Mon.Jul 31, 2023

article thumbnail

The Latest in Critical Care, 7/31/23 (Issue #10)

PulmCCM

New Practice Guidelines for Diagnosis and Management of Acute Respiratory Distress Syndrome As mentioned here previously , a group of U.S. and European experts arrived at a consensus of new recommendations for the management of acute respiratory distress syndrome (ARDS), now publishing their guidance in JAMA. The highlights include: A trial of high-flow nasal cannula oxygen was advised before intubating patients.

Shock 98
article thumbnail

COVID-19 has exposed the toothlessness of state medical boards

Science Based Medicine

A report in The Washington Post last week revealed just how badly state medical boards have been failing when dealing with physicians spreading COVID-19 misinformation and using quackery to prevent and treat the disease. None of this is anything new, unfortunately. The pandemic has merely stress tested state medical boards, and most have failed because of political choices made long ago.

98
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

The Most Important Trial in Modern Cardiology

Sensible Medicine

In Chapter 1 of this mini-series, I explained the disruption wrought by the COURAGE trial. Seriously? Stenting severe coronary lesions did not improve survival over simple tablets? Chapter 2 added to the oodles of studies showing how much doctors can be fooled by the placebo effect. The ORBITA trial demonstrated that the caring signal of placing a stent is massive.

article thumbnail

Couple infertility: let's talk about oligospermia

Emergency Live

Oligospermia represents about 30-50% of the causes of couple infertility, a problem that afflicts about 15% of Italian couples The post Couple infertility: let's talk about oligospermia appeared first on Emergency Live.

78
article thumbnail

VENTRICULAR TACHYCARDIA IN A PATIENT WITH CAD AND OLD INFERIOR MI

ECG Guru

Broad complex tachycardia in a 78-year-old patient with coronary heart disease (CHD) and an old inferior myocardial infarction. Why is this a ventricular tachycardia (VT) and not a supraventricular tachycardia (SVT) with aberrant conduction? Broad complex tachycardia is generally about 80% likely to be ventricular in origin. However, in a patient with CHD and a history of myocardial infarction, this likelihood increases to about 90%.

52
article thumbnail

Breastfeeding Pharmacy: Analgesics

Northwestern EM Blog

Written by: Courtney Premer-Barragan, MD, PhD (NUEM ‘25) Edited by: Adam Payne, MD (NUEM ‘24) Expert Commentary by : Kelsea Caruso, PharmD Expert Commentary “Pump and dump” is definitely the easy way out for the emergency medicine provider, but this practice can have detrimental effects on the baby and on the mother. There is a false pretense that many medications are harmful to the breastfeeding infant, but this is not the case.

article thumbnail

Femoral Vein Doppler

Ultrasound Gel

Another cutting edge topic! These insatiable investigators propose to use doppler waveforms from the common femoral vein as a marker of right heart dysfunction in heart failure patients. Novel? Certainly. Useful? We shall see! [link] [link] Another cutting edge topic! These insatiable investigators propose to use doppler waveforms from the common femoral vein as a marker of right heart dysfunction in heart failure patients.

52

More Trending

article thumbnail

Forget IV vs. IO in Cardiac Arrest

Emergency Medicine News

An abstract is unavailable.

98
article thumbnail

Dysphagia and Food Safety Training

American Medical Compliance

Dysphagia is the medical term when someone has difficulty swallowing. While some may struggle to swallow specific foods or drinks, others are completely unable to swallow. This makes eating challenging. Additionally, it might be challenging to consume enough calories and fluids to maintain your body’s needs. Anyone can have a swallowing difficulty, although elderly individuals are more likely to develop one.

Stroke 52
article thumbnail

The Golden Rule of EM

Emergency Medicine News

An abstract is unavailable.

EMS 98
article thumbnail

Lab case 414

EMergucate

50-year-old man with history of type II diabetes and colorectal cancer. He is on Metformin and other anti-diabetic medications.

52
article thumbnail

Don't Count REBOA Out Yet

Emergency Medicine News

An abstract is unavailable.

96
article thumbnail

ECG OF A 3 YO BOY, IS IT NORMAL?

ECG Guru

Here is the ECG of a 3-year-old boy. Is there cause for concern? The ECG shows a sinus rhythm with significant sinus arrhythmia. The heart rate increases with inspiration and decreases with expiration, which is called respiratory sinus arrhythmia. The QRS-axis is between 60 and 90 degrees, which is physiological at this age. The negative T-waves in V1-V3 (V4) are also age-appropriately normal.

EKG/ECG 40
article thumbnail

TXA Should be Urgently and Broadly Adopted for Brain Bleeds

Emergency Medicine News

An abstract is unavailable.

95
article thumbnail

Lab case 413 interpretation

EMergucate

Question 1: PH = 7.13, that is moderate acidaemia. HCO3 = 9.4 mmol/L, Accordingly, it is metabolic acidosis.

40
article thumbnail

Ring Removal

Life in the Fast Lane

Mike Cadogan Ring Removal Ring removal.

52
article thumbnail

Technology & Inventions

Emergency Medicine News

An abstract is unavailable.

52
article thumbnail

The 73rd Bubble Wrap

Don't Forget the Bubbles

With millions of journal articles published yearly, it is impossible to keep up. Our team have scoured what’s new (well, mostly new!) in the paediatric literature. One reviewer has returned to an oldie but a goodie to answer a clinical question! Article 1: Does rapid diagnostic testing for Malaria work? Bird C, Hayward GN, Turner PJ, Merrick V, Lyttle MD, Mullen N, Fanshawe TR.

article thumbnail

Letter to the Editor: Praise for Dr. Bivens' and Dr. Simons' Articles

Emergency Medicine News

An abstract is unavailable.

52
article thumbnail

REBEL Cast Ep121: The Battle of the Blades – Video Laryngoscopy vs. Direct Laryngoscopy

RebelEM

Background: The ongoing debate between video laryngoscopy (VL) and direct laryngoscopy (DL) has ignited intense debate within the emergency medicine and critical care communities. A recent pragmatic, randomized, multicenter trial (The DEVICE Trial) compared the two techniques to determine if VL outperformed DL in first-pass success (FPS). In this blog post, we explore the study’s key findings, strengths, and limitations, providing valuable insights while navigating the complexities of airway man

article thumbnail

Letter to the Editor: ABEM Certification Benefits EPs

Emergency Medicine News

An abstract is unavailable.

52
article thumbnail

Letter to the Editor: Physicians Dispute Providence's Data

Emergency Medicine News

An abstract is unavailable.

52
article thumbnail

The Evils of Corporatizing the ED

Emergency Medicine News

An abstract is unavailable.

52
article thumbnail

CTA is the Initial Test of Choice for Acute Lower GI Bleeding

Emergency Medicine News

An abstract is unavailable.

52
article thumbnail

Symptoms: Painful Labia Abscess

Emergency Medicine News

An abstract is unavailable.

52
article thumbnail

Symptoms: Chest Pain, Diaphoresis

Emergency Medicine News

An abstract is unavailable.

52
article thumbnail

RIP Insulin Drip?

Emergency Medicine News

An abstract is unavailable.

52
article thumbnail

EPs Struggle to Bounce Back Post-COVID Even with Better Pay and Perks

Emergency Medicine News

An abstract is unavailable.

52
article thumbnail

The Pre-med Process Hurts Future EPs

Emergency Medicine News

An abstract is unavailable.

52
article thumbnail

Tessalon Perles, Often Prescribed and Potentially Dangerous

Emergency Medicine News

An abstract is unavailable.

52
article thumbnail

AI in the ED? Maybe

Emergency Medicine News

An abstract is unavailable.

52
article thumbnail

Beware the Painless PE

Emergency Medicine News

An abstract is unavailable.

52
article thumbnail

Major Advances for Sickle Cell Pain Crisis

Emergency Medicine News

An abstract is unavailable.

52
article thumbnail

Do Some States Need More EM Residencies?

Emergency Medicine News

An abstract is unavailable.

EMS 52
article thumbnail

UpToDate

Emergency Medicine News

An abstract is unavailable.

40
article thumbnail

Letter to the Editor: ‘ABEM Certification is a Nightmare’

Emergency Medicine News

An abstract is unavailable.

40
article thumbnail

Letter to the Editor: Sepsis Mandates are Unscientific Nonsense

Emergency Medicine News

An abstract is unavailable.

Sepsis 40