Sat.Jan 13, 2024 - Fri.Jan 19, 2024

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Cutting-edge emergency training

Emergency Live

Innovations and Developments in Global Emergency Management Training Innovations in Emergency Training Training in the field of emergency management is continuously evolving to address health threats in an increasingly globalized and interconnected world. The American Red Cross has conducted highly specialized training for emergency responders, replicating field experiences during international missions, with a particular focus […] The post Cutting-edge emergency training appeared first on

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A good journal breaks bad: AAP spreads misinformation about glyphosate

Science Based Medicine

The latest report from the American Academy of Pediatrics is filled with misinformation and missing key articles that support the well-researched conclusion that there is no legitimate evidence of negative health effects of glyphosate. The post A good journal breaks bad: AAP spreads misinformation about glyphosate first appeared on Science-Based Medicine.

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Trending Sources

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Not the Way to Pull Vaccines Back from a “Dangerous Tipping Point”

Sensible Medicine

Peter Marks, the director of the Center for Biologics Evaluation and Research at the FDA, and Robert Califf, the commissioner of the FDA published a “Viewpoint” article in JAMA on January 5th: Is Vaccination Approaching a Dangerous Tipping Point. The Viewpoint is short and certainly worth a read – probably before getting further in this essay.

Research 132
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Paxlovid evidence: still very little reason to prescribe

First 10 EM

We are once again buried in a wave of viral respiratory illnesses, and much of the burden of illness is still COVID. I did a pretty thorough review of all COVID antiviral therapies in 2022, both on First10EM and on the EMCases Journal Jam, but that was 2 years ago. I think most of us […] The post Paxlovid evidence: still very little reason to prescribe appeared first on First10EM.

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Real-World Applications of Artificial Intelligence in Medicine

Life in the Fast Lane

Sheralyn Guilleminot and Mike Cadogan Real-World Applications of Artificial Intelligence in Medicine Interview with critical care clinician, and AI enthusiast, Dr Sameer Shaikh on the many ways to use AI to save time and increase efficiency in healthcare

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Hospital Measures Prevented COVID Transmission

Science Based Medicine

A new study finds that hospital measures to limit the spread of COVID-19 worked, and we probably should keep them. The post Hospital Measures Prevented COVID Transmission first appeared on Science-Based Medicine.

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More Trending

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Pre-Hospital Antibiotics in Sepsis?

RebelEM

Background: Sepsis remains one of the leading causes of morbidity and mortality. It is well-established that earlier recognition and treatment can lead to better outcome for these patients . Time to antibiotic therapy (from triage, not from onset of infection) has become a quality metric to improve the time to administration of these medications. In an effort to administer antibiotics earlier, many studies have attempted to give antibiotics in the prehospital setting but the benefit of this int

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A Surprising Look at the Evidence for Beta-Blockers After MI

Sensible Medicine

Let’s go back in time and look at the evidence behind one of cardiology’s most accepted practices. You might be surprised. I surely was. The practice is the use of beta-blockers after myocardial infarction (MI). I can’t recall seeing a recent post-MI patient who was not on a beta-blocker. It’s a quality measure now. Doctors and hospitals incur penalties if a patient with an MI is not on a beta-blocker—unless there is a darn good reason put down in the chart.

Hospitals 116
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Why antivax arguments for COVID-19 vaccine “shedding” remind me of homeopathy

Science Based Medicine

An antivaxxer by the 'nym "A Midwestern Doctor" makes an argument that COVID-19 vaccine "shedding" is not impossible despite the basic science that concludes it is. Sound familiar? The post Why antivax arguments for COVID-19 vaccine “shedding” remind me of homeopathy first appeared on Science-Based Medicine.

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Don’t Forget the Orbeez!

Don't Forget the Bubbles

Orbeez, those colourful, water-absorbent polymer beads, have become increasingly popular among children for play and craft activities. However, their small size and appealing appearance can pose significant health risks to young children. What are Orbeez made of? Orbeez are made from a superabsorbent polymer (SAP), primarily composed of cross-linked polyacrylate.

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Stroke In Pregnant and Postpartum Patients- An Interview With Dr Srinivansan

EB Medicine

In this episode, Sam Ashoo, MD, interviews Vasisht Srinivasan, MD, FACEP one of the authors of the December 2023 Emergency Medicine Practice EXTRA article, Emergency Department Management of Stroke in Pregnant and Postpartum Patients  Epidemiology Evidence Causes Risk Factors Differential Diagnosis Prehospital Care ED History and Physical Exam Labs Imaging ED BP Management Specific Ischemic Stroke Therapies Specific Hemorrhagic Stroke Therapies In this episode, Sam Ashoo, MD, interviews Vasi

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Fraud, Distortion, and Truth in Science

Sensible Medicine

This week Freakonomics has an interesting podcast about science. The theme of the episode is why is there so much fraud in our field? The episode details examples of academic papers with fraud — the data were fabricated, and there were many tell tale signatures of fraud along the way. It explores how and why this happens. It centers on the recent scandal of Francesca Gino and Dan Arieli.

Academics 109
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Boosting. What To Do.

Science Based Medicine

Captain, the immune system is boosted, and I donno what to do.Mr. Scott. Starship Enterprise. I think he said boosted. Might be one of those bacon/beer can examples. It is flu and cold season and there are no end of suggestions that one should boost their immune system. Two million hits on the googles for the phrase ‘Boost Immune System’ Everyone from […] The post Boosting.

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Scabies

Don't Forget the Bubbles

Melanie Thompson is a paediatrician working in the Kimberley, WA. She is interested in indigenous health and dares you to listen to her talk without itching. Scabies is one of the world’s top 50 infectious diseases , and we thought it deserved the chance to shine. Say hello to our little friend… The Global and Local Impact of Scabies Scabies affects around 100 million people globally at any given time, placing it in the top 50 infectious diseases in terms of disability-adjusted life

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JC: Intubation for the low GCS tox patient. St Emlyn’s

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed Virchester (the home of St Emlyn’s) is a large conurbation that suffers from many of the issues that affect large urban populations in the western world. One part of that […] The post JC: Intubation for the low GCS tox patient. St Emlyn’s appeared first on St.Emlyn's.

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Paediatric stroke

Life in the Fast Lane

Oliver Flower Paediatric stroke Stuart Browne is a Neuro Rehabilitation specialist from Sydney. He discusses what “severe disability” really means.

Stroke 111
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Seven years since the Rigopiano tragedy: remembrance and reflection

Emergency Live

The Commemoration of the Tragic Event that Shook Italy The Remembrance of the Tragedy and its Unfolding On January 18, 2017, a devastating avalanche struck the Rigopiano Hotel, located in the municipality of Farindola, at the foot of the Gran Sasso mountain. It was 4:49 PM when the enormous mass of snow, detached from the […] The post Seven years since the Rigopiano tragedy: remembrance and reflection appeared first on Emergency Live.

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Another Year, Another Measles Outbreak

Science Based Medicine

Another year is here, and that means more measles outbreaks here and around the world as far too many children (and some parents) lack protection from the safe and effective vaccine. The post Another Year, Another Measles Outbreak first appeared on Science-Based Medicine.

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Spotlight on Leadership: Meet Aram, Our Visionary CEO

Core Medical Group

Meet Aram, the CEO/President of CoreMedical Group. This series is a spin-off from our Friday's Finest, which initially highlighted our talented recruiters. Now, we're turning the spotlight on our executive team. This provides an opportunity to get to know them personally and understand the factors that contributed to their success!

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JC: Retention, working conditions and opportunities in EM. St Emlyn’s

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed This week we look at a paper from the EMJ that explores what are that main factors influencing retention, working conditions and opportunties in UK emergency medicine. This is timely […] The post JC: Retention, working conditions and opportunities in EM. St Emlyn’s appeared first on St.Emlyn's.

EMS 90
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New hope against metastatic breast cancer

Emergency Live

AIFA Approval for a Revolutionary Treatment A Significant Breakthrough in Breast Cancer Treatment The recent approval by AIFA of a new drug for metastatic breast cancer marks a crucial milestone in the fight against this disease. Based on an antibody-drug molecule, this treatment has shown a significant reduction in the risk of death for affected […] The post New hope against metastatic breast cancer appeared first on Emergency Live.

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Hypothermic Cardiac Arrest: Pearls and Pitfalls

EMDocs

Authors: Christian Gerhart, MD (EM Resident Physician, Washington University in St. Louis); Dr. Jessica Pelletier, DO (EM Attending Physician, Washington University in St. Louis) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case You are working in the trauma/critical care pod of your emergency department (ED). You receive a page for a cardiac arrest and take report from emergency medical services (EMS).

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Black mold is the new Candida

Science Based Medicine

With the disintegration of Xitter, I’ve turned my social-media attention to what appears to be far more useful waste of time: Reddit. Reddit is amazing in that there’s a subreddit for every possible topic you can think of. The content is human- and not bot-generated, and the best comments rise to the top – based on reader votes. One of the subreddits […] The post Black mold is the new Candida first appeared on Science-Based Medicine.

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Math Professor Ben Recht and I Discuss P-values and Confidence Intervals

Sensible Medicine

Ben Recht is a professor at UC Berkeley. You know, the place that has all those parking spaces for the Nobel laureates. He understands the innards of math. And that is exactly why he explained that doctors who use evidence don’t have to get bogged down in technicalities. I reached out to Ben to discuss a complicated but provocative statistical paper in NEJM evidence.

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At the dawn of mobile care: birth of the motorized ambulance

Emergency Live

From Horses to Engines: The Evolution of Emergency Medical Transport The Origins of an Innovation The ambulance, as we know it today, has a long and complex history dating back to the 15th century in Spain, where carts were used to transport the injured. However, the first real step towards modernization occurred in the late […] The post At the dawn of mobile care: birth of the motorized ambulance appeared first on Emergency Live.

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SGEM#426: All the Small Things – Small Bag Ventilation Masks in Out of Hospital Cardiac Arrest

The Skeptics' Guide to EM

Reference: Snyder BD, Van Dyke MR, Walker RG, et al. Association of small adult ventilation bags with return of spontaneous circulation in out of hospital cardiac arrest. Resuscitation 2023. Date: January 11, 2024 Guest Skeptic: Dr. Chris Root is an EMS fellow in the Department of Emergency Medicine at the University of New Mexico Health […] The post SGEM#426: All the Small Things – Small Bag Ventilation Masks in Out of Hospital Cardiac Arrest first appeared on The Skeptics Guide to Emergency Me

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AF WITH RATE RELATED LBBB

ECG Guru

For a better overview, the leads aVF and V2-V4 are not shown in this ECG. The basic rhythm is atrial fibrillation (no P waves or flutter waves visible, but fibrillation waves). When the conduction rate drops, the QRS complexes are narrow. Faster conduction results in wide QRS complexes with LBBB morphology. This is an example of phase 3 (acceleration dependant) LBBB.

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Liver Let Die? Approach to Splanchnic Vein Thrombosis & Shock Liver

EM Ottawa

When working up your patient, how often do you think of problems related to the hepatic venous system? Have you suppressed those memories of time spent over your cadaver in medical school learning the anatomy? By the end of this, you will all be newly discovered masters of anatomy and have a framework for how […] The post Liver Let Die? Approach to Splanchnic Vein Thrombosis & Shock Liver appeared first on EMOttawa Blog.

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Computed tomography: a comprehensive guide

Emergency Live

Exploring the Use, Procedure, and Applications of CT Scans What is Computed Tomography (CT)? Computed Tomography (CT), also known as CT scanning, is a medical imaging technique that uses X-rays and a computer to create detailed images of organs, bones, muscles, and other tissues inside the body. With its detailed cross-sectional images, it overcomes the […] The post Computed tomography: a comprehensive guide appeared first on Emergency Live.

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ToxCard: Benzonatate

EMDocs

Authors: Sheila Goertemoeller, PharmD, DABAT (Clinical Toxicologist, Cincinnati Drug and Poison Information Center, Cincinnati, OH); Shan Yin, MD, MPH (Medical Director, Cincinnati Drug and Poison Information Center, Cincinnati, OH) // 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

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Noisy, low amplitude ECG in a patient with chest pain

Dr. Smith's ECG Blog

Written by Colin Jenkins. Colin is an emergency medicine resident beginning his critical care fellowship in the summer with a strong interest in the role of ECG in critical care and OMI. Edits by Willy Frick. A patient in their 40s with type 1 diabetes mellitus and hyperlipidemia presented to the emergency department with 5 days of “flu-like” illness.

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