SheMD

DECEMBER 17, 2023

Emergency medicine has a notable gender gap in publications, which is a factor in career advancement in academic medicine. How they measured things: Articles published in Annals of Emergency Medicine and Academic Emergency Medicine from March 2019 to February 2021 were included, aside from the annual scientific assembly.

Academics 52

Academics Leadership Research Outcomes 52

PulmCCM

SEPTEMBER 28, 2023

Systemic corticosteroids (such as intravenous dexamethasone) improve outcomes in severe pneumonia due to SARS-CoV-2 infection. It makes sense that inhaled steroids might improve outcomes from less severe infections. Do inhaled steroids improve Covid pneumonia? About two thirds of patients in each arm were vaccinated.

COPD 95

COPD Stroke Academics Hospitals 95

PulmCCM

JUNE 12, 2023

TTM2 found no improvement in survival or neurologic outcome among patients randomized to cooling to a target of 33 °C, as compared to controls receiving fever prevention (e.g. with acetaminophen) until temperatures reached 37.8 °C who then received external cooling to maintain a target temperature of 37.5 °C.

Hyperthermia / Hypothermia 105

Hyperthermia / Hypothermia Academics Documentation/Coding Outcomes 105

ACEP Now

NOVEMBER 16, 2023

2,3 In the 2021-2022 academic year, categorical (non-combined) EM residency lengths included 221 (80 percent) PGY 1-3 and 55 (20 percent) PGY 1-4 programs. A fourth year of EM training offers additional supervised clinical and academic experience. Academic career preparation for residents – are we on the right track?

Academics 52

Academics EMS Research Telemedicine 52

ACEP Now

AUGUST 25, 2023

Primary Outcome: Discharged home from the ED Secondary Outcomes: There were several secondary outcomes. Another interesting secondary outcome that could confound the results is that children who received IN fentanyl received higher overall total parenteral opioid morphine equivalents. Am J Hematol. Am J Hematol.

Administration 97

Administration Pediatrics Outcomes Emergency Department 97

Stop and Think

JANUARY 14, 2024

Since Andrew Foy and I wrote our Case Against Coronary Artery Scans in an academic journal, the test has only increased in popularity. The academic proponents of CAC scans strongly recommend CAC scans only to guide decision-making about using primary prevention therapies, such as statin drugs, in medium risk people. Pause there.

Academics 123

Academics Outcomes Wellness 123

Sensible Medicine

NOVEMBER 28, 2023

For many doctors in academic medicine, publishing in peer reviewed journal is an important part of their careers. People can rise through the academic ranks as gifted clinicians, creative and effective educators, and talented administrators. Patients were then randomly assigned to apixaban or 81 mg of ASA.

Stroke 81

Stroke Academics Outcomes Administration 81

Sensible Medicine

SEPTEMBER 16, 2023

Noting that the former is a difference in outcome, and the latter is treating someone differently based solely on consideration of race. Instead, their work product merely serves to further the careers of mediocre academics, performing irreproducible, low quality and often unhelpful research. Same is true for many other interventions.

Research 127

Research Academics Outcomes Administration 127

SheMD

MAY 4, 2023

80% of department chair roles in academic medicine are held by men. Article Summary What they looked at: This article aimed to look at career trajectory differences between genders in faculty who have attained academic chair roles in emergency medicine. How does this apply to us? JAMA Netw Open. 2020;3(7):e2011292. Moran, C.J.

Leadership 52

Leadership Academics Operations Administration 52

Don't Forget the Bubbles

MAY 6, 2024

Outcomes included clinical status when urine culture was available, subsequent antibiotic treatment within seven days and subsequent UTI within 30 days. The primary outcome was the successful intubation on the second attempt. Secondary outcomes included tracheal intubation adverse events (TIAEs) or severe desaturation.

Sepsis 75

Sepsis Outcomes Pediatrics Documentation/Coding 75

Emergency Medicine Journal

JANUARY 22, 2024

Methods We conducted a parallel-arm, triple-blind, pilot RCT of adults (≥18 years) with DKA at a Canadian academic tertiary care ED. The primary feasibility outcome was recruitment rate (target ≥41.3% Patients, clinicians and outcome assessors were blinded to allocation.

Emergency Department 40

Emergency Department Academics Outcomes 40

SheMD

MAY 18, 2023

There is a shortage of female physicians in academic medicine, which may be contributed to by differences in work-life balance and child rearing. Childbearing leave policies at academic medical institutions may have an impact on gender differences in faculty retention. What were their outcomes: 8.6

Academics 52

Academics Pediatrics Outcomes Hospitals 52

RebelEM

SEPTEMBER 14, 2023

to 1.03) Poor Neurologic Outcome (CPC 3 or 4): 24.8% to 1.03) Poor Neurologic Outcome (CPC 3 or 4): 24.8% to 1.03) Poor Neurologic Outcome (CPC 3 or 4): 24.8% to 1.03) Poor Neurologic Outcome (CPC 3 or 4): 24.8% Control: 53.4% D ECLS: 18.2% Control 8.7% Control 38.0% Control: 49.0% RR 0.98; 95% CI 0.80 to 1.19; p = 0.81

Shock 119

Shock Outcomes Resuscitation Stroke 119

ACEP Now

MAY 10, 2024

Primary Outcome: Diagnostic accuracy of identifying Stanford type A and Stanford type B AoDs Secondary Outcomes: Test characteristics of each of the three individual sonographic findings for diagnosing Stanford type A and Stanford type B AoDs. Prevalence: The prevalence of 3.5 percent was high compared to previously published data.

Ultrasounds 52

Ultrasounds Outcomes Documentation/Coding Academics 52

SheMD

AUGUST 24, 2023

Medical specialty society membership can have an impact on the development of an academic physician’s career through networking, speaking opportunities, and awards. Underrepresentation of female faculty members may be an obstacle to career advancement in academic medicine. Why is this article important? Am J Clin Pathol. 2022.40001.

Leadership 52

Leadership Academics Outcomes Wellness 52

EMDocs

NOVEMBER 25, 2023

Spoon Feed In this multicenter, randomized controlled trial comparing suturing the fingernail back onto the nail bed versus simply covering the nail bed with a non-adherent dressing after repair of a nail bed injury, there was no statistically significant difference in infection rate or cosmetic outcome. 2023 Mar 30;110(4):432-438.

Sepsis 55

Sepsis Emergency Department Pediatrics Academics 55

SheMD

JULY 20, 2023

Four Archetypes to Help Mentees Succeed in Academic Medicine? " Mentorship is viewed as a vital part of medical education and academic medicine as a whole. In academic medicine, mentees benefit from input from all types of mentors and may have multiple mentors at once. Why is this article important? What does this mean?

Academics 40

Academics Outcomes 40

Sensible Medicine

APRIL 14, 2024

Including: The academic speakers— who often consult for the drug companies and receive sizable personal payments. Medicine has become a financial commodity with the rare adverse event of better health outcomes. Let’s be clear: that is not sustainable. Yet, most present at the meeting cheered on the changes.

Patient Safety 143

Patient Safety Academics Outcomes Wellness 143

The Skeptics' Guide to EM

APRIL 29, 2023

He is also the CME editor for Academic Emergency Medicine. He is also the CME editor for Academic Emergency Medicine. Clinical Question: What is the effect of TMH, versus in-person consult, on 30-day outcomes and processes of care during the visit? Yes * Was the outcome accurately measured to minimize bias?

Psychiatric 40

Psychiatric Emergency Department Urgent Care Academics 40

Emergency Medicine Journal

JUNE 22, 2023

This encounter affects immediate actions and long-term outcomes by influencing future help-seeking behaviour. The questionnaire was designed by the research team and piloted by four YAS academic paramedics (see ). Self-harm is one of the most common reasons for people to present to EDs.

Ambulance Services 40

Ambulance Services Academics Research Outcomes 40

Don't Forget the Bubbles

OCTOBER 4, 2023

In the same journal , we learned that in fetuses with transposition of great arteries (TGA), a better prenatal diagnosis led to poorer early postoperative outcomes. A Randomized Controlled Trial of a NICU Language Intervention for Parents of Preterm Infants and Two-Year Language Outcomes. As always, more research seems needed.

Pediatrics 111

Pediatrics Fractures Outcomes Research 111

Sensible Medicine

AUGUST 21, 2023

On yesterday’s podcast , I talked with Bobby Yeh, an academic cardiologist who made a compelling case for enhancing credibility of observational research. Another problem, which is possibly surmountable, is the conflation of what one can call “patient outcomes” versus “doctor outcomes.”

Administration 88

Administration Outcomes Research COPD 88

SheMD

JULY 27, 2023

What were their outcomes: Physician mothers report having more domestic responsibilities than their partners. Unequal distribution of domestic responsibility has been documented as a factor in the underrepresentation in female physicians in leadership roles in academic medicine as well as contributing to career satisfaction.

Academics 52

Academics Leadership Documentation/Coding Research 52

The Skeptics' Guide to EM

SEPTEMBER 19, 2020

Robert’s academic interests include research and evidence-based medicine. Audrey’s academic interests include trauma and resuscitation. Robert’s academic interests include research and evidence-based medicine. Audrey’s academic interests include trauma and resuscitation. Reference: Roberts et al.

Academics 52

Academics Resuscitation Research EMS 52

Sensible Medicine

JULY 10, 2023

At the risk of sounding naive, I want to believe that people who choose academic medicine do so to answer important scientific questions. I’ve traveled the world and met academics. To compare these two devices, the authors chose an endpoint with 5 bad outcomes from the implant.

Academics 97

Academics Research Outcomes 97

ALiEM

NOVEMBER 6, 2023

Outcome and use of antiarrhythmic drugs during follow-up. Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. Crit Care Nurse. 1994 Jun;14(3):30-9; quiz 40-1. PMID: 8194348. doi: 10.1111/j.1542-474X.2006.00127.x.

EKG/ECG 78

EKG/ECG Academics Outcomes Wellness 78

Don't Forget the Bubbles

JUNE 30, 2023

The primary outcome was 28-day mortality – TXA improved survival with no increased risk of cerebral clots. Survival was better, both at 24 hours and six months, in the TXA group, although the primary outcome, a quality of life score at six months, called the Glasgow Outcome Scale Extended (GOS-E), was the same in both groups ( 53.7%

Head Injuries 145

Head Injuries Seizures Outcomes Pediatrics 145

The Skeptics' Guide to EM

NOVEMBER 21, 2020

He is also the CME editor for Academic Emergency Medicine. He is also the CME editor for Academic Emergency Medicine. Date: November 19th, 2020 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. Reference: Pines et al. AEM November 2020. Reference: Pines et al. AEM November 2020. .

Emergency Department 52

Emergency Department Telemedicine Academics Outcomes 52

EMDocs

MAY 25, 2023

Outcome: No statistically significant difference in primary outcome, which was absence of clinically apparent seizures without the need for additional anti-convulsant medications AND improving responsiveness at 60 minutes after the start of trial-drug infusion, as determined by the treating physician.

Seizures 62

Seizures Administration Outcomes Anaphylaxis 62

Stop and Think

JUNE 13, 2023

One of my colleagues, a former academic, who is now in industry, tells me I shouldn’t have this chapter. In PARAGON-HF, the new drug reduced a composite primary outcome of heart failure events and death from cardiovascular causes but the reduction failed to meet statistical significance. PARAGON-HF randomized 10x more.)

Outcomes 85

Outcomes Academics Hospitals Shock 85

The Skeptics' Guide to EM

APRIL 8, 2023

2023 Apr Guest Skeptics: Dr. Louella Vaugh is an internist practising as a hospitalist physician at an academic centre in London, UK with a special interest in smaller, rural and remote healthcare. The main outcome was the adjusted odds ratio for in-hospital mortality and hazard ratio for 30-day mortality with some pre-specified subgroups.

Stroke 54

Stroke Emergency Department Academics COPD 54

Emergency Medicine Cases

APRIL 9, 2019

Olivia Ostrow, Pediatric Emergency Physician at Hospital for Sick Children, Assistant professor at the University of Toronto and a Medical Safety Leader with an academic focus in quality improvement, discusses a case that exemplifies how indiscriminate work up of pediatric UTI can lead to over-testing, over-treating and even worse outcomes.

Pediatrics 52

Pediatrics Academics EMS Outcomes 52

Don't Forget the Bubbles

JANUARY 8, 2024

Dr Bourke’s work is not only about deepening academic understanding but also about forging practical approaches to help healthcare professionals navigate the nuanced and often uncertain waters of adolescent care in emergency settings. Mulraney, M., Coghill, D., Sciberras, E., and Sawyer, M.,

Research 105

Research Emergency Department Psychiatric Outcomes 105

Mind The Bleep

OCTOBER 6, 2023

Small changes on a population level can lead to huge differences in outcomes, and this can be incredibly rewarding. F3/ onwards: Jobs in clinical fellowships, academic jobs, and abroad will widen your skillset and aid your application. There is a huge range of work, ranging from climate change to food poverty, to alcohol unit pricing.

Academics 52

Academics Teamwork Research Outcomes 52

The Skeptics' Guide to EM

APRIL 6, 2024

He is the designer of Empiric Game, a medical editor and contributor to Pediatrics Reviews and Perspectives (PedsRAP) and the digital media editor at Academic Pediatrics. This tragic outcome slowed the development of an RSV vaccine for years. Michael Cosimini is a pediatrician in Portland Oregon.

Pediatrics 49

Pediatrics Hospitals Research Academics 49

PulmCCM

OCTOBER 23, 2023

Over the years, dozens of copycat studies (which are relatively easy for academics to churn out) created a steady, low-quality drumbeat of negativity toward Zosyn. Read in JAMA Does Paxlovid Improve Covid-19 Outcomes in the Omicron Era? Paxlovid was associated with about a 1.5-2.5%

Hospitals 98

Hospitals Emergency Department COPD CDC 98

ALiEM

DECEMBER 8, 2023

Incidence, etiology, management, and outcomes of flank hernia: review of published data. Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. PMID: 32310432. Zhou DJ, Carlson MA. PMID: 29380158.

Academics 60

Academics Emergency Department Outcomes Wellness 60