Tue.Sep 12, 2023

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When Did “Herd Immunity” Become a Taboo Phrase?

Science Based Medicine

Doctors who repeatedly predicted herd immunity in 2020 and 2021, mocking and berating those who disagreed, now treat herd immunity as a taboo phrase. The post When Did “Herd Immunity” Become a Taboo Phrase? first appeared on Science-Based Medicine.

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Best of AAST #1: Aspirin Vs Low Molecular Weight Heparin For VTE Prophylaxis

The Trauma Pro

The 82nd Annual Meeting of the American Association for the Surgery of Trauma begins next week. As is my custom, I will be reviewing some of the more interesting (to me) oral presentation abstracts until the last day of the meeting. When reading abstracts, keep in mind that you are seeing just a snippet of a finished manuscript. The authors are given very little print space to fully describe their research idea, their methods, and their results’ significance.

Fractures 147
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ECG Cases 45 ECG in Weakness and Neurological Symptoms

Emergency Medicine Cases

In this ECG Cases blog Dr. Jesse MacLaren guides us through 10 cases of patients who present with generalized weakness or acute neurologic symptoms and discusses how to look for ECG signs of dysrhythmias, electrolyte emergencies, acute coronary occlusion, and demand ischemia in patients with generalized weakness and in patients with neurologic symptoms, to consider predisposing factors like LVH; seizure-like activity from cardiac syncope; TIA/CVA embolic sources like atrial fibrillation or LV th

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Disaster in Libya, the Italian Red Cross in the front line for assistance

Emergency Live

Cyclone Daniel: over 2,000 dead and thousands missing in Libya The national president of the Italian Red Cross, Rosario Valastro, has launched an urgent appeal for international solidarity in response to the devastating cyclone Daniel that has hit north-east Libya. With over two thousand dead and thousands missing, the situation is critical, and the CRI […] The post Disaster in Libya, the Italian Red Cross in the front line for assistance appeared first on Emergency Live.

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Enzyme Treatment Strips Mucins from Cancer Cells

Medagadget

Researchers at Stanford University have developed a new type of cancer therapy. The technology targets mucins, sugar-coated proteins that help cancer cells to metastasize and avoid the immune system. In particular, mucins enable cancer cells to survive free-floating as they travel through the blood during metastasis and can also trick immune cells into assuming that the cancer cell is not a threat.

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The aftermath of earthquakes - what happens after the tragedy

Emergency Live

Damage, isolation, aftershocks: the consequences of earthquakes If there is one event for which one always has a developed a certain fear, it is the earthquake. Earthquakes can pop up anywhere, whether in the deepest seas or even in areas completely removed from the most populated ones. A recent example is the earthquake that, unfortunately, […] The post The aftermath of earthquakes - what happens after the tragedy appeared first on Emergency Live.

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EM Quick Hits 51 – Methylene Blue in Septic Shock, TMJ Dislocation, Crohn’s Disease, Analgesia for Renal Colic, Inhaled Steroids for Asthma, Hypocalcemia in Bleeding Trauma Patients

Emergency Medicine Cases

On this month's EM Quick Hits podcast: Anand Swaminathan on the role of methylene blue in septic shock, Nour Khatib on jaw dislocation reduction techniques, Hans Rosenberg on a phenotypic approach to Crohn's disease emergencies, Gil Yehudaiff on evidence based analgesics in renal colic, Brit Long on the importance of inhaled steroids for asthma, and Andrew Petrosoniak on the "lethal diamond" in polytrauma patients and the current state of hypocalcemia in bleeding trauma patients.

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A 40 year old with nonspecific symptoms including dizziness

Dr. Smith's ECG Blog

A 40 year old with nonspecific symptoms including dizziness. What do you notice about the ECG? There is a very short QT interval. This is often found in hypercalcemia. See Ken Grauer's comments below for detail. Thus, the patient's chemistry was done and revealed ionized hypercalcemia of 6.3 mg/dL (normal 4.4 - 5.2) Followup: he was found to have hyperparathyroidism == MY Comment , by K EN G RAUER, MD ( 9/12 /2023 ): == Today's ECG is remarkable for an uncommon but important finding that we peri

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The power of personal connections to build resilience and inspire trust

NRC Health

Bryan Mills, CEO of Community Health Network, doesn’t hide in the executive wing. He walks the halls, meets new employees in person, and understands patients and their families because he, too, is a patient and supporting family member. The post The power of personal connections to build resilience and inspire trust appeared first on NRC Health.

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Imaging Case of the Week 566

EMergucate

The abdominal x-ray is from an adult with severe epigastric pain. Erect chest x-ray shows no air under the diaphragm.

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Assessing the floppy baby

Mind The Bleep

Floppy can be used to describe: Decreased muscle tone (hypotonia) Decreased muscle power (weakness) Ligamentous laxity and increased range of joint mobility There are a wide range of causes of “floppiness” in a baby which present in different ways and will have different examination findings. Hypotonia: Congenital hypotonia is defined as a subjective decrease of resistance to passive range of motion around the joint in a newborn.

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Organoids Produce Tooth Enamel Proteins

Medagadget

Researchers at the University of Washington School of Medicine have developed a method to create stem cell-derived organoids that can produce tooth enamel proteins. The breakthrough could pave the way for lab grown enamel that can be used in dental repairs and may even allow for living fillings or completely new living teeth that can be implanted into a patient’s jaw.

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Why celebrity doctors bug me

Sensible Medicine

I’ve been getting questions recently about a certain doctor and his most recent book. It doesn’t really matter who this doctor is or, for that matter, what his book is about. The specifics change every few years. The doctor is photogenic and usually male. He is smart and has an impeccable academic pedigree. The book is about a solution to a problem for which traditional medicine has little to offer.

Academics 135
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American Physican Partners’ Closing Raises Questions

ACEP Now

When American Physician Partners (APP) of Brentwood, Tenn., one of the country’s largest physician staffing firms, announced on July 17 through an email to its employees its intention to cease operations July 31, the chilling effects were felt across a workforce of 2,500 APP-employed physicians and advanced practice clinicians working at the 153 hospital emergency departments it managed in 18 states.