EMDocs
OCTOBER 3, 2023
Today on the emDOCs cast, we have a guest piece by Rob Orman, MD. Emergency Physician and founder of Orman Physician Coaching Host of the Stimulus Podcast Learn more at roborman.com If you want to hear the coaching session where Brit and Rob deconstructed his shift and came up with this strategy, it’s here. Episode 87: Conquering Mid-Shift Overwhelm Mid-shift in an emergency department is a special beast.
The Trauma Pro
OCTOBER 3, 2023
Back braces have always confused me. There are so many types: TLSO, LSO, backpack, extension, and even the lowly abdominal binder can function as a brace. And I have never been able to predict which brace my spine colleagues accurately would prescribe for a specific condition or injury. Many vertebral fractures can be treated non-operatively. And it seems intuitive that there would be some benefit from splinting the spine to limit the range of motion to enhance healing.
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Pediatric EM Morsels
OCTOBER 6, 2023
Post-COVID everyone seems to be posting the perfect picture of their travels to the far reaches of the world. While this is an exciting change, it allows transmission of illness to countries where they are not endemic. Recently, a pediatric patient presented to the ED who just returned from abroad with a gastroenteritis presentation. In addition to my passion for PEM, I also share a passion for global health.
Mount Sinai EM
OCTOBER 5, 2023
Let’s talk about mandible dislocations & how we can reduce them. First, we need to take a look at the mandible anatomy – can refer back to this as we discuss mandible dislocation: So how does the mandible dislocate (also called temporomandibular joint dislocation)? Causes: Lateral dislocation Anterior dislocation Often due to trauma – direct blow Can break condylar neck w/ dislocation Lateral dislocations often w/ fracture Check for loose or missing teeth!
Science Based Medicine
OCTOBER 2, 2023
A prominent oncologist and cancer biologist, Wafik El-Deiry, recently amplified claims that COVID-19 vaccines cause "turbo cancer," wanting a "civil discourse about science and actual answers that are missing." Unfortunately, calls for "civil discourse" by an eminent oncologist about unfounded claims only lends undeserved credibility to them. So, once more into the fray.
The Trauma Pro
OCTOBER 6, 2023
Back in the day, the only way to fix a broken thoracic aorta was via left thoracotomy. This was a big procedure, with the possibility of several major complications, with postop paraplegia being one of them. At the time, there was a debate about whether the procedure should be done immediately versus waiting until the patient was well-resuscitated.
EM Ottawa
OCTOBER 5, 2023
Do you remember when every newborn under 30 days with a fever needed an LP/admission/blood cultures? Well. times are a little different but its nuanced. The goal of this update is to provide a practical update in pediatric emergency medicine to the average Canadian adult or community emergency clinician. We will review the following three […] The post Little People, Big Updates: Updates in Pediatric Emergency Medicine appeared first on EMOttawa Blog.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
Science Based Medicine
OCTOBER 1, 2023
Overselling the vaccine in 2021 was not being pro-vaccine. It was pro-stop-worrying-about-the pandemic, from the doctors who assured us herd immunity was imminent. The post Overhyping Vaccines Wasn’t Pro-Vaccine. It Was Pro-Stop-Worrying-About-COVID. first appeared on Science-Based Medicine.
Dr. Smith's ECG Blog
OCTOBER 1, 2023
This is a re-post of an excellent case from 2021. See it again now, along with our new Queen of Hearts functionality. We've come a long way in 2 years! And the pace only quickens. A man in his mid 60s with history of CAD and stents experienced sudden onset epigastric abdominal pain radiating up into his chest at home, waking him from sleep. He called EMS who brought him to the ED.
Don't Forget the Bubbles
OCTOBER 4, 2023
Can’t get enough of Bubble Wrap? The Bubble Wrap Plus is a monthly paediatric Journal Club reading list from Professor Jaan Toelen (University Hospitals Leuven) and Dr Anke Raaijmakers (Sydney Children’s Hospital). This comprehensive list is developed from 34 journals, including major and subspecialty paediatric journals. We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research.
Total Medical ComplianceHIPAA
OCTOBER 6, 2023
Modern healthcare has evolved dramatically with the integration of technology. While digitization has indeed elevated patient care and broadened its accessibility, it has also brought along challenges, primarily concerning privacy and security. A significant part of this conversation involves the use of communication tools like video conferencing and their compliance with HIPAA.
Science Based Medicine
OCTOBER 4, 2023
The work of Katalin Karikó and Drew Weissman made possible the mRNA vaccines, with implications that go beyond this one application. The post Nobel for Medicine Goes To mRNA Vaccine Science first appeared on Science-Based Medicine.
ACEP Now
OCTOBER 4, 2023
Exploring Unique Careers in Emergency Medicine Dr. Liz Clayborne didn’t set out to become an entrepreneur. She had her mind set on academic emergency medicine, with specific interests in health policy, medical ethics, and health disparities. The spark that ignited her entrepreneurial journey was a common problem when she was an EM resident at George Washington University: nosebleeds.
Sensible Medicine
OCTOBER 2, 2023
This is a story about a common practice that bothers me. The example I will use involves the treatment of patients who have multiple coronary lesions. The two choices are placing multiple stents or having coronary bypass surgery. More on the specifics in a moment. The general concept is how trials measure, report and interpret outcomes. Before any experiment, choices have to be made about which outcome(s) to measure.
AENJ: Current Issue
SEPTEMBER 30, 2023
This article reviews the results of a randomized controlled trial, “Rapid Agitation Control with Ketamine in the Emergency Department: A Blinded, Randomized Controlled Trial” by D. Barbic et al. (2021), comparing time to sedation, level of sedation, and adverse outcomes between intramuscular ketamine versus intramuscular midazolam and haloperidol among acutely agitated patients presenting to the emergency department (ED).
Science Based Medicine
OCTOBER 6, 2023
One thing I've learned during the past few years, is how quickly scenes of mass death fade from the collective memory. Denial is powerful. Everyone just wants to forget. There's no national day of mourning or any memorial to the countless victims of previous vaccine-mandates. It seems that humanity's sad fate is that every generation is doomed to repeat the mistakes of the past.
ACEP Now
OCTOBER 3, 2023
In April 2023, the third edition of the Brain Trauma Foundation’s evidence-based guidelines for the prehospital management of traumatic brain injury (TBI) was published in Prehospital Emergency Care. 1 The practice guidelines were written by a multi-disciplinary group of experts and went through an extensive peer review process. This document is an update of guidelines first published in 2000, and then updated in 2007.
EM Literature of Note
OCTOBER 1, 2023
And, most importantly, if you put the symptoms related to your fever into ChatGPT, it will generate a reasonable differential diagnosis. “So?” This brief report in Annals describes a retrospective experiment in which 30 written case summaries lifted from the electronic documentation system were fed to either clinician teams or ChatGPT. The clinician teams (either an internal medicine or emergency medicine resident, plus a supervising specialist) and ChatGPT were asked to generate a &
AENJ: Current Issue
SEPTEMBER 30, 2023
Tick-borne diseases occur throughout the United States, with a disease burden that ranges from mild to severe. As temperatures rise with climate change, the active season for ticks increases, and more tick-borne illness is seen (Centers for Disease Control and Prevention, 2022a). Many patients present to the ED for suspected tick bites, rashes, and generalized medical complaints that may be related to a tick-borne disease, so it is important for the emergency nurse practitioner (ENP) to accurate
Sensible Medicine
OCTOBER 6, 2023
SS was a 78-year-old man whose chief concern was simply, “I am dying.” During three visits to his home, I was unable to find anything concerning, or to reassure him that his health was good, or to convince him to come to the office for a more traditional evaluation. Four weeks after our last visit, his wife called me to let me know that he had died in his sleep.
Emergency Live
OCTOBER 5, 2023
Olmedo presents several innovations for the safety of rescuers at REAS 2023 The company from Reggio Emilia, with its seventy-two years of experience in the production of ambulances and special vehicles, marked by continuous growth, both group and technological, presents itself at REAS 2023, with a surprise waiting to be discovered, an innovative project, created, […] The post Olmedo, a new chapter in a story of growth and innovation at REAS 2023 appeared first on Emergency Live.
Core Medical Group
OCTOBER 6, 2023
This week, we're thrilled to introduce Danielle, a seasoned travel nurse recruiter with over five and a half years of experience in Core's travel nurse division. When she's not hard at work, you can find her at the barn, horseback riding with her cherished companion, Chauncey! She also loves cherishing valuable moments with her family and two adorable pups, Sadie and Stanley.
AENJ: Current Issue
SEPTEMBER 30, 2023
Pressure injuries (PIs) are an important quality and patient safety metric for health care organizations. PI monitoring and treatment are often overlooked in the emergency department (ED). Emergency care professionals must be proactive about PI early identification and prevention strategies. A team at a Level 1 trauma center recognized the need for ED-friendly documentation and a validated ED skin risk assessment instrument.
First 10 EM
OCTOBER 2, 2023
Although I think we all now recognize the fundamental importance of social determinants of health, I don’t think emergency medicine has found a way to adequately integrate this into our care. That is a shame, considering the huge amount of effort we put into things like tetanus shots or TXA therapy that have tiny (or […] The post Unconditional cash transfers to reduce homelessness?
Emergency Live
OCTOBER 3, 2023
Conscious Driving, Love for the Environment and Helping People: The Mission of the UISP Motorsports Instructors at REAS 2023 The world of off-roading is often associated with rough tracks, high-adrenaline adventures and, above all, a deep affinity and respect for nature and the surrounding environment. UISP Motorsports Instructors, a central figure in this universe of […] The post UISP: Responsible and Sustainable Driving for the Off-Roaders of the Future appeared first on Emergency Live.
EM Updates
OCTOBER 1, 2023
Alcohol withdrawal syndrome is unpredictable so managing AWS with scheduled meds invariably leads to under or over-treatment. CIWA-Ar is the best known severity scale but is lengthy and sometimes challenging to use so many alternatives have been developed. It probably doesn’t matter which scale is used–the benefit of symptom-based treatment over scheduled treatment arises not from the scoring tool but from the frequent reassessments.
AENJ: Current Issue
SEPTEMBER 30, 2023
Re-expansion pulmonary edema (RPE) after chest drain insertion is rare. The objective of this clinical case report is to highlight the importance of this chest drain insertion complication. A 35-year-old man presented to the emergency department with a chief complaint of shortness of breath and pleuritic chest pain. Further physical examination and radiographic investigations showed a left-sided hemipneumothorax.
Taming the SRU
OCTOBER 1, 2023
There are many different types of pneumothorax (PTX), and the management paradigm has shifted in recent years as the research has exploded on this topic. This topic is additionally complicated by the development of multiple diagnostic tools now available for diagnosis as well as variable sizing algorithms used around the world. Institutional resources and specialty services may further dictate the management of PTX.
Emergency Live
OCTOBER 4, 2023
Croce Verde Pinerolo: a party to celebrate more than a century of solidarity On Sunday 1 October, in Piazza San Donato, in front of Pinerolo Cathedral, the Pinerolo Green Cross celebrated its 110th anniversary of foundation with great enthusiasm and solemnity. The celebration was a moment of great significance not only for the association itself […] The post Croce Verde of Pinerolo Celebrates 110 Years of Impeccable Service appeared first on Emergency Live.
Sensible Medicine
SEPTEMBER 30, 2023
I recently got back from Copenhagen, where, in a series of 3 talks, I explored the themes of the book Malignant: How Bad Policy and Bad Evidence Harm People with Cancer. What are those lessons, and why do they matter? (Pictured with Marco Donia, MD Herlev Hospital Copenhagen) We need cancer that drugs that extend survival, and not merely change the appearance of tumors on CT scans Images on CT scans (e.g.
ALiEM
OCTOBER 2, 2023
A 6-year-old male presented to the pediatric emergency department (PED) for scalp lesions. He was seen by his pediatrician 2 weeks prior and prescribed antibiotics and a delousing shampoo for suspected cellulitis versus lice infestation. Symptoms did not improve despite completion of treatment. An outpatient ultrasound was performed showing “multiple scalp echogenic nodular lesions measuring from 0.5 cm to 1.2 cm in the long axis diameter.
Taming the SRU
OCTOBER 5, 2023
morbidity and mortality - quality improvement - research grand rounds - r1 clinical knowledge: pres/rcvs - r4 case follow-up: compartment syndrome Morbidity and Mortality WITH dr. finney Takotsubo Cardiomyopathy with COVID-19 Increasing incidence of Takotsubo Cardiomyopathy with the COVID-19 pandemic Morbidity and mortality is similar to that of ACS Diagnosis requires findings on U/S and EKG +/- troponin w/o significant obstructive CAD and the absence of other mimicking diagnoses Treatment is su
Emergency Live
OCTOBER 5, 2023
Mariani Fratelli, the SMART AMBULANCE, at REAS 2023 with a new technical gem The Pistoia-based company, a historic brand in the Italian market, always known for excellence in technical thinking and craftsmanship, presents the latest engineering masterpiece by Mauro Massai (CEO) and his team at the Montichiari exhibition: the SMART AMBULANCE The always gracious Eng. […] The post Mariani Fratelli presents the SMART AMBULANCE, the ambulance of the future appeared first on Emergency Live.
Sensible Medicine
OCTOBER 5, 2023
Angela Lu is training to be a physician. She’s interested in public policy. As a third year medical student, she teamed up with established leaders to ask a unique question regarding public disclosure of financial relationships. When the Centers for Medicare & Medicaid Services (CMS) issues National Coverage Determinations (NCDs) for services or products, they mean business.
Emergency Medicine News
SEPTEMBER 30, 2023
An abstract is unavailable.
AENJ: Current Issue
SEPTEMBER 30, 2023
Patients with headaches who present to the emergency department (ED) need prompt pain management. Headaches are a common complaint in the ED. Urgent evaluation is critical to assess for life-threatening headache causes. Once the causes of secondary headaches are ruled out, various pain control modalities for primary headaches can be used. This article and case will illustrate the treatment of primary headaches using battlefield acupuncture (BFA) as it is effective, minimally invasive, and has mi
Emergency Live
OCTOBER 3, 2023
An educational and entertaining experience that strengthened the bond between man and animal When I first heard about SICS (Scuola Italiana Cani Salvataggio) I could never have imagined how much this experience would give me. I cannot thank SICS enough for all the moments of sharing, the emotions, the smiles, the happiness and the pride […] The post SICS: Life-changing training appeared first on Emergency Live.
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