Sat.Mar 30, 2024 - Fri.Apr 05, 2024

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Traveling Ticks: Tickborne Illnesses and International Travel

Pediatric EM Morsels

Traveling Ticks are more than just ticking off a checklist before you get ready to travel! Climate change and changes in land usage have contributed to an expanded range of ticks (Beard 2016). There are species of ticks found on every continent and carrying a variety of vectors capable of infecting humans. Globally, ticks are the second most common vector to transmit illnesses after mosquitos (Parola 2018).

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Video: Minimally Invasive Repair Of Rectal Injuries

The Trauma Pro

Extraperitoneal rectal injury repair has evolved considerably over the past 40 years. Way back when, this injury automatically triggered exploration, diverting colostomy with washout of the distal colon, and presacral drain insertion (remember those?). We eventually backed off on the presacral drains (pun intended), which didn’t make a lot of sense anyway.

Wellness 147
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Trending Sources

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Ep 193 The Crashing Asthmatic – Recognition and Management of Life Threatening Asthma

Emergency Medicine Cases

In this part 2 of our 2-part podcast on asthma with Dr. Sameer Mal and Dr. Leeor Sommer, we dig into the recognition and management of life-threatening asthma. We answer such questions as: what are the key elements in recognition of threatening asthma? What are the most time-sensitive interventions required to break the vicious cycle of asthma? What are the best options for dosing and administering magnesium sulphate, epinephrine, fentanyl and ketamine in the management of the crashing asthmatic

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Are you a perfect diagnostician? No? Then give your patients a break

First 10 EM

Give your patients a break. Nobody is a perfect diagnostician. Not even the best trained physician can determine, with 100% accuracy, which patients have serious pathology. Even with advanced testing, we aren’t close to perfect. However, if you listen to the subtext of breakroom complaints, it seems like we expect patients to be better diagnosticians […] The post Are you a perfect diagnostician?

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Our JAMA Paper on Industry Payments and Sowell's Conflict of Visions

Stop and Think

My career in cardiology can be separated into two decade-long blocks. The first decade I practiced like most other cardiologists. I went with the flow, followed the guidelines. I went to few meetings, read few studies and as a result had little (mental) tension. Then I started writing about medical evidence. This required studying the evidence. Over time, I learned the skill of critical appraisal.

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When Should You Activate Your Backup Trauma Surgeon?

The Trauma Pro

The American College of Surgeons requires all US Trauma Centers to publish a call schedule that includes a backup trauma surgeon. This is important for several reasons: It maintains a high level of care when the on-call surgeon is encumbered with multiple critical patients, or has other on-call responsibilities such as acute care surgery It reduces the need to place the entire trauma center on divert due to surgeon issues However, the ACS does not provide any guidance regarding the criteria for

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Dr. Marty Makary: “We’ll Have Herd Immunity by April” & “It’s Okay To Have an Incorrect Scientific Hypothesis. But When New Data Proves It Wrong, You Have To Adapt.”

Science Based Medicine

Part 1: Doctors who said the pandemic ended 3-years ago now have the audacity to lament the "damaged public trust in the medical profession." The post Dr. Marty Makary: “We’ll Have Herd Immunity by April” & “It’s Okay To Have an Incorrect Scientific Hypothesis. But When New Data Proves It Wrong, You Have To Adapt.” first appeared on Science-Based Medicine.

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Ventricular Fibrillation, ICD, LBBB, QRS of 210 ms, Positive Smith Modified Sgarbossa Criteria, and Pacemaker-Mediated Tachycardia

Dr. Smith's ECG Blog

An elderly man collapsed. There was no bystander CPR. Medics found him in ventricular fibrillation. He was defibrillated, but they also noticed that he was being internally defibrillated and then found that he had an implantable ICD. He was unidentified and there were no records available After 7 shocks, he was successfully defibrillated and brought to the ED.

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Brief Resolved Unexplained Events (BRUE)

EB Medicine

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the April 2024 Pediatric Emergency Medicine Practice article, Brief Resolved Unexplained Events: Practical Evaluation and Management in the Emergency Department Introduction The Evolution of BRUE Understanding BRUE Guidelines The Importance of Pre-Hospital Care in BRUE Cases Investigating the Event: Questions to Ask Medical and Family History: Key Factors Environmental and Social Considerations Definitions and Risk Assessment Physical

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The Failed “We Want Them Infected” Movement Is Trying to Rebrand Itself As The “All We Really Wanted Was Poor Kids in School” Movement.

Science Based Medicine

Part 2: In 2020, pro-infection doctors said "It’s fantastic news that we have a lot of cases." Today, they performatively lament "learning loss for children, especially in poor families". What happened to their assurances that the mass infection of unvaccinated youth will rapidly lead to herd immunity? The post The Failed “We Want Them Infected” Movement Is Trying to Rebrand Itself As The “All We Really Wanted Was Poor Kids in School” Movement. first appeared on Science-Based Medicine.

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REBEL Cast – EMTALA + Reproductive Health Rights

RebelEM

REBEL Cast – EMTALA + Reproductive Health Click here for Direct Download of the Podcast. Dr. Dara Kass is a practicing emergency medicine physician who was most recently as the Regional Director of Region 2 for the US Department of Health and Human Services. She currently works with organizations and institutions to advance and implement policies that affect the care of individuals in this new healthcare landscape, most specially related to all forms of reproductive health care from contra

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JC: Bougie use in tracheal intubation. St Emlyn’s

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed This week Cliff Reid highlighted a recent meta-analysis of the use of bougies in tracheal intubation. This is something that has been routine practice in Virchester ED for many years, […] The post JC: Bougie use in tracheal intubation. St Emlyn’s appeared first on St.Emlyn's.

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emDOCs Podcast – Episode 98: Post ROSC Mental Model

EMDocs

Today on the emDOCs cast Brit Long interviews Zachary Aust on the use of a mental model in post ROSC patients. Episode 98: Post ROSC Mental Model What’s the problem? The Code Whatever caused the initial arrest Iatrogenic injuries from CPR Patients are in a pathophysiologic state that is being called “post-cardiac arrest syndrome” Hypoxic brain injury Myocardial dysfunction Systemic ischemia/reperfusion injury SIRS Response Very fragile state Hard to diagnose what is going on Small Things

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The Truth vs. Alex Jones: How the DSHEA of 1994 gave conspiracy mongers the means to fund their empires

Science Based Medicine

As the HBO documentary The Truth vs. Alex Jones shows, Alex Jones promoted the conspiracy theory that the Sandy Hook massacre was a hoax to sell his supplement line. It's a model that many Internet conspiracy theorists use, like Mike Adams. Did the DSHEA help create Alex Jones and the modern conspiracy industry? The post The Truth vs. Alex Jones: How the DSHEA of 1994 gave conspiracy mongers the means to fund their empires first appeared on Science-Based Medicine.

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Improving Your Critical Appraisal Skills

Sensible Medicine

This post introduces an occasional series, available to our paid subscribers, aimed at helping people improve their ability to read and interpret the medical literature. Improving Your Critical Appraisal Skills will be made up of “chapters” dealing with how to read articles about various study types. These chapters are adapted from my former course, Critical Appraisal of the Landmark Literature.

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Grand Rounds Recap 3.20.24

Taming the SRU

Visiting lecturer: structural leadership - taming the sru - r4 sim and oral boards “Innovation Meets the Bedside: The Evolution of New Models of Emergency Care Delivery” WITH dr. ben bassin “What problem are you trying to solve?” Emergency Critical Care Center (EC3) at the University of Michigan: Dedicated critical care unit within the emergency department that was created to improve access to timely, high-quality critical care after identifying a gap in emergency care delivery for patients Redu

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EM@3AM: Thoracic and Lumbar Spine Trauma

EMDocs

Authors: Luke Bailey (Medical Student, Texas A&M SOM, Bryan, TX) and Scott Wieters, MD (Associate Dean Temple Campus, Texas A&M SOM, Temple, TX) // Reviewed by: Sophia Görgens, MD (EM Physician, Northwell, 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 review of clinical basics.

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What happened after the Cath lab was activated for a chest pain patient with this ECG?

Dr. Smith's ECG Blog

Sent by anonymous, written by Pendell Meyers I received a text with this image and no other information: What do you think? I simply texted back: "Definite posterior OMI." The person I was texting knows implicitly based on our experience together that I mean "Definite posterior OMI, assuming the patient's clinical presentation is consistent with ACS.

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Taiwan: strongest earthquake in 25 years

Emergency Live

Taiwan grappling with the aftermath of the quake: casualties, missing persons, and destruction after the devastating earthquake A morning marked by terror On April 3, 2024, Taiwan faced the most powerful earthquake ever recorded in a quarter of a century, unleashing an immediate crisis on the island and in the surrounding areas. The quake measured […] The post Taiwan: strongest earthquake in 25 years appeared first on Emergency Live.

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The ARC-H principle: re-defining global health & shifting the balance.

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed The ARC-H principle: re-defining global health & shifting the balance. Anisa Jafar @EMergeMedGlobal takes us through why definitions really matter. The post The ARC-H principle: re-defining global health & shifting the balance. appeared first on St.Emlyn's.

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SAEM Clinical Images Series: Red Rash on My Legs

ALiEM

A 23-year-old female with no known past medical history presented with a rash concentrated on her legs, with a few areas on her arms and chest. The rash began the day before presentation when she became overheated while wearing sweatpants in 104°F weather. The rash was mildly pruritic but not painful. She denied any prior reaction to her sweatpants that she has had for several months.

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The First10EM monthly wrap-up for March 2024

First 10 EM

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 March 2024 appeared first on First10EM.

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Endocervical Curettage: An Essential Guide

Emergency Live

Endocervical curettage, a critical gynecological procedure that allows physicians to accurately diagnose precancerous conditions and cervical cancer Endocervical curettage, a procedure of critical importance in the field of gynecology, provides physicians with the ability to diagnose precancerous states and cervical cancer with considerable precision.

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Skeptics in the Pub. Cholera. Chapter 13

Science Based Medicine

Saturday. Just another workday when the Cholera is flowing. I woke early, at 6 a.m., and went to the office before anyone else. On the way, I went to the grocer’s and bought some supplies. I started, as usual, in the cubby room, and I was happy to see that as of yesterday that cases of the Cholera were staying down: there were […] The post Skeptics in the Pub.

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Bougie: First Pass or Rescue Device?

ACEP Now

A 68-year-old man presents to the emergency department (ED) with altered mental status and fever. Vital signs on arrival are: Temperature: 38.8 degrees Celsius Heart rate:128 Blood pressure: 74 over 48 Respiratory rate: 10 Oxygen saturation: 77 percent Physical examination was notable for lethargy and confusion. He has an absent gag reflex. He has a Class I Mallampati view and lung sounds were diminished in all fields.

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Probing 2023: PoCUS Articles to Change Your Practice

EM Ottawa

Point-of-care ultrasound (PoCUS) is becoming a cornerstone tool in our assessment of patient presentations and is helping us guide our clinical management. This is also represented in the amount of literature that has been published on the use of PoCUS in 2023. In this post, Dr. Murray reviews 5 articles (with case examples and videos), […] The post Probing 2023: PoCUS Articles to Change Your Practice appeared first on EMOttawa Blog.

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Illuminating the Spectrum: World Autism Day 2024

Emergency Live

Embracing Differences: Understanding Autism Today Blossoming alongside spring flowers, World Autism Awareness Day is celebrated on April 2, 2024, for its 17th edition. This globally recognized event, approved by the United Nations, aims to raise public awareness about autism. Touching countless lives, autism remains shrouded in myths and misconceptions.

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EMCrit 372 – FoundStab Intubation SOP

EMCrit

The 2nd FoundStab SOP is on standard intubation. EMCrit Project by Scott Weingart, MD FCCM.

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AMC Earns ACCME Accreditation Status

American Medical Compliance

American Medical Compliance is a recognized provider of Accredited Council for Continuing Medical Education (ACCME) Courses American Medical Compliance (AMC) has been reviewed by the Accreditation Council for Continuing Medical Education (ACCME®) and awarded accreditation status as a provider of continuing medical education (CME) for physicians. Accreditation in the ACCME System seeks to assure the medical community and the public that American Medical Compliance delivers education that is relev

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What Is Type 3 Diabetes?

Science Based Medicine

I’m always wary of new medical terms that seem to be used and promoted prematurely, when still in the hypothesis phase. It seems like an obvious way to bias any thinking about an alleged phenomenon – just label it as the hypothesis, as if it is already a conclusion. Calling symptoms that may follow a lyme infection “chronic lyme disease” implies something […] The post What Is Type 3 Diabetes?

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Hepatectomy: A Vital Procedure Against Liver Tumors

Emergency Live

Hepatectomy, a crucial surgical intervention, removes portions of the diseased liver, saving human lives by treating various liver disorders This surgical procedure involves partial or complete resection of the liver, depending on the severity and extent of the disease. Its primary purpose is to treat benign and malignant liver tumors, providing a valid therapeutic solution. […] The post Hepatectomy: A Vital Procedure Against Liver Tumors appeared first on Emergency Live.

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Meet ISBT 128 Blood Bag Labeling Standards with PDCs Blood Bag Labels

PDC Healthcare

Every year the ISBT 128 publishes labeling standards for essential items that hospital lab professionals use, including blood bags. The ISBT 128 is the “global standard for the terminology, identification, coding and labeling of medical products of human origin (including blood, cell, tissue, milk, and organ products). It is used on six continents in disparate […] The post Meet ISBT 128 Blood Bag Labeling Standards with PDCs Blood Bag Labels appeared first on connectID - PDC Healthcare Blo

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How to Find More Quality Blog Posts on Respiratory Infections in Children: Findings from a SOAR Review

PEMBlog

Be sure to check out our previous posts on: BRONCHIOLITIS , EPIGLOTTITIS , PNEUMONIA , and CROUP The Problem: Free open access medical education (aka FOAM) is great in that it allows for asynchronous, focused learning. But there are some challenges when it comes to the utilization of FOAM: – Decentralization of FOAM resources – Concerns about the quality of information being presented The Solution: The Systematic Online Academic Resource, or SOAR, review was created in an effort to address some

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Indiana Ethics and Professional Responsibility in Dentistry Training

American Medical Compliance

The following Indiana Ethics and Professional Responsibility in Dentistry Training is designed to educate dental healthcare providers (DHCP) in Indiana on the ADA Code of Ethics, which includes the Principles of Ethics, the Code of Professional Conduct, and Advisory Opinions, as well as Indiana guidelines regarding the licensure and practice of dentists and dental hygienists.

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Aviary Alert: Between Virus Evolution and Human Risks

Emergency Live

A Detailed Analysis of the Current State of Avian Influenza and Recommended Prevention Measures The threat of avian flu Avian influenza is caused by influenza viruses that infect birds. One strain, the A/H5N1 virus of clade 2.3.4.4b, is being monitored by scientists and is of concern. Although few people have fallen ill so far, it […] The post Aviary Alert: Between Virus Evolution and Human Risks appeared first on Emergency Live.

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Improving Your Critical Appraisal Skills 1

Sensible Medicine

Why start this series with the RCT? RCTs are used to determine if one treatment is better than another. They are clinical experiments that provide medicine’s most reliable data. When there is a good RCT, one that can be generalized to a specific patient’s situation, there is no better guide. However, RCTs are far from perfect. Individually, their design may lead them to include important biases and not be generalizable.

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High Altitude Medicine Overview

PHARM

Dr Hannah Lock / Emergency Medicine Senior Clinical Fellow & Portfolio Doctor / Ysbyty Gwynedd, Wales Dr Hannah Lock is a Senior Clinical Fellow in … High Altitude Medicine Overview

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