Pediatric EM Morsels
AUGUST 18, 2023
When you read the Morsel on Perichonditis of the ear last week ( or perhaps the Plantar Puncture Morsel from many many many weeks ago ) you may have objected because of the mention that, when indicated, fluroquinolones are safe in children. Some of you may have thought to yourself “first the AAP allows tetracycline ( Rocky Mountain Spotted Fever ) and now they allow fluoroquinolones use in children… what next?!
The Trauma Pro
AUGUST 15, 2023
My series on the massive transfusion protocol (MTP) continues! Today, I’ll provide some tips on the logistics of your MTP. MTP logistics include details such as who will be delivering the blood, what actually goes in each cooler, what ratios should be used, limitations imposed by the use of frozen plasma, and documentation. I’ll discuss details about ratios and FFP in the next Trauma MedEd newsletter.
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Mount Sinai EM
AUGUST 13, 2023
Background Hip fractures are a very frequent presentation, even in non trauma centers. Usually affects senior patients with comorbidities, and it’s associated with high morbidity and mortality. Adequate pain control, and early surgical treatment and mobilization are the main goals of hip fracture treatment; to reduce complications including infections, DVT and delirium.
EM Ottawa
AUGUST 17, 2023
Drug rashes are fairly common, but like much of dermatology, diagnostic clarification can be hard to achieve. Here, we present a standardized approach to drug rashes in the Emergency Department. Differential Diagnosis Clinical Approach Assessment History Distribution and progression, recent exposures, new meds Physical Exam Dangerous features: abnormal vital signs; […] The post Drug Rashes appeared first on EMOttawa Blog.
PulmCCM
AUGUST 15, 2023
What is EG.5.1? Don’t worry about it. But what is it? There are many circulating strains of SARS-CoV-2; all are genomic subvariants of Omicron. EG.5.1 is one of these Omicron subvariants. You don’t need to worry about it. Can I worry about it, though? Well … EG.5.1 is the genomic subvariant of Omicron that is rising fastest as a proportion of viruses detected by genomic surveillance of wastewater.
The Trauma Pro
AUGUST 18, 2023
Let’s continue with my series on the massive transfusion protocol (MTP). I’ll continue today with information on deactivating and analyzing your MTP. Deactivation. There are two components to this: recognizing that high volume blood products are no longer needed, and communicating this with the blood bank. As bleeding comes under surgical control, and CBC and clotting parameters (and maybe TEG/ROTEM) normalize, the pace of transfusion slows, and ultimately stops.
Science Based Medicine
AUGUST 14, 2023
Last week, the Ohio State Medical Board suspended the medical license of Dr. Sherri Tenpenny, a longtime antivax quack. The only question is: What took them so long, and why did it take the pandemic for them to act? Also, is there less to this action than meets the eye? The post The Ohio State Medical Board has finally suspended the medical license of antivax quack Sherri Tenpenny first appeared on Science-Based Medicine.
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EM Literature of Note
AUGUST 18, 2023
We do love to give out opiates in the emergency department. Kidney stone? Opiates. Broken arm? Opiates. Gunshot wound? Opiates. Sore throat? Dexamethasone. And opiates. So of course we’re here with opiates for your back pain. In this modern day, we are far, far more judicious than in times of yore, back when pharma had lobbied for pain to become the “fifth vital sign” But, nonetheless, those patients who are struggling to manage despite non-opiate analgesia frequently end up wi
ACEP Now
AUGUST 15, 2023
Emergency medicine is stressful. There are charged moments of powerful highs and lows. In one shift, you may achieve return of spontaneous circulation in a college student with a massive pulmonary embolism, who will survive neurologically intact. The next shift you may feel inadequate as you realize the antibiotics you prescribe will never be picked up by your patient.
Science Based Medicine
AUGUST 18, 2023
RSV is a terrible infection that puts thousands of kids in the hospital every year and can be deadly. We will soon have a safe and effective way to prevent many of these severe cases, but it won't be easy to get shots into arms this season. The post Nirsevimab is Great News for Infants, Caregivers, and Exhausted Pediatricians first appeared on Science-Based Medicine.
First 10 EM
AUGUST 14, 2023
This is a guest post by Dr. Julia Dmytryshyn. Julia completed medical school at the University of Toronto and is now a 2nd year Family Medicine resident at the University of Toronto. She is the co-creator of the popular medical education podcast series The Vulva Diaries. Her areas of interest include emergency medicine and women’s […] The post Miscarriage (Mis)management part 1: Evaluation and Diagnosis appeared first on First10EM.
Sensible Medicine
AUGUST 14, 2023
Regular readers know the deal about medical studies. In the simplest sense, you randomize patients to two treatments. Random assignment (mostly) balances the known and unknown factors. You declare an endpoint before the experiment and then report that endpoint. There may be secondary endpoints, but the focus is always on the primary endpoint. I will first present the trial in question without any specifics.
Core Medical Group
AUGUST 18, 2023
In the fast-moving space of healthcare staffing, connecting the right professionals with critical roles requires tactfulness and expertise. With almost two years of experience to his credit, Zac has proven himself a seasoned authority in Allied healthcare recruitment.
Science Based Medicine
AUGUST 16, 2023
Heat related deaths are on the rise. What can we expect? The post Heat A Growing Public Health Problem first appeared on Science-Based Medicine.
Emergency Live
AUGUST 14, 2023
The Valsalva manoeuvre (MV), named after the physician Antonio Maria Valsalva, is a forced compensation manoeuvre of the middle ear, mainly used in medicine, especially in the field of cardiology, but also in the field of diving The post Semeiotics of heart failure: the Valsalva Manoeuvre (tachycardia and vagus nerve) appeared first on Emergency Live.
EMDocs
AUGUST 15, 2023
Authors: Sean Trostel, MD (EM Resident Physician, Carolinas Medical Center, Charlotte, NC); Kathryn T Kopec, DO (@KopecToxEM, EM Attending Physician, Medical Toxicologist, Carolinas Medical Center, Charlotte, NC) // Reviewed by: James Dazhe Cao, MD (@JamesCaoMD, Associate Professor of EM, Medical Toxicology, UT Southwestern Medical Center, Dallas, TX); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case: A 2-year-old boy was transferred to your Emergency Department (ED) with severe pai
PDC Healthcare
AUGUST 17, 2023
Key Takeaways from a Recent Pharmacy Survey PDC surveyed 6,400 Hospital Pharmacy Managers and Directors to get feedback on their priorities and challenges. Below we explore the results and key takeaways of the PDC survey, along with some helpful tips for pharmacy professionals. Top Concerns Among Hospital Pharmacists The top concerns identified by pharmacists were […] The post Inside Look at What’s Keeping Hospital Pharmacists Up at Night appeared first on connectID - PDC Healthcare Blog.
Science Based Medicine
AUGUST 15, 2023
Denying reality and substituting his own worked for Adam Savage. Not so much as an approach to COVID. The post I Reject Your Medical Reality and I Substitute Death first appeared on Science-Based Medicine.
Emergency Live
AUGUST 18, 2023
Let's talk about cardiac arrhythmia. The heart is a muscle whose basic task is to circulate blood throughout the body The post Cardiac arrhythmia: causes, symptoms, diagnosis and treatment appeared first on Emergency Live.
Sensible Medicine
AUGUST 15, 2023
Dr. Ostacher and I last wrote together on Sensible Medicine asking why we treat Zoloft and Ritalin so differently ? It is a pleasure to collaborate with him again. We here at Sensible Medicine are a bit obsessed with the seven deadly sins. We first reworked them in our discussion of churnalism. Here we suggest that, thanks to pharma, maybe the sins are not that deadly anymore.
EMDocs
AUGUST 12, 2023
Authors: Jacob Kirkland, MD (EM Resident Physician, UTSW – Dallas, TX); Steve Field, DO (Assistant Professor of EM/Attending Physician, UTSW – 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) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited review of clinical basics.
Science Based Medicine
AUGUST 17, 2023
A new paper documents COVID-19 medical misinformation shared by US physicians on social media The post Examining COVID-19 misinformation propagated by US physicians first appeared on Science-Based Medicine.
RebelEM
AUGUST 16, 2023
Take Home Points REBEL Core Cast 106.0 – Nerve Block Basics Click here for Direct Download of the Podcast Resources REBEL EM: Local Anesthetic Systemic Toxicity Sono in Staten Blog: [link] Core Ultrasound: [link] POCUS Atlas: [link] Highland Ultrasound : [link] Post Created By: Billy Caputo MD Post Peer Reviewed By: Anand Swaminathan MD, MPH (Twitter @EMSwami ) The post REBEL Core Cast 106.0 – Nerve Block Basics appeared first on REBEL EM - Emergency Medicine Blog.
University of Maryland Department of Emergency Med
AUGUST 18, 2023
Splenic injury treatment depends on the grade of injury. In general, grades 1 and 2 are non-operatively managed. Grades 4 and.
ALiEM
AUGUST 18, 2023
A middle-aged man with a past medical history of hypertension and tobacco use disorder presented to the Emergency Department after evaluation by an ophthalmologist. He complained of ten days of a right-sided headache and three days of diplopia. He denied eye pain, pain with eye movements, photophobia, and vision loss. Physical Exam Vitals : Temp 98.4 °F (36.9 °C); BP 122/72; Pulse 90; Resp 16; SpO2 100% Neuro : Ptosis, “down and out” deviation and pupil dilation of the right eye were noted.
Intensive Blog
AUGUST 17, 2023
Everything ECMO 046: Bleeding and ECMO Author: Dr Zoe Guo Peer reviewers: Dr Paddy Joyce The bedside nurse alerts you to a new haemoglobin drop from 90 to 70g/L for a patient who is day 3 on V-A ECMO post cardiac arrest. You suspect a bleeding complication. Q1. How common is a bleeding complication during an ECMO run? Show answer Clinical overt bleeding is the most common complication of ECMO, affecting nearly 60% of patients during ECMO treatment.
Emergency Live
AUGUST 16, 2023
Pemphigus is an autoimmune bullous dermatosis of the skin and mucous membranes characterised by disruption of the cell adhesion mechanisms of the epidermis, particularly the desmosomes The post Pemphigus: causes, symptoms, diagnosis and treatment appeared first on Emergency Live.
University of Maryland Department of Emergency Med
AUGUST 18, 2023
In a study looking at 80 blunt trauma patients that died within 1 hour of arrival to a trauma center who underwent a noncontrast post mortem CT.
NRC Health
AUGUST 17, 2023
The whole goal of my art is that when you come up and actually take the time to look and understand, you can find more details. The post HUB23: Jayce Hall’s art Inspires people to look closer, listen more appeared first on NRC Health.
RebelEM
AUGUST 17, 2023
A 24-year-old woman presents to the emergency department with persistent severe pain in her right thigh following a direct blow during a soccer match 2 weeks ago. She is participating in an important tournament, so she has been attempting to continue playing. However, she reports difficulty and pain with walking and feels a hard lump in the affected area.
Emergency Live
AUGUST 17, 2023
Cerebral palsy is one of the neurological disorders and mainly affects the motor skills of the child The post Cerebral palsy: what it is and what causes it appeared first on Emergency Live.
University of Maryland Department of Emergency Med
AUGUST 18, 2023
The authors of this paper suggest the following changes, supported by evidence, to the management of traumatic cardiac arrest: 1. &nbs.
American Medical Compliance
AUGUST 16, 2023
HHS Office for Civil Rights and the Federal Trade Commission warn of healthcare cybersecurity risks posed by telehealth and hospital systems. This government commission has illuminated the concerning issue of online tracking technologies in hospital systems and telehealth providers. They point to the warning, highlighting the potential risks, concerns, and recommended solutions.
ALiEM
AUGUST 16, 2023
Exposure to which of the following could produce the pictured results? Carbon monoxide Lead paint Morphine Oral analgesic gel Reveal the Answer 4 – Oral analgesic gel Oral analgesic gel contains benzocaine, which is an oxidizing agent and a common cause of methemoglobinemia. The pictured cyanosis and classic “chocolate” blood are seen with this condition.
EMergucate
AUGUST 15, 2023
Comparison of intravenous paracetamol (acetaminophen) to intravenously or intramuscularly administered non-steroidal anti-inflammatory drugs( NSAIDs) or opioids for patients presenting with … Continue reading →
Emergency Live
AUGUST 15, 2023
The term 'appendicitis' (in English 'appendicitis') refers in the medical field to the inflammation - acute or chronic - of the vermiform appendix (also called the caecal appendix or just the 'appendix'), i.e. the tubular formation forming part of the large intestine (more precisely its proximal segment, called the 'cecum') The post Acute and chronic appendicitis: causes, symptoms, diagnosis and treatment appeared first on Emergency Live.
AED Leader
AUGUST 15, 2023
We’re all familiar with the risks of too much added sugar for your dental health and silhouette, but is sugar bad for your heart too? The natural sugars found in fruit and milk are healthy and don’t pose a problem for your heart. However, “added” sugars affect heart health and the risk increases the more you consume. An umbrella review published in BMJ in 2023 revealed that dietary sugar consumption is associated with 10 cardiovascular outcomes, a greater risk of coronary artery disease, a
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