PEMBlog
MAY 15, 2023
Syncope is described as a brief loss of consciousness and postural tone caused by transient global cerebral hypoperfusion. It is followed by a complete recovery. An estimated 80% of pediatric syncope is due to autonomic (vasovagal or neurocardiogenic) syncope. Our role as providers is to identify the patients who have a life-threatening etiology to their syncope.
RebelEM
MAY 15, 2023
You are working in a rural ED, and an older woman from a local assisted care facility arrives via ambulance in obvious respiratory distress. EMS is able to tell you that she is currently being treated for pneumonia. The patient is on a nonrebreather mask, and vital signs on arrival are BP 110/50 mm Hg, HR 120 bpm, RR 40/min, T 98.6°F (37°C), and SpO2 86%.
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Science Based Medicine
MAY 15, 2023
Antivaccine activists and quacks often weaponize legitimate concerns about industry conflicts of interest in medicine into the "shill gambit," in which they accuse critics and defenders of science-based medicine of being in the pay of big pharma. However, the rise of physician-influencers and, in particular, Substack show that not all conflicts of interest are from industry or even financial.
First 10 EM
MAY 15, 2023
The Beers criteria (named after Dr. Beers and not your Friday night escapades) is a guideline to help guide safe prescribing practices in the geriatric population. Polypharmacy and medication side effects are a common, and generally under-recognized, reason for patients to present to the emergency department. Adverse events and drug interactions should almost always be […] The post Beers criteria for potentially inappropriate medication use in older adults appeared first on First10EM.
Sensible Medicine
MAY 15, 2023
As always, we at Sensible Medicine appreciate the support from our readers. We are surprised and grateful. JMM Let’s start by leaving out the disease and treatment. This randomized controlled trial was simple and elegant. One group received an active drug (an inexpensive generic), the other group received placebo. The primary endpoint required no judging—alive or dead at 60 days.
Cook County EM Blog
MAY 15, 2023
Figure 1: Initial EKG The Case: 45-year-old Spanish speaking male with no known past medical history presented to the ED with 2-3 hours of severe back pain and throat pain. The pain started at rest with no specific aggravating or alleviating factors. The patient reported having similar intermittent episodes in the past, but this occurrence was more severe and persistent.
American Medical Compliance
MAY 15, 2023
The Health Insurance Portability and Accountability Act (HIPAA) became law in 1996. It establishes a set of national standards to protect the privacy and security of individuals’ health information. The law applies to covered entities. These include healthcare providers, health plans, and healthcare clearinghouses, as well as their business associates.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
University of Maryland Department of Emergency Med
MAY 15, 2023
Bicarbonate Use for Lactic Acidosis? The administration of sodium bicarbonate to treat severe acidosis remains controversial and int.
PHARM
MAY 15, 2023
This retrospective observational study evaluated the safety and efficacy of the ketamine and dexmedetomidine combination (keta-dex) compared to ketamine or dexmedetomidine alone for sedation of patients with acute respiratory distress due to COVID-19 pneumonia who require non-invasive ventilation. The following factors were assessed: tolerance to the ventilation, sedation level on the Richmond Agitation-Sedation Scale (RASS), hemodynamic and saturation profile, adverse effects, and discontinuati
Emergency Medicine News
MAY 15, 2023
No abstract available
Don't Forget the Bubbles
MAY 15, 2023
Although hypoglycaemia is one of the most common paediatric emergencies, consensus on a definition and investigations have not been reached. Even the definition of hypoglycaemia itself is a contentious subject. Specific guidance regarding intervention thresholds and investigation indications vary across countries and institutions. Given the lack of consensus guidelines, a straightforward, structured approach to investigation and management is paramount to ensure accurate diagnosis and timely, ap
Emergency Medicine News
MAY 15, 2023
No abstract available
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