The Trauma Pro
MAY 10, 2024
In my last post, I reviewed using the Cribari grid to evaluate over- and under-triage at your trauma center. This technique has been a mainstay for nearly two decades but has shortcomings. The most important one is that it relies only on the Injury Severity Score (ISS) to judge whether some type of mistriage occurred. The ISS is usually calculated after discharge, so it can only be applied after the fact.
Science Based Medicine
MAY 11, 2024
While admitting error is never easy and should always be applauded, the first step is to honestly admit error. The post Dr. Vinay Prasad Pretends to Admit Error: I Was Optimistic That Vaccination Would Halt the Spread of the Virus—I Was Wrong. first appeared on Science-Based Medicine.
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Science Based Medicine
MAY 8, 2024
Remember back in 1997, the Pokemon seizure episode? Hundreds of children reported symptoms, including seizures, after watching a specific episode of the Pokemon cartoon that includes a sequence of flashing alternating red and blue lights. The press reported the episode at face value, attributing the reaction to a known phenomenon of photosensitive epilepsy.
Emergency Live
MAY 9, 2024
From oncological treatments to inflammatory diseases, the ongoing evolution of monoclonal antibodies: Impact and Current Trends Monoclonal antibodies (mAbs) have become a powerful tool for combating various diseases such as cancer and inflammatory conditions. By 2024, drugs like Keytruda, Opdivo, and Darzalex will lead the market, especially in treating tumors like melanoma and non-small cell […] The post Monoclonal antibodies: what they are and how they are used appeared first on Emergenc
Taming the SRU
MAY 11, 2024
r1 clinical knowledge - r4 capstone - research grand rounds - the art of em - Community corner - PEM Lecture r1 Clinical knowledge: transplant complications WITH dr. gabor Time-sensitive peri-transplant emergencies: Bleeding fistula- stop the bleed. Flood syndrome- start fluids, give antibiotics, consult surgery. Have a high suspicion for infection in transplant patients.
First 10 EM
MAY 9, 2024
I gave 2 talks at the North York General Emergency Medicine Update this year. These are the resources for these talks. Usually, these resources are only for conference attendees, but this year I recorded versions of both talks, so you can watch them even if you didn’t make it to Canada’s premier emergency medicine conference […] The post NYGH Emergency Medicine Update 2024 appeared first on First10EM.
EMDocs
MAY 11, 2024
Authors: Ernesto Hernandez, MD (EM Resident Physician, Advocate Christ Medical Center, Oak Lawn, IL); Jennifer Woodruff, MD (EM Attending Physician, Advocate Christ Medical Center, Oak Lawn, IL) // Reviewed by: Sophia Görgens, MD (EM Physician, Northwell, NY); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Brit Long, MD (@long_brit) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited review of clini
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
St. Emlyn
MAY 9, 2024
St.Emlyn's - Emergency Medicine #FOAMed Our regular round up of the best of the blog with @docib and @emmanchester. Decompensated liver disease, mechanical CPR, frailty, global health and more. #FOAMed @stemlyns The post Feb/March Podcast 2024. St Emlyn’s appeared first on St.Emlyn's.
Emergency Live
MAY 9, 2024
From Genomic Sequences to Personalized Medicine: How Bioinformatics is Transforming Biomedical Research What is Bioinformatics? Bioinformatics is a field that merges science and technology. It brings together biology, computer science, mathematics, and statistics to study living organisms. This field uses computer programs like Python to analyze genomes.
Taming the SRU
MAY 10, 2024
Leadership curriculum - r4 capstone - r3 taming the sru - airway academy grand rounds - pharmacy updates Leadership curriculum: promoting yourself WITH drs. hill and lafollette We need to be able to promote our accomplishments throughout our careers. This is because our self-perception of ourselves typically differs from what others perceive of you and so you may not automatically get that promotion.
Science Based Medicine
MAY 6, 2024
A poorly framed article on people who believe that COVID-19 vaccines injured them is being trumpeted by antivaxxerst. Where the New York Times and its reporter Apoorva Mandavilli go wrong? The post A poorly framed article on COVID-19 vaccine injury in the New York Times first appeared on Science-Based Medicine.
EMDocs
MAY 9, 2024
Here’s another case from Medical Malpractice Insights – Learning from Lawsuits , a monthly email newsletter for ED physicians. The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. To opt in to the free subscriber list, click here. Stories of med mal lawsuits can save lives.
Sensible Medicine
MAY 9, 2024
We think a lot about considering the importance of funding when we read trials and editorials. There is no question that this is appropriate. Conflict of interest abounds in study design, their, and the creation of clinical guidelines. But, can consideration of funding source blind us to important research and opinions? Sally Satel always gets me thinking.
Emergency Live
MAY 10, 2024
An in-depth analysis on adenomas and their management in the European healthcare context What are adenomas? Adenomas are small non-cancerous growths that form in the gland cells. These benign tumors can appear in various parts of the body, such as the colon, thyroid, pituitary gland, and adrenal glands. While not cancerous, many adenomas require careful […] The post Adenomas: what they are and how they can evolve appeared first on Emergency Live.
First 10 EM
MAY 13, 2024
If you haven’t seen it yet, I have a collection of important evidence based medicine articles that will really help you understand the science behind your medical practice. I constantly update it with new papers I read, and occasionally publish summaries of those updates. This update contains a lot about non-inferiority trials, which is probably […] The post EBM bibliography updates – May 2024 appeared first on First10EM.
Science Based Medicine
MAY 10, 2024
Does the repeated stress on your immune system from getting tattoo after tattoo make you better able to fight off infections? No, no it does not. The post Tattoos Still Won’t Boost Your Immune System first appeared on Science-Based Medicine.
Taming the SRU
MAY 13, 2024
HISTORY OF PRESENT ILLNESS A male in his 50s presents with right lower quadrant pain. The pain developed one day prior to presentation and was gradual in onset. He describes the pain as constant and sharp without radiation, rated at an 8/10. The pain has been worsening since symptom onset and has not been relieved with acetaminophen or ibuprofen. Of note, the patient had a prior appendectomy three months prior due to an acute suppurative appendicitis that was otherwise uncomplicated.
PulmCCM
MAY 12, 2024
Preproghrelin (green and blue) and ghrelin (green). Source: Wikipedia Thanks to advances in critical care in recent decades, many more patients today survive out-of-hospital cardiac arrest to hospital discharge. Unfortunately, neurologic outcomes have remained poor over that time, with most survivors of out-of-hospital cardiac arrest remaining severely disabled.
Emergency Live
MAY 8, 2024
The importance of a life-saving tool An Automatic External Defibrillator is a life-saving device that can deliver an electric shock in the event of a cardiac arrest. With a shock from a defibrillator, the normal heart rhythm can be restored. Using a defibrillator in combination with quality CPR can significantly increase the victim’s survival chances, […] The post Keeping your defibrillator in top condition appeared first on Emergency Live.
ALiEM
MAY 6, 2024
It has been 3 years since the 8-week, self-guided Bridge to Emergency Medicine (EM) curriculum was launched to help graduating medical students prepare for EM residency. The curriculum has been viewed over 43,000 times and we have awarded over 5,000 ALiEMU course certificates. It is now a part of many residency programs’ intern boot camp. Launching the 2nd edition of Bridge to EM (2024) We are thrilled to announce that we launching the second edition of the curriculum.
Science Based Medicine
MAY 9, 2024
Non-medicinal products in your medicine are there for a reason. The post Binders, fillers and more? What’s all that other stuff in my medicine? first appeared on Science-Based Medicine.
First 10 EM
MAY 6, 2024
Years ago, this started as the “articles of the month” and was truly a monthly undertaking. In order to become more regular with the BroomeDocs podcast, I am going to try once again to make this a monthly endeavor, although that might mean fewer articles in each edition. For the people who skip right to […] The post Research Roundup and BroomeDocs Podcast (May 2024) appeared first on First10EM.
Don't Forget the Bubbles
MAY 6, 2024
With millions of journal articles published yearly, it is impossible to keep up. Our team has scoured the literature, so you don’t have to—or it might spark an interest in reading the full article. This time, the PEM MSc team from QMUL, in association with DFTB, are taking over…. If you or your team are interested in an individual or joint review, please contact Dr.
Emergency Live
MAY 9, 2024
Revolutionary Discoveries and Therapeutic Advances for More Effective Diagnosis and Treatment of Astrocytoma Advancements in Brain Tumor Research and Treatment Experts in brain tumors have made new and exciting discoveries. They have created a test that can detect brain tumors like astrocytomas without surgery. This test searches for tumor cells in the blood.
ALiEM
MAY 13, 2024
Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric soft tissue ultrasonography. Then test your skills on the ALiEMU course page to receive your PEM POCUS badge worth 2 hours of ALiEMU course credit. Take the ALiEMU PEM POCUS: Soft Tissue Quiz Case Goals List the indications of performing a pediatric soft tissue point-of-care ultrasound (POCUS).
Science Based Medicine
MAY 13, 2024
Last week, I had a choice between two poorly framed articles on health to discuss. I wrote about the one on "vaccine injury." But the second one about IV drips kept nagging at me. Why do journalists do so poorly on issues like this? The post The Washington Post publishes an advertorial on IV drips first appeared on Science-Based Medicine.
EM Ottawa
MAY 13, 2024
Methodology: 4/5 Usefulness: 3/5 von Hellmann R, et al. Ann Emerg Med. 2024 Feb;83(2):132-144. Question and Methods: Systematic review of 18 studies (12 RCT) of adult patients comparing bougie use vs standard of care in tracheal intubations to evaluate first-attempt success. Findings: Bougie was associated with increased first-attempt intubation success overall (RR 1.11 95%CI 1.06 […] The post Effect of Bougie Use on First-Attempt Success in Tracheal Intubations: A Systematic Review and M
Sensible Medicine
MAY 13, 2024
Next weekend at the Heart Rhythm Society meeting I will debate left atrial appendage occlusion. I’ve lost track of how many times I have tried to convince my colleagues that the evidence supporting this procedure is weak. The makers of one of the more popular devices, called Watchman, advertise on their website that 400,000 devices have been implanted worldwide.
Emergency Live
MAY 9, 2024
B-prepared, a Horizon Europe project (www.b-prepared-project.eu), is committed to building a culture of citizen-centred disaster preparedness through engaging digital platforms with the support of the B-prepared co-creation group. In the wake of a significant number of recent catastrophic events, B-prepared has emerged as a beacon of hope in the quest to reduce the devastating impact […] The post Building Disaster Preparedness solutions for citizens appeared first on Emergency Live.
Total Medical ComplianceHIPAA
MAY 13, 2024
In healthcare, privacy remains a fundamental concern, particularly regarding reproductive health care privacy. Recognizing the sensitivity of this area, recent modifications to the HIPAA Privacy Rule by both the Office for Civil Rights (OCR) and the U.S. Department of Health and Human Services (HHS) signify a pivotal step towards bolstering privacy rights and autonomy for women seeking reproductive health services.
Science Based Medicine
MAY 7, 2024
Perhaps if sheltered doctors cared more about health inequities, they wouldn't have treated a dangerous virus as nothing more than topic for an abstract, salon-style debate. The post Dr. Jeffrey Flier: Those Who Express Different Views on Health Equity Should Be Demonized, Not Heard first appeared on Science-Based Medicine.
Emergency Medicine Ireland
MAY 13, 2024
Welcome back to the tasty morsels of critical care podcast. This time we’re looking at pulmonary hypertension. Mainly cause I recently had to give a talk on it so it’s fresh in my rapidly diminishing brain cells and thought I should get it all written down before I forget it. We’re going to try it as a 2 parter. Part 1 will cover a broad overview of pulmonary hypertension and part 2 will focus on management strategies for a PH patient in the ICU.
PEMBlog
MAY 13, 2024
Hyperpronation is better than supination-flexion for Nursemaid’s Elbow reduction. Also they call it pulled elbow in Australia. Which is a better name. Swiftly listen to this brief educational song. Lyrics subluxation of the annular ligament about the radial head it’s called a nursemaids elbow, I know you’re well read there’s a couple maneuvers that will make it all better hyperpronation is best, there’s no need to fret sir [Chorus] hello nursemaid’s my old fr
Emergency Live
MAY 7, 2024
Another Work Tragedy That Could and Should Have Been Avoided The Italian population is still reeling from the tragedy in Suviana, which claimed seven lives in an incident at a hydroelectric plant. But another sad event has struck the community of Casteldaccia, in Sicily (Italy). Five workers lost their lives yesterday during sewer maintenance. A […] The post Tragedy at work: 5 workers die in Casteldaccia appeared first on Emergency Live.
Ultrasound Gel
MAY 13, 2024
Part 2 of the discussion with Rachel Liu and Cian McDermott for Yale Emergency Medicine podcast day. Now the banter turns to a favorite topic: POCUS in cardiac arrest - is there a right or wrong way to do it? [link] Sponsor: Echonous Part 2 of the discussion with Rachel Liu and Cian McDermott for Yale Emergency Medicine podcast day. Now the banter turns to a favorite topic: POCUS in cardiac arrest - is there a right or wrong way to do it?
EM Ottawa
MAY 9, 2024
Please refer to Dr. Mark McKinney’s Grand Round Summary from March 2020 (Parts 1 and 2) for a comprehensive literature review on the topic of resuscitating hypothermic patients. In this blog post, I’ll go into a more in-depth review of the staging of hypothermia and how to manage this problem in the field. Furthermore, I’ll […] The post Hypothermia & Non-Freezing Cold Injury appeared first on EMOttawa Blog.
Board Bombs
MAY 12, 2024
This week, Iltifat tries to stump Blake on the oral boards examination. We drop some high yield knowledge on tips and tricks to help you ace the oral boards! Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here. Cite this podcast as: Briggs, Blake; Husain, Iltifat. 222. High-yield oral boards review.
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