EM Ottawa
JULY 27, 2023
Acute scrotal pain is a common in emergency departments, comprising ~ 0.5% of all presentations. However, torsion is another very time sensitive diagnosis that is ubiquitous across all ages as seen by this Rosen’s table. Incidence / Epidemiology Unfortunately, epidemiological data is poor. Acute scrotal complaints make up approximately 0.5% of all ED visits […] The post Testicular Torsion appeared first on EMOttawa Blog.
Emergency Live
JULY 27, 2023
New Technologies in Frontline Fire Fighting With rising summer temperatures and the increasing threat of forest fires, Italy is stepping up its efforts to tackle these emergencies. A key part of firefighting involves the use of aerial means, helicopters and drones. This year, the summer firefighting campaign is well equipped with a fleet of 34 […] The post REAS 2023: Drones, aerial vehicles, helicopters against fires appeared first on Emergency Live.
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EM Literature of Note
JULY 27, 2023
Platelets are the good little minions of hemostasis. In their absence, invasive procedures develop additional risk, ranging from minimal to clinically important, and the mitigation strategy ranges from avoidance, the alternative procedural techniques, to prophylactic platelet transfusions. Platelets, like any blood product, are associated significant risks, not limited to acute lung injury, transfusion-related circulatory overload, allergic reactions, and more.
Emergency Live
JULY 27, 2023
In the field of psychiatry and psychotherapy, sociopathy is defined by the term "antisocial personality disorder" The post Sociopathy and antisociality: causes, symptoms, diagnosis and treatment appeared first on Emergency Live.
St. Emlyn
JULY 27, 2023
St.Emlyn's - Emergency Medicine #FOAMed The TOP-ART trial of Artesunate in the treatment of bleeding trauma patients. This RCT shows no benefit and potential harm, but it may be more complex than that. Further work may be needed on immunomodulation in bleeding trauma patients. @stemlyns #FOAMed The post JC: The TOP-ART study: Artesunate for bleeding trauma patients.
Emergency Live
JULY 27, 2023
Lazy eye, also called amblyopia, indicates the presence of hypovisus in one eye. This disorder is common among children where it is the leading cause of visual impairment The post Do you suffer from lazy eye? Here's why and what you should do with amblyopia appeared first on Emergency Live.
Sensible Medicine
JULY 27, 2023
Adam and I discuss three topics I) The MIND Trial published in NEJM. Does a special diet reduce the future risk of cognitive decline? II) HFpEF — I am speaking at a congress on heart failure with preserved ejection fraction this week, and Adam helps me out with some pointers. III) NYT published a Sunday front page story on potential overuse of procedures for peripheral artery disease.
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Dr. Smith's ECG Blog
JULY 27, 2023
This 29 year old African American patient was found down, unconscious, not breathing and was given 2 mg of intranasal naloxone by a bystander. He then received bag-valve-mask ventilations for several minutes until he became responsive. He had a prehospital ECG that was worrisome to the medics, so they called me to see him at the door. On arrival to the ED, the patient was diaphoretic, tachycardic. and had dilated pupils.
NRC Health
JULY 27, 2023
Kick-off Human Understanding Beyond | HUB23 in style - you don’t want to miss Sea of Success: A celebration of excellence at HUB23 at the New England Aquarium. The post HUB23 reception: A nautical night out! appeared first on NRC Health.
SheMD
JULY 27, 2023
Here at sheMD, we believe in the importance of practicing Evidence-Based Medicine. We believe the same principles apply to discussing Gender and Medical Education. Therefore, we are bringing you an entire Journal Club series! Our series will focus on foundational and new literature within the gender and medicine space. Today, we will be discussing the article entitled, Association of Domestic Responsibilities With Career Satisfaction for Physician Mothers in Procedural vs Non Procedural Fields.
EMergucate
JULY 27, 2023
The chest x-ray shows presence of pneumomediastinum as indicated on the image. There is no obvious pneumothorax.
Greater Sydney Area HEMS
JULY 27, 2023
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EMergucate
JULY 27, 2023
The frontal chest x-ray shows a cavity with fluid level projected over the right dome of diaphragm.
Mount Sinai EM
JULY 27, 2023
Fever in the Asplenic Patient Why we care Fever in a patient with impaired splenic function = early sign of sepsis Infections in this population can develop precipitously with very minimal antecedent symptoms, and can become fulminant and fatal within hours of symptom onset DIC can occur early in the course Patient population Anatomic Asplenia (post-splenectomy, congenital asplenia) Functional Asplenia (e.g. sickle cell anemia) Hyposplenia (from atrophy, infarction, engorgement, or infiltration
EMergucate
JULY 27, 2023
The chest x-ray is technically inadequate. AP view has magnified the cardiac shadow.
RebelEM
JULY 27, 2023
Background: Current stroke guidelines recommend IV alteplase for patients with acute ischemic stroke presenting within 4.5hrs of symptom onset based on the NINDS and ECASS III publications. Both NINDS and ECASS III excluded patients with mild stroke symptoms but failed to clearly define a threshold for mild stroke. Many patients, however, will have minor strokes (defined as an NIHSS score ≤5).
EMergucate
JULY 27, 2023
The chest x-ray shows a hyperinflated right lung field.
Sensible Medicine
JULY 27, 2023
Just out on the preprint server Zenodo, comes an analysis of every preprint that has come out of my laboratory at UC San Francisco. In it, we reveal a startling pattern of censorship and inconsistent standards from pre-print servers. Preprint servers appear to be playing politics. Specifically MedRxiv and SSRN have been reluctant to post articles critical of the CDC, mask and vaccine mandates, and the Biden administration’s health care policies.
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