Sensible Medicine

NOVEMBER 3, 2023

When I look back on these reflections, it is surprising to me how much I’ve written about death. I am not a palliative care physician or even a geriatrician. Even though my practice is made up of about 750, overwhelmingly older people, mostly with chronic medical conditions, I only attend to the death of a patient a few times a month. Let’s contrast that to the thirty or so cases of hypertension I manage each week.

Hospice 111

Hospice Head Injuries Academics Hospitals 111

Science Based Medicine

NOVEMBER 3, 2023

Part 1 is available here. “There is No COVID Heart” On May 14, 2021, three “medical conservatives,” Drs. John Mandrola, Andrew Foy and Vinay Prasad, published an article titled “Setting the Record Straight: There is No ‘Covid Heart’” In it, they argued that “The issue of Covid-19 induced cardiac problems was massively overblown.” Though the virus had existed for barely over year, they were very […] The post Part 2: Is an Abnormal Lab Val

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108

Core Medical Group

NOVEMBER 3, 2023

In the world of healthcare recruitment, Chelsea's journey has been very influential. For the past six months, she's worked as a Recruiter within CoreMedical Group's Allied Healthcare Division, finding inspiration in her work and her team's collaborative spirit. Beyond her professional role, Chelsea is a culinary enthusiast, crafting new recipes in the kitchen.

90

90

ALiEM

NOVEMBER 3, 2023

Welcome to the AIR Trauma Module! After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Digital Impact Factor [1], the ALiEM AIR Team is proud to present the highest quality online content related to related to trauma in the Emergency Department. 8 blog posts met our standard of online excellence and were approved for residency training by the AIR Series Board.

Blood Transfusions 84

Blood Transfusions EMS Emergency Department Resuscitation 84

Dr. Smith's ECG Blog

NOVEMBER 3, 2023

Written by Nathanael Franks MD, reviewed by Meyers, Smith, Grauer, etc. A man in his 70s with past medical history of hypertension, dyslipidemia, CAD s/p left circumflex stent 2 years prior presented to the ED with worsening intermittent exertional chest pain relieved by rest. This episode of chest pain began 3 hours ago and was persistent even at rest.

EKG/ECG 78

EKG/ECG Shock Documentation/Coding Academics 78

Emergency Live

NOVEMBER 3, 2023

Guido Crosetto and Civil Defense Coordinate Search and Assistance Efforts in Weather Devastated Areas in Tuscany The weather emergency has hit Italy with unprecedented force, and in the last few hours, the heart of Tuscany, straining the resilience of infrastructure and the safety of local populations. At a time when nature is demonstrating all its […] The post Bad Weather in Tuscany (Italy): Defense Mobilizes for Relief Operations appeared first on Emergency Live.

Operations 77

Operations 77

EM SIM Cases

NOVEMBER 3, 2023

This case comes from Dr. Jared Baylis and Dr. Kelly Huang Dr. Baylis is the Simulation Medical Director at University of British Columbia – Southern Medical Program and Interior Health, as well as an editor of EM Sim Cases. Dr. Huang a PGY5 Emergency Medicine resident at University of British Columbia and is currently completing a simulation fellowship and area of concentrated expertise through Interior Health and UBC.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia EKG/ECG EMS Hospitals 52

University of Maryland Department of Emergency Med

NOVEMBER 3, 2023

Spanish investigators conducted a 6-month, prospective, observational study to determine the impact of emergency department pharmacists on.

Emergency Department 64

Emergency Department 64

EMergucate

NOVEMBER 3, 2023

Question 1: PH = 7.51, that is mild alkalaemia PCO2 = 28, that is less than 40. So we have respiratory alkalosis.

40

40

Pediatric EM Morsels

NOVEMBER 3, 2023

Imported Malaria , like all imported tropical illnesses, is a Tale of Two Cities. The infection was unknowingly obtained while enjoying a delightful holiday and then brought back in transit to a country where it is not endemic. In these non-endemic countries, we need to always be attentive to patient’s history of recent travel to correctly identify any concerns related to their recent travel.

Seizures 245

Seizures Pediatrics CDC Infectious Diseases 245

The Trauma Pro

NOVEMBER 3, 2023

I know this has happened to most of you at one point or another: One of your trauma patients sustains an injury outside of your area of expertise. You engage a consultant to evaluate that condition and manage it. They do so, and it requires some type of invasive procedure. They return from the procedure, and as you are rounding on the patient, you find the consultant has ordered a medication that you have not seen ordered for that procedure before.

Poisoning 147

Poisoning Wellness 147

Taming the SRU

NOVEMBER 3, 2023

Kring, R. M. et al. Ultrasound‐Guided Serratus Anterior Plane Block (SAPB) Improves Pain Control in Patients With Rib Fractures. J. Ultrasound Med. 41, 2695–2701 (2022). Broad strokes In this prospective, non-randomized study published by Kring et al in January 2022 out of Maine Medical Center, researchers compared mean pain scores at rest and during incentive spirometry before, at 15 minutes after, and then 60 minutes after treatment with a serratus anterior plane block.

Fractures 88

Fractures Ultrasounds Outcomes Research 88