Science Based Medicine
JANUARY 4, 2024
Trends come and go but the popularity of detoxification and cleansing in January is eternal. The post 2024 Detox Trends To Watch (Out) For first appeared on Science-Based Medicine.
The Trauma Pro
JANUARY 4, 2024
Venous thromboembolism (VTE) after trauma in adults has generated a considerable body of literature for guidance. However, there is much less information available regarding pediatric trauma. High-risk criteria for pediatric VTE after trauma have recently been released. These criteria have not yet been evaluated prospectively or coupled with the administration of chemoprophylaxis.
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EMCrit
JANUARY 1, 2024
background and general concept My research project in fellowship was the construction of a mathematical model to convert VBG values into ABG values. The fundamental concept for the model was pretty simple: we can approximate the respiratory quotient (RQ) of tissue in the hand as being constant. This indicates that changes in oxygen content and […] EMCrit Project by Josh Farkas.
Sensible Medicine
DECEMBER 30, 2023
I started it all by claiming on Twitter that the FDA was a rubber stamp. From boosters for 6 month old babies (no data), to postpartum depression drugs that are basically Xanax , to bad cancer drug approvals, in my mind, the FDA is failing the American people. In a recent post, John Mandrola reviewed 5 cardiology devices approved by the FDA with questionable data.
First 10 EM
JANUARY 1, 2024
I love when people use science to investigate the many simple assumptions we make about the world. Not every trial needs to look novel (mostly read “me too”) drugs or fancy procedures. I also have a child in the age range for croup, and we are in our winter viral season in Canada, so this […] The post Cold air for croup (An RCT) appeared first on First10EM.
The Trauma Pro
JANUARY 3, 2024
Coagulopathy is the bane of every trauma professional. Trauma patients are bleeding to death until proven otherwise, and once they start bleeding, it only gets worse. A key component of this issue is the presence of fibrinolysis, which commonly occurs after severe trauma. Although the prime objective in managing these patients is definitive control of bleeding, antifibrinolytic therapy such as tranexamic acid (TXA) may be beneficial during the time before that can happen.
St. Emlyn
DECEMBER 30, 2023
St.Emlyn's - Emergency Medicine #FOAMed We generally try and review studies that are close to use in practice. but occasionally we spot something that is just interesting and which might give us a clue as … JC: Selective aortic arch perfusion. St Emlyn’s Read More » The post JC: Selective aortic arch perfusion. St Emlyn’s appeared first on St.Emlyn's.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
Emergency Live
JANUARY 4, 2024
From Egyptian Papyri to Modern Oncology Early References to Cancer The earliest known descriptions of cancer appear in seven papyri discovered and deciphered in the late 19th century, providing the first direct knowledge of Egyptian medical practice. Among these, the Edwin Smith and George Ebers Papyri contain descriptions of cancer dating back to around 1600 […] The post The History of Cancer Diagnosis appeared first on Emergency Live.
Emergency Medicine Cases
JANUARY 2, 2024
Based on a blend of number of listens, feedback from listeners, website visits and personal faves, EM Cases Best of 2023 Top 10. The post EM Cases Best of 2023 Top 10 appeared first on Emergency Medicine Cases.
EM Ottawa
JANUARY 2, 2024
Methodology: 4/5 Usefulness: 2/5 Liu L, et al. BMJ. 2023 Oct 9;383:e076448. Question: Do early vs delayed blood pressure management in patients with mild-moderate acute ischemic strokes decrease death or dependency at 90 days? Methods: Randomization to early (24 hrs) vs delayed treatment (after 7 days) of blood pressure. They monitored BP at baseline, during […] The post Early versus delayed antihypertensive treatment in patients with acute ischaemic stroke: multicentre, open label, rando
Don't Forget the Bubbles
JANUARY 1, 2024
Can’t get enough of Bubble Wrap? The Bubble Wrap Plus is a monthly paediatric Journal Club reading list from Professor Jaan Toelen (University Hospitals Leuven) and Dr Anke Raaijmakers (Sydney Children’s Hospital). This comprehensive list is developed from 34 journals, including major and subspecialty paediatric journals. We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research.
Emergency Live
JANUARY 4, 2024
From Origins to the Sophisticated Care Systems for Legionaries Origins and Development of Roman Military Medicine Medicine in the Roman army underwent significant evolution over the centuries. During the time of Julius Caesar and the conquest of Gaul (58-51 BC), wounded soldiers were left in the camp while the army continued its march. With the […] The post Medicine in the Roman Army: A Journey Through History appeared first on Emergency Live.
St. Emlyn
JANUARY 3, 2024
St.Emlyn's - Emergency Medicine #FOAMed Just before midnight at the NYE dinner party I was hosting the guests started to ask around the table “what are your New Year’s resolutions?”. Many people disclosed that they … Resolutions or Habits? St Emlyn’s Read More » The post Resolutions or Habits? St Emlyn’s appeared first on St.Emlyn's.
Dr. Smith's ECG Blog
JANUARY 5, 2024
Written by Willy Frick A 46 year old man with a history of type 2 diabetes mellitus presented to urgent care with complaint of "chest burning." The documentation does not describe any additional details of the history. The following ECG was obtained. ECG 1 What do you think? The ECG shows sinus bradycardia but is otherwise normal. There is TWI in lead III, but this can be seen in normal ECGs.
Science Based Medicine
JANUARY 1, 2024
Evidence-based medicine (EBM) has been a very useful paradigm for assessing evidence in medicine. However, like any other framework, it can be misused, particularly when fundamentalist EBM methodolatry leads to its inappropriate application to questions for which it is ill-suited, a misuse that has been weaponized against public health during the pandemic.
Emergency Live
JANUARY 4, 2024
A Look Inside: Understanding Endoscopy and Its Use in Medicine The Essence of Endoscopy Endoscopy is a revolutionary medical technique that has transformed the way doctors examine and treat internal conditions. Using an endoscope, a flexible probe equipped with a camera and light source, doctors can visually access internal organs such as the stomach, esophagus, […] The post Exploring the Invisible: The Crucial Role of Endoscopy appeared first on Emergency Live.
EMDocs
JANUARY 3, 2024
Authors: Luke Wohlford, MD, MPH (@retinueofblue, EM Resident, University of Vermont Medical Center); Neil Krulewitz, DO (EM Attending, University of Vermont Medical Center); Ahmed Harhash, MD (Heart Failure Cardiologist, University of Vermont Medical Center); Skyler Lentz, MD (@SkylerLentz, EM and Critical Care Attending, University of Vermont Medical Center) Case A 55-year-old man with a history of heart failure with a preserved ejection fraction presents at the request of their cardiologist wi
Dr. Smith's ECG Blog
JANUARY 1, 2024
This was contributed by Co-editor Emre Aslanger, an interventional cardiologist in Turkey. @AslangerE A 65-year-old gentleman presented to the emergency department after experiencing two recent ICD shocks in the preceding hours. His medical history includes hypertension, a decade-long battle with diabetes, ischemic heart disease, a coronary bypass graft surgery ten years ago, a diagnosis of congestive heart failure for the last five years, and a prior ICD implantation five years ago.
Science Based Medicine
JANUARY 5, 2024
Based on a recently published study using improved criteria for determining long term COVID-related health problems, it looks like kids are less likely to be negatively impacted than previously thought. The post A Bit of Good News: Kids Appear to Have Lower Risk of Post-COVID Conditions Than Previously Thought first appeared on Science-Based Medicine.
Emergency Live
JANUARY 3, 2024
Exploring Innovations in Rescue Vehicles and Technologies Technological Advancements in Rescue Vehicles Recent international exhibitions have highlighted significant technological advancements in the field of rescue vehicles. Particular attention has been given to the integration of advanced electronic controls, such as touchscreens and digital control panels.
Canadian EM
JANUARY 2, 2024
In our 2023 year in review, CanadiEM celebrates its 8th birthday! Does CanadiEM continue to serve an important role in the medical education community? This year is an opportunity for those who value this virtual community of practice to get involved, especially for those who are interested in a leadership role. If that interests you, please reach out at CanadiEMblog@gmail.com. 2023 was another busy year for CanadiEM!
Dr. Smith's ECG Blog
JANUARY 3, 2024
Written by Pendell Meyers A woman in her 70s had acute chest pain and called EMS. On arrival, EMS recorded relatively normal vital signs and this EMS ECG: What do you think? Interpretation : diagnostic of acute anterior OMI with STE less than STEMI criteria in V1-V4, hyperacute T waves in V2-V4, and suspiciously flat isoelectric ST segments in III and aVF suspicious for reciprocal findings.
Science Based Medicine
JANUARY 3, 2024
What medical breakthrough are likely in the near future? The post Medical Science in 2024 first appeared on Science-Based Medicine.
Emergency Live
JANUARY 2, 2024
The latest news on the earthquake that struck Japan A devastating earthquake Dramatic start to the year in Japan, where a series of quakes struck much of the western part of the country, with the strongest quake reaching a magnitude of 7.6 on the Richter scale. These seismic events caused significant damage in several areas, […] The post Japan earthquake: overview of the situation appeared first on Emergency Live.
Stop and Think
JANUARY 1, 2024
My friend Dr. Andrew Foy had this idea: during rounds in the hospital with learners, Foy noticed that many things get done (drugs prescribed, tests ordered) as a matter of culture or history. As in…we do this because that is what we do. It’s what everyone does. Well, that can be a problem. Established patterns of practice don’t just come from thin air.
EM Ottawa
JANUARY 4, 2024
What exactly is an EPA, really? EPAs, or Entrustable Professional Activities, are the basic building blocks of assessment within many models of Competency-Based Medical Education, such as Competency By Design. In theory, EPA assessments are supposed to serve as a collection of observations that put together a cohesive high-resolution picture from many little data […] The post Factors Affecting the EPA Experience appeared first on EMOttawa Blog.
ALiEM
JANUARY 5, 2024
Dr. Sara Krzyzaniak (podcast host and Stanford University PD) and Dr. Michelle Lin (ALiEM Founder/UCSF) are joined by Dr. Aaron Kraut (University of Wisconsin PD) in this insightful, rapid-fire, practical episode through the lens of experienced residency program directors. What does the Electronic Residency Application Service (ERAS) preliminary data show just far for the 2024 residency application season?
Emergency Live
JANUARY 2, 2024
The growing threat of alcohol-related liver cancer The link between alcohol and liver cancer Alcohol consumption is closely linked to the development of liver cancer, one of the many forms of cancer caused by alcohol. Recent studies have highlighted how excessive alcohol consumption can lead to severe liver conditions, including cirrhosis, which significantly increases the […] The post Silent enemy: alcohol and liver cancer appeared first on Emergency Live.
EMDocs
DECEMBER 31, 2023
Authors: Brit Long, MD ( @long_brit – EM Attending Physician, San Antonio, TX); Manpreet Singh, MD ( @MPrizzleER – Assistant Professor of Emergency Medicine / Department of Emergency Medicine – Harbor-UCLA Medical Center); and Alex Koyfman, MD ( @EMHighAK – EM Attending Physician, UT Southwestern Medical Center / Parkland Memorial Hospital) Thank you for everything you do and the great year!
First 10 EM
DECEMBER 31, 2023
This is the first edition of a new, recurrent post format. The First10EM monthly wrap up is a place for me to share updates about the website, about my academic life, and also interesting content, such as books, podcasts, and other FOAMed, that I have encountered in the prior month. It is sort of my […] The post The First10EM monthly wrap-up for December 2023 appeared first on First10EM.
Emergency Medicine News
DECEMBER 31, 2023
An abstract is unavailable.
Emergency Live
JANUARY 3, 2024
A Journey through Medical History from Ancient Europe to the Modern World The Role of Barbers in the Middle Ages In the Middle Ages, barber-surgeons were central figures in the European medical landscape. Emerging around 1000 AD, these individuals were renowned for their dual expertise in grooming and medical procedures, often being the sole source […] The post The Rise and Decline of Barber-Surgeons appeared first on Emergency Live.
Sensible Medicine
JANUARY 5, 2024
I don’t think it is possible to care for people with chronic diseases and not appreciate the waxing and waning of symptoms and the effect of placebo interventions of all kinds. The last year, once again, showed me examples of placebo use in medicine. Sometimes their use was in the patient’s best interest. At other times, their used seemed mostly for the financial gain of a practitioner.
AED Leader
JANUARY 5, 2024
Former F1 driver Wilson Fittipaldi Jr suffered a cardiac arrest after choking on Christmas dinner in December 2023. The 80-year-old Brazilian man was resuscitated, after which he was sedated and intubated in the hospital. He was still in the hospital as of 5 January 2024 when his family was waiting hopefully for him to wake up. The fast action of the people who witnessed the incident was no doubt critical in bringing him this far.
Emergency Medicine News
DECEMBER 31, 2023
An abstract is unavailable.
Emergency Live
JANUARY 2, 2024
Inadequate Ambulances and Shortage of Medical Personnel: A Concerning Situation The Need for Ambulances with Physicians on Board In Italy, the emergency healthcare system 118 is facing a critical challenge to ensure adequate and timely coverage across the country. According to estimates from Mario Balzanelli, the national president of the Emergency Urgency System 118, only […] The post A critical challenge for the 118 emergency system in Italy appeared first on Emergency Live.
NRC Health
JANUARY 4, 2024
Gundersen Health System and M Health Fairview leaders describe how they used the HUme to increase Net Promoter Scores and enact real-world, realistic changes across their health systems during a recent NRC Health webcast. The post Effective and practical approaches for cultivating genuine human connections appeared first on NRC Health.
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