The Trauma Pro
SEPTEMBER 6, 2024
Trauma professionals don’t always know everything. Sometimes we have to engage a specialist in the care of our patient. And unfortunately, we don’t always know which conditions demand immediate attention and which can wait. This can lead to overuse of our consultant colleagues and calls at inappropriate times. So what if we diagnose an injury in their area of expertise at 2 am?
Science Based Medicine
AUGUST 31, 2024
I trust you'll have the intellectual integrity to play videos of these speakers. Anything less, would be misinformation and censorship. The post An Open Letter to the President of Stanford, Jonathan Levin: Don’t Censor Drs. Scott Atlas, John Ioannidis, Sunetra Gupta, Marty Marky, Monica Gandhi, Jay Bhattacharya, and Vinay Prasad. Amplify Their Voices. first appeared on Science-Based Medicine.
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Sensible Medicine
SEPTEMBER 5, 2024
The lay media is abuzz with stories about Elle Macpherson, who admits in a new memoir to declining chemotherapy seven years ago. Although precise details are not provided, it sounds like Ms. Macpherson had localized or regional breast cancer and underwent surgery. We learned something about the risks of commenting on the health of celebrities over a decade ago when an OpEd we published in Washington Post about former president George W.
Broome Docs
SEPTEMBER 3, 2024
Welcome to another month of nerdy journal jam goodness. This month Justin has served up an eclectic collection of evidence, ethics and educational excellence. As always – we have the full PDFs liked below and you can read more deep thoughts over at First10EM where Justin likes to inconvenience a lot of electrons in his pursuit of educational elegance.
Don't Forget the Bubbles
SEPTEMBER 2, 2024
Can’t get enough of Bubble Wrap? This year, four wonderful speakers shared their thoughts on what was important. Here are their recommendations for a little light reading. 1.Neonatal Bubble Wrap from Brian Dunn Seidler AL, Aberoumand M, Hunter KE, Barba A, Libesman S, Williams JG, Shrestha N, Aagerup J, Sotiropoulos JX, Montgomery AA, Gyte GM. Deferred cord clamping, cord milking, and immediate cord clamping at preterm birth: a systematic review and individual participant data meta-analysis.
Science Based Medicine
SEPTEMBER 6, 2024
I suppose it's my turn to be called a fraudster, liar, perjurer, felon, grifter, stooge, imbecile, and maybe even murderer. What I won't get is a reasonable explanation as to why supposedly releasing a deadly virus was mass murder, but intentionally spreading it was a forgivable "policy position". The post Biosafety Now: Releasing The Virus Was Mass Murder.
Sensible Medicine
SEPTEMBER 2, 2024
First a review of the main trial then to the new paper in the Journal of the American College of Cardiology. SELECT Trial The SELECT trial was the first to show that the glucagon-like-peptide-1 receptor agonist (GLP1) semaglutide could actually modify cardiovascular disease. The discovery of another disease-modifying agent for heart disease is a breakthrough.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
Dr. Smith's ECG Blog
SEPTEMBER 5, 2024
Written by Magnus Nossen - Edits by Grauer and Smith The patient in today’s case is a woman in her 70s with a previous medical history of HTN and hyperlipidemia. She presented to an outside hospital after several days of malaise and feeling unwell. At the time of admission, her vital signs were normal. Heart rate was in the 80s. She had a very elevated troponin T at 12,335 ng/L at the time of presentation. ( This is a value typical for a large subacute MI, n ormal value 48 hours after myocardial
ACEP Now
SEPTEMBER 5, 2024
Jennifer J. Casaleto, MD, FACEP (North Carolina) Current Professional Positions: Emergency Medicine Physician, CirrusMD and Mid-Atlantic Emergency Medical Associates (MEMA); Adjunct Clinical Faculty Physician, Atrium Health’s Carolinas Medical Center Internships and Residency: Emergency Medicine Residency, Carolinas Medical Center (2003) Medical Degree: MD, Vanderbilt University School of Medicine (2000) Response Similar to most member organizations, ACEP experienced membership decline associate
Sensible Medicine
SEPTEMBER 1, 2024
As seems to be the norm on Sensible Medicine these days, whenever John, Vinay, or I publicly disagree with one another, one of our readers chimes in to explain how all of us are off the mark. Today I am happy to post the latest comeuppance, this one by Dr. Thomas Huddle. Adam Cifu Sensible Medicine is a reader-supported publication. If you appreciate our work, consider becoming a free or paid subscriber.
St. Emlyn
SEPTEMBER 3, 2024
St.Emlyn's - Emergency Medicine #FOAMed @LizCrowe2 gives us a fantastic critical appraisal of an EMJ paper discussing the patient experience in the emergency department. A qualitative study gives real insight into the patient experience. #FOAMed @stemlyns The post JC: The patient experience in the Emergency Department. appeared first on St.Emlyn's.
Science Based Medicine
SEPTEMBER 3, 2024
Myrna Mattaring, a retired scientist who worked in diagnostic labs, claims that COVID-19 vaccines caused a 1432% increase in cancer cases, a clearly impossible claim. Here I make a plea for examining such claims, including a much more famous and accepted one, with basic math. The post Quoth Myrna Mantaring: “US government data” confirms a “143,233% increase in cancer cases due to COVID vaccination”?
EMCrit
SEPTEMBER 6, 2024
Learn about how to use ultrasound during cardiac arrest EMCrit Project by Scott Weingart, MD FCCM.
PulmCCM
SEPTEMBER 4, 2024
Jon-Emile S. Kenny MD [ @heart_lung ] Since its first description [1], the Venous Excess Ultrasound Score [VExUS] has received much research attention. Very simply, VExUS combines the size of the inferior cava [IVC] with Doppler patterns from the hepatic, portal and intrarenal veins. From these measures a score from 0 to 3 is given as a marker of increasing ‘venous congestion [VC].’ But what exactly does VC mean?
EMDocs
SEPTEMBER 4, 2024
The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. This podcast on health equity and the impact of standardized clinical care pathways and decision support tools embedded in the electronic health record (EHR).
Science Based Medicine
SEPTEMBER 4, 2024
In our increasingly technological we are constantly exposed to radio frequency electromagnetic waves (RF-EMF). It would certainly be inconvenient, to say the least, if this ubiquitous and essential technology had negative health effects. But of course we would need to know if this were the case so that steps could be taken to fix it. Fortunately, a recent systematic review conducted by […] The post WHO Systematic Review of RF and Cancer first appeared on Science-Based Medicine.
EMCrit
SEPTEMBER 3, 2024
All the Resuscitation and Acute Critical Care goodness in the literature for September 2024 EMCrit Project by Scott Weingart, MD FCCM.
First 10 EM
SEPTEMBER 2, 2024
The First10EM monthly (or I guess seasonal this time) 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 […] The post The First10EM monthly wrap-up for summer 2024 appeared first on First10EM.
EMDocs
SEPTEMBER 3, 2024
Welcome to the emDOCs Videocast – please subscribe to our YouTube channel. These videos will cover post summaries, take homes on clinical condition, and EBM/guideline literature updates. Today we focus on Andexanet versus 4F-PCC for reversal of DOAC-associated intracerebral hemorrhage (ICH). EBM Update: ANNEXA-1 and DOAC Reversal in ICH Article: Connolly SJ, Sharma M, Cohen AT, et al; ANNEXA-I Investigators.
Science Based Medicine
SEPTEMBER 2, 2024
Using LLM tools to tackle AI-driven science misinformation head-on The post LLMs: Fighting Fire with Fire first appeared on Science-Based Medicine.
NRC Health
SEPTEMBER 5, 2024
Brooke Howard, Vice President of Operations at Tidelands Health shares how the system's patient connections team embarked on a transformative journey to enhance the patient experience. The post Transforming patient experience through an innovative engagement center appeared first on NRC Health.
Emergency Live
SEPTEMBER 6, 2024
Cagliari March 29, 2024 Nearly 40 years have passed since the 1985 experience with the three PMAs around the Basilica of Bonaria, on the occasion of Pope Wojtyla’s visit. In the meantime, after 14 years since Oct. 20, 1985, on March 29, 1999, Cagliari’s 118 service began. The occasional fact On the morning of March […] The post Happy Birthday One Hundred Eighteen of Cagliari appeared first on Emergency Live.
ACEP Now
SEPTEMBER 4, 2024
ACEP state advocacy impacts the lives and careers of every emergency physician, every day. ACEP chapters continue to tally state legislative and policy wins by sharing their experience with public officials, and organizing bold campaigns on the issues that matter most. The ACEP advantage is unmistakable. Chapters across the country are seeing success when they leverage the relationships and expertise that only ACEP can provide.
PHARM
SEPTEMBER 4, 2024
What happened to Max McKenzie Years ago I somehow got involved in a project called the Vortex Approach. A cognitive aid concept created by Melbourne anaesthetist Dr Nicholas Chrimes that aimed to improve doctors recognition and management of DIFFICULT AIRWAYS & in particular the Cannot Intubate Cannot Oxygenate scenario. A group of us pooled money to create a phone app whilst Nick created a website and designs out of his own money.
Canadian EM
SEPTEMBER 3, 2024
Introduction Test result follow-up can be especially challenging in the Emergency Department (ED) due to its multiplicity of moving parts. ED physicians are under increasing pressure when treating patients due to the challenges of high volumes of patients, pressure for quick discharges in the face of space constraints, and complexities surrounding patient handover.
Emergency Live
SEPTEMBER 5, 2024
The flames spread rapidly over rough terrain, defying any attempt to contain Mount Cimadors, once a lush green lung of Friuli, is now marked by deep scars. A fire, which was set off by lightning on 19 August, has devastated over 100 hectares of forest, leaving behind a lunar landscape and a community in distress. […] The post Fire on Mount Cimadors: 100 hectares burned appeared first on Emergency Live.
Board Bombs
SEPTEMBER 2, 2024
There are at least 2 can’t-miss-conditions here on this multiple choice question. The Dog Days of summer ended on Labor Day, so let’s start fall with a scary differential diagnosis of naming that can’t-miss neuro emergency! Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here.
ACEP Now
SEPTEMBER 2, 2024
I appreciate this article , and this is by no means meant to be a personal attack or discrediting the validity of the information contained in the article. I consult for a pharma company and disclose it whenever I speak or write about something related to that work. In this case, the Open Payments website shows that one of the authors has received over 128,000 dollars from Ceribell, a company that makes a POC EEG system.
PEMBlog
SEPTEMBER 2, 2024
In honor of the return of football season I decided to post this tune… Concussions are nothing to mess around about – and sometimes you don’t know you have one until a bit later. So a conservative plan involves resting until symptoms improve and following up with your doctor. No one knows if listening to “bro country” worsens symptoms.
Emergency Live
SEPTEMBER 5, 2024
An unmissable appointment for professional updating, from 4 to 6 October in Montichiari (Brescia) The summer that is coming to an end has reminded us how crucial it is to be prepared for emergencies. Forest fires have become an increasingly frequent and devastating threat, putting a strain on our territory and communities. To meet this […] The post REAS 2024: Your mission starts here!
Mind The Bleep
SEPTEMBER 1, 2024
This article has been written with final year medical students in mind, deciding where to go for foundation training. As an FY2, it is one of the questions I get asked most by medical students. You might already have a clear idea of where they want to be, but if you don’t (or just want some advice/reassurance) then keep reading! Context: I have spent both years of my foundation training in a district general hospital (DGH) in the North East of England after studying at the University of Gl
Critical Care Now
AUGUST 31, 2024
Reading Time: 2 minutes The Ducanto Catheter—It Sucks! Paper: Finke SR, Schroeder DC, Ecker H, Böttiger BW, Herff H, Wetsch WA. Comparing suction rates of novel DuCanto catheter against Yankauer and standard suction catheter using liquids of different viscosity-a technical simulation. BMC Anesthesiol. 2022;22(1):285. Published 2022 Sep 10. PMID: 36088303 Background: Emergency intubations often involve managing contaminated airways, where the standard 14 Fr Yankauer catheter may be insufficient.
JournalFeed
AUGUST 31, 2024
The JournalFeed podcast for the week of August 26-30, 2024. These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. Monday Spoon Feed : A new PECARN clinical decision rule for cervical spine imaging in children after blunt trauma identifies children at low risk for C-spine injury utilizing nine risk factors.
Emergency Live
SEPTEMBER 5, 2024
Despite warnings from meteorological and hydrological agencies, thousands of victims were hit The devastating floods that have hit Nigeria in recent months have highlighted serious shortcomings in the country’s emergency management system. Despite the warnings of meteorological and hydrological agencies, thousands of people have been left homeless and dozens have lost their lives.
Mind The Bleep
SEPTEMBER 1, 2024
Although as an FY1/2 you wouldn’t be expected to insert a chest drain yourself but you will often be called out of hours to review a drain for a variety of reasons: Not swinging/bubbling Not draining Painful “It needs flushed and I don’t do that” Indications for a chest drain: ( BTS guidelines ) Tension pneumothorax or large symptomatic pneumothorax Large pleural effusion Pleuradesis Post thoracoscopy/surgery Empyema How to assess a chest drain: 1.
Emergency Medicine News
SEPTEMBER 1, 2024
An abstract is unavailable.
PHARM
SEPTEMBER 1, 2024
Dr Tom Everett and Dr Constance Osborne Public Health England (PHE) have published updated guidance on malaria prevention for travellers from the UK.
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