Tue.May 16, 2023

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The Good. The Bad. The Ugly.

Science Based Medicine

Anything new regarding stroke and chiropractic neck manipulation? The post The Good. The Bad. The Ugly. first appeared on Science-Based Medicine.

Stroke 82
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Brief Resolved Unexplained Event (BRUE)

Mind The Bleep

Definition BRUEs are a scary event for any parent, characterised by the following: At least one of: Central colour change (cyanosis/pallor) Abnormal tone (hyper-/hypotonic) Abnormal breathing (irregular/reduced/apnoea) Altered level of consciousness Occurring in infants (<12 months of age) Lasting for <1 minute Resolves without intervention, typically prior to assessment No apparent medical cause BRUE is a description of the event, not a diagnosis.

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HUB23 Preview: Jorge Torres

NRC Health

At HUB23, you’ll find expanded, dynamic programming focused on bringing impact to your organization. The post HUB23 Preview: Jorge Torres appeared first on NRC Health.

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Infantile Haemangioma

Mind The Bleep

Introduction Infantile haemangioma (IH) are commonly known as “strawberry naevi”. IH are the most common benign vascular skin tumours in children. They are caused by proliferation of the vascular endothelium. They are usually not present at birth, but the precursor lesions (flat pale or pink macules) may be present soon after birth. IH rapidly proliferate in the first few weeks of life.

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Imaging Case of the Week 553

EMergucate

The following chest x-rays are from a young adult with chest pain. What can be seen?

EMS 52
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Kawasaki Disease

Mind The Bleep

Kawasaki Disease is a clinical diagnosis that requires prompt recognition and management. It is an acute illness with inflammation of small and medium-sized blood vessels throughout the body, in particular, the coronary arteries. Kawasaki disease was previously known as mucocutaneous lymph node syndrome. It was first described in Japan in 1967 by Dr Tomisaku Kawasaki (a Paediatrician). 80% of cases occur in children younger than 5 years old with a peak incidence between 1- 2 years.

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What do caregivers think of alternate EMS dispositions for pediatric patients?

University of Maryland Department of Emergency Med

Pediatric patients represent up to 10% of EMS transports, but studies suggest that between 10-60% of these patients can be safely transported.

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A man in his late 30s with acute chest pain and ST elevation

Dr. Smith's ECG Blog

Sent by Dan Singer MD, written by Meyers, edits by Smith A man in his late 30s presented with acute chest pain and normal vitals except tachycardia at about 115 bpm. Here is his triage ECG: What do you think? Dr. Singer sent this to me with just the information: "~40 year old with acute chest pain". I immediately responded: "cool fake! Not OMI. Do you have a prior?

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Common Viral Infections (exanthem) in Paediatrics

Mind The Bleep

Viral infections are extremely common in paediatrics and often present with rashes that can appear to be very alarming to parents / carers. It is useful to be able to identify an illness correctly from the exanthem (rash) to help inform your management plan and advice to parents. The history from parents and carers about the time course and progression of a new rash (where it starts, how it spreads) is critical and will give you vital clinical clues about what the rash might be.

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Boycotting medical conferences in red states due to restrictive abortion laws does not help women

Sensible Medicine

Recently a colleague alerted me to a call for boycott. A medical doctor had listed a series of conferences to boycott. They all had something in common: they were all in red states that had abortion restrictions. Major medical conferences in Atlanta, Houston, Orlando, and Phoenix were tagged for boycott. What's the logic? The logic is these states have passed restrictive abortion laws.