Mon.Nov 20, 2023

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What the heck happened to The BMJ? (2023 version)

Science Based Medicine

The BMJ, once a bastion of evidence-based medicine, has become disturbingly susceptible to publishing biased "investigations" that feed antivax narratives. Its latest report on VAERS by Jennifer Block, who in the past has defended Gwyneth Paltrow and Goop and whose history is not one of supporting science, is just another example of this deterioration.

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Paediatric Neck Lumps

Don't Forget the Bubbles

Neck lumps are a common presenting complaint to the paediatric emergency department with many aetiologies, sometimes resulting in a diagnostic conundrum. Thorough history taking and detailed examination can aid in diagnosis. Causes of paediatric neck lumps can be broadly divided into three categories – congenital , inflammatory and neoplastic.

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What is AI and How Does it Work?

Life in the Fast Lane

Sheralyn Guilleminot and Mike Cadogan What is AI and How Does it Work? We review two important aspects of AI, natural language processing and machine learning, that provide key insights into how AI works.

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Phone Attachment for Pupil Measurements with Any Skin Tone

Medagadget

A research team at the University of California San Diego have developed a smartphone attachment that can provide information on changes in pupil size, which can be used to assess neurological phenomena, such as traumatic brain injury and Alzheimer’s disease. Such changes in pupil size have been difficult to characterize in the past in those with a dark iris, which is more common in people with darker skin tones, because it can be challenging to distinguish between the iris and the pupil.

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Diagnostic imaging during pregnancy and lactation

First 10 EM

When caring for pregnant women, I frequently find myself searching for information on radiation risks from diagnostic imaging, to help guide our shared decision making process, so I decided to create a summary in a spot I would always know where to find it. I have ranted in the past about the many problems with […] The post Diagnostic imaging during pregnancy and lactation appeared first on First10EM.

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Major Trial in Atrial Fibrillation Stopped Prematurely

Sensible Medicine

I received a text message from a colleague last night during dinner that a trial we were part of, called OCEANIC AF , was being terminated early by the data safety monitoring board. This morning, the makers of asundexian had a press release up on its site. This is huge news in cardiology. But it is also worthy of a column here because we at Sensible Medicine are interested in how new therapies are tested.

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Children in Ambulance: Guidelines and Technological Innovations

Emergency Live

Specialized Solutions for the Safety of Small Passengers During Emergency Transport Transporting children by ambulance requires special care and precautions. In emergency situations, ensuring the safety of young patients is a top priority. This article explores international regulations and technological innovations that help make pediatric ambulance transport safe and effective.

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Global Progress Toward Eliminating Cervical Cancer

Emergency Live

Cervical Cancer Elimination Day of Action: A Renewed Commitment to Overcoming Global Health Inequalities Nov. 17 marks the third “Cervical Cancer Elimination Day of Action,” a pivotal moment for the international community as world leaders, cervical cancer survivors, advocates and civil society come together to celebrate progress and recognize persistent challenges.

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Guideline Update: Acute Lower GI Bleeding

EMDocs

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American College of Gastroenterology recently released updated guidelines for managing patients with lower GI bleeding (LGIB). This post will provide the major takeaways for emergency clinicians. Background Acute LGIB results in over 100,000 admissions in the U.S. annually, and the incidence appears to be increasing based on current literature.

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Historical Documentary Exhibition of the Italian Red Cross in Florence

Emergency Live

Twenty Years of Change: 2003-2023 – A Journey through the History and Evolution of the Red Cross An Exhibition to Celebrate Two Decades of Humanitarian Commitment The Italian Red Cross Florence Committee is celebrating its 20th anniversary with a special event: the historical-documentary exhibition “Twenty Years of Change: 2003-2023.” Scheduled from Nov. 25, the exhibition […] The post Historical Documentary Exhibition of the Italian Red Cross in Florence appeared first o

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Femoral Doppler in Heart Failure

Ultrasound Gel

Bonus Cuts back again! Zack and Mike talk with guest Yale Tung-Chen about the POCUS vibe in Spain and his recently reviewed study on using doppler flow as a measure of right ventricular dysfunction in heart failure. [link] Bonus Cuts back again! Zack and Mike talk with guest Yale Tung-Chen about the POCUS vibe in Spain and his recently reviewed study on using doppler flow as a measure of right ventricular dysfunction in heart failure.

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Sinus Bradycardia and More

ECG Guru

Let's analyze the ECG. It comes from a pacemaker patient whose pacemaker was briefly switched to VVI at 30 bpm due to a stimulation threshold test. The first 3 beats show a sinus rhythm with a frequency of approx. 40 bpm. This is followed by a premature ventricular contraction (PVC). The P wave of the next sinus node beat lands exactly on the T of the PVC.

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Classic heat stroke

EM SIM Cases

This case comes from Aneesha Thouli and Dr. Brad Stebner. Aneesha Thouli is a 4th-year medical student from the University of British Columbia. Dr Brad Stebner is a staff Emergency physician in Kelowna, BC, Clinical Instructor at UBC and one of our editors at EM Sim Cases. WHY IT MATTERS Classic heat stroke is a potentially deadly diagnosis that effects some of the most vulnerable of our populations.

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Save the date and register now for Human Understanding Beyond | HUB24 in San Diego

NRC Health

Register now for Human Understanding Beyond | HUB24 in San Diego! We'll go beyond benchmarks, scores, and expectations to bring you novel solutions for humanizing care, empowering your workforce, and restoring Human Understanding between patients and providers. The post Save the date and register now for Human Understanding Beyond | HUB24 in San Diego appeared first on NRC Health.

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Understanding and Supporting Behavioral Health in Older Adults Training

American Medical Compliance

People may go through life events as they become older, such as dealing with a serious illness or losing a loved one, that influence their mental or behavioral health. While a lot of people will cope with these changes in their lives, some may feel depressed, lonely, or socially isolated. Persistent negative emotions have the potential to develop into mental diseases like anxiety and depression.

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Lab case 427 interpretation

EMergucate

Question 1 answer PH = 7.236, that is moderate acidaemia HCO3 = 12.5 mmol/L. So we have metabolic acidosis. Next we need to calculate the compensation and the the anion gap.

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UK-REBOA on Trial: Innovative or Over-Inflated?

RebelEM

Background: Hemmorhage is a major cause of preventable death in trauma patients. Early expeditious definitive hemorrhage control is a major focus in trauma resuscitation. Patients with torso hemorrhage present a clinical conundrum often requiring interventional radiology or surgery, both of which take time to mobilize. Theoretically, the use of REBOA with aortic occlusion should help limit hemorrhage, maintain cerebral/myocardial perfusion, and allow more time for interventional and surgical pro

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Rosh Review EM Scholar Monthly Question

RebelEM

A 35-year-old woman presents with 4 days of headache, nasal congestion, ear pain, and mild sore throat. She has been taking an over-the-counter medication for her symptoms, but it doesn’t do anything for her. According to recent FDA news, which medication has she likely been taking? Diphenhydramine Oxymetazoline Phenylephrine Pseudoephedrine FOR THE RIGHT ANSWER CLICK ON THE ROSH REVIEW LOGO BELOW References De Sutter AI, Eriksson L, van Driel ML.

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