The Trauma Pro

MARCH 25, 2024

Generative artificial intelligence (AI) is the newest shiny toy. The best-known example, ChatGPT, burst onto the scene in November 2022 and caught most of us off guard. The earliest versions were interesting and showed great promise for a variety of applications. The easiest way to think about this technology is to compare it to the auto-complete feature in your search engine.

Research 258

Research Radiology Radiology Academics 258

Sensible Medicine

MARCH 25, 2024

You may have heard the ruckus about the study showing that intermittent fasting was associated with a 91% higher rate of dying of heart disease. I call it a ruckus because after the AHA sent out a press release about the study, two things happened: The mainstream health press covered it as they do (breathlessly) for any clickable story. The Top People of cardiology and health went ballistic in their criticism of the paper.

Research 142

Research Outcomes 142

First 10 EM

MARCH 25, 2024

There is little doubt that the use of testing has increased dramatically in emergency medicine during my career. Between 2001 and 2010 the use of CT in emergency departments increased 3-fold (and the use of MRI increased 9-fold, but for some reason it is still almost impossible for me to get one done.) (Carpenter 2015) […] The post Overdiagnosis: Would we better better off not looking?

Emergency Department 122

Emergency Department 122

Life in the Fast Lane

MARCH 25, 2024

Sheralyn Guilleminot and Mike Cadogan AI Tools for Learning AI Tools for Learning - a review of a selection of tools - which ones work and which ones don’t, plus, the future of AI-assisted learning

116

116

Science Based Medicine

MARCH 25, 2024

The term "allopathic medicine" was invented by homeopaths in the 19th century as a disparaging term for medicine. So to see a quack like Mark Sircus try to coopt it as "natural allopathic medicine" is quite something. The post Mark Sircus and “natural allopathic medicine”? Now I’ve heard everything from quacks first appeared on Science-Based Medicine.

104

104

Emergency Live

MARCH 25, 2024

Advanced Prediction Thanks to New Artificial Intelligence Models An innovative study published in “Radiology” introduces AsymMirai, a predictive tool based on artificial intelligence (AI), which leverages the asymmetry between the two breasts to forecast the risk of breast cancer one to five years before clinical diagnosis. This technology promises to significantly enhance the accuracy of […] The post Revolution in Early Detection: AI Predicts Breast Cancer appeared first on Em

Radiology 87

Radiology Radiology 87

EMDocs

MARCH 25, 2024

Authors: Zachary Boivin, MD (@ZachBoivinMD, Ultrasound Fellow, Yale University); Jia Jian Li, MD (@JjMDUS, Ultrasound Fellow, Yale University) // Reviewed by: Stephen Alerhand, MD; Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Introduction Anytime a patient presents to the ED with abdominal pain, biliary pathology should be considered in the diagnosis. 1 A biliary point-of-care ultrasound (POCUS) is the fastest and most accurate way to assess for biliary pathology, but it can be diffi

Ultrasounds 85

Ultrasounds Radiology Radiology Operations 85

Core Ultrasound

MARCH 25, 2024

Old IVC Vid (2021) TEE VTI Here are Dr. Spiegel’s Notes: 1. The discussion of what an IVC tells you is a fairly nuanced discussion but essentially it is telling you the difference in the RA pressure compared to the intra-abdominal pressure. It is our job as clinicians to interpret what that means. I find if you teach IVC US from that perspective than all the variability in techniques make a whole lot of sense.

Administration 98

Administration Sepsis Ultrasounds Outcomes 98

Emergency Live

MARCH 25, 2024

The Importance of Cardiopulmonary Resuscitation In a world where every moment can be crucial to saving a life, knowledge and application of Cardiopulmonary Resuscitation (CPR) and the use of Automated External Defibrillator (AED) emerge as bulwarks against sudden cardiac arrest. What is CPR? CPR, or cardiopulmonary resuscitation, is a life-saving intervention performed when the heart […] The post Life Saved: The Importance of First Aid appeared first on Emergency Live.

CPR 83

CPR Resuscitation 83

Life in the Fast Lane

MARCH 25, 2024

Samuel McCarney and Mike Cadogan NeuroResus Review NeuroResus is a FOAMed educational resource which defines, describes and elaborates on the practical management of all neurological emergencies

59

59

Emergency Live

MARCH 25, 2024

Water: Vital Element at Risk The importance of water as a vital resource and the need for its conscious and sustainable use were central to the reflections of World Water Day 2024 on March 22nd. This occasion underscores the urgency of adopting modern technologies and rational practices for water management, addressing the challenges posed by […] The post Saving Water: A Global Imperative appeared first on Emergency Live.

80

80

EM Ottawa

MARCH 25, 2024

Methodology: 3/5 Usefulness: 3/5 Bandyopadhyay A, et al. Anesth Analg. 2023 May 1;136(5):913-919. Question and Methods: This is the first RCT looking at DSI vs RSI in adult trauma patients with no difficult airway features. All intubations performed by an anesthesia PGY2 with direct laryngoscopy. Findings: The primary outcome was incidence of peri-intubation hypoxia.

Outcomes 57

Outcomes 57

PulmCCM

MARCH 25, 2024

Machine learning to individualize oxygenation targets during mechanical ventilation Multiple randomized trials in heterogeneous patients requiring mechanical ventilation have not shown any benefit from any particular oxygenation target (higher vs. lower). But what if those trials’ negative results hid a more complex reality, in which patients do often respond differently to oxygen—with many surviving because their oxygen target was selected “correctly” (albeit randomly),

COPD 52

COPD Outcomes Research Wellness 52

Ultrasound Gel

MARCH 25, 2024

In this Special Edition ep, Mike interviews the multi-talented Adaira Landry and Resa Lewiss. They share some of the wisdom they have gleaned from their experiences as physicians, mentees, mentors, authors, academicians, ultrasound experts, and humans. [link] [link] In this Special Edition ep, Mike interviews the multi-talented Adaira Landry and Resa Lewiss.

Ultrasounds 52

Ultrasounds 52

Maria Yang, MD

MARCH 25, 2024

To continue from my last post about “what is mental health?” and “what am I doing?”, let’s look at another figure from the paper What is mental health? Evidence towards a new definition from a mixed methods multidisciplinary international survey : Figure 2C This model argues that an individual’s mental health isn’t the sole product of that single person (because, yes, things are complex).

Psychiatric 52

Psychiatric 52