Mon.Jan 08, 2024

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The Wellness Company: How antivaccine grift becomes plain old quackery

Science Based Medicine

The Wellness Company, promoted by Dr. Peter McCullough, is the product of a trend in which antivax doctors have predictably become just quacks. At least in this case, there is an amusing quack fight at the heart of it all. The post The Wellness Company: How antivaccine grift becomes plain old quackery first appeared on Science-Based Medicine.

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Best Of EAST #5: How Good Is Lung Ultrasound For Pneumothorax?

The Trauma Pro

Focused abdominal sonography for trauma (FAST) has been a mainstay of rapid diagnosis for many years. The extended FAST exam (eFAST) adds an examination of the thoracic cavities to the basic exam. The sensitivity and specificity of FAST have mostly been determined. However, there is much less literature outlining the accuracy of the eFAST. The group at Vanderbilt performed a prospective, observational study on the ability of the eFAST exam to detect pneumothorax specifically.

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Sedation for the agitated adolescent

Don't Forget the Bubbles

For paediatric ED doctors who come from a paediatric training background, dealing with agitated adolescents can be stressful. There is so much more to managing the agitated adolescent than just drugs, but sometimes sedation is necessary. As we are not used to sedating children in this way, choosing drugs and doses can be difficult. In paediatric emergency care, addressing the challenge of adolescent agitation is a complex and evolving task.

Research 105
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The Latest in Critical Care, 1/8/23 (Issue #24)

PulmCCM

Smaller blood-collection tubes to reduce red blood cell transfusion (STRATUS trial) Cumulatively, daily labs on hospitalized patients deplete substantial volumes of blood, almost all of which is wasted. The 4 to 6 mL of blood drawn per standard tube is a legacy of older equipment: modern testing machines only need <0.5 mL per sample, and the rest is discarded.

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On the Ethical Detention of Patients in the Emergency Department

First 10 EM

This is a guest post by Dr Casey Parker MBBS DCH FRACGP DDU DipRGA. I am a rural generalist with postgraduate training in primary care, paediatrics, anaesthesia and diagnostic sonology. My practice includes emergency and inpatient care in Broome Hospital in the remote Kimberley region of Western Australia. I also work in a large tertiary […] The post On the Ethical Detention of Patients in the Emergency Department appeared first on First10EM.

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Disasters Expo USA: Navigating the Future of Disaster Mitigation

Emergency Live

Join the Forefront of Disaster Response: Insights and Innovations at Disasters Expo USA 2024 Emergency Live announces collaboration with Disasters Expo USA, the leading event mitigating the world’s most costly disasters, curated for professionals looking to source the solutions helping our communities prepare, respond and recover from disasters to the best of our ability.

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2023 AHA Update on ACLS

EMDocs

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association 2023 Guideline Updates for 2023 were just published. This post will focus on the key parts of the guideline that affect ED evaluation and management. Major Updates Avoid routine use of calcium in patients with cardiac arrest. Calcium is associated with harm but is still necessary in certain situations (hyperkalemia, calcium channel blocker overdose) (Level 3 recommendation: no benefit).

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SAEM Clinical Images Series: A Lethal Combination of Skin and Lung Findings

ALiEM

A 49-year-old female with a past medical history of recurrent diverticulitis initially presented with one month of shortness of breath and a minor nonproductive cough for which she was started on doxycycline by her primary care provider. She then developed a rash on her chest, upper back, and face. Antibiotics were switched to amoxicillin and azithromycin.

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Floods and storms devastate northern Europe

Emergency Live

The Impacts of Climate Change Highlighted by Extreme Weather Events Introduction Northern Europe is facing a series of severe storms and floods, leading to casualties, extensive damage, and significant disruptions. These extreme weather events, including heavy rains and intense winds, are causing serious issues for the population and raising concerns about climate change and its […] The post Floods and storms devastate northern Europe appeared first on Emergency Live.

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Are Hospitals Violating EMTALA?: Medical system and ethical questions are raised when care is unavailable

Emergency Medicine News

An abstract is unavailable.

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Preventing Backache in the Office: Effective Tips and Techniques

Emergency Live

Strategies for Maintaining Proper Posture and Reducing Pain Introduction and Importance of Correct Posture Working long hours at a desk can lead to back pain, a common issue among office workers. Incorrect posture, prolonged sitting, and poor ergonomics in the workspace are among the main causes of this discomfort. Taking steps to address these aspects […] The post Preventing Backache in the Office: Effective Tips and Techniques appeared first on Emergency Live.

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Hearing Aids are great, even if they don't save lives

Sensible Medicine

The Study of the Week is back after a nice holiday break. Peace to all. And Happy New Year. Subscribe now The journal LANCET Healthy Longevity now has the early lead for publishing the year’s most dubious study. The top-line result of this observational study was that use of hearing aids in adults with hearing loss was associated with a 24% lower rate of death compared with nonusers of hearing aids.

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Innovation in civil defense: the Lidar system

Emergency Live

Exploring Luminar’s Advanced LiDAR Technologies for Safer Emergency Vehicles Introduction Luminar Technologies, a leading company in the automotive technology field, is revolutionizing the civil protection sector with its commitment to innovation for the safety of emergency vehicles. At CES 2024, the company will showcase its latest innovations, including Automatic Emergency Steering (AES), based on its […] The post Innovation in civil defense: the Lidar system appeared first on Emer

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What do you suspect from this ECG in this 40-something with SOB and Chest pain?

Dr. Smith's ECG Blog

I was reviewing ECGs for a study, and came across this one, and was able to get all the clinical information: What do you think? The Queen diagnosed "OMI with high confidence" due to the ST Elevation in V1-V3. Smith interpretation: This is highly likely to be due to extreme right heart strain and is nearly diagnostic of pulmonary embolism. Let me tell you about her hospitalization, discharged 1 day prior, but it was at another hospital (I wish I had the ECG from that hospitalization): The patien

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Sweden faces extreme weather conditions

Emergency Live

The Impacts of Climate Change Highlighted by Extreme Weather Events Introduction Sweden is experiencing an exceptionally severe cold wave, with temperatures reaching record levels. The intense cold is causing significant disruptions and problems for the population, highlighting the climate emergency and its potential causes. Extreme Temperatures and Disruptions Recently, Sweden recorded its lowest temperature in […] The post Sweden faces extreme weather conditions appeared first on Emergen

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Tasty Morsels of Critical Care 076 | VV ECMO

Emergency Medicine Ireland

Welcome back to the tasty morsels of critical care podcast. Today we’ll talk about one of the niche and shall I say “advanced” in inverted commas therapies in intensive care practice. ECMO. And to be precise we’ll be talking about VV ECMO. Indeed saying that you are “putting someone on ECMO” is a woefully incomplete sentence as the support and physiological difference between venovenous ECMO and venoarterial ECMO is really rather profound.

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Volvo XC90 recharge: a step forward in electric rescue

Emergency Live

Sustainable Innovation in Emergency Vehicles Introduction The emergence of the Volvo XC90 Recharge marks a significant evolution in the emergency vehicle sector. With a growing emphasis on eco-sustainability and technological innovation, the Volvo XC90 Recharge stands as an ideal solution for emergency services, offering an optimal blend of environmental performance and operational capabilities.

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The sphygmomanometer: an essential tool in medicine

Emergency Live

An In-depth Analysis of the Sphygmomanometer, Its Operation, and Importance History and Evolution of the Sphygmomanometer The sphygmomanometer, commonly known as a blood pressure monitor, is a crucial device in the medical field used for measuring blood pressure. Its invention dates back to the late 19th century, with significant contributions from physicians such as Scipione […] The post The sphygmomanometer: an essential tool in medicine appeared first on Emergency Live.

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HAI HELI-EXPO 2024: a key event for aviation

Emergency Live

Innovation and Networking at the Heart of California An Immersive Experience in Vertical Aviation The HAI HELI-EXPO 2024, scheduled from February 26 to 29 at the Anaheim Convention Center in California, is a must-attend event for enthusiasts and professionals in vertical aviation. This unique exhibition brings together more than 14,000 participants and over 600 exhibitors, […] The post HAI HELI-EXPO 2024: a key event for aviation appeared first on Emergency Live.

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European Civil Defense Forces: A Detailed Analysis

Emergency Live

Structure and Sizes of Civil Protection Units in Key European Countries Introduction In 2023, the importance of civil protection forces, including firefighters, healthcare personnel, and ambulance operators, became increasingly evident in Europe. These services, vital for rapid response in emergency situations, exhibit unique characteristics in terms of size, organization, and capabilities in different European countries. […] The post European Civil Defense Forces: A Detailed Analysis appe