The Trauma Pro
MAY 3, 2024
In the previous post in this series, I described an early review article summarizing several older studies comparing these two hemorrhage control techniques for pelvic fractures. Today, I’ll review another paper fresh off the press, published just this month. This paper comes from the orthopedics and neurosurgical groups at the University of Texas-San Antonio.
Science Based Medicine
MAY 6, 2024
A poorly framed article on people who believe that COVID-19 vaccines injured them is being trumpeted by antivaxxerst. Where the New York Times and its reporter Apoorva Mandavilli go wrong? The post A poorly framed article on COVID-19 vaccine injury in the New York Times first appeared on Science-Based Medicine.
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EB Medicine
MAY 1, 2024
In this episode, Sam Ashoo, MD and T.R. Eckler, MD interview Reuben J. Strayer, MD, author of the May 2024 Emergency Medicine Practice article, Current Concepts in Ketamine Therapy in the Emergency Department Diving Into Ketamine Use in Emergency Medicine Understanding Ketamine: From Origins to Emergency Use Exploring the Ketamine Brain Continuum Ketamine Dosing and Administration Techniques Combining Ketamine with Neuroleptic Medications Practical Approaches to Ketamine for Pain Management In
Dr. Smith's ECG Blog
MAY 5, 2024
An undergraduate (not yet in medical school) who works as an ED technician (records all EKGs, helps with procedures, takes vital signs) and who reads this blog regularly arrived at work and happened to glance down and see this previously recorded ECG on a table in the ED. It was recorded at 0530: What do you think? The young ED tech immediately suspected LAD OMI.
Sensible Medicine
MAY 6, 2024
A treatment to reduce stroke is tested in a clinical trial. In the treatment group, 2.3% of patients had a stroke vs 2.9% in the control arm. The question that everyone wants to know is whether this -0.6% difference is signal or noise. For this, we look to the 95% confidence intervals. In the PROTECTED TAVR trial, the confidence intervals went from -1.7% (a lower stroke rate) to 0.5% (a higher rate of stroke).
St. Emlyn
MAY 4, 2024
St.Emlyn's - Emergency Medicine #FOAMed Our rapid round up of the RCEM CPD conference in Newport 2024. Talks on trauma, paediatrics, policy, education and more @rcollem @stemlyns #FOAMEd The post RCEM CPD conference 2024 review. St Emlyn’s first appeared on St.Emlyn's. The post RCEM CPD conference 2024 review. St Emlyn’s appeared first on St.Emlyn's.
Emergency Live
MAY 2, 2024
From time-saving innovation to safety risk, the evolution of the fire pole in Fire Departments Origins and Function of the Fire Pole The firefighter’s pole, technically termed the “fire pole“, is a tool associated with the profession and was invented in 1878 by David Kenyon in Chicago to help Firefighters reach emergencies more quickly.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
EMDocs
MAY 4, 2024
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: Emergent Cath Lab Activations with “Normal” Computer ECG Interpretations Spoon Feed A significant minority of code STEMI patients have an initial normal computer ECG interpretation.
ALiEM
MAY 6, 2024
It has been 3 years since the 8-week, self-guided Bridge to Emergency Medicine (EM) curriculum was launched to help graduating medical students prepare for EM residency. The curriculum has been viewed over 43,000 times and we have awarded over 5,000 ALiEMU course certificates. It is now a part of many residency programs’ intern boot camp. Launching the 2nd edition of Bridge to EM (2024) We are thrilled to announce that we launching the second edition of the curriculum.
Don't Forget the Bubbles
MAY 6, 2024
With millions of journal articles published yearly, it is impossible to keep up. Our team has scoured the literature, so you don’t have to—or it might spark an interest in reading the full article. This time, the PEM MSc team from QMUL, in association with DFTB, are taking over…. If you or your team are interested in an individual or joint review, please contact Dr.
NRC Health
MAY 8, 2024
Discover how clinical access impacts patient experience from the team at Children’s Mercy Kansas City. The post Exploring the partnership between clinical access and patient experience appeared first on NRC Health.
Emergency Live
MAY 2, 2024
An innovation in the medical field that transforms emergency response and healthcare When we think of ambulances, the classic van-shaped vehicle typically comes to mind. However, there’s one much larger, the size of a bus. It’s the world’s largest ambulance, a groundbreaking project in the field of emergency healthcare, developed and deployed by the Dubai […] The post In Dubai, one of the world's largest ambulances appeared first on Emergency Live.
Science Based Medicine
MAY 1, 2024
Kava is an herbal supplement used mainly for its calming psychoactive effects. It is a traditional drink in Oceania that has been used for centuries. It has also been linked to liver toxicity and cases of liver failure and even death. However, the liver toxicity of kava is extremely controversial – this controversy, however, reflects the various narratives that we see surrounding […] The post Kava and Liver Damage first appeared on Science-Based Medicine.
First 10 EM
MAY 6, 2024
Years ago, this started as the “articles of the month” and was truly a monthly undertaking. In order to become more regular with the BroomeDocs podcast, I am going to try once again to make this a monthly endeavor, although that might mean fewer articles in each edition. For the people who skip right to […] The post Research Roundup and BroomeDocs Podcast (May 2024) appeared first on First10EM.
EM Ottawa
MAY 6, 2024
Methodology: 4/5 Usefulness: 3/5 Zi W, et al. N Engl J Med. 2023 Jun 1;388(22):2025-2036. Editorial: Expanding Treatment for Acute Ischemic Stroke beyond Revascularization. Question and Methods: This multi-centre, triple-blind, double dummy RCT in China aimed to evaluate the functional outcomes and safety of intravenous tirofiban as compared to aspirin in moderate to severe strokes […] The post Tirofiban for Stroke without Large or Medium-Sized Vessel Occlusion appeared first on EMOttawa
Sensible Medicine
MAY 1, 2024
If RCTs are the most useful study design, and articles about case control studies are my favorite to read, the use and interpretation of diagnostic tests and the articles that define test characteristics are my favorite to think about, talk about, and teach. I think this is because diagnosis is so core to what a general internist brings to health care.
Thinking Critical Care
MAY 3, 2024
Had the honour of being invited to give grand rounds by Dr. Paul Mayo and share some thoughts on fluid tolerance and venous congestion. Starts around the 17min mark – sorry I have no editing capabilities!
Emergency Live
MAY 2, 2024
Exploring the Importance of ESR in Diagnosing Inflammatory Conditions What is ESR? The erythrocyte sedimentation rate (ESR) test is a blood test. It detects inflammation in the body. It checks the rate at which red blood cells fall in a tube filled with blood over an hour. The test is nonspecific, but it tells us […] The post Erythrocyte sedimentation rate (ESR): A fundamental test appeared first on Emergency Live.
Don't Forget the Bubbles
MAY 8, 2024
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.
Science Based Medicine
MAY 8, 2024
Remember back in 1997, the Pokemon seizure episode? Hundreds of children reported symptoms, including seizures, after watching a specific episode of the Pokemon cartoon that includes a sequence of flashing alternating red and blue lights. The press reported the episode at face value, attributing the reaction to a known phenomenon of photosensitive epilepsy.
EM Ottawa
MAY 2, 2024
In the pursuit of holistic health and wellness, individuals often turn to naturopathy as a beacon of alternative medicine, seeking relief and healing outside the realm of conventional treatments. Yet, amidst the allure of natural remedies and lifestyle adjustments, there is a concerning degree of possible iatrogenic harm. This post seeks to address the use […] The post Tonics, Tinctures and Toxicology: Naturopathy appeared first on EMOttawa Blog.
Life in the Fast Lane
MAY 7, 2024
Sheralyn Guilleminot and Mike Cadogan What Are the Best AI Detectors? We investigated to see which tools are the best detectors of artificial intelligence in medical writing. One tool was the clear winner, while others clearly struggled with accuracy!
American Medical Compliance
MAY 7, 2024
The following Dementia Patient and Caregiver Needs Training for Healthcare Providers course educates healthcare providers on working with caregivers to support dementia patients. Informal, or unpaid, caregivers provide nearly 85% of all care offered to older individuals. Because of this, it is extremely important for healthcare providers and caregivers to be allies and provide the best quality care to the dementia patient in their lives.
Emergency Live
MAY 3, 2024
Baden-Württemberg State Firefighters School Acquires Atego with Allison Fully Automatic Transmission for Training Fleet The Landesfeuerwehrschule Baden-Württemberg, the state firefighter training center, has procured six new rescue firefighting vehicles on a Mercedes Atego chassis for fire department manager driver training. All six vehicles, equipped with Allison 3000 Series™ fully automatic transmissions, entered service in October […] The post Allison for Firefighter Training in Germany
NRC Health
MAY 1, 2024
As the healthcare industry engages more with AI and technological solutions, measuring whether it advances Human Understanding, the gold standard for patient experience care, is imperative. The post Exploring AI and tech to enhance the patient experience appeared first on NRC Health.
Science Based Medicine
MAY 7, 2024
Perhaps if sheltered doctors cared more about health inequities, they wouldn't have treated a dangerous virus as nothing more than topic for an abstract, salon-style debate. The post Dr. Jeffrey Flier: Those Who Express Different Views on Health Equity Should Be Demonized, Not Heard first appeared on Science-Based Medicine.
SCGH ED
MAY 6, 2024
Here are the updated basic fracture management guidelines for SCGH ED. A big thank you to Nuria for all her efforts. Upper Limb: All Quick Reference: Clavicle / Upper Arm / Forearm: Elbow: Wrist: Hand: Lower Limb: Base of 5th Metatarsal Fracture – Patient Information Handout 01/2018 Date implemented – 04/2024Review date – nil plannedAuthor […] The post Basic Fracture Management Guidelines 04/2024 appeared first on Charlie's ED.
Kings County Downstate EM
MAY 6, 2024
Author: Shane Solger, MDEditor: Philippe Ayres, MD Case:A 5-year-old girl is brought to a Vermont Ski Clinic by her parents due to a two-week history of right knee pain with associated swelling. Despite a slight limp, the child has been able to walk and is otherwise acting like herself. The parents […] The post Out of the Woods and into the Lyme-light: Lyme Arthritis appeared first on County EM.
American Medical Compliance
MAY 7, 2024
The following FDA Report for Safer Medical Products for Healthcare Providers educates healthcare providers (HCP) on how to report medical device malfunctions, serious injuries, or deaths associated with medical devices to the FDA. Since December 13, 1984, the FDA Medical Device Reporting (MDR) regulations have obliged companies that have received complaints about device malfunctions, significant injuries, or deaths caused by medical devices to notify the FDA.
Emergency Live
MAY 2, 2024
Let’s discover what viruses are and how they impact life on Earth What is a Virus? A virus is a small infectious agent. It can only grow inside living cells of organisms like animals, plants, and bacteria. Although they are small, viruses are everywhere on our planet. They are the most abundant biological entities. Viruses […] The post The Mysterious World of Viruses appeared first on Emergency Live.
PEMBlog
MAY 6, 2024
Simple febrile seizures are scary for parents – but all that is really needed is reassurance and education. Lyrics Febrile seizures, you’re warm and you’re shaking Not like a teen who’s convulsing and faking The fever spikes, unconscious and stiff tonic and clonic it’s over in a jiff Simple febrile seizures they may seem scary, Parents are trembling worried and wary they’re self limited and stop on their own all you need is reassurance and discharge home This
EMergucate
MAY 6, 2024
The following ECG is from a 46-year-old male with an hour of chest pain. He has a background of hypertension, morbid obesity and is a heavy smoker. Interpret the ECG.
SCGH ED
MAY 6, 2024
Here are the basic dislocation management guidelines. Thankyou Nuria for all your efforts. Date implemented – 04/2024Review date – nil plannedAuthor – Nuria O’Mahony (Nurse Practitioner) in consultation with SCGH Orthopaedic Dept and the SCGH ED Advanced Scope Physiotherapists The post Dislocation Management 04/2024 appeared first on Charlie's ED.
Board Bombs
MAY 5, 2024
There are a lot of words associated with neonates. lethargic and bloody-stool should never be two of them. Let's cover this classic neonatal emergency diagnosis you can NEVER miss Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here. Cite this podcast as: Briggs, Blake; Husain, Iltifat. 221.
JournalFeed
MAY 4, 2024
The JournalFeed podcast for the week of April 29 - May 3, 2024. These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. Monday Spoon Feed : The HOT-COVID RCT found that hypoxemic COVID-19 patients in the ICU benefitted from a lower oxygenation target (PaO2 60 mm Hg) by having more days without life support than those who had a higher oxygenation target (PaO2 goal 90 mm Hg).
Emergency Live
MAY 2, 2024
Italian Red Cross, Tanzania emergency: 10,000 families affected. Valastro: “The emergency is spreading. CRI team on the ground. Fundraising campaign open” The incessant rains of the past weeks and the resulting floods have caused the death of 58 people in Tanzania. Seven regions are currently submerged in an emergency that affects 10,000 families, totaling around […] The post Italian Red Cross: open fundraiser for Tanzania appeared first on Emergency Live.
PulmCCM
MAY 3, 2024
Bougies (flexible tracheal tube introducers) are commonly used to facilitate endotracheal intubation, especially when the vocal cords and glottis are poorly seen. Their effectiveness and benefits may seem obvious to airway experts, but there has been limited evidence to support their use or best define the situations in which bougies are most helpful. von Hellmann et al conducted a meta-analysis of 18 studies, including 12 randomized trials testing the use of bougies in emergent (9 studies, 8,07
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