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Approaches in Prehospital Sepsis Screening
Discussion In the United States, sepsis is one of the leading causes of death, which requires timely identification and proper treatment (CDC, 2019; Guerra et al., 2020; Polito et al., 2015). Based upon a review of literature conducted from 2014 to 2018, the primary investigators could locate five prehospital EMS screening tools to assist EMS providers in identifying at-risk sepsis patients. The researchers explored how the modified SIRS and qSOFA scoring systems were used in hospital settings in addition to these five prehospital EMS screening tools. The Bas 90-30-90, Guerra, PRESEP, PRESS, and Robson tools have ove...
Source: JEMS Special Topics - January 5, 2021 Category: Emergency Medicine Authors: JEMS Staff Tags: Exclusives Patient Care EMS EMT Paramedic Prehospital Sepsis Source Type: news

Modeling anesthetic times. Predictors and implications for short-term outcomes
Conclusions: Modeling individually anesthetic induction and recovery time on the basis of operative and anesthetic procedure characteristics is feasible. Anesthetic and operative times do not impact perioperative morbidity and mortality.
Source: Journal of Surgical Research - October 31, 2012 Category: Surgery Authors: Panagiotis Kougias, Vikram Tiwari, Neal R. Barshes, Carlos F. Bechara, Briauna Lowery, George Pisimisis, David H. Berger Tags: Association for Academic Surgery Source Type: research

No evidence that the price of fame is an early death
Conclusion Given our obsession with celebrity lifestyles, it’s perhaps not surprising that this study has attracted so much interest. It seems to support popular beliefs about the cost of fame in terms of drug addiction and high-risk behaviours such as smoking, drinking and drug abuse. However, as the lead author – Professor Epstein, from the School of Medicine, University of Queensland – conceded, a one-off analysis of obituaries published in a specific newspaper, with no comparison group, proves very little. Examining another random sample of 1,000 deaths of high-profile people, or the general population, from the...
Source: NHS News Feed - April 18, 2013 Category: Consumer Health News Tags: Lifestyle/exercise Source Type: news

Abstract 15: Decisional Needs in Patients Considering Left Ventricular Assist Device as Destination Therapy: Contrast Between Acceptors and Decliners Concurrent Session I Session C: Young Investigator Award Finalists Oral Abstract Presentations
Conclusions: There is a fundamental difference in values surrounding death among patients who either accept or decline a DT LVAD. Decision support interventions around this complex medical decision need to consider patient values first before getting into more cognitive aspects of the decision making process.
Source: Circulation: Cardiovascular Quality and Outcomes - May 15, 2013 Category: Cardiology Authors: McIlvennan, C. K., Allen, L. A., Nowels, C., Cleveland, J. C., Brieke, A., Matlock, D. D. Tags: Concurrent Session I Session C: Young Investigator Award Finalists Oral Abstract Presentations Source Type: research

Abstract 63: The Smoking Paradox in Patients Hospitalized with Coronary Artery Disease: Findings from Get With The Guidelines - CAD Poster Session I
Conclusion: Smoking continues to be a major risk factor for presenting with CAD at a much younger age and with fewer risk factors. It is likely that the continued modest association with lower in-hospital mortality in smokers in this analysis after adjustment reflects residual or unmeasured confounding. This apparent smoker’s paradox in CAD should not be interpreted as a benefit of cigarette smoking.
Source: Circulation: Cardiovascular Quality and Outcomes - May 15, 2013 Category: Cardiology Authors: Ali, S. F., Smith, E. E., Bhatt, D. L., Pan, W., Fonarow, G. C., Schwamm, L. H. Tags: Poster Session I Source Type: research

Validation of the San Francisco Syncope Rule in Two Hospital Emergency Departments in an Asian Population
ConclusionsIn this study, SFSR rule had a sensitivity of 94.2%. This suggests caution on the strict application of the rule to all patients presenting with syncope. It should only be used as an aide in clinical decision‐making in this population. Resumen Validación en una Población Asiática de la Escala de Síncope de San Francisco en Dos Servicios de Urgencias HospitalariosObjetivesValidar externamente la capacidad de la Escala de Síncope de San Francisco (San Francisco Syncope Rule (SFSR)) para identificar con certeza los pacientes que experimentarán un evento clínico grave a los 7 días siguientes en una poblac...
Source: Academic Emergency Medicine - May 14, 2013 Category: Emergency Medicine Authors: Camlyn Tan, Tiong Beng Sim, Shin Ying Thng Tags: Original Research Contribution Source Type: research

Abstract 172: Patients' Experiences from Symptom Onset to Initial Treatment for Atrial Fibrillation Session Title: Poster Session I
Conclusions: Providers’ played a critical role in reducing patients' emotional distress and helping them to develop an accurate understanding of AF symptoms and treatment. This study provides new insight into participant experiences from symptom onset through initial treatment of AF which may inform development of patient centered interventions to promote early effective AF self-management.
Source: Circulation: Cardiovascular Quality and Outcomes - June 2, 2014 Category: Cardiology Authors: McCabe, P. J., Rhudy, L., DeVon, H. Tags: Session Title: Poster Session I Source Type: research

Abstract 369: Symptom Type and Characteristics Differentiate Early from Late Treatment Seekers for Symptoms of Atrial Fibrillation Session Title: Poster Session III
Conclusions: Symptom type and characteristic, and cognitive behavioral responses of early treatment seekers differed from those of late treatment seekers. Experiencing a rapid heartbeat and unremitting symptoms may have helped participants form a cognitive appraisal and behavioral response conducive to early treatment-seeking. Experiencing intermittent symptoms less identifiable with a cardiac origin may have hindered development of cognitive appraisals and behavioral responses that promote early treatment- seeking. Education to promote early treatment-seeking for symptoms should include information about the diverse type ...
Source: Circulation: Cardiovascular Quality and Outcomes - June 2, 2014 Category: Cardiology Authors: McCabe, P. J., Chamberlain, A., Rhudy, L., DeVon, H. Tags: Session Title: Poster Session III Source Type: research

Bare-Metal vs. Drug-Eluting Stents in Patients With Atrial Fibrillation Undergoing Percutaneous Coronary Intervention.
Conclusions:In real-world patients with AF undergoing PCI, DES use was associated with outcomes comparable to those with BMS without excess bleeding complications. More ST was seen in BMS-treated patients. PMID: 25298168 [PubMed - as supplied by publisher]
Source: Circulation Journal - October 9, 2014 Category: Cardiology Authors: Kiviniemi T, Puurunen M, Schlitt A, Rubboli A, Karjalainen P, Nammas W, Kirchhof P, Biancari F, Lip GY, Airaksinen KJ Tags: Circ J Source Type: research

Sex‐ and Gender‐specific Research Priorities for the Emergency Management of Heart Failure and Acute Arrhythmia: Proceedings from the 2014 Academic Emergency Medicine Consensus Conference Cardiovascular Research Workgroup
This article is the result of a breakout session in the cardiovascular and resuscitation work group of the 2014 Academic Emergency Medicine consensus conference “Gender‐Specific Research in Emergency Medicine: Investigate, Understand, and Translate How Gender Affects Patient Outcomes.” A nominal group technique was used to identify and prioritize themes and research questions using electronic mail, monthly conference calls, in‐person meetings, and Web‐based surveys between June 2013 and May 2014. Consensus was achieved through three rounds of nomination followed by the meeting on May 13, 2014, and resulted in sev...
Source: Academic Emergency Medicine - November 24, 2014 Category: Emergency Medicine Authors: Alyson J. McGregor, W. Frank Peacock, Anna Marie Chang, Basmah Safdar, Deborah Diercks Tags: Proceedings Breakout Session Source Type: research

Patients’ experiences from symptom onset to initial treatment for atrial fibrillation
ConclusionsProviders played a critical role in helping patients to develop an accurate understanding of atrial fibrillation, to cope with the new diagnosis, and motivated them to engage in effective self‐management. Relevance to clinical practiceInsight into participant experiences from symptom onset to initial treatment for atrial fibrillation may inform development of interventions to promote effective atrial fibrillation self‐management.
Source: Journal of Clinical Nursing - November 25, 2014 Category: Nursing Authors: Pamela J McCabe, Lori M Rhudy, Holli A DeVon Tags: Original Article Source Type: research

Sex- and Gender-specific Research Priorities for the Emergency Management of Heart Failure and Acute Arrhythmia: Proceedings from the 2014 Academic Emergency Medicine Consensus Conference Cardiovascular Research Workgroup.
This article is the result of a breakout session in the cardiovascular and resuscitation work group of the 2014 Academic Emergency Medicine consensus conference "Gender-Specific Research in Emergency Medicine: Investigate, Understand, and Translate How Gender Affects Patient Outcomes." A nominal group technique was used to identify and prioritize themes and research questions using electronic mail, monthly conference calls, in-person meetings, and Web-based surveys between June 2013 and May 2014. Consensus was achieved through three rounds of nomination followed by the meeting on May 13, 2014, and resulted in seven priorit...
Source: Accident and Emergency Nursing - November 24, 2014 Category: Emergency Medicine Authors: McGregor AJ, Frank Peacock W, Marie Chang A, Safdar B, Diercks D Tags: Acad Emerg Med Source Type: research

Dedicated Orthopaedic Operating Rooms: Beneficial to Patients and Providers Alike
Objective: Dedicated orthopaedic operating rooms (DOORs) are increasingly popular solutions to reducing after-hours procedures, physician fatigue, and elective schedule disruptions. Although the benefits to surgeons are well understood, there are comparatively few studies that explore the effects of DOORs on patient care. We compared treatments and outcomes for all consecutive patients with femoral neck fractures, 4 years before and 4 years after implementation of a DOOR-based schedule. Design: Retrospective case–control study. Setting: Level 1 academic trauma center. Patients: A total of 111 consecutive trauma patients ...
Source: Journal of Orthopaedic Trauma - December 23, 2014 Category: Orthopaedics Tags: Original Article Source Type: research

Safety of vasodilator stress myocardial perfusion imaging in patients with elevated cardiac biomarkers
Conclusion In the setting of elevated troponin, serious complications associated with either exercise or vasodilator stress testing appear to be relatively rare with no increased risk attributable to a particular vasodilator agent.
Source: Journal of Nuclear Cardiology - February 22, 2016 Category: Nuclear Medicine Source Type: research

Taking Risk: Early Results From Teaching Hospitals’ Participation in the Center for Medicare and Medicaid Innovation Bundled Payments for Care Improvement Initiative
The authors describe observations from the 27 teaching hospitals constituting the Association of American Medical Colleges (AAMC) cohort in the Center for Medicare and Medicaid Innovation (CMMI) Bundled Payments for Care Improvement (BPCI) initiative. CMMI introduced BPCI in August 2011 and selected the first set of participants in January 2013. BPCI participants enter into Medicare payment arrangements for episodes of care for which they take financial risk. The first round of participants entered risk agreements on October 1, 2013 and January 1, 2014. In April 2014, CMMI selected additional participants who started takin...
Source: Academic Medicine - June 30, 2016 Category: Universities & Medical Training Tags: Articles Source Type: research

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