Science Based Medicine
FEBRUARY 12, 2024
A recent study found that physicians and scientists who are perceived as "experts" are prevalent within the antivax community and more influential because of their status as physicians and scientists. Why do physicians continue to tolerate antivax quacks within our ranks? The post Yet more evidence that we physicians need to clean up our act first appeared on Science-Based Medicine.
Sensible Medicine
FEBRUARY 12, 2024
Academic medicine sometimes gets it right. This is a positive story about a negative trial. Neurologist Hooman Kamel from the Weil Cornell Medical Center in NY had an idea about atrial fibrillation and stroke. Old thinking held that clots formed in the left atrium during periods of irregular rapid fibrillatory activity. Stroke came when these clots moved northward to the brain.
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EMDocs
FEBRUARY 12, 2024
Authors: Rachel Kelly, MD ( EM Resident Physician, Stony Brook University Hospital); Robert Nocito, MD (EM Attending Physician, Stony Brook University Hospital) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. Louis); Marina Boushra, MD (EM-CCM, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case Emergency Medical Services brings in a 62-year-old male with COPD in acute on chronic hypoxemic respiratory failure (usually on 3 L nasal cannula, now o
Emergency Live
FEBRUARY 12, 2024
March 6th & 7th, 2024 – Miami Beach Convention Center Emergency Live is proud to partner with Disasters Expo USA this year! The global event for mitigating the world’s most costly disasters is coming to the Miami Beach Convention Center on March 6th & 7th and we are excited to offer special access for our […] The post Disasters Expo USA appeared first on Emergency Live.
First 10 EM
FEBRUARY 12, 2024
Usually, I reserve stand alone blog posts for high quality papers. Usually, garbage science is either ignored, or reserved for brief mentions in the Research Roundups. However, the conclusion of this paper, which states “it is becoming increasingly difficult to justify not making MRI a mandatory part of the clinical assessment of [first episode psychosis]”, […] The post No, you don’t need to order an MRI in first episode psychosis appeared first on First10EM.
Dr. Smith's ECG Blog
FEBRUARY 12, 2024
A 60-something complained of vomiting, diarrhea overnight, and "bubbles in my chest" that started just prior to calling 911. He had this ECG recorded prehospital: Smith interpretation: There are hyperacute T-waves in III and aVF, and reciprocal STD in aVL with a reciprocally inverted T-wave in aVL. There are also hyperacute T-waves in V3 and V4. There is STD in V1 and V2.
Emergency Live
FEBRUARY 12, 2024
An advanced technology changing the landscape of radiation therapy Linear accelerator technology, or LINAC, stands as a milestone in the field of radiation therapy, offering targeted treatments for cancer patients. These advanced devices generate high-energy beams of X-rays or electrons, allowing treatment to be directed precisely at the tumor with millimeter accuracy, minimizing exposure to […] The post The linear accelerator: what it is and how it is used in cancer treatment appeared fir
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Emergency Live
FEBRUARY 12, 2024
Understanding the origins, risks, and prevention strategies against the most dangerous mycotoxins Aflatoxins, mycotoxins produced by certain species of fungi, represent one of the most serious threats to global food safety and public health. These toxic compounds, known for their potent carcinogenic action, especially on the liver, can contaminate a wide range of food products, […] The post Aflatoxin: what it is and why it is a threat appeared first on Emergency Live.
Don't Forget the Bubbles
FEBRUARY 12, 2024
It’s a classic presentation. Your patient is a toddler with a sticky red eye that – despite their parent’s best efforts to pull their hands away from their face – they cannot help but rub. Their parent is asking you if it’s contagious and if they need antibiotics. Conjunctivitis: An overview Conjunctivitis, inflammation of the conjunctiva, is characterised by infection or inflammation of the conjunctiva.
NRC Health
FEBRUARY 12, 2024
Patients are demanding more from their healthcare experiences than ever before, but in the face of mounting pressures, meeting expectations may feel like a daunting task for care teams. The post Dr. Mike’s perspectives on how to ignite a better patient experience appeared first on NRC Health.
Don't Forget the Bubbles
FEBRUARY 12, 2024
It’s a classic presentation. Your patient is a toddler with a sticky red eye that – despite their parent’s best efforts to pull their hands away from their face – they cannot help but rub. Their parent is asking you if it’s contagious and if they need antibiotics. Conjunctivitis: An overview Conjunctivitis, inflammation of the conjunctiva, is characterised by infection or inflammation of the conjunctiva.
Board Bombs
FEBRUARY 12, 2024
Grab your hot chips and get ready to film it for TikTok. Might want to give this a listen first tho.we're counting down the days to the resident inservice exam, so let's cover a strange, rare pathology that gets everyone excited. Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here.
PulmCCM
FEBRUARY 12, 2024
SCCM Guideline Update: Steroids for Community-Acquired Pneumonia, ARDS, Septic Shock Steroids are good medicine in the ICU, U.S. critical care professional societies agree. The Society of Critical Care Medicine (SCCM) expanded its prior 2017 guidance, now recommending strongly that corticosteroids be given for severe community-acquired pneumonia, and also suggesting steroids for patients with acute respiratory distress syndrome (ARDS) and septic shock of any severity.
Ultrasound Gel
FEBRUARY 12, 2024
In September 2023, the GEL crew traveled to Portland, Maine to do some on-the-street reporting at the annual conference for the Society of Clinical Ultrasound Fellowships (SCUF). What evolved was a series of incredible mini-interviews focusing on the different paths to ultrasound and the exciting new frontiers of ultrasound technology. This is Part 2 of 2.
Mind The Bleep
FEBRUARY 12, 2024
Introduction Pupil size results from the activity of sympathetic and parasympathetic stimulation to the muscles of the iris. Under normal circumstances, bright light causes pupil constriction (miosis) due to increased parasympathetic activity, which stimulates the pupillary sphincter muscles. Dimly lit conditions cause pupil dilation (mydriasis), which results from sympathetic stimulation of the pupillary dilator muscles.
RebelEM
FEBRUARY 12, 2024
Bottom Line Up Top: In selective patients presenting with flank pain, we can diagnose renal colic without a CT scan. There is also a subset of patients that would benefit from IV contrast enhanced CT scanning. Clinical Scenario: A 35-year-old man with no PMH presents with left flank pain, hematuria and history of kidney stones. His vitals are: HR 90, BP 150/90, Temp 98, O2 Sat 99% on RA, RR 18.
Mind The Bleep
FEBRUARY 12, 2024
Skin cancer is usually categorised as melanoma or nonmelanoma skin cancer, the latter including squamous cell (SCC) and basal cell carcinoma (BCC). Risk factors Basal cell carcinoma Squamous cell carcinoma Malignant melanoma Ultraviolet radiation exposure Ultraviolet radiation exposure Ultraviolet radiation exposure Increasing age Increasing age Increasing age Previous BCC Previous SCC Previous melanoma (8-10 fold >risk) Immunosuppression Immunosuppression Immunosuppression Fitzpatrick skin
EM Ottawa
FEBRUARY 12, 2024
Methodology: 5/5 Usefulness: 3/5 Patterson T, et al. Lancet. 2023 Oct 14;402(10410):1329-1337. Patients who sustain an out-of-hospital cardiac arrest without signs of ST elevation had no improvement in mortality or functional neurological outcomes when transported to a cardiac arrest centre compared to standard of care. Question and Methods: In patients with non-ST elevation OHCA, does […] The post Expedited transfer to a cardiac arrest centre for non-ST-elevation out-of-hospital cardiac a
Mind The Bleep
FEBRUARY 12, 2024
Hand infections are a common presentation, they can spread rapidly and cause damage to local structures and therefore require prompt identification and treatment. Causes Hand infections can be the result of a penetrating injury (e.g. splinter, rose thorn), bites (animal or human), contiguous spread from an adjacent structure or there may be no identifiable trigger.
Life in the Fast Lane
FEBRUARY 12, 2024
Michael Gibbs MD Neuroimaging Cases 005 Subdural haematoma.
ACEP Now
FEBRUARY 12, 2024
On October 6, 2023, the ACEP Board of Directors approved a clinical policy developed by the ACEP Clinical Policies Committee on the evaluation and management of adult out-of-hospital or emergency department (ED) patients presenting with severe agitation. This clinical policy has been published in the January 2024 issue of the Annals of Emergency Medicine , and can be found on ACEP’s website.
ALiEM
FEBRUARY 12, 2024
A 28-year-old female G3P2002 presented to the emergency department for one month of vaginal bleeding. The patient was seen in the emergency department one month earlier for vaginal bleeding in the first trimester of pregnancy. Her estimated gestational age was six weeks by last menstrual period. At the time her beta-hCG was 7225 mlU/mL with no intrauterine pregnancy demonstrated on transvaginal ultrasound.
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