Sensible Medicine

MARCH 17, 2025

When a doctor does an angiogram during an ST-elevation MI (STEMI), there is a culprit occlusion but often other partial occlusions. The question is: should the doctor stent just the culprit obstruction or all the obstructions? This is a controversial topic in cardiology—not only to sort out the best way to handle STEMI, but more so about how it informs the nature of stable CAD.

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Science Based Medicine

MARCH 17, 2025

Even as quacks and antivaxxers take over our federal government's health apparatus, let's not forget why we need stronger, not laxer, regulation of "unconventional" medical practices. The post Quackery (still) kills: A five-year-old boy dies in a hyperbaric oxygen chamber first appeared on Science-Based Medicine.

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Dr. Smith's ECG Blog

MARCH 17, 2025

Written by Willy Frick A man in his 60s with a history of hypertension and 40 pack-year history presented to the ER with 1 day of intermittent, burning substernal chest pain radiating into both arms as well as his back and jaw. It has been stuttering, lasting 10 minutes at a time with associated diaphoresis. His ECG obtained around 8 AM is shown: ECG 1 My guess is most blog readers will make this diagnosis without too much difficulty.

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PEMBlog

MARCH 17, 2025

There are several things you can do to increase your likelihood of success when performing a lumbar puncture in children. Local anesthesia! Early stylet removal! Needle bevel to the hips! Lyrics [CHORUS] Three LPs and one DJ Spinal tap procedure learn the right way [VERSE] Yo, roll the kid side lying tight Or upright holder if that seems right! Early sty let removal, thats the trick, Steady with the hands, dont move too quick!

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First 10 EM

MARCH 17, 2025

I have been doing this for 10 years now. I am not sure what the future holds. I am not sure what First10EM will look like in another 10 years. I am not sure these words will be published (although if you are reading it, I guess we have our answer). This is an exercise […] The post I have been doing this for 10 years appeared first on First10EM.

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PulmCCM

MARCH 17, 2025

Virtually all critically ill patients experience pain, anxiety, sleep disturbance, agitation, or a combination of these bothersome symptoms. Relieving these burdens should be considered a fundamental aspect of caring for the most seriously ill. Sedatives and analgesics can also be overused, slowing patients’ recovery or increasing their likelihood of disability.

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