The Trauma Pro
MAY 17, 2024
Uncontrolled bleeding is the bane of trauma professionals everywhere. Early in a resuscitation, we focus on identifying potential sources. We’ve developed numerous techniques for plugging them up. And we have processes in place to replace the blood that’s been lost. Unfortunately, blood products are a perishable item. Packed red blood cells have a typical shelf-life of 42 days.
Science Based Medicine
MAY 17, 2024
The virus massively disrupted schools around the world, and those of us who did nothing more than acknowledge this obvious reality were absurdly blamed for it. The post Pro-Infection Doctors Didn’t Just Want Kids in School. They Wanted Them There Unvaccinated, Untested, and Unmasked. They Wanted Them Infected. first appeared on Science-Based Medicine.
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EMCrit
MAY 16, 2024
Piperacillin-tazobactam is an antibiotic that a lot of people love to hate. Combine this with the conservatism that often (rightfully) surrounds drug safety, and it creates a lot of volatility. Before going further, we should review some recent history regarding piptazo. In the early 2010's, a series of retrospective correlational studies found that patients treated […] EMCrit Project by Josh Farkas.
Sensible Medicine
MAY 17, 2024
MM is 94 years old. Her only active medical issues are hypertension and vitamin D deficiency. She takes only 20 mg of lisinopril and 1000 units of vitamin D3 each day. She has no cognitive decline and gardens every day if the Chicago weather allows. Her Friday afternoon appointment is the doctor’s last of the week. Sensible Medicine is a reader-supported publication.
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
The Trauma Pro
MAY 14, 2024
Resuscitative thoracotomy is a (sometimes) life-saving procedure reserved for trauma patients in extremis. Thankfully, most trauma centers do very few of these a year. However, that makes it one of those “high severity – low frequency” procedures that generate many, many quality improvement problems. Many of these issues are due to operator unfamiliarity or equipment availability.
St. Emlyn
MAY 18, 2024
St.Emlyn's - Emergency Medicine #FOAMed The practice of coordinating, consulting and managing an entire acute clinical service in real-time is fairly unique to emergency medicine. Central to this is the EPiC (or emergency physician in charge) role #FOAMed @stemlyns with @codingbrown The post An EPiC mental model. St Emlyn’s appeared first on St.Emlyn's.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
Sensible Medicine
MAY 15, 2024
Recently, I learned about a student on their clinical rotations who had to be sent home at precisely 9 hours. No matter how busy the day or service, the student would leave at the 9 hour mark. The reason? The student had a disability accommodation because he suffered from attention deficit hyperactivity disorder. Subscribe now In medicine there is a tension.
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.
Emergency Live
MAY 16, 2024
Discovery of 618 Cancer-Associated Proteins for 19 Types of Cancer Thanks to two studies led by the University of Oxford and published in Nature Communications, a total of 618 proteins in the blood have been identified that may indicate the presence of 19 different types of tumors. Among these, 107 could reveal the risk of […] The post New Biomarkers in Blood for Early Cancer Diagnosis appeared first on Emergency Live.
St. Emlyn
MAY 14, 2024
St.Emlyn's - Emergency Medicine #FOAMed Can ChatGPT write clinical cases and MCQs unrecognisable from those written by humans? The post JC – Chat GPT and AI vs Humans in medical assessment – is there a difference? appeared first on St.Emlyn's.
EB Medicine
MAY 15, 2024
In this episode, Sam Ashoo, MD interviews Rob Orman, MD, founder of Orman Physician Coaching , about routine examination of our careers in emergency medicine. Understanding Career Cycles and Embracing Change The Importance of Career Reflection and Making Trades Navigating Career Satisfaction and Preventing Burnout Proactive Career Management and Reflection Strategies Exploring Career Alternatives and Rediscovering Joy in Medicine Balancing Work, Love, Play, and Health for a Satisfying Life When
Emergency Medicine Cases
MAY 13, 2024
Anton is joined by the world's leading EM researcher in subarachnoid hemorrhage diagnosis Dr. Jeff Perry and EM-Stroke team clinician Dr. Katie Lin for a deep dive into why we still miss this life-threatening diagnosis, the key clinical clues, proper use of decision tools, indications for CT, indications for CTA, indications for LP and CSF interpretation for the sometimes elusive diagnosis of subarachnoid hemorrhage.
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.
Emergency Live
MAY 16, 2024
A World of Variety for Every Emergency Ambulances, vital vehicles for emergency medical transport, come in a wide array of shapes and sizes, designed to meet the diverse needs of both patients and emergencies. From standard ambulances to highly specialized units, the variety of these vehicles is astounding. Here’s an overview of the main types […] The post Exploring the Different Shapes of Ambulances appeared first on Emergency Live.
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.
Core Medical Group
MAY 14, 2024
Josh, a seasoned professional with over a decade of experience in healthcare recruitment at CoreMedical Group, brings a wealth of expertise to his role. Starting in sourcing and advancing to perm recruiting, he has excelled as a recruiter, team leader, and now as a Senior Account Manager. Known for his strong relationships and continuous improvement mindset, Josh is dedicated to making a positive impact by connecting healthcare professionals with their dream opportunities.
MEDEST118
MAY 14, 2024
References: Kwong S, Kothary S, Poncinelli LL. Skeletal development of the proximal humerus in the pediatric population: MRI features. AJR Am J Roentgenol. 2014 Feb;202(2):418-25. doi: 10.2214/AJR.13.10711. PMID: 24450686. Reid C, Fogg T, Healy G. Deformation of a humeral intraosseous catheter due to positioning for thoracostomy. Clin Exp Emerg Med. 2018 Sep;5(3):208-209. doi: 10.15441/ceem.17.243.
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.
Emergency Live
MAY 14, 2024
The ventilation maneuver during cardiopulmonary resuscitation (CPR) is a complex intervention influenced by various factors related to the patient, the operator, and the environment. Therefore, researchers have highlighted the importance of objectively and reliably measuring the quality of ventilation during CPR through a scientific study The objective of the study, conducted by Dr.
EM Ottawa
MAY 16, 2024
Skin conditions affect approximately one-third of the world’s population and are the 4th most common cause of disease.1,2. As the largest organ in the human body, the skin frequently manifests early signs of various diseases, serving as a pivotal clue in the diagnostic process. Think of Lyme disease as an example: when we recognize the […] The post Dermatology in Skin of Colour: Pigment, Perception, and Rash Decisions appeared first on EMOttawa Blog.
EMDocs
MAY 15, 2024
Today on the emDOCs cast with Brit Long, MD ( @long_brit) , we cover acute chest syndrome part 1. Episode 100: Acute Chest Syndrome Part 1 Background SCD is an autosomal recessive condition that results in the formation of hemoglobin S (HbS). HbS has reduced solubility in the setting of hypoxia, leading to sickling of the RBCs. Other causes of sickling: acidosis, dehydration, inflammation, infection, fever, and blood stasis Sickling leads to vascular occlusion, end-organ ischemia, and decreased
NRC Health
MAY 15, 2024
Healthcare leaders who understand that people need to feel validated, supported, and loved will have more meaningful healthcare interactions. The post Be a mirror: Elevate experience and transform healthcare interactions appeared first on NRC Health.
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 16, 2024
Surgical Solution for Bladder Cancer A commonly used surgical approach in this regard is represented by segmental cystectomy, which involves the removal of a portion of the bladder where cancer cells are present. This procedure is mainly performed for patients with low-grade bladder tumors concentrated in a very limited area of the bladder. Compared to […] The post Segmental cystectomy: what it is and what it is used for appeared first on Emergency Live.
Life in the Fast Lane
MAY 18, 2024
Kane Guthrie Cardiac Arrest – the 5 C’s Cardiac Arrest - the 5 C's with Cliff Reid. Causes Of Cardiac Arrest You NEVER Thought Of?! Meet The Hs & Ts & Cs!
PulmCCM
MAY 17, 2024
Transfusion-associated lung injury (TRALI) is a form of non-cardiogenic pulmonary edema and acute hypoxemic respiratory failure (PaO2/FiO2 <300) that develops during or soon after transfusion with blood products. It thus can also be thought of as acute respiratory distress syndrome (ARDS) precipitated by transfusion. The diagnosis of TRALI is clinical: there is no laboratory or other testing for TRALI (beyond a chest radiograph).
Board Bombs
MAY 19, 2024
This episode we chat about common hernias and the 3 major scenarios you will encounter with them in the ED. We also offer you a game of would you rather. As usual, lots of highbrow conversation. 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; Wosiski-Kuhn, Marlena. 223.
Dr. Smith's ECG Blog
MAY 13, 2024
Chest Pain – Benign Early Repol or OMI? Written by Destiny Folk, MD, Adam Engberg, MD, and Vitaliy Belyshev MD A man in his early 60s with a past medical history of hypertension, type 2 diabetes, obesity, and hyperlipidemia presented to the emergency department for evaluation of chest pain. He reported substernal chest pressure with radiation to his left arm that started at work several hours prior to arrival and had somewhat improved since onset.
Emergency Live
MAY 16, 2024
The Complexity of the American Emergency Medical Services (EMS) System In the United States, the Emergency Medical Service (EMS) system is highly diversified and decentralized, designed to respond to a wide range of medical emergencies. The American EMS is a network coordinated by various entities; alongside emergency management organizations, there are also healthcare service providers […] The post Understanding the Emergency Medical System in the United States appeared first on Emergency
Life in the Fast Lane
MAY 19, 2024
Pramod Chandru Network Five: LGBTQIA+ Identity & Healthcare. Network Five Emergency Medicine Journal Club Episode 29 reviewing papers on LGBTQIA+ identity and healthcare!
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).
PulmCCM
MAY 18, 2024
A randomized trial shows that andexanet can stem the progression of intracranial hemorrhage better than 4-factor prothrombin complex concentrate in patients taking factor Xa inhibitors. The clinical relevance is unclear, though, as patient-centered outcomes were not improved, and andexanet resulted in more serious thrombotic events than PCC. Factor Xa inhibitors (apixaban, rivaroxaban, and edoxaban in the U.S.) are anticoagulants that have largely displaced warfarin for the prevention of stroke
Critical Care Now
MAY 18, 2024
Reading Time: 3 minutes Following a short break, this week we return to the always interesting topic of pain management and we are tackling a major issue in acute and chronic pain management – back pain. The study, titled “Opioid analgesia for acute low back pain and neck pain ( the OPAL trial ): a randomised placebo-controlled trial” by Jones et al, is a multicentric triple-blinded randomised controlled trial conducted in Sydney, Australia, across 157 research sites.
Emergency Live
MAY 16, 2024
The event, held at the National Committee of the Italian Red Cross, saw over 140 students engage in discussions on humanitarian scenarios, with Sardinia clinching the top spot Over the weekend in Rome, the third edition of the National Humanitarian Law Competition took place, an event hosted by the National Committee of the Italian Red […] The post Sardinia Triumphs at DIU National Competition appeared first on Emergency Live.
Critical Care North Hampton
MAY 18, 2024
Here it is folks… the long-awaited first VLOG / Podcast from us here at CCN! Crunching all things critical care into one byte-sized session… added humour mandated!
JournalFeed
MAY 18, 2024
The JournalFeed podcast for the week of May 13-17, 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. Wednesday Spoon Feed: Serious bacterial infections were exceedingly rare in this study of recently immunized infants 6-12 weeks presenting to the emergency department with a fever.
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