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https://www.readbyqxmd.com/read/27908335/the-past-present-and-future-of-the-centers-for-medicare-and-medicaid-services-quality-measure-sep-1-the-early-management-bundle-for-severe-sepsis-septic-shock
#1
REVIEW
Jeremy S Faust, Scott D Weingart
SEP-1, the new national quality measure on sepsis, resulted from an undertaking to standardize care for severe sepsis and septic shock regardless of the size of the emergency department where the patient is being treated. SEP-1 does not necessarily follow the best current evidence available. Nevertheless, a thorough understanding of SEP-1 is crucial because all hospitals and emergency providers will be accountable for meeting the requirements of this measure. SEP-1 is the first national quality measure on early management of sepsis care...
February 2017: Emergency Medicine Clinics of North America
https://www.readbyqxmd.com/read/27289336/managing-initial-mechanical-ventilation-in-the-emergency-department
#2
Scott D Weingart
No abstract text is available yet for this article.
June 9, 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27186788/potential-role-for-psychological-skills-training-in-emergency-medicine-part-1-introduction-and-background
#3
Michael J Lauria, Stephen Rush, Scott D Weingart, Jason Brooks, Isabelle A Gallo
Psychological skills training (PST) is the systematic acquisition and practice of different psychological techniques to improve cognitive and technical performance. This training consists of three phases: education, skills acquisition and practice. Some of the psychological skills developed in this training include relaxation techniques, focusing and concentration skills, positive 'self-suggestion' and visualisation exercises. Since the middle of the 20th century, PST has been successfully applied by athletes, performing artists, business executives, military personnel and other professionals in high-risk occupations...
October 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/27071301/circles-of-confidence-in-correspondence-modeling-confidentiality-and-secrecy-in-knowledge-exchange-networks-of-letters-and-drawings-in-the-early-modern-period
#4
Charles van den Heuvel, Scott B Weingart, Nils Spelt, Henk Nellen
Science in the early modern world depended on openness in scholarly communication. On the other hand, a web of commercial, political, and religious conflicts required broad measures of secrecy and confidentiality; similar measures were integral to scholarly rivalries and plagiarism. This paper analyzes confidentiality and secrecy in intellectual and technological knowledge exchange via letters and drawings. We argue that existing approaches to understanding knowledge exchange in early modern Europe--which focus on the Republic of Letters as a unified entity of corresponding scholars--can be improved upon by analyzing multilayered networks of communication...
2016: Nuncius
https://www.readbyqxmd.com/read/27015921/blowing-smoke-examining-the-benefits-of-high-flow-nasal-cannula-in-hypoxic-respiratory-failure-answers-to-the-november-2015-journal-club-questions
#5
Rory J Spiegel, Scott D Weingart
No abstract text is available yet for this article.
April 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/26575663/%C3%AE-blockers-and-lactate-in-sepsis-same-canary-but-different-mine
#6
COMMENT
Brian Joseph Wright, Scott D Weingart
No abstract text is available yet for this article.
December 2015: Critical Care Medicine
https://www.readbyqxmd.com/read/26497435/annals-of-emergency-medicine-journal-club-blowing-smoke-examining-the-benefits-of-high-flow-nasal-cannula-in-hypoxic-respiratory-failure-november-2015-annals-of-emergency-medicine-journal-club
#7
COMMENT
https://www.readbyqxmd.com/read/26118834/the-association-between-medicolegal-and-professional-concerns-and-chest-pain-admission-rates
#8
Julie A Brooker, Jeffrey W Hastings, Hannah Major-Monfried, Chad P Maron, Maia Winkel, H R Sagara Wijeratne, William Fleischman, Scott Weingart, David H Newman
OBJECTIVES: For patients in whom acute coronary syndrome (ACS) is a concern, disposition decisions are complex and multifactorial and have traditionally been a source of considerable variation. An important factor in disposition decisions for these patients may be physician-perceived medicolegal risk and related professional concerns. The study aim was to determine, at the point of care, how much less frequently physicians report that they would admit possible ACS patients if there was either zero or a defined medicolegal risk...
July 2015: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/25985100/risk-for-clinically-relevant-adverse-cardiac-events-in-patients-with-chest-pain-at-hospital-admission
#9
MULTICENTER STUDY
Michael B Weinstock, Scott Weingart, Frank Orth, Douglas VanFossen, Colin Kaide, Judy Anderson, David H Newman
IMPORTANCE: Patients with potentially ischemic chest pain are commonly admitted to the hospital or observed after a negative evaluation in the emergency department (ED) owing to concern about adverse events. Previous studies have looked at 30-day mortality, but no current large studies have examined the most important information regarding ED disposition: the short-term risk for a clinically relevant adverse cardiac event (including inpatient ST-segment elevation myocardial infarction, life-threatening arrhythmia, cardiac or respiratory arrest, or death)...
July 2015: JAMA Internal Medicine
https://www.readbyqxmd.com/read/25627567/the-online-hierarchy-of-needs-a-beginner-s-guide-to-medical-social-media-and-foam
#10
Scott D Weingart, Brent Thoma
No abstract text is available yet for this article.
February 2015: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/25447559/delayed-sequence-intubation-a-prospective-observational-study
#11
MULTICENTER STUDY
Scott D Weingart, N Seth Trueger, Nelson Wong, Joseph Scofi, Neil Singh, Soren S Rudolph
STUDY OBJECTIVE: We investigate a new technique for the emergency airway management of patients with altered mental status preventing adequate preoxygenation. METHODS: This was a prospective, observational, multicenter study of patients whose medical condition led them to impede optimal preintubation preparation because of delirium. A convenience sample of emergency department and ICU patients was enrolled. Patients received a dissociative dose of ketamine, allowing preoxygenation with high-flow nonrebreather mask or noninvasive positive pressure ventilation (NIPPV)...
April 2015: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/25224173/simwars
#12
Yasuharu Okuda, Steven A Godwin, Lisa Jacobson, Ernest Wang, Scott Weingart
BACKGROUND: Simulation use for training residents has become an expectation in emergency medicine in order to improve the educational dimensions of cognitive knowledge, critical thinking, psychomotor skills, and clinical performance. DISCUSSION: This article is a descriptive piece highlighting a novel group education format-"SimWars." The keys to a successful SimWars competition, including descriptions of necessary personnel and tips on effective case development, as well as lessons learned from its development and implementation, are described...
November 2014: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/24495063/future-evolution-of-traditional-journals-and-social-media-medical-education
#13
Scott D Weingart, Jeremy S Faust
No abstract text is available yet for this article.
February 2014: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/23380127/ed-intensivists-and-ed-intensive-care-units
#14
Scott D Weingart, Robert L Sherwin, Lillian L Emlet, Isaac Tawil, Julie Mayglothling, Jon C Rittenberger
No abstract text is available yet for this article.
March 2013: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/22975830/emergency-neurological-life-support-traumatic-brain-injury
#15
REVIEW
Stuart P Swadron, Peter LeRoux, Wade S Smith, Scott D Weingart
Traumatic brain injury (TBI) was chosen as an Emergency Neurological Life Support topic due to its frequency, the impact of early intervention on outcomes for patients with TBI, and the need for an organized approach to the care of such patients within the emergency setting. This protocol was designed to enumerate the practice steps that should be considered within the first critical hour of neurological injury.
September 2012: Neurocritical Care
https://www.readbyqxmd.com/read/22972019/emergency-neurological-life-support-airway-ventilation-and-sedation
#16
REVIEW
David B Seder, Richard R Riker, Andy Jagoda, Wade S Smith, Scott D Weingart
Airway management is central to the resuscitation of the neurologically ill. These patients often have evolving processes that threaten the airway and adequate ventilation. Therefore, airway, ventilation, and sedation were chosen as an Emergency Neurological Life Support (ENLS) protocol. Reviewed topics include airway management; the decision to intubate; when and how to intubate with attention to cardiovascular status; mechanical ventilation settings; and the use of sedation, including how to select sedative agents based on the patient's neurological status...
September 2012: Neurocritical Care
https://www.readbyqxmd.com/read/22972018/emergency-neurological-life-support-acute-non-traumatic-weakness
#17
REVIEW
Oliver Flower, Christine Bowles, Eelco Wijdicks, Scott D Weingart, Wade S Smith
Acute non-traumatic weakness may be life-threatening if it involves respiratory muscles or is associated with dysautonomia. Most patients presenting with an acute muscle weakness have a worsening neurologic disorder that requires a rapid, systematic approach, and detailed neurologic localization of the findings. In many patients, urgent laboratory tests are needed and may involve neuroimaging. Because acute weakness is a common presenting sign of neurological emergencies, it was chosen as an Emergency Neurological Life Support protocol...
September 2012: Neurocritical Care
https://www.readbyqxmd.com/read/22965323/emergency-neurological-life-support-traumatic-spine-injury
#18
REVIEW
Deborah M Stein, Vincent Roddy, John Marx, Wade S Smith, Scott D Weingart
Traumatic spine injuries (TSIs) carry significantly high risks of morbidity, mortality, and exorbitant health care costs from associated medical needs following injury. For these reasons, TSI was chosen as an ENLS protocol. This article offers a comprehensive review on the management of spinal column injuries using the best available evidence. Though the review focuses primarily on cervical spinal column injuries, thoracolumbar injuries are briefly discussed as well. The initial emergency department clinical evaluation of possible spinal fractures and cord injuries, along with the definitive early management of confirmed injuries, are also covered...
September 2012: Neurocritical Care
https://www.readbyqxmd.com/read/22965322/emergency-neurological-life-support-intracerebral-hemorrhage
#19
REVIEW
Charles M Andrews, Edward C Jauch, J Claude Hemphill, Wade S Smith, Scott D Weingart
Intracerebral hemorrhage (ICH) is a subset of stroke resulting from bleeding within the brain parenchyma of the brain. It is potentially lethal, and survival depends on ensuring an adequate airway, reversal of coagulopathy, and proper diagnosis. ICH was chosen as an emergency neurological life support (ENLS) protocol because intervention within the first critical hour may improve outcome, and it is helpful to have a protocol to drive care quickly and efficiently.
September 2012: Neurocritical Care
https://www.readbyqxmd.com/read/22961702/emergency-neurologic-life-support-meningitis-and-encephalitis
#20
REVIEW
David F Gaieski, Barnett R Nathan, Scott D Weingart, Wade S Smith
Bacterial meningitis and viral encephalitis, particularly herpes simplex encephalitis (HSE), are severe neurological infections that, if not treated promptly and effectively, lead to poor neurological outcome or death. Because treatment is more effective if given early, the topic of meningitis and encephalitis was chosen as an Emergency Neurological Life Support protocol. This protocol provides a practical approach to recognition of and urgent treatment for bacterial meningitis and HSE, including imaging and spinal fluid analysis, and discusses the choice of empirical treatments until the cause of infection is determined...
September 2012: Neurocritical Care
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