Azeemuddin Ahmed
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View article: Protocol for a multicenter, cluster-randomized, stepped-wedge, implementation trial of a prehospital sepsis protocol
Protocol for a multicenter, cluster-randomized, stepped-wedge, implementation trial of a prehospital sepsis protocol Open
ClinicalTrials.gov Identifier: NCT05502107. Date of first posting: 08-16-2022. https://clinicaltrials.gov/ct2/show/NCT05502107 .
View article: Documented Use of Emergency Medical Dispatch Protocols is Associated with Improved Survival in Out of Hospital Cardiac Arrest
Documented Use of Emergency Medical Dispatch Protocols is Associated with Improved Survival in Out of Hospital Cardiac Arrest Open
There are over 300,000 out-of-hospital cardiac arrests (OHCA) annually in the United States (US) and despite many scientific advances in the field, the survival rate remains low. We seek to determine if return of spontaneous circulation (R…
View article: Hospitals That Report Severe Sepsis and Septic Shock Bundle Compliance Have More Structured Sepsis Performance Improvement
Hospitals That Report Severe Sepsis and Septic Shock Bundle Compliance Have More Structured Sepsis Performance Improvement Open
Purpose Sepsis is a common cause of death. The Centers for Medicare and Medicaid Services severe sepsis/septic shock (SEP-1) bundle is focused on improving sepsis outcomes, but it is unknown which quality improvement (QI) practices are ass…
View article: Outcomes Associated with Lower Doses of Ketamine by Emergency Medical Services for Profound Agitation
Outcomes Associated with Lower Doses of Ketamine by Emergency Medical Services for Profound Agitation Open
Introduction: Ketamine is commonly used to treat profound agitation in the prehospital setting. Early in ketamine’s prehospital use, intubation after arrival in the emergency department (ED) was frequent. We sought to measure the frequency…
View article: Hospitals That Report Severe Sepsis and Septic Shock Bundle (SEP-1) Compliance Have More Structured Sepsis Performance Improvement
Hospitals That Report Severe Sepsis and Septic Shock Bundle (SEP-1) Compliance Have More Structured Sepsis Performance Improvement Open
Objective Sepsis is a common cause of death in hospitalized patients. The Centers for Medicare & Medicaid Service (CMS) Severe Sepsis and Septic Shock Bundle (SEP-1) is an evidence-based early management bundle focused on improving sepsis …
View article: An economic analysis of Egyptian exports to the Nile Basin countries
An economic analysis of Egyptian exports to the Nile Basin countries Open
Despite the geographical and cultural convergence and the strategic depth that connects Egypt and the countries of the Nile Basin, the value of trade exchange between Egypt and these countries is considered weak, and does not correspond to…
View article: Rural Stroke Patients Have Higher Mortality: An Improvement Opportunity for Rural Emergency Medical Services Systems
Rural Stroke Patients Have Higher Mortality: An Improvement Opportunity for Rural Emergency Medical Services Systems Open
Purpose Early recognition and prompt prehospital care is a cornerstone of acute stroke treatment. Residents of rural areas have worse access to stroke services than urban residents. The purpose of this study was to (1) describe US trends i…
View article: High‐efficiency Practices of Residents in an Academic Emergency Department: A Mixed‐methods Study
High‐efficiency Practices of Residents in an Academic Emergency Department: A Mixed‐methods Study Open
Background Emergency department utilization and crowding is increasing, putting additional pressure on emergency medicine (EM) residency programs to train efficient residents who can meet these demands. Specific practices associated with r…
View article: High Efficiency Practices of Residents in an Academic Emergency Department: A Mixed Methods Study
High Efficiency Practices of Residents in an Academic Emergency Department: A Mixed Methods Study Open
Author(s): Egan, Haley; Swanson, Morgan Bobb; Ilko, Steven; Pomeranz, Kaila; Harland, Karisa; Mohr, Nicholas; Ahmed, Azeemuddin
View article: Sedation Depth is Associated with Increased Hospital Length of Stay in Mechanically Ventilated Air Medical Transport Patients: A Cohort Study
Sedation Depth is Associated with Increased Hospital Length of Stay in Mechanically Ventilated Air Medical Transport Patients: A Cohort Study Open
Background: Analgesics, sedatives, and neuromuscular blockers are commonly used medications for mechanically ventilated air medical transport patients. Prior research in the emergency department (ED) and intensive care unit (ICU) has demon…
View article: Perceptions and Perceived Utility of Rural Emergency Department Telemedicine Services: A Needs Assessment
Perceptions and Perceived Utility of Rural Emergency Department Telemedicine Services: A Needs Assessment Open
Background: Access to specialized medical care is often limited in rural emergency departments (EDs). Specialist consultation through telemedicine services could help increase access in low-resource areas. Introduction: The objective of th…
View article: End-tidal CO2 Monitoring is Available in Most Community Hospitals in a Rural State: A Health System Survey
End-tidal CO2 Monitoring is Available in Most Community Hospitals in a Rural State: A Health System Survey Open
Continuous capnography was available in nearly all EDs, independent of size, location or patient volume. The implementation of capnography during PSA was less penetrant. Smaller, rural departments were less likely than their larger, urban …
View article: Central Venous Access Capability and Critical Care Telemedicine Decreases Inter-Hospital Transfer Among Severe Sepsis Patients: A Mixed Methods Design
Central Venous Access Capability and Critical Care Telemedicine Decreases Inter-Hospital Transfer Among Severe Sepsis Patients: A Mixed Methods Design Open
Objectives: Severe sepsis is a complex, resource intensive, and potentially lethal condition and rural patients have worse outcomes than urban patients. Early identification and treatment are important to improving outcomes. The objective …
View article: Emergency department charges may be associated with mortality in patients with severe sepsis and septic shock: a cohort study
Emergency department charges may be associated with mortality in patients with severe sepsis and septic shock: a cohort study Open
ED charges in administrative data sets are associated with in-hospital mortality and health care utilization, likely related to both illness severity and intensity of early sepsis resuscitation. ED charges may have a role in risk adjustmen…
View article: Telemedicine Physical Examination Utilizing a Consumer Device Demonstrates Poor Concordance with In-Person Physical Examination in Emergency Department Patients with Sore Throat: A Prospective Blinded Study
Telemedicine Physical Examination Utilizing a Consumer Device Demonstrates Poor Concordance with In-Person Physical Examination in Emergency Department Patients with Sore Throat: A Prospective Blinded Study Open
Telemedicine exhibited poor agreement with the in-person physical examination on the primary outcome of tonsil size, but exhibited moderate agreement on coloration of the palate and cervical lymphadenopathy. Future work should better chara…
View article: Key High‐efficiency Practices of Emergency Department Providers: A Mixed‐methods Study
Key High‐efficiency Practices of Emergency Department Providers: A Mixed‐methods Study Open
Objective The objective of this study was to determine specific provider practices associated with high provider efficiency in community emergency departments ( ED s). Methods A mixed‐methods study design was utilized to identify key behav…
View article: Rural Patients With Severe Sepsis or Septic Shock Who Bypass Rural Hospitals Have Increased Mortality: An Instrumental Variables Approach*
Rural Patients With Severe Sepsis or Septic Shock Who Bypass Rural Hospitals Have Increased Mortality: An Instrumental Variables Approach* Open
Objective: To identify factors associated with rural sepsis patients’ bypassing rural emergency departments to seek emergency care in larger hospitals, and to measure the association between rural hospital bypass and sepsis survival. Desig…
View article: Telemedicine Provides Noninferior Research Informed Consent for Remote Study Enrollment: A Randomized Controlled Trial
Telemedicine Provides Noninferior Research Informed Consent for Remote Study Enrollment: A Randomized Controlled Trial Open
Objective Telemedicine networks are beginning to provide an avenue for conducting emergency medicine research, but using telemedicine to recruit participants for clinical trials has not been validated. The goal of this consent study was to…
View article: No Decrease in Early Ventilator-Associated Pneumonia After Early Use of Chlorhexidine
No Decrease in Early Ventilator-Associated Pneumonia After Early Use of Chlorhexidine Open
Early administration of oral chlorhexidine in intubated patients was not associated with a reduction in the incidence of ventilator-associated pneumonia in a surgical intensive care unit with high rates of chlorhexidine administration befo…