Fri.May 19, 2023

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Serial Hemoglobin / Hematocrit – Huh? Part 1

The Trauma Pro

The serial hemoglobin (Hgb) determination. We’ve all done them. Not only trauma professionals, but other in-hospital clinical services as well. But my considered opinion is that they are not of much use. They inflict pain. They wake patients up at inconvenient hours. And they are difficult to interpret. So why do them? I’m reposting this mini-series on serial hemoglobin draws in light of a new paper that was published in the Journal of Trauma Nursing.

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Trick of Trade: Inflating the Esophageal Balloon of a Blakemore/Minnesota Tube without a Manometer 

ALiEM

A heavy alcohol drinker, who is well known to your Emergency Department, presents with altered mental status, except that he looks different this time. He looks really bad, stating that he has been vomiting blood. He is hypotensive. He then vomits a copious amount of blood right in front of you. You intubate the patient and initiate the massive transfusion protocol, but everything you pour into him seemingly comes right back out.

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Might “Vitriolic Attacks” Against Emily Oster Rival COVID’s Carnage?

Science Based Medicine

To advocates of Feelings Based Medicine, there is no difference between criticizing someone's ideas and attacking them personally. The post Might “Vitriolic Attacks” Against Emily Oster Rival COVID’s Carnage? first appeared on Science-Based Medicine.

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Top Main Causes for Dying in Your Sleep

AED Leader

Dying in your sleep might seem like a peaceful way to go, but if you’ve still got a lot of life left to live, it can be helpful to understand the main causes of sudden nocturnal death and things you can do to prevent it. It’s important to note that whether your interest in the Read More "Top Main Causes for Dying in Your Sleep" The post Top Main Causes for Dying in Your Sleep appeared first on AEDs for Sale | Buy Defibrillators and Accessories.

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Circulation before Airway or Breathing in Trauma Care

University of Maryland Department of Emergency Med

It is time to abandon the ABC's that ATLS teaches and move to hemorhage control (circulation) as well as resucitation before we deal wi.

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ECG Basics: Ventricular Fibrillation Seen In Twelve Leads

ECG Guru

This is an image of ventricular fibrillation as seen in all twelve standard leads simultaneously. This is cardioplegic ventricular fibrillation, occurring as the heart is stopped during cardiopulmonary bypass for open heart surgery. Each channel (horizontal strip) is run during the same ten-second period. Our thanks to Dr. Andreas Röschl from Germany for contributing this image.

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Does IV contrast help to make the diagnosis in ED abdominal pain patients undergoing CT scan?

University of Maryland Department of Emergency Med

Does IV contrast help to make the diagnosis in ED abdominal pain patients undergoing CT scan? The authors of this study tried to answer that.

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Friday Reflection #21: Revealing Ignorance

Sensible Medicine

CB is a 72-year-old woman with macrocytosis and otherwise normal cell counts. After an unrevealing evaluation, her internist referred her to a hematologist. Hematologist: “You won’t believe this, CB, the patient you referred to me, she has megakaryocytic dysplasia with 5q and 12p deletions and the TP53 mutation.” Internist: “I have no idea what that means, can you explain it to me?

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Critical Care Evidence Updates – April 2023

The Bottom Line

What’s new in the Critical Care literature – monthly updates

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