Pediatric EM Morsels
JULY 7, 2023
In the past, we have discussed several causes of Knee Pain in children. Some of those causes are benign (ex, Osgood Schlatter’s Disease ) while others are scary (ex, osteosarcoma ). Evaluating the limping child , though, requires us to ponder not only the common (ex, Toddler’s Fracture ), but also to be vigilant for the severe (ex, Septic Arthritis ).
The Skeptics' Guide to EM
JULY 2, 2023
Date: July 1, 2023 Reference: PATCH-Trauma Investigators and ANZICS Clinical Trial Group. Prehospital Tranexamic Acid for Severe Trauma. NEJM 2023. Guest Skeptic: Dr. Salim Rezaie is a community emergency physician in San Antonio, TX. He is the Creator and founder of REBEL EM, a free, critical appraisal blog that tries to cut down knowledge translation gaps of […] The post SGEM#408: Hey, I, Oh I’m Still Alive – Is it due to TXA?
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Science Based Medicine
JULY 2, 2023
Robert F. Kennedy, Jr. has resurrected the antivax claim that the childhood vaccine schedule has never been tested in randomized controlled trials (RCTs) with a saline placebo controls (and therefore the vaccine schedule is unsafe). This is an old and deceptive antivax half-truth that ignores both what constitutes a scientifically valid placebo and the ethical requirements for RCTs.
Emergency Live
JULY 4, 2023
Telangiectasias are caused by enlarged blood vessels. This condition is much more common than you think and you will probably have come across this problem at least once in your life The post Teleangiectasias: what are they? appeared first on Emergency Live.
RebelEM
JULY 5, 2023
Take Home Points Provider assessment of how the patient looks is extremely important. If it looks and feels like a STEMI clinically, get serial ECGs and consult Cardiology immediately. POCUS has been a phenomenal tool in the management and early diagnosis of a lot of abnormal ECG and chest pain presentations. Isolated elevation in aVR with diffuse ST depressions can be a sign of Left Main occlusion.
St. Emlyn
JULY 2, 2023
St.Emlyn's - Emergency Medicine #FOAMed Zaf Qasim @resusone reviews the UKREBOA trial. No benefit shown, but is this really the end of REBOA in trauma? #FOAMed @stemlyns The post JC: The UK-REBOA trial. Has the balloon popped? St Emlyn’s appeared first on St.Emlyn's.
Science Based Medicine
JULY 5, 2023
Despite the leaked new classification as a "possible" carcinogen, the evidence still shows aspartame is safe. The post Aspartame and Cancer first appeared on Science-Based Medicine.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
ACEP Now
JULY 7, 2023
CASE A 30-year-old woman presents to the emergency department with left arm pain from a chronic wound. She notes that the wound has been present for greater than a year and it becomes malodorous and painful and oozes intermittently. She reports fevers up to 103 degrees Fahrenheit. She endorses a one-year history of near-syncopal episodes associated with shortness of breath, headache, and neck pain.
EB Medicine
JULY 5, 2023
In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the July 2023 Emergency Medicine Practice article, Diagnosing and Treating Pericarditis and Myocarditis in the Emergency Department Epidemiology Nomenclature Etiology Differential diagnosis Prehospital care ED history and physical Diagnostics ECG Labs Imaging (X-ray, CT, US, MRI) Treatment Special populations COVID-19 Athletes MIS-C In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the July 2023 Emergency Medicine Practice a
Science Based Medicine
JULY 4, 2023
817,000 thousand Americans had already died of COVID by December 23, 2021, and 244,000 more would die the next year. Millions more survived, but were injured. These numbers could have been lower if doctors not become defense attorneys for SARS‑CoV‑2 and prosecutors against the vaccine, and instead applied similar standards of evidence to both. The post When Doctors Have Different Standards of Evidence for the Virus and the Vaccine first appeared on Science-Based Medicine.
Emergency Live
JULY 3, 2023
Schizophrenia comes from the Greek and literally means “separate mind”: those affected struggle to distinguish reality from imagination It is a psychiatric disorder that seriously compromises self-perception. In addition to negatively affecting social relationships and the performance of normal daily activities. This disease also affects perception, memory, attention, learning and emotions.
EM Ottawa
JULY 6, 2023
Global temperatures are increasing and are projected to continue warming. The rates of warming across out planet are not uniform. In Canada, the loss of snow and sea ice reduces the reflectivity of the surface leading to increased absorption of solar radiation and a faster rate of warming compared to more southern regions. As a […] The post Don’t Sweat It!
The Bottom Line
JULY 1, 2023
In critically ill adults undergoing tracheal intubation, does the use of a videolaryngoscope (VL) compared to a direct laryngoscope (DL) improve the first-pass success rate?
Emergency Medicine Ireland
JULY 3, 2023
Welcome back to the tasty morsels of critical care podcast. Today we tackle a somewhat nebulous syndrome. Something we throw around with a few hand wavy explanations but often light on detail. Hopefully in a few minutes you’ll at least have a few morsels more of information to stave off all the trainees who are undoubtedly much smarter than you on the ward round.
Emergency Live
JULY 1, 2023
Also called trapeziometacarpal osteoarthritis, rhizarthrosis is a particular form of osteoarthritis that affects the carpometacarpal joint of the hand The post Rhizarthrosis: definition, causes, symptoms, diagnosis and treatment appeared first on Emergency Live.
Medagadget
JULY 6, 2023
Researchers at Harvard University have developed a technique that lets them create biomaterial heart valves in a matter of minutes. The approach, called ‘Focused Rotary Jet Spinning’, has been described by the researchers as ‘a cotton-candy machine with a hair dryer behind it.’ Essentially, the technique involves using jets of air to direct polymer strands onto a heart valve shaped frame.
Science Based Medicine
JULY 7, 2023
Is your child allergic to penicillin? Are you sure about that? Penicillin allergy is much less common than widely believed and there is a big push to delabel pediatric and adult patients who actually can tolerate these antibiotics. The post Delabeling Penicillin Allergies: A Public Service Announcement from Science-Based Medicine first appeared on Science-Based Medicine.
ACEP Now
JULY 7, 2023
Question: A 67-year-old man presents to the emergency department (ED) following syncope. He denies any antecedent symptoms. He has a witnessed episode of syncope in the ED, and the following ECG, is obtained What is the likely diagnosis? Left bundle branch block Supraventricular tachycardia with aberrancy Wolff-Parkinson-White syndrome Ventricular tachycardia See the answer here.
Emergency Live
JULY 3, 2023
Bladder cancer is a malignant transformation of the cells - mainly those called transitional cells - which cover the inner walls of the bladder, the organ responsible for collecting and expelling urine once it has been filtered by the kidneys The post Bladder cancer: what is it? appeared first on Emergency Live.
Sensible Medicine
JULY 5, 2023
I am a total sucker for an article that argues for the importance of primary care. I am also obsessed with our diagnostic reasoning biases. Pat Croskerry’s 2002 article in which he identifies 30 “failed heuristics, biases, and cognitive dispositions” is one of my absolute favorites that I reference a few times a year. In this article, Dr.
Science Based Medicine
JULY 6, 2023
A large randomized controlled trial of vitamin D supplementation generates good data to show there is likely no benefit. The post The effects of vitamin D supplementation on major cardiac events first appeared on Science-Based Medicine.
First 10 EM
JULY 3, 2023
The pace of these literature summaries has decreased over the years, but perhaps that means that quality has increased? I think there is an interesting variety of papers this time around, from sepsis, to b t, to patient access to their own results online. A few huge papers dropped in the past few weeks, including RCTs […] The post Research Roundup (July 2023) appeared first on First10EM.
Emergency Live
JULY 7, 2023
Kidney cancer is the most frequent among those affecting the urinary tract, after that of the prostate and bladder The post Kidney cancer: definition, causes, symptoms, diagnosis and treatment appeared first on Emergency Live.
EMDocs
JULY 3, 2023
Authors: Mikalah Ward, MD (EM Resident Physician, University of Kentucky); Susan Owens, MD (EM Attending Physician, University of Kentucky) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. Louis); Alex Koyfman, MD (@EMHighAK); Marina Boushra, MD (EM-CCM Attending, Cleveland Clinic Foundation) Case A 62-year-old male with past medical history of hypertension (HTN), hyperlipidemia (HLD), and prior cerebrovascular accident (CVA) presents to the emergency de
Medagadget
JULY 6, 2023
Scientists at the Swiss Federal Laboratories for Materials Science and Technology (EMPA) have developed an advanced surgical sealant that can alert clinicians to the presence of an intestinal leak after gastrointestinal surgery. Such leaks can be very dangerous, but until now clinicians had few ways to detect them before they start causing symptoms.
Taming the SRU
JULY 2, 2023
End-Tidal CO2 monitoring has a variety of uses in the Emergency Department. Whether used diagnostically or for monitoring of a patient’s physiology, clinicians must possess an understanding of the information that you can gather from EtCO2 waveform tracings. Knowing how to interpret the waveforms makes EtCO2 much more than a number, allowing the clinician to gain insight into minute to minute changes in a patients physiological state.
Emergency Live
JULY 7, 2023
Graves' disease, also known as, Basedow-Graves' disease, Basedow-Graves' disease or diffuse toxic goiter, is an autoimmune disease affecting the thyroid gland characterised by one or more manifestations such as: hyperthyroidism, increased thyroid volume (goiter), sometimes ocular pathology (ophthalmopathy) and, in rare cases, skin pathology (dermopathy) The post Graves' disease (Basedow-Graves): causes, symptoms, diagnosis and treatment appeared first on Emergency Live.
RebelEM
JULY 3, 2023
Background: Atrial fibrillation and atrial flutter with rapid ventricular rate (AF/AFL with RVR) are the most common subtypes of SVT, comprising a large number of ED visits in aging populations. Currently, rhythm and rate control are the mainstays of therapy in acute settings. One common strategy for rate control in stable patients is the use of non-dihydropyridine calcium channel blockers.
PDC Healthcare
JULY 5, 2023
If you’re involved in security within a healthcare facility, you’re responsible for the safety of all people within the building – visitors, employees, and patients. Balancing the wants and needs of these parties in a healthcare facility can be difficult, especially when attempting to create a secure and welcoming site. Visibly identifying all visitors is […] The post Best Practices for Visitor Identification in Healthcare Facilities appeared first on connectID - PDC Healthcare Blog.
Sensible Medicine
JULY 6, 2023
Dear Readers, This guest post from Professor McCormack is the type of content we strive for here at Sensible Medicine. Bempedoic Acid is a cholesterol-lowering drug. In the CLEAR Outcomes trial, it was found effective in modestly reducing cholesterol and cardiovascular outcomes in statin-intolerant patients. The authors have now published a subanalysis of the main CLEAR Outcomes study.
Emergency Live
JULY 6, 2023
Genital herpes is a sexually transmitted disease caused by the herpes simplex virus (HSV). Although there is no definitive cure for this viral infection, there are treatment options that can help reduce symptoms and prevent the spread of the virus to others The post Genital herpes: causes, symptoms, diagnosis and treatment appeared first on Emergency Live.
EM Ottawa
JULY 4, 2023
Methodology: 2.5/5 Usefulness: 2/5 Mathura P, et al. CJEM. 2022 Sep;24(6):636-640. Editorial: When evidence-based medicine and quality improvement collide. Question and Methods: Can we decrease physician ordering of the BUN (blood urea nitrogen) test, using an evidence-based multicomponent quality improvement intervention? Findings: Monthly average BUN ordering declined from 1905 to 448, and BUN test to […] The post Reduction of urea test ordering in the emergency department: multicomponen
University of Maryland CC Project
JULY 6, 2023
Dr. Willard Applefeld attended the University of Maryland School of Medicine and did his internal medicine residency at Johns Hopkins. He completed a fellowship in critical care at the National Institutes of Health. He is currently a cardiology fellow at Duke University Medical Center. His talk focuses on right ventricle. Dr. Willard Applefeld attended the University of Maryland School of Medicine and did his internal medicine residency at Johns Hopkins.
Sensible Medicine
JULY 3, 2023
I am at the lake, in Kentucky, with family, ages 2 to 86 years. We have no Wi-Fi. The cell signal is weak. It rained—a lot. That changes things. I picked up my Kindle (40% battery left) and opened to one of my favorite “books” — the entire collection of the works of Mark Twain. At the suggestion of Walter Kirn and Matt Taibbi, I read the Twain short story. “The Man That Corrupted Hadleyburg” Walter Kirn called it more of a fable.
Emergency Live
JULY 5, 2023
Emergency Live meets Simone Pace, the new Italian sales manager of Allison Transmission, the leading company in the truck automatic transmission sector, which has always been a reference point for fire brigade vehicles Dear readers of Emergency Live, today we came to the Turin headquarters of Allison Transmission to meet in person Simone Pace, the […] The post Firetruck and future, new arrival at Allison Transmission Italy appeared first on Emergency Live.
EMDocs
JULY 1, 2023
Authors: Maha Khalid, MD (EM Resident Physician, Advocate Christ Medical Center); Thaer Ahmad, MD (EM Attending Physician, Advocate Christ Medical Center) // Reviewed by: Sophia Görgens, MD (EM Resident Physician, Zucker-Northwell NS/LIJ, NY); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School) ; Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited
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