Ken Grauer, MD
MARCH 1, 2024
I was sent the 2 ECGs shown in Figure-1 — which were recorded from an elderly man whose heart beat "has been irregular for years". No clear history for recent chest pain — but the patient "has not been well" for the previous week. Regarding the 2 ECGs in Figure-1 : ECG #1 is the initial tracing obtained at the scene by the EMS ( E mergency M edical S ystems ) team — in association with an alert but markedly hypotensive patient.
The Trauma Pro
MARCH 1, 2024
Seriously injured patients frequently develop coagulopathy, which makes resuscitation (and survival) more challenging. A few years ago, the CRASH-2 study lent support for using tranexamic acid (TXA) in select trauma patients to improve survival. This drug is cheap and has antifibrinolytic properties that may be beneficial if given for life-threatening bleeding within 3 hours of initial injury.
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Pediatric EM Morsels
MARCH 1, 2024
We have digested many Morsels regarding various pulmonary complaints. While some are very rare (ex, Pulmonary Embolism , Pulmonary Hypertensive Crisis , Negative Pressure Pulmonary Edema , CPAM ) others are commonly encountered (ex, Croup , Bronchiolitis , Sinusitis ). It is pneumonia , however, that often generates the most conversations. When should I consider a CXR ?
Science Based Medicine
FEBRUARY 26, 2024
Antivaxxers have weaponized a huge multinational vaccine safety study of 99 million patient records that found rare adverse events and concluded that the benefits of COVID-19 vaccines outweigh the risks. How? A combination of the Nirvana fallacy and spin. The post How antivaxxers weaponize vaccine safety studies to falsely portray vaccines as dangerous first appeared on Science-Based Medicine.
Sensible Medicine
FEBRUARY 27, 2024
In the ideal, clinical guidelines incorporate evidence and expert opinion and enable clinicians to make evidence-based decisions without having to read the primary literature. These guidelines serve as an authority, defining high-quality care and how medical care should be delivered. Clinical guidelines have potential benefits: improved health outcomes, consistency of care, and reduced uncertainty (for the clinician).
The Trauma Pro
FEBRUARY 27, 2024
Intraosseous (IO) lines are a godsend when we are faced with a patient who desperately needs access but has no veins. The tibia is generally easy to locate and the landmarks for insertion are straightforward. They are so easy to insert and use, we sometimes “set it and forget it”, in the words of infomercial guru Ron Popeil. But complications are possible.
St. Emlyn
FEBRUARY 27, 2024
St.Emlyn's - Emergency Medicine #FOAMed A review of Acute on Chronic Liver Disease (ACLD / decompensated liver disease) in the ED. How we can improve patient outcomes. #FOAMed @stemlyns The post Decompensated. Liver disease in the ED. 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 Medicine Cases
FEBRUARY 27, 2024
Anand Swaminathan on an update on the appropriate selection of induction agents. Hans Rosenberg on when to use gabapentinoids for pain control in the ED. Katie Lin on pearls for neuroprotective intubation. Nour Khatib and Hamza Jalal on an approach to paresthesias in the ED. Eric Wortmann on preventing burnout in emergency medicine. Please support EM Cases with a donation [link] The post EM Quick Hits 55 – Induction Agents, Gabapentinoids, Neuroprotective Intubation, Approach to Paresthesi
The Evolution & Medicine Review
FEBRUARY 27, 2024
Abstracts for the 9th annual meeting of the International Society for Evolution, Medicine, and Public Health are welcome for talks, posters, discussions and symposia. But the deadline is looming! Friday, March 1 is the deadline for abstract submissions for ISEMPH2024!
NIOSH Science Blog
FEBRUARY 26, 2024
The American Journal of Public Health recently published a special supplement with 15 articles focusing on health worker mental health. As part of this special issue, our article Protecting the Mental Health and Well-being of the Nation’s Health Workforce summarizes the scope of the issue and prevention efforts underway at the Centers for Disease Control and Prevention (CDC) and the National Institute for Occupational Safety and Health (NIOSH).
Science Based Medicine
MARCH 1, 2024
A new stud of thousands of cases confirms that sharing a sleep surface with a caregiver significantly increases the risk of unexpected death in infancy. The post More Evidence that Ignoring Safe Sleep Advice Puts Babies at Risk of Unexpected Death first appeared on Science-Based Medicine.
Mind The Bleep
FEBRUARY 27, 2024
Prescribing fluids in paediatrics is simple but there is a system to it that you will need to learn if you have not worked in paediatrics before. This article breaks it down for you with examples of IV fluid prescribing. Please see this separate article for fluids and feeds in neonates. The important thing to remember is that children are not just small adults.
Emergency Live
MARCH 1, 2024
An Overview of Different Types of Ambulances in Europe and Their Functionalities The Diverse Faces of Rescue: Ambulances A, B, and C The ambulance service is a fundamental pillar of the healthcare emergency system, with ambulances classified into three main categories: Type A, B, and C. Type A ambulances are essential for first aid, ready […] The post The World of Ambulances: Types and Innovations appeared first on Emergency Live.
Sensible Medicine
MARCH 1, 2024
I can’t stand celebrity doctors. That said, I am kind of a fan of Peter Attia. This is an accomplishment for Dr. Attia because one of my criteria for calling someone a celebrity doctor is that I can’t stand them. I appreciate Dr. Attia because he’s a smart guy who seems much more interested in improving people’s lives than hawking his wares.
Science Based Medicine
FEBRUARY 28, 2024
Is modern medicine descending into pseudoscience, or is scientific medicine still going strong? Unfortunately, I think both of these things can happen at the same time. On the one hand, scientific research in medicine is progressing nicely. We are seeing the results of scientific breakthroughs made decades ago, with monoclonal antibody therapies, new therapeutic targets, the beginning of real genetic therapy, brain-machine […] The post What Is Somatic Therapy?
Core Medical Group
FEBRUARY 29, 2024
Navigating the complexities of the travel healthcare industry can feel daunting, given the abundance of staffing agencies available. Nurses choose to travel for various reasons. The main appeal of travel nursing is the freedom it provides, enabling nurses to determine their work locations and schedules.
Dr. Smith's ECG Blog
MARCH 1, 2024
This 60 yo male had an apparent tonic clonic seizure. He had no history of seizures. He was unconscious for 8 minutes and slowly awoke in the ambulance, complaining of nausea only. First responders found him to be very tachycardic , confused, perserverating and with no memory of the event. There was tongue biting. Lightheadedness continued. The tachycardia was gone by the time paramedics arrived.
Emergency Live
FEBRUARY 28, 2024
A Celebration of Courage, Innovation, and Community Commitment From Origins to Modernity: A Journey of Heroism The 85th anniversary of the Italian Firefighters marks a significant milestone in the history of one of the country’s most respected and beloved corps. Officially established in 1939, the Italian Firefighters have traversed decades of national history, evolving from […] The post 85 years of dedication: the anniversary of the Italian Firefighters appeared first on Emergency L
St. Emlyn
FEBRUARY 29, 2024
St.Emlyn's - Emergency Medicine #FOAMed In our modern world global health is vitally and increasingly important. Anisa Jafar takes us through a project designed to connect and map global health practitioners. Follow the links and join the network. The post Global Health map – connecting UK emergency care practitioners appeared first on St.Emlyn's.
First 10 EM
FEBRUARY 29, 2024
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. Obviously the format means the focus is mostly on content I have found, but I hope […] The post The First10EM monthly wrap-up for February 2024 appeared first on First10EM.
Sensible Medicine
FEBRUARY 26, 2024
I will show you a glaring example of how even investigators miss (or ignore) obvious uncertainty. The intervention in question is the aggressive control of blood sugar in patients with diabetes who present with an acute myocardial infarction. Most know that subcutaneous insulin is a common way to control blood sugar in some patients. But in the hospital, we can be more aggressive and use IV insulin infusions, which allow tight control of glucose levels.
Emergency Live
FEBRUARY 26, 2024
A journey through emergency management in Europe and the crucial role of emergency call centers Emergency call centers represent the cornerstone of crisis response, serving as the first point of contact for citizens in distress. Their role is of vital importance to ensure effective emergency management, coordinating available resources and directing field interventions.
St. Emlyn
FEBRUARY 25, 2024
St.Emlyn's - Emergency Medicine #FOAMed Key papers from the university of toronto CPD update in emergency medicine Whistler 2024 #uoftem24 #FOAMed #EBM #EM @stemlyns @davidcarr333 The post CPD update for UoT CPD conference, Whistler 2024. St Emlyn’s appeared first on St.Emlyn's.
First 10 EM
FEBRUARY 26, 2024
Welcome back to another edition of the research roundup, where we discuss an eclectic collection of articles selected through the very rigorous process of whatever I happened to find interesting in my recent reading. The BroomeDocs podcast version can be found here: [link] Putting nail bed repair to bed? Jain A, Greig AVH, Jones A, […] The post The Research Roundup (February 2024) appeared first on First10EM.
EMDocs
FEBRUARY 29, 2024
Authors: Rachel Bridwell (Attending EM Physician); Brannon Inman, MD (EM Crit Care, Orlando Health); Lloyd Tannenbaum (Staff Physician, Hackensack University Medical Center) // Reviewed by: Jamie Santistevan, MD ( @jamie_rae_EMdoc, EM Physician, Presbyterian Hospital, Albuquerque, NM); Manpreet Singh, MD ( @MPrizzleER ); Brit Long, MD ( @long_brit ) Case: You’re working on shift and the nurses hand you an ECG asking what you want for rate control on this: Do you think this is atrial fibrillatio
Emergency Live
FEBRUARY 29, 2024
An Legacy of Knowledge and Care Hildegard of Bingen, an eminent figure of the Middle Ages, left an indelible mark in the field of natural sciences with an encyclopedic treatise encompassing the medical and botanical knowledge of the time. Her works, “Physica” and “Causae et curae“, represent pillars of medieval medicine, providing detailed descriptions of […] The post Hildegard of Bingen: pioneer of medieval medicine appeared first on Emergency Live.
St. Emlyn
FEBRUARY 24, 2024
St.Emlyn's - Emergency Medicine #FOAMed Our regular podcast round up with @docib and @emmanchester of the best of the blog from January 2024. This month we focus on habits, the management of the comatose overdose patient and retention/recruitment issues in UK emergency medicine. #foamed @stemlyns The post St Emlyn’s podcast round up January 2024. appeared first on St.Emlyn's.
ALiEM
FEBRUARY 26, 2024
An 18-day-old male presented for a rash on his face for two days. The patient was born via spontaneous vaginal delivery full term without complications to a mom who has a history of genital HSV but without active lesions at delivery and on acyclovir. The patient presented with a vesicular rash on his face including around his eyes. He had conjunctival discharge noted by mom.
EMDocs
FEBRUARY 28, 2024
Here’s another case from Medical Malpractice Insights – Learning from Lawsuits , a monthly email newsletter for ED physicians. The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. To opt in to the free subscriber list, click here. Stories of med mal lawsuits can save lives.
Emergency Live
MARCH 1, 2024
A Crucial Ally Against Severe Allergic Reactions Adrenaline, also known as epinephrine, plays a vital role in the human body, preparing it to respond quickly to stressful or dangerous situations. This substance, naturally produced by the adrenal glands, speeds up the heart rate, dilates the airways, and increases blood flow to the muscles, providing crucial […] The post Adrenaline: The Life-Saving Drug in Medical Emergencies appeared first on Emergency Live.
EMCrit
FEBRUARY 26, 2024
Do you still need to worry about contrast in patients with tenuous renal function? EMCrit Project by Scott Weingart, MD FCCM.
Don't Forget the Bubbles
FEBRUARY 26, 2024
Non-invasive BiPAP can be a successful ventilation strategy for status asthmaticus, removing the need for intubation and the complications associated with this. A 6-year-old known asthmatic presents to ED with a two-day history of cough and coryza, worsening wheeze and work of breathing over the last day. He is usually managed with beclomethasone twice daily and salbutamol as needed.
EMDocs
FEBRUARY 24, 2024
We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: How to Treat Infected Kidney Stones Spoon Feed All patients with infected ureteral stones necessitate a urine culture, antibiotics, and urology consultation in the ED, with the majority requiring admission for surgi
Emergency Live
MARCH 1, 2024
With the purchase of 10 H145 helicopters, DRF Luftrettung marks a new era in medical rescue The Evolution of Air Rescue Air rescue represents a crucial component in emergency services, offering a rapid response in critical situations where every second counts. Helicopters, with their ability to land and take off vertically, access remote locations, and […] The post Revolution in the Skies: The New Frontier of Air Rescue appeared first on Emergency Live.
NRC Health
FEBRUARY 28, 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 | How to be a mirror, not a microphone appeared first on NRC Health.
EM Ottawa
FEBRUARY 26, 2024
Methodology: 3.5/5 Usefulness: 3/5 Freund Y, et al. JAMA. 2023 Dec 19;330(23):2267-2274. Question and Methods: Multicenter RCT involving comatose patients with suspected acute poisoning and GCS <9 compared a conservative airway strategy of withholding intubation versus routine practice for the primary hierarchical composite end point of in-hospital death, length of ICU stay, and length of […] The post Effect of Noninvasive Airway Management of Comatose Patients With Acute Poisoning: A
The Skeptics' Guide to EM
FEBRUARY 24, 2024
Reference: Li, T., & Gal, D. (2023). Consumers prefer natural medicines more when treating psychological than physical conditions. Journal of Consumer Psychology 2023, Date: February 23, 2024 Guest Skeptic: Ethan Milne is a Marketing PhD student at the Ivey Business School (Western University). He researches how moral outrage and status-seeking personalities motivate social media aggression, and how […] The post SGEM#341: You Make Me Feel Like a Natural Treatment first appeared on The Skeptics G
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