Sun.Aug 20, 2023

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BASICS, NWPCCC and EPHC. St Emlyn’s

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed Just a short post this week to highlight some of the most rewarding elements of my clinical life. For several years now I’ve been working as a BASICS doctor in … BASICS, NWPCCC and EPHC. St Emlyn’s Read More » The post BASICS, NWPCCC and EPHC. St Emlyn’s appeared first on St.Emlyn's.

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Congenital or acquired malformations: pes cavus

Emergency Live

Pes cavus is one of the most common malformations. Those who suffer from it have a more accentuated medial plantar arch, and therefore higher, than it should The post Congenital or acquired malformations: pes cavus appeared first on Emergency Live.

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A Conversation with Professor Robert Yeh

Sensible Medicine

Here is the profile for Harvard Professor Robert (Bobby) Yeh. His most recent Circulation paper: Bringing the Credibility Revolution to Observational Research in Cardiology. We referenced a paper by Professor Miguel Hernan: The C-Word: Scientific Euphemisms Do Not Improve Causal Inference From Observational Data Paper referenced on left ventricular assist devices: Comparative Effectiveness of Percutaneous Microaxial Left Ventricular Assist Device vs Intra-Aortic Balloon Pump or No Mechanical Cir

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DOAC versus LMWH in patient with CANCER

Emergency Medicine Education

LMWH traditionally was recommended for venous thromboembolism (VTE) treatment in cancer patient. Recent JAMA article that enrolled 671 patients between 2016 and 2020 found DOACs are non inferior to LMWH for preventing recurrent VTE over 6-month follow-up.

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LAST: Local Anesthetic Systemic toxicity 

Mount Sinai EM

Causes Inadvertent intravascular injection (even without exceeding max dose) Overdose (with single or multiple doses) Absorption from a vascular area Prevention Calculate max dose, considering comorbidities Direct US guidance, use saline to improve needle tip visualization Add epinephrine when possible. Epi decreases the systemic absorption of LA by reducing local blood flow, also if inadvertently injected IV will provoke tachycardia that can be seen on the monitor.

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What Are Underlying Risk Factors for Liver Abscesses?

Pediatric Education

Patient Presentation An 8-year-old male came to clinic for his well-child care after moving to the area. He had a history of Alagille syndrome, liver transplantation and liver abscesses; all of which had been successfully treated and he continued to follow closely with the liver transplantation service. He was also being followed by nephrology for some mild hypertension that did not need current treatment.

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Infraclavicular, Ultrasound-Guided Percutaneous Approach to the Axillary Artery for Arterial Catheter Placement: A Randomized Trial

University of Maryland Department of Emergency Med

Settings: Single ICU in Poland, randomized trial Participants: intubated patients who needed arterial catheter placement. Patients who h.