Sun.Oct 01, 2023

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Overhyping Vaccines Wasn’t Pro-Vaccine. It Was Pro-Stop-Worrying-About-COVID.

Science Based Medicine

Overselling the vaccine in 2021 was not being pro-vaccine. It was pro-stop-worrying-about-the pandemic, from the doctors who assured us herd immunity was imminent. The post Overhyping Vaccines Wasn’t Pro-Vaccine. It Was Pro-Stop-Worrying-About-COVID. first appeared on Science-Based Medicine.

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Expert human ECG interpretation and/or the Queen of Hearts could have saved this patient's anterior wall

Dr. Smith's ECG Blog

This is a re-post of an excellent case from 2021. See it again now, along with our new Queen of Hearts functionality. We've come a long way in 2 years! And the pace only quickens. A man in his mid 60s with history of CAD and stents experienced sudden onset epigastric abdominal pain radiating up into his chest at home, waking him from sleep. He called EMS who brought him to the ED.

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Everyone’s Got ChatGPT Fever!

EM Literature of Note

And, most importantly, if you put the symptoms related to your fever into ChatGPT, it will generate a reasonable differential diagnosis. “So?” This brief report in Annals describes a retrospective experiment in which 30 written case summaries lifted from the electronic documentation system were fed to either clinician teams or ChatGPT. The clinician teams (either an internal medicine or emergency medicine resident, plus a supervising specialist) and ChatGPT were asked to generate a &

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Symptom-Triggered Brief Alcohol Withdrawal Scale Inpatient AWS Protocol

EM Updates

Alcohol withdrawal syndrome is unpredictable so managing AWS with scheduled meds invariably leads to under or over-treatment. CIWA-Ar is the best known severity scale but is lengthy and sometimes challenging to use so many alternatives have been developed. It probably doesn’t matter which scale is used–the benefit of symptom-based treatment over scheduled treatment arises not from the scoring tool but from the frequent reassessments.

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Diagnostics and Therapeutics: Managing Pneumothorax

Taming the SRU

There are many different types of pneumothorax (PTX), and the management paradigm has shifted in recent years as the research has exploded on this topic. This topic is additionally complicated by the development of multiple diagnostic tools now available for diagnosis as well as variable sizing algorithms used around the world. Institutional resources and specialty services may further dictate the management of PTX.

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Phenylephrine is Worthless? No Surprise: The drug is completely ineffective as a decongestant

Emergency Medicine News

An abstract is unavailable.

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SheMD Interview Series: How to Interview During a Pandemic

SheMD

As a participant in the couples’ match in 2019, I did nearly twenty interviews. For four months, my husband and I passed like ships in the night trying to find our new home. While some of that time was spent getting to know residents and faculty, much it of it was spent wandering through cafeterias, workrooms, and hospitals. Many times I had to finish one interview and drive to another dinner in the same day.

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Practical Tips for your ZOOM Interview

SheMD

The COVID19 pandemic quickly pushed us into living in an era of Zoom, FaceTime, Teams, GoToMeeting, Skype… etc, etc video conferences. In today's blog post, Dr. Amanda Xi shares functional tips on how to best interview for residency in this virtual/ZOOM era, including tips on lighting, backgrounds and virtual interview pearls. This post contains affiliate links.

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ODR 011 – Kettlebells for the Brain – Meditation

EMCrit

A slightly different kind of topic was my inspiration for the John Hinds Keynote at SMACC EMCrit Project by Scott Weingart, MD FCCM.

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How Many Countries Still Have Endemic Wild Polio?

Pediatric Education

Patient Presentation A group of medical students were reviewing common vaccines with their preceptor. They were discussing polio and one of the students commented that he thought polio had been eradicated from the world so he wasn’t sure why we still gave polio vaccine. Another student said that wasn’t true as she knew there had been a recent polio outbreak in the United Kingdom.

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Board Certification is Now the Norm: EPs are getting board certified earlier, but they aren't happier

Emergency Medicine News

An abstract is unavailable.

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