Sat.Mar 16, 2024 - Fri.Mar 22, 2024

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How To Design Your Trauma Bay

The Trauma Pro

In the last two posts, I discussed the size of your trauma bay and how to measure it. This can obviously be helpful if you are updating or building new resuscitation rooms. But what about all the stuff that goes into it? Where is the best place to put it? If you are in the enviable position of being able to stock a brand-new room, here are some tips.

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A (different) perspective on statins in the primary prevention of heart disease

Sensible Medicine

Dear Readers, I publish the following opinion piece regarding the use of statin drugs in low-risk individuals without heart disease even though I disagree with most of the authors’ arguments. Since this is a rebuttal to an editorial I wrote, it would be helpful to first read the linked article in the lead sentence. I do like the authors’ conclusions.

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Dr. Jay Bhattacharya, April 2021: “The Central Problem Right Now I Think Is The Fear That People Still Feel About COVID.”

Science Based Medicine

Doctors portrayed those who tried to avoid the virus as pathetic, disordered weaklings, afflicted by irrational panic, fear, and anxiety. It only makes sense if you remember one thing, they wanted you infected. The post Dr. Jay Bhattacharya, April 2021: “The Central Problem Right Now I Think Is The Fear That People Still Feel About COVID.” first appeared on Science-Based Medicine.

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PulmCrit Wee: Propofol induced eyelid opening apraxia – the struggle is real

EMCrit

Eyelid opening apraxia refers to a specific inability to open the eyelids. This may result from non-dominant hemispheric strokes. On superficial examination it will mimic unconsciousness, but upon further examination the patient is awake and able to respond to stimuli with their extremities. I've seen a similar phenomena of eyelid opening apraxia a few times […] EMCrit Project by Josh Farkas.

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How To Measure Your Trauma Bay

The Trauma Pro

In my last post, I detailed some standard info on trauma bay size. Today, I’ll describe what I found when I brought in my trusty tape measure a few years ago to check out the old trauma bays at Regions Hospital. I came up with several helpful measurements to help gauge the relative utility of the rooms. Here are the indices that I came up with: TBTA: Trauma Bay Total Area.

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SAEM Clinical Images Series: Purple Finger

ALiEM

A 30-year-old female with a past medical history of Crohn’s Disease presented to the ED for evaluation of an acutely bruised right 4th finger. She stated she was typing on a computer keyboard approximately 10 minutes prior to presentation and she noticed a sudden popping sensation at the base of her right ring finger. After the popping sensation, she noticed a cool sensation of the finger and numbness to the entire finger.

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Some Doctors Cared Much More About Sore Arms Than Cold Bodies

Science Based Medicine

The campaign against boosters was just a small part of a pathetic, pandemic-long pattern where doctors expressed grave concern about the mildest harms of measures to limit COVID, even purely theoretical ones, while being totally indifferent to literally anything the virus could do, including the deaths of children and young adults. The post Some Doctors Cared Much More About Sore Arms Than Cold Bodies first appeared on Science-Based Medicine.

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Ep 192 ED Adult Asthma Management Strategies For Improved Prognosis – A Stepwise Approach

Emergency Medicine Cases

In this part 1 of our 2-part podcast series on Asthma Management we explore a systematic approach to managing patients presenting to the ED with asthma exacerbations. Our discussion will emphasize the critical role of a thorough history and physical examination in effectively stratifying patient risk and guiding treatment/disposition decisions. Additionally, we'll examine the importance of providing comprehensive discharge medications and instructions to mitigate both mortality and morbidity ass

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A 50-something with chest pain. Is there OMI? And what is the rhythm?

Dr. Smith's ECG Blog

Written by Willy Frick A man in his 50s with history of hypertension, hyperlipidemia, and a 30 pack-year smoking history presented to the ER with 1 hour of acute onset, severe chest pain and diaphoresis. His ECG is shown: What do you think? The history thus far is highly suggestive of OMI, so we must study the ECG very closely to see if we can confirm this.

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Measles Outbreaks on the Rise

Science Based Medicine

The world is experiencing increasing outbreaks of a completely preventable disease. What's going wrong? The post Measles Outbreaks on the Rise first appeared on Science-Based Medicine.

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Missouri Violence in the Workplace for Healthcare Employees

American Medical Compliance

The following Missouri Violence in the Workplace for Healthcare Employees course is designed to educate healthcare providers (HCP) on how to protect themselves and others from violence that occurs in the workplace. Workplace violence is defined as any act or threat of physical violence, harassment, intimidation, or other potentially disruptive behavior that occurs on the job site.

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emDOCs Podcast – Episode 97: Spontaneous Cervical Artery Dissection

EMDocs

Today on the emDOCs cast with Jess Pelletier and Brit Long, we discuss the challenging diagnosis of spontaneous cervical artery dissection (sCAD). Episode 97: Spontaneous Cervical Artery Dissection Definition/pathophysiology: sCAD refers to a tear or separation of arterial wall layers involving either the carotid or vertebral arteries. Creates a false lumen where blood may enter the vessel wall between the intima and the media or between the media and the adventitia.

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Barium: An Invisible Ally in Medical Diagnostics

Emergency Live

Barium in Medicine: An Overview Barium, a chemical element with multiple applications in the industrial field, also plays a crucial role in medicine, thanks to its ability to enhance the visualization of soft tissues in radiographic images. Barium sulfate, one of its stable forms, is commonly used in diagnostic tests as a contrast agent for […] The post Barium: An Invisible Ally in Medical Diagnostics appeared first on Emergency Live.

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Denis Rancourt and “no virus”: COVID-19 symptoms were due psychological stress from the pandemic response!

Science Based Medicine

It's hard to believe that in the 21st century there are still those who deny that viruses exist. However, virus denial and antivax go together and always have. Denis Rancourt, while far from the first or more vociferous virus denier, is an excellent example. The post Denis Rancourt and “no virus”: COVID-19 symptoms were due psychological stress from the pandemic response!

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New Hampshire Violence in the Workplace for Healthcare Employees

American Medical Compliance

The following New Hampshire Violence in the Workplace for Healthcare Employees course is designed to educate healthcare providers on how to protect themselves and others from violence that occurs in the workplace. Workplace violence is defined as any act or threat of physical violence, harassment, intimidation, or other potentially disruptive behavior that occurs on the job site.

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Medical Malpractice Insights: Speaking in “Code”

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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Demystifying Hamartoma: A Comprehensive Overview

Emergency Live

What is an Amartoma? An amartoma represents a benign and abnormal growth consisting of the same tissue from which it originates, but with a disorganized cellular structure compared to surrounding cells. These tumors can arise in any part of the body, including the brain, heart, kidneys, skin, and eyes, and are often associated with genetic […] The post Demystifying Hamartoma: A Comprehensive Overview appeared first on Emergency Live.

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Best Hospital Eye Roll

Science Based Medicine

Science: Figuring things out is better than making things up. A tee shirt I recently saw. Except… In a recent post Mayo Clinic Promotes Reiki, Steve seemed surprised that the Mayo was offering Reiki. I don’t know. Maybe he was channeling Louie. I know the Mayo is a top hospital, but I trained in Minneapolis at Hennepin County and we would have […] The post Best Hospital Eye Roll first appeared on Science-Based Medicine.

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New York Violence in the Workplace for Healthcare Employees

American Medical Compliance

The following New York Violence in the Workplace for Healthcare Employees course is designed to educate healthcare providers on how to protect themselves and others from violence that occurs in the workplace. Workplace violence is defined as any act or threat of physical violence, harassment, intimidation, or other potentially disruptive behavior that occurs on the job site.

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An 80 year old woman with Left Bundle Branch Block (LBBB) and pleuritic chest pain

Dr. Smith's ECG Blog

This case was sent by Amandeep (Deep) Singh at Highland Hospital, part of Alameda Health System. The patient presented to an outside hospital An 80yo female per triage “patient presents with chest pain, also hurts to breathe” PMH: CAD, s/p stent placement, CHF, atrial fibrillation, pacemaker (placed 1 month earlier), LBBB. HPI: Abrupt onset of substernal chest pain associated with nausea/vomiting 30 min PTA.

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Record heat in Brazil and health increasingly at risk

Emergency Live

On the day of the autumn equinox for the Southern Hemisphere, record temperatures continue to be recorded, especially in Brazil Sunday morning, around 10 a.m., perceived temperatures in Rio de Janeiro reached the record figure of 62.3 degrees, a figure not seen since 2014. This increasingly extreme and widespread heat is directly linked to climate […] The post Record heat in Brazil and health increasingly at risk appeared first on Emergency Live.

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WTBS 29 Four Key Learnings from a Career in Emergency Medicine Leadership

Emergency Medicine Cases

In this Waiting to Be Seen blog Dr. Howard Ovens outlines 4 key learnings from his extensive career in EM leadership: Be a good clinician, get substantial real-world experience, take a long-term view of benefits and risks and get along with your counterparts in the leadership dyad. The post WTBS 29 Four Key Learnings from a Career in Emergency Medicine Leadership appeared first on Emergency Medicine Cases.

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Nevada Violence in the Workplace for Healthcare Employees

American Medical Compliance

The following Nevada Violence in the Workplace for Healthcare Employees course is designed to educate healthcare providers on how to protect themselves and others from violence that occurs in the workplace. Workplace violence is defined as any act or threat of physical violence, harassment, intimidation, or other potentially disruptive behavior that occurs on the job site.

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3 Essential Qualities Facilities Look for in Healthcare Professionals During the Hiring Process

Core Medical Group

In the healthcare industry, facilities are continuously striving to find the best talent to join their teams. During the hiring process for healthcare professionals , many organizations place a high value on certain qualities that go beyond functional skills. Among these qualities, flexibility, open communication, and dedication stand out as important characteristics for potential candidates.

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Happiness and health, a perfect combination

Emergency Live

A Day to Remember to Be Happy International Day of Happiness, celebrated every year on March 20th, is a unique opportunity to recognize the importance of happiness in people’s lives around the world. Established by the United Nations General Assembly in 2012, this observance aims to promote happiness as a fundamental right for every individual. […] The post Happiness and health, a perfect combination appeared first on Emergency Live.

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Critical Care Evidence Updates – February 2024

The Bottom Line

What’s new in the Critical Care literature – monthly updates

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West Virginia Violence in the Workplace for Healthcare Employees

American Medical Compliance

The following West Virginia Violence in the Workplace for Healthcare Employees course is designed to educate healthcare providers (HCP) on how to protect themselves and others from violence that occurs in the workplace. Workplace violence is defined as any act or threat of physical violence, harassment, intimidation, or other potentially disruptive behavior that occurs on the job site.

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Why is the angiogram normal?

Dr. Smith's ECG Blog

Written by Willy Frick A man in his 50s with a 15 pack-year smoking history presented to his primary care physician's office complaining of intermittent headache. He also complained of intermittent mild chest pain radiating into into both shoulders and his back, as well as occasional unexplained sweating. (Although radiation into the left arm is most classic for coronary ischemia, radiation into both arms is actually modestly more predictive ).

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Tragedy in Termini Imerese: elderly woman falls from stretcher and dies

Emergency Live

A fatal accident that should have been avoided A tragic incident with incredible implications occurred in Termini Imerese, in the province of Palermo. The victim, an 87-year-old woman named Vincenza Gurgiolo, had been hospitalized at Cimino Hospital on February 28th for renal insufficiency. Once she had improved, she was transferred to the Medicine ward in […] The post Tragedy in Termini Imerese: elderly woman falls from stretcher and dies appeared first on Emergency Live.

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Emergency Evidence Updates – February 2024

The Bottom Line

What’s new in the Critical Care literature – monthly updates

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New Jersey Violence in the Workplace for Healthcare Employees

American Medical Compliance

Workplace violence is defined as any act or threat of physical violence, harassment, intimidation, or other potentially disruptive behavior that occurs on the job site. Threats and verbal abuse can lead to physical assaults and even homicide. It can have an impact on employees, clients, customers, and visitors. What you will learn: Introduction to violence in the workplace What is workplace violence?

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SAEM Clinical Images Series: Seeing Double

ALiEM

A 53-year-old woman with no significant past medical history presented to the emergency department with a 3-day history of double vision on leftward gaze. She initially presented to urgent care with a chief complaint of chest heaviness and concern that her blood pressure was too high, but was sent to the emergency department for further cardiac and neurological evaluation after her urgent care provider noticed abnormal eye movement.

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New findings from Italy against Hurler syndrome

Emergency Live

New important medical discoveries to combat Hurler syndrome What is Hurler syndrome One of the rarest diseases that can occur in children is Hurler syndrome, technically known as “mucopolysaccharidosis type 1H“ This rare disease affects 1 child in every 100,000 new births. It involves the lack of a particular enzyme responsible for degrading specific sugars, […] The post New findings from Italy against Hurler syndrome appeared first on Emergency Live.

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Validation of the MIRACLE 2 Score for Prognostication After OOHCA

The Bottom Line

In patient with out-of-hospital cardiac arrest, how does the MIRACLE2 score compare with previously reporting scoring systems, for predicting poor neurological outcome at hospital discharge?

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Vermont Violence in the Workplace for Healthcare Employees

American Medical Compliance

Workplace violence is defined as any act or threat of physical violence, harassment, intimidation, or other potentially disruptive behavior that occurs on the job site. Threats and verbal abuse can lead to physical assaults and even homicide. It can have an impact on employees, clients, customers, and visitors. What you will learn: Introduction to violence in the workplace What is workplace violence?

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Skeptics in the Pub. Cholera. Chapter 12a

Science Based Medicine

I slept like a rock, no dreams that I could remember, and upon awakening, the ball of anxiety that had been my constant companion was gone. I tried to get it back by thinking of all the unpleasant things that might happen in the next few days. Nothing. I felt good. Acceptance is the final stage of dying, so I must, at […] The post Skeptics in the Pub.

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An Innovative Care Pathway for Cardiomyopathy

Emergency Live

Innovative Strategies to Improve Cardiomyopathy Care In Italy, cardiomyopathies affect over 350,000 people, posing a significant challenge to the national healthcare system. The first Italian Report on Cardiomyopathies marks a turning point, proposing ambitious goals to revolutionize the treatment and care of patients affected by these complex diseases of the heart muscle.

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