Tue.Aug 15, 2023

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Crafting And Refining Your Massive Transfusion Protocol – Part 2

The Trauma Pro

My series on the massive transfusion protocol (MTP) continues! Today, I’ll provide some tips on the logistics of your MTP. MTP logistics include details such as who will be delivering the blood, what actually goes in each cooler, what ratios should be used, limitations imposed by the use of frozen plasma, and documentation. I’ll discuss details about ratios and FFP in the next Trauma MedEd newsletter.

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What to know about Covid EG.5.1 or "Eris"

PulmCCM

What is EG.5.1? Don’t worry about it. But what is it? There are many circulating strains of SARS-CoV-2; all are genomic subvariants of Omicron. EG.5.1 is one of these Omicron subvariants. You don’t need to worry about it. Can I worry about it, though? Well … EG.5.1 is the genomic subvariant of Omicron that is rising fastest as a proportion of viruses detected by genomic surveillance of wastewater.

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Three Ways for Emergency Medicine Docs to Practice Mindfulness

ACEP Now

Emergency medicine is stressful. There are charged moments of powerful highs and lows. In one shift, you may achieve return of spontaneous circulation in a college student with a massive pulmonary embolism, who will survive neurologically intact. The next shift you may feel inadequate as you realize the antibiotics you prescribe will never be picked up by your patient.

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I Reject Your Medical Reality and I Substitute Death

Science Based Medicine

Denying reality and substituting his own worked for Adam Savage. Not so much as an approach to COVID. The post I Reject Your Medical Reality and I Substitute Death first appeared on Science-Based Medicine.

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ToxCard: Crotalid Envenomation Part 1: Management of the Crotalid Envenomation

EMDocs

Authors: Sean Trostel, MD (EM Resident Physician, Carolinas Medical Center, Charlotte, NC); Kathryn T Kopec, DO (@KopecToxEM, EM Attending Physician, 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 2-year-old boy was transferred to your Emergency Department (ED) with severe pai

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Who Needs Religion When We Have Pharma

Sensible Medicine

Dr. Ostacher and I last wrote together on Sensible Medicine asking why we treat Zoloft and Ritalin so differently ? It is a pleasure to collaborate with him again. We here at Sensible Medicine are a bit obsessed with the seven deadly sins. We first reworked them in our discussion of churnalism. Here we suggest that, thanks to pharma, maybe the sins are not that deadly anymore.

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Is Sugar Bad for Your Heart? How Sugar Affects Heart Health

AED Leader

We’re all familiar with the risks of too much added sugar for your dental health and silhouette, but is sugar bad for your heart too? The natural sugars found in fruit and milk are healthy and don’t pose a problem for your heart. However, “added” sugars affect heart health and the risk increases the more you consume. An umbrella review published in BMJ in 2023 revealed that dietary sugar consumption is associated with 10 cardiovascular outcomes, a greater risk of coronary artery disease, a

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Acute and chronic appendicitis: causes, symptoms, diagnosis and treatment

Emergency Live

The term 'appendicitis' (in English 'appendicitis') refers in the medical field to the inflammation - acute or chronic - of the vermiform appendix (also called the caecal appendix or just the 'appendix'), i.e. the tubular formation forming part of the large intestine (more precisely its proximal segment, called the 'cecum') The post Acute and chronic appendicitis: causes, symptoms, diagnosis and treatment appeared first on Emergency Live.

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VisualDX Answer: b) Peritonsillar Abscess

ACEP Now

Answer: The correct answer is peritonsillar abscess (b). Peritonsillar abscess, also known as quinsy, is a deep neck space infection characterized by a collection of pus in the peritonsillar space. This infection develops as a suppurative complication of acute tonsillitis or pharyngitis. As with other deep neck space infections, peritonsillar abscesses are frequently polymicrobial in nature and consist of mouth flora.

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Insights, strategy, and connection at HUB23

NRC Health

NRC Health’s HUB23 conference just wrapped up in Boston, where the nation’s top healthcare organizations, industry leaders, and innovators gathered to engage and strategize around improving experiences for patients, providers, care teams, and health systems with a human-centered approach.   The post Insights, strategy, and connection at HUB23 appeared first on NRC Health.

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A Doctor’s Reflections on Being a Patient and Patient Advocate

ACEP Now

After almost 40 years as a physician, with a career as an emergency physician, quality-assurance reviewer, and medicolegal consultant, I have finally retired. Surprisingly, I still spend a fair amount of time searching and reading topics in UpToDate. Like many physicians, I get a lot of requests for medical advice and evaluation of medical care from friends and family.

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Understanding Early Stage Dementia

American Medical Compliance

The following course is designed to educate healthcare providers on the issues most frequently seen during early stage dementia. It is important to acknowledge that not all types of cognitive impairment will show the same symptoms during the early stage. This course identifies the differences between various forms of dementia in their early manifestations.

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How EM Physicians Should Manage Their Legal and Medical Duties

ACEP Now

A 16-year-old female presents to the emergency department (ED) after being sexually assaulted by two males at a party at her friend’s house. She denies any complaints or injuries. She is asking for an exam, as well as medications to avoid pregnancy and diseases. She refuses to allow her parents or the police to be notified. What do you do? Discussion The answer to that question varies with your practice location.

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Understanding Middle-Stage Dementia Training

American Medical Compliance

The following course will educate healthcare providers (HCP) on the cognitive, behavioral, and functional manifestations of middle-stage dementia. Additionally, this course contains nonpharmacologic suggestions to manage the symptoms of middle-stage dementia. Lastly, this course addresses the numerous safety concerns that arise during middle-stage dementia.

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What are the barriers to 911 being able to direct hands only CPR instructions to callers?

University of Maryland Department of Emergency Med

Bystander CPR increases out-of-hospital CPR survival and direction by 911 telecommunicators increases the frequency of bystander CPR. Th.

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Management of Common Medical Conditions Observed During Dementia

American Medical Compliance

The following course is designed to educate healthcare providers (HCP) on how to develop a primary care plan to evaluate persons in the middle and late stages of dementia. There are several similarities and differences between the middle and late stages of the disease, which are reviewed in this course. Additionally, this course focuses on providing management solutions for medical issues that occur.

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Imaging Case of the Week 564

EMergucate

The following chest x-ray is from an infant with increased work of breathing. What can be seen?

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VisualDX Question: Why Is This Man’s Throat Sore?

ACEP Now

Question: A 32-year-old man presents with sore throat. What is the diagnosis? Diphtheria Peritonsillar abscess Retropharyngeal abscess Uvulitis See the answer here. The post VisualDX Question: Why Is This Man’s Throat Sore? appeared first on ACEP Now.

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SAS 2023 – 28th October 2023, Sydney

Intensive Care Network

The post SAS 2023 – 28th October 2023, Sydney appeared first on Intensive Care Network.

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Recognizing the Role of Diversity in Dementia Care Training

American Medical Compliance

This course is designed to educate healthcare providers (HCP) on the issues of racial and ethnic diversity as they pertain to dementia. Additionally, this course examines sex, ethnicity, and race and how they may influence the risk and incidence of dementia. Other diverse populations that are covered in this course include LGBT individuals and rural communities.

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