Science Based Medicine

JULY 17, 2023

Late last week, RFK Jr. endured some hilariously bad press about an NYC press event at which two of his supporters argued over climate change, one with lots of farts. However, the fart jokes soon gave way to darker side of the fundraise, a Q&A in which RFK Jr. shared an antisemitic conspiracy theory claiming that COVID-19 might have been "targeted" against Caucasians and Blacks, while sparing Jews and the Chinese.

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First 10 EM

JULY 17, 2023

I have written about the resuscitation of anaphylaxis and asthma before. However, I was forwarded the AMAX4 algorithm for the patient with asthma or anaphylaxis who is either unconscious or requiring assisted ventilation, and I think it is an important addition for our sickest patients. The heartbreaking backstory to this algorithm and website, created by […] The post Critical anaphylaxis and asthma: The AMAX4 algorithm appeared first on First10EM.

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Anaphylaxis Resuscitation 96

Sensible Medicine

JULY 17, 2023

Coronary heart disease is a leading killer. Coronary heart disease can be silent until it presents with a severe heart attack or silent death. The idea of using technology to find these partial blockages before they cause a severe event makes perfect sense. You can call this the clogged pipe frame of cardiology. Many people, now including prominent podcasters, has joined the advocacy for early detection of atherosclerotic disease.

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Shock Outcomes 91

Emergency Live

JULY 17, 2023

REAS 2023: an unmissable event for innovation in emergency Not long to go before the most eagerly awaited event of the year in the Italian emergency sector: the International Emergency Exhibition, better known as REAS. In the 2022 edition, REAS shone for the resonance it had, with 20 conferences, more than 100 speakers, and a […] The post REAS 2023, The Benchmark in the Emergency Sector appeared first on Emergency Live.

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Dr. Smith's ECG Blog

JULY 17, 2023

A young man presented with weakness and fever. His pulse was 186. An ECG was recorded: What do you think? There is a regular narrow complex tachycardia. Thus, it is supraventricular tachycardia. It is important to remember that SVT includes Sinus Tachycardia! That is why I like to call re-entrant SVT "Paroxysmal" SVT, or PSVT). The sinus node is "supraventricular" and in young people it can beat VERY fast.

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EKG/ECG Wellness 83

EMDocs

JULY 17, 2023

Authors: Christopher Whiting, MD (EM Resident Physician, University of Vermont) and Joseph Kennedy (EM Attending Physician, University of Vermont) // Reviewed by: Joshua Lowe (EM Attending Physician, USAF), Marina Boushra (EM-CCM Attending Physician, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case A 57-year-old man with a past medical history of hypertension and tobacco use presents to the emergency department (ED) with five days of abdominal pain.

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Operations EMS Fluid Resuscitation Shock 75

Emergency Live

JULY 17, 2023

Refractive anomaly, myopia is the most widespread visual defect: in Europe it affects 30% of the population, with varying degrees of seriousness The post Myopia, the most common visual defect: what it is and how to treat it appeared first on Emergency Live.

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PulmCCM

JULY 17, 2023

Should enteral feedings be stopped prior to extubation attempts? Tube feedings are often interrupted in mechanically ventilated patients being considered for extubation, in the hope this will reduce risk for aspiration and extubation failure. It makes sense, but does stopping tube feedings help? Or could it be harmful, resulting in inadequate nutrition being delivered?

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Infectious Diseases Outcomes Operations Research 52

ALiEM

JULY 17, 2023

The Study In an Annals of Emergency Medicine paper , Preiksaitis et al. sought to identify program factors associated with unfilled post-graduate year 1 (PGY-1) emergency medicine (EM) positions in the 2023 Match [1]. The authors completed a cross-sectional, observational study using National Residency Matching Program (NRMP) data and examined 9 variables as potential predictors of unfilled PGY1 positions using regression analyses [2].

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EMS Burns Emergency Department Shock 52

University of Maryland Department of Emergency Med

JULY 17, 2023

Central Venous Catheter (CVC; aka central line) placement is a common procedure in both the ED and ICU, and while overall quite safe, does ca.

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Don't Forget the Bubbles

JULY 17, 2023

Can’t get enough of Bubble Wrap? The Bubble Wrap Plus is a monthly paediatric journal club reading list from Anke Raaijmakers, working with Professor Jaan Toelen and his team at the University Hospitals in Leuven. This comprehensive list is developed from 34 journals, including major and subspecialty paediatric journals. We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research.

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Pediatrics Emergency Department Outcomes Fractures 98

RebelEM

JULY 17, 2023

Background: Standard rapid sequence intubation (RSI) in the emergency department involves administration of an induction agent and a neuroblocking agent in quick succession. RSI inherently carries with it risks of complications such as post-intubation hypotension and cardiac arrest in the most extreme cases. It is possible that the induction agent used could play an important role on hemodynamic effects in critically ill adults.

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Outcomes Administration Emergency Department Resuscitation 79

EM Ottawa

JULY 17, 2023

Methodology: 2/5 Usefulness: 1/5 Lim P, et al. Eur Heart J Acute Cardiovasc Care. 2022 Jan 12;11(1):2-9. Question and Methods: Does diuresis with single-dose IV furosemide improve hemodynamic parameters and prevent oligo-anuria in normotensive patients with intermediate-risk PE? Multi-centre, placebo-controlled, double-blind trial of furosemide 80mg IV vs. placebo.

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