Trending Articles

article thumbnail

ECG Blog #454 — Look for the "Break".

Ken Grauer, MD

I was sent this ECG recording — and asked for my interpretation of the rhythm in Figure-1. I had little clinical information. QUESTIONS: How was I able to guess the probable correct answer in less than 5 seconds? How was I then able to prove that my guess was correct? Figure-1: The initial ECG in today's case. ( To improve visualization — I've digitized the original ECG using PMcardio ).

EKG/ECG 252
article thumbnail

Postacute Sequelae of SARS-CoV-2 Infection in the Pre-Delta, Delta, and Omicron Eras: A Critical Appraisal

Sensible Medicine

A few month ago, we were pleased to publish a critical appraisal written by a group of students at the Wayne State University School of Medicine. The group is back with another piece about a recent article. I am enjoying this way of encouraging critical appraisal in undergraduate medical education and generating good content for Sensible Medicine. As below, please take this opportunity to appraise the appraisers.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

Best Practice: The MTP Coordinator

The Trauma Pro

Every trauma center has a massive transfusion protocol (MTP). But every trauma center also does it entirely differently. Ideally, an MTP is designed with the resources available at the hospital in mind. These may include whole blood, the use of O- vs. O+ blood, the number of units of each product per cooler, the different products in different coolers, and personnel available to move those coolers to the correct locations.

article thumbnail

If RFK Jr. Turns the CDC Into An Anti-Vaxx Propaganda Outfit, I Don’t Want To Hear a Peep From Some “Respectable” Doctors

Science Based Medicine

Any doctor who is unabashedly pro-vaccine has already spoken up about the normalization of anti-vaxx quackery within our ranks. The post If RFK Jr. Turns the CDC Into An Anti-Vaxx Propaganda Outfit, I Don’t Want To Hear a Peep From Some “Respectable” Doctors first appeared on Science-Based Medicine.

CDC 132
article thumbnail

Semaglutide (Wegovy) Is Not a Knee Pain Drug

Sensible Medicine

Nearly a thousand news outlets covered the recent publication of the positive results of the STEP-9 trial of semaglutide vs placebo for the treatment of knee pain due to osteoarthritis in patients with obesity. Twitter overflowed with positive messages after the New England Journal of Medicine publication. I am not sold on the trial. STEP-9 had many flaws but one fatal flaw.

Outcomes 108
article thumbnail

Delirium revisited

EM Ottawa

Delirium is a medical emergency. It is characterized by acute disturbance of consciousness, with changes in perceptual disturbances and fluctuation of symptoms. Delirium is often the initial manifestation of an underlying acute illness and can be present before fever, tachypnea, tachycardia, or hypoxia. There is an ED prevalence ranging from 7-24%, with increased mortality rates […] The post Delirium revisited appeared first on EMOttawa Blog.

article thumbnail

Waiting Room Medicine

Life in the Fast Lane

Mike Cadogan Waiting Room Medicine With exponential Emergency Department over-crowding and spiraling waiting times, the Utopian College has produced a series of guidelines to assist fondling members.

More Trending

article thumbnail

EcoHealth Alliance Fights Back

Science Based Medicine

The organization scapegoated by the lab leak-promoting GOP-led House Covid subcommittee publishes its defense The post EcoHealth Alliance Fights Back first appeared on Science-Based Medicine.

105
105
article thumbnail

SGEM#458: Hurt So Good –Ketamine Can Make the Hurt so Good – If used as an Adjunct to Opioids for Acute Pain in the Emergency Department

The Skeptics' Guide to EM

Date: October 29, 2024 Reference: Galili et al. Low dose ketamine as an adjunct to morphine: a randomized controlled trial among patients with and without current opioid use. AEM Oct 2024. Guest Skeptic: Dr. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY. He is the Vice Chair of the Emergency Department and Program Director of the EM residency program at Nassau University Medical Center in East Meadow, NY, the safety net hospital for Nassau County.

article thumbnail

Ultrasound Case 112

Life in the Fast Lane

Casey Parker and James Rippey Ultrasound Case 112 A 30 year old woman who is currently 30 weeks gestation presents to the ED with abrupt, severe right loin pain.

article thumbnail

Podcast – Prehospital eCPR with Alice Hutin at Tactical Trauma 2024

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed At the Tactical Trauma 24 conference in Sundsvall, Sweden, St Emlyn’s hosts Iain Beardsell and Liz Crowe had the opportunity to speak with Alice Hutin, an emergency physician with Service […] The post Podcast – Prehospital eCPR with Alice Hutin at Tactical Trauma 2024 appeared first on St.Emlyn's.

article thumbnail

Training Healthcare Personnel to Better Serve Seniors and Disabled Patients

American Medical Compliance

A survey reveals that falls are the most frequent health issue affecting seniors in long-term care facilities. Interestingly, while 90% of caregivers feel confident in implementing fall prevention measures, only 60% have adequate knowledge to do so effectively. As the aging population grows, so does the demand for specialized healthcare tailored to the unique needs of seniors and individuals with disabilities, posing new challenges and responsibilities for healthcare providers.

article thumbnail

Quick Draw Anatomy for Medical Students – Joanna Fox

Critical Care North Hampton

“Quick Draw Anatomy for Medical Students” by Joanna Oram Fox is a unique educational book designed to help medical students learn anatomy through drawing. It provides step-by-step instructions on drawing, understanding, and interpreting key anatomical structures. Her fantastic methodology for learning by illustration really impressed us with her first book!

92
article thumbnail

Chest pain and Saddleback STE. For Which of these 6 Cases should we Activate the cath lab? And how does the Queen of Hearts perform?

Dr. Smith's ECG Blog

Smith Introduction: Saddleback ST Elevation is often an OMI mimic, so one needs to scrutinize these ECGs!! Written by Magnus Nossen Below are ECGs from six different patients. All of the patients contacted EMS due to acute onset chest pain. Imagine you get these ECGs in real time and you are asked whether or not the cath lab should be activated? All ECGs in this case have saddleback ST elevation.

EKG/ECG 83
article thumbnail

Probiotics don’t improve outcomes in children with acute gastroenteritis

PEMBlog

Introduction Acute gastroenteritis affects millions of children in the U.S. every year, leading to emergency department visits and hospitalizations. Probiotics, particularly Lactobacillus rhamnosus GG (LGG), have been commonly used as a treatment, but evidence supporting their effectiveness has been limited. A new study conducted by the Pediatric Emergency Care Applied Research Network (PECARN) aimed to determine whether LGG could reduce the severity of gastroenteritis in children.

article thumbnail

Elbow Dislocations

RebelEM

Elbow Dislocation Definition: Disarticulation of the proximal radius & ulna bones from the humerus Epidemiology: Incidence Second most common joint dislocation (after shoulder) in adults Most commonly dislocated joint in children Accounts for 10-25% of all injuries to the elbow ( Cohen 1998 ) Posterolateral is the most common type of dislocation (80%) Demographics Most commonly affects patients between ages 10-20 years old As age increases, elbow dislocation rates tend to d

article thumbnail

ToxCard: Tetanus and Strychnine – Expanding the Differential for Severe Muscle Spasm

EMDocs

Authors: Robert Nicholson, MD (EM Resident Physician, Carolinas Medical Center, Charlotte, NC) and Ann-Jeannette Geib, MD (EM Attending Physician, Medical Toxicologist, Carolinas Medical Center, Charlotte, NC) // Reviewed by: James Dazhe Cao, MD (@JamesCaoMD, Associate Professor of EM, Medical Toxicology, UT Southwestern Medical Center, Dallas, TX); Anthony Spadaro, MD (@TSpadaro91, Medical Toxicology Fellow, Rutgers New Jersey Medical School, Newark, NJ); Alex Koyfman, MD (@EMHighAK); Brit Long

article thumbnail

Screening Can Do Silent Harm

Sensible Medicine

Nick Arroyo is a 65-year-old man without medical problems. He feels well and sees a primary care doctor every three years or so. He had a chest CT for lung cancer screening because he smoked a pack-a-day for 50 years and heard a radio advertisement that said that lung cancer screening would be helpful. The scan detected a 1 cm nodule. A PET scan was positive, and a biopsy diagnosed it as small cell lung cancer.

EKG/ECG 76
article thumbnail

Can you treat Non-STEMI with thrombolytics if it is OMI (Occlusion MI)? Of course!

Dr. Smith's ECG Blog

This case was sent by an old residency friend, Kirk Lufkin. He works in a small hospital in Northern Michigan. Case A 61 year old female. hypertension no other past history presented with 30 minutes of fluctuating non-radiating heaviness in chest, with diaphoresis and nausea. VS normal. No cardiac past history. Here is her ECG: What do you think? There are inferior hyperacute T-waves (diagnostic of inferior OMI), with 1) reciprocal ST depression in aVL, 2) a reciprocally inverted hyperacute T-wa

EKG/ECG 77
article thumbnail

A New Tool to Help Screen for Sepsis in Kids?

Taming the SRU

Georgette N, Michelson K, Monuteaux M, Eisenberg MA. Development of a New Screening Tool for Pediatric Septic Shock. Ann Emerg Med 2024; Big Picture Current screening tools for pediatric septic shock and sepsis are highly specific but lack sensitivity. This study substituted age adjusted vital sign measures and a pediatric shock index into currently existing pediatric sepsis scoring systems to create the qPS4.When utilizing a cut off of ≧ 2 points, the qPS4 was highly sensitive and specific, and

Sepsis 71
article thumbnail

Liberal or restrictive transfusion in brain injury part 2 (The TRAIN trial)

First 10 EM

It is pretty rare for the phrase “we need more research” to be immediately followed by more research, but that seems to have happened here.v On October 7 I published my post about the HEMOTION trial, looking at transfusion thresholds in traumatic brain injury, and concluding that despite being a statistically negative trial, the results […] The post Liberal or restrictive transfusion in brain injury part 2 (The TRAIN trial) appeared first on First10EM.

article thumbnail

August 2024 Round-Up – Goldilocks Moments, Nasal Analgesia, and Public Health in the ED

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed All the best from the blog from August 2024, in our easy to digest podcast. The post August 2024 Round-Up – Goldilocks Moments, Nasal Analgesia, and Public Health in the ED appeared first on St.Emlyn's.

70
article thumbnail

Potassium supplements to reduce arrhythmias in the ICU: Review

PulmCCM

“I can’t prove it was the reason, but we kept everyone’s K over 4 and Mag over 2 and we didn’t have a single code this month.” – my senior resident on an internal medicine rotation, circa 2005 As many as one-fifth of hospitalized patients develop hypokalemia, commonly defined as serum potassium less than 3.5 mEq/L.

article thumbnail

Electrophysiological curiosity. Can you spot it?

Dr. Smith's ECG Blog

Written by Magnus Nossen ( with comments and laddergram by Ken Grauer ) The patient in today’s case is a man in his 60s — who presented with palpitations and lightheadedness. He had no history of syncope. The patient had hypertension, but was otherwise healthy. Due to the reported symptoms, he was admitted for observation and put on telemetry monitoring.

article thumbnail

Airbus, new helicopters at Royal Canadian Air Force

Emergency Live

Airbus signs historic contract to supply 19 H135 military training helicopters to Royal Canadian Air Force Airbus Helicopters has signed a landmark contract with SkyAlyne, a joint venture between Canadian defense leaders CAE and KF Aerospace, to supply the Royal Canadian Air Force (RCAF) with 19 Airbus H135 helicopters to train the RCAF’s next generation […] The post Airbus, new helicopters at Royal Canadian Air Force appeared first on Emergency Live.

article thumbnail

The new Australian Sustainable Asthma Care Roadmap

Don't Forget the Bubbles

Consider Maddie, a 12-year-old girl in your ED with a virally induced moderate asthma exacerbation, currently having her third set of 12 puffs in her burst therapy; thankfully, she’s responding pretty well, and you’re hoping to avoid an admission at this stage. This is her third presentation with a viral exacerbation of asthma. You take a history and discover that she takes her salbutamol every week before and during her soccer matches.

article thumbnail

SAEM Clinical Images Series: Clot in Transit

ALiEM

A 67-year-old male with a past medical history of CHF, MI, hypertension, and diabetes presented to the ED with complaints of headache, chest pain, and dyspnea for the past four days. He stated that he has been without his medications for the past few months due to cost. He denied any past surgical history. He stated that he primarily presented because he felt like “my blood pressure is high” Additional Images Physical Exam Cardiovascular : Tachycardic, 2+ pedal edema bilaterally Re

article thumbnail

Medical Music Mondays: Bleeding Tonsil Funk

PEMBlog

Did you know that post tonsillectomy bleeding occurs approximately 3 to 5% of the time, most often at days 5 to 7 after the surgery? Of course you did. Unstable children with active bleeding may need a trip to the OR. Otherwise ENT can help determine management. Lyrics Nasty strep or OSA Take those tonsils out today Remove adenoids just in case Now there’s blood all over the place Post T&A bleeds frequently now you call ENT If active bleed resuscitate maybe operate on this date If not

article thumbnail

REBEL Core Cast 130.0 – Omphalitis

RebelEM

Take Home Points Early diagnosis: erythema and warmth of the skin surrounding the umbilicus isn’t normal. Get labs, start abx and get the patient admitted Consult peds surgery on all of these patients as progression to nec fast, while uncommon, is devastating If the patient appears toxic or has systemic symptoms, the simply omphalitis has progressed and aggressive treatment including surgery is likely indicated REBEL Core Cast 130.0 – Omphalitis Click here for Direct Download of the Podcas

EMS 58
article thumbnail

Sepsis: a silent enemy of newborns

Emergency Live

If not recognized and treated promptly, it can lead to irreversible organ damage and death Sepsis, an extreme inflammatory response of the body to an infection, is a serious threat to the health of infants, especially those born prematurely. This condition, if not recognized and treated promptly, can lead to irreversible organ damage and, in […] The post Sepsis: a silent enemy of newborns appeared first on Emergency Live.

Sepsis 52
article thumbnail

Does First Pass Success Matter? | Best Fever Control

JournalFeed

The JournalFeed podcast for the week of Oct 28 – Nov 1, 2024. These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. Tuesday Spoon Feed : In this NEAR database study, there was an independent association between increasing number of intubation attempts and risk of complications.

52
article thumbnail

Tranq dope (fentanyl-xylazine combination): A new horizon in opioid withdrawal treatment

ALiEM

‘Dope’ is no longer heroin in an increasing number of our communities. The biggest change has been the gradual replacement of diacetylmorphine (heroin) by fentanyl and other synthetic opioids. Due in large part to the proliferation of anonymous chemical factories able to produce industrial volumes of inexpensive synthetic opioids without opium or other controlled precursors, fentanyl spilled into the United States, Canada, and Europe, heroin soon fell to market forces [1, 2].

article thumbnail

Is There a Role for Vitamins in the Management of Alcohol Use Disorder?

Clinical Correlations

By Chloe Fong Peer Reviewed The correlation between vitamin deficiency and alcohol use disorder (AUD) has been well documented in the literature, with a study from 1963 finding that 70% of patients admitted to the hospital.

article thumbnail

5 Min Sono: The VExUS Score (2024)

Core Ultrasound

In this Five Minute Sono video we provide a streamlined, step-by-step walkthrough on how to accurately conduct the VEXUS Score, perfect for clinicians who are already familiar with its purpose and clinical applications. IVC VTI Courses The post 5 Min Sono: The VExUS Score (2024) first appeared on Core Ultrasound.

article thumbnail

Flu and COVID-19 are worrying again as vaccines lose popularity

Emergency Live

Health experts raise the alarm: combination of influenza and COVID-19 could have serious consequences The cold season is approaching and with it the spectrum of influenza and COVID-19 returns. This year, however, the situation could prove particularly complex. Health experts from around the world are warning that the combination of influenza and COVID-19 could trigger […] The post Flu and COVID-19 are worrying again as vaccines lose popularity appeared first on Emergency Live.

article thumbnail

Bubble Wrap PLUS – November ’26

Don't Forget the Bubbles

Can’t get enough of Bubble Wrap? The Bubble Wrap Plus is a monthly paediatric Journal Club reading list from Professor Jaan Toelen (University Hospitals Leuven) and Dr Anke Raaijmakers (Sydney Children’s Hospital). This comprehensive list is developed from 34 journals, including major and subspecialty paediatric journals. We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research.

article thumbnail

Does preventing fevers after strokes protect the brain?

PulmCCM

A majority of patients with significant strokes experience fever within the first week after their vascular injury. The presence, intensity, and persistence of fevers are associated with worse outcomes after strokes of any type. For example: Patients with ischemic strokes who develop fever within the first 24 hours have more than double the risk of death, compared to patients without fevers.

Stroke 52