Science Based Medicine

JUNE 7, 2023

Monoclonal antibodies are the medical scientific breakthrough you may never have heard of. The post The Monoclonal Antibody Revolution first appeared on Science-Based Medicine.

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St. Emlyn

JUNE 7, 2023

St.Emlyn's - Emergency Medicine #FOAMed If you’re working in the UK then you will know that there is currently a shortage of ketamine (I know!). Specifically we are struggling to get hold of the 10mg/ml … Etomidate for RSI induction? St Emlyn’s Read More » The post Etomidate for RSI induction? St Emlyn’s appeared first on St.Emlyn's.

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Emergency Live

JUNE 7, 2023

Acute abdomen (in English "acute abdomen") is a clinical picture with sudden and violent onset, characterized by very intense pain that appears in the abdomen in a specific or widespread point The post Acute abdomen: causes, symptoms, diagnosis, exploratory laparotomy, therapies appeared first on Emergency Live.

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RebelEM

JUNE 7, 2023

Take Home Points Caustics are substances that injure tissue upon physical contact. Caustic potential is not purely a function of pH. The decision to admit is dependent on the history and physical. Vomiting, drooling, and stridor are concerning. Stridor alone or 2/3 symptoms should warrant admission and gastroenterology consultation for potential endoscopy.

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Emergency Live

JUNE 7, 2023

What is the cortex made up of? Anyone who has had the bad experience of a bone fracture knows well that one of the worst aspects of the situation, in addition to pain and functional limitation, is having to wear an uncomfortable plaster cast, especially in summer where heat, sweat and itching they make it very annoying, so annoying that someone started looking for a more practical solution on their own The post 3D printed exoskeletons: New Zealand student creates the Cortex appeared first on Eme

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EMDocs

JUNE 7, 2023

Authors: Daniel Escobar, MD (Emergency Physician, Mercy Hospital Northwest Arkansas, Rogers, Arkansas); Ann-Jeannette Geib, MD (Emergency Medicine Attending; Medical Toxicologist, Carolinas Medical Center, Charlotte, NC) // Reviewed by: James Dazhe Cao, MD (@JamesCaoMD, Associate Professor of EM, Medical Toxicology, UT Southwestern Medical Center, Dallas, TX); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case: A 22-year-old female presents to the Emergency Department (ED) in respirat

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Emergency Live

JUNE 7, 2023

The psoas maneuver is a maneuver used in medical semiotics to investigate the presence of abdominal pain. Its positivity indicates acute appendicitis The post Positive or negative psoas maneuver and sign: what it is and what it indicates appeared first on Emergency Live.

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Emergency Live

JUNE 7, 2023

Jaundice in medicine is a sign characterised by yellowish discolouration of the skin, sclerae and mucous membranes caused by excessively high levels of bilirubin, i.e. bilirubin in the blood The post Haemolytic, cholestatic, obstructive, neonatal jaundice: an overview appeared first on Emergency Live.

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Taming the SRU

JUNE 7, 2023

CPC: Rheumatic Fever - Carbon Monoxide Poisoning - Pediatrics: Toxicology - Combined EM/IM: Competency CPC: Rheumatic Fever WITH Drs. Chhabria and Baez Case: Young patient presenting with R knee pain x5 days, progressing now with SOB and CP History notable for flu-like symptoms for past 2 weeks Physical exam notable for tachycardia, tachypnea, muffled heart sounds + murmur and gallop, R knee and elbow swelling Remarkable diagnostics: CXR - cardiomegaly, no PNA Labs - new anemia, CRP elevation, e

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Poisoning EKG/ECG Pediatrics Burns 66

Emergency Live

JUNE 7, 2023

Pancreatitis is an inflammation of the pancreas, a gland that manages the digestive and glycemic balances of our body The post Pancreatitis: causes, symptoms, diagnosis, diet and treatment appeared first on Emergency Live.

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ACEP Now

JUNE 7, 2023

Background My favorite part of the fig plant ( Ficus carica L. ) is the fruit, of course. These sweet, refreshing waterdrop-shaped packages of goodness are exactly what I need some days to keep going. So much so, that in every home I’ve owned, I’ve planted a fig tree; enjoying the fruit of my labors while acknowledging the link this plant has with humans and culture over time.

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Emergency Live

JUNE 7, 2023

Cardiac contusion is defined as chest trauma that causes a contusion of the heart by tearing the walls of the heart muscle or damaging a heart valve The post Consequences of chest trauma: focus on cardiac contusion appeared first on Emergency Live.

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ACEP Now

JUNE 7, 2023

The role of emergency physicians has been made dramatically more important due to the pandemic. The performance of EDs in 2020 and into 2021 changed abruptly, and that carried through into 2022. EDs weathered attacks from a variety of sources in recent years. Commercial payers aggressively abused the No Surprises Act as a method to delay, downcode, and deny payment for emergency services.

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Emergency Live

JUNE 7, 2023

Glucosamine (also glucosamine) is an aminopolysaccharide involved in the synthesis of glycosylated proteins and lipids The post Arthritis / Glucosamine and chondroitin: dose, efficacy and contraindications appeared first on Emergency Live.

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ALiEM

JUNE 7, 2023

The venom from this pictured snail shares a primary mechanism of action with what other deadly toxin? Alpha-latrotoxin Botulinum toxin Bufotoxin Tetanus toxin Sarin Reveal the Answer Answer: 3. Botulinum toxin The cone snail contains alpha-conotoxin which is a potent nicotinic receptor antagonist similar to botulinum toxin and can cause muscular paralysis.

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Emergency Live

JUNE 7, 2023

The synovial plica is a thickening of the synovial membrane of the knee, a thin connective tissue membrane present in the joints The post Knee pathologies: the synovial plica appeared first on Emergency Live.

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University of Maryland Department of Emergency Med

JUNE 7, 2023

Nitroglycerin easily migrates into polyvinyl chloride (PVC), a plastic commonly used in intravenous tubing due to its flexibility and lo.

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Administration 54

EMergucate

JUNE 7, 2023

Myocardial infarction with non-obstructive coronary arteries: what is the prognosis? Giampaolo Niccoli1,2 and Paolo G.

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Don't Forget the Bubbles

JUNE 7, 2023

3-year-old Thomas has been eating soil. He looks pale, and his bloods show a microcytic hypochromic anaemic with Hb 80g/dL and low MCV. It looks like he has iron deficiency anaemia. Now what? Anaemia is insufficient red blood cells or haemoglobin (Hb) and affects 33% of the world’s population. Half of these cases are due to iron deficiency. Around 42% of children under five are anaemic.

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PEMBlog

JUNE 7, 2023

There are protocols in place that assist highly trained Emergency Medical Service providers in assuring that agitated children are safely transported to their destination. This podcast episode hosted by Brad Sobolewski ( @PEMTweets ) and co-authored by Dennis Ren ( @DennisRenMD ) is all about what prehospital providers should do to get these agitated children safely to the ED.

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ACEP Now

JUNE 7, 2023

Case You enter the room to see the next case and find two people. One is the patient and the other is a friend. Before you can introduce yourself, the friend interrupts you to let you know the patient is hard of hearing and needs a sign language interpreter. The patient is stable, so you acknowledge the situation and excuse yourself to arrange interpreter services.

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Emergency Live

JUNE 7, 2023

Premature Ejaculation is a common sexual dysfunction. "A persistent or recurrent mode of ejaculation that occurs during sexual intercourse, approximately one minute after vaginal penetration and before the individual desires it" (DSM-5, 2014) The post Premature ejaculation: causes, symptoms, diagnosis and treatment appeared first on Emergency Live.

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