Academic Emergency Medicine Journal

This multicentre prospective study from Dr. Yan reports predictors independently associated with 30-day recurrent ED visits for hyperglycemia.
#AEM #EM

In this latest study from the NeRVE Block Registry Study, they found that compared to isolated local anesthetic nerve blocks, dexamethasone had an association with improved pain control within 60 min.
#AEM #EM #POCUS

In this multicenter community setting study from Dr. Vinson with a low prevalence of PE, CTPA was preferentially ordered over lung scintigraphy in both the ED and LDU, even when both modalities were available and indicated.
#AEM #EM

A multi-center prospective study from @zackpemmd found that children who received a FICNB appeared to have a greater reduction in pain intensity and required less opioid medication than those who did not.
#AEM #PEM #EM #POCUS

New in #AEM: In a prospective multicenter study, Dr. Harrison et al. found that blood pressure reductions after diuretics during ADHF are modest and hypotension is likely rare.
#EM #Cardiology

A study from Dr. Jasti found that ETOH-intoxicated patients are unlikely to develop Wernicke's encephalopathy with acute dextrose administration. Thiamine likely has important benefit, but should not delay hypoglycemia management per the authors.
#AEM #EM

New in #AEM: Dr. Erkan Boğa (@kullaniciadiniz) comments on the "AI chasm" in ED clinical decision support systems. A call for alignment with implementation science and frontline physicians.

A study from @ImageSim found that eccentrically located gestational sacs were most at risk of diagnostic error and emergency physician diagnostic confidence was associated with competency in pregnancy #POCUS interpretation.
#AEM #EM #Ultrasound

How does the diagnostic process evolve for ED clinicians? Find out more in the study from Dr. Manojlovich. #AEM #EM

In this novel study using the Cosmos database, @MGottliebMD et al demonstrate rising rates of patients leaving AMA and low rates of return to an ED. Check out the full article to learn more...
#AEM #EM @RushEmergency

In this letter from Dr. Samadian a novel 1-month sabbatical program emphasizing flexibility and wellness over traditional career development was beneficial for their well-being, but had less of an effect on advancing their academic career.

A study from @nsbedi @The_BMC @BMCSurgery @BostonTrauma @liallee1 found notable toxicology and EtOH testing discrepancies across two Level I trauma centers.

The Standards for Point-of-Care Ultrasound Research Reporting (SPUR) can aid researchers, reviewers, and clinicians in the design, dissemination, and critical appraisal of POCUS research.

Children with asthma often still have trouble breathing after emergency department treatment. This pilot trial is the next step toward answering if IV magnesium can help.

A study from @AlexJankeMD found that as Veterans across the country increasingly seek care at VA and non-VA emergency departments, it is essential to ensure Veterans are receiving high-value care.

This recent validation study from Dr. Ohle found the Sudbury Vertigo Risk Score effectively identifies the risk of a serious diagnosis in patients with dizziness and can guide further investigation, consultation, and treatment decisions.

A recent RCT from Dr. Turkucu found that smaller doses of Ketamine may be sufficient for procedural sedation. There was no significant difference in recovery agitation, sedation duration, and changes in vital signs between 0.5 and 1 mg/kg IV ketamine.

A recent survey study from Dr. Bartz finds that while most ED doctors support the provision of abortion care, they do not routinely provide this care due to a variety of factors including lack of knowledge, lack of training, and legal and institutional restrictions.

Spanish & Portuguese speakers were less likely to be restrained or sedated, while other language groups faced higher odds in a recent retrospective review from Dr. Wong.

#AEM #EM

A new randomized trial from Dr. Otterness finds that TENS significantly reduces back pain in ED patients compared to a sham procedure. Fewer meds were needed, and there was higher patient satisfaction.

#AEM #EM

Use of ED Critical Care Consult teams may reduce need for ICU admission by 14% and increase Critical Care billings in the ED. A win for patients and the system! Read more in this study from @MICUnerd

#AEM #EM

The 10 research questions identified from this modified Delphi study inform future work by researchers, funders, policy makers, and other key decision makers who aim to meaningfully advance the management of pain in children cared for in the emergency care setting.

#AEM #EM

New study from Dr. Acharya enhances Geriatric Trauma Outcome Score (GTOS) with improved clinical utility using Net Benefit & Decision Curve Analysis.

#AEM #EM

This study from Dr. Yasuda, using data from 95 hospitals in Japan, highlights the critical role of timely administration in improving 30-day neurological outcomes and survival rates for patients with OHCA and non-shockable rhythms.
#AEM #EM #CPR #Epinephrine

This study by @JustinBrooten, @DrJSpeiser showed that initial labs and vital signs in the ED could identify over 80% of patients who later died during hospital admission. Early assessment can further support earlier provision of palliative care in appropriate cases.
#AEM #EM

This study from Dr. Arnold found that few children with blunt torso trauma and one or two PECARN predictor variables present have intraabdominal injury. Those with GCS score <14, however, are at highest risk for intraabdominal injury.

#AEM #EM

These narratives from Dr. Gutman demonstrate ways in which experienced racism, both past and present, may inform how parents receive and respond to gaps in PCC and offers perspectives to promote health equity.

#AEM #EM

In a prospective cohort study of 280 gender minority ED patients, we found that more than 1 in 3 experienced a suicide attempt prior to the ED visit. The identified risk and protective factors inform ED efforts to detect and reduce suicide risk in this population.

#AEM #EM

CRISPE, a new CDI in a study from Dr. Harrison, was developed and internally validated while MELD variants were externally validated to predict 14- day and 30- day mortality in cirrhosis patients presenting to the ED.

#AEM #EM

A standardized sepsis orderset was associated with decreased racial disparities in antibiotics timing and mortality in this study from. Dr. Hunter.

#AEM #EM #Sepsis