Wed.Sep 13, 2023

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Best of AAST 2023 #2: Immediate Postoperative Prosthesis

The Trauma Pro

Blunt vehicular trauma is the most common cause of severe lower extremity trauma, particularly motorcycle crashes. Occasionally, the injury is so severe that the limb cannot be saved, and amputation is necessary. The conventional treatment is to protect the amputation incision, provide physical therapy, and fit a prosthesis once the stump is mature.

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Complete Human Embryo Model Made From Stem Cells

Science Based Medicine

Researchers create an embryo model from human embryonic stem cells. The post Complete Human Embryo Model Made From Stem Cells first appeared on Science-Based Medicine.

Research 102
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EIL Systems: emergency lighting at REAS 2023

Emergency Live

EIL Systems presents the new ‘Towerlux Hybrid Power’ light tower: lighter, more powerful and portable In a world where innovation drives progress, EIL Systems stands as a beacon of light, pioneering the creation of technological solutions designed to tackle emergencies with a revolutionary approach. Its latest product, the Towerlux Hybrid Power light towers, is transforming […] The post EIL Systems: emergency lighting at REAS 2023 appeared first on Emergency Live.

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Thanks, Speedy Old Man.

Maria Yang, MD

When I lived in New York, my then boyfriend and I ran races with the New York Road Runners. Boyfriend was a much faster runner than me, but, given the literal thousands of other runners in each race, there were always people faster than him… including an elderly man. One of the people who consistently finished ahead of Boyfriend was a man who was 30 years older than him!

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EENA: a step forward to save lives

Emergency Live

EENA recommends improving caller location information for mobile emergencies In a significant development, the European Emergency Number Association (EENA) has presented a set of crucial recommendations aimed at improving the accuracy and reliability of emergency caller location information for mobile-originated emergency communications. The initiative comes in response to a delegated regulation issued by the European […] The post EENA: a step forward to save lives appeared first on Emerge

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AVNRT TYPICAL FORM

ECG Guru

18-year-old male; palpitations lasting hours, beginning at the age of 10. What arrhythmia is present? Let's first consider the heart rate: with a heart rate of 194 beats/min, the heart rate is too low for atrial flutter (1:1) (except in patients who have been pre-treated with medication), and the rate would be unusually high for atrial flutter with 2:1 conduction.

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You don’t need labs or CT scans in children who have recovered after a simple febrile or first time seizure

PEMBlog

This is a blog post designed to disseminate the important work of Choosing Wisely , an initiative of the the American Board of Internal Medicine Foundation, the goal of which is the spark conversations between clinicians and patients about what tests, treatments, and procedures are needed – and which ones are not. The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit Expert Contributors Paul Mullan, MD Children’s Hospital of the King’s Daughters No

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DOAC "Loading Dose" = Misnomer

University of Maryland Department of Emergency Med

DOACs (dabigatran*, apixaban, rivaroxaban) each have different dosing strategies based on indication and patient characteristics. While th.

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ACEP to Host Stakeholder Summit to Address ED Boarding Crisis

ACEP Now

A confluence of challenges is renewing the urgency to address one of emergency medicine’s seemingly intractable issues: boarding in the emergency department. On September 27, ACEP will convene a national summit on emergency department boarding in its Washington, DC office. Congressional representatives, federal and state government officials, regulatory leaders, health care stakeholder groups, and patient advocates are expected to attend the day-long discussion.

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Choosing Wisely – Investigations for seizures that have returned to baseline

Don't Forget the Bubbles

The Choosing Wisely ® campaign is an initiative that promotes collaborative conversations between clinicians and families to safely avoid unnecessary and potentially harmful tests. The American Academy of Paediatrics Section on Emergency Medicine (AAP SOEM) created a list of five key recommendations for Paediatric Emergency Medicine after a structured review process and expert consensus opinion.

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VisualDX Question: What Is the Source of This Girl’s Neck Pain?

ACEP Now

Question: A four-year-old girl presents with neck pain. A lateral neck radiograph is shown. What is the diagnosis? Croup Epiglottitis Peritonsillar abscess Retropharyngeal abscess See the answer here. The post VisualDX Question: What Is the Source of This Girl’s Neck Pain? appeared first on ACEP Now.

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The Story of JOWMA, the Jewish Orthodox Women’s Medical Association

Sensible Medicine

I grew up in a clinic. My mom (a pediatrician) and my uncle (a cardiologist) both had offices in the basement of our two-family home in Brooklyn. When the first floor tenants moved out, my dad (a vascular surgeon) opened an ambulatory surgery center in that apartment. Looking back, my childhood home was practically a clinic. My parents are baby boomers, born as first-generation Americans.

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Key Victories for Emergency Medicine at the State Level

ACEP Now

Part of the ACEP mission is to expand and strengthen state advocacy. Chapter initiatives are making a positive impact on emergency physicians in their own communities with actions that often have implications for the entire specialty. Here, we highlight some of the key state efforts this year. California Scores Historic Reimbursement Win After hundreds of California ACEP members contacted Governor Newsom and state legislators, a long-overdue increase to Medi-Cal reimbursement rates was included

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REBEL Core Cast 108.0 – Angioedema

RebelEM

Take Home Points: Airway management is paramount; expect a challenging intubation and consider controlling the airway early if there is apparent airway compromise. Understanding the cause of angioedema (mast cell vs. bradykinin mediated) helps dictate directed management. Urticaria and pruritus = MAST CELL mediated, which is treated like a standard allergic reaction.

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Is Splenic Dysfunction Correlated with Sickle Cell Anemia in Kids?

ACEP Now

The best questions often stem from the inquisitive learner. As educators, we love—and are always humbled by—those moments when we get to say, “I don’t know.” For some of these questions, you may already know the answers. For others, you may never have thought to ask the question. For all, questions, comments, concerns, and critiques are encouraged. Welcome to the Kids Korner.

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Is it Time to Take Another Look at the State of Emergency Care in the U.S.? 

ACEP Now

It’s the 20th anniversary of the formation of the Committee on the Future of Emergency Care in the United States Health System. Intended to examine the state of emergency care and make recommendations for improvement, the committee has had an impact in some areas of Emergency Medicine, but not in others. Is it time for a reassessment? “Absolutely,” says Arthur L.