PulmCCM
FEBRUARY 5, 2024
Fever in the ICU: Guideline Update The Society of Critical Care Medicine (SCCM) and the Infectious Diseases Society of America (IDSA) issued an interim update to their 2008 recommendations for the management of fever in the ICU. PulmCCM is not affiliated with SCCM or IDSA. Virtually all the recommendations were based on weak evidence and represent a consensus of expert opinion.
Ken Grauer, MD
FEBRUARY 3, 2024
Today’s patient is an older woman who experienced a number of fainting epiodes over the previous week. No CP ( C hest P ain ). Shortly after arrival in the ED ( E mergency D epartment ) — she suffered a cardiac arrest. The ECG in Figure-1 was obtained following successful resuscitation. Stat Echo — obtained shortly after successful resuscitation revealed anterior wall akinesis.
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The Trauma Pro
FEBRUARY 9, 2024
This case involves an accidental nail gun injury to the neck. The patient is hemodynamically stable, neurologically intact, the airway is patent and not threatened, and there is no apparent hematoma. There is a small puncture near the sternocleidomastoid muscle on the right, fairly high on the neck. The nail is not palpable on either side. And the patient only complains of a little discomfort when he swallows.
Sensible Medicine
FEBRUARY 9, 2024
You can only listen to, or read, what doctors have to say for so long. Today, in our Friday, “reflective writing” slot, an essay from someone in the bed rather than beside it. Adam Cifu Sensible Medicine is a reader-supported publication. If you appreciate our work, consider becoming a free or paid subscriber. After ten days tethered to an IV of cyclosporine, the surgeon explained that he would remove my colon, create a stoma, and hitch a colostomy bag to my abdomen.
Science Based Medicine
FEBRUARY 5, 2024
A year ago, I noticed that COVID-19 quacks were touting the "repurposing" of ivermectin to treat cancer. Now, familiar COVID-19 antivaxxers—cough, cough, FLCCC—have turbocharged this quackery. The post COVID-19 antivax quacks are now “repurposing” ivermectin for cancer first appeared on Science-Based Medicine.
St. Emlyn
FEBRUARY 6, 2024
St.Emlyn's - Emergency Medicine #FOAMed This week I am in Zermatt, Switzerland for ‘The Big Sick’ conference. This is something I have been looking forward to years, but major heart surgery (valves not pipes) and […] The post Top resus papers for TBS. St Emlyn’s appeared first on St.Emlyn's.
The Trauma Pro
FEBRUARY 6, 2024
Here’s a very interesting case for you. A construction worker was carrying an object inside a building WHILE HOLDING HIS NAIL GUN! As he passed through the door, his elbow hit the frame and he brushed his neck with the business end of the gun. Guess what happened? He experienced sharp pain, then noted pain every time he swallowed. He checked himself out in the mirror, and there was a small puncture wound in the right side of his neck.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
Science Based Medicine
FEBRUARY 7, 2024
Wellness influencers are often also conspiracy theorists, as both mindsets rely upon the same underlying methods, motivation, and narrative. The post The Menace of Wellness Influencers first appeared on Science-Based Medicine.
Sensible Medicine
FEBRUARY 6, 2024
Two things are clear about the internal medicine residents I get to work with. First, their qualifications are spectacular: academic accolades, research, publications, clinical medicine experiences prior to residency, even real-life professional experiences. When they enter internship, their CVs dwarf those of my residency colleagues (’93 - ’96).
First 10 EM
FEBRUARY 8, 2024
Long time readers will know that I generally dislike guidelines. Although there are exceptions, I think that guidelines are often more problematic than helpful. However, I know that many people work in places that have medicolegal structures that leave them feeling completely paralyzed, and unable to practice in the absence of a relevant guideline. The […] The post ACEP says its OK to use topical anesthetics for simple corneal abrasions appeared first on First10EM.
Dr. Smith's ECG Blog
FEBRUARY 9, 2024
Written by Jesse McLaren A 65 year old with a history of atrial flutter, CABG and end-stage renal disease on dialysis presented with 3 days of fluctuating chest pain, which was ongoing at triage. What do you think? Do you need posterior leads? There’s atrial flutter with controlled ventricular response, a non-specific intra-ventricular conduction delay, borderline right axis, normal R wave progression and normal voltages.
American Medical Compliance
FEBRUARY 9, 2024
Compliance officers’ responsibilities extend far beyond merely checking boxes and ticking off regulatory requirements. In fact, 61% of the compliance teams from a Thomson Reuters report also work on long-range strategies for their companies by putting regulatory and legislative changes as a top priority. Compliance officers take on a more complex task such as the creation of medical compliance plans for their company’s long-term success.
PEMBlog
FEBRUARY 7, 2024
Just look at the rash – then scroll down to reveal the diagnosis. That’s it. And oh yeah, she did spend time in a hot tub during a recent trip. The nodules on the platter surface of the feet are painful. She is systemically well appearing. It’s Pseudomonas Hot-Foot Syndrome! This malady is characterized by the acute onset in children of exquisitely tender plantar nodules and a benign, self-limited course.
First 10 EM
FEBRUARY 5, 2024
In the Rapid Review series, I briefly review the key points of a clinical review paper (which often extends to multiple papers because I can’t help myself). The topic this time: Propofol Related Infusion Syndrome (PRIS). Like many rapid review topics, this was chosen for my own education because I have next to no experience […] The post Propofol Related Infusion Syndrome (PRIS) appeared first on First10EM.
Dr. Smith's ECG Blog
FEBRUARY 6, 2024
Written by Pendell Meyers A teenager was involved in a motor vehicle collision and presented to the Emergency Department via EMS altered and potentially critically ill. He was intubated for altered mental status. Chest trauma was suspected on initial exam. Here is his initial ECG around 1330: What do you think? The ECG shows sinus tachycardia with RBBB and LAFB, without clear additional superimposed signs of ischemia.
Life in the Fast Lane
FEBRUARY 4, 2024
Oliver Flower EVACUATE: ICH Management Amal Abou-Hamden discusses intracerebral haemorrhage (ICH), and the history of management of surgical management of ICH including the STICH1, STICH2 and EVACUATE trial
Science Based Medicine
FEBRUARY 9, 2024
What did I mean when I said Dr. Kelly Brogan "won the pandemic"? The post Dr. Kelly Brogan Wakes Up to the “Ball Earth Hoax”. What Does This Reveal About Prominent Professors From Prominent Medical Schools? first appeared on Science-Based Medicine.
Taming the SRU
FEBRUARY 7, 2024
AirCare - Derm Emergencies - R4 Capstone - Landmarks of EM - Global Health - Toxicology Aircare Grand ROunds WITH Drs. Tillotson and Hinckley Simulation Communication on arrival to a scene is key, both between you and your flight nurse before you enter the ambulance and with the EMS crew Reassessing the potential reasons for shock in a trauma is important to pick up causes that are not initially on your mind initially (blood products for hemorrhage, controlling a significant scalp bleed, relievi
ALiEM
FEBRUARY 5, 2024
Welcome to the AIR Toxicology Module! After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Digital Impact Factor [1], the ALiEM AIR Team is proud to present the highest quality online content related to related to toxicology in the Emergency Department. 8 blog posts met our standard of online excellence and were approved for residency training by the AIR Series Board.
Emergency Live
FEBRUARY 5, 2024
A comprehensive guide to understanding, preventing, and effectively treating kidney colic. Kidney colic is an acute disorder characterized by intense and sudden pain localized in the lower abdomen or back. This condition mainly occurs due to the presence of kidney stones in the ureter, the thin tube that connects the kidneys to the bladder. These […] The post Kidney colic: prevention and treatment appeared first on Emergency Live.
RebelEM
FEBRUARY 7, 2024
Take Home Points Infections are a leading cause of maternal mortality worldwide. Prompt recognition is critical in management. Most infectious processes will require admission and close observation for improvement or decompensation. REBEL Core Cast 117.0 – Infections of Pregnancy Click here for Direct Download of the Podcast Urinary Tract Infection/Pyelonephritis Epidemiology: Occurs in as many as 15% of pregnant women and between 20-40% of pregnant women with asymptomatic bacteriuria will
Taming the SRU
FEBRUARY 5, 2024
Imhotep was an egyptian chancellor and has been credited with the discovery of csf. Metropolitan Museum of Art, CC0, via Wikimedia Commons The ancient Egyptian physician Imhotep is often credited with the discovery of cerebral spinal fluid (CSF) —over 5,000 years ago! (1) However, it wasn’t until the 1890s that purposeful, successful, and safe attempts to access this fluid were documented (2).
Sensible Medicine
FEBRUARY 5, 2024
Tomorrow over at CardiologyTrials we will describe the CAPRICORN trial of carvedilol vs placebo in patients post myocardial infarction. Carvedilol is now widely accepted for this indication, but CAPRICORN featured a super-interesting twist regarding how we interpret data given pre-experiment choices. Do tune in. (Also, the bad typo in the original e-mail is fixed.
EMDocs
FEBRUARY 7, 2024
Author: Ryan Leone, MSc, Medical Student at Columbia University // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) What’s the issue? Across several sectors, labor strikes and unionization were prominent throughout the last year. Despite a plateau in overall union membership of around 10% in 2023 1 , major labor actions shook the U.S. and gained national attention, including high-profile strikes by the United Auto Workers (UAW), the Screen Actors Guild – American F
EMCrit
FEBRUARY 9, 2024
The acute crit care med rec EMCrit Project by Scott Weingart, MD FCCM.
EM Ottawa
FEBRUARY 8, 2024
Abortion history in Canada is Complex. Countless hardships were overcome on the long journey to the legalization of medical induced abortion (IA). This blog post will focus on what you need to know as an acute care provider. Context: Unsafe abortions are the leading preventable causes of maternal death and morbidity (4.7-13.2% of maternal deaths). […] The post Abortion Care in the Emergency Department appeared first on EMOttawa Blog.
Science Based Medicine
FEBRUARY 4, 2024
A man who experienced the pandemic entirely from his laptop, explains what he would have done had he actually done anything. The post Science Based Satire: What I Would Have Done first appeared on Science-Based Medicine.
EMDocs
FEBRUARY 7, 2024
Today on the emDOCs cast with Jess Pelletier and Brit Long, we discuss the GLP-1 agonist craze, complications, and medication compounding. Episode 94: GLP-1 Agonist Complications Background: GLP-1 agonists are used for weight loss and diabetes; include the following: Semaglutide (Wegovy) GLP-1 agonist FDA approved for weight loss by SQ injection Liraglutide (Saxenda) GLP-1 agonist FDA approved for weight loss by SQ injection Semaglutide (Ozempic) GLP-1 agonist FDA approved for type 2 diabetes by
The Bottom Line
FEBRUARY 7, 2024
What’s new in the Critical Care literature – monthly updates
The Skeptics' Guide to EM
FEBRUARY 3, 2024
Reference: Curry SD, et al. Systematic Review of CT Angiography in Guiding Management in Pediatric Oropharyngeal Trauma. Laryngoscope. March 2023 Date: January 30, 2024 Guest Skeptic: Dr. Alexandra (Ali) Espinel is an Associate professor of pediatrics and otolaryngology at Children’s National Hospital and George Washington University. She is also the director of the Pediatric Otolaryngology […] The post SGEM #429: It’s CT Angio, Hi.
Science Based Medicine
FEBRUARY 3, 2024
For once, I beat the alarm clock by a good hour. Anxiety is better than sunrise for becoming and staying awake. I had too many things to do, and neither the time nor the skill set to accomplish them. As the week progressed, I had become increasingly aware that every hour we did not act meant more death and disease—and I could […] The post Skeptics in the Pub.
NRC Health
FEBRUARY 8, 2024
You may not immediately see the connection between running ultramarathons in the mountains and leading a product innovation team, but to Jon Tanner, Product Leader, the parallels are obvious. Both involve setting ambitious goals, overcoming obstacles, and finding fulfillment in testing limits. The post Igniting Human Understanding: Cami Mitelman appeared first on NRC Health.
Taming the SRU
FEBRUARY 5, 2024
Traumatic brain injury (TBI) accounts for millions of Emergency Department visits annually. While moderate and severe TBI is often managed on an inpatient basis, patients presenting with mild TBI, or concussion, are often managed solely by Emergency physicians. Despite the “mild” classification, this diagnosis carries significant implications on patient functioning and quality of life.
American Medical Compliance
FEBRUARY 9, 2024
The Comprehensive Dementia Care in Dentistry Training is designed to educate dental healthcare providers (DHCP) on the various types, stages, and symptoms of dementia. The term “dementia” refers to a broad range of symptoms that arise from brain damage caused by illness, injury, or disease. A decline and loss of memory, focus, and judgment, as well as the capacity for learning, problem-solving, and communication, are some of these symptoms.
Total Medical ComplianceHIPAA
FEBRUARY 9, 2024
In any organization, maintaining a harmonious work environment is pivotal to productivity and morale. However, navigating employee misconduct can be a challenging tightrope walk. When infractions occur, the response must be calibrated, fair, and reflective of the severity of the behavior while also considering the employee’s history, intent, and circumstances.
NRC Health
FEBRUARY 7, 2024
The NRC Health 2024 Pediatric Collaborative is truly a can’t-miss experience, with exceptional presentations that will stir innovative ideas. Check out a preview of one of the sessions! The post Pediatric Collab Preview: Exploring the partnership between clinical access and experience appeared first on NRC Health.
Mind The Bleep
FEBRUARY 9, 2024
As a foundation doctor, caring for patients who deteriorate rapidly and/or are critically unwell can be daunting. Intensive care units provide the highest-level care for patients within the hospital. Knowing which patients are appropriate to refer is important for all foundation doctors to understand. Critical care outreach teams (CCOT) provide a link between the wards and intensive care.
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