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.
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.
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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.
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.
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.
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 Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
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
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.
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.
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.
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.
Emergency Live
MAY 7, 2024
Another Work Tragedy That Could and Should Have Been Avoided The Italian population is still reeling from the tragedy in Suviana, which claimed seven lives in an incident at a hydroelectric plant. But another sad event has struck the community of Casteldaccia, in Sicily (Italy). Five workers lost their lives yesterday during sewer maintenance. A […] The post Tragedy at work: 5 workers die in Casteldaccia appeared first on Emergency Live.
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.
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.
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.
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.
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.
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
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 8, 2024
The importance of a life-saving tool An Automatic External Defibrillator is a life-saving device that can deliver an electric shock in the event of a cardiac arrest. With a shock from a defibrillator, the normal heart rhythm can be restored. Using a defibrillator in combination with quality CPR can significantly increase the victim’s survival chances, […] The post Keeping your defibrillator in top condition appeared first on Emergency Live.
EMDocs
MAY 9, 2024
Here’s another case from Medical Malpractice Insights – Learning from Lawsuits , a monthly email newsletter for ED physicians. The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. To opt in to the free subscriber list, click here. Stories of med mal lawsuits can save lives.
EMergucate
MAY 5, 2024
Simulation report 1/2/24 In situ sim ED JHC Hi everyone, Thank you so much for participating and helping … Continue reading →
SCGH ED
MAY 8, 2024
Here are links to the APTC transfer dashboard and the SJA Live Dashboard: The post Inbound Patients to SCGH appeared first on Charlie's ED.
Emergency Live
MAY 9, 2024
B-prepared, a Horizon Europe project (www.b-prepared-project.eu), is committed to building a culture of citizen-centred disaster preparedness through engaging digital platforms with the support of the B-prepared co-creation group. In the wake of a significant number of recent catastrophic events, B-prepared has emerged as a beacon of hope in the quest to reduce the devastating impact […] The post Building Disaster Preparedness solutions for citizens appeared first on Emergency Live.
Ultrasound Gel
MAY 7, 2024
Creagh and Mike were invited to speak at the first ever Yale Emergency Medicine Podcast day! They join their old buddies Rachel Liu and Cian McDermott to discuss podcasting and POCUS in cardiac arrest. This is part 1 of 2. [link] Sponsor: Echonous Creagh and Mike were invited to speak at the first ever Yale Emergency Medicine Podcast day! They join their old buddies Rachel Liu and Cian McDermott to discuss podcasting and POCUS in cardiac arrest.
Pediatric Education
MAY 5, 2024
Patient Presentation A 9-year-old male came to clinic to establish care. His family had recently moved to the area. Overall he was growing and developing well. His mother was concerned as he had a “sensitive stomach” and seemed to gag and have emesis more easily than she expected. It occurred intermittently usually when he had other illness symptoms but her sister had similar problems as a child and was recently diagnosed with eosinophilic esophagitis.
The Trauma Pro
MAY 7, 2024
Any trauma performance improvement professional understands the importance of undertriage and overtriage. Overtriage occurs when a patient who does not meet trauma activation criteria gets one anyway. And undertriage is the converse, where no activation is called despite criteria being met. As you may expect, the latter is much more dangerous for the patient.
Emergency Live
MAY 9, 2024
On Tuesday, May 7th, Rescue Drones Network OdV carried out a particularly delicate operation involving the city of Viterbo. Following the discovery of a World War II explosive device weighing nearly 2000 kg, local authorities immediately took action. In this context, our Association was called upon to conduct surveillance and ensure territorial security using our […] The post New intervention for Rescue Drones Network OdV appeared first on Emergency Live.
Dr. Smith's ECG Blog
MAY 7, 2024
A 30-something presented with chest pain, palpitations, and SOB. He has had similar symptoms for 4 years, but has never been evaluated. Here is his presenting ECG, which was sent to me real time, along with the 2nd ECG below: Regular Narrow Fast without P-waves. PSVT. It is very difficult to tell if this is: 1) AVNRT or 2) orthodromic AVRT (Orthodromic AVRT = WPW with orthograde conduction down the AV node and retrograde up an accessory pathway) See Ken Grauer's discussion below in differentiati
American Medical Compliance
MAY 6, 2024
The following Recognizing and Reporting Child Abuse and Neglect Training for Healthcare Providers course educates healthcare providers on the signs of child abuse and neglect and how mandatory reporters report child abuse and neglect cases. Furthermore, knowing the signs and symptoms of abuse with your younger patients will help keep them safe and keep your healthcare staff educated on this issue.
Sensible Medicine
MAY 7, 2024
The previous post in this series covered test characteristics and other metrics (positive and negative predictive value) of diagnostic tests. It also dove a bit into clinical reasoning. This post covers receiver operator characteristic curves and common problems in diagnostic test articles: spectrum bias, work up bias, and issues with reproducibility.
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