Mon.Feb 26, 2024

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How antivaxxers weaponize vaccine safety studies to falsely portray vaccines as dangerous

Science Based Medicine

Antivaxxers have weaponized a huge multinational vaccine safety study of 99 million patient records that found rare adverse events and concluded that the benefits of COVID-19 vaccines outweigh the risks. How? A combination of the Nirvana fallacy and spin. The post How antivaxxers weaponize vaccine safety studies to falsely portray vaccines as dangerous first appeared on Science-Based Medicine.

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Protecting the Well-being of the Nation’s Health Workforce

NIOSH Science Blog

The American Journal of Public Health recently published a special supplement with 15 articles focusing on health worker mental health. As part of this special issue, our article Protecting the Mental Health and Well-being of the Nation’s Health Workforce summarizes the scope of the issue and prevention efforts underway at the Centers for Disease Control and Prevention (CDC) and the National Institute for Occupational Safety and Health (NIOSH).

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The Research Roundup (February 2024)

First 10 EM

Welcome back to another edition of the research roundup, where we discuss an eclectic collection of articles selected through the very rigorous process of whatever I happened to find interesting in my recent reading. The BroomeDocs podcast version can be found here: [link] Putting nail bed repair to bed? Jain A, Greig AVH, Jones A, […] The post The Research Roundup (February 2024) appeared first on First10EM.

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The evolution of operations centers in emergencies

Emergency Live

A journey through emergency management in Europe and the crucial role of emergency call centers Emergency call centers represent the cornerstone of crisis response, serving as the first point of contact for citizens in distress. Their role is of vital importance to ensure effective emergency management, coordinating available resources and directing field interventions.

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The Story of IV-Insulin after MI

Sensible Medicine

I will show you a glaring example of how even investigators miss (or ignore) obvious uncertainty. The intervention in question is the aggressive control of blood sugar in patients with diabetes who present with an acute myocardial infarction. Most know that subcutaneous insulin is a common way to control blood sugar in some patients. But in the hospital, we can be more aggressive and use IV insulin infusions, which allow tight control of glucose levels.

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The vital link between omega-3 and heart health

Emergency Live

Let’s discover how omega-3 fatty acids positively influence our cardiovascular health Omega-3s are polyunsaturated fatty acids that are essential for our well-being and known for their benefits on cardiovascular health. These nutrients, particularly abundant in fish and some plant sources, have been shown to be valuable allies of our heart. Let’s take a closer look […] The post The vital link between omega-3 and heart health appeared first on Emergency Live.

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SAEM Clinical Images Series: Neonatal Rash

ALiEM

An 18-day-old male presented for a rash on his face for two days. The patient was born via spontaneous vaginal delivery full term without complications to a mom who has a history of genital HSV but without active lesions at delivery and on acyclovir. The patient presented with a vesicular rash on his face including around his eyes. He had conjunctival discharge noted by mom.

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NIV for status asthmaticus

Don't Forget the Bubbles

Non-invasive BiPAP can be a successful ventilation strategy for status asthmaticus, removing the need for intubation and the complications associated with this. A 6-year-old known asthmatic presents to ED with a two-day history of cough and coryza, worsening wheeze and work of breathing over the last day. He is usually managed with beclomethasone twice daily and salbutamol as needed.

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Effect of Noninvasive Airway Management of Comatose Patients With Acute Poisoning: A Randomized Clinical Trial

EM Ottawa

Methodology: 3.5/5 Usefulness: 3/5 Freund Y, et al. JAMA. 2023 Dec 19;330(23):2267-2274. Question and Methods: Multicenter RCT involving comatose patients with suspected acute poisoning and GCS <9 compared a conservative airway strategy of withholding intubation versus routine practice for the primary hierarchical composite end point of in-hospital death, length of ICU stay, and length of […] The post Effect of Noninvasive Airway Management of Comatose Patients With Acute Poisoning: A

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Highlights from the 2024 Experience Perspective

NRC Health

The 2024 Experience Perspective blends research insights with a perspective aimed at enriching strategies encompassing brand identity, consumer engagement, patient care, and employee experience. The post Highlights from the 2024 Experience Perspective appeared first on NRC Health.

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Ziqitza Rajasthan – Challenges in Urban Healthcare and Ambulance Services in India

Ziqitza HealthCare Ltd

Urban healthcare and ambulance services in India face a large number of challenges, with rapid urbanization increasing the complexities of emergency response. In this realm, Ziqitza Healthcare Ltd emerges as a leading example, striving to overcome obstacles and redefine the landscape of emergency medical services. This blog will delve into the challenges faced by urban healthcare and ambulance services in India, focusing on the impact of traffic congestion on response times, strategies for navig

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ECG of the Week – Feb 28th 2024

EMergucate

The following ECG is from a 40-year-old man who presents overnight with left sided sharp chest pain which has woken him from sleep. He describes the pain as radiating into his left arm.

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Managing Obstetric Hemorrhage Training

American Medical Compliance

The following Managing Obstetric Hemorrhage Training is designed to educate healthcare providers on the significance of obstetric hemorrhage as a major cause of maternal morbidity. When working with pregnant individuals, it is important to understand any potential risk factors to be aware of. Postpartum hemorrhage (PPH) is typically defined as blood loss greater than 500 milliliters (mL) after a vaginal birth and 1000 mL after a cesarean section.

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Ziqitza Limited – Climate-Related Health Emergencies in India

Ziqitza HealthCare Ltd

India with its diverse climatic conditions is no stranger to the challenges posed by extreme weather conditions. From scorching heat waves to devastating floods and cyclones, the country frequently faces climate-related emergencies that impact public health. In such critical moments, timely and efficient medical assistance is paramount. That’s where Ziqitza Healthcare , a pioneer in emergency ambulance providers, plays a crucial role.

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Understanding and Managing Malignant Hyperthermia Training

American Medical Compliance

The following Understanding and Managing Malignant Hyperthermia Training is designed to educate healthcare providers (HCP) on the genetic basis of malignant hyperthermia (MH). Malignant hyperthermia (MH) is a genetic skeletal muscle condition characterized by a hypermetabolic reaction to halogenated anesthetic gases and/or the depolarizing muscle relaxant succinylcholine.

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Lab case 439

EMergucate

61-year-old man presented to ED with hypoglycemia that was difficult to correct with oral and IV dextrose.

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Winter Break

Pediatric Education

PediatricEducation.org is taking an early fall break The next case will be published on March 4th. In the meantime, please take a look at the different Archives and Curriculum Maps listed at the top of the page. We appreciate your patronage, Donna D’Alessandro and Michael D’Alessandro, curators.

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Distal Forearm Fractures

Ultrasound Gel

The GEL Jr. team is back and they have a bone to pick. What's the deal with using ultrasound for forearm fractures in kids? They examine a recent article on this topic from the New England Journal of Medicine. [link] [link] The GEL Jr. team is back and they have a bone to pick. What's the deal with using ultrasound for forearm fractures in kids? They examine a recent article on this topic from the New England Journal of Medicine.

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The Latest in Critical Care, 2/26/24 (Issue #31)

PulmCCM

Tenecteplase for acute ischemic stroke presenting after 4.5 hours (TIMELESS trial) Tenecteplase (TNKase or TNK) is genetically modified alteplase (tPA). Because it can be infused more rapidly than alteplase, TNK is gaining prominence as thrombolytic treatment for acute ischemic stroke, in patients presenting within 4.5 hours of their last time known to be well.

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Pneumocystis jirovecii Pneumonia and HIV: A Practical Guide for ED Diagnosis and Management

EMDocs

Authors: Kamoga Dickson, MD (EM Resident Physician, Makerere University of Health Sciences); Jessica Pelletier, DO (EM Education Fellow, Washington University in St. Louis) // Reviewed by: Joshua Lowe, MD (USAF Physician); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case A 42-year-old female with advanced acquired immunodeficiency syndrome (AIDS) presents to the Emergency Department (ED) with two weeks of progressive dyspnea that worsens with exertion, associated with a dry cough an