Mon.Dec 04, 2023

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Steve Kirsch’s “mother of all revelations” about the “deadliness” of COVID-19 vaccines goes poof

Science Based Medicine

On Thursday, Steve Kirsch gave his long-hyped talk about "record-level data" from New Zealand that supposedly demonstrates that COVID-19 vaccines have killed more than 10 million people worldwide. His "analysis" of illegally obtained data from a "whistleblower" was so ridden with false assumptions and rookie errors that even some antivaxxers couldn't accept it.

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Women in the Fire Service: From Early Pioneers to Distinguished Leaders

Emergency Live

Increasing the Female Presence in the Technical and Operational Roles of the Italian Fire Service The Pioneering Entry of Women into the Fire Service In 1989, the National Fire Service in Italy saw a historic moment: the entry of the first women into the operational sector, ushering in an era of change and inclusion. Initially, […] The post Women in the Fire Service: From Early Pioneers to Distinguished Leaders appeared first on Emergency Live.

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How a “Positive” Trial Can Add Little to Clinical Care

Sensible Medicine

Today I will tell you about a trial that delivered a positive result but will add little benefit to patients. The teaching lesson surrounds the choice of endpoint to measure. First some brief background. When I started cardiology, much research focused on improving the care of people who had myocardial infarction (MI). Post-MI care was a target because injury to the heart from an occluded coronary led to bad things—like heart failure and arrhythmias.

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The impact of climate change on Medical Emergencies

Emergency Live

From increasing extreme events to adapting rescue techniques Extreme weather events and the increase in medical emergencies Climate change is having a direct impact on the number and severity of medical emergencies worldwide. The increase in extreme weather events, such as heat waves, floods, and fires, has led to a significant increase in medical emergencies. […] The post The impact of climate change on Medical Emergencies appeared first on Emergency Live.

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First10EM updates and audience survey

First 10 EM

First10EM is wrapping up its 9th year in existence. There have been 453 blog posts to date, and I am getting very close to having written 1 million words in total, or the equivalent of 20 average length nonfiction books. (Actually, the stats don’t include static pages like the catalog of research bias, so I […] The post First10EM updates and audience survey appeared first on First10EM.

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Emergency Medicine 2.0: new apps and cutting-edge medical support

Emergency Live

How Technology Is Revolutionizing the Emergency Room Emergency Room Apps: An Interactive Guide The era of Emergency Medicine 2.0 is characterized by the widespread use of digital technologies to improve the management of medical emergencies. First aid apps are a key resource, providing interactive and timely instructions during critical situations. These apps not only guide […] The post Emergency Medicine 2.0: new apps and cutting-edge medical support appeared first on Emergency Live.

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Red Leg in the Heartland of America: A Rural Physician’s Approach to the Patient with a Potential DVT

EMDocs

Author: Braeden D. Johnson, MD ( Community EM, Salina Regional Health Center) // Reviewed by: Joshua Lowe, MD (EM Attending Physician, USAF); Marina Boushra, MD (Cleveland Clinic Foundation, EM-CCM); Brit Long, MD (@long_brit) Case A 40-year-old woman presents to a rural emergency department (ED) with left leg pain and swelling for the past 5 days.

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SAEM Clinical Images Series: Penile Lesion with a Poor Prognosis

ALiEM

A 49-year-old male presented to the emergency department of an academic hospital with the chief concern of penile pain. Prior medical history is notable for end-stage renal disease on hemodialysis three times per week, but the patient has not been dialyzed in the past four days, hypertension, insulin-dependent diabetes mellitus, heart failure with reduced ejection fraction (59% two months prior), seizure disorder, prior pulmonary embolism (eight months prior), a left nephrectomy seven months ago

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Understanding Different Types of Dementia

American Medical Compliance

The loss of cognitive abilities, such as thinking, remembering, and reasoning, to the point where it interferes with day-to-day activities, is known as dementia. Some people with this health condition experience emotional instability, which can lead to personality changes. The onset of this disease typically occurs in individuals over the age of 65.

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Lab case 430

EMergucate

14-year-old girl, COVID day 2, presented with delirium. Her venous blood gases showed the following: Ph = 7.

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Mastering Teamwork and Communication in Healthcare Settings

American Medical Compliance

Teamwork is the foundation of a healthcare system that runs smoothly and provides the best possible care for its patients. Additionally, providing safe care relies highly on a team of trained medical professionals. This team includes employees with diverse roles and responsibilities who collaborate with the best interests of the patient in mind. Inadequate teamwork can result in clinical adverse events because of communication hurdles between hierarchies, a failure to recognize human fallibility

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Lab case 429 interpretation

EMergucate

Question 1: PH = 7.31, that is mild acidaemia PCO2 is high (51 mmHg). So we have respiratory acidosis.

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