Mon.Jun 10, 2024

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From Collision to Clarity: PECARN cervical spine injury prediction rule for injured children

ALiEM

For years, adult literature has provided clear guidelines for cervical spine imaging through the NEXUS and Canadian C-spine Rule (CCR) tools. These have been invaluable in helping clinicians decide when to image the neck in trauma patients. Similarly, the Pediatric Emergency Care Applied Research Network (PECARN) has developed robust tools for assessing blunt head trauma in children.

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The Importance of Proper Control Arms

Sensible Medicine

This is a story about placebo effects. I raise the issue because the prominent journal JAMA-Psychiatry published a paper purporting to show that placebos have great effects in many psychiatric conditions. The erroneous conclusion provides excellent teaching points. First a Thought Experiment Say I gave 100 cyclists a red supplement designed to increase muscle contraction and increase pedal power.

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Forget “turbo cancers” caused by COVID-19 vaccines. Does COVID itself cause cancer?

Science Based Medicine

The Washington Post recently published an article asking if COVID-19 infection can cause cancer. Probably not, but cancer caused by a virus is more more plausible than "turbo cancer" caused by the vaccine. The post Forget “turbo cancers” caused by COVID-19 vaccines. Does COVID itself cause cancer? first appeared on Science-Based Medicine.

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Paxlovid doesn’t work for long COVID either (The STOP-PASC trial)

First 10 EM

As we have covered multiple times before, the evidence for paxlovid is heavily conflicted and mostly negative. There is very little reason to be using this agent clinically. However, despite an utter lack of evidence, many people have held out hope that paxlovid might be the miracle cure for the nebulous long COVID syndrome (referred […] The post Paxlovid doesn’t work for long COVID either (The STOP-PASC trial) appeared first on First10EM.

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How mine accident rescue works

Emergency Live

The complexity of rescue operations Rescue operations following mining accidents represent some of the most dangerous and complex rescue challenges. Coordination, advanced technologies, and specialized skills are essential to overcome obstacles such as collapses, floods, and critical weather conditions. Preparation and initial response Preparation is key in this process.

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Annals of B Pod: Uterine Incarceration

Taming the SRU

HISTORY OF PRESENT ILLNESS Patient is a G3P2 female in her 20s at 12 weeks gestational age (wGA), presenting with urinary retention. She reports that for the past two weeks she has had to strain to urinate. She was seen by her midwife provider for evaluation of this issue several days ago, at which time she underwent an ultrasound that was suggestive of uterine incarceration.

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Short Oral Antibiotic Therapy for Pediatric Febrile Urinary Tract Infections: A Randomized Trial

EM Ottawa

Methodology: 3.5/5 Usefulness: 2.5/5 Montini G, et al. Pediatrics. 2024 Jan 1;153(1):e2023062598. Question and Methods: This multicenter, parallel-group randomized controlled trial intended to determine the non-inferiority of a 5-day versus 10-day course of oral clavulin for treating of febrile urinary tract infections (fUTI) in children. Findings: The primary outcome of recurrence of UTI within 30 […] The post Short Oral Antibiotic Therapy for Pediatric Febrile Urinary Tract Infections:

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What are time-limited trials in critical care?

PulmCCM

Background I’m not sure if you’ve noticed this, but patients and families frequently disagree with their physicians about the likely outcomes from critical illness. For example, among patients undergoing tracheostomy for prolonged respiratory failure, when ICU clinicians predicted only a 6% chance of good functional status at one year, surrogates estimated it at 71%.

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Jennifer Baron Of NRC Health: 5 Ways Empathy Will Affect Your Leadership

NRC Health

An Interview With Cynthia Corsetti and Jennifer Baron, Chief Experience Officer at NRC Health. The post Jennifer Baron Of NRC Health: 5 Ways Empathy Will Affect Your Leadership appeared first on NRC Health.

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LITFL Update 029

Life in the Fast Lane

Kane Guthrie and Mike Cadogan LITFL Update 029 Update 028. Sending you FOAMed content from around the globe. Latest trends and best articles so that you stay top of your field.

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George C Williams Award for 2024

The Evolution & Medicine Review

The award for the best articles published in Evolution, Medicine, and Public Health in 2023 goes equally to two articles. Biomarkers or biotargets? Using competition to lure cancer cells into evolutionary traps, by Anuraag Bukkuri, Frederick R Adler (equal co-authors).

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Necrotising Enterocolitis

Don't Forget the Bubbles

Welcome to your first day with the neonates! Upon arriving for your initial shift, you set down your bag, and shortly after, you’re asked to evaluate Baby A. Baby A, a preterm infant, appears to be faring well for the moment—requiring minimal respiratory support, on full feeds, without IV access, and generally in an okay condition. However, their nurse expresses concern, noting that they seem a bit “off.” Upon examination and reviewing their observations, everything appears okay.

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Tasty Morsels of Critical Care 082 | Carbon Monoxide Poisoning

Emergency Medicine Ireland

Welcome back to the tasty morsels of critical care podcast. We’re going to cover a bit of an environmental/tox topic today and look at carbon monoxide poisoning from Oh’s manual chapter 83 on burns. I have previously covered this on the old tasty morsels of EM series back when i was doing my EM fellowship exams. As you no doubt remember from school chemistry classes, carbon monoxide is a colourless, odourless, tasteless gas produced when combustion occurs with insufficient oxygen.