Tag: emergency medicine

1. In a cohort of laypersons participating in Basic Life Support courses, video-based and simulation-based teaching methods led to improved recognition of breathing patterns compared to standard teaching. Evidence Rating Level: 1 (Excellent) Agonal breath sounds are present in about half of the victims during early cardiac arrest. However, teaching laypersons...
1. Women patients with stroke were 10% less likely than male patients to achieve a door-to-computed tomography time (DTCT) within 25 minutes, the recommended time to prevent delayed treatments. 2. Black patients were 12% less likely, and Hispanic patients 7% more likely than white patients to achieve a DTCT within...
1. Early head-to-pelvis CT imaging for patients experiencing out-of-hospital circulatory arrest is safe, expedites diagnosis, and can meaningfully impact management. Evidence Level Rating: 2 (Good) Out-of-hospital circulatory arrest (OHCA) is a devastating event. For patients resuscitated from an OHCA event, determining the etiology is often challenging due to a lack of...
Total knee replacement after high tibial osteotomy: time-to-event analysis and predictors 1. 5 and 10 years after undergoing a high tibial osteotomy procedure, 95% and 79% of knee osteoarthritis patients respectively did not require a total knee replacement. 2. Preoperative factors associated with an increased rate of conversion to total knee...
An exploratory analysis of tamsulosin for Overactive Bladder (OAB) in men with varying voiding symptom burden 1. Among men with symptoms of overactive bladder with or without concomitant benign prostatic hyperplasia, tamsulosin therapy significantly reduced the symptoms of overactive bladder. Evidence Rating Level: 2 (Good) Lower urinary tract symptoms (LUTS) are common...
1. Both 10 and 20 mgs of IV ketorolac were found to be non-inferior to 30 mg IV for the emergency pain management of renal colic. 2. The rate adverse effects across the three cohorts was found to be similar. Evidence Rating Level: 1 (Excellent) Study Rundown: Renal colic is commonly encountered...
1. For the treatment of acute pain in the emergency setting, 0.15 mg/kg IV ketamine was shown to be non-inferior to a higher dose of 0.3 mg/kg. Evidence Level Rating: 1 (Excellent) The opiate crisis has led many providers to search for new agents for analgesia; one such agent is ketamine,...
1. Low BMI, Killip class 3/4, history of previous MI, use of mechanical support, and flow worsening were shown to be significantly associated with major adverse cardiac events (MACE) in patients with an ST-elevation myocardial infarction (STEMI) who have achieved a door-to-balloon time (DTBT) under 90 minutes. 2. Radial access...
1. In trauma patients at risk for hemorrhage, pre-hospital administration of tranexamic acid did not significantly improve 30-day mortality compared to a placebo. 2. 30-day mortality outcomes were higher in the treatment group, when tranexamic acid was administered within 1 hour of injury, when the patient underwent severe shock, or...
Timing of Oral P2Y12 Inhibitor Administration in Non-ST Elevation Acute Coronary Syndrome 1. There does not appear to be any difference in outcome between pre- and post-treatment administration of P2Y12 inhibitors among patients experiencing a non-ST elevation acute coronary syndrome with planned invasive intervention. 2. Prasugrel and ticagrelor showed similar outcomes...