Science Based Medicine

AUGUST 21, 2023

The World Health Organization held the First WHO Traditional Medicine Global Summit this weekend. Unfortunately, its claims of being "evidence-based" aside, the conference followed the WHO's usual pattern of serving as propaganda, not science. The summit was one-sided, organized by believers with the only speakers being believers, to promote a predetermined policy goal of promoting traditional medicine and justify "integrating" it with science-based medicine.

96

96

Sensible Medicine

AUGUST 21, 2023

On yesterday’s podcast , I talked with Bobby Yeh, an academic cardiologist who made a compelling case for enhancing credibility of observational research. Please do listen. Bobby is one of the smartest people in cardiology today. After closely reviewing the cardiac literature for the past decade or so, I have become increasingly hopeless that we could glean any useful information from non-random retrospective comparisons.

Administration 88

Administration Outcomes Research COPD 88

RebelEM

AUGUST 21, 2023

Background Information: Cardiac arrest is a devastating event that imposes considerable human and financial burdens. While it is widely recognized that cardiac arrest leads to brain injury, what is often overlooked is the persistent cerebral hypoperfusion that continues even after circulation is restored. The sustained cerebral hypoperfusion can be attributed to impaired cerebrovascular auto-regulation, which renders normal arterial carbon dioxide tension (PaCO2) insufficient in achieving and ma

Hospitals 77

Hospitals Resuscitation Outcomes CPR 77

Emergency Live

AUGUST 21, 2023

First discovered in 1866, Ebstein's anomaly presents as a downward displacement of the tricuspid valve, instead of the usual position between the right atrium and right ventricle The post Cyanosis, arrhythmias and heart failure: what causes Ebstein's anomaly appeared first on Emergency Live.

75

75

First 10 EM

AUGUST 21, 2023

This is a guest post by Dr. Julia Dmytryshyn. Julia completed medical school at the University of Toronto and is now a 2nd year Family Medicine resident at the University of Toronto. She is the co-creator of the popular medical education podcast series The Vulva Diaries. Her areas of interest include emergency medicine and women’s […] The post Miscarriage (Mis)management part 2: Management and Counselling appeared first on First10EM.

71

71

Medagadget

AUGUST 21, 2023

Researchers at the University of Leeds in the UK have developed a magnetic tentacle robot that is intended for use in minimally invasive medical procedures, such as the treatment of tumors in the lungs. The soft tentacles are made from silicone. They are unlikely to cause tissue damage, and contain a series of magnets that can be influenced by external magnetic robots.

Research 70

Research Wellness 70

ALiEM

AUGUST 21, 2023

A 50-year-old male with a history of polysubstance use disorder and poorly-controlled type 2 diabetes mellitus presents with left hand pain. One week ago, the patient sustained a macerating injury of the left distal middle digit. Since that time he has experienced worsening pain throughout the digit, now associated with diffuse swelling and discoloration.

Academics 52

Academics Outcomes Hospitals Wellness 52

Emergency Medicine News

AUGUST 21, 2023

An abstract is unavailable.

52

52

Don't Forget the Bubbles

AUGUST 21, 2023

“Hi, phoning from ED with a referral. We’ve got a 2-week-old down here with increased work of breathing and high respiratory rate , do you mind coming to see them?” So far, so common on your typical paediatric on-call shift. Except this baby is a bit different – they’re also really tachycardic and their peripheral perfusion is poor. The ED team helpfully did a gas while you headed down to review, and as you scan the numbers, you see that the baby has a severe mixed respiratory/lactic acidosis.

Pediatrics 98

Pediatrics Outcomes Research Sepsis 98

Emergency Medicine News

AUGUST 21, 2023

An abstract is unavailable.

52

52

PulmCCM

AUGUST 21, 2023

High vs. low oxygenation targets in mechanically ventilated patients. Further evidence from the ICONIC trial suggests oxygenation that seems “good enough” in vented patients, probably is. Authors randomized 664 patients receiving mechanical ventilation to receive oxygen to a target paO2 55-80 mm Hg (low oxygenation) or 110-150 mm Hg (high oxygenation).

Telemedicine 88

Telemedicine CDC Sepsis Outcomes 88