St. Emlyn

JUNE 14, 2024

The post JC: Does the outcome from refractory VF differ from recurrent VF in DOSE-VF patients? appeared first on St.Emlyn's.

Outcomes 114

Outcomes Hospitals Resuscitation 114

St. Emlyn

MAY 27, 2024

The post JC: Is First Pass Success an important outcome in PHEA research? St Emlyn’s appeared first on St.Emlyn's.

Research 114

Research Outcomes Hospitals 114

St. Emlyn

NOVEMBER 19, 2024

This review explores outcomes in drainage efficacy, complication rates, and patient comfort, showing that small-bore thoracostomy may be a reliable alternative for non-emergent cases. However, for severe trauma or urgent settings, large-bore remains the go-to option.

Outcomes 112

Outcomes 112

St. Emlyn

JUNE 23, 2024

Patients presenting […] The post JC: The impact of double sequential shock timing on outcomes during refractory out-of-hospital cardiac arrest appeared first on St.Emlyn's.

Shock 112

Shock Outcomes Hospitals EMS 112

The Trauma Pro

APRIL 4, 2025

The primary outcome was any related infection, drainage, or follow-up visit requiring antibiotics. Secondary outcomes included demographic indicators such as length of stay, ventilator time, discharge disposition, and readmission within 30 days.

Fractures 113

Fractures Operations Administration Outcomes 113

RebelEM

APRIL 14, 2025

Given its clinical significance, understanding the impact of cuff size on BP measurements is crucial for optimizing patient outcomes in emergency settings. Inaccurate BP readings in the ED can result in inappropriate interventions, including unnecessary medication administration or missed diagnoses.

Emergency Department 123

Emergency Department Administration EMS Outcomes 123

Dr. Smith's ECG Blog

MARCH 10, 2025

They concluded, "Our findings increase confidence in the normal automated GE Marquette 12 SL ECG software interpretation to predict a benign outcome. Smith comment: this is a very stupid outcome measure) What if we use that methodology for the ECG above? What is the gold standard for ECG interpretation: patient outcome!!!

EKG/ECG 89

EKG/ECG Outcomes Documentation/Coding Emergency Department 89

The Skeptics' Guide to EM

NOVEMBER 16, 2024

He leads an AI team intending to improve patient outcomes and healthcare system efficiency. In healthcare, AI is being leveraged to enhance clinical decision-making, streamline administrative processes, and improve patient outcomes. Despite the potential benefits, integrating AI into clinical workflows presents challenges.

Emergency Department 110

Emergency Department Administration Outcomes Patient Safety 110

St. Emlyn

JUNE 23, 2024

Out-of-hospital cardiac arrest (OHCA) is a leading cause of morbidity and mortality globally, with a survival rate of less than 10% despite […] The post JC: The impact of double sequential external defibrillation timing on outcomes during refractory out-of-hospital cardiac arrest appeared first on St.Emlyn's.

Outcomes 97

Outcomes Hospitals Resuscitation 97

American Medical Compliance

NOVEMBER 29, 2024

Unlike traditional methods that rely on periodic fingerstick tests, CGM offers real-time insights into glucose levels, trends, and fluctuations, empowering proactive management and improving patient outcomes. However, to maximize its benefits, healthcare providers must be well-versed in the technology.

Outcomes 105

Outcomes Wellness Operations Pediatrics 105

Sensible Medicine

FEBRUARY 18, 2025

Treatment failure, the primary outcome, was defined differently for each group: A need for subsequent appendectomy in the antibiotic group and negative appendectomy for the controls. An RCT measures an intervention’s effect on a single outcome. In this study, different outcomes were assessed for each group.

Outcomes 95

Outcomes Research Emergency Department Pediatrics 95

The Skeptics' Guide to EM

APRIL 19, 2025

Few have been rigorously tested in the ED, and even fewer have demonstrated improvements in patient outcomes or clinician workflow. imaging) without clinical context, administrative or operational outcomes (e.g. However, the majority of AI-based CDS (AI-CDS) tools remain in early development.

Emergency Department 81

Emergency Department Outcomes Operations Administration 81

PulmCCM

FEBRUARY 5, 2025

In a meta-analysis published in Stroke , however, aggregating the 8 trials (n=1,742) led to a positive finding of improved neurologic outcomes overall for patients treated with thrombolytics given more than 4.5 1.75) for excellent functional outcomes; An odds ratio of 1.36 (CI 1.12-1.66) 1.66) for good neurologic outcomes.

Stroke 101

Stroke Documentation/Coding Outcomes 101

First 10 EM

DECEMBER 2, 2024

Despite being widely talked about in glowing terms, the original WOMAN trial was clearly negative, with no benefit in their primary outcome, and no change in all cause mortality, and therefore no hint of benefit.

Outcomes 96

Outcomes EMS 96

Pediatric EM Morsels

JULY 26, 2024

Higher titers in both CSF and serum were associated with poor outcomes. Earlier diagnosis leads to better outcomes. Younger Age at Onset Is Associated With Worse Long-term Behavioral Outcomes in Anti-NMDA Receptor Encephalitis. HSV serum and CSF PCR HSV is one of the most common etiologies of encephalitis and is devastating.

Psychiatric 274

Psychiatric Seizures Outcomes Pediatrics 274

St. Emlyn

DECEMBER 16, 2024

These guidelines aim to enhance decision-making in pediatric trauma imaging, incorporating new evidence and clinical tools to optimize patient outcomes while adhering to the principle of ALARP (As Low As Reasonably Practicable). Key updates include algorithms for blunt trauma, penetrating trauma, and blast injuries.

Mass Casualty Incidents 101

Mass Casualty Incidents Pediatrics Outcomes 101

PulmCCM

FEBRUARY 27, 2025

Does the choice of balanced solution make a difference in patient outcomes from critical illness? Based on their similarities, you might expect no differences in outcomes between patients resuscitated with LR or Normosol-R. There were no significant differences in any outcome: Bicarbonate levels: (-1.2 Buffering capacity (i.e.,

Resuscitation 95

Resuscitation Outcomes Research 95

Emergency Medicine Journal

JANUARY 21, 2025

Topic: Cardiac arrest Outcome rating: Head turner Securing intravenous access during out-of-hospital cardiac arrests (OHCA) can be challenging and time-consuming. We first present two related studies, published in the same issue of the New England Journal of Medicine , with a similar bottom line. Couper et al.

Emergency Department 98

Emergency Department Hospitals Outcomes 98

The Skeptics' Guide to EM

APRIL 5, 2025

Outcome: Primary Outcome: The rate ofmistriage (undertriage or overtriage) of pediatric patients using ESI v4. Secondary Outcomes: Patient and visit characteristics assoc. Comparison: Correct triage rates were compared againstundertriagedandovertriagedcases to identify patterns of mistriage.

Pediatrics 82

Pediatrics Emergency Department Outcomes Research 82

PulmCCM

NOVEMBER 7, 2024

For out-of-hospital cardiac arrest in particular, intravenous access can be difficult to establish, delaying the administration of epinephrine and other drugs and possibly worsening outcomes.

Resuscitation 98

Resuscitation Administration Hospitals Outcomes 98

American Medical Compliance

OCTOBER 31, 2024

This strategy improves patient outcomes and increases overall satisfaction. Key Components of Effective Healthcare Personnel Training for Senior and Disabled Care An effective training program should cover several core areas to ensure comprehensive care.

Best Practices 105

Best Practices Outcomes Patient Safety Wellness 105

EMDocs

APRIL 7, 2025

Better outcomes : Ultrasound-guided injections deliver medication more accurately, leading to faster and more effective pain relief 1,2. Ultrasound improves accuracy, comfort, and outcomes compared to landmark-based injections. Key Points Ultrasound-guided suprapatellar knee injections are effective for chronic knee pain in the ED.

Emergency Department 118

Emergency Department Ultrasounds Dislocations Fractures 118

Mind The Bleep

FEBRUARY 2, 2025

The longer these negative interactions go on, the more likely they are to significantly impact on outcomes for our patients, our colleagues and ourselves. Are disagreements tolerated and discussed, and do both sides contribute to the final outcome? Is there defensiveness or conflict bubbling up?Are Level 2: Alert.

Documentation/Coding 98

Documentation/Coding Outcomes Burns Wellness 98

Dr. Smith's ECG Blog

JULY 11, 2024

In general, family medicine physicians may not have the same amount of exposure to EKGs as an emergency medicine specialist or a cardiologist, but they shouldn’t have to rely on the traditional diagnostic computer algorithm.

EKG/ECG 112

EKG/ECG Outcomes Hospitals Wellness 112

Don't Forget the Bubbles

DECEMBER 31, 2024

The skills needed to deliver the best possible outcomes for children and young people are multifaceted and constantly evolving. Reading Body language in tense meetings, phraseology when making referrals, and quick corridor conversations when hospital capacity is at a premium may all result in improved outcomes but are rarely intentional.

Leadership 140

Leadership Emergency Department Outcomes Operations 140

Pediatric EM Morsels

APRIL 19, 2024

No formal follow up was scheduled Outcomes were: effectiveness, parental satisfaction, and economic benefits The majority of children wore their braces as directed (94%)There was no re-fractureAll parents were happy with the treatment (100%) and felt comfortable removing the brace (100%). West, 2005. Plint, 2006.

Fractures 293

Fractures Pediatrics Best Practices Outcomes 293

The Trauma Pro

JANUARY 2, 2024

EAST sponsored a prospective, multicenter study to identify factors influencing neurologic outcomes after spinal cord injury. It would be interesting to see if patients who had very consistent MAP therapy, say greater than 90% or 95% of the time, had any difference in outcomes. Could a single low MAP cause damage?

Outcomes 264

Outcomes Hospitals 264

PulmCCM

APRIL 3, 2025

In the meta-analysis of 14 trials testing weakness as an outcome (n=1,427), enhanced mobilization significantly reduced ICU-acquired weakness with a relative risk of 0.77, with a 95% confidence interval of 0.64 What did the data show? The strongest finding was for the prevention of ICU-acquired weakness.

Hospitals 81

Hospitals Outcomes 81

EMDocs

DECEMBER 1, 2024

The disease is generally mild, but in untreated cases, it can lead to more severe outcomes, especially in patients with underlying conditions such as glucose-6-phosphate dehydrogenase deficiency. Even though the disease often resolves spontaneously, prompt antibiotic therapy is essential for optimal outcomes. pregnant patients).

EMS 106

EMS Infectious Diseases Shock Airway Management 106

The Skeptics' Guide to EM

MARCH 8, 2025

Outcome: Primary Outcome(s): Successful lumbar puncture on the first attempt, with < 500 red blood cells/mm3. Secondary Outcomes: Time to perform LP, episodes of desaturation (SpO2 <80%), apnea, need for pain/sedation medication, skin changes at LP site, infection rate related to LP, pain, and parental satisfaction.

Outcomes 71

Outcomes Emergency Department Wellness 71

St. Emlyn

JANUARY 13, 2025

Ideal for clinicians and researchers aiming to optimise anaesthesia practices and enhance patient outcomes in emergency settings. With insights into drug protocols, administration methods, and governance, the article highlights challenges and opportunities for standardisation in prehospital care.

Administration 59

Administration Research Outcomes 59

Emergency Medicine Cases

FEBRUARY 18, 2025

The earlier an eating disorder is identified and the earlier that appropriate treatment is initiated the better the long term outcomes. Missing the diagnosis has important consequences.

Psychiatric 96

Psychiatric Emergency Department EMS Outcomes 96

Emergency Medicine Journal

APRIL 22, 2025

This systematic review and meta-analysis aimed to evaluate whether video laryngoscopy could improve the clinical outcomes of emergency tracheal intubation. The primary outcome was the first-attempt success rate, while secondary outcomes included intubation time, glottic visualisation, in-hospital mortality and complications.

Outcomes 52

Outcomes Emergency Department Operations Hospitals 52

The Trauma Pro

AUGUST 19, 2024

I’ve seen the clinical problems and poor outcomes that can arise from ignoring it many times over the years. Here’s another one. You’ve ordered a CT or a conventional x-ray image. The result comes back in your EMR. You take a quick glance at the summary at the bottom of the report. No abnormal findings are listed.

Outcomes 200

Outcomes 200

RebelEM

NOVEMBER 6, 2024

Elbow Dislocation Definition: Disarticulation of the proximal radius & ulna bones from the humerus Epidemiology: Incidence Second most common joint dislocation (after shoulder) in adults Most commonly dislocated joint in children Accounts for 10-25% of all injuries to the elbow ( Cohen 1998 ) Posterolateral is the most common type of dislocation (..)

Dislocations 114

Dislocations Fractures Soft Tissue Injuries Outcomes 114

Taming the SRU

APRIL 10, 2025

The primary outcome was the resolution of EFI-related symptoms; secondary outcomes included the need for additional interventions (e.g., Subjective Outcomes : Reliance on patient-reported symptom resolution further limits objective assessment. Each participant could receive up to three doses of oral nitroglycerin solution (0.4

Outcomes 63

Outcomes Administration Research 63

ACEP Now

NOVEMBER 7, 2024

Wound management in the ED is only a starting point, and appropriate referral and follow-up are key to an improved outcome. Implementing a thoughtful, cost-effective approach to ED wound care centered on optimizing wound healing and referral may improve patient outcomes, reduce admissions, and optimize resources. Back to the patient.

Burns 97

Burns Documentation/Coding Outcomes Emergency Department 97