Mon.Mar 18, 2024

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A (different) perspective on statins in the primary prevention of heart disease

Sensible Medicine

Dear Readers, I publish the following opinion piece regarding the use of statin drugs in low-risk individuals without heart disease even though I disagree with most of the authors’ arguments. Since this is a rebuttal to an editorial I wrote, it would be helpful to first read the linked article in the lead sentence. I do like the authors’ conclusions.

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How To Measure Your Trauma Bay

The Trauma Pro

In my last post, I detailed some standard info on trauma bay size. Today, I’ll describe what I found when I brought in my trusty tape measure a few years ago to check out the old trauma bays at Regions Hospital. I came up with several helpful measurements to help gauge the relative utility of the rooms. Here are the indices that I came up with: TBTA: Trauma Bay Total Area.

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SAEM Clinical Images Series: Purple Finger

ALiEM

A 30-year-old female with a past medical history of Crohn’s Disease presented to the ED for evaluation of an acutely bruised right 4th finger. She stated she was typing on a computer keyboard approximately 10 minutes prior to presentation and she noticed a sudden popping sensation at the base of her right ring finger. After the popping sensation, she noticed a cool sensation of the finger and numbness to the entire finger.

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High dose nitroglycerin is correct dose nitroglycerin

First 10 EM

Looking back, I am somewhat surprised I never published a First10 approach to sympathetic crashing pulmonary edema. I guess it never felt necessary, as it was the first ever EMCrit post, and therefore felt well covered in the FOAMed community. However, a full 15 years after that first EMCrit podcast (congrats on the decade and […] The post High dose nitroglycerin is correct dose nitroglycerin appeared first on First10EM.

Wellness 120
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Missouri Violence in the Workplace for Healthcare Employees

American Medical Compliance

The following Missouri Violence in the Workplace for Healthcare Employees course is designed to educate healthcare providers (HCP) on how to protect themselves and others from violence that occurs in the workplace. Workplace violence is defined as any act or threat of physical violence, harassment, intimidation, or other potentially disruptive behavior that occurs on the job site.

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Denis Rancourt and “no virus”: COVID-19 symptoms were due psychological stress from the pandemic response!

Science Based Medicine

It's hard to believe that in the 21st century there are still those who deny that viruses exist. However, virus denial and antivax go together and always have. Denis Rancourt, while far from the first or more vociferous virus denier, is an excellent example. The post Denis Rancourt and “no virus”: COVID-19 symptoms were due psychological stress from the pandemic response!

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Nevada Violence in the Workplace for Healthcare Employees

American Medical Compliance

The following Nevada Violence in the Workplace for Healthcare Employees course is designed to educate healthcare providers on how to protect themselves and others from violence that occurs in the workplace. Workplace violence is defined as any act or threat of physical violence, harassment, intimidation, or other potentially disruptive behavior that occurs on the job site.

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New Jersey Violence in the Workplace for Healthcare Employees

American Medical Compliance

Workplace violence is defined as any act or threat of physical violence, harassment, intimidation, or other potentially disruptive behavior that occurs on the job site. Threats and verbal abuse can lead to physical assaults and even homicide. It can have an impact on employees, clients, customers, and visitors. What you will learn: Introduction to violence in the workplace What is workplace violence?

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New findings from Italy against Hurler syndrome

Emergency Live

New important medical discoveries to combat Hurler syndrome What is Hurler syndrome One of the rarest diseases that can occur in children is Hurler syndrome, technically known as “mucopolysaccharidosis type 1H“ This rare disease affects 1 child in every 100,000 new births. It involves the lack of a particular enzyme responsible for degrading specific sugars, […] The post New findings from Italy against Hurler syndrome appeared first on Emergency Live.

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Vermont Violence in the Workplace for Healthcare Employees

American Medical Compliance

Workplace violence is defined as any act or threat of physical violence, harassment, intimidation, or other potentially disruptive behavior that occurs on the job site. Threats and verbal abuse can lead to physical assaults and even homicide. It can have an impact on employees, clients, customers, and visitors. What you will learn: Introduction to violence in the workplace What is workplace violence?

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Near tragedy on Monte Rosa: 118 helicopter crashes

Emergency Live

A drama that fortunately did not turn into a tragedy This is the summary of the incident that occurred on the afternoon of Saturday, March 16th on the Alagna side of Monte Rosa, where a rescue helicopter from the 118 service crashed after takeoff from Borgosesia while trying to reach the highest refuge in Europe: […] The post Near tragedy on Monte Rosa: 118 helicopter crashes appeared first on Emergency Live.

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HR24: Acute Inpatient Medicine – Next Level

Thinking Critical Care

June 15, 2024, 10-4 EST – Online Webinar Only Due to the tremendous amount of work required to put together a large live event, we’ve decided to skip 2024 in terms of a full-fledged H&R, but HR23’s Inpatient Medicine section, put together by none else than Katie Wiskar, was a real firecracker, and we felt that the spark to bring high level bedside physiology to the clinician on the wards should not be allowed to fizzle.

Shock 91
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Haemolytic Uraemic Syndrome

Don't Forget the Bubbles

4-year-old Stephanie presents with vomiting, diarrhoea, and lethargy. She appears pale and dehydrated , and her level of alertness fluctuates. She is apyrexial, tachycardic and normotensive. She receives fluid resuscitation, and you organise some tests to find out why she is so tired. Her urine dip is positive for erythrocytes, protein, and leukocytes and negative for nitrates.

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What is Mental Health? (01)

Maria Yang, MD

To try to answer the perennial question I ask myself (“what am I doing?”), I recently read this 2015 article, What is mental health? Evidence towards a new definition from a mixed methods multidisciplinary international survey. As a psychiatrist 1 , do I treat mental illness? What is mental illness? What is mental health? The paper comments on the ambiguity in the definition of “mental health”: Mental health can be defined as the absence of mental disease or it can be defined as a state of being

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Kentucky Violence in the Workplace for Healthcare Employees

American Medical Compliance

The following Kentucky Violence in the Workplace for Healthcare Employees course is designed to educate healthcare providers (HCP) on how to protect themselves and others from violence that occurs in the workplace. Workplace violence is defined as any act or threat of physical violence, harassment, intimidation, or other potentially disruptive behavior that occurs on the job site.

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Ziqitza Limited – The Impact of Climate Change on Emergency Medical Services

Ziqitza HealthCare Ltd

Climate change isn’t just about rising temperatures or extreme weather events; its effects extend far and wide, affecting various sectors of society. One critical area often overlooked is emergency medical services (EMS). As climate change intensifies, so do the challenges faced by EMS providers. In this blog, we’ll delve into the multifaceted impacts of climate change on emergency medical services and explore how Ziqitza Limited is adapting to these challenges.

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Maine Violence in the Workplace for Healthcare Employees

American Medical Compliance

The following Maine Violence in the Workplace for Healthcare Employees course is designed to educate healthcare providers on how to protect themselves and others from violence that occurs in the workplace. Workplace violence is defined as any act or threat of physical violence, harassment, intimidation, or other potentially disruptive behavior that occurs on the job site.

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How to Find a Quality Blog Post on Bronchiolitis: Findings from a SOAR Review

PEMBlog

The Problem: Free open access medical education (aka FOAM) is great in that it allows for asynchronous, focused learning. But there are some challenges when it comes to the utilization of FOAM: – Decentralization of FOAM resources – Concerns about the quality of information being presented The Solution: The Systematic Online Academic Resource, or SOAR, review was created in an effort to address some of these limitations.

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Sorry for the paywall on yesterday's post

Stop and Think

I apologize for putting yesterday’s post behind a paywall. This is the Substack default and I forgot to change it. The post is here. It is an interesting email from a colleague regarding the new weight loss drugs. JMM Stop and Think is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.

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The Latest in Critical Care, 3/18/24 (Issue #34)

PulmCCM

Ceftriaxone for all vented brain injured patients? (PROPHY-VAP) Patients with strokes and traumatic brain injuries who require mechanical ventilation due to coma are at very high risk for developing ventilator associated pneumonia. Prophylactic antibiotics, given enterally or intravenously, have been shown to reduce the rate of VAP, but with unproven clinically meaningful benefits like survival.

Stroke 40