Stop and Think

DECEMBER 29, 2023

For an older patient with stroke risk factors and 3 hours of AF on a cardiac device, pre-2023 thinking would have us leaning toward anticoagulation. Edoxaban reduced the primary endpoint of stroke, systemic embolism, and cardiovascular death by 19% (HR, 0.81; 95% CI, 0.60-1.08; hours) to edoxaban vs placebo. I don’t know.

Stroke 83

Stroke Research EKG/ECG Wellness 83

The Skeptics' Guide to EM

FEBRUARY 26, 2019

This has been through various peer reviewed publications, doing Emergency Medicine Abstracts (EMA) audio program […] The post SGEM Xtra: No Retreat, No Surrender – Thrombolysis for Acute Ischemic Stroke first appeared on The Skeptics Guide to Emergency Medicine. It appears his concerns may have come true. Six trials showed no benefit.

Stroke 52

Stroke EMS Research Outcomes 52

EMDocs

JANUARY 29, 2024

This article will discuss blood pressure goals and preferred pharmacotherapy for non-traumatic ischemic and hemorrhagic strokes. Ischemic Strokes: Ischemic stroke is characterized by a blockage of a blood vessel in the brain. The BP targets for patients with ischemic strokes depend on the available therapeutic options.

Stroke 71

Stroke Outcomes EMS Seizures 71

The Skeptics' Guide to EM

OCTOBER 3, 2020

She is the creator of the HEART Score and an enthusiastic researcher. Ticagrelor and Aspirin or Aspirin Alone in Acute Ischemic Stroke or TIA. NEJM […] The post SGEM#303: Two Can Make It – Less likely to have another stroke but more likely to have a bleed (THALES Trial) first appeared on The Skeptics Guide to Emergency Medicine.

Stroke 40

Stroke Emergency Department Research Wellness 40

Medagadget

NOVEMBER 20, 2023

The researchers hope that the technology will enhance robotic prostheses and allow users to expand the range of daily activities they can perform using their prosthetic devices. However, the researchers are keen to stress that this technology will evolve much further in the future.

Research 96

Research Stroke 96

Medagadget

OCTOBER 19, 2023

Researchers at the University of Cincinnati have developed a lateral flow assay that can detect bacterial toxins from Porphyromonas gingivalis , the causative bacteria for gingivitis. In this instance, these researchers at the University of Cincinnati have developed a lateral flow assay to detect the bacteria responsible for gingivitis.

Point-of-Care Testing 86

Point-of-Care Testing Research Stroke Wellness 86

Sensible Medicine

NOVEMBER 28, 2023

i] Though I’ve never been a traditional researcher, I’ve added quite a bit to “medical literature” over the years. The primary outcome was stroke or systemic embolism and the primary safety outcome was major bleeding. years, anticoagulation reduced the rate of stroke or systemic embolism by 1.7% (HR: 0.63; 0.45

Stroke 81

Stroke Academics Outcomes Administration 81

The Skeptics' Guide to EM

APRIL 3, 2021

Date: March 31st, 2021 Guest Skeptic: Prof Daniel Fatovich is an emergency physician and clinical researcher based at Royal Perth Hospital, Western Australia. Date: March 31st, 2021 Guest Skeptic: Prof Daniel Fatovich is an emergency physician and clinical researcher based at Royal Perth Hospital, Western Australia. THAWS RCT Substudy.

Stroke 52

Stroke Research Outcomes Hospitals 52

Taming the SRU

AUGUST 7, 2023

The patient needs a transvaginal ultrasound w/ doppler with gynecology consult and possible laparotomy TVUS is not just for torsion, it can also be used for ectopic pregnancies or pregnancy of unknown location Acute Ischemic Stroke Updates WITH Drs. Research Grand rounds WITH Drs. The expanded window of 3-4.5

Stroke 84

Stroke Outcomes EKG/ECG Research 84

The Skeptics' Guide to EM

JULY 4, 2020

Date: June 30th, 2020 Guest Skeptic: Professor Daniel Fatovich is an emergency physician and clinical researcher based at Royal Perth Hospital, Western Australia. Date: June 30th, 2020 Guest Skeptic: Professor Daniel Fatovich is an emergency physician and clinical researcher based at Royal Perth Hospital, Western Australia.

Stroke 52

Stroke Research Hospitals Emergency Department 52

Taming the SRU

OCTOBER 5, 2023

morbidity and mortality - quality improvement - research grand rounds - r1 clinical knowledge: pres/rcvs - r4 case follow-up: compartment syndrome Morbidity and Mortality WITH dr. finney Takotsubo Cardiomyopathy with COVID-19 Increasing incidence of Takotsubo Cardiomyopathy with the COVID-19 pandemic Morbidity and mortality is similar to that of ACS (..)

Stroke 80

Stroke EKG/ECG Seizures CPR 80

ACEP Now

OCTOBER 9, 2023

The concept of rapid assessment for heart attacks and strokes is not foreign to the general public, but these emergencies do not include rapid destruction of clothing, private examinations performed in front of audiences, or a quick succession of invasive procedures. with a professional focus on the care of critically ill patients.

Resuscitation 126

Resuscitation Research Stroke Emergency Department 126

Sensible Medicine

DECEMBER 4, 2023

When I started cardiology, much research focused on improving the care of people who had myocardial infarction (MI). A lot less research goes into post-MI care. 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.

Outcomes 91

Outcomes Research Hospitals Stroke 91

The Skeptics' Guide to EM

APRIL 8, 2023

John Brown PhD is a Professor of Health Services Research in Ireland who has been studying rural healthcare issues since 2012. The pre-specified subgroup analyses showed a decrease in in-hospital or 30-day mortality for myocardial infarction, stroke, aortic aneurysm, and major trauma but not for pneumonia, bowel perforation or hip fractures.

Stroke 54

Stroke Emergency Department Academics COPD 54

Sensible Medicine

NOVEMBER 13, 2023

We call the primary endpoint of SELECT—CV death, MI or stroke—a hard cardiovascular endpoint. This newsletter often criticizes industry and biased researches. Meaning this was a secondary prevention study.) Patients in the trial were in their low sixties. The average BMI was 33 and patients weighed about 96 kilograms.

Outcomes 106

Outcomes Stroke Wellness Research 106

Sensible Medicine

MARCH 18, 2024

For example, our systematic review and meta-analysis of 21 RCTs found no consistent relationship between lowering LDL-Cholesterol with statins and the risk of death, heart attack or stroke. Sensible Medicine remains a place where non-establishment opinions can be published.

Stroke 145

Stroke Research 145

RebelEM

SEPTEMBER 14, 2023

bleeding, stroke, limb ischemia, and hemolysis). Many centers have attempted ECLS to achieve hemodynamic stabilization in this group of patients. The benefits of this strategy may be outweighed by the risk of the device-related complications (i.e. The evidence for this practice has been sparse until now. Zeymer HT et al. Control: 53.4%

Shock 119

Shock Outcomes Resuscitation Stroke 119

The Skeptics' Guide to EM

DECEMBER 5, 2020

She is the New York ACEP liaison for the Research and Education Committee and is a past ALL NYC EM Resident Education Fellow. You’re about to call in your MRI tech from home, but then you remember reading that the HINTS exam is more sensitive than early MRI for diagnosis of posterior stroke. How hard can it be?”

Stroke 40

Stroke Documentation/Coding Emergency Department Hospitals 40

RebelEM

MARCH 13, 2024

This was not a Code 3 respiratory distress, fentanyl overdose with minimal response to Narcan or even an unconscious stroke patient with the blood pressure of a giraffe. How does thinking on the spectrum of more or less right impact our utilization of new research or of implementing a consultant’s recommendations?

Documentation/Coding 57

Documentation/Coding Outcomes EMS Stroke 57

EMDocs

NOVEMBER 20, 2023

High certainty of evidence: further research is unlikely to change the confidence in the estimate of the effect. Moderate certainty of evidence: further research is likely to have an important impact and may change the estimate. Low certainty of evidence: further research is very likely to change the estimate.

Resuscitation 78

Resuscitation Fluid Resuscitation Hospitals Research 78

PulmCCM

JANUARY 22, 2024

A Final Note And with that, another 20-year boom-bust cycle in critical care research ends (for now). Was this progress—the slow but steady march of clinical research, whose arc is long but bends toward truth—or a colossal collective tail-chasing, an awkward full-circle return to square one?

Hyperthermia / Hypothermia 80

Hyperthermia / Hypothermia Outcomes Research Hospitals 80

The Skeptics' Guide to EM

JUNE 17, 2023

Her research interests include optimizing pain treatment in children. Amy Drendel is a pediatric emergency medicine physician and physician scientist at Children’s Wisconsin. She is a Professor of Pediatrics and Interim Chief of the Section of Pediatric Emergency Medicine at the Medical College of Wisconsin.

Emergency Department 70

Emergency Department Pediatrics Administration Head Injuries 70

Mind The Bleep

JANUARY 9, 2024

myocardial infarction, peripheral vascular disease, stroke ) and microvascular (e.g., Diabetes Control and Complications Trial Research Group. Overview Diabetes mellitus can cause both macrovascular (e.g., nephropathy, neuropathy, retinopathy) complications. Diabet Med 2001; 18: 178–184 2 Nathan DM, Genuth S, Lachin J, et al.;

Stroke 52

Stroke Research 52

The Skeptics' Guide to EM

SEPTEMBER 19, 2020

Robert’s academic interests include research and evidence-based medicine. Robert’s academic interests include research and evidence-based medicine. Date: September 16th, 2020 Guest Skeptics: Dr. Robert Goulden and Dr. Audrey Marcotte are Chief Residents from the Royal College of Emergency Medicine Program at McGill University.

Academics 52

Academics Resuscitation Research EMS 52

The Skeptics' Guide to EM

OCTOBER 14, 2019

He is also the creator and founder of REBEL EM and REBEL Cast, a free, critical appraisal blog and podcast that tries to cut down knowledge translation gaps of research to bedside clinical practice. Case: A 42-year-old man falls off a backyard deck. absolute mortality reduction in adult trauma patients.

Stroke 52

Stroke EMS Outcomes Emergency Department 52

RebelEM

JUNE 19, 2023

The PATCH-trauma researchers sought to address this critique. SBP < 75 mm Hg: 39% SBP 76-89 mm Hg: 33% Critical Findings: No statistically significant difference in safety outcomes (DVT, PE, MI, Stroke) TXA Placebo RR (95% CI) Primary Outcome Good Functional Outcome (6 months) 53.7% Prehospital Tranexamic Acid for Severe Trauma.

Outcomes 99

Outcomes Blood Transfusions Administration Hyperthermia / Hypothermia 99

The Skeptics' Guide to EM

MAY 24, 2019

Andrew Worster is a staff Emergency Physician and Professor of Emergency Medicine and Health Research Methods, Evidence, and Impact at McMaster University. He is an investigator for multiple clinical studies funded by the Canadian Institutes of Health Research. In her spare time, she embarks on outdoor adventures with her family.

Domestic Violence 40

Domestic Violence Sexual Assault Research Diabetic Emergencies 40

ACEP Now

JULY 6, 2023

Emergency physicians have become leaders in achieving cost efficiency in health care, predominantly through implementation of new processes and research findings, enabling us to achieve significant financial savings. Pediatric Emergency Care Applied Research Network head injury clinical prediction rules are reliable in practice.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 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. Discussion The researchers concluded that there was no difference in rate control at 30 minutes when utilizing diltiazem vs metoprolol based on this study.

Outcomes 52

Outcomes Documentation/Coding Stroke Wellness 52

Stop and Think

APRIL 12, 2022

At ACC, Canadian researchers presented results of a trial called SODIUM-HF , which randomized out-patients with heart failure to standard advice on salt vs a 1500 mg/day low-salt diet. We call incomplete closure, leaks, and even if small, they associate with higher rates of strokes and bleeding. Split infinitive seemed ok there.)

Stroke 40

Stroke Hospitals Research Outcomes 40

Stop and Think

SEPTEMBER 2, 2022

Australian researchers reported no differences in outcomes with the more aggressive approach. Aspirin, for instance, does little to prevent heart disease in people who have not had a cardiac event, but can be quite helpful after a stent, or heart attack or stroke. IOW, CAPLA tested less vs more. I love such studies.

Research 52

Research Stroke Outcomes 52

The Skeptics' Guide to EM

SEPTEMBER 24, 2022

Intravenous tenecteplase compared with alteplase for acute ischaemic stroke in Canada (AcT): a pragmatic, multicentre, open-label, registry-linked, randomised, controlled, non-inferiority trial. He is Head of the Centre […] The post SGEM#377: You Don’t Have to “AcT” that Way – TNK for Acute Ischemic Stroke? Reference: Menon et al.

Stroke 40

Stroke Research Hospitals 40

ACEP Now

OCTOBER 3, 2023

These guidelines present the best available evidence to support clinical decision making in the prehospital setting when TBI care may have the most significant impact on outcomes; they also establish a research agenda for future investigations.

Documentation/Coding 98

Documentation/Coding Fluid Resuscitation Resuscitation Pediatrics 98

ACEP Now

APRIL 2, 2024

8,9 There is one case of a 17-year-old who died from acute cerebellar stroke after participating in the “One Chip Challenge” (eating a capsaicin infused food chip as a game) that prompted Hershey Co. Dr. Hack is chief of the division of medical toxicology and vice chair for research at East Carolina University in Greenville, North Carolina.

Burns 40

Burns Poisoning Seizures Stroke 40

Downeast Emergency Medicine

APRIL 26, 2021

MI or stroke). Secondary outcomes were early head injury related death (within 24 hours after injury), all-cause and cause-specific mortality, disability, vascular occlusive events (MI, stroke, DVT, PE), seizures, complications, neurosurgery, days of ICU care, and adverse events within 28 days. in the TXA group and 9.9%

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

Taming the SRU

MAY 1, 2023

Exertional Hyperthermia Patients with heat stroke will present with Temp > 104, AMS, or seizures.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Emergency Department Seizures 52

RebelEM

SEPTEMBER 7, 2023

BACKGROUND: intracerebral hemorrhage (ICH) makes up 10-15% of all strokes and significantly contributes to overall stroke-related morbidity and mortality ( Hostettler 2019 ). About 30% of patients experience early seizures within seven days following the onset of a stroke ( Peter-Derex 2022 ).

Seizures 107

Seizures Stroke Outcomes Research 107