PulmCCM

JUNE 3, 2024

The ASTER Trial Ware et al conducted a phase 2b randomized trial from 2021 to 2023 among 447 patients admitted with sepsis and organ failure at 40 US academic hospitals. Patients received either 1 g of acetaminophen IV every six hours or placebo for five days.

Sepsis 52

Sepsis Outcomes Academics Hospitals 52

RebelEM

OCTOBER 2, 2023

No statistical differences in safety between groups Operational Impact Median ED LOS (PRIMARY OUTCOME): SQuID: 8.9hrs (6.5 No statistical differences in safety between groups Operational Impact Median ED LOS (PRIMARY OUTCOME): SQuID: 8.9hrs (6.5 tests/hr (0.8 Traditional: 1.0 tests/hr (0.8 Pre-Intervention: 1.0 tests/hr (0.9

Operations 102

Operations Academics Fluid Resuscitation Outcomes 102

Sensible Medicine

JANUARY 17, 2024

The episode details examples of academic papers with fraud — the data were fabricated, and there were many tell tale signatures of fraud along the way. Most academics create causal conclusions that aren’t true. This week Freakonomics has an interesting podcast about science. It explores how and why this happens.

Academics 111

Academics Outcomes Wellness 111

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

The Skeptics' Guide to EM

JANUARY 18, 2025

She was the president of the Academy of Women in Academic Emergency Medicine and is a member of the American Association of Women Emergency Physicians. Can you elaborate on the evidence-based protocols and resources FemInEM plans to implement and how they will impact patient outcomes?

Academics 47

Academics Emergency Department EMS Outcomes 47

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 Emergency Department Outcomes 97

EMDocs

SEPTEMBER 30, 2024

5 urban academic EDs, attending charts. Primary outcome: Prescription of ICS on ED discharge from the index visit Secondary outcomes: ICS prescription rates in high-risk subgroups Rates of outpatient follow-up within 30 days of an ED visit for asthma Variation in ICS prescription rates among attending ED physicians.

Outcomes 106

Outcomes Academics Documentation/Coding Emergency Department 106

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 96

Stroke Academics Outcomes Administration 96

Sensible Medicine

JUNE 28, 2024

If I had it all to do again, there is no doubt that I would choose medicine in general and academic general internal medicine in particular, but occasionally we all have a bad week. There were no personal crises or untoward patient outcomes. Last week was one of them. By the time she leaves the hospital, she has no residual symptoms.

Stroke 103

Stroke Academics EKG/ECG Hospitals 103

Dr. Smith's ECG Blog

MARCH 14, 2024

Written by Jesse McLaren Three patients presented with acute chest pain and ECGs that were labeled by the computer as completely normal, and which was confirmed by the final cardiology interpretation (which is blinded to patient outcome) also as completely normal. The reliability of these ECGs should be based on patient outcome.

EKG/ECG 119

EKG/ECG Documentation/Coding Patient Safety Outcomes 119

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 145

Patient Safety Academics Outcomes Wellness 145

PulmCCM

JANUARY 6, 2025

A cluster randomized trial using all-cause mortality as an outcome was always needed to determine whether EMR alerts improve outcomes for suspected severe infection. Administratively, CMS could convert SEP-1 to a “process”-based or “intermediate outcome measure” or another type.

Sepsis 45

Sepsis Documentation/Coding Hospitals Outcomes 45

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 97

Administration Outcomes Research COPD 97

ACEP Now

AUGUST 13, 2024

Furthermore, the importance of DEI in medical education goes beyond academic discussions. Studies consistently show that having a diverse physician workforce leads to improved patient outcomes, lower mortality, reduced morbidity rates, and, ultimately, a more robust health care system. Diversity improves performance and outcomes.

Leadership 111

Leadership Outcomes Academics Emergency Department 111

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 98

Academics Research Outcomes 98

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 74

Sepsis Emergency Department Pediatrics Academics 74

Don't Forget the Bubbles

AUGUST 2, 2023

Early management leads to better outcomes. Children and their families should undergo a psychological assessment to understand and properly address possible individual, familial, social or academic issues. Outcomes of children with complex regional pain syndrome after intensive inpatient rehabilitation. Pain Res Manag.

Psychiatric 98

Psychiatric Pediatrics Outcomes Fractures 98

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

Sensible Medicine

SEPTEMBER 12, 2024

3 Another meta-analysis in HF patients indicated that higher doses of ACEIs and ARBs, compared to lower doses, significantly improved outcomes. 4 The study's open-label design increases the risk of differential misclassification of outcomes and performance biases. References 1. Bocchi EA, Echeverria LE, Demacq C, et al.

Academics 63

Academics Outcomes Hospitals Wellness 63

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 Emergency Department 52

Sensible Medicine

JUNE 6, 2023

Two nearly identical trials of the monoclonal drug aducanumab, ENGAGE and EMERGE, had disparate outcomes: ENGAGE showed no benefit and EMERGE showed that the drug slowed decline. This seemed important to consider, and so we looked at whether outcomes in trials of monoclonal antibodies for AD correlated with rates of ARIA.

Outcomes 96

Outcomes Infectious Diseases Research Academics 96

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 103

Radiology Radiology Emergency Department Hospitals 103

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. PMID: 36108346 Clinical Question: What is the efficacy and safety of peripherally administered push dose pressors for the treatment of acute hypotension?

Administration 98

Administration Emergency Department Outcomes Documentation/Coding 98

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

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

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 Telemedicine Research 52

ACEP Now

JULY 7, 2024

My current practice is a hybrid of academic and community sites, and I have worked in myriad community hospitals from busy ones to single coverage critical access hospitals. If you have a difficult outcome, it is helpful to know what risk management support you have at your hospital. Each has its own challenges and lessons.

Resuscitation 98

Resuscitation Risk Management Hospitals Critical Access 98

Taming the SRU

APRIL 17, 2024

3) Methods This study was a retrospective observational study at a single academic tertiary care facility in their medical intensive care unit (MICU). The primary outcome was defined as agreement of less than 10 % of the mean arterial pressure (MAP) between simultaneously recorded IABP and NIBP measurements.

Sepsis 95

Sepsis Research Stroke Academics 95

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

The Skeptics' Guide to EM

NOVEMBER 23, 2019

He is also the CME editor for Academic Emergency Medicine. He is also the CME editor for Academic Emergency Medicine. Secondary Outcomes: Specificity and likelihood ratios of FOCUS for PE in each population. AEM November 2019 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia.

Ultrasounds 52

Ultrasounds Emergency Department Academics Outcomes 52

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

The Skeptics' Guide to EM

SEPTEMBER 23, 2017

Academic Emergency Medicine. He is also the CME editor for Academic Emergency Medicine and the associate editor for emergency medicine simulation at the […] The post SGEM#189: Bring Me To Life in OHCA first appeared on The Skeptics Guide to Emergency Medicine. Academic Emergency Medicine. September 2017. September 2017.

CPR 52

CPR Academics Resuscitation Hospitals 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

RebelEM

NOVEMBER 6, 2023

PMID: 37586951 Clinical Question: In patients requiring cardiopulmonary bypass and developing vasopressor-resistant vasoplegic shock, what is the impact of hydroxocobalamin compared to methylene blue in improving vasopressor requirements over the first 24 hours?

Shock 71

Shock Administration Academics Hospitals 71

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

Dr. Smith's ECG Blog

AUGUST 2, 2024

the investigators reviewed outcomes in 118 patients presenting with NSTEMI. Frick in his discussion above ( Heitner et al — Cardiovasc Interven 12(5), 2019 ) — highlights the fact that learning to predict the probable "culprit" artery from interpretation of the initial ECG is more than simply an academic exercise.

EKG/ECG 119

EKG/ECG Fluid Resuscitation Academics Resuscitation 119

The Skeptics' Guide to EM

AUGUST 22, 2020

He is also the CME editor for Academic Emergency Medicine. He is also the CME editor for Academic Emergency Medicine. He is Deputy Editor-in-Chief of Academic Emergency Medicine where he is leading the development of the “Guidelines for Reasonable and Appropriate Emergency Care” (GRACE) project.

Emergency Department 52

Emergency Department Academics Research Administration 52