Leveraging observational and prospective data to develop an opioid exposure detection model.

Experimental studies are widely considered as the gold standard for discovering new evidence. However, advances in computational science provide an opportunity to take advantage of large clinical datasets in cases where randomized experiments are not practical. In this study, we used a large clinical database to train a model capable of detecting exposure to opioid medication (AUROC=0.

Focused Critical Care Billing Education and Feedback as Part of the Emergency Medicine Residency Curriculum Is Effective.

Background:  Emergency medicine physician compensation models often have a productivity component based on the relative value unit. The primary goal of this study was to determine if implementing critical care billing education through both lectures and individual resident feedback as a formal part of the emergency medicine residency curriculum improved critical care billing among residents.

Methods:  This was a prospective, pre and post, educational intervention, cohort study of emergency medicine resident critical care billing in an academic emergency department.

Pediatric ED Saves: Analyzing the ED Screen of Direct Admissions.

Unlabelled: Direct admissions (DAs) are a routine hospital entry portal with few guidelines to assess patient safety during this process. This study assessed the effectiveness of an institutional screen for patients presenting as DA. It investigated patient variables that may predict appropriateness for DA and those at high risk for deterioration.

Rapid initiation of nasal saline irrigation to reduce severity in high-risk COVID+ outpatients.

Objective: To determine whether initiating saline nasal irrigation after COVID-19 diagnosis reduces hospitalization and death in high-risk outpatients compared with observational controls, and if irrigant composition impacts severity.

Methods: Participants 55 and older were enrolled within 24 hours of a + PCR COVID-19 test between September 24 and December 21, 2020. Among 826 screened, 79 participants were enrolled and randomly assigned to add 2.

Addition of Midthigh Circumference Improves Predictive Ability of Broselow Tape Weight Estimation.

Objectives: This study aimed to improve the accuracy of Broselow tape (BT) weight prediction by adding midthigh circumference (MTC) and to compare and standardize the methods for measuring MTC.

Methods: This prospective, observational study was conducted in a pediatric emergency department of a tertiary care children's hospital. Children up to 12 years of age presenting to emergency department were included.