JournalFeed

MAY 30, 2020

Here is the JournalFeed Podcast for the week of May 25-29, 2020. We cover severe Kawasaki-like illness in children related to COVID-19, anaphylaxis guidelines for 2020, NT-proBNP + Canadian Syncope Rule, best practices for academic medicine remote work, and the FRESH RCT.

Anaphylaxis 52

Anaphylaxis Best Practices Academics 52

Ken Grauer, MD

AUGUST 22, 2024

Working through a case of a regular WCT Rhythm in this 80-something woman — See My Comment in the May 5, 2020 post on Dr. Smith’s ECG Blog. Another case of a regular WCT Rhythm in a 60-something woman — See My Comment at the bottom of the page in the April 15, 2020 post on Dr. Smith’s ECG Blog.

EKG/ECG 261

EKG/ECG Wellness 261

Ken Grauer, MD

AUGUST 29, 2024

Working through a case of a regular WCT Rhythm in this 80-something woman — See My Comment in the May 5, 2020 post on Dr. Smith’s ECG Blog. Another case of a regular WCT Rhythm in a 60-something woman — See My Comment at the bottom of the page in the April 15, 2020 post on Dr. Smith’s ECG Blog.

EKG/ECG 346

EKG/ECG Hospitals Wellness 346

The Skeptics' Guide to EM

JANUARY 4, 2021

The presentation is available to watch on YouTube, listen to on iTunes and all the slides can be downloaded (McGill 2020 Part 1 and […] The post SGEM Xtra: EBM Master Class – McGill University Grand Rounds 2020 first appeared on The Skeptics Guide to Emergency Medicine. They titled the talk “Evidence-Based Medicine Master Class”.

Academics 40

Academics 40

Pediatric EM Morsels

JUNE 9, 2023

Luoto, 2020 ] Increase resistance can be related to pre-hepatic , intra-hepatic , or post-hepatic etiologies. Luoto, 2020 ] Increase resistance can be related to pre-hepatic , intra-hepatic , or post-hepatic etiologies. Banc-Husu, 2023 ; Luoto, 2020; Carneiro de Moura, 2018 ] Basics are best (always)! 2020 May;70(5):628-634.

Pediatrics 152

Pediatrics Head Injuries Airway Management Administration 152

Science Based Medicine

AUGUST 5, 2024

Ever since COVID-19 first emerged in 2020, evidence-free claims that it had arisen due to a "lab leak" have proliferated. A recent paper argues that this conspiracy theory has been very harmful to science. I argue that it's more than just lab leak that is harmful.

118

118

Pediatric EM Morsels

APRIL 5, 2024

This is true of hard ticks , which carry the majority of bacteria and viruses which can infect humans (Rochlin 2020) This is not true when the infectious agent is carried by a soft tick. Rochlin 2020) Shares many of the same symptoms as African tick-bite fever. In the US, outbreaks have been linked to rental cabins near national parks.

CDC 161

CDC Infectious Diseases Pediatrics Wellness 161

Pediatric EM Morsels

SEPTEMBER 20, 2024

Epub 2010 Jan 13. PMID: 20075028. Schnadower, D., Finkelstein, Y.,Desai, Bergmann, K., Hariharan, S., HUS and RRT in STEC-infected Children.

Pediatrics 161

Pediatrics Ultrasounds Dehydration Emergency Department 161

CasesBlog

MAY 21, 2020

Among the longevity apps, LifeExtend is the clear winner as of May 2020. The app is evidence-based, has helpful references and it is free: [link] It is backed by the physician/entrepreneur Don Brown (LifeOmics) and the University of Indiana, so it is not going away next year.

52

52

Mount Sinai EM

AUGUST 7, 2024

Ultimately, given the heterogeneity of studies in terms of timing & application and definition of cardiac motion, ultrasound is considered an adjunct to CPR with a class 2b recommendation in the 2020 AHA guidelines.

Ultrasounds 259

Ultrasounds CPR Documentation/Coding COPD 259

Pediatric EM Morsels

APRIL 7, 2023

American Society of Hematology 2020 guidelines for sickle cell disease: prevention, diagnosis, and treatment of cerebrovascular disease in children and adults. 2020 Apr 28;4(8):1554-1588. DeBaun MR, Jordan LC, King AA, Schatz J, Vichinsky E, Fox CK, McKinstry RC, Telfer P, Kraut MA, Daraz L, Kirkham FJ, Murad MH. 2019001142.

Stroke 130

Stroke Pediatrics Seizures Sepsis 130

Science Based Medicine

APRIL 7, 2024

Jay Bhattacharya March 2020: "If it’s true that the novel coronavirus would kill millions without shelter-in-place orders and quarantines, then the extraordinary measures being carried out in cities and states around the country are surely justified."

129

129

Ken Grauer, MD

DECEMBER 15, 2023

The importance of the new OMI ( vs the old STEMI ) Paradigm — See My Comment in the July 31, 2020 post in Dr. Smith's ECG Blog. The August 22, 2020 post in Dr. Smith's ECG Blog — which illustrates another case of dynamic ST-T wave changes that resulted from a repolarization variant.

EKG/ECG 320

EKG/ECG EMS Hospitals 320

Pediatric EM Morsels

AUGUST 11, 2023

2020 Oct 24;12(10):e11141. Coli Proteus species Non-Abscess infection: Staphylococcus aures = the most common Pseudomonas aeruginosa and others still may be seen Perichondritis of the Ear: Presentation Redness , Pain , and Swelling of the pinna Typically spares the lobule ! Can Fam Physician. 2022 Sep;68(9):661-663. doi: 10.46747/cfp.6809661.

Burns 130

Burns Pediatrics EMS Outcomes 130

Science Based Medicine

SEPTEMBER 12, 2023

Doctors who repeatedly predicted herd immunity in 2020 and 2021, mocking and berating those who disagreed, now treat herd immunity as a taboo phrase. The post When Did “Herd Immunity” Become a Taboo Phrase? first appeared on Science-Based Medicine.

143

143

Sensible Medicine

JUNE 6, 2024

The first two weeks of March 2020 were jolting. Although he initially rejected it, by April 2020, he recommended community cloth masking to slow the coronavirus (an intervention for which we now have randomized data showing it doesn’t work). In other words, if policies actually work, this method is able to prove that they work.

Infectious Diseases 144

Infectious Diseases Research Outcomes 144

Emergency Medicine Education

SEPTEMBER 29, 2024

The most recent guideline published under the JNC banner was the JNC 7 , which was released by the National Heart, Lung, and Blood Institute (NHLBI). The latest JNC 8 was published by JAMA in 2014.

40

40

Science Based Medicine

APRIL 5, 2024

Part 2: In 2020, pro-infection doctors said "It’s fantastic news that we have a lot of cases." Today, they performatively lament "learning loss for children, especially in poor families". What happened to their assurances that the mass infection of unvaccinated youth will rapidly lead to herd immunity?

120

120

EMergucate

DECEMBER 1, 2020

A 59 year old woman presents to her local nursing post with sudden onset palpitations and presyncope. She is a hour from your hospital, her vital signs are as follows;

EKG/ECG 52

EKG/ECG Hospitals 52

EMergucate

SEPTEMBER 28, 2020

The following ECG is obtained from a 70 year old female who has presented with thoracic back pain and fever. She has also noted reduced exercise tolerance over the preceding three days.

EKG/ECG 52

EKG/ECG 52

EMergucate

SEPTEMBER 15, 2020

You have been handed over a 58 year old male patient who presented yesterday with a seizure on a background history of alcohol dependence. He also has a history of depression and GORD. He has never…

Seizures 52

Seizures EKG/ECG 52

EMergucate

AUGUST 5, 2020

A 50 year old female presents to ED complaining of chest pain. The patient is well known to the department, with frequent presentations with chest pain. Recent MPS shows mild reversible inferior ch…

EKG/ECG 52

EKG/ECG Wellness 52

EMergucate

AUGUST 4, 2020

A 50 year old female presents to ED complaining of chest pain. The patient is well known to the department, with frequent presentations with chest pain. Recent MPS shows mild reversible inferior ch…

EKG/ECG 52

EKG/ECG Wellness 52

PulmCCM

OCTOBER 7, 2024

Randomized Trials of Midodrine in the ICU At least four randomized trials testing midodrine in the ICU were published between 2020 and 2022, as described in a narrative review by Costa-Pinto et al. Taken together, these flawed and confounded studies provided very little substantive or analyzable data. Read more

Shock 98

Shock Outcomes 98

EMergucate

JUNE 21, 2020

The following ECG is from a 52 year old male with a history of bipolar mood disorder and cardiomyopathy. He presents to ED complaining of increasing shortness of breath and leg swelling. The patie…

EKG/ECG 52

EKG/ECG 52

Emergency Live

MAY 23, 2024

In 2020, it was the most common cancer among Italian […] The post Prostate cancer: prevention and health appeared first on Emergency Live. Discover How Daily Choices Can Reduce Prostate Cancer Risk and Improve Men’s Health A Growing Men’s Health Issue Prostate cancer is a significant health problem for men.

98

98

EMergucate

JULY 15, 2020

The below ECG is from a 69 year old male who presented to ED with general malaise and fatigue. The patient is has a background of metastatic colon cancer and depression.

EKG/ECG 52

EKG/ECG 52

EMergucate

DECEMBER 8, 2020

You see a 26 year old man who has presented with left sided chest pain. He self discharged 3 weeks ago from the cardiology ward. His ECG is as below.

EKG/ECG 52

EKG/ECG EMS 52

EMergucate

JUNE 9, 2020

Following is an ECG of a 73 years of male patient with a history of IHD with 3 stents presenting with intermittent mild central chest pain. You are shown this ECG. Describe the abnormalities and yo…

EKG/ECG 52

EKG/ECG EMS 52

EMergucate

OCTOBER 20, 2020

A 50 year old woman presents to the Emergency Department complaining of a two week history of progressive limb weakness, … Continue reading →

EKG/ECG 52

EKG/ECG Emergency Department 52

EMergucate

APRIL 28, 2020

Following is an ECG of a 62 years of age Vietnamese man who has presented with an 8 hour history of intermittent left sided chest pain. He looks well from the end of the bed and his haemodynamics a…

EKG/ECG 52

EKG/ECG Wellness EMS 52

Pediatric EM Morsels

OCTOBER 27, 2023

DeBoer 2020] Now seen as industry standard in pediatric emergency care. K 2020] In Mexican children, the Broselow differed from actual weight by <10% in 46-64% of patients. 2020) The Times & Tapes Are a-Changin’: The Latest Broselow-Luten Tape for EMS , EMS World. Published 2020 Feb 12. Came out in 1986.

Pediatrics 268

Pediatrics Resuscitation Documentation/Coding Wellness 268

EMergucate

APRIL 7, 2020

Following is an ECG of a 25 years old man with a four day history of left sided chest pain and its 0400 hours in the morning. He’s in a mild discomfort but looks well from the end of the bed …

EKG/ECG 52

EKG/ECG Wellness EMS 52

EMergucate

NOVEMBER 23, 2020

A 85 year old female presents after a syncope. Below is the patients ECG: Describe and interpret the ECG On … Continue reading →

EKG/ECG 52

EKG/ECG EMS 52

EMergucate

MARCH 10, 2020

Following is an ECG of a 67 years of age man complaining of intermittent palpitations that lasts for two hours over the past two days with associated shortness of breath on exertion and chest tight…

EKG/ECG 52

EKG/ECG EMS 52

EMergucate

FEBRUARY 25, 2020

Following is an ECG of a 74 years of age man with a 3 day history of intermittent moderate central chest pressure with associated dizziness. He looks mildly uncomfortable with normal hemodynamics.…

EKG/ECG 52

EKG/ECG EMS 52

EMergucate

JUNE 30, 2020

The following ECG is taken from a 27 year old female who has presented following an intentional overdose of an unknown quantity of escitalopram and alcohol.

EKG/ECG 52

EKG/ECG 52