Sat.May 04, 2024 - Fri.May 10, 2024

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NFTI And STAT: Can They Replace The Cribari Grid?

The Trauma Pro

In my last post, I reviewed using the Cribari grid to evaluate over- and under-triage at your trauma center. This technique has been a mainstay for nearly two decades but has shortcomings. The most important one is that it relies only on the Injury Severity Score (ISS) to judge whether some type of mistriage occurred. The ISS is usually calculated after discharge, so it can only be applied after the fact.

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How To Approach Psychogenic Symptoms

Science Based Medicine

Remember back in 1997, the Pokemon seizure episode? Hundreds of children reported symptoms, including seizures, after watching a specific episode of the Pokemon cartoon that includes a sequence of flashing alternating red and blue lights. The press reported the episode at face value, attributing the reaction to a known phenomenon of photosensitive epilepsy.

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What Are the Best AI Detectors?

Life in the Fast Lane

Sheralyn Guilleminot and Mike Cadogan What Are the Best AI Detectors? We investigated to see which tools are the best detectors of artificial intelligence in medical writing. One tool was the clear winner, while others clearly struggled with accuracy!

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If an ED doc sees cholecystitis on ultrasound, believe them

PulmCCM

Acute cholecystitis on ultrasound. Image by James Heilman, MD - Own work, CC BY-SA 3.0, [link] The diagnosis of cholecystitis can be made quickly and accurately in the emergency department using point-of-care ultrasound, according to a new meta-analysis. The authors analyzed 7 studies (n=1772) that tested point-of-care ultrasound performed by emergency physicians against the reference standard of final diagnosis (by discharge diagnosis, formal abdominal ultrasound by radiology, or surgical patho

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Undertriage And Overtriage: The Cribari Grid

The Trauma Pro

Any trauma performance improvement professional understands the importance of undertriage and overtriage. Overtriage occurs when a patient who does not meet trauma activation criteria gets one anyway. And undertriage is the converse, where no activation is called despite criteria being met. As you may expect, the latter is much more dangerous for the patient.

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A poorly framed article on COVID-19 vaccine injury in the New York Times

Science Based Medicine

A poorly framed article on people who believe that COVID-19 vaccines injured them is being trumpeted by antivaxxerst. Where the New York Times and its reporter Apoorva Mandavilli go wrong? The post A poorly framed article on COVID-19 vaccine injury in the New York Times first appeared on Science-Based Medicine.

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The Ultrasound-Guided Genicular Nerve Block

ACEP Now

Chronic knee pain is common and debilitating. Patients often seek care in the emergency department (ED) setting when flares of pain affect their ability to ambulate, climb stairs, or even stand up from sitting. 1 In many cases, these patients have been dealing with pain for years and have already exhausted the standard analgesic cocktail of acetaminophen, NSAIDs, and/or topical agents.

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Do you need to be a trained health care professional to diagnose subtle OMI on the ECG?

Dr. Smith's ECG Blog

An undergraduate (not yet in medical school) who works as an ED technician (records all EKGs, helps with procedures, takes vital signs) and who reads this blog regularly arrived at work and happened to glance down and see this previously recorded ECG on a table in the ED. It was recorded at 0530: What do you think? The young ED tech immediately suspected LAD OMI.

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Tattoos Still Won’t Boost Your Immune System

Science Based Medicine

Does the repeated stress on your immune system from getting tattoo after tattoo make you better able to fight off infections? No, no it does not. The post Tattoos Still Won’t Boost Your Immune System first appeared on Science-Based Medicine.

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NYGH Emergency Medicine Update 2024

First 10 EM

I gave 2 talks at the North York General Emergency Medicine Update this year. These are the resources for these talks. Usually, these resources are only for conference attendees, but this year I recorded versions of both talks, so you can watch them even if you didn’t make it to Canada’s premier emergency medicine conference […] The post NYGH Emergency Medicine Update 2024 appeared first on First10EM.

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RCEM CPD conference 2024 review. St Emlyn’s

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed Our rapid round up of the RCEM CPD conference in Newport 2024. Talks on trauma, paediatrics, policy, education and more @rcollem @stemlyns #FOAMEd The post RCEM CPD conference 2024 review. St Emlyn’s first appeared on St.Emlyn's. The post RCEM CPD conference 2024 review. St Emlyn’s appeared first on St.Emlyn's.

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The Frustration of Not Being Able to Sort Signal From Noise

Sensible Medicine

A treatment to reduce stroke is tested in a clinical trial. In the treatment group, 2.3% of patients had a stroke vs 2.9% in the control arm. The question that everyone wants to know is whether this -0.6% difference is signal or noise. For this, we look to the 95% confidence intervals. In the PROTECTED TAVR trial, the confidence intervals went from -1.7% (a lower stroke rate) to 0.5% (a higher rate of stroke).

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Binders, fillers and more? What’s all that other stuff in my medicine?

Science Based Medicine

Non-medicinal products in your medicine are there for a reason. The post Binders, fillers and more? What’s all that other stuff in my medicine? first appeared on Science-Based Medicine.

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Building Disaster Preparedness solutions for citizens 

Emergency Live

B-prepared, a Horizon Europe project (www.b-prepared-project.eu), is committed to building a culture of citizen-centred disaster preparedness through engaging digital platforms with the support of the B-prepared co-creation group. In the wake of a significant number of recent catastrophic events, B-prepared has emerged as a beacon of hope in the quest to reduce the devastating impact […] The post Building Disaster Preparedness solutions for citizens appeared first on Emergency Live.

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Medical Malpractice Insights: Brain Abscess

EMDocs

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.

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Feb/March Podcast 2024. St Emlyn’s

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed Our regular round up of the best of the blog with @docib and @emmanchester. Decompensated liver disease, mechanical CPR, frailty, global health and more. #FOAMed @stemlyns The post Feb/March Podcast 2024. St Emlyn’s appeared first on St.Emlyn's.

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Cancelled by Medscape

Sensible Medicine

We think a lot about considering the importance of funding when we read trials and editorials. There is no question that this is appropriate. Conflict of interest abounds in study design, their, and the creation of clinical guidelines. But, can consideration of funding source blind us to important research and opinions? Sally Satel always gets me thinking.

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Bioinformatics: A Bridge Between Biology and Computer Science

Emergency Live

From Genomic Sequences to Personalized Medicine: How Bioinformatics is Transforming Biomedical Research What is Bioinformatics? Bioinformatics is a field that merges science and technology. It brings together biology, computer science, mathematics, and statistics to study living organisms. This field uses computer programs like Python to analyze genomes.

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Grand Rounds Recap 5.1.24

Taming the SRU

Leadership curriculum - r4 capstone - r3 taming the sru - airway academy grand rounds - pharmacy updates Leadership curriculum: promoting yourself WITH drs. hill and lafollette We need to be able to promote our accomplishments throughout our careers. This is because our self-perception of ourselves typically differs from what others perceive of you and so you may not automatically get that promotion.

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Hot off the press: Bridge to EM curriculum (2nd edition) released

ALiEM

It has been 3 years since the 8-week, self-guided Bridge to Emergency Medicine (EM) curriculum was launched to help graduating medical students prepare for EM residency. The curriculum has been viewed over 43,000 times and we have awarded over 5,000 ALiEMU course certificates. It is now a part of many residency programs’ intern boot camp. Launching the 2nd edition of Bridge to EM (2024) We are thrilled to announce that we launching the second edition of the curriculum.

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Research Roundup and BroomeDocs Podcast (May 2024)

First 10 EM

Years ago, this started as the “articles of the month” and was truly a monthly undertaking. In order to become more regular with the BroomeDocs podcast, I am going to try once again to make this a monthly endeavor, although that might mean fewer articles in each edition. For the people who skip right to […] The post Research Roundup and BroomeDocs Podcast (May 2024) appeared first on First10EM.

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Adenomas: what they are and how they can evolve

Emergency Live

An in-depth analysis on adenomas and their management in the European healthcare context What are adenomas? Adenomas are small non-cancerous growths that form in the gland cells. These benign tumors can appear in various parts of the body, such as the colon, thyroid, pituitary gland, and adrenal glands. While not cancerous, many adenomas require careful […] The post Adenomas: what they are and how they can evolve appeared first on Emergency Live.

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The 80th Bubble wrap x DFTB MSc in PEM

Don't Forget the Bubbles

With millions of journal articles published yearly, it is impossible to keep up. Our team has scoured the literature, so you don’t have to—or it might spark an interest in reading the full article. This time, the PEM MSc team from QMUL, in association with DFTB, are taking over…. If you or your team are interested in an individual or joint review, please contact Dr.

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Journal Feed Weekly Wrap-Up

EMDocs

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: Emergent Cath Lab Activations with “Normal” Computer ECG Interpretations Spoon Feed A significant minority of code STEMI patients have an initial normal computer ECG interpretation.

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Dr. Jeffrey Flier: Those Who Express Different Views on Health Equity Should Be Demonized, Not Heard

Science Based Medicine

Perhaps if sheltered doctors cared more about health inequities, they wouldn't have treated a dangerous virus as nothing more than topic for an abstract, salon-style debate. The post Dr. Jeffrey Flier: Those Who Express Different Views on Health Equity Should Be Demonized, Not Heard first appeared on Science-Based Medicine.

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New intervention for Rescue Drones Network OdV

Emergency Live

On Tuesday, May 7th, Rescue Drones Network OdV carried out a particularly delicate operation involving the city of Viterbo. Following the discovery of a World War II explosive device weighing nearly 2000 kg, local authorities immediately took action. In this context, our Association was called upon to conduct surveillance and ensure territorial security using our […] The post New intervention for Rescue Drones Network OdV appeared first on Emergency Live.

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Bubble Wrap PLUS – May 2024

Don't Forget the Bubbles

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.

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Pharmacological Approach for Symptomatic Nonsustained Ventricular Tachycardia

AENJ: Current Issue

Nonsustained ventricular tachycardia (NSVT) is a common arrhythmia associated with heart failure, cardiomyopathy, coronary artery disease, electrolyte imbalances, and congenital heart disorders (Foth et al., 2023). NSVT is often asymptomatic depending on its burden percentage. However, typical NSVT presentation in the emergency department (ED) includes palpitations, near-syncope, dizziness, skipped beats, chest pain, and/or dyspnea (Katritsis et al., 2012).

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Hypothermia & Non-Freezing Cold Injury

EM Ottawa

Please refer to Dr. Mark McKinney’s Grand Round Summary from March 2020 (Parts 1 and 2) for a comprehensive literature review on the topic of resuscitating hypothermic patients. In this blog post, I’ll go into a more in-depth review of the staging of hypothermia and how to manage this problem in the field. Furthermore, I’ll […] The post Hypothermia & Non-Freezing Cold Injury appeared first on EMOttawa Blog.

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Astrocytoma: a little-known enemy

Emergency Live

Revolutionary Discoveries and Therapeutic Advances for More Effective Diagnosis and Treatment of Astrocytoma Advancements in Brain Tumor Research and Treatment Experts in brain tumors have made new and exciting discoveries. They have created a test that can detect brain tumors like astrocytomas without surgery. This test searches for tumor cells in the blood.

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Podcast Episode: Febrile Seizures

PEMBlog

Febrile Seizures are among the most common neurological problema in young children, occurring in 1 out of 50 children between the ages of 6 months and 5 years of age. This episode of PEM Currents: The Pediatric Emergency Medicine Podcast is a Question and Answer style exploration of some of the most common learning points in this incredibly important topic.

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Lumbar Puncture

AENJ: Current Issue

Lumbar puncture (LP) is a procedural skill that is required for practice in the emergency care setting, most often for diagnostic purposes. Rarely, it can also be used therapeutically, to alleviate the pain of patients presenting to the emergency department with acute headache from idiopathic intracranial hypertension. In either case, LP constitutes an invasive procedure in which the subarachnoid space is entered in order to obtain a sample of cerebrospinal fluid from one of the most vulnerable

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Tirofiban for Stroke without Large or Medium-Sized Vessel Occlusion

EM Ottawa

Methodology: 4/5 Usefulness: 3/5 Zi W, et al. N Engl J Med. 2023 Jun 1;388(22):2025-2036. Editorial: Expanding Treatment for Acute Ischemic Stroke beyond Revascularization. Question and Methods: This multi-centre, triple-blind, double dummy RCT in China aimed to evaluate the functional outcomes and safety of intravenous tirofiban as compared to aspirin in moderate to severe strokes […] The post Tirofiban for Stroke without Large or Medium-Sized Vessel Occlusion appeared first on EMOttawa

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Keeping your defibrillator in top condition

Emergency Live

The importance of a life-saving tool An Automatic External Defibrillator is a life-saving device that can deliver an electric shock in the event of a cardiac arrest. With a shock from a defibrillator, the normal heart rhythm can be restored. Using a defibrillator in combination with quality CPR can significantly increase the victim’s survival chances, […] The post Keeping your defibrillator in top condition appeared first on Emergency Live.

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Exploring the partnership between clinical access and patient experience

NRC Health

Discover how clinical access impacts patient experience from the team at Children’s Mercy Kansas City. The post Exploring the partnership between clinical access and patient experience appeared first on NRC Health.

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Fast-Track Training in Emergency Department During the COVID-19 Pandemic: Evaluation of a Hybrid Education Model

AENJ: Current Issue

Introduction: Emergency department (ED) fast track (FT) for the ambulatory, minor injury patient cohort requires rapid patient assessment, treatment, and turnover, yet specific nursing education is limited. The study aimed to test the feasibility and staff satisfaction of an education program to expand nursing skills and knowledge of managing FT patients during the COVID-19 pandemic.

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It’s Your Call – May 2024

Total Medical ComplianceHIPAA

OSHA: Would OSHA inspect our office if a patient files a complaint about infection control? No. OSHA’s primary goal is to help employers and workers with compliance, reduce work hazards, and prevent injuries, illnesses, and deaths in the workplace. A quick fact sheet about OSHA inspections can be found at [link]. HIPAA: What are the new reproductive rights afforded by HIPAA?

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