Canadian EM

APRIL 4, 2023

Although some COVID-19 survivors report persistent symptoms months after resolution of the acute infection, we do not know much about their long-term physical and psychological health outcomes. The post CCEDRRN Infographic: Patient-reported health outcomes of SARS-CoV-2 first appeared on CanadiEM.

Outcomes 52

Outcomes 52

Emergency Medicine Journal

JULY 24, 2023

This study aimed to examine the association between COVID-19-related hospital bed-strain during this time and patient outcomes. In-hospital mortality was the primary outcome of interest and length of stay a secondary outcome. Methods This was a retrospective observational study using Hospital Episode Statistics data for England.

Hospitals 69

Hospitals Outcomes 69

Emergency Medicine Journal

NOVEMBER 28, 2023

This audit aims to investigate the relationship between time delay to treatment and its effect on HBOT efficacy and novelly, 30-day patient outcomes, to better support recommendations for healthcare providers. Dive physicians advocate early therapy, believing it will produce the greatest patient benefit.

Outcomes 40

Outcomes Hospitals 40

Science Based Medicine

APRIL 25, 2023

The crux of their article was that: The medical […] The post It Was Misinformation When I Said Vaccines Are 100% Effective at Preventing Bad Outcomes & Will End the Pandemic first appeared on Science-Based Medicine. Instead, they recognized “that many developments promoted as medical advances offer, at best, marginal benefits”.

Outcomes 87

Outcomes 87

Emergency Medicine Journal

NOVEMBER 28, 2023

Meaningful measurement for older people living with frailty would include additional person-centred outcomes of healthcare knowledge, shared decision-making, and situational security. The eight-item PROM-OPAC considers outcome goals specific to this population and was observed here to have metric reliability and validity.

Outcomes 40

Outcomes Hospitals Administration Research 40

MDisrupt

JANUARY 26, 2023

Why are clinical outcomes the new standard in digital health? Find how to improve with our insights after analyzing more than 600 healthtech companies.

Outcomes 52

Outcomes 52

JournalFeed

OCTOBER 8, 2022

Burnout = Bad Outcomes Spoon Feed Physician burnout has extensive negative effects, not just on individuals, but on hospital systems and on patient safety and satisfaction. More Paralysis Spoon Feed In this single center cohort of 886 patients, 5 patients had definite awareness during paralysis. of patients could have been aware.

Outcomes 40

Outcomes Patient Safety Hospitals 40

Intensive Care Network

FEBRUARY 21, 2020

Des Gorman talks about outcomes and controversies following traumatic brain injury. The post Real world outcomes from TBI appeared first on Intensive Care Network.

Outcomes 52

Outcomes 52

Taming the SRU

MARCH 30, 2023

Diastolic shock index and clinical outcomes in patients with septic shock. the diastolic shock index) could provide providers a tool to quickly identify patients that are at risk for unfavorable outcomes. Diastolic Shock Index: A clinically relevant predictor of poor outcome in septic shock? Ann Intensive Care 2020;10(1):41.

Shock 52

Shock Sepsis Outcomes Resuscitation 52

Emergency Medicine Journal

JULY 24, 2023

We aimed to determine the association between the 2020 COVID-19 pandemic and OHCA outcomes and bystander resuscitation efforts among the working-age population. We compared characteristics and outcome differences of the arrests between three prepandemic years (2017–2019) and the pandemic year 2020. to 1.44)).

Resuscitation 52

Resuscitation CPR Outcomes Hospitals 52

RebelEM

SEPTEMBER 19, 2022

Background: There are only two interventions that have been proven in the medical literature to improved outcomes in cardiac arrest: high-quality CPR and early defibrillation. Over the years, we as a scientific community have worked extensively to find other interventions that improve outcomes. However, human data is sorely lacking.

CPR 52

CPR Resuscitation Outcomes EMS 52

Emergency Medicine Journal

MAY 23, 2023

We validated the score in a large patient data set and constructed a model that allows early prediction of the probability of clinical outcomes based on the individual’s NEWS+L Score. The outcomes were hospital death or a composite of hospital death and intensive care unit admission at 24 hours, 48 hours and 72 hours.

Outcomes 40

Outcomes Emergency Department Hospitals Academics 40

Ultrasound Gel

JUNE 24, 2019

Here is a nice study that looks to see if ultrasound is associated with increased resuscitation efforts or better survival outcomes. Here is a nice study that looks to see if ultrasound is associated with increased resuscitation efforts or better survival outcomes.

Outcomes 52

Outcomes Ultrasounds Resuscitation Research 52

Sensible Medicine

AUGUST 22, 2023

Listen now (43 mins) | A wide ranging discussion on medicine.

Outcomes 71

Outcomes 71

Emergency Medicine News

OCTOBER 31, 2023

An abstract is unavailable.

Outcomes 101

Outcomes 101

Mind The Bleep

DECEMBER 6, 2023

They offer several advantages in medical research (Table 1) and are considered the gold standard for evaluating the impact of an intervention on a particular health outcome. You also decide what outcome you are going to measure before the trial starts! Usually primary and secondary outcomes. Attrition bias due to dropouts.

Outcomes 52

Outcomes Research Wellness 52

Science Based Medicine

NOVEMBER 25, 2023

Prasad didn't predict this sad outcome, he worked tirelessly to cause it. So did many other doctors. The post I Agree with Dr. Vinay Prasad: It’s Entirely Predictable That More Parents Don’t Want Routine Vaccination for Their Kids first appeared on Science-Based Medicine.

Outcomes 125

Outcomes 125

EMDocs

NOVEMBER 29, 2023

Double-blind, placebo-controlled multicenter RCT Included 795 patients > 18 years admitted to the ICU with severe PNA Intervention: Hydrocortisone as a continuous infusion of 200 mg/day IV with a planned taper for 8 or 14 days compared to placebo Primary Outcome: All-cause mortality at 28 days Hydrocortisone 6.2% 2023 May 31;27(1):212.

Resuscitation 83

Resuscitation EKG/ECG Outcomes 83

Emergency Medicine News

SEPTEMBER 30, 2023

An abstract is unavailable.

Outcomes 119

Outcomes 119

Emergency Medicine Journal

SEPTEMBER 27, 2023

Clinical risk prediction models can support decision making in emergency medicine, but directing intervention towards high-risk patients may involve a flawed assumption. This concepts paper examines prognostic clinical risk prediction and specifically describes the potential impact of treatment effects in model development studies.

Outcomes 40

Outcomes 40

Pediatric EM Morsels

NOVEMBER 17, 2023

Differences in intubation outcomes for pediatric patients between pediatric and general Emergency Departments. Intubation practice and outcomes among pediatric emergency departments: A report from National Emergency Airway Registry for Children (NEAR4KIDS). That sounds reasonable, so what has changed? 0.41), p < 0.001.

Pediatrics 190

Pediatrics Emergency Department Sepsis Outcomes 190

EM Literatue of Note

SEPTEMBER 11, 2023

MARISS tried to ascertain predictors of poor outcome in mild stroke, and intravenous thrombolysis was not associated with an effect on the primary outcome. In the unadjusted cohorts, efficacy and safety outcomes were universally worse in those selected for thrombolysis – but, of course, were generally more severe stroke syndromes.

Stroke 133

Stroke Outcomes Wellness 133

RebelEM

JUNE 1, 2023

Post-ROSC management is nuanced and challenging but helps to ensure good outcomes. In theory, rapid identification of the underlying cause should improve outcomes by allowing clinicians to tailor management. Diagnostic yield, safety, and outcomes of Head-to-pelvis sudden death CT imaging in post arrest care: The CT FIRST cohort study.

Resuscitation 139

Resuscitation EKG/ECG Outcomes Hospitals 139

Sensible Medicine

NOVEMBER 27, 2023

The primary outcome was strong—MI or death at 30 days. Death or MI, the primary outcome, occurred in 16.9% The frequency of heart failure and other safety-outcome events were similar in the two transfusion groups. There were more primary outcome events in the restrictive strategy. That makes sense.

Blood Transfusions 77

Blood Transfusions Outcomes Hospitals 77

Sensible Medicine

DECEMBER 4, 2023

In these patients, scientists continue to study ways to improve outcomes. Swedish and UK researchers had the idea that the drug dapagliflozin might improve outcomes in patients who have an MI big enough to cause mild heart damage. So… the question was: does dapagliflozin—in addition to standard care—improve outcomes.

Outcomes 61

Outcomes Hospitals Stroke Research 61

RebelEM

OCTOBER 30, 2023

This could dilute any beneficial effects seen Lack of blinding may bias results (Although mortality is a solid objective primary outcome, bias may still creep in terms of management) Discussion: Authors were looking for an absolute mortality difference of 7% from baseline mortality of 26% with a 90% power. Cryoprecipitate Group: 25.3%

Blood Transfusions 120

Blood Transfusions Hospitals Outcomes Administration 120

Sensible Medicine

OCTOBER 2, 2023

The general concept is how trials measure, report and interpret outcomes. Before any experiment, choices have to be made about which outcome(s) to measure. People will argue about the choices, but a steadfast rule should be that reporting outcomes should be consistent over time. More on the specifics in a moment. The HR was 1.3

Stroke 86

Stroke Outcomes Wellness 86

EMDocs

NOVEMBER 29, 2023

cc/kg/hour of LR Primary outcome: Progression to moderately severe or severe acute pancreatitis Primary Safety Endpoint: Fluid Overload defined by 2 of the following 3 Criterion 1: non-invasive evidence of heart failure (ie echo), radiographic evidence of pulmonary congestion, invasive cardiac Cath suggesting heart failure.

Fluid Resuscitation 66

Fluid Resuscitation Resuscitation Outcomes Hospitals 66

Emergency Medicine News

AUGUST 31, 2023

An abstract is unavailable.

Outcomes 96

Outcomes 96

Pediatric EM Morsels

JULY 21, 2023

Motor Fingernail bed pressure with a pencil first If flexion outcome, then apply painful stimulus to neck or head (trapezius or supraorbital notch) to look for localization Spinal reflex can result in a falsely elevated score if lower extremity pain induced Verbal Orientated- Able to answer all questions. A practical scale. PMID: 4136544.

Pediatrics 246

Pediatrics Head Injuries Outcomes Shock 246

RebelEM

NOVEMBER 30, 2023

Outcomes: Primary Outcome: In-hospital mortality. Secondary Outcomes: Delayed hypotension, increased ICU stay, and other relevant outcomes. There was no specified time-frame for the primary outcome, potentially affecting the precision of the findings. Mayo Clin Proc Innov Qual Outcomes. 2.89, p = 0.01.

Sepsis 87

Sepsis Fluid Resuscitation Resuscitation Hospitals 87

RebelEM

JUNE 19, 2023

PMID: 37314244 Clinical Question: In advanced trauma systems, does prehospital administration of TXA increase the rate of survival with a favorable neurologic outcome in patients at risk for trauma-induced coagulopathy? 1.00 (0.9 – 1.12) Secondary Outcome Mortality 24h 9.7% Prehospital Tranexamic Acid for Severe Trauma.

Blood Transfusions 104

Blood Transfusions Resuscitation Outcomes Hyperthermia / Hypothermia 104

RebelEM

JULY 27, 2023

In this group of patients, the use of alteplase poses a fine line of potential benefit (functional outcomes) vs potential harm (symptomatic intracranial hemorrhage). Many patients, however, will have minor strokes (defined as an NIHSS score ≤5). Alteplase: 91.4% Risk Diff: 2.3%; 95% CI -1.5 Alteplase: 0.9% Any Bleeding Events: DAPT: 1.6%

Stroke 95

Stroke Outcomes EMS Hospitals 95

Critical Care North Hampton

SEPTEMBER 26, 2023

The evidence is out there suggesting a positive fluid balance is detrimental to overall outcomes in ICU. But are we doing a dis-service? The focus should perhaps be on natriuresis…but how? I talk on the JICS mix below: See also my Tweetorials:

Outcomes 128

Outcomes 128

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% 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 vs 13.9% (RR 0.58; 95% CI 0.33 Control: 9.6% Control 3.8%

Shock 126

Shock Resuscitation Stroke Outcomes 126

RebelEM

NOVEMBER 20, 2023

Outcome: Primary Outcome: All-cause mortality at 90 days. The primary outcome focused on patient-centered outcomes. The outcomes were predominantly binary and objective, reducing the potential for subjective interpretation and bias. 97% of patients sustained blunt trauma.

Resuscitation 91

Resuscitation Hospitals Outcomes CPR 91

Sensible Medicine

NOVEMBER 13, 2023

of patients experienced a first primary outcome event in the semaglutide arm vs 8.0% The Kaplan-Meier curves for outcomes began separating early and continued over 3-4 years. Each component of the primary outcome was lower. Patients in the trial were in their low sixties. In the trial, 6.5% in the placebo arm. mg) vs 8.2%

Outcomes 90

Outcomes Stroke Wellness Research 90