Science Based Medicine
SEPTEMBER 11, 2023
COVID-19 "contrarians" like Dr. Vinay Prasad have long complained about being labelled "antivaccine," which they view as unfair. Why, then, do they embrace antivax messages like "do not comply," even if they don't use the exact words? The post Dr. Vinay Prasad fully embraces the antivax message of “do not comply” first appeared on Science-Based Medicine.
ACEP Now
SEPTEMBER 11, 2023
Ben Mattingly, MD, tries to live by the adage, “One should be adventurous and daring, but not reckless.” The challenge is that the line between adventurous and reckless is often paper-thin. Take, for example, his recent expedition to Nepal to summit Mount Everest. When he arrived at the base camp, he found out three rope-fixing sherpas had just been killed in the famously dangerous Khumbu Icefall.
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EM Literature of Note
SEPTEMBER 11, 2023
Well, PRISMS demonstrated unfavorable results. MARISS tried to ascertain predictors of poor outcome in mild stroke, and intravenous thrombolysis was not associated with an effect on the primary outcome. Now, again, we examine thrombolysis in “mild” stroke, in this case, NIHSS ≤3 – and fail. Like MARISS, this is a retrospective dredge of patients selected by the treating clinicians to receive either intravenous thrombolysis or, in this case, dual-antiplatelet therapy with clopidogrel
Don't Forget the Bubbles
SEPTEMBER 11, 2023
5-year-old Willow arrives in the ED at 3 a.m. Her mum says she has been waking up screaming on the last few nights, clutching her vulval area and saying it hurts. Her parents have noticed she is scratching her bottom a lot, too, and they’ve had an email from school saying there are cases of threadworms in the reception class. Threadworms ( Enterobius vermicularis , also known as pinworms or seatworms) are the most common helminthic infection in the Western World.
First 10 EM
SEPTEMBER 11, 2023
This is a guest post by Dr. Lanujan Kaneswaran. Lanujan is a second-year Family Medicine resident at the University of Toronto. He has a background in medical health informatics and machine learning. His areas of interest include artificial intelligence and machine learning in medicine, and health equity through advocacy and technology. When managing atrial fibrillation […] The post Can we use D-dimer to assess for left atrial clot in atrial fibrillation?
Sensible Medicine
SEPTEMBER 11, 2023
Investigators from Leipzig Germany called the trial ECLS-SHOCK. It studied the use of extracorporeal life support in patients with cardiogenic shock due to acute myocardial infarction. ECLS-SHOCK delivered shocking results. First some background. Cardiogenic shock is medical jargon to describe the really bad situation when the heart cannot deliver enough blood to the body.
Emergency Live
SEPTEMBER 11, 2023
Earthquake in Morocco: relief efforts amid difficulties and needs In south-western Morocco, a tragedy of devastating proportions shook the country in the night between Friday 08 and Saturday 09 September 2023. A 6.8 magnitude earthquake killed over two thousand people and left thousands of others without a roof to shelter under. The Atlas mountain range, […] The post Morocco: local and international rescuers working to save victims appeared first on Emergency Live.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
SheMD
SEPTEMBER 11, 2023
If you haven’t yet read part 1 and part 2 , make sure to go back to learn about interview basics and questions you may be asked on the big day. As much as the residency program is trying to figure out if you’re a good fit for them, you need to figure out if they’re a good fit for you too. During the interview day, you will have the opportunity to meet with current residents and ask them questions about their experience.
AED Leader
SEPTEMBER 11, 2023
The heart, that mighty organ responsible for pumping life-sustaining blood throughout our bodies, relies on a precise electrical system to maintain its rhythm and function. When this intricate system encounters disruptions, it can affect the heart’s ability to pump blood effectively. Heart electrical system problems are categorized into several distinct groups, each with its own set of characteristics and challenges.
ACEP Now
SEPTEMBER 11, 2023
Networking and making new friends in the specialty is one of the best parts about ACEP events like the upcoming 2023 Scientific Assembly, but it’s also a bit mysterious. How exactly does one “work the room” and start conversations with strangers? It can feel unnatural, right? The leaders of ACEP’s Young Physician Section have been successful growing their networks, and these are their best tips for how to use your time at ACEP23 to meet new people and connect with peers across the country: “Cont
University of Maryland Department of Emergency Med
SEPTEMBER 11, 2023
When patients fail simple respiratory support therapies like nasal cannula or non-rebreather, it is often a point of debate whether to mo.
EMCrit
SEPTEMBER 11, 2023
Another amazing lecture from Cliff Reid EMCrit Project by Scott Weingart, MD FCCM.
PHARM
SEPTEMBER 11, 2023
When Mr Marika felt sudden chest pain in a remote Northern Territory community, emergency services were out of reach. His community wants answers. — Read on www.abc.net.
EMergucate
SEPTEMBER 11, 2023
Answers: Question 1 answer: PH = 7.315, that is mild acidaemia. pCO2 = 48 mmHg. For venous blood, pCO2 level up to 48 mmHg is considered normal (40 for arterial blood).
PulmCCM
SEPTEMBER 11, 2023
Can early mobility in the ICU improve cognitive outcomes? Intensive, early mobilization of patients in the ICU seems like it just has to help. Get patients moving as much as possible, as early as possible—walking down the halls trailing their ventilators and arterial lines—and surely it will prevent muscle atrophy, improve strength and mobility, and reduce long-term disability.
EMergucate
SEPTEMBER 11, 2023
32-year-old man presented to ED with an exacerbation of his asthma. On 3L O2, his arterial blood gases showed the following: PH = 7.
RebelEM
SEPTEMBER 11, 2023
Background: Point of care ultrasound (POCUS) has a demonstrated sensitivity of 89.8% and specificity of 88.0% for identification of cholelithiasis and has a proven negative predictive value for ruling out other acute biliary pathology such as acute cholecystitis. 1 It is a quickly deployable and easily interpreted study that can be done in real time to guide decisions in the Emergency Department.
ACEP Now
SEPTEMBER 11, 2023
The best questions often stem from the inquisitive learner. As educators, we love—and are always humbled by—those moments when we get to say, “I don’t know.” For some of these questions, you may already know the answers. For others, you may never have thought to ask the question. For all, questions, comments, concerns, and critiques are encouraged. Welcome to the Kids Korner.
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