The Trauma Pro

SEPTEMBER 15, 2023

Venous thromboembolic disease (VTE) continues to be a major issue in trauma patients. Most trauma centers have prophylaxis guidelines to try to reduce this problem. These guidelines typically recognize specific injuries that increase the risk of bleeding if anticoagulants are given. Typical ones include hemorrhagic injuries to the brain, pelvic and spine fractures, and solid organ injuries.

Administration 147

Administration Fractures Wellness 147

Dr. Smith's ECG Blog

SEPTEMBER 15, 2023

I came to work one day and one of my partners said, "Hey, Steve, we had a STEMI this afternoon!" I said, "Cool, can I see the ECG?' Of course he said: "Yes, it was a 60 year old diabetic with Chest pain." So he showed me the ECG recorded in triage: What did I say? "That is not a STEMI. That is Arterial Pulse Tapping Artifact (APTA)." He said: "What?

EKG/ECG 118

EKG/ECG Wellness 118

Core Medical Group

SEPTEMBER 15, 2023

Meet our Allied Team Lead with 2.5 years of dedication and commitment, James. His exceptional journey in the healthcare recruitment world has earned him the role as team lead after his 16 years of service. With an impressive background in the United States Coast Guard and a passion for helping professionals find their perfect healthcare roles, James brings a unique perspective to the world of healthcare recruitment.

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Science Based Medicine

SEPTEMBER 15, 2023

Did an absurdly spicy chip and a social media challenge kill a Massachusetts teen? His family sure thinks so, and it is possible. But skepticism is appropriate unless further details emerge. Still, these chips aren't for kids. The post Did a Spicy Social Media Challenge Kill a Massachusetts Teen? first appeared on Science-Based Medicine.

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Emergency Live

SEPTEMBER 15, 2023

Dogs and humans united to save lives in the water The ‘Scuola Italiana Cani da Salvataggio’ (SICS) is an outstanding organisation, both nationally and internationally, dedicated to the training of dog units specialised in water rescue. Founded in 1989 by Ferruccio Pilenga, SICS has contributed significantly to the safety of people in Italian waters and […] The post SICS: A Story of Courage and Dedication appeared first on Emergency Live.

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Taming the SRU

SEPTEMBER 15, 2023

ultrasound grand rounds: bedside dvt studies - family presence in the ed/icu - r1 clinical knowledge: aicd - r3 small groups: difficult airway management Ultrasound grand rounds: DVT studies WITH Dr. minges Why should we perform bedside DVT studies in the ED? Limited availability of radiology-performed US services in certain hospitals, especially overnight Can avoid unnecessary anticoagulation in patients Reduce time in ED to disposition In terms of workflow, when there is suspicion for a DVT, y

CPR 79

CPR Burns Airway Management Wellness 79

Emergency Live

SEPTEMBER 15, 2023

Caserta prepares to host the 28th edition of the Italian Red Cross National First Aid Competitions On 15 and 16 September, the city of Caserta will become the stage for the most eagerly awaited competitions of the year, with the 28th edition of the National First Aid Competitions organised by the Italian Red Cross (CRI). […] The post Caserta, hundreds of volunteers compete for the national title appeared first on Emergency Live.

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ALiEM

SEPTEMBER 15, 2023

A 64-year-old Caucasian male with a history of alcohol use disorder and tobacco use disorder presents with painless bilateral hand contractures that have been worsening for the past several months. He denies any recent trauma, fever, chills, or decreased sensation. The patient works as a construction worker. Physical Exam Vitals : BP 143/83 ; HR 94; RR 18; T 98.6°F; O2 saturation 98% on room air Musculoskeletal : He has bilateral palmar contractures proximal to the fourth digits.

Academics 60

Academics 60

EMDocs

SEPTEMBER 15, 2023

We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: How to Spot Ischemia in RBBB Patients Spoon Feed In non-ischemic right bundle branch block (RBBB) ECGs, we expect discordant ST depression and T wave inversions in leads V1-V3.

Pediatrics 60

Pediatrics Emergency Department Resuscitation EMS 60

Ziqitza HealthCare Ltd

SEPTEMBER 15, 2023

Sweta mangal ziqitza – Rapid and effective ambulance services are essential in saving lives during medical emergencies. Although the conventional ambulance system has come a long way, our emergency response skills should also improve as technology does. This blog examines how technology and innovation are being incorporated into ambulance services to enable quicker, wiser, and more efficient emergency responses.

Ambulance Services 52

Ambulance Services Telemedicine Patient Safety Outcomes 52

PEMBlog

SEPTEMBER 15, 2023

Did you know that lab tests and CT scans are not recommended for most children who fully recover after a simple febrile seizure or a first-time, unprovoked generalized seizure? Choosing Wisely recommends that doctors and all medical providers have detailed conversations with patients and their families about why labs and CT scans are unlikely to give new information or provide any additional reassurance.

Seizures 52

Seizures Pediatrics 52

PulmCCM

SEPTEMBER 15, 2023

The ultra-short-acting opioid remifentanil could theoretically be a safer induction agent with less risk of aspiration than neuromuscular blockers like succinylcholine or rocuronium. Neuromuscular blockers relax lower esophageal sphincter tone, increasing the risk for reflux and aspiration.

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Sensible Medicine

SEPTEMBER 15, 2023

I released this on my own substack, but honestly think the readers of Sensible Medicine should know this. If your chair tells you to not talk to the press, the chair should be fired. I was recently reading Jay Bhattacharya’s first person account of his treatment at Stanford— the vicious disputes about lockdown in the Spring of 2020— and this jumped out at me.

CDC 112

CDC Academics Administration 112

Ken Grauer, MD

SEPTEMBER 15, 2023

The tracing in Figure-1 was sent to me for my interpretation. As per the title of today's Blog post — There is no simple explanation for all that is happening in this challenging tracing. Are YOU up for the challenge? I found that the most challenging part of today's tracing is determining the etiology of beat "X". As I explain below — I think it unlikely that beat "X" represents a single, slightly accelerated junctional beat.

EKG/ECG 239

EKG/ECG Academics Wellness 239