EMDocs

MARCH 14, 2024

6 By the end the of 2016, 32 states had adopted expansion. Adoption rapidly slowed after 2016 as political opposition to the policy, as well as the ACA in general, remained strong in states with Republican-controlled state houses and governors’ mansions.

Administration 79

Administration Outcomes Burns Operations 79

RebelEM

NOVEMBER 30, 2023

Studies without IRB approval Studies older than 2016 Intervention: Administration of <30 mL/kg IV crystalloid fluids within three hours of sepsis identification. Outcomes: Primary Outcome: In-hospital mortality. Secondary Outcomes: Delayed hypotension, increased ICU stay, and other relevant outcomes.

Sepsis 109

Sepsis Fluid Resuscitation Resuscitation Administration 109

Emergency Medicine Education

MAY 9, 2023

NEJM study in 2016 showed no survival benefits or favorable neurological outcome regarding use of Amiodarone vs Lidocaine vs placebo in OHCA. NEJM study in 2016 Acad Emerg Med

Outcomes 40

Outcomes 40

Emergency Medicine Journal

OCTOBER 26, 2023

Methods All cases of OHCA between 1 January 2016 and 31 December 2021 in the Helsinki University Hospital catchment area in which the ECPR protocol was activated were included in the study. Cases of hypothermic cardiac arrest were excluded. Results The prehospital ECPR protocol was activated in 73 cases of normothermic OHCA.

Hospitals 75

Hospitals CPR Resuscitation Outcomes 75

Sensible Medicine

NOVEMBER 28, 2023

One of these was an article that Vinay Prasad and I wrote back in 2016: Wearables, Smartphones and Novel Anticoagulants: We Will Treat More Atrial Fibrillation, but Will Patients Be Better Off? The primary outcome was stroke or systemic embolism and the primary safety outcome was major bleeding.

Stroke 82

Stroke Academics Outcomes Administration 82

EB Medicine

FEBRUARY 13, 2017

For the first episode, we are going to focus on one of the most popular articles from last year, the October 2016 issue, entitled “Optimizing Survival Outcomes For Adult Patients With Nontraumatic Cardiac Arrest.” Welcome to the inaugural episode of EMplify, the podcast corollary to EB Medicine’s Emergency Medicine Practice journal.

Outcomes 40

Outcomes Shock Resuscitation 40

Don't Forget the Bubbles

JANUARY 24, 2024

Mortality is high, between 16-43.5% , and neurological outcomes are generally poor amongst survivors. These poor outcomes are related to both the SRSE itself and as a result of the prolonged PICU stay. One study suggests remission in 6 out of 7 patients where it was used, but long-term clinical outcomes remained poor.

Seizures 111

Seizures Pediatrics Outcomes Hyperthermia / Hypothermia 111

Emergency Medicine Journal

NOVEMBER 28, 2023

Method and Design All patients ≥16 years old attending the East of England Major Trauma Centre (2016-2019) who met Trauma Audit Research Network (TARN) criteria were included. The primary outcome was 30-day mortality; secondary outcomes included admission clotting profile (PT/aPTT).

Outcomes 40

Outcomes Research 40

Sensible Medicine

MARCH 28, 2024

In 2016, Jonathan Reiner said this about Carrie Fisher’s mother, who died very shortly after her daughter. There has never been any credible data that disease awareness improves outcomes for people — and more to the point — that gossiping about a celebrities condition causes such disease awareness.

Hospitals 93

Hospitals Outcomes Wellness 93

Sensible Medicine

APRIL 25, 2024

But in work that Chul Kim and I did in 2016 we found this was not the case. COVID19 vaccines have never shown benefit with respect to clinical outcomes among people who already had COVID. Regular approval means that there are no post marketing efficacy commitments, and the surrogate has to have a strong correlation with survival.

Poisoning 135

Poisoning Outcomes 135

RebelEM

JANUARY 29, 2024

in the paper but 2.7% to ≈0.99 (p<0.001) Mean MPI/Tei Index≈ 0.47 in the paper but 2.7% to ≈0.99 (p<0.001) Mean MPI/Tei Index≈ 0.47 in the paper but 2.7% to ≈0.99 (p<0.001) Mean MPI/Tei Index≈ 0.47 to 4.0mg/hr typically given in EKOS therapy (See Below). to 4.0mg/hr typically given in EKOS therapy (See Below).

Outcomes 121

Outcomes Stroke Hospitals Administration 121

Emergency Medicine Journal

DECEMBER 22, 2023

Background Long waiting times in the ED have been shown to cause negative outcomes for patients. 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.

Emergency Department 52

Emergency Department Research Outcomes Hospitals 52

Don't Forget the Bubbles

AUGUST 2, 2023

Early management leads to better outcomes. That being said, younger patients tend to have better outcomes with a multidisciplinary team approach leading to remission in approximately 90% of children. Outcomes of children with complex regional pain syndrome after intensive inpatient rehabilitation. Published 2016 Apr 29.

Psychiatric 98

Psychiatric Pediatrics Outcomes Academics 98

The Skeptics' Guide to EM

OCTOBER 21, 2023

SGEM#366 concluded that we could not recommend the routine use of skeletal muscle relaxants, SGEM#304 agreed that adding acetaminophen to ibuprofen did not improve one-week outcomes, while SGEM#173 concluded the same about diazepam (there’s a theme here!). AEM October 2023.

Emergency Department 115

Emergency Department Radiology Radiology Hospitals 115

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

Advanced Emergency Nursing from AENJ

OCTOBER 30, 2016

" This puts into play the powerful forces of expectation of a positive outcome. The key is to be warm, engaging, cognizant of present difficulties yet optimistic and good-natured as to outcome and how to get there. ." "How soon, I wonder, do you think you'll be able to feel that way?" You, too, should definitely do so.

Outcomes 40

Outcomes Emergency Nursing Pediatrics Wellness 40

RebelEM

MAY 15, 2024

Epub 2016 Dec 29. 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. Default to using whichever score your oncologist is more comfortable with. Ann Emerg Med.

Infectious Diseases 78

Infectious Diseases Administration Sepsis Anaphylaxis 78

RebelEM

NOVEMBER 6, 2023

to 1mg/kg/hr) Information regarding the vasopressors used in the study is as follows: Norepinephrine equivalents = norepinephrine mcg/kg/min + (phenylephrine mcg/kg/min/10) + epinephrine mcg/kg/min + (vasopressin units/min x2.5)

Shock 72

Shock Administration Academics Hospitals 72

RebelEM

AUGUST 14, 2023

days 2 most common sites of infection were lung (44.8%) and inta-abdominal (32.1%) Majority of infections were community-acquired (≈84%) Over half the patients were on mechanical ventilation (≈53%) Primary Outcome Results: 28-day mortality rate: Placebo 26.1% (230/882) vs. XBJ 18.8% (165/878); P<0.001 The risk difference was 7.3% (95% CI, 3.4-11.2)

Sepsis 90

Sepsis Outcomes Administration Research 90

EMDocs

OCTOBER 21, 2023

The NIHSS cutoff that predicts outcomes is 4 points higher in AC compared with PC infarctions. Basilar artery occlusion remains a challenging diagnosis to make, and the delays in reaching the diagnosis can have considerable impact on health outcomes. doi: 10.1136/neurintsurg-2016-012515. Epub 2016 Jul 15.

EMS 73

EMS Stroke Outcomes Hospitals 73

Don't Forget the Bubbles

MARCH 18, 2024

2016 Oct 10 [cited 2023 Nov 30];281(2):123–48. 2016 Jan;6(1):e009933. Early Volume Expansion and Outcomes of Hemolytic Uremic Syndrome. 2016 Jan 1;137(1). 2017 Sep 12 [cited 2023 Nov 30];archdischild-2016-311377. Treatment and outcome of Shiga-toxin-associated hemolytic uremic syndrome (HUS). Andreoli SP.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

Emergency Medicine Journal

MAY 23, 2023

Methods A single-centre retrospective study was performed including patients with suspected UGIB visiting the ED of Saint-Antoine hospital (Paris, France) from January 2016 to December 2018. Demographic and medical data needed to calculate GBS and CANUKA were collected, as well as outcomes data.

Emergency Department 40

Emergency Department Blood Transfusions Hospitals Wellness 40

The Skeptics' Guide to EM

JULY 30, 2022

Somewhat surprisingly, we’ve never covered SBO on the SGEM, although Ped EM Superhero, Dr Anthony Crocco shared his views on the (lack of) utility of abdominal X-rays in paediatric constipation back in 2016 ( SGEM Xtra: RANThony#4 ). Charles Brower is a second-year resident training in Emergency Medicine at the University of Cincinnati.

Ultrasounds 52

Ultrasounds Operations Outcomes Documentation/Coding 52

ACEP Now

DECEMBER 11, 2023

The outcomes measured in these studies usually entailed subjective nasal symptoms, but also “change in nasal airway resistance,” following single or repeated administration of oral phenylephrine. 2 With a primary outcome of “daily reflective nasal congestion score,” there was no difference in the primary outcome.

Administration 64

Administration Outcomes Research Documentation/Coding 64

Taming the SRU

FEBRUARY 24, 2024

ENRICH Trial - the leadership journey - EMS grand rounds - r4 capstone - r1 clinical knowledge - pediatric lecture ENRICH Trial WITH visiting professor Dr. david wright ICH makes up only 10-15% of all strokes yet has a higher mortality than ischemic strokes and SAH Current 2022 AHA/ASA guidelines for spontaneous ICH (prior to ENRICH Trial) minimally-invasive (..)

Leadership 82

Leadership EMS Pediatrics Stroke 82

Don't Forget the Bubbles

DECEMBER 5, 2023

Roughly 30% of patients with ulcerative colitis are diagnosed as children or young adults, and this early diagnosis is associated with poorer long-term outcomes. This paper retrospectively assembled a cohort of patients diagnosed with UC between 1998 and 2016 and aged between 10 and 24. The mean PDC in the study was 72%.

Resuscitation 111

Resuscitation Outcomes CPR Emergency Department 111

RebelEM

MARCH 23, 2023

The primary outcome, hospital length of stay, was significantly shorter both before and after propensity score adjustment for the phenobarbital group. A broad range of variables were included that potentially influences treatment decisions and/or outcomes. The protocols used in the study were using symptom-driven medications.

Emergency Department 52

Emergency Department Outcomes Hospitals Burns 52

ALiEM

JANUARY 8, 2024

2016 May;68(5):689-94. References Huang K, Levy RD, Avina-Zubieta JA. Successful lung transplant in rapid progressive interstitial lung disease associated with anti-melanoma differentiation associated gene 5. Arthritis Care Res (Hoboken). doi: 10.1002/acr.22728. PMID: 26414240; PMCID: PMC4864500.

Academics 60

Academics Hospitals Outcomes 60

Don't Forget the Bubbles

MARCH 4, 2024

This study retrospectively identified 1,414 children, presenting to 15 UK EDs (2016 -2017), who had been screened for malaria. This was a secondary outcome embedded in the Travel Fever study – a multi-centre, retrospective diagnostic accuracy study for imported malaria. Emerg Med J. 2024 Jan 22;41(2):76-82. PMID: 38123983.

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

The Skeptics' Guide to EM

MAY 1, 2021

Emerg Med Australas 2016. Their efficacy endpoint was good functional outcome, defined as a modified Rankin Score (mRS) of 3 or less. improvement in good neurologic outcome, a 5.4% Emberson and colleagues reported only on alteplase (a problem we will discuss further) and found a 5% improvement in neurologic outcomes, a 5.5%

Stroke 52

Stroke Outcomes Wellness 52

Don't Forget the Bubbles

OCTOBER 2, 2023

P aediatric R esearch A cross the M idlands ( PRAM ) is a trainee-led research collaborative across the West Midlands, networking since 2016. The most common negative ones were stress and fear, loss of equilibrium due to the child’s medical fragility, concerns about developmental outcomes and the child’s vulnerability.

Outcomes 138

Outcomes Research Wellness Emergency Department 138

Don't Forget the Bubbles

JANUARY 10, 2024

Some wonder if giving blood to children with a haemoglobin <6g/dl will improve outcomes. Outcomes Primary outcome Mortality at 28 days after randomisation. The authors chose a patient-centred, primary outcome in keeping with their pragmatic design. What were the research questions? The study asked TWO questions: 1.

Blood Transfusions 78

Blood Transfusions Outcomes Research Hospitals 78

Dr. Smith's ECG Blog

FEBRUARY 6, 2024

Atrial fibrillation is also a predictor of worse outcomes in this case (Alborzi). 2016, April 13). RBBB in blunt chest trauma seems to be indicative of several RV injury. In patient's at risk, physical activity should be limited for several months after the injury. References Alborzi, Z., Zangouri, V., Ghahramani, Z., Ziaeian, B.,

EKG/ECG 92

EKG/ECG Wellness Fractures Hospitals 92

RebelEM

AUGUST 31, 2023

Primary Outcome – Bleeding (Grade 2 to 4) Transfusion 4.8% Primary Outcome – Bleeding (Grade 2 to 4) Transfusion 4.8% Key Secondary Outcome – Severe Bleeding (Grade 3 to 4) Transfusion 2.1% Key Secondary Outcome – Severe Bleeding (Grade 3 to 4) Transfusion 2.1% Median hemoglobin: 8.2 g/dl vs 8.5

Ultrasounds 59

Ultrasounds Outcomes Wellness Research 59

RebelEM

JUNE 8, 2023

Assessed clinical practice, outcome, length of stay, safety, and efficacy of both phenylephrine and epinephrine peripherally administered through a push dose.

Administration 92

Administration Emergency Department Outcomes Documentation/Coding 92

SheMD

MAY 18, 2023

Article Summary What they looked at: -12 top United States medical schools were reviewed for institutional policies on childbearing leave between September 2016 and August 2017. What were their outcomes: 8.6 weeks was the mean amount of paid leave (range 6-16), with 3 of the 12 schools providing paid leave greater than 8 weeks.

Academics 52

Academics Pediatrics Outcomes Hospitals 52

Don't Forget the Bubbles

FEBRUARY 28, 2024

Outcomes were: (1) crusting of the lesions; then (2) complete healing of lesions -the end goal of treatment. Was the exposure and outcome accurately measured to minimise bias? It was not clear if there was any vested interest in ensuring a certain outcome. 2016; 38(5):394-7. Frontier Immunology. 2022; 11:595478.

Pediatrics 59

Pediatrics Infectious Diseases Outcomes Research 59