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.

Outcomes 133

Outcomes Resuscitation Hospitals CPR 133

The Trauma Pro

SEPTEMBER 20, 2023

The primary outcome was mortality, and secondary outcomes included the need for surgery, fluid and blood infusions, and the use of a massive transfusion protocol. These low numbers and the nature of this particular registry could inject significant bias as well. AAST 2023 Plenary paper #29.

Military 113

Military Blood Transfusions Outcomes Administration 113

Sensible Medicine

NOVEMBER 20, 2023

The primary outcome was stroke or systemic embolism. Lessons and Questions: This surprise illustrates exactly why we need properly powered Phase 3 trials, which measure hard clinical outcomes. But, ultimately, a new medical intervention has to improve an important outcome as well as or better than standard care.

Stroke 106

Stroke Outcomes Wellness 106

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. There were other positive results as well. Each component of the primary outcome was lower. Patients in the trial were in their low sixties.

Outcomes 106

Outcomes Stroke Wellness Research 106

RebelEM

FEBRUARY 1, 2024

Limitations : Open label study design Outcome assessments were done via telephone interview. mg/kg, max 25mg) vs. intravenous alteplase (0.09 mg/kg followed by 0.81 vs Alteplase 34.8% Unadjusted risk difference 2.1% [ 95% CI -2.6 mg/kg, max 25mg) vs. intravenous alteplase (0.09 mg/kg followed by 0.81 vs Alteplase 34.8% mg/kg followed by 0.81

Stroke 119

Stroke Blood Transfusions Outcomes EMS 119

RebelEM

APRIL 22, 2024

Intervention: Target PaO2 = 60 mm Hg Control: Target PaO2 = 90 mm Hg Outcome (primary): Absolute number of days without life support in 90 days defined as the absence of mechanical ventilation, circulatory support, or kidney replacement. Outcomes (secondary): 90-day all-cause mortality. CI) Secondary Outcomes 90-day Mortality 34.7%

Outcomes 72

Outcomes Best Practices EMS Shock 72

Don't Forget the Bubbles

DECEMBER 25, 2023

Interpreting Research Outcomes with a Little Bathroom Humour You have learned a method for how to read a research paper , and now you are faced with a bunch of outcomes. There are primary, secondary, composite , and safety outcomes. What are these outcomes? We know there is a bias towards reporting positive outcomes.

Research 83

Research Outcomes Fractures Hospitals 83

Emergency Medicine Cases

FEBRUARY 13, 2024

How can we utilize virtual care to make it work for us and our patients well? How can we integrate systems thinking into the daily operations of EDs to improve patient flow and outcomes? How can we improve our EMS systems? How can we change the system to prevent emergency provider burnout? and many more.

EMS 78

EMS Operations Outcomes Wellness 78

Taming the SRU

MARCH 27, 2024

The primary outcome was cumulative norepinephrine use during the first 48 hours of admission. Secondary outcomes included mean arterial pressure (MAP), heart rate, vasoactive inotropic score (VIS) – a weighted score of different cardiovascular active agents, VIS/MAP, and pulmonary artery catheter (PAC) monitoring. Hill, J.

Resuscitation 87

Resuscitation Outcomes CPR Hospitals 87

RebelEM

AUGUST 21, 2023

This trial aimed to assess whether targeted therapeutic mild hypercapnia (TTMH) applied during the initial 24 hours of mechanical ventilation in the ICU can enhance neurological outcomes at the 6-month mark, as compared to standard care, which involves targeted normocapnia (TN). Paper: Eastwood G, et al.

Hospitals 77

Hospitals Resuscitation Outcomes CPR 77

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 102

Stroke Outcomes Wellness 102

Sensible Medicine

AUGUST 21, 2023

In these cases, not only is the diagnosis completely arbitrary on the part of the clinician, but the severity of the condition has an extremely strong influence on its contribution to the usually measured outcome. ” For example, mortality is a patient outcome—provided it can be reliably ascertained. It is our goal.

Administration 88

Administration Outcomes Research COPD 88

RebelEM

JUNE 22, 2023

Outcomes: Primary: The development of long-COVID up to 300 days after enrollment. This secondary outcome became the primary outcome (see discussion for more detail). Blinding procedures were well constructed as to mask group allocation. Prior vaccination was not an exclusion criteria.

Outcomes 123

Outcomes Research Documentation/Coding Wellness 123

Don't Forget the Bubbles

DECEMBER 18, 2023

There are many reasons we may continue resuscitation beyond the period when we hope for a good outcome. Maybe that’s still a form of good outcome? The team must know they did their job well and that they’ve given the family precious time with their child, even if the outcome will still be bad. So what do we do?

Resuscitation 131

Resuscitation Outcomes CPR Hospitals 131

Sensible Medicine

FEBRUARY 27, 2024

Clinical guidelines have potential benefits: improved health outcomes, consistency of care, and reduced uncertainty (for the clinician). In the ideal, clinical guidelines incorporate evidence and expert opinion and enable clinicians to make evidence-based decisions without having to read the primary literature.

Outcomes 116

Outcomes Wellness 116

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% Demographics were well balanced in the two groups.

Outcomes 99

Outcomes Blood Transfusions Administration Hyperthermia / Hypothermia 99

EMDocs

JUNE 8, 2023

and 9 hours after onset of symptoms, with non-infarcted brain tissue, does the administration of alteplase improve functional outcome at 90 days? and 9 hours of symptom onset; stroke symptoms that started during sleep were assumed to have started halfway between the actual last known well and the time of wake-up. to 53.54, p=0.053).

Stroke 76

Stroke Administration Outcomes Documentation/Coding 76

EMDocs

JULY 20, 2023

A second primary outcome was added at the 30-month time frame by request of the FDA, the trial was still blinded at that time. A second primary outcome was added at the 30-month time frame by request of the FDA, the trial was still blinded at that time. POWER: 86% to detect a 1-point difference in the group’s first primary outcome.

Stroke 71

Stroke Outcomes Head Injuries Psychiatric 71

JournalFeed

JANUARY 13, 2024

Monday Spoon Feed: This expert panel from Canada has compiled a list of what they deem to be the most influential POCUS papers with regard to cardiac arrest as well as evaluation of shock. Whether you want to further educate yourself or guide your residents to learn more on the subject, this primer is a great place to start.

Shock 52

Shock Outcomes Wellness 52

Sensible Medicine

NOVEMBER 6, 2023

Today I will tell you about one-year results of the SWISS-APERO trial—which compared outcomes with the two most common types of closure devices. This study report included only 45-day outcomes. They main outcome measure was patency of the left atrial appendage. This is a decidedly bad outcome. Pause there.

Stroke 128

Stroke Outcomes Ultrasounds Wellness 128

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

The Skeptics' Guide to EM

JULY 2, 2023

His Glasgow Coma Scale (GCS) score is 13 with obvious head trauma as well. Most of the times the RCTs we critically appraised did not demonstrate superiority for their primary outcome. Background: We have looked at the use of TXA many times on the SGEM. Reference: PATCH-Trauma Investigators and ANZICS Clinical Trial Group.

EMS 145

EMS Outcomes Hospitals Research 145

Medagadget

OCTOBER 19, 2023

The ball, which the researchers call the Physical Artefact for Well-being Support (PAWS), is designed to be held in the hands, and sensors placed on the body monitor the user’s breathing, which the ball then reflects with its movements. See a video about the technology below.

Research 80

Research Outcomes Wellness 80

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

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%

Administration 112

Administration Blood Transfusions Outcomes Hospitals 112

American Medical Compliance

APRIL 15, 2024

Child abuse and neglect are unfortunately pervasive issues that can have long-lasting impacts on a child’s health and well-being. Our Continuing Medical Education (CME) program is committed to enhancing the knowledge, skills, and professional performance of healthcare providers to improve patient care outcomes.

Burns 95

Burns Wellness Outcomes 95

American Medical Compliance

APRIL 17, 2024

Likewise, taking this training course with American Medical Compliance can help your staff become more knowledgeable about this insurance program, as well as work with their patients in this program. These companies determine if coverage is necessary in their region or not and medically necessary, as well.

Wellness 52

Wellness Outcomes 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% 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 119

Shock Outcomes Resuscitation Stroke 119

American Medical Compliance

APRIL 23, 2024

Our Continuing Medical Education (CME) program is committed to enhancing the knowledge, skills, and professional performance of healthcare providers to improve healthcare outcomes. American Medical Compliance is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education to physicians.

Wellness 52

Wellness Outcomes 52

Ziqitza HealthCare Ltd

NOVEMBER 21, 2023

During medical e­mergencies, the­ choice of a dependable­ ambulance service can be­ crucial in determining life and de­ath outcomes. Ziqitza Healthcare ltd is widely re­cognized for its prompt response time­s, which are made possible by the­ir well-organized network and e­fficient dispatch system.

Ambulance Services 52

Ambulance Services Basic Life Support Outcomes Wellness 52

Advanced Emergency Nursing from AENJ

OCTOBER 30, 2016

Those anxious prognosis questions can be given assurance as my surgeon grandfather did with "you're doing as well as can be expected considering the circumstances." " This puts into play the powerful forces of expectation of a positive outcome. ." This also helps induce buy-in to the plan by the patient and family.

Outcomes 40

Outcomes Emergency Nursing Pediatrics Wellness 40

American Medical Compliance

JUNE 19, 2023

By providing extended Medicaid coverage, states are taking a proactive approach to safeguarding the well-being of mothers during this vulnerable period. The extended coverage empowers new mothers to seek the care they require, thereby reducing potential health risks and improving overall outcomes.

Wellness 52

Wellness Outcomes 52

Taming the SRU

APRIL 22, 2023

If untreated, atrial fibrillation can increase clot formation and lead to an increased risk for heart attack and stroke as well as development of congestive heart failure. There were similar lengths of say overall and no significant difference in safety outcomes. However, it is still used in certain cases.

Outcomes 52

Outcomes Documentation/Coding Stroke Wellness 52

RebelEM

AUGUST 31, 2023

CVC placement under ultrasound guidance has decreased overall complication rates and there is increased awareness of transfusion reactions, alloimmunization, acute lung injury, circulatory overload, as well as infection. Primary Outcome – Bleeding (Grade 2 to 4) Transfusion 4.8% Non-inferiority margin was set at 2.5% g/dl vs 8.5

Ultrasounds 57

Ultrasounds Outcomes Wellness Research 57

RCEM Learning

APRIL 9, 2024

Manage Stress and Maintain Well-being: The MRCEM OSCE can be demanding, so it’s important to manage stress and maintain your well-being. By following these steps, you can enhance your skills and confidence, and increase your chances of achieving a favourable outcome. The post MRCEM OSCE appeared first on RCEMLearning.

Emergency Department 52

Emergency Department Outcomes Wellness 52

AENJ: Current Issue

SEPTEMBER 30, 2023

Managing agitation in pregnancy is a challenging dilemma due to the fear of adverse maternal and neonatal outcomes as well as the legal risk involved. Should medication be necessary, first-generation antipsychotics, second-generation antipsychotics, antihistamines, or benzodiazepines may be considered.

Psychiatric 55

Psychiatric Emergency Department Outcomes Wellness 55

Emergency Medicine Ireland

MAY 13, 2024

You dig a little deeper and see an echo report that says the left heart works well but the right side is dilated. These inhibit the enzyme you expect from the name but the key outcome is that there is an increase in nitric oxide something that causes pulmonary vasodialtion. This is by far the commonest. This is by far the commonest.

Wellness 97

Wellness Outcomes 97