Mon.Apr 28, 2025

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April Update

EM Literature of Note

Periodic reminder theres lots of content over at our new home on evidencetriage.com Such great hits as: Run A Marathon And Drop Dead Paxlovid Spiralling Into Total Disutility Can Dr. Oz Really Replace Your Doctor With AI? The Bluejepa EAGLEs Have Landed and many others!

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Words can Harm, Words can Heal

Sensible Medicine

The picture below shows how a treatment can make patients better. I see four ways. The drug/procedure may work biologically. The Voltaire effect relates to his quote saying that the art of medicine consists of amusing the patient while nature cures the disease. AKA: natural history. Placebo effects can also contribute. I will show you an elegant experiment demonstrating how positive energy and words can add to improvement.

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Trending Sources

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How Accurate are Blood Gas Electrolyte Measurements?

RebelEM

Bottom Line Up Top: Blood gas electrolytes closely correlate with serum measurements and can be used under most circumstances to guide clinical care. Clinical Scenario: A 62 year old woman with a history of HTN, ESRD on MWF dialysis presents to the Emergency Department with generalized weakness. Her vital signs are HR = 82, BP 153/72, O2 Sat 95%, Temp 98.7.

COPD 100
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Happy 18th Anniversary to my Amazing Wife!

PEMBlog

This is the only non-medical post I make every year. The annual Anniversary Video that I plan, film, edit, and produce for my wife. I’ve been sharing them with her every year since our third anniversary. This is number 18. Maybe someday I will get my act together and buy a nice card from Hallmark with a heartfelt message on it for my wife. They still sell those I’m told.

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Bridging Innovation & Patient Care: The Growing Role of AI

Speaker: Simran Kaur, Co-founder & CEO at Tattva.Health

AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!

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Clinical Conflict? Train Your Team to Handle It

American Medical Compliance

Long hours, emotional stress, and fast-paced decision-making can sometimes lead to clinical conflictbetween colleagues, between departments, or even between healthcare workers and patients. Unfortunately, this type of conflict happens more often than many realize. A survey by the Institute for Safe Medication Practices (ISMP) found that 44% of healthcare workers reported hearing negative comments about colleagues or leaders, and 52% witnessed other forms of disrespect, such as lying, false acc

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Medical Music Mondays: Rap Battle! Ibuprofen versus Acetaminophen

PEMBlog

I’ve you’ve been keeping track (and I know you haven’t) this is the 52nd straight week I’ve posted a “Medical Music Mondays” – this was always the plan of course. As AI matures – and I keep writing fun educational songs I’ll post more – just not on a weekly basis. I’ll end this run with a rap battle – two tracks – who is superior, Ibuprofen or Acetaminophen?

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How can we tell if an unresponsive patient is "in there"?

PulmCCM

The critical care world was shaken to its psychological foundations by the discovery of cognitive motor dissociation, a phenomenon dubbed “covert consciousness” in which brain testing reveals that a non-trivial proportion of comatose patients can understand and execute cognitive commands such as “imagine yourself playing tennis” The finding upended the dominant belief that patients who are unresponsive physically (e.g., not withdrawing a hand from intensely painful nailbe

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Prolonged vs shorter awake prone positioning for COVID-19 patients with acute respiratory failure: a multicenter, randomised controlled trial

Critical Care North Hampton

SFY – Prolonged vs shorter awake prone positioning for COVID-19 patients with acute respiratory failure: a multicenter, randomised controlled trial What was it? This was a multicenter randomized trial comparing prolonged awake prone positioning (>12 hours daily for 7 days) with standard care (shorter prone positioning) in non-intubated COVID-19 patients with acute hypoxemic respiratory failure.

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PX Week 2025: Honoring Caregivers, Fostering Trust, and Inspiring Healthcare Experiences

NRC Health

Patient Experience Week is a time to honor healthcare professionals and reflect on the importance of trust, compassion, and connection in care. NRC Healths themeHonoring Caregivers, Fostering Trust, Inspiring Experiencescalls organizations to recognize healthcare heroes, embrace trust-building strategies, and elevate the patient experience. The post PX Week 2025: Honoring Caregivers, Fostering Trust, and Inspiring Healthcare Experiences appeared first on NRC Health.

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Effect of High-Intensity vs Low-Intensity Noninvasive Positive Pressure Ventilation on the Need for Endotracheal Intubation in Patients With an Acute Exacerbation of Chronic Obstructive Pulmonary Disease: The HAPPEN Randomized Clinical Trial

EM Ottawa

Methodology: 3/5 Usefulness: 3/5 Luo Z, et al. JAMA.2024;332(20):17091722. doi:10.1001/jama.2024.15815 Question and Methods: Multi-centre, randomized control trial to determine whether a high-intensity NIPPV strategy reduces the need for intubation in AECOPD patients compared to a low-intensity NIPPV strategy. Findings: 7/147(4.8%) patients in the high-intensity compared to 21/153(13.7%) in the low-intensity group met intubation criteria; actual […] The post Effect of High-Intensity vs Low

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What do Paramedics need to know about Chickenpox?

Don't Forget the Bubbles

Paramedics are increasingly required to assess patients and determine whether they can be safely managed at home with self-care or primary care or if they need to be transferred to the hospital. In line with HCPC requirements, paramedics must use evidence-based practice to make informed clinical decisions. This post explores the key information needed to support sound, evidence-based, and patient-centred decision-making in managing chickenpox in children.