Sat.Apr 06, 2024 - Fri.Apr 12, 2024

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Functional Neurologic Disorders

EM Ottawa

Patients living with functional neurologic disorders (FND) have been deeply stigmatized by the medical system. In a patient survey by FND Hope (an international organization for the research and advocacy around FND) 82% of patient respondents felt they had been treated poorly due to stigma relating to their FND diagnosis, primarily by emergency physicians [1] […] The post Functional Neurologic Disorders appeared first on EMOttawa Blog.

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Every Time Dr. Jay Bhattacharya Talks About COVID, He Proves He Was Totally Wrong About COVID

Science Based Medicine

Dr. Jay Bhattacharya March 2020: "If it’s true that the novel coronavirus would kill millions without shelter-in-place orders and quarantines, then the extraordinary measures being carried out in cities and states around the country are surely justified." The post Every Time Dr. Jay Bhattacharya Talks About COVID, He Proves He Was Totally Wrong About COVID first appeared on Science-Based Medicine.

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When EHR Interventions Succeed … and Fail

EM Literature of Note

This is a bit of a fascinating article with a great deal to unpack – and rightly published in a prominent journal. The brief summary – this is a “pragmatic”, open-label, cluster-randomized trial in which a set of interventions designed to increase guideline-concordant care were rolled out via electronic health record tools. These interventions were further supported by “facilitators”, persons assigned to each practice in the intervention cohort to support uptake of the EH

Outcomes 101
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Securing Healthcare: The Crucial Role of Cyber Insurance

Total Medical ComplianceHIPAA

Safeguarding patient data is paramount amidst the looming danger of cyber threats. The necessity of cyber insurance has never been clearer, as its presence or absence can significantly impact the resilience of healthcare providers. Let’s explore the benefits of cyber insurance, the risks faced by those without it, and the effects it has on those handling a cyber incident.

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ToxCard: Local Anesthetic Systemic Toxicity

EMDocs

Authors: Alex Rogers, MD (EM Resident Physician, Christus Spohn/Texas A&M University School of Medicine, Corpus Christi, TX); J.D. Cambron, DO (EM Attending Physician, Christus Spohn/Texas A&M University School of Medicine, Corpus Christi, TX)// 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)

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New Study Finds No Link Between Autism and Acetaminophen Use During Pregnancy

Science Based Medicine

A new study designed to better account for hidden confounding factors has found no link between acetaminophen use during pregnancy and the risk of neurodevelopmental conditions in childhood. The post New Study Finds No Link Between Autism and Acetaminophen Use During Pregnancy first appeared on Science-Based Medicine.

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A young woman with chest pain, cath lab activated

Dr. Smith's ECG Blog

This case came from a friend whose sister was the patient. She knew I was interested in ECGs, so she took a photo of this one. A young woman presented with acute chest pain. This was her presenting ECG: What do you think? This is clearly Brugada phenotype. There is downsloping ST Elevation in V1 and V2. To an experienced interpreter, it is clearly not due to OMI.

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Tragedy at Bargi Hydroelectric Power Plant

Emergency Live

An incident with few precedents: a violent explosion devastates the Bargi hydroelectric plant A catastrophic event struck the Bargi (Italy) hydroelectric plant on Tuesday, April 9, around 2:30 p.m. An explosion of a turbine on the eighth floor triggered a fire and flooded the floor below. Twelve technicians from various companies were working on improvements […] The post Tragedy at Bargi Hydroelectric Power Plant appeared first on Emergency Live.

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The Ethics of Artificial Brains

Science Based Medicine

We are living in a time of technology advancing so rapidly it is challenging to keep up. This has multiple ramifications, and in the area of biomedical research, there is an important ethical and regulatory dimension. Confronting the ethical considerations of our own technology is nothing new, and fresh debate seems to erupt with every new development – including in-vitro fertilization, transplanting […] The post The Ethics of Artificial Brains first appeared on Science-Based Medicin

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A 29 year old male with chest pain, ST Elevation, and very elevated troponin T

Dr. Smith's ECG Blog

By Magnus Nossen This ECG is from a young man with no risk factors for CAD, he presented with chest pain. How would you assess this ECG? How confident are you in your assessment? What is your next step? Note: lead format is Cabrera I was sent this ECG in real time. The patient is a young adult male with chest pain. The chest pain was described as pressure like and radiation to both arms and the jaw.

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Pigtail catheter for pleural drainage: Tips to minimize complications

ALiEM

Traditionally large-bore tube thoracostomy has been the standard of care for treating many acute intrathoracic pathologies [1]. However, the advent of less invasive small-bore chest tubes, also known as pigtail catheters, has gradually led to a paradigm shift. Pigtails provide a less invasive and often better tolerated alternative to traditional chest tubes and allow for adequate treatment of pneumothoraces and uncomplicated pleural effusions [1-5].

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Disasters Expo Europe: The Conference for Relief Professionals

Emergency Live

1000s of Emergency Response Professionals to Congregate for Expo in Frankfurt In 2024, Europe will see its first edition of the internationally renowned Disasters Expo, known as one of the world’s leading events for disaster management professionals. Setting up shop at Messe Frankfurt on the 15th and 16th of May, the event is set to […] The post Disasters Expo Europe: The Conference for Relief Professionals appeared first on Emergency Live.

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SARMs Harms

Science Based Medicine

Selective androgen receptor (SARMs) are sports supplements marketed to teens via social media influencers. The post SARMs Harms first appeared on Science-Based Medicine.

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Introducing Our New Service: Exclusion Screening for Healthcare Compliance

Total Medical ComplianceHIPAA

As healthcare providers navigate the complex web of rules and regulations in compliance, one aspect that needs more attention is exclusion screening of those working with federally funded healthcare programs. We’re excited to announce the launch of our new service, Exclusion Screening, that will assist healthcare organizations in adherence to requirements such as the initial screening of potential employees/contractors and monthly screening of current employees/contractors.

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Journal Feed Weekly Wrap-Up

EMDocs

We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: Phoenix Criteria – New Pediatric Sepsis Score Spoon Feed The Phoenix Sepsis Score, which is a novel clinical criterion for pediatric sepsis and septic shock developed using measures of organ dysfunction, outperforms

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Italian Red Cross meets with Pope Francis

Emergency Live

A Tribute to Human Dignity and Dedication in Facing Global Challenges: Testimonies, Commemorations, and Commitment at the Vatican Audience On April 6th, a flow of six thousand volunteers from all corners of Italy poured out their affection towards Pope Francis. This collective embrace was a tribute to the solidarity embodied by the volunteers of the […] The post Italian Red Cross meets with Pope Francis appeared first on Emergency Live.

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Friday Reflection 38: Yesterday’s Solutions; Today’s Problems

Sensible Medicine

PR is a 66-year-old man who presented to an emergency room with a week of decreased exercise tolerance. He also reported brief episodes of chest pain. His initial work up was notable only for an elevated d-dimer. He was started on anticoagulation, admitted to the inpatient general medicine team, and scheduled for a CT angiogram of the chest to verify the suspected diagnosis of pulmonary embolism.

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Research Roundup: Another old article dump

First 10 EM

Time for another edition of the ‘old article dump’. One of the downsides of subscribing to more than 50 journal feeds is the huge number of interesting papers that I flag for later, but never find time to fully appraise. I have been clearing some of these old PDFs out of my computer, but I […] The post Research Roundup: Another old article dump appeared first on First10EM.

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Sensitivity Cardiac Troponin T Among Patients With Known Coronary Artery Disease

EM Ottawa

Methodology: 3/5 Usefulness: 2/5 Ashburn NP, et al. JAMA Cardiol. 2023 Apr 1;8(4):347-356. Editorial: Critical Appraisal of the Negative Predictive Performance of the European Society of Cardiology 0/1-Hour Algorithm for Evaluating Patients With Chest Pain in the US. Question and Methods: The authors completed preplanned subgroup analyses to determine if a 0-1 hour ultra-sensitive troponin […] The post Sensitivity Cardiac Troponin T Among Patients With Known Coronary Artery Disease appear

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Health spending in Italy: a growing burden on household

Emergency Live

The findings from Fondazione Gimbe highlight a concerning increase in healthcare expenses for Italian households in 2022, raising serious socio-health questions. A Growing Financial Burden on Family Units The analysis conducted by Fondazione Gimbe underscores a worrisome trend. Throughout 2022, Italian families had to bear a considerable burden for healthcare expenses.

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Skeptics in the Pub. Cholera. Chapter 14

Science Based Medicine

Saturday. Just another workday when the Cholera is flowing. I woke early, at 6 a.m., and went to the office before anyone else. On the way, I went to the grocer’s and bought some supplies. I started, as usual, in the cubby room, and I was happy to see that as of yesterday that cases of the Cholera were staying down: there were […] The post Skeptics in the Pub.

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Igniting Human Understanding: Toya Gorley

NRC Health

Toya Gorley's own experience connects very closely to NRC Health’s philosophy of Human Understanding, because, as she says, “it is about that individual and what matters to them.” The post Igniting Human Understanding: Toya Gorley appeared first on NRC Health.

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Improving Your Critical Appraisal Skills 2

Sensible Medicine

Cohort studies are observational studies. They are natural experiments that might be examined prospectively or retrospectively. Classically, cohort studies are used to assess the prognosis of a group of patients. This is (mostly) how the Users’ Guides article examines them. A cohort study tells you about the risk of a certain group of people or patients developing an outcome.

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REBEL EM Book Club – MicroSkills

RebelEM

Podcast Direct Download: Link Release Date: April 16th, 2024 Show Notes The Visible Voices Podcast Dr. Glaucomflecken: Power of Ultrasound with Emergency Medicine Dr. Resa Lewiss Adaira I Landry MD Resa E Lewiss MD is a Professor of Emergency Medicine at the University of Alabama at Birmingham. A TEDMED speaker and TimesUp Healthcare founder, she’s an internationally renowned point-of-care ultrasound educator and champion for diverse, equitable, and inclusive workplaces.

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It’s Your Call – April 2024

Total Medical ComplianceHIPAA

HIPAA: As a small provider practice, can we afford cyber insurance? Investing in cyber insurance is crucial for small provider practices facing the growing threat of cyberattacks. While the cost may vary depending on factors like coverage level and practice size, the expense of cyber insurance is often far outweighed by the potential financial losses from a data breach.

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New podcast season, case study, and trends report showcase the power of Human Understanding

NRC Health

Check out the Q4 snapshots highlighting how we put Human Understanding® into practice. The post New podcast season, case study, and trends report showcase the power of Human Understanding appeared first on NRC Health.

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A New Approach to Evidence in Cardiology

Sensible Medicine

I am in Berlin at the European Heart Rhythm Society meeting. Sadly, this meeting conflicts with the American College of Cardiology meeting in Atlanta. ACC has produced a bunch of trials worthy of consideration. Since I have duties here at EHRA, I will defer this Monday’s Study of the Week to my friend Vinay Prasad who has an incredible video appraising the REDUCE-AMI study.

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CICM Second Part Exam Practice SAQs 11042024

Intensive Blog

As prepared by Chris Nickson, here are the practice written questions from a recent CICM Second Part exam practice session at The Alfred ICU, with recommended reading from LITFL.com Critical Care Compendium and other FOAM sources: Q1. Critically evaluate the role of “driving pressure” measurement in the care of mechanical ventilated patients. Driving pressure Q2.

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Challenges with Polypharmacy in the Geriatric Population - Clinical Correlations

Clinical Correlations

By Olivia Descorbeth Peer Reviewed As individuals advance in age, they tend to accumulate medical conditions that require a bevy of pharmaceutical treatments to manage. As a result, polypharmacy, generally defined as the use of five.

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MRCEM SBA

RCEM Learning

The MRCEM Intermediate SBA is a theoretical exam assessing understanding of the full range of conditions and presentation that may be encountered in the ED. Candidates should familiarise themselves with the Year 1-3 SLOs in preparation for sitting the examination. For more details regarding the MRCEM Primary like who can sit the exam, where the exam takes place and how it is marked and when the results are given visit the RCEM Exam pages.

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What is Mental Health? (03)

Maria Yang, MD

Let’s take a look at the last figure from the paper What is mental health? Evidence towards a new definition from a mixed methods multidisciplinary international survey. The authors call this the Transdomain Model of Health : I like this model. (Do note, though, that the map is not the territory.) It reminds us of the interdependencies between and within ourselves.

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Writing a Letter to the Editor of a Medical Journal 

Mind The Bleep

What is a Letter to the Editor? A letter to the editor in a medical journal serves as a concise written communication where readers, including healthcare professionals, researchers, and scholars, can express their thoughts, opinions, and concerns regarding a specific article or topic published in the journal. It provides a platform for open dialogue and scholarly exchange, allowing readers to contribute additional insights, critique research findings, propose alternative interpretations, share p

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interdisciplinary sim

EMergucate

Simulation report 4/4/24, In situ sim ED JHC Hi everyone, Thank you so much for participating and helping … Continue reading →

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MRCEM OSCE

RCEM Learning

The MRCEM OSCE is the third exam required for Membership of the Royal College of Emergency Medicine and assesses the clinical and communication skills of trainees and ensures that they are those of someone ready for higher training. For more details regarding the MRCEM Primary like who can sit the exam, where the exam takes place and how it is marked and when the results are given visit the RCEM Exam pages.

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SGEM #435: Don’t Stop Believing…A Vaccine can Work for RSV

The Skeptics' Guide to EM

Reference: Drysdale SB et al. Nirsevimab for Prevention of Hospitalizations due to RSV in Infants. N Engl J Med. 2023 Date: March 29, 2024 Guest Skeptic: Dr. Michael Cosimini is a pediatrician in Portland Oregon. He is the designer of Empiric Game, a medical editor and contributor to Pediatrics Reviews and Perspectives (PedsRAP) and the […] The post SGEM #435: Don’t Stop Believing…A Vaccine can Work for RSV first appeared on The Skeptics Guide to Emergency Medicine.

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The latest news on ambulance developments

Emergency Live

Exploring the Features and Functions of the Paramed International Toyota Hiace Ambulance Vehicle Overview The Paramed International Toyota Hiace ambulance is an example of how innovation blends with practicality in the ambulance industry. This vehicle is designed to offer the utmost in terms of efficiency and modernity in the emergency medical rescue service.

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ECG of the Week – April 10th 2024

EMergucate

The following ECG is from a 23-year-old male who presents following a syncopal episode with diaphoresis and hypotension.

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