Sun.Sep 29, 2024

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Non-invasive or arterial pressure monitoring in PHEM?

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed This blog post reviews a study comparing non-invasive blood pressure (NIBP) and invasive blood pressure (IBP) monitoring in pre-hospital critical care. Using a retrospective cohort design, the study found that NIBP measurements are often inaccurate in patients with haemodynamic instability, particularly in hypotensive and hypertensive states.

Hospitals 107
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50 yo with V fib has ROSC, then these 2 successive ECGs: what is the infarct artery?

Dr. Smith's ECG Blog

A 50 yo was resuscitated from ventricular fibrillation. He had a prehospital ECG recorded after ROSC: What do you think? This certainly looks like an anterior STEMI (proximal LAD occlusion), with STE and hyperacute T-waves (HATW) in V2-V6 and I and aVL. Although one may have all kinds of ischemic findings as a result of cardiac arrest (rather than cause of cardiac arrest), this degree of ST elevation and HATW is all but diagnostic of acute proximal LAD occlusion.

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EMCrit Wee – Did this Really Just HAPPEN? – The HAPPEN Trial Hot Take – NIPPV for COPD

EMCrit

The HAPPEN Trial on NIPPV for AECOPD EMCrit Project by Scott Weingart, MD FCCM.

COPD 113
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Can you sunbathe with Vitiligo?

Emergency Live

Sun exposure is possible even if you suffer from vitiligo. However, some precautions are necessary Vitiligo, a skin condition characterized by the appearance of white spots without pigment, can raise many questions, especially in relation to sun exposure. Is it possible to enjoy the sun’s rays even with this condition? And what precautions should be […] The post Can you sunbathe with Vitiligo?

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235. Coccidio- what??

Board Bombs

We guarantee you'll be able to treat this condition before ever being able to spell it (not to mention pronounce it). Let's quickly cover a not-so-rare high yield zoonotic infection! Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here. Cite this podcast as: Briggs, Blake. 235.

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National Family Medicine Week

Dr. Mike Sevilla

National Family Medicine Week #FamilyMedicineWeek is from September 29-October 5, 2024. This was announced last week at the American Academy of Family Physicians FMX conference last week in Phoenix. I’d like to recognize and thank all Family Physicians, residents, and medical students for their commitment to improving access to primary care for all.

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Maladaptive Perfectionism with Rob Orman, MD

EB Medicine

In this special episode, Sam Ashoo MD and Rob Orman MD discuss the concept of Maladaptive Perfectionism and its application to emergency medicine. Understanding Maladaptive Perfectionism Case Example and Discussion Adaptive vs Maladaptive Perfectionism Personal Experiences and Legal Challenges Dealing with Negative Outcomes Strategies for Managing Perfectionism in the ED Handling Overwhelming Shifts Managing Expectations in the ED A Soul-Crushing Day in the ED Finding Meaning in Moments of Crisi

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Top Vaccine Questions That Residents Have

Pediatric Education

Patient Presentation In August, at the end of continuity clinic a pediatrician remarked, “It really has been a vaccine day. Patients without records, vaccines given too early and trying to catch-up the other patients, has made it complicated today but a great chance to learn.” “It is so complicated and I’m still trying to just learn the schedule,” said the intern. “Don’t worry, that will come along and you’ll just learn more with seeing patients.

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Hypertension Guideline

Emergency Medicine Education

The history of publishing hypertension guidelines traces back to the Joint National Committee (JNC) on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. The most recent guideline published under the JNC banner was the JNC 7 , which was released by the National Heart, Lung, and Blood Institute (NHLBI). The latest JNC 8 was published by JAMA in 2014.

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The Rapid Ideological Retraction of a Scientific Article on Rapid Onset-Gender Dysphoria

Sensible Medicine

On Sept 3, 2024, Retraction Watch covered the story of an editor who resigned from a Springer journal after the publisher declined to publish an article he had accepted. We at Sensible Medicine contacted the author of the article deemed too controversial for Springer. Here, we make it available to you all. Please support our mission of being able to discuss issues sensibly and without censorship by becoming a paid subscriber.

Academics 144