The Trauma Pro
DECEMBER 5, 2023
Blunt cardiac injury can be an enigma. Significant injuries are uncommon, and the literature on it consists of case reports and small series. The group at Scripps La Jolla has an excellent review article on the topic that is currently in press. This post will relate some of the key points in this nicely prepared article. Use the correct nomenclature.
Science Based Medicine
DECEMBER 4, 2023
On Thursday, Steve Kirsch gave his long-hyped talk about "record-level data" from New Zealand that supposedly demonstrates that COVID-19 vaccines have killed more than 10 million people worldwide. His "analysis" of illegally obtained data from a "whistleblower" was so ridden with false assumptions and rookie errors that even some antivaxxers couldn't accept it.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Emergency Live
DECEMBER 5, 2023
A Resilient and Technological Approach for the Cities of the Future Urban crisis management requires an innovative approach, combining resilience with new technologies to improve security in large cities. Urban Resilience Urban resilience is critical for adapting to crisis situations, such as pandemics, climate change, droughts, heat waves, and floods.
The Skeptics' Guide to EM
DECEMBER 2, 2023
Reference: Shaikh N, et al. Identifying children likely to benefit from antibiotics for acute sinusitis: a randomized clinical trial. JAMA July 2023 Date: October 17, 2023 Guest Skeptic: Dr. Alasdair Munro is a clinical research fellow specializing in pediatric infectious disease at the University of Southampton. He is currently involved with clinical trials of vaccines […] The post SGEM#422: And It was all Yellow-Nasal Discharge and Antibiotics in Pediatric Sinusitis first appeared on The Skep
Dr. Smith's ECG Blog
DECEMBER 5, 2023
Acute coronary syndrome in a pediatric patient? Written by Kirsten Morrissey, MD with edits by Bracey, Grauer, Meyers, and Smith An older teen was transferred from an outside hospital with elevated serum troponin and and ECG demonstrating ST elevations. The patient was obese and had a medical history of only recurrent tonsillitis status post tonsillectomy and adenoidectomy but was otherwise healthy and fully vaccinated.
Kings County Downstate EM
DECEMBER 5, 2023
Co-authors: Taylor Murtaugh MD, Esteban Davila MD The Case A 59-year-old male with a past medical history of hypertension, hyperlipidemia, and gastroesophageal reflux disease was brought in by EMS to the ED with severe chest pain. EMS administered 324 mg of aspirin. The patient endorsed left-sided chest pain while ambulating […] The post Hypertrophic Cardiomyopathy Part 1: Chest Pain appeared first on County EM.
Emergency Live
DECEMBER 6, 2023
New Strategies and Technologies for the Effective Management of Diabetes in Critical Situations Diabetes is a chronic disease that requires careful and constant management. However, in emergency situations, such as accidents or natural disasters, diabetes management can become extremely complex. Fortunately, in recent years, new strategies and technologies have emerged that are revolutionizing the management […] The post Diabetes: from telemedicine to new drugs appeared first on Emergency
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
Science Based Medicine
DECEMBER 3, 2023
Doctors who prioritized politics over being a "neutral judge" failed to provide the best information. The post The People Can Decide the Best Policy, Only If They Have the Best Information first appeared on Science-Based Medicine.
EMDocs
DECEMBER 4, 2023
Author: Braeden D. Johnson, MD ( Community EM, Salina Regional Health Center) // Reviewed by: Joshua Lowe, MD (EM Attending Physician, USAF); Marina Boushra, MD (Cleveland Clinic Foundation, EM-CCM); Brit Long, MD (@long_brit) Case A 40-year-old woman presents to a rural emergency department (ED) with left leg pain and swelling for the past 5 days.
Emergency Live
DECEMBER 5, 2023
The benefits and challenges in the digital age: the telemedicine revolution in emergency care Telemedicine is playing an increasingly significant role in emergency care, revolutionizing the way care is delivered. The ability to conduct remote medical consultations has opened up new opportunities for faster and more efficient response to medical emergencies.
Dr. Smith's ECG Blog
DECEMBER 5, 2023
Beyond STEMI: Diagnosing Acute Coronary Occlusion on the ECG. The Queen of Hearts AI app can do it for you. With explainability too.
St. Emlyn
DECEMBER 7, 2023
St.Emlyn's - Emergency Medicine #FOAMed Here at St Emlyn’s we have often talked about decisions and decision complexity. Our belief is that one of the key attributes of the clinician who works in emergency care … JC: Prehospital transfusion decision making. St Emlyn’s Read More » The post JC: Prehospital transfusion decision making.
EMDocs
DECEMBER 6, 2023
Authors: Rachel Bridwell, MD (EM Attending Physician; Tacoma, WA); Alec Pawlukiewicz, MD (EM Attending Physician; Killeen, TX) // Reviewed by: Brit Long, MD (EM Attending Physician, San Antonio, TX) Even prior to COVID-19’s strain on emergency departments (ED), boarding has been a longstanding issue. Especially for clinicians working in EDs with limited resources and consultants, the ED workup may not provide comprehensive care, and thoughtful evaluation can improve inpatient care and aid consul
Emergency Live
DECEMBER 6, 2023
Dedication and expertise serving the community at critical times The indispensability of Volunteers Volunteers play a crucial role in emergency and disaster situations. Taking on responsibilities without expectation of material reward, more than 13 million volunteers work with the Red Cross and Red Crescent Movement, demonstrating the growing importance of volunteerism in modern society.
PEMBlog
DECEMBER 7, 2023
The Case A middle-school aged boy presents with a slightly pruritic rash that started along the side of his chest, but then soon spread to encompass several dozen similar lesions across his torso, especially his back. he has had no other symptoms, including fever or upper respiratory complaints. There are no new food, personal care product, or animal exposures.
Dr. Smith's ECG Blog
DECEMBER 7, 2023
Written by Willy Frick The OMI paradigm has taught me that any diagnosis of NSTEMI is cause for immediate evaluation. "A patient just arrived as a transfer for NSTEMI." I quickly reviewed the patient’s records and saw that she was a 53 year old woman with a history of BMI 40, but no other identifiable risk factors for coronary artery disease. Her first hsTnI at the referring facility was undetectable.
First 10 EM
DECEMBER 6, 2023
If you haven’t yet discovered the Foohey’s Figures section of First10EM, now is the time. Foohey’s Figures is run by the brilliant educator Dr. Sarah Foohey, and is dedicated to graphics that distill emergency medicine topics down to their basics. They are amazing for quick reference on shift and are easy to save to your […] The post Foohey’s Figures Updates appeared first on First10EM.
Emergency Live
DECEMBER 5, 2023
Coping with the stress and trauma of frontline work Stress and trauma in the emergency room setting Emergency room workers face not only the physical challenges of medical emergencies, but also a significant burden of emotional stress and trauma. Daily exposure to intense and traumatic situations can have a lasting impact on the mental health […] The post Mental health in emergency rooms appeared first on Emergency Live.
EM Ottawa
DECEMBER 7, 2023
Aortic Stenosis is the most common valvular heart disease in Canada. In fact, after hypertension and coronary artery disease, it is the third most common cardiovascular condition. The prevalence of valvular heart disease increases sharply with age. Approximately 1 in 10 of your patients over the age of 75 has aortic stenosis. The most common […] The post The Way is Shut: Aortic Stenosis appeared first on EMOttawa Blog.
Sensible Medicine
DECEMBER 4, 2023
Today I will tell you about a trial that delivered a positive result but will add little benefit to patients. The teaching lesson surrounds the choice of endpoint to measure. First some brief background. When I started cardiology, much research focused on improving the care of people who had myocardial infarction (MI). Post-MI care was a target because injury to the heart from an occluded coronary led to bad things—like heart failure and arrhythmias.
University of Maryland Department of Emergency Med
DECEMBER 2, 2023
A retrospective study of 2 years of data from 24 trauma centers looking at end tidal CO2 as a predictor of mortality in trauma patients found: Click to view the rest
Emergency Live
DECEMBER 5, 2023
From artificial intelligence to 3D printing, a revolutionary landscape Artificial intelligence in the service of diagnosis Advanced medical technologies are redefining the way we address health challenges. Artificial Intelligence (AI) stands out for its ability to analyze medical records, formulate treatment plans, and even develop new drugs. Companies such as Atomwise and DeepMind are already […] The post The future of medicine: innovative technologies in the service of health care appear
Science Based Medicine
DECEMBER 6, 2023
The claims of Neurocytonix are extraordinary and dubious. The post Cytotron – Magical Device Pseudoscience first appeared on Science-Based Medicine.
First 10 EM
DECEMBER 4, 2023
First10EM is wrapping up its 9th year in existence. There have been 453 blog posts to date, and I am getting very close to having written 1 million words in total, or the equivalent of 20 average length nonfiction books. (Actually, the stats don’t include static pages like the catalog of research bias, so I […] The post First10EM updates and audience survey appeared first on First10EM.
EMDocs
DECEMBER 5, 2023
Author: Phillip Groden, MD (PGY-3, Mount Sinai Emergency Medicine) // Reviewed by: Summer Chavez, DO, MPH, MPM (Attending Physician, University of Houston); Brit Long, MD (@long_brit); Alex Koyfman, MD (@EMHighAK) Policy Playbook returns to emDOCs with a concise summary of the latest developments in emergency medicine-related health policy over the summer months.
Emergency Live
DECEMBER 4, 2023
Increasing the Female Presence in the Technical and Operational Roles of the Italian Fire Service The Pioneering Entry of Women into the Fire Service In 1989, the National Fire Service in Italy saw a historic moment: the entry of the first women into the operational sector, ushering in an era of change and inclusion. Initially, […] The post Women in the Fire Service: From Early Pioneers to Distinguished Leaders appeared first on Emergency Live.
Science Based Medicine
DECEMBER 7, 2023
Is it possible to refute an infinite amount of AI-generated health misinformation? The post Misinformation is pervasive, and AI will turbocharge it first appeared on Science-Based Medicine.
EMCrit
DECEMBER 2, 2023
Retrograde, in 2023 is basically a backwards way of doing things. EMCrit Project by Scott Weingart, MD FCCM.
RebelEM
DECEMBER 5, 2023
How Long Should We Monitor After Giving IM Epinephrine for Anaphylaxis? Bottom Line Up Top: After prompt recognition and appropriate treatment with IM epinephrine, the risk of biphasic reactions are exceedingly low. There is no set observation time to monitor patients as long as their symptoms have resolved. At the time of discharge, appropriate patient education and prescriptions for IM epinephrine are essential.
Emergency Live
DECEMBER 5, 2023
Effective organization and priority criteria in medical rescue The organizational model of global triage Global triage is a professional patient assessment methodology based on a holistic approach. This organizational model involves a series of steps aimed at comprehensive patient management, beginning with the assessment at the door. This initial phase aims to immediately identify emergency […] The post Global triage: a comprehensive assessment for timely response appeared first on Emerge
EMDocs
DECEMBER 2, 2023
Author: Haley Sinatro, MD (EM Resident, UTSW); Colin Danko, MD (Assistant Professor, UTSW EM) // Reviewed by: Sophia Görgens, MD (EM Physician, Northwell, NY); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Brit Long, MD (@long_brit) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited review of clinical basics.
PulmCCM
DECEMBER 3, 2023
Induced sighs in mechanically ventilated patients (SiVent trial) In the 1960s, anesthesiologists noticed that if they gave a large breath (a “sigh”) to anesthetized patients every so often, their oxygenation improved. More seemed better, and soon all ventilated patients were getting lung-straining tidal volumes of 10-15 ml/kg. Those with persistent hypoxemia could be further topped off with recruitment maneuvers: delivering sustained PEEP of >50 cm H2O (60-70 cm H2O in obese pati
Total Medical ComplianceHIPAA
DECEMBER 7, 2023
The holiday season is a time for celebration, joy, and spreading goodwill. However, for those working in healthcare, it’s also necessary to remain cautious about protecting sensitive patient information. As festivities begin and work environments shift, here are some key tips to uphold HIPAA compliance during this joyous time. Enhance Staff Training: Offer refresher courses or workshops specifically tailored for the holiday season.
Emergency Live
DECEMBER 6, 2023
A crucial approach to managing the unpredictable Mass evacuation management is an essential component of preparedness for emergency situations. Planning an effective response to natural disasters, major accidents or other crises is critical to public safety. This article will examine some key strategies for planning for mass evacuations. Risk identification and preparation The first step […] The post Planning for mass evacuation strategies appeared first on Emergency Live.
American Medical Compliance
DECEMBER 6, 2023
Restorative nursing entails several nursing interventions that support the resident’s ability to perform at their highest level. Furthermore, the purpose of a Restorative Nursing Program (RNP) is to restore as much independence as feasible while still preventing functional loss. RNPs assist people in doing things for themselves rather than personnel conducting duties on their behalf.
ALiEM
DECEMBER 4, 2023
A 49-year-old male presented to the emergency department of an academic hospital with the chief concern of penile pain. Prior medical history is notable for end-stage renal disease on hemodialysis three times per week, but the patient has not been dialyzed in the past four days, hypertension, insulin-dependent diabetes mellitus, heart failure with reduced ejection fraction (59% two months prior), seizure disorder, prior pulmonary embolism (eight months prior), a left nephrectomy seven months ago
Total Medical ComplianceHIPAA
DECEMBER 7, 2023
HIPAA: What are prevalent healthcare scams during the holiday season? Email Phishing: Perpetrators adopt the personas of festive figures or reputable entities (e.g., charities) to entice recipients into clicking malicious links in emails. This tactic compromises personal data, including login credentials and credit card details. It is advised to verify authenticity by contacting the sender or IT support before interacting with any links.
Expert insights. Personalized for you.
259 
Let's personalize your content