Wed.May 10, 2023

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Learning about human factors in the emergency department

Don't Forget the Bubbles

In May 2022, Holly and Joe, two students on the joint QMUL and DFTB PEM MSc , created video presentations on human factors. We’ve incorporated some of our favourite elements from their presentations in this blog post. You’re in the paediatric emergency department, typing some notes for the child you’ve just discharged. You’re just about aware of the tannoy in the background.

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WHO Declares COVID Emergency Over

Science Based Medicine

While the COVID health emergency is over, COVID itself is not, and we need to have an eye on the next potential pandemic. The post WHO Declares COVID Emergency Over first appeared on Science-Based Medicine.

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Three Academics Speak Out on Bad Medical Studies

Stop and Think

First read my latest on why there are so many bad medical studies. Two of the three commenters nudged me to consider a more optimistic take. One of these came from Dan Matlock, a professor of medicine at the University of Colorado. You should first know Dan is one of the smartest and kindest academics I have met. He wrote, publicly , in the comments section, that incentives to publish—even bad studies—was part of the problem, but I should consider a more optimistic take: Namely, that

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ECG Cases 42 – Approach to ECG Interpretation in Patients with Chest Pain: OMI, False Positive & Negative STEMI & Other Causes

Emergency Medicine Cases

In this ECG Cases blog we look at 10 cases of patients with chest pain, including false positive STEMI, false negative STEMI, and other causes to help hone your ECG interpretation skills in time-sensitive cases where those very ECG skills might save a life. The post ECG Cases 42 – Approach to ECG Interpretation in Patients with Chest Pain: OMI, False Positive & Negative STEMI & Other Causes appeared first on Emergency Medicine Cases.

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Multifaceted quality improvement initiatives improve rate of pediatric hand injury reduction

EM Ottawa

Methodology: 2/5 Usefulness: 3/5 Market M, et al. CJEM. 2022 Jun;24(4):426-433. Question & methods: Whether quality improvement interventions could decrease the rate of repeat reductions in pediatric hand injuries by plastic surgeons. The study was conducted using two Plan-Do-Study-Act cycles that implemented informal feedback and formal educational workshops for ED physicians.

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REBEL Core Cast 101.0 – Imaging in Renal Colic

RebelEM

Take Home Points Many patients with renal colic require a CT scan. Diagnostic imaging should focus on eliminating concerning mimics; not on clinching the diagnosis of renal colic. POCUS and radiology department US are important modalities in evaluation of renal colic. REBEL Core Cast 101.0 – Imaging in Renal Colic Click here for Direct Download of the Podcast References Moore CL et al.

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ECG Cases 42 – Approach to ECG Interpretation in Patients with Chest Pain: OMI, False Positive & Negative STEMI & Other Causes

Emergency Medicine Cases

In this ECG Cases blog we look at 10 cases of patients with chest pain, including false positive STEMI, false negative STEMI, and other causes to help hone your ECG interpretation skills in time-sensitive cases where those very ECG skills might save a life. The post ECG Cases 42 – Approach to ECG Interpretation in Patients with Chest Pain: OMI, False Positive & Negative STEMI & Other Causes appeared first on Emergency Medicine Cases.

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Rocuronium ?1.5 mg/kg versus >1.5 mg/kg and inadequate paralysis in prehospital and retrieval intubation: A retrospective study Clare Hayes-Bradley MBBS

EMergucate

Rocuronium ≤1.5 mg/kg versus >1.

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A 30-something woman with intermittent CP, a HEART score of 2 and a Negative CT Coronary Angiogram on the same day

Dr. Smith's ECG Blog

This was sent by a colleague. A 34 yo woman with a history of HTN, h/o SVT s/p ablation 2006, and 5 months post-partum presented with intermittent central chest pain and SOB. She had one episode of pain the previous night and two additional episodes early on morning the morning she presented. Deep breaths are painful and symptoms come and go. She had one BP that was measured at 160/120, uncertain when and what the BP was at other moments.

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