK, as a case study, with a colocated GP service.

Emergency Department 52

Emergency Department Research Outcomes Hospitals 52

The Skeptics' Guide to EM

MAY 20, 2023

However, we have not covered the Therapeutic Hypothermia after Out-of-Hospital Cardiac Arrest (OHCA) in Children or THAPCA-OH published in the New England Journal of Medicine in 2015. We’re adding on a second paper looking at the Bayesian interpretation of the original study. Original trial: Moler FW, Silverstein FS, Holubkov R, et al.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Pediatrics CPR Hospitals 52

The Skeptics' Guide to EM

OCTOBER 21, 2023

In SGEM#181, we were unconvinced of the value of routine use of whole body CT in trauma patients, and right back in 2015 on SGEM#106 discussing the Canadian CT head rule and the New Orleans Criteria. However, we’ve not previously looked at the intersection of non-traumatic back pain and rational investigation.

Emergency Department 125

Emergency Department Radiology Radiology Hospitals 125

The Skeptics' Guide to EM

APRIL 13, 2024

hours from onset of symptoms.

Stroke 129

Stroke Documentation/Coding Emergency Department EMS 129

Don't Forget the Bubbles

JANUARY 17, 2024

2015 But we all know that what happens in the lab does not always mirror what happens in real life. The liquids were chosen to “approximate a pediatric digestive environment.” ” ( Ed. – Very few three-year-olds drink 210mls of vodka in one sitting ). After Darracq et al., A recent literature review by Caré et al.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

Emergency Medicine Journal

DECEMBER 22, 2023

Methods Emergency Department (ED) attenders and hospital inpatients between 2015 and 2019 were automatically screened for their risk of hospitalisation within 6 months of discharge using a locally trained CPM on routine data. However, it is unclear how this care model would negatively impact survival.

Emergency Department 52

Emergency Department Hospitals Outcomes 52

Pediatric Emergency Playbook

FEBRUARY 1, 2020

2015; 46:870-873. 2015; e24-227 Sherren PB et al. Bedside Escharotomies for Burns Classic Paragraph Selected References Mahar PD et al. Clinical differences between major burns patients deemed survivable and non-survivable on admisssion. Mathis E et al. 2017; 4:91. Osuka A et al. 2017; 50(1):60-65. Sebastian R et al.

Burns 52

Burns Pediatrics Shock 52

The Skeptics' Guide to EM

OCTOBER 28, 2023

Acetaminophen ( Williams et al Lancet 2014) * Muscle relaxants ( Friedman et al JAMA 2015) * NSAIDs ( Machado et al Ann Rheum Dis 2017) * Steroids ( Balakrishnamoorthy et al Emerg Med J 2014) * Benzodiazepines ( Friedman et al Ann Emerg Med 2017) Many non-pharmacologic therapies have also been tried with limited efficacy.

Emergency Department 100

Emergency Department Research 100

ALiEM

MAY 24, 2023

In: Fleisher and Ludwig’s Textbook of Pediatric Emergency Medicine, 7th ed, Shaw K, Bachur RG (Eds), Lippincott Williams & Wilkins, Philadelphia 2015. Genitourinary trauma.

Pediatrics 93

Pediatrics 93

Don't Forget the Bubbles

FEBRUARY 19, 2024

A meta-analysis by Ferguson (2015) challenged the notion that violent video games are linked to criminal violence and aggression, suggesting that the data on this topic might be less straightforward than you think. 2015) found that a significant number of teenagers are exposed to a variety of inappropriate content while gaming online.

Academics 59

Academics Leadership Research Teamwork 59

Taming the SRU

JULY 2, 2023

Part 1: executive summary: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care." Circulation 132.18_suppl_2 (2015): S315-S367. Pediatric emergency care 12.4 1996): 249-251. Neumar, Robert W., Waugh, Jonathan B., Epps, and Yulia A.

Emergency Department 77

Emergency Department Pediatrics CPR Administration 77

Ken Grauer, MD

FEBRUARY 3, 2024

Figure-3: Comparison between ST elevation in lead V3 due to a repolarization variant ( TOP — from 4/27/2019 ) — vs acute OMI ( BOTTOM — from 9/20/2015 ) , which manifests T-QRS-D ( See text ). What is M INOCA?

EKG/ECG 382

EKG/ECG Resuscitation Hospitals Wellness 382