Mon.Oct 23, 2023

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New Technology: Using AI To Interpret Pelvic X-rays

The Trauma Pro

Look out, radiologists! The computers are coming for you! Radiologists use their extensive understanding of human anatomy and combine it with subtle findings they see on x-ray shadow pictures. In doing this, they can identify a wide variety of diseases, anomalies, and injuries. But as we have seen with vision systems and game playing (think chess), computers are getting pretty good at doing this as well.

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Has MSU economics professor Mark Skidmore been “exonerated” over his retracted paper claiming that COVID vaccines killed 278,000?

Science Based Medicine

Tech bro turned antivax influencer Steve Kirsch is claiming that Michigan State University economist Mark Skidmore has been "exonerated" after having had a paper retracted claiming 278K deaths from COVID-19 vaccines in 2021 alone. In reality, Skidmore just republished a revised version of his retracted paper in an antivax journal after the MSU IRB failed miserably in its oversight duties.

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Massive hemorrhage: The clinical approach

First 10 EM

Case Your patient is bleeding. A lot. Their vital signs are abnormal. They look very sick. (I am being intentionally vague, because the post is going to look at massive hemorrhage in general, rather than getting into the specifics of any one condition.) This post is a condensed clinical summary of appropriate actions in the […] The post Massive hemorrhage: The clinical approach appeared first on First10EM.

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Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage

The Bottom Line

In trauma patients with exsanguinating haemorrhage, does the use of the REBOA (resuscitative endovascular balloon occlusion of the aorta) device with standard care in the emergency department, compared with standard care alone, impact 90-day-mortality?

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SAEM Clinical Images Series: Dangerous Eye Drainage

ALiEM

A 32-year-old man with a history of traumatic globe rupture from a stab wound two months ago, status post repair, presented to the emergency department for worsening right eye pain and green malodorous drainage for the past three days. These symptoms started when he got a fleck of sawdust in the right eye about four days prior to presentation, which he was able to brush out with his finger.

Academics 111
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Does this T wave pattern mean anything?

Dr. Smith's ECG Blog

Written by Michael Doyle DO and Timothy Palmieri MD. Edited by Bracey, Meyers, Grauer, and Smith A 50-something-year-old female with a history of an unknown personality disorder and alcohol use disorder arrived via EMS following cardiac arrest with return of spontaneous circulation. The described rhythm was an irregular, wide complex rhythm. By EMS report, open pill bottles were found nearby at the scene, including quetiapine, fluoxetine, hydroxyzine, and gabapentin.

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The Latest in Critical Care, 10/23/23 (Issue #17)

PulmCCM

Piperacillin-Tazobactam vs. Cefepime for Kidney Injury and Neurologic Dysfunction (ACORN Trial) Piperacillin-tazobactam, marketed as Zosyn, has been one of the most-prescribed broad spectrum antibiotics for many years, used for its bactericidal activity against most gram-negative and anaerobic bacteria, including Pseudomonas. Cefepime has similar antibacterial activity, and both are widely used in the ICU as empiric coverage in patients with potentially serious gram-negative infections.

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Suction Cup Delivers Drugs Through Cheek

Medagadget

Researchers at ETH Zurich in Switzerland have developed an alternative to injections as a way to deliver large drugs, such as peptides, minimally invasively into the blood stream. The suction cup created by these researchers is inspired by octopus suckers, and it affixes to the mucosal lining of the inside of the cheek. The cup stays in place because a vacuum is drawn when the patient presses it onto their cheek lining.

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Infantile Spasms

Don't Forget the Bubbles

A 5-month-old infant presents to the Paediatric ED. His parents have noticed that he has been making funny movements’ over the last few weeks. He has also seemed a bit more withdrawn and miserable. “Could it be colic? Or reflux?” they ask. This is a fairly common presentation with small babies. Determining what parents mean by ‘funny movements’ can be hard.

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Enhanced mRNA Vaccine May Work Intranasally.

Medagadget

Researchers at MIT have developed an enhanced mRNA vaccine system that can elicit a greater immune response at lower doses. The vaccine technology is so potent that it may be useful for intranasal COVID-19 vaccines. This would have the benefit of localized immunity in the nasal mucus membranes that could kill the SARS-CoV-2 virus before it enters the body.

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Andrew Foy has a Different Conclusion on a Big JAMA paper on CV risk reduction

Sensible Medicine

The study in question is a randomized clinical trial looking at the Million Hearts Model. This model paid health care organizations to assess and reduce CV risk. Obviously, this is an important goal. Heart disease, specifically, atherosclerotic vascular disease, is a leading killer of humans. Any reduction of heart disease should have a benefit on both a person and a population.

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Rosh Review EM Scholar Monthly Question

RebelEM

A 5-year-old boy is brought in by his parent for a dental injury. The patient was walking his dog when it ran after a squirrel. The patient was pulled forward, causing him to hit his tooth on the asphalt. His parent noticed a dental problem and immediately brought the patient to the ED. The physical exam is shown below. Which of the following is the best next recommendation?

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Andrew Foy has a Different Conclusion on a Big JAMA paper on CV risk reduction

Sensible Medicine

The study in question is a randomized clinical trial looking at the Million Hearts Model. This model paid health care organizations to assess and reduce CV risk. Obviously, this is an important goal. Heart disease, specifically, atherosclerotic vascular disease, is a leading killer of humans. Any reduction of heart disease should have a benefit on both a person and a population.

Stroke 52
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Artificial Intelligence for Echo

Ultrasound Gel

Mike flies solo and ventures into the wily world of artificial intelligence in clinical ultrasound. How well does the machine measure up to the expert when it comes to hemodynamic measurements with echo? [link] [link] Mike flies solo and ventures into the wily world of artificial intelligence in clinical ultrasound. How well does the machine measure up to the expert when it comes to hemodynamic measurements with echo?

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Ziqitza – Managing Stress and Mental Health During Navratri

Ziqitza HealthCare Ltd

Navratri is a significant Hindu festival ce­lebrated with enthusiasm and de­votion throughout India. This nine-night festival, dedicate­d to the worship of the divine fe­minine, brings joy, spirituality, and a sense of unity to people’s lives. Howeve­r, the busy nature of Navratri cele­brations can also lead to increased stre­ss levels for many individuals.

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Put your feet in the dirt, Girl

PHARM

Dr Sonia Henry / General Practitioner / Rural & Remote Australia Dr Sonia Henry is a General Practitioner who had been working in Sydney until a … Put your feet in the dirt, Girl

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The future of evolutionary medicine

The Evolution & Medicine Review

A Frontiers Forum video with superb production quality and commentaries from leaders in the field, including Prof Barbara Natterson Horowitz | Department of Human Evolutionary Biology, Harvard University, and School of Medicine, UCLA Division of Cardiology, USA • Prof Randolph Nesse | Departments of Psychiatry and Psychology, University of Michigan, USA • Prof Daniel Blumstein […]

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An open letter to the Australian people

PHARM

Have you read the letter? Not one of the many articles summarising it, or analysing which bits were taken out in the drafting process, interesting as this information may be. — Read on www.themonthly.com.

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New from Evolution, Medicine, & Public Health

The Evolution & Medicine Review

Volume 11, Issue 1, 2023 (In Progress). Read the current issue Original researchBiomarkers or biotargets?

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Overcrowding contributes to people dying young in Yarrabah. Residents hoped a Voice to Parliament would help – ABC News

PHARM

Overcrowding contributes to people dying young in Yarrabah. Residents hoped a Voice to Parliament would help – ABC News — Read on amp.abc.net.

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Hysterectomy Complications

EMDocs

Author: Kristine Jeffers, MD ( EM Physician , San Antonio Uniformed Services Health Education Consortium) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. Louis); Marina Boushra (EM-CCM Physician, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case A 45-year-old female presents to the ED with a chief complaint of vaginal and abdominal pain.

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