Mon.Sep 25, 2023

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Will A.I take over the World?!

Critical Care North Hampton

In this video, my great friend and fellow editor Dr Marcus Peck, talks us through the world of A.I in POCUS! Let’s face it, our kids are using it to write essays, the military uses it and you can’t seem to be able to speak to a human being on the phone as companies are.

Military 136
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Delayed sequence intubation: An RCT

First 10 EM

Introduced to the world by our friend Scott Weingart, delayed sequence intubation (DSI) is often summarized as procedural sedation for the procedure of preoxygenation. (Weingart 2011, Weingart 2015) It is a brilliant concept, makes a ton of sense on paper, and anecdotally has seemed to help a number of my patients. However, any long time […] The post Delayed sequence intubation: An RCT appeared first on First10EM.

EMS 131
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Choosing a Control Group

Sensible Medicine

You had two choices in the lottery for senior science class. Mr. Flexner taught science in the old way. As a reductionist, he had his students learn basic physiology as that would explain human disease. If you did the work, which was hard, you got a good grade. Mrs. Onderdonk focused on the mechanics of science. Her students actually did science. They thought about questions; designed experiments to answer these questions, and assessed the results.

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Twists and Turns: Identifying Maisonneuve Fractures in the ED

Taming the SRU

Musculoskeletal injuries are a common occurrence, representing a substantial number of Emergency Department visits on an annual basis. In fact, it’s been estimated that approximately 20% of all ED visits are musculoskeletal in origin. (1) Oftentimes, Emergency Physicians are the first provider patients encounter after an injury. This places a significant responsibility on the EM physician to diagnose and treat fractures.

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Earthquakes: an in-depth look at these natural events

Emergency Live

The types, causes and danger of these natural events Earthquakes will always cause terror. They represent the kind of event that is not only very complicated to predict – practically impossible in some cases – but can also represent events of such destructive force that they kill thousands of hundreds of people or make them […] The post Earthquakes: an in-depth look at these natural events appeared first on Emergency Live.

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SAEM Clinical Images Series: Blue is Bad

ALiEM

66 year-old-male with a history of type 2 diabetes and hypertension presented as a transfer for rapid progression of lower extremity pain, swelling, and blue-purple discoloration of the entire limb with concern for a possible necrotizing infection. His symptoms began earlier in the day and progressed over just a few hours. He had no known thromboembolic risk factors.

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Choosing a Control Group

Sensible Medicine

You had two choices in the lottery for senior science class. Mr. Flexner taught science in the old way. As a reductionist, he had his students learn basic physiology as that would explain human disease. If you did the work, which was hard, you got a good grade. Mrs. Onderdonk focused on the mechanics of science. Her students actually did science. They thought about questions; designed experiments to answer these questions, and assessed the results.

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Lab case 420 Interpretation

EMergucate

Answers: PH = 7.24 that is moderate acidaemia. HCO3 = 16 mmol/L, so we have metabolic acidosis. Next, we need to calculate the anion gap and the compensation.

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Health misinformation now has powerful allies

Science Based Medicine

Misinformation and conspiracy theories about health had long been a growing problem before the pandemic, but it took COVID-19 to get the government and researchers to take it seriously. Now, a new report in The Washington Post adds to previous reporting from multiple sources describing how allies of misinformation—and not just health misinformation—are striking back under the guise of defending "free speech.

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Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

Authors: Joshua Lowe, MD (EM Attending Physician, USAF); John Patrick, DO (EM Attending Physician, USAF); Michael Yoo, MD (EM Attending Physician, USAF); Rachel Bridwell, MD (EM Attending Physician, USA) // Reviewed by: Alex Koyfman, MD (@EMHighAK) and Brit Long (@long_brit) Case: A morbidly obese (BMI >60) 25-year-old male with a past medical history of sickle cell anemia and type 1 diabetes presents to the ED with chest pain and shortness of breath.

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Headlice

Don't Forget the Bubbles

Seven-year-old Flora and her twin sister Iris are brought to see you by their exasperated maternal grandmother Mary. They have headlice for the third time this school year, and Mary is fed up with wet combing. The twins live with her permanently after their parents went to prison 18 months ago for drug-related offences, and Mary is frustrated and ashamed that they seem so often to pick up headlice.