Sat.May 18, 2024 - Fri.May 24, 2024

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Closing Velocity And Injury Severity

The Trauma Pro

Trauma professionals, both prehospital and in trauma centers, make a big deal about “closing velocity” when describing motor vehicle crashes. How important is this? So let me give you a little quiz to illustrate the concept: Two cars, of the same make and model, are both traveling on a two lane highway at 60 mph in opposite directions.

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“Tranq Dope”: A New Menace

EM Ottawa

The North American opioid crisis is rapidly expanding, resulting in unprecedented levels of harm and strain on the healthcare system. The opioid epidemic is not new to ED providers across the country, but the true extent of harm is quite shocking. In Canada, there has been 40,642 apparent opioid toxicity deaths and 39,435 opioid-related hospitalizations […] The post “Tranq Dope”: A New Menace appeared first on EMOttawa Blog.

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An EPiC mental model. St Emlyn’s

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed The practice of coordinating, consulting and managing an entire acute clinical service in real-time is fairly unique to emergency medicine. Central to this is the EPiC (or emergency physician in charge) role #FOAMed @stemlyns with @codingbrown The post An EPiC mental model. St Emlyn’s appeared first on St.Emlyn's.

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Cardiac Arrest – the 5 C’s

Life in the Fast Lane

Kane Guthrie Cardiac Arrest – the 5 C’s Cardiac Arrest - the 5 C's with Cliff Reid. Causes Of Cardiac Arrest You NEVER Thought Of?! Meet The Hs & Ts & Cs!

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What Is: Lunchothorax?

The Trauma Pro

Here’s an operative tip for trauma professionals who find themselves in the OR. Heard of “lunchothorax?” I’m sure most of you haven’t. The term originated in a 1993 paper on the history of thoracoscopic surgery. It really hasn’t been written about in the context of trauma surgery, though. Lunchothorax is an empyema caused by pleural contamination in patients with concomitant diaphragm and hollow viscus injury.

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An undergraduate who is an EKG tech sees something. The computer calls it completely normal. How about the physicians?

Dr. Smith's ECG Blog

This was sent by an undergraduate (not yet in medical school, but applying now) who works as an ED technician (records all EKGs, helps with procedures, takes vital signs) and who reads this blog regularly. Edited by Smith He also sent me this great case. A 63 year old man with a history of hypertension, hyperlipidemia, prediabetes, and a family history of CAD developed chest pain, shortness of breath, and diaphoresis after consuming a large meal at noon.

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JC: Serratus Anterior Plane Blocks for rib fractures in the ED. St Emlyn’s

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed JC: Review of an RCT of serratus anterior plane blocks in the emergency department for chest/rib injury. Is this now a standard of care? @stemlyns #FOAMed The post JC: Serratus Anterior Plane Blocks for rib fractures in the ED. St Emlyn’s appeared first on St.Emlyn's.

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The Health Costs of Fossil Fuel

Science Based Medicine

Imagine if we could save over 8 million lives per year globally through public policy. Many of these preventable deaths are in younger people and fall disproportionately on the poor and disadvantaged. This is the estimate of a recent observational and modelling study on the effects of air pollution (fine particulate and ozone pollution). Of these death, over 5 million could be […] The post The Health Costs of Fossil Fuel first appeared on Science-Based Medicine.

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Handed this ECG from triage. What will you do?

Dr. Smith's ECG Blog

Written by Sean Trostel MD I returned to my desk after seeing a patient and saw this screening ECG sitting on my desk to be read. The patient was a man in his 80s with chief complaint listed as: "hyperglycemia, weakness, ground level fall." ECG #1 @ 15:30 What do you think? Slow, irregular rhythm - likely slow atrial fibrillation Very wide QRS measuring ~180 ms in some leads, not fitting LBBB morphology and wider than vast majority of LBBB No signs of OMI, no modified Sgarbossa criteria Peaked T

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Instructors' Collection ECG: Wide Complex Tachycardia

ECG Guru

The Patient: A 78-year-old woman called emergency responders because she had palpitations. She was alert and oriented. Her BP was reported as being “stable”. We do not have information about her past medical history. We will update this post if we receive information about her outcome. ECG Number 1, 11:57 a.m.: There is a wide-complex tachycardia at a rate of about 230 bpm.

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When a Medicine Works but Overall Benefit is Minimal to None

Sensible Medicine

The story of reversal agents for anticoagulants exposes many of the complexities of treating human beings. I like the story and I think you will too. Some background, then to the ANNEXA-I study. The new anticoagulants are called direct acting oral anticoagulants or DOACs. Rivaroxaban (Xarelto) and apixaban (Eliquis) are the two most popular. These drugs surpassed the old one, warfarin, because of convenience, efficacy and safety.

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The situation in the Campi Flegrei

Emergency Live

Experts on Alert: Seismic Phenomenon Continues, Requires Constant Monitoring and Safety Measures The current seismic swarm in the Campi Flegrei has drawn the attention of experts. The sequence of tremors has persisted, albeit with some slowing down. But the situation is not yet resolved. Ground deformation suggests potential future seismic events. For now, it is […] The post The situation in the Campi Flegrei appeared first on Emergency Live.

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More Newborns are Being Diagnosed With Syphilis as Adult Cases Continue a Dramatic Rise

Science Based Medicine

With more pregnancy women being diagnosed with syphilis, there has been a steady rise in potentially deadly congenital infections. The post More Newborns are Being Diagnosed With Syphilis as Adult Cases Continue a Dramatic Rise first appeared on Science-Based Medicine.

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Paediatric Emergencies Update – Noosa Day 1

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed Paediatric Stroke, Bronchiolitis, and tips and tricks for paediatric procedures The post Paediatric Emergencies Update – Noosa Day 1 appeared first on St.Emlyn's.

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Clinical Experience: The Neglected Leg of the Three-Legged Stool of Evidence-Based Medicine

Sensible Medicine

The definition of evidence-based medicine that I carry with me is “the process of integrating clinical experience and expertise with the best available evidence from systematic research.” Mariana Barosa recently offered a nuanced update of this definition on Sensible Medicine that looked like this: Sensible Medicine is a reader-supported publication.

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Exercise “Unitas 2024”: 200 to participate

Emergency Live

Alpine Volunteers Engaged for 72 Hours in Emergency Simulation: A Real Test for ANA Civil Protection Around 200 volunteers, with specialized teams from various Lombard Alpine sections, gathered in the mountain area of Camaggiore for an unprecedented exercise: “Unitas 2024.” The relentless commitment of 72 hours saw the ANA Civil Protection of Lecco, led by […] The post Exercise “Unitas 2024”: 200 to participate appeared first on Emergency Live.

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FitScript™: Functional health quackery and a misleading alternative cancer cure testimonial

Science Based Medicine

Perusing the hellscape that is what Twitter has degenerated into as X, I found an alternative cancer cure testimonial, which led me into "functional health" nonsense that I hadn't encountered before. Introducing FitScript. The post FitScript™: Functional health quackery and a misleading alternative cancer cure testimonial first appeared on Science-Based Medicine.

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Writing-up fellowships in Evolutionary Medicine

The Evolution & Medicine Review

Call for Writing-Up Fellows in Evolutionary Medicine The Konrad Lorenz Institute for Evolution and Cognition Research (KLI) in Klosterneuburg, Austria, is an international center for advanced studies in the life sciences, with a focus on conceptual, philosophical, historical, and mathematical approaches in evolutionary biology and biomedicine.

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A Prompt for a Reflection

Sensible Medicine

Two of my favorite pieces of writing are my children’s essays in response to the famous University of Chicago supplemental essay questions that are part of the application for undergraduate admission. 1 My son answered: “So where is Waldo, really?” My daughter answered: “In 2015, the city of Melbourne, Australia created a "tree-mail" service, in which all of the trees in the city received an email address so that residents could report any tree-related issues.

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Apple Introduces New Feature to Combat Motion Sickness

Emergency Live

Innovative Apple Technology to Enhance Comfort During Car Travel The Discomfort of Motion Sickness and Apple’s Technological Solution Motion sickness is a major nuisance for many travelers during car journeys, as well as on ships or planes, as it entails unpleasant symptoms such as nausea and dizziness, making trips a real ordeal, especially when affecting […] The post Apple Introduces New Feature to Combat Motion Sickness appeared first on Emergency Live.

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Generic Drugs: Are they different?

Science Based Medicine

Standards in place for generic drugs should give consumers confidence that these products are just as effective as their brand-name equivalent. The post Generic Drugs: Are they different? first appeared on Science-Based Medicine.

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ToxCard: Osmol Gap – Part 1

EMDocs

Authors: Travis Mok, MD (@tkcm01 on Threads, Emergency Medicine Resident, Rutgers New Jersey Medical School); Cynthia Santos, MD (Emergency Medicine Attending, Medical Toxicologist, Rutgers New Jersey Medical School) // Reviewed by: Anthony Spadaro, MD (@TSpadaro91, Medical Toxicology Fellow, Rutgers New Jersey Medical School, Newark, NJ); James Dazhe Cao, MD (@JamesCaoMD, Associate Professor of EM, Medical Toxicology, UT Southwestern Medical Center, Dallas, TX); Alex Koyfman, MD (@EMHighAK); Br

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Q&A: How to balance brand building and performance marketing in healthcare

NRC Health

Matt Hollenkamp, Vice President of Marketing and Public Relations for St. Elizabeth Healthcare shares his insights on strategy and metrics and how NRC Health’s Market Insights tool can measure four key marketing elements identified in a recent Harvard Business Review article about brand building and performance marketing. The post Q&A: How to balance brand building and performance marketing in healthcare appeared first on NRC Health.

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Understanding Fibrocystic breast disease: Symptoms and Treatments

Emergency Live

A Guide to Managing a Common but Benign Breast Condition Fibrocystic breast disease is non-cancerous. However, it is a common condition of the breast that causes nodules and cysts. This condition typically affects women between the ages of 30 and 50. It does not increase the risk of breast cancer. However, symptoms such as pain […] The post Understanding Fibrocystic breast disease: Symptoms and Treatments appeared first on Emergency Live.

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SGEM Xtra: Yeah, Might Be All that You Get – How Ted Lasso Made Us Better

The Skeptics' Guide to EM

Date: May 13, 2024 Guest Skeptics: Dr. Rebecca Szabo is an obstetrician/gynecologist and medical educator specializing in simulation from Melbourne, Australia working at The Royal Women’s Hospital and The University of Melbourne. This is her first time as a guest skeptic on the SGEM, she has created FOAMed content through various media, including the MedEd Stuff N Nonsense Podcast.

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Early versus Later Anticoagulation for Stroke with Atrial Fibrillation

EM Ottawa

Methodology: 3/5 Usefulness: 2/5 Fischer U, et al. N Engl J Med. 2023 Jun 29;388(26):2411-2421. Question and Methods: RCT at 103 sites to compare outcomes at 30 days for early versus late DOAC initiation among patients with ischemic stroke and atrial fibrillation. Findings: Primary outcome (ischemic stroke, systemic embolism, major bleeding, vascular death) occurred in […] The post Early versus Later Anticoagulation for Stroke with Atrial Fibrillation appeared first on EMOttawa Blog.

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Nurse leader rounding elevates the employee experience too

NRC Health

Today, nurse leaders and executives must develop new strategies that center on patients, improve their experiences, and enable better care delivery. One of these successful strategies is nurse leader rounding. While not new, proper patient rounding is crucial to improving the patient experience and closing the gap between experience and quality. The post Nurse leader rounding elevates the employee experience too appeared first on NRC Health.

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Prostate cancer: prevention and health

Emergency Live

Discover How Daily Choices Can Reduce Prostate Cancer Risk and Improve Men’s Health A Growing Men’s Health Issue Prostate cancer is a significant health problem for men. Doctors anticipate over 40,000 new cases in Italy this year. The number of cases continues to rise annually. In 2020, it was the most common cancer among Italian […] The post Prostate cancer: prevention and health appeared first on Emergency Live.

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Rosh Review My EMCert Monthly Question

RebelEM

A 67-year-old woman with a history of atrial fibrillation on apixaban presents to the ED for epistaxis that began 30 minutes ago. Her bleeding is difficult to control with direct nasal pressure and topical agents but resolves with silver nitrate cauterization. Her vital signs are within normal limits. How should this patient’s apixaban be managed? Administer a one-time dose of intravenous vitamin K Administer andexanet alfa Bolus 1 unit of prothrombin complex concentrate Give intravenous tranexa

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Andexanet vs prothrombin concentrate complex for intracranial hemorrhage (ANNEXA-I trial)

PulmCCM

A randomized trial shows that andexanet can stem the progression of intracranial hemorrhage better than 4-factor prothrombin complex concentrate in patients taking factor Xa inhibitors. The clinical relevance is unclear, though, as patient-centered outcomes were not improved, and andexanet resulted in more serious thrombotic events than PCC. Factor Xa inhibitors (apixaban, rivaroxaban, and edoxaban in the U.S.) are anticoagulants that have largely displaced warfarin for the prevention of stroke

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Personalizing the pediatric perioperative patient experience

NRC Health

When 70% of your patients are younger than ten years old, and 75% percent of them experience preoperative anxiety, you need to get creative about personalizing patient experiences to ease fears—especially for children with special needs. So that’s just what Dayton Children’s Hospital leaders accomplished in their perioperative environments, by developing sensory-friendly environments to aid in individualizing their patient experience for children.

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Genetic Diseases: Discovering Hidden Causes

Emergency Live

In-Depth Look at Genetic Diseases and Their Impact on Human Health What are genetic diseases? Genetic diseases are health issues caused by abnormalities or changes in genes. These mutations can be inherited from parents or occur spontaneously and primarily affect our DNA. Genetic diseases impact individuals physically, mentally, or behaviorally in various ways.

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Explore the Frontiers of Pre-Hospital Care Research

RCEM Learning

The post Explore the Frontiers of Pre-Hospital Care Research appeared first on RCEMLearning.

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Bird is the Word

Science Based Medicine

Something H5N1 this way comes. Perhaps. The post Bird is the Word first appeared on Science-Based Medicine.

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6 Common Mistakes in AED Battery Maintenance and How to Avoid Them

AED Leader

Regarding AED (Automated External Defibrillator) maintenance, one crucial aspect often overlooked is battery maintenance. AED batteries ensure the device is ready during a sudden cardiac arrest (SCA) emergency. However, many individuals make common mistakes in AED battery maintenance, which can lead to device failure or inefficiency when it matters most.

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WHO: increasingly prevalent sexually transmitted diseases

Emergency Live

Sexually transmitted diseases are spreading more widely worldwide A Global Spread The World Health Organization (WHO) states that new cases of syphilis in people aged 15 to 49 increased by almost 1 million in 2022, reaching 8 million. There were 230,000 deaths related to syphilis. Most of the increases occurred in the Americas and Africa. […] The post WHO: increasingly prevalent sexually transmitted diseases appeared first on Emergency Live.

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Resilient Community Development: Strategies for Reducing the Effects of Natural Disasters

Ziqitza HealthCare Ltd

Natural disasters are inevitable and can occur at any time. The aftermath of most natural disasters is devastating. Disasters cause upheaval, destruction, and catastrophe that bring distress to those affected by them. When disasters strike at any time, a lack of preparedness can make it much more difficult for communities to bounce back. Though the impact of natural disasters is unpredictable and comes with fewer warning signs sometimes, their severity can be reduced to a great extent.