Sensible Medicine

NOVEMBER 7, 2023

When I first met Teppo Järvinen, it felt like I was meeting a celebrity (not like a Mick Jagger celebrity, more like a David Sackett celebrity). Teppo is the senior author on the NEJM article, Arthroscopic Partial Meniscectomy versus Sham Surgery for a Degenerative Meniscal Tear. For anyone interested in medical reversal, this article is up there with CAST , the WHI , and the vertebroplasty articles as landmark articles.

Fractures 131

Fractures Research Hospitals 131

Medagadget

NOVEMBER 7, 2023

Researchers at North Carolina State University have developed a robotic prosthetic ankle that can provide stability for lower limb amputees. The ankle uses electromyographic sensors placed on the sites of muscles in the residual limb that then convey the intentions of the wearer with regard to movement. So far, the system has been shown to assist with postural control, which in this context refers to the many complex and unconscious movements that the muscles in our legs make to maintain balance

Research 105

Research 105

Emergency Medicine Cases

NOVEMBER 7, 2023

You diagnose uncomplicated appendicitis in the ED. The on call General Surgery team wants to wait until the next morning to perform an appendectomy. Is your patient at risk for appendiceal perforation with a delay to surgery? Dr. Rohit Mohindra and Dr. Shelley McLeod analyze the latest RCT that attempts to answer this question, the PERFECT study, on this EM Cases Journal Club.

EMS 99

EMS 99

ACEP Now

NOVEMBER 7, 2023

ACEP Calls Out Insurer Abuses During Surprise Billing Congressional Hearing ACEP member Seth Bleier, MD, FACEP, testified in front of the influential House Ways and Means Committee during a public hearing in October to call out insurers and advocate for fixes to the severely flawed implementation of the No Surprises Act. Dr. Bleier raised concerns that the Independent Dispute Resolution process has been virtually inaccessible for smaller practices and called out cases where physician groups were

Leadership 98

Leadership Administration Research Risk Management 98

Emergency Live

NOVEMBER 7, 2023

Specific protections for wounded and medical personnel according to IHL standards during wars In the context of tragic theaters of war, international humanitarian law (IHL) emerges as a beacon of civilization, offering protection to the defenseless and those working to provide relief and treatment. Health facilities and units, including hospitals, according to IHL, should not […] The post Protecting Hospitals in Armed Conflict: The Directives of International Humanitarian Law appeared firs

Hospitals 91

Hospitals 91

Emergency Medicine Cases

NOVEMBER 7, 2023

Key principles and approach to management of both non-massive and massive hemoptysis with Dr. Scott Weingart and Dr. Bourke Tillmann, who answer questions such as: What are the factors to consider in the decision to intubate patients with massive hemoptysis? How can one reliably distinguish hemoptysis from pseudohemoptysis? What is the evidence for tranexamic acid in patients with hemoptysis?

Resuscitation 89

Resuscitation EMS 89

Emergency Live

NOVEMBER 7, 2023

Exploring the Cutting-Edge Medical Facilities Aboard These Lifesaving Vessels Hospital ships are a beacon of hope in times of disaster, conflict, and humanitarian crises. These seafaring medical facilities are equipped with state-of-the-art technology and skilled medical professionals ready to provide critical care and surgical interventions. In this article, we will explore some of the most […] The post Setting Sail to Save Lives: The World's Most Advanced Hospital Ships appeared fir

Hospitals 90

Hospitals 90

Medagadget

NOVEMBER 7, 2023

Charco Neurotech , a medtech company based in the United Kingdom, has developed CUE1, a non-invasive wearable that is intended to assist those with Parkinson’s disease to manage their motor symptoms. The device is typically affixed to the sternum, and provides vibratory action in a focused region of the body. The technology is based on the observation of a doctor in the early 1800s, who noticed that their patients’ motor symptoms were significantly reduced when they traveled to their appoi

Research 82

Research 82

Life in the Fast Lane

NOVEMBER 7, 2023

Michael Gibbs MD Adult Ortho Cases 001 Pelvic ring injuries.

Radiology 111

Radiology Radiology 111

Emergency Medicine Cases

NOVEMBER 7, 2023

Dr. Navpreet Sahsi outlines 5 core ethical principles in choosing and participating a global health project on EM Cases' Global EM blog. The post Global EM 5 Is it Ethical? 5 Core Principles When Choosing a Global Health Project appeared first on Emergency Medicine Cases.

EMS 53

EMS 53

AED Leader

NOVEMBER 7, 2023

Cardiopulmonary resuscitation (CPR) can save a life in the event of a cardiac emergency, but very few people know how to perform CPR correctly. If you see someone collapse and become unconscious with no signs of breathing, they are likely experiencing cardiac arrest. When that occurs, you need to act immediately. The good news is that anyone can perform CPR; you just need to understand the steps involved.

CPR 52

CPR Resuscitation Shock Pediatrics 52

ACEP Now

NOVEMBER 7, 2023

More than 60 resolutions were considered during the ACEP23 Council Meeting in Philadelphia in October, with many of them drawing considerable debate before 44 were ultimately adopted. The ACEP Council, the College’s representative governing body, meets annually to discuss and consider resolutions on issues impacting emergency physicians. The Council consists of members representing ACEP’s 53 chapters, 39 sections of membership, the Association of Academic Chairs of Emergency Medicine, the Counci

Academics 52

Academics Critical Access Emergency Department Pediatrics 52

Ziqitza HealthCare Ltd

NOVEMBER 7, 2023

Diwali, known as the fe­stival of lights, is a cherished cele­bration that takes place with great e­xcitement throughout India. Families come­ together to enjoy de­lightful sweets and witness spe­ctacular fireworks displays. However, amidst the­ festivities lies a conce­rning issue: a significant rise in air pollution. In this blog post, we will de­lve into the connection be­tween Diwali and air pollution while offe­ring practical suggestions to minimize exposure­ to pollutants.

Ambulance Services 52

Ambulance Services Wellness 52

ACEP Now

NOVEMBER 7, 2023

Background As Electronic Health Information (EHI) has increased in prominence, the U.S. federal government has set the standard for increasing transparency and transmission of such data. The 2015 Edition Cures Act sought to promote “transparency, modern standards, and enhanced health IT capabilities by fostering innovation in the health care technology ecosystem to deliver better information to patients, clinicians, and other users.” 1 In 2016, the 21st Century Cures Act (Cures Act) took additio

Documentation/Coding 52

Documentation/Coding Best Practices Ethical Issues Academics 52

Mind The Bleep

NOVEMBER 7, 2023

The NHS offers several screening programmes, following recommendations set by the UK National Screening Committee. They are designed to aid early detection of serious conditions (such as cancers) in asymptomatic patients. Although screening is run at a national level, when patients have questions or worries they will often direct them to their GP. This quick reference guide should help you answer those queries.

Ultrasounds 52

Ultrasounds Outcomes 52

American Medical Compliance

NOVEMBER 7, 2023

The following course discusses the characteristics of the poor population, available money for individuals in the deepest levels of poverty, and average medical care needs among people living in poor and deep poor families. Even with the additional aid of government programs, Americans at the bottom of the income distribution frequently struggle to meet their fundamental necessities on extremely restricted salaries.

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Mind The Bleep

NOVEMBER 7, 2023

Gratitude – a strong feeling of appreciation to someone or something for what the person has done to help you. What is gratitude journalling? Gratitude journalling is keeping a record of things for which someone is grateful. This is a popular practice in the field of positive psychology. Why practice gratitude journalling? Burnout and high stress situations are very common in medicine.

Wellness 52

Wellness 52

EMergucate

NOVEMBER 7, 2023

The following knee x-ray is from an adult with knee swelling post twisting injury. What can be seen?

EMS 52

EMS 52

RCEM Learning

NOVEMBER 7, 2023

The post Jessie Lynch appeared first on RCEMLearning.

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52

EMergucate

NOVEMBER 7, 2023

Comparison of Intracranial Pressure Measurements Before and After Hypertonic Saline or Mannitol Treatment in Children With Severe Traumatic Brain Injury Patrick M.

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Canadian EM

NOVEMBER 7, 2023

For the October 2023 issue of CJEM, we collaborated with their team to present “Machine learning for the diagnosis of acute coronary syndrome using a 12-lead ECG: a systematic review”​1​​ in a visually simplified format. Many of us see the interpretation that is included on the top or side of each ECG, with common practice being to approach these diagnoses with caution.

EKG/ECG 52

EKG/ECG 52

ACEP Now

NOVEMBER 7, 2023

A 67-year-old man presents to the emergency department (ED) in cardiac arrest. He was found by bystanders after he collapsed and 911 was called. EMS physicians report he was found in ventricular fibrillation. Multiple attempts at defibrillation, epinephrine, and amiodarone have been unsuccessful. On ED presentation, he is unresponsive and the monitor shows ventricular fibrillation.

Resuscitation 52

Resuscitation Hospitals Shock CPR 52