The Trauma Pro

SEPTEMBER 13, 2024

There are basically four indications, two absolute and two relative : Absolute #1 : entrapped extremity with a lengthy extrication and a physiologically impaired patient who does not respond to fluids. In this case, there is occult blood loss in other areas that is killing your patient, and they need to get out quickly for definitive management. Absolute #2 : entrapped extremity with a lengthy extrication and an unstable physical environment.

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Science Based Medicine

SEPTEMBER 14, 2024

Maybe this isn't a drill. The post We Want Them Infected Doctors Sanewashed Robert F. Kennedy Jr. Will He Reward Them With Appointments at the CDC, FDA, and NIH? first appeared on Science-Based Medicine.

CDC 110

CDC 110

The Trauma Pro

SEPTEMBER 10, 2024

Field amputation is not thought of very often, and for good reason. It is unpleasant, uncommon, and not very safe for trauma professionals due to the austere environment. I will dedicate the next several posts to the topic, starting with some of the facts. First, let’s start with definitions. Two distinct procedures are discussed here. The first and most commonly described is field amputation.

EMS 208

EMS Documentation/Coding 208

Dr. Smith's ECG Blog

SEPTEMBER 11, 2024

A former resident texted me this case: "Hey Dr. Smith. Hope you’re doing well! How excited would you have been about this case?" Here is the case: Report from EMS was witnessed syncope, his son did CPR, but the patient had pulses when EMS arrived. When the patient arrived in the ED, he was still hypotensive in 70s, slowly improving with EMS fluids. No Chest Pain, but somnolent.

EMS 104

EMS CPR EKG/ECG Wellness 104

Sensible Medicine

SEPTEMBER 9, 2024

In his post yesterday, Adam discussed the STRONG-HF trial. I will expand on it because it is a great example of a positive trial that does not add knowledge to the treatment of patients with heart failure. The larger question is: what are trials for? When I think about science classes in high school, I remember experiments as a way to explain nature.

Hospitals 107

Hospitals Outcomes Research 107

American Medical Compliance

SEPTEMBER 9, 2024

In assisted living, one of the most critical aspects of resident care is the prevention and management of skin issues. For instance, one of the most common risk factors associated with the development of pressure ulcers is being 70 years of age or older. Skin health is not only a matter of comfort and well-being but also a key indicator of a resident’s overall health status.

Teamwork 101

Teamwork Best Practices Outcomes Wellness 101

Emergency Medicine Cases

SEPTEMBER 10, 2024

On this month's EM Quick Hits podcast: Ian Chernoff on the often elusive diagnosis of traumatic coronary artery dissection, Anand Swaminathan on proper use of insulin in DKA and in hyperkalemia, Brit Long and Hans Rosenberg on mesenteric ischemia pearls and pitfalls in diagnosis and management, Dave Jerome on recognition and management exercise-associated hyponatremia and heat illness and Jesse McLaren on the Queen of Hearts AI model in helping identify occlusion MI on ECG.

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EMS EKG/ECG 88

Sensible Medicine

SEPTEMBER 15, 2024

Recently John Mandrola, once again, stepped out of his lane. About a recent, cancer trial, which was celebrated by oncologists, he said this: In fact, John’s observation is broadly true for this revolutionary class of medications. Although these drugs— checkpoint inhibitors— are great for melanoma and cutaneous squamous cell cancer, they aren’t wonder drugs and many uses are marginal.

Hospitals 82

Hospitals 82

Core Medical Group

SEPTEMBER 12, 2024

At CoreMedical Group , our QA team is the backbone of your job placement journey. From finding travel nursing and therapy opportunities to getting you started in new locations, our QA experts, alongside your recruiter, ensure everything is top-notch. Whether it’s your first or fifteenth assignment , we’ve got your back with personalized service, helping with applications, licensing, housing, and even some local tips for your new destination.

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Science Based Medicine

SEPTEMBER 13, 2024

As RSV approaches, some "real world" data out of France provides even more support for the RSV antibody shot for babies. The post More Evidence Supports Infant RSV Shot Safety and Effectiveness first appeared on Science-Based Medicine.

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Taming the SRU

SEPTEMBER 12, 2024

Weakness is a common, though sometimes vague, presenting symptom in the ED. Neuromuscular (NM) weakness can have various causes, ranging from common and relatively easy to diagnose conditions (such as strokes and trauma) to less common and more difficult to diagnose ones (such as vascular pathologies, infections, autoimmune diseases, and neoplasms).

Stroke 78

Stroke 78

EMDocs

SEPTEMBER 14, 2024

We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: Sedation, Aspiration, and the Risk of GLP-1 Agonists Spoon Feed Patients on GLP-1 agonists might be at risk of delayed gastric emptying, which has significant implications for procedural sedation and endotracheal in

Emergency Department 67

Emergency Department Resuscitation Pediatrics Research 67

First 10 EM

SEPTEMBER 9, 2024

Welcome back to another research roundup. This edition doesn’t have any immediate practice changers, but I think there are some very important topics. Enjoy. The BroomeDocs podcast: [link] The BroomeDocs podcast on YouTube: (I am on vacation, so this will probably be inserted later.) In a surprise to no one who reads First10EM, clinical judgment […] The post The September 2024 Research Roundup appeared first on First10EM.

Research 79

Research Sepsis EMS 79

ALiEM

SEPTEMBER 13, 2024

A 32-year-old male with no significant past medical history presented to the emergency department (ED) from an outside hospital for further management of right eye pain and vision loss sustained after he was struck by a metal wire while at work. The patient presented to an outside “eye doctor” and was told to go to the nearest hospital for evaluation.

Emergency Department 64

Emergency Department Hospitals Academics Fractures 64

Science Based Medicine

SEPTEMBER 11, 2024

It seems there is an endless stream of artificial intelligence (AI) news coming out, and this includes the field of medicine. There also continues to be a debate about the true impact of AI – how much is hype, and how much is a genuine advance that can transform our technology? As with many technological advances, it’s both. New tech, perhaps especially […] The post Update on AI in the Clinic first appeared on Science-Based Medicine.

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EB Medicine

SEPTEMBER 13, 2024

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the September 2024 Emergency Medicine Practice article, Elder Abuse and Neglect: Making the Diagnosis and Devising a Treatment Plan in the Emergency Department Introduction and Announcements Elder Abuse and Neglect: An Overview Risk Factors and Reporting Pre-Hospital and Emergency Department Considerations Screening Tools and Physical Examination Documentation and Disposition Cultural Considerations and Future Directions Conclusion an

Elder Abuse 62

Elder Abuse Emergency Department Documentation/Coding Hospitals 62

Dr. Smith's ECG Blog

SEPTEMBER 9, 2024

Written by Willy Frick A 40 year old woman was at home cooking when she developed chest pain. She took an oxycodone and called EMS. Her presenting ECG is shown below: ECG 1 What do you think? I sent this to Drs. Meyers and Smith and the response was: "I’m quite confident that this is OMI." Here is the Queen's verdict with explainability: She sees OMI with low confidence.

EKG/ECG 69

EKG/ECG Operations Wellness Ultrasounds 69

Sensible Medicine

SEPTEMBER 10, 2024

I am a proud American and an avowed capitalist. I am sure that Adam Smith’s “invisible hand of the free market” maximizes social benefits. Capitalism has its flaws – the concentration of wealth and environmental degradation among others -- but no other system is as good at organizing societies and improving standards of living.

Wellness 73

Wellness 73

JournalFeed

SEPTEMBER 14, 2024

The JournalFeed podcast for the week of Sept 9-13, 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. Monday Spoon Feed : There are an increasing number of water bead related injuries in children, with the majority occurring in children less than five.

Research 52

Research EKG/ECG Wellness 52

Science Based Medicine

SEPTEMBER 12, 2024

New research suggests that cannabis use may be harmful and could be causing cardiovascular disease. The post Cannabis use and cardiovascular disease first appeared on Science-Based Medicine.

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Research 69

Mind The Bleep

SEPTEMBER 14, 2024

Introduction Flexor sheath infection is an infection of the synovial sheath surrounding flexor tendon in the hand. This is a surgical emergency that can result in significant morbidity. Flexor sheath is a closed compartment that releases synovial fluid that contributes nutrients to the tendons and allows smooth and efficient tendon glide. Raised pressure from infection can impair blood flow, leading to tendon necrosis and loss of the finger.

Operations 52

Operations Sepsis Documentation/Coding 52

ALiEM

SEPTEMBER 9, 2024

A 61-year-old female with a past medical history of hypertension, hyperlipidemia, type 2 diabetes, and normal pressure hydrocephalus s/p VP shunt (last revision nine months ago) presented to the Emergency Department (ED) for evaluation after noticing a “string” coming out of her anus today. Associated symptoms included nausea and a mild headache for one day, and one episode of vomiting prior to arrival.

Sepsis 60

Sepsis Academics Wellness Emergency Department 60

Sensible Medicine

SEPTEMBER 12, 2024

Sensible Medicine is excited to publish this rejected letter to the editor of the journal JACC-HF. Our excitement comes from a) the specific lessons about the design of clinical trials, and b) we love being a place where strongly argued but contrary viewpoints can be read. The specifics concern Chagas cardiomyopathy, which is caused by Trypanosoma cruzi infection.

Academics 62

Academics Outcomes Hospitals Wellness 62

Emergency Live

SEPTEMBER 13, 2024

Substances that promote tissue growth and repair are produced during sleep In recent years, scientific research has increasingly highlighted the importance of night rest for our health, especially heart. Why is sleep so important for the heart? During sleep, our body is engaged in a number of fundamental repair processes. The heart slows down, blood […] The post Why is sleeping more on the weekend good for the heart?

Research 52

Research 52

Life in the Fast Lane

SEPTEMBER 12, 2024

Mark Corden Funtabulously Frivolous Friday Five 360 Funtabulously Frivolous Friday Five 360 - Just when you thought your brain could unwind, enter the medical trivia of FFFF.

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RebelEM

SEPTEMBER 9, 2024

A newborn boy presents to the emergency department shortly after a home delivery. The mother had routine prenatal care and reports that he was due in 2 days. The patient appears term and vigorous but is in respiratory distress and gasping for air. His heart rate is 80 bpm. What percent of oxygen should you initially use while providing positive pressure ventilation to this patient?

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Resuscitation Emergency Department Pediatrics EMS 55

RCEM Learning

SEPTEMBER 12, 2024

The NIHR supported Emergency Care Incubator invites healthcare professionals working in urgent and emergency care to join us for our 3rd interactive symposium

Research 52

Research 52

Sensible Medicine

SEPTEMBER 15, 2024

I learned a lot from Elizabeth Fama’s multipart series on the back-to-sleep recommendation for infants. She agreed to put the entire series into an audio file. Here you go. JMM Sensible Medicine is a reader-supported publication. To receive new posts and support our work, consider becoming a free or paid subscriber.

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Emergency Live

SEPTEMBER 13, 2024

Recent research suggests that intermittent fasting may hide unexpected risks Intermittent fasting, a diet that involves periods of abstinence from food alternating with food windows, has become increasingly popular in recent years, promising a range of health benefits, from weight loss to improved metabolic health. However, recent research from the Massachusetts Institute of Technology (MIT) […] The post Intermittent fasting: new research raises concern appeared first on Emergency Live.

Research 52

Research 52

Life in the Fast Lane

SEPTEMBER 11, 2024

James Miers and John Mackenzie Procedure: Pericardiocentesis Emergency Procedure: Pericardiocentesis. one of the most difficult and risky emergency procedures, but one you already have the ultrasound and line skills to perform well.

Ultrasounds 52

Ultrasounds Wellness 52

ACEP Now

SEPTEMBER 10, 2024

Imagine a 9-week pregnant patient who comes to the emergency department with vaginal bleeding and abdominal cramping. Like nearly a quarter of pregnancies, she is experiencing early pregnancy loss, also referred to as spontaneous abortion or miscarriage. As she continues to bleed, she becomes progressively tachycardic and hypotensive, entering hemorrhagic shock, requiring an emergent procedure in order to preserve her health and save her life.

OB/GYN 52

OB/GYN Emergency Department Leadership Hospitals 52

Science Based Medicine

SEPTEMBER 16, 2024

The Florida Department of Health, run by Surgeon General Dr. Joseph Ladapo, just released guidance on COVID-19 vaccines based on antivax tropes. Is the federal government next? The post Dr. Joseph Ladapo’s assault on public health in Florida: Will it be coming to the federal government next year? first appeared on Science-Based Medicine.

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Sensible Medicine

SEPTEMBER 11, 2024

Last week, Vinay and Adam made arguments regarding which presidential candidate was more anti-science. If you haven’t read it, go first to the link above. (I moderated the debate and limited each to ≤ 500 words.) This week, they offer equally short rebuttals to each other’s arguments. We will offer these to paid subscribers. Thank you to those who support us.

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Emergency Live

SEPTEMBER 12, 2024

Australian researchers have used 3D printing to combine multiple drugs into a “poly-pill” 3D printing technology, traditionally used for rapid prototyping and complex object production, is also revolutionizing the pharmaceutical industry. Some Australian researchers have used this technology to combine multiple drugs into one “poly-pill”, and thus relieve the burden of those who must take […] The post Pharmaceutical revolution: personalised printed pills for each pa

Research 52

Research 52

PEMBlog

SEPTEMBER 9, 2024

Dewdrops on a rose petal describes the classic appearance of the lesions in varicella infections. Chicken pox is preventable by vaccines you know… Lyrics [Chorus] Dewdrops on a rose petal Vaccines test your mettle it’s chicken pox you silly fox! [Verse] prodrome fever, body hurts then the rash arrives in spurts Varicella’s itchy lesions most on trunk for some reason scabbing over, different stages once all crusted, not contagious [Chorus] Dewdrops on a rose petal Vaccines test

Infectious Diseases 52

Infectious Diseases 52

EMergucate

SEPTEMBER 13, 2024

The hand x-ray shows punched out lesions with overhanging margins in the distal IP joints of index & middle fingers.

EMS 52

EMS 52

The Skeptics' Guide to EM

SEPTEMBER 14, 2024

Date: September 12, 2024 Reference: Anderson et al. Full dose challenge of moderate, severe and unknown beta-lactam allergies in the emergency department. AEM August 2024. Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Case: It’s another day, another dollar in the emergency department (ED). The next patient is a 63-year-old woman with a cough and fever.

Anaphylaxis 43

Anaphylaxis Emergency Department Documentation/Coding Hospitals 43