EM Ottawa

FEBRUARY 15, 2024

We’re increasingly cognizant of the physiological importance of maintaining specific hemodynamics during resuscitation. Practice patterns vary broadly, so we’ve done a deep dive into the various evidence around the use of ketamine and etomidate in specific clinical scenarios. Physiology of the rapid sequence intubation Rapid sequence intubation (RSI) is the nearly simultaneous administration […] The post Ketamine and Etimodate: Into the Void appeared first on EMOttawa Blog.

Administration 124

Administration Resuscitation 124

NIOSH Science Blog

FEBRUARY 15, 2024

The American Journal of Public Health recently published a special supplement with 15 articles focusing on health worker mental health. This special issue of the journal was sponsored and edited by the National Institute for Occupational Safety and Health (NIOSH) and stems from the health worker mental health initiative from the Centers for Disease Control and Prevention and NIOSH.

Research 123

Research 123

Emergency Live

FEBRUARY 15, 2024

We explore how some viruses may be causing cancer diseases and what are the prevention strategies The Connection Between Viruses and Cancer Research has shown that some viruses, known as oncoviruses, can contribute to the development of tumors in various organs of the human body. Among these, the human papillomavirus (HPV) is the most well-known […] The post The invisible link: viruses and cancers appeared first on Emergency Live.

Research 87

Research Wellness 87

EMDocs

FEBRUARY 15, 2024

Authors: Angela Pikus, MD Emergency Medicine Resident, Atrium Health’s Carolinas Medical Center); Christine Murphy, MD (Emergency Medicine Attending, Medical Toxicologist, Atrium Health’s Carolinas Medical Center) // Reviewed by: Anthony Spadaro, MD (@TSpadaro91, Medical Toxicology Fellow, Rutgers New Jersey Medical School, Newark, NJ); James Dazhe Cao, MD (@JamesCaoMD, Associate Professor of EM, Medical Toxicology, UT Southwestern Medical Center, Dallas, TX); Alex Koyfman, MD (@EMHighAK); Brit

Hyperthermia / Hypothermia 88

Hyperthermia / Hypothermia Poisoning Seizures COPD 88

Emergency Live

FEBRUARY 15, 2024

Politicians, doctors, and experts mobilize on World Day Against Pediatric Cancer The reality of pediatric cancer Pediatric cancer represents a heterogeneous group of oncological diseases that affect children and adolescents. Unlike tumors that develop in adults, pediatric cancers often arise from cells that grow and divide rapidly. These diseases require specific therapeutic approaches tailored to […] The post A united front against cancer in children appeared first on Emergency Live.

Pediatrics 84

Pediatrics 84

Science Based Medicine

FEBRUARY 15, 2024

The controversial and never-proven-effective drug to treat Alzheimer's disease, aducanumab (Aduhelm) has been discontinued. The post Adios Aduhelm first appeared on Science-Based Medicine.

Administration 75

Administration 75

Emergency Live

FEBRUARY 15, 2024

The importance of fire-extinguishing foams and the Turin conference Complex fires and the challenge of extinguishment Complex fires pose a significant challenge for firefighters and safety officials. Their complexity stems not only from the size or intensity of the flames but also from the variety of materials involved and environmental conditions that can greatly complicate […] The post Innovations in complex firefighting appeared first on Emergency Live.

81

81

Emergency Live

FEBRUARY 15, 2024

Between technological innovation and sustainability, the ambulance sector looks to the future The field of ambulances in Western Europe is undergoing a profound transformation, thanks to the introduction of advanced technologies and the growing commitment to sustainability. This article explores recent developments shaping the future of emergency medical services, highlighting two emblematic examples: the innovative […] The post Silent revolutions: the evolution of ambulances in Europe app

72

72

ACEP Now

FEBRUARY 15, 2024

Answer: The correct answer is necrotizing fasciitis (b). Necrotizing fasciitis is a deep and often devastating bacterial infection that tracks along fascial planes and expands well beyond any outward cutaneous signs of infection. Necrotizing fasciitis can occur without a clear portal of entry, although predisposing risk factors include major penetrating trauma (e.g., crush injury, deep penetrating wound), minor non-penetrating trauma (e.g., muscle strain, sprain, or contusion), and breaches in t

Sepsis 52

Sepsis Fractures Wellness 52

Ken Grauer, MD

FEBRUARY 15, 2024

The ECG in Figure-1 was obtained from a previously healthy middle-aged man — who presented to the ED ( E mergency D epartment ) for shortness of breath. QUESTIONS: How would YOU interpret the ECG shown in Figure-1 ? Given the irregular irregularity of beats #4-through 17 — Is this a run of AFib ( A trial Fib rillation ) with aberrant conduction? Figure-1: The initial ECG in today's case.

EKG/ECG 312

EKG/ECG Wellness 312

ACEP Now

FEBRUARY 15, 2024

Question: A 42-year-old man presents with a painful spot on his buttock. What is the diagnosis? Cellulitis Necrotizing fasciitis Myositis Pilonidal cyst Se the answer here. The post VisualDx Question: What Is This Painful Spot on Patient’s Buttocks? appeared first on ACEP Now.

40

40

Sensible Medicine

FEBRUARY 15, 2024

It’s been a few years since I first heard about the Galleri test produced by the Menlo Park startup Grail. Galleri is a blood-based screening test for cancer. I think I first heard about it from doctors in concierge practices; next I heard whispers from my own better-off patients who brought me results or asked what I thought of the test. Sensible Medicine is a reader-supported publication.

Shock 143

Shock Wellness 143

RebelEM

FEBRUARY 15, 2024

Background: Patients with decreased level of consciousness due to alcohol, drugs, or medications commonly present to the ED. These patients can be at risk of vomiting and aspiration and often prompts clinicians to pursue definitive airway management to avoid pneumonia and other complications. It is unclear, though, if the risks of intubation (including ventilator associated pneumonia) outweighs the benefits.

Poisoning 129

Poisoning Airway Management Seizures Shock 129