Sat.Mar 02, 2024 - Fri.Mar 08, 2024

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EAST Practice Management Guideline: Handoffs And Transitions Of Care

The Trauma Pro

Medicine, in general, and trauma care, specifically, require frequent communication. These communications may be between two providers to maintain continuity of care or between providers and patients to explain it. Unfortunately, the Joint Commission has identified breakdowns in the process as a root cause of preventable events and a significant factor in preventable death.

EMS 147
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Should I Change My Mind About Aspirin for the Prevention of Cardiac Events?

Sensible Medicine

Studies that tempt me to change my mind are worth telling you about. The story this week centers on the use of aspirin for prevention of cardiac events in people without heart disease. I used italics because this story ONLY applies to people without heart disease—so called primary prevention. In 2018, the NEJM and the Lancet published three trials that randomized tens of thousands of patients without heart disease to either low-dose aspirin or a placebo.

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Doctors Who Performatively Fetishized RCTs Aren’t Out to Advance Medical Research, But Rather to Sow Doubt & Mistrust

Science Based Medicine

Actually running an RCT is a lot harder than merely calling for one. Those who recognized this obvious fact are not against RCTs. The post Doctors Who Performatively Fetishized RCTs Aren’t Out to Advance Medical Research, But Rather to Sow Doubt & Mistrust first appeared on Science-Based Medicine.

Research 132
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SGEM#432: SPEED, Give Me What I Need – To Diagnose Acute Aortic Dissections

The Skeptics' Guide to EM

Reference: Gibbons et al. The sonographic protocol for the emergent evaluation of aortic dissections (SPEED protocol): A multicenter, prospective, observational study. AEM February 2024. Date: February 28, 2024 Guest Skeptic: Dr. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY. He is the Vice Chair of the Emergency Department at Nassau University […] The post SGEM#432: SPEED, Give Me What I Need – To Diagnose Acute Aortic Dissections first appeared on Th

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The Handoff In Damage Control Surgery

The Trauma Pro

Damage control surgery is now over 30 years old! We continue to refine the techniques and closure techniques/devices, and have developed novel ways to speed closure of the abdominal wall in order to avoid pesky hernias. But the process itself is time intensive, and typically several days pass with regular returns to OR until closure is achieved. This is one of the prime areas in which human error can occur , especially with modern service-style coverage of trauma patients.

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MIT hosts COVID-19 policy debate

Sensible Medicine

Since the start of the pandemic, I have written 200 op-eds on COVID-19 policy and published 20+ peer reviewed articles. I was opposed to school closure, masking kids, vaccine mandates, especially for young men in college who already had COVID-19, and took on many other controversial topics. Yet, from 2020-2022, I was not asked to debate these topics at any university.

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Pro-Infection Doctors Didn’t Honestly Question Whether Mitigation Measures Slowed COVID. They Sought To Undermine Them Precisely Because They Slowed COVID.

Science Based Medicine

Pro-infection doctors wanted them infected, and in this upside-down mirror world, the only policies that "helped" or "worked" were those that spread COVID. The post Pro-Infection Doctors Didn’t Honestly Question Whether Mitigation Measures Slowed COVID. They Sought To Undermine Them Precisely Because They Slowed COVID. first appeared on Science-Based Medicine.

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EM@3AM: Pneumocephalus

EMDocs

Authors: Mounir Contreras Cejin, MD (EM Resident Physician, UT Southwestern – Dallas, TX); Felipe Gonzalez Gutierrez (Medical Student, UT Southwestern – Dallas, TX); Emmanuel Ohuabunwa, MD, MBA (Attending Physician, UT Southwestern – Dallas, 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

EMS 111
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Diagnostic reasoning as artificial intelligence emerges: a distributed cognition framework

First 10 EM

This is an invited guest post by Dr. Cory Rohlfsen (@CoryRohlfsen) based on an interesting twitter thread of his from a few month back. Dr. Rohlfsen is a hybrid internal medicine clinician at the University of Nebraska Medical Center. He splits his time between hospitalist duties and primary care clinic. He is passionate about fostering […] The post Diagnostic reasoning as artificial intelligence emerges: a distributed cognition framework appeared first on First10EM.

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Hypervaccination

Science Based Medicine

What would happen if you were vaccinated 217 times against COVID? Let's find out. The post Hypervaccination first appeared on Science-Based Medicine.

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Young man with Gunshot wound to right chest with hemorrhagic shock, but bullet path not near heart

Dr. Smith's ECG Blog

A young man presented with a gunshot wound to the right chest, with hemo-pneumothorax and hemorrhagic shock. He got a chest tube and intubation and massive transfusion and stabilized. CT of chest showed the bullet path through his right lung but nowhere near his heart. But he did get an EKG: What is this? There were times when it would be usurped by sinus tachycardia, then return to this rhythm.

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Venomous Snake Bites: The Fangs, The Guidelines, The Myths

EM Ottawa

In this post, we will sink our teeth into some details around venomous snake bites that all emergency clinicians should be aware of regardless of their location of clinical practice. Although the incidence of venomous snake bites in Canada is rare, this should be considered a HALO (high acuity low occurrence) presentation for which you […] The post Venomous Snake Bites: The Fangs, The Guidelines, The Myths appeared first on EMOttawa Blog.

Hospitals 105
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Is mCPR associated with better outcomes for in-hospital cardiac arrest? St Emlyn’s

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed Is mechanical CPR associated with improved or worse outcomes in in-hospital cardiac arrest. #FOAMed @stemlyns The post Is mCPR associated with better outcomes for in-hospital cardiac arrest? St Emlyn’s appeared first on St.Emlyn's.

Outcomes 101
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Instructors' Collection ECG: Regular Really Wide QRS Tachycardia

ECG Guru

The Patient: Unfortunately, this is an old tracing, and we do not have patient information, other than the list of medications the patient has been taking, (Lasix, Capoten, Ntg, and Procardia). Lasix (furosemide) is a potassium – wasting diuretic. Capoten (captopril) is an ACE inhibitor. Ntg is presumably sublingual nitroglycerine used for angina.

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When the conventional algorithm diagnoses the ECG as COMPLETELY NORMAL, but there is in fact OMI, what does the Queen of Hearts PM Cardio AI app say? (with 10 case examples)

Dr. Smith's ECG Blog

I have often written about how an ECG interpreted as "normal" by a conventional algorithm may well be manifesting OMI, or even long QT or hyperkalemia. I have collected 51 OMI cases that were diagnosed as completely normal by the conventional automated computer algorithm. Shifa Karim and Gabe Keller helped with a project to assess all these ECGs with the Queen of Hearts.

EKG/ECG 101
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Fenbendazole is fast becoming the laetrile of the 2020s

Science Based Medicine

Antivaxxers who "repurposed" deworming drugs like ivermectin and fenbendazole are peddling cancer "miracle cure" testimonials that remind me of laetrile and Stanislaw Burzynski. Truly, everything old is new again. The post Fenbendazole is fast becoming the laetrile of the 2020s first appeared on Science-Based Medicine.

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The Most Wanted Health Professions of 2024

Emergency Live

An Essential Guide to Making Informed Choices In the landscape of healthcare professions, 2024 marks a turning point in terms of demand and career opportunities across Europe, including Western European nations. This guide explores the most sought-after professions, providing valuable information for those seeking a career path in the healthcare sector.

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Emergency Department Evaluation of Cholestatic Labs

EMDocs

Authors: Amelia Campbell, MD (EM Resident Physician, Carl R. Darnall Army Medical Center) and Alec Pawlukiewicz, MD (EM Attending Physician, Carl R. Darnall Army Medical Center) // Reviewed by: Joshua Lowe, MD (EM Attending Physician, USAF); Marina Boushra (EM-CCM, Cleveland Clinic Foundation); Brit Long, (@long_brit) Disclaimer: The views expressed in this post are those of the authors and do not reflect the official policy or position of the Department of the Army, DoD, or the US Government.

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EMCrit 370 – Extracorporeal Therapies for Toxicology & Poisoning #ExTRIP #NephMadness

EMCrit

NephMadness hits EMCrit with RRT for the Poisoned Patient EMCrit Project by Scott Weingart, MD FCCM.

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REBEL Core Cast 119.0 – Sleep Hygiene

RebelEM

REBEL Core Cast 119.0 – Sleep Hygiene Click here for Direct Download of the Podcast Employ sleep strategies: Anchor sleep: a period of sleep that overlaps each day regardless of your night shift schedule to provide a guidepost for your body clock. Ideally would overlap with when you would normally be asleep if you were not on night shift. Split sleep: sleep 3-4 hours immediately after shift then another 3-4 hours immediately before shift Melatonin timing/dosing: Most sleep specialists rec

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The Black Death: a tragedy that changed Europe

Emergency Live

Under the Shadow of Death: The Arrival of the Plague In the heart of the 14th century, Europe was struck by its most devastating pandemic in history: the Black Death. Between 1347 and 1352, this disease spread unchecked, leaving behind a landscape of death and despair. The bacterium Yersinia pestis, carried by fleas of rodents, […] The post The Black Death: a tragedy that changed Europe appeared first on Emergency Live.

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emDOCs Podcast – Episode 96: Lower GI Bleeding

EMDocs

Today on the emDOCs cast we cover lower GI bleeding and what you need to know regarding diagnosis and treatment. Episode 96: Lower GI Bleeding Background: Defined as bleeding distal to the ligament of Treitz. Over 110,000 admissions and 270,000 ED visits in the U.S. annually. Etiologies: anatomic (e.g., diverticular bleeding), vascular (e.g., angiodysplasia, ischemic), inflammatory (e.g., infectious, inflammatory bowel disease), and neoplastic.

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The 79th Bubble Wrap x Bristol Royal Hospital For Children

Don't Forget the Bubbles

With millions of journal articles published yearly, it is impossible to keep up. Our team have scoured the literature, so you don’t have to… or it might spark an interest to go and have a look at the full article. We have teamed up with the team from the Emergency Department at Bristol Royal Hospital, who have used this as a springboard for their journal club.

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Skeptics in Pub. Cholera. Chapter 11a

Science Based Medicine

The morning started too early. For some reason, I snapped awake just before sunrise and could not fall back to sleep. Probably that ball of guilt in the pit of my stomach. I suspected it is a minor example of what a condemned man feels on the morning of his execution. I lay in bed and stared thoughtlessly at the ceiling waiting […] The post Skeptics in Pub.

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In-flight first aid: how airlines respond

Emergency Live

A guide on what happens when an airborne medical emergency occurs Ground medical resources and management of airborne emergencies Airlines, while not mandated by the FAA to consult with ground medical support during an emergency, often rely on third parties to handle such situations. These teams, usually composed of emergency physicians trained in aeronautical medicine […] The post In-flight first aid: how airlines respond appeared first on Emergency Live.

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NPS growth and employee engagement: The power of thoughtful communication

NRC Health

NRC Health hosted a live webcast to discuss Children’s Minnesota’s case study on improving parental involvement and communication strategies to achieve better NPS scores. The post NPS growth and employee engagement: The power of thoughtful communication appeared first on NRC Health.

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Fourteen Emergency Medicine Research Gems from 2023

ACEP Now

Every year, the volume of published research continues to outpace capacity to consume. “Gotta catch ‘em all!” may be an appealing mantra, however it is impracticable to achieve with the medical literature. The Sisyphean task remains to try to keep up—and, in that vein—here is a light round of the emergency medicine literature from 2023. How Best to Stop the Bleeding in Trauma?

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Ziqitza – Ambulance Services in Urban Settings: Navigating Traffic and Population Density

Ziqitza HealthCare Ltd

In the hustle and bustle of urban life, emergencies can strike at any moment, demanding swift and efficient medical response. Navigating through congested streets, battling traffic congestion, and reaching the distressed in time is a big challenge. Amidst this chaos, Ziqitza Health Care Limited led by Sweta Mangal is providing crucial ambulance services in urban settings.

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Diabetic Neuropathy: Prevention and Management

Emergency Live

A Targeted Approach to Counter a Common Complication of Diabetes Diabetic neuropathy is a condition that affects many individuals with diabetes, manifesting as damage to peripheral nerves due to high blood sugar levels over time. This complication can lead to variable symptoms, including pain, tingling, and reduced ability to perceive pain, heat, and cold, particularly […] The post Diabetic Neuropathy: Prevention and Management appeared first on Emergency Live.

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Pediatric Collab Preview | Healthcare insights and trends for 2024

NRC Health

The NRC Health 2024 Pediatric Collaborative is truly a can’t-miss experience, with exceptional presentations that will stir innovative ideas. Check out a preview of one of the sessions! The post Pediatric Collab Preview | Healthcare insights and trends for 2024 appeared first on NRC Health.

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Dressing, Grooming, and Bathing Training for CNAs

American Medical Compliance

The following Dressing, Grooming, and Bathing Training for CNAs is designed to educate certified nursing assistants (CNAs) on the significance of dressing, grooming, and bathing in maintaining the health of patients. Certified nursing assistants play a large role in caring for individuals who are in restorative nursing facilities, whether it is to help them relearn a skill, take care of themselves, and eat, among other tasks as well.

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The Latest in Critical Care, 3/4/24 (Issue #32)

PulmCCM

New data quantify post-Covid “brain fog” People with persistent symptoms after Covid-19 infection (“long Covid”) often describe difficulty focusing and thinking, or “brain fog” New large datasets are shining light on this phenomenon, most recently in NEJM. Since early in the pandemic, the UK’s REACT program has used online surveys to monitor various aspects of Covid epidemiology, including cognitive impairment post-Covid.

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Partnership between Altitude Aerospace and Hynaero

Emergency Live

A milestone in the development of the Fregate-F100 amphibious firefighting aircraft HYNAERO and Altitude Aerospace have signed a cooperation protocol for strategic collaboration in the development of the Fregate-F100 amphibious firefighting bomber. HYNAERO, a start-up company from Bordeaux, France, working on the design and production of a next-generation amphibious firefighting bomber, the Fregate-F100, is pleased […] The post Partnership between Altitude Aerospace and Hynaero appeared fi

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Insights from a healthcare “Mad Men” marketing exec

NRC Health

Jason Brown, CEO and Chief Strategy Officer of BPD, one of the top full-service hospital marketing agencies in the country joins Ryan Donohue on Patient No Longer. This episode underscores the changing dynamics in healthcare, the importance of effective branding, and the need for organizational adaptability to meet evolving consumer expectations. The post Insights from a healthcare “Mad Men” marketing exec appeared first on NRC Health.

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Understanding & Preventing Workplace Bullying & Harassment for Dental HCP

American Medical Compliance

The following Understanding & Preventing Workplace Bullying & Harassment for Dental Healthcare Providers is designed to educate dental healthcare providers (DHCP) on the definition of workplace bullying. Also, harassment is a form of employment discrimination that violates Title VII of the Civil Rights Act of 1964, the Age Discrimination in Employment Act of 1967, (ADEA), and the Americans with Disabilities Act of 1990, (ADA).

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214. 99 problems and tPA is one

Board Bombs

This week we ask an important question- can you use the weather to predict patient's INR levels? Newsflash, you cannot. Let's talk tPA and contraindications. Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here. Cite this podcast as: Briggs, Blake. 214. 99 problems and tPA is one.

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Social networks and mental and physical health

Emergency Live

An Invisible Thread: The Dual Nature of Social Networks In an era where digital connection is just a click away, the debate on the relationship between social networks and the physical and mental health of users is more heated than ever. Through a careful examination of recent research, diverse perspectives emerge, highlighting both the potential […] The post Social networks and mental and physical health appeared first on Emergency Live.