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

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The origins of rescue: prehistoric traces and historical developments

Emergency Live

A Historical Overview of Early Rescue Techniques and Their Evolution Early Traces of Rescue in Prehistory The history of human rescue dates back long before the advent of modern civilization, rooted in the depths of prehistory. Archaeological excavations in various parts of the world have revealed that ancient humans already possessed the knowledge and skills […] The post The origins of rescue: prehistoric traces and historical developments appeared first on Emergency Live.

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Best Of EAST 2024 #8: Whole Blood And VTE

The Trauma Pro

The pendulum has swung from the use of whole blood in the early 20th century, to component therapy in the 1960s, and now a gradual move toward incorporating whole blood again. More and more papers are being published, and many trauma centers are looking for ways to integrate whole blood into their massive transfusion protocols. Much of the literature has been dedicated to safety and effectiveness, but little has examined thrombotic complications from its use.

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The Wellness Company: How antivaccine grift becomes plain old quackery

Science Based Medicine

The Wellness Company, promoted by Dr. Peter McCullough, is the product of a trend in which antivax doctors have predictably become just quacks. At least in this case, there is an amusing quack fight at the heart of it all. The post The Wellness Company: How antivaccine grift becomes plain old quackery first appeared on Science-Based Medicine.

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I Still Can’t be Rational about COVID

Sensible Medicine

A few weeks ago, I went to a poetry reading at my favorite bookstore. I enjoyed the poetry. I was even more interested in the discussion between the author and the audience that followed each poem. The author had written most of the poems during COVID. She and the audience reflected on the dark days of 2020. They talked about this period as a remarkable and unique time in their lives.

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Sedation for the agitated adolescent

Don't Forget the Bubbles

For paediatric ED doctors who come from a paediatric training background, dealing with agitated adolescents can be stressful. There is so much more to managing the agitated adolescent than just drugs, but sometimes sedation is necessary. As we are not used to sedating children in this way, choosing drugs and doses can be difficult. In paediatric emergency care, addressing the challenge of adolescent agitation is a complex and evolving task.

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Best Of EAST 2024 #9: The Burden Of Transferred TBI Patients

The Trauma Pro

In theory, tiered trauma centers should allow patients with lesser injuries to be treated at lower levels and more severe trauma at higher-level centers. This parallels the resource availability at those centers. In reality, many patients with injuries that seem complex (solid organ, children, and TBI) are transferred due to a “lack of comfort” in taking care of them or the perception that they may deteriorate quickly.

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Procedure: Speculum examination

Life in the Fast Lane

John Mackenzie and Amanda Beech Procedure: Speculum examination Emergency Procedure: Speculum examination, how (and when) to find the cervix in the emergency department.

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SGEM #425: Are You Ready for This? Pediatric Readiness of Emergency Departments

The Skeptics' Guide to EM

Reference: Remick KE, et al. National Assessment of Pediatric Readiness of US Emergency Departments during the Covid-19 Pandemic. JAMA Netw Open. July 2023 Date: Dec 11, 2023 Guest Skeptic: Dr. Rachel Hatcliffe is a pediatric emergency medicine attending at Children’s National Hospital in Washington, DC. Her research focuses on prehospital care of children with anaphylaxis. […] The post SGEM #425: Are You Ready for This?

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Best Of EAST 2024 #6: Pan-Scans In the Elderly

The Trauma Pro

Injured older adults typically sustain those injuries from blunt mechanisms. Radiographic evaluation, particularly CT scans, does not have good supporting literature to dictate which exams should be used in particular patients. There is a long-standing debate on the merits of pan-scan vs. selective scans when using CT. EAST sponsored a multicenter study to look for specific history and physical exam findings that could help direct CT evaluation.

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Dual Sympathetic Reset for PTSD

Science Based Medicine

Dual Sympathetic Block is being promoted as a treatment for PTSD prior to any convincing clinical evidence. The post Dual Sympathetic Reset for PTSD first appeared on Science-Based Medicine.

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Funtabulously Frivolous Friday Five 355

Life in the Fast Lane

Mark Corden and Neil Long Funtabulously Frivolous Friday Five 355 Funtabulously Frivolous Friday Five 355 - Just when you thought your brain could unwind, enter the medical trivia of FFFF.

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The Latest in Critical Care, 1/8/23 (Issue #24)

PulmCCM

Smaller blood-collection tubes to reduce red blood cell transfusion (STRATUS trial) Cumulatively, daily labs on hospitalized patients deplete substantial volumes of blood, almost all of which is wasted. The 4 to 6 mL of blood drawn per standard tube is a legacy of older equipment: modern testing machines only need <0.5 mL per sample, and the rest is discarded.

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Best Of EAST #7: King vs. I-Gel Supraglottic Airways

The Trauma Pro

Airway assessment and protection are of paramount importance during trauma care. Airway management is even more challenging in the prehospital environment, where lighting and patient positioning may be suboptimal, and injuries or policies may prohibit orotracheal intubation. A variety of devices have been developed to make airway control simpler and faster.

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The Italian 118: evolution of emergency rescue

Emergency Live

From Birth to Modernization of Emergency Services Introduction The Italian territorial emergency service, known simply as “118,” has revolutionized the management of healthcare emergencies in Italy. Its development and evolution reflect a radical shift in emergency management, from the era of basic ambulances to technological modernization.

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On the Ethical Detention of Patients in the Emergency Department

First 10 EM

This is a guest post by Dr Casey Parker MBBS DCH FRACGP DDU DipRGA. I am a rural generalist with postgraduate training in primary care, paediatrics, anaesthesia and diagnostic sonology. My practice includes emergency and inpatient care in Broome Hospital in the remote Kimberley region of Western Australia. I also work in a large tertiary […] The post On the Ethical Detention of Patients in the Emergency Department appeared first on First10EM.

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emDOCs Podcast – Episode 92: Marine Ingested Poisons and Infections

EMDocs

Today on the emDOCs cast, we have a special guest, Alexis Koda, core faculty at the Nazareth Emergency Medicine Residency program in Philadelphia, PA. Alexis takes us through marine ingested poisons and infections. Episode 92: Marine Ingested Poisons and Infections Scombroid Pathophysiology: Fish from family Scombroidae Tuna , mackerel, skipjack, bonito Dark-meat fish Herring, bluefish , anchovy, sardine, amberjack, black marlin, and mahi mahi Histidine decarboxylase produces histamine and hista

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Best Of EAST #5: How Good Is Lung Ultrasound For Pneumothorax?

The Trauma Pro

Focused abdominal sonography for trauma (FAST) has been a mainstay of rapid diagnosis for many years. The extended FAST exam (eFAST) adds an examination of the thoracic cavities to the basic exam. The sensitivity and specificity of FAST have mostly been determined. However, there is much less literature outlining the accuracy of the eFAST. The group at Vanderbilt performed a prospective, observational study on the ability of the eFAST exam to detect pneumothorax specifically.

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Magnetic resonance imaging: a comprehensive guide

Emergency Live

Understanding Magnetic Resonance Imaging, Its Purpose, and Procedure Introduction to Magnetic Resonance Imaging Magnetic Resonance Imaging (MRI) is a medical imaging technique used in radiology to create detailed images of the body’s anatomy and physiological processes. MRI scanners utilize strong magnetic fields, magnetic field gradients, and radio waves to generate images of the body’s organs […] The post Magnetic resonance imaging: a comprehensive guide appeared first on Eme

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EMCrit 366 – Should Delayed Sequence Intubation (DSI) become the Standard for Critical Care Intubations?

EMCrit

Should DSI become the new standard? EMCrit Project by Scott Weingart, MD FCCM.

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2023 AHA Update on ACLS

EMDocs

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association 2023 Guideline Updates for 2023 were just published. This post will focus on the key parts of the guideline that affect ED evaluation and management. Major Updates Avoid routine use of calcium in patients with cardiac arrest. Calcium is associated with harm but is still necessary in certain situations (hyperkalemia, calcium channel blocker overdose) (Level 3 recommendation: no benefit).

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Pegcetacoplan (Syfovre™) for macular degeneration: an update

Science Based Medicine

SBM's guest contributor and ophthalmologist, Dr. DAvid Weinberg, provides an update on the phase 3 trials of pegcetacoplan for macular degeneration. The results are still disappointing. The post Pegcetacoplan (Syfovre™) for macular degeneration: an update first appeared on Science-Based Medicine.

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The evolution of air rescue vehicles: technology and sustainability

Emergency Live

A new era of air rescue vehicles is taking flight, driven by innovations and technological changes Revolution in the Air Rescue Sector The air rescue sector is experiencing a phase of significant growth and innovation. The demand for air ambulance services is on the rise, driven by the need to swiftly transport critical patients and […] The post The evolution of air rescue vehicles: technology and sustainability appeared first on Emergency Live.

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Are we on the right TRACT? 

Don't Forget the Bubbles

Transfusion Decisions in Severe Anaemia Reducing child mortality remains high on the global health agenda. It’s important we think about ways and means to do this with both population-based and targeted approaches. Let’s take the humble blood transfusion – used in emergency departments across the globe and playing a key role in critical care. Severe anaemia is a common and life-threatening cause of hospital admission in children in sub-Saharan Africa. 8% die in hospital, with a further 12% dying

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AHA/NCS Statement on Critical Care Management of Post ROSC Patients

EMDocs

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association (AHA) and Neurocritical Care Society (NCS) released their 2023 Scientific Statement on the critical care management of post ROSC patients. This post covers the key components, with each section starting with the key takeaway followed by the scientific statements.

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Igniting Human Understanding: Jon Tanner

NRC Health

You may not immediately see the connection between running ultramarathons in the mountains and leading a product innovation team, but to Jon Tanner, Product Leader, the parallels are obvious. Both involve setting ambitious goals, overcoming obstacles, and finding fulfillment in testing limits. The post Igniting Human Understanding: Jon Tanner appeared first on NRC Health.

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The path to becoming a rescue helicopter pilot

Emergency Live

A Detailed Guide for Aspiring EMS Helicopter Pilots First Steps and Training To become an Emergency Medical Services (EMS) helicopter pilot, it is essential to hold a commercial helicopter pilot’s license, which requires a Federal Aviation Administration (FAA) second-class medical certificate, although some employers may require a first-class certificate.

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SAEM Clinical Images Series: A Lethal Combination of Skin and Lung Findings

ALiEM

A 49-year-old female with a past medical history of recurrent diverticulitis initially presented with one month of shortness of breath and a minor nonproductive cough for which she was started on doxycycline by her primary care provider. She then developed a rash on her chest, upper back, and face. Antibiotics were switched to amoxicillin and azithromycin.

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Grand Rounds Recap 1.10.24

Taming the SRU

r4 case follow up - r1 clinical knowledge: interstitial lung disease - halo - pediatric simulation - pediatric small groups r4 case follow up WITH dr. yates Psychiatric emergency department visits are on the rise in the United States, with roughly 15-19% of all ED visits associated with mental health diagnoses Roughly twenty percent of patients presenting with psychosis have a secondary cause Work up should be determined by the history and physical and may need to be broad, but all patients shou

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ACORN

The Bottom Line

In acutely ill adults (ED / ICU) does the administration of cefipime or piperacillin-tazobactam (pip-taz) result in an increased incidence of AKI or death by day 14?

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North Fire Reveals New Factory with Headquarters in Calder Valley

Emergency Live

North Fire Engineering Unveils Advanced Manufacturing Hub in Mytholmroyd, Boosting UK’s Firefighting Vehicle Production North Fire Engineering, a manufacturer of firefighting vehicles, unveiled its new manufacturing facility in Mytholmroyd, Calder Valley, which opened during the Christmas season. Following the announcement in late 2023 of the acquisition of Venari Group’s firefighting division by industry veteran Oliver […] The post North Fire Reveals New Factory with Headquart

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End-of-Life Care Principles Training

American Medical Compliance

The following training course educates healthcare providers on the importance of quality end-of-life care. The phrase “end-of-life care” refers to the assistance and medical attention provided in the latter stages of life. This kind of care is not limited to the final minutes before the heart stops pumping and the breathing stops. Before they pass away, older adults frequently have one or more chronic illnesses and require extensive care for days, weeks, or even months.