Sat.Nov 18, 2023 - Fri.Nov 24, 2023

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Is it unethical for doctors to stop masking?

Sensible Medicine

This week, a viewpoint appeared in JAMA Health forum. It argues that patients, particularly disabled and immunocompromised patients, should be able to request health care providers wear masks, and providers should not be permitted to decline that request. Doctors have a duty not to harm their patients, and ergo, should wear masks when requested. It then discusses ways state medical boards and other groups can police this policy.

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ECG Video Blog #404 (344) — Mobitz I, Mobitz II. or neither?

Ken Grauer, MD

== — CLICK HERE — for a V ideo presentation of this case! ( 15 minutes ) Below are slides used in my video presentation. For full discussion of this case — See ECG Blog #344 — == How would YOU interpret the lead II rhythm strip shown in Figure-1 ? Is the rhythm Mobitz I or Mobitz II 2nd-degree AV Block? Or — Is it “ something else ”? Figure-1: How would YOU interpret this lead II rhythm strip?

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What the heck happened to The BMJ? (2023 version)

Science Based Medicine

The BMJ, once a bastion of evidence-based medicine, has become disturbingly susceptible to publishing biased "investigations" that feed antivax narratives. Its latest report on VAERS by Jennifer Block, who in the past has defended Gwyneth Paltrow and Goop and whose history is not one of supporting science, is just another example of this deterioration.

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Propofol-related Infusion Syndrome

Don't Forget the Bubbles

One-liner… Although commonly used, Propofol can have severe adverse effects. Propofol Infusion Syndrome (PRIS) can lead to significant morbidity and mortality in children. What is Propofol? Commonly referred to as “the milk of amnesia”, propofol is a drug used for induction and maintenance of general anaesthesia and for procedural sedation. Propofol is prepared in a lipid emulsion, giving it a characteristic milky white appearance, and due to its ability to dissolve in fats, it is rapidly redist

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What is AI and How Does it Work?

Life in the Fast Lane

Sheralyn Guilleminot and Mike Cadogan What is AI and How Does it Work? We review two important aspects of AI, natural language processing and machine learning, that provide key insights into how AI works.

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Sudden Cardiac Death in College Athletes

Stop and Think

I had thoughts. Maybe you did too. There were just so many media reports of cardiac arrest in athletes. This is a column about two things—a medical problem (cardiac arrest) and the way our brains work. During the pandemic we learned that the vaccine against SARS-CoV-2 could cause myocarditis—or inflammation of the heart. Young males had the highest risk of this adverse effect.

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Paediatric Neck Lumps

Don't Forget the Bubbles

Neck lumps are a common presenting complaint to the paediatric emergency department with many aetiologies, sometimes resulting in a diagnostic conundrum. Thorough history taking and detailed examination can aid in diagnosis. Causes of paediatric neck lumps can be broadly divided into three categories – congenital , inflammatory and neoplastic.

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Come join the 2024 Clinician Educator Incubator!

Life in the Fast Lane

Chris Nickson Come join the 2024 Clinician Educator Incubator! If you want to develop as a Clinician Educator and help lead 21st century critical care education, join the 2024 Clinician Educator Incubator!

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A Surgeon Turns Activist

Sensible Medicine

A few years ago, Dr. Richard T. Bosshardt waded into a minefield. He had been a Fellow of the American College of Surgeons (ACS) for over thirty years when he expressed his opinion that the ACS’s diversity, equity, and inclusion initiatives were threatening their dedication to excellence. Dr. Bosshardt has garnered support for his objections and has published his opinions in The Wall Street Journal, City Journal, and National Review.

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Phone Attachment for Pupil Measurements with Any Skin Tone

Medagadget

A research team at the University of California San Diego have developed a smartphone attachment that can provide information on changes in pupil size, which can be used to assess neurological phenomena, such as traumatic brain injury and Alzheimer’s disease. Such changes in pupil size have been difficult to characterize in the past in those with a dark iris, which is more common in people with darker skin tones, because it can be challenging to distinguish between the iris and the pupil.

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The Emergency Care Voice Rescued from a Sea of Politics

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed Emergency care practitioners are known for creating order from chaos, being pragmatic amidst difficult circumstances and advocating for patients when others cannot. The post The Emergency Care Voice Rescued from a Sea of Politics appeared first on St.Emlyn's.

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Diagnostic imaging during pregnancy and lactation

First 10 EM

When caring for pregnant women, I frequently find myself searching for information on radiation risks from diagnostic imaging, to help guide our shared decision making process, so I decided to create a summary in a spot I would always know where to find it. I have ranted in the past about the many problems with […] The post Diagnostic imaging during pregnancy and lactation appeared first on First10EM.

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Major Trial in Atrial Fibrillation Stopped Prematurely

Sensible Medicine

I received a text message from a colleague last night during dinner that a trial we were part of, called OCEANIC AF , was being terminated early by the data safety monitoring board. This morning, the makers of asundexian had a press release up on its site. This is huge news in cardiology. But it is also worthy of a column here because we at Sensible Medicine are interested in how new therapies are tested.

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First CRISPR Treatment Approval

Science Based Medicine

The first CRISPR-based therapy approval is a milestone worthy of noting. The post First CRISPR Treatment Approval first appeared on Science-Based Medicine.

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Children in Ambulance: Guidelines and Technological Innovations

Emergency Live

Specialized Solutions for the Safety of Small Passengers During Emergency Transport Transporting children by ambulance requires special care and precautions. In emergency situations, ensuring the safety of young patients is a top priority. This article explores international regulations and technological innovations that help make pediatric ambulance transport safe and effective.

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Stretchable E-Skin for Robotic Prostheses

Medagadget

Engineers at the University of British Columbia have collaborated with the Japanese automotive company Honda to develop an e-skin for robotic prostheses that allows such devices to sense their environment in significant detail. The soft skin is highly sensitive, letting robotic hands to perform tasks that require a significant degree of dexterity and tactile feedback, such as grasping an egg or lifting a glass of water without breaking it.

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Healthcare Leaders Should Focus on Making Medicine Better Rather than Issuing Press Releases on Geopolitical Issues

Sensible Medicine

We are the recipients of the curse, “may you live in interesting times.” With the wars in Ukraine and the Middle East, climate change, a global pandemic, urban gun violence, racial reckoning, the Dobbs decision, and economic disparities, among other issues, we have our share of “interesting” and divisive topics on our mind these days.

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Grand Rounds Recap 11.8.23

Taming the SRU

airway grand rounds - r1 clinical knowledge: heavy metals - consultant corner: acute leukemia - pediatric sim - pediatric cases airway grand rounds WITH dr. carleton Difficult airway algorithm: when should we RSI? When you are forced to act immediately When reoxygenation and intubation is likely to be successful and a patient is able to tolerate a period of apnea (is not likely to become profoundly hypoxic nor hypercarbic) How to perform a successful awake look intubation when RSI not indicated:

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Global Progress Toward Eliminating Cervical Cancer

Emergency Live

Cervical Cancer Elimination Day of Action: A Renewed Commitment to Overcoming Global Health Inequalities Nov. 17 marks the third “Cervical Cancer Elimination Day of Action,” a pivotal moment for the international community as world leaders, cervical cancer survivors, advocates and civil society come together to celebrate progress and recognize persistent challenges.

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Ultrasound Case 111

Life in the Fast Lane

Casey Parker and James Rippey Ultrasound Case 111 A 45 year old woman with chronic alcoholic liver disease presents to the ED with exertional dyspnoea and is noted to have a SpO2 of 90% at rest despite having a normal chest examination and CXR.

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Neurally Adjusted Ventilatory Assist nel neonato

Trigger Lab

Ventilare un neonato prematuro ricercando la migliore strategia di sincronizzazione rappresenta una sfida quotidiana in neonatologia.

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Guideline Update: Acute Lower GI Bleeding

EMDocs

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American College of Gastroenterology recently released updated guidelines for managing patients with lower GI bleeding (LGIB). This post will provide the major takeaways for emergency clinicians. Background Acute LGIB results in over 100,000 admissions in the U.S. annually, and the incidence appears to be increasing based on current literature.

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Understanding Traumatic Dissociation in Cardiopulmonary Resuscitation

Emergency Live

Emotional Management During Resuscitation: A Crucial Aspect for Operators and Rescuers A Different Perspective on Cardiopulmonary Resuscitation Cardiopulmonary resuscitation (CPR) is a vital skill for emergency workers and lay rescuers. However, Marco Squicciarini, BLSD Training Coordinating Physician at the Ministry of Health and BLSD Instructor Trainer since 2004, highlights an aspect often overlooked in training […] The post Understanding Traumatic Dissociation in Cardiopulmonary Resusc

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Despite safety and quality questions, melatonin use growing in children

Science Based Medicine

A new survey shows use of melatonin in children is widespread despite modest efficacy and an unknown long-term safety profile. The post Despite safety and quality questions, melatonin use growing in children first appeared on Science-Based Medicine.

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Black Friday and Cyber Monday Deals for Healthcare Workers

Core Medical Group

As the holiday season approaches, it's time to express gratitude and appreciation for the clinicians who have been on the frontlines of healthcare throughout the year. In the spirit of giving back, many retailers are offering exclusive Black Friday and Cyber Monday deals for healthcare workers. This is the perfect opportunity to indulge in some well-deserved self-care or find thoughtful gifts for loved ones.

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EM@3AM: Liver Transplant Complications

EMDocs

Author: Jacob Kirkland, MD (EM Resident Physician, UTSW – Dallas, TX); Stephen Field, DO (Assistant Professor of EM/Attending Physician, UTSW – Dallas, TX) // Reviewed by: Sophia Görgens, MD (EM Resident Physician, Zucker-Northwell NS/LIJ, 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 designed to foster your working knowledge by providing an expedited

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PEERS and NSAI Webinar to Strengthen CBRN-E Security in Europe

Emergency Live

Advancing European CBRN-E Preparedness and Response through Standardisation The National Standards Authority of Ireland (NSAI) and the PracticE Ecosystem for StandaRdS (PEERS) project are collaboratively hosting a webinar on December 12, 2023, titled ‘Enhancing CBRN-E Preparedness and Response Capabilities through Standardisation.’ The webinar aims to showcase ongoing European CBRN-E research and standardisation efforts, specifically focusing […] The post PEERS and NSAI Webinar

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Skeptics in the Pub. Cholera. Chapter 3b.

Science Based Medicine

The novel serialization continues. Novel as in work of fiction, not unique or unusual. The post Skeptics in the Pub. Cholera. Chapter 3b. first appeared on Science-Based Medicine.

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Change: Why Healthcare Reform is More Important Than Ever

EM Ottawa

As you’ve gleaned from the title of this blog post, today we are focusing our conversation on CHANGE; with a particular emphasis on its implications in healthcare. However, before we get deep in the weeds, it’s important that we acknowledge the elephant in the room; CHANGE is HARD. I suspect that most of you reading this […] The post Change: Why Healthcare Reform is More Important Than Ever appeared first on EMOttawa Blog.

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emDOCs Podcast – Episode 90: Hypokalemic Periodic Paralysis

EMDocs

Today on the emDOCs cast with Jess Pelletier and Brit Long, we discuss a case of hypokalemic periodic paralysis. Episode 90: Hypokalemic Periodic Paralysis Case: 20-year-old Caucasian male presents with severe pain and weakness in both of his thighs with inability to walk independently that started when he woke up that morning. Normal state of health prior to this.

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Unique Bargains for Rescue Vehicles: Special Sale in Fermignano (IT)

Emergency Live

From Buses to Tracked Vehicles: Fermignano Puts Civil Defense Vehicles on Sale A Rare Opportunity to Acquire Rescue Vehicles The City of Fermignano, in an unprecedented move, has put up for sale an entire fleet of vehicles, many previously used by the local civil defense. This sale offers a unique opportunity for rescue entities, organizations […] The post Unique Bargains for Rescue Vehicles: Special Sale in Fermignano (IT) appeared first on Emergency Live.

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