Science Based Medicine

APRIL 7, 2024

Jay Bhattacharya March 2020: "If it’s true that the novel coronavirus would kill millions without shelter-in-place orders and quarantines, then the extraordinary measures being carried out in cities and states around the country are surely justified."

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Science Based Medicine

SEPTEMBER 12, 2023

Doctors who repeatedly predicted herd immunity in 2020 and 2021, mocking and berating those who disagreed, now treat herd immunity as a taboo phrase. The post When Did “Herd Immunity” Become a Taboo Phrase? first appeared on Science-Based Medicine.

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Pediatric EM Morsels

APRIL 7, 2023

American Society of Hematology 2020 guidelines for sickle cell disease: prevention, diagnosis, and treatment of cerebrovascular disease in children and adults. 2020 Apr 28;4(8):1554-1588. DeBaun MR, Jordan LC, King AA, Schatz J, Vichinsky E, Fox CK, McKinstry RC, Telfer P, Kraut MA, Daraz L, Kirkham FJ, Murad MH. 2019001142.

Stroke 130

Stroke Pediatrics Seizures Sepsis 130

Ken Grauer, MD

APRIL 18, 2023

The February 11, 2020 post ( LA-RA reversal ). The March 18, 2020 post ( LA-RA reversal ). The August 28, 2020 post ( LA-LL reversal ). The November 19, 2020 post ( LA-LL reversal ). The July 29, 2018 post ( LA-RA reversal ). The November 4, 2018 post ( Leads V1,V2 misplacement ).

EKG/ECG 195

EKG/ECG Wellness 195

Ken Grauer, MD

APRIL 5, 2024

For additional examples of this phenomenon whereby automatic truncation of an EMS ECG may mistakenly result in LVH serving to mimi c ischemia — Check out My Comment at the bottom of the page of the following posts in Dr. Smith's ECG Blog — the November 29, 2023 post — June 20, 2020 — March 31, 2019 — March 29, 2019 — and t he December 27, 2018 post.

EKG/ECG 236

EKG/ECG EMS Hospitals 236

Sensible Medicine

JUNE 6, 2024

The first two weeks of March 2020 were jolting. Although he initially rejected it, by April 2020, he recommended community cloth masking to slow the coronavirus (an intervention for which we now have randomized data showing it doesn’t work). In other words, if policies actually work, this method is able to prove that they work.

Infectious Diseases 142

Infectious Diseases Research Outcomes 142

Science Based Medicine

APRIL 5, 2024

Part 2: In 2020, pro-infection doctors said "It’s fantastic news that we have a lot of cases." Today, they performatively lament "learning loss for children, especially in poor families". What happened to their assurances that the mass infection of unvaccinated youth will rapidly lead to herd immunity?

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Science Based Medicine

JANUARY 1, 2025

In 2020, the GBD was all about herd immunity via natural immunity. Today, its defenders censor that. The post A Challenge For Dr. Edward Livingston: Defend the Great Barrington Declaration Without Censoring the Great Barrington Declaration first appeared on Science-Based Medicine.

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The Trauma Pro

JANUARY 28, 2025

In 2021, an article was published (reference 1) that performed a systematic review of the literature from 2017 to 2020. Those results were not very impressive, especially considering the high cost of this drug. ” This is a very roundabout way of saying that it didn’t really work.

Administration 189

Administration Outcomes Hospitals 189

Pediatric EM Morsels

AUGUST 11, 2023

2020 Oct 24;12(10):e11141. Coli Proteus species Non-Abscess infection: Staphylococcus aures = the most common Pseudomonas aeruginosa and others still may be seen Perichondritis of the Ear: Presentation Redness , Pain , and Swelling of the pinna Typically spares the lobule ! Can Fam Physician. 2022 Sep;68(9):661-663. doi: 10.46747/cfp.6809661.

Burns 130

Burns Pediatrics EMS Outcomes 130

Science Based Medicine

AUGUST 5, 2024

Ever since COVID-19 first emerged in 2020, evidence-free claims that it had arisen due to a "lab leak" have proliferated. A recent paper argues that this conspiracy theory has been very harmful to science. I argue that it's more than just lab leak that is harmful.

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Ken Grauer, MD

OCTOBER 29, 2023

For more on this subject — SEE the September 3, 2020 post in Dr. Smith’s ECG Blog with 20-minute video talk by Dr. Meyers on The O MI M anifesto. Figure-4: ECG findings to look for when your patient with new-onset cardiac symptoms does not manifest STEMI-criteria ST elevation on ECG.

EKG/ECG 195

EKG/ECG 195

Ken Grauer, MD

FEBRUARY 23, 2024

Recognizing hyperacute T waves — patterns of leads — an OMI ( though not a STEMI ) — See My Comment at the bottom of the page in the November 8, 2020 post on Dr. Smith's ECG Blog. ECG Blog #294 — Reviews how to tell IF the " culprit " artery has reperfused. ECG Blog #230 — Reviews how to compare serial ECGs.

EKG/ECG 420

EKG/ECG Wellness 420

Mind The Bleep

FEBRUARY 2, 2025

Resources Care Packages “NHS Continuing Healthcare And Individual Packages Of Care” West Suffolk CCG, 2020, [link]. Care homes “Care Homes” NHS.UK, 2020, [link]. Needs assessment “Getting A Social Care Needs Assessment” NHS.UK, 2020, [link].

Hospitals 95

Hospitals 95

The Trauma Pro

APRIL 2, 2024

BMJ Open 5(1) epub 5/12/2020. So if you try it, build your own series and publish it so we all can learn! Reference: Minimally invasive approach to low-velocity penetrating extraperitoneal rectal trauma.

Wellness 147

Wellness 147

Sensible Medicine

NOVEMBER 2, 2023

With professor Vlad Kogan, I documented the clear data that schools must remain open, and worked extensively on this issue in 2020 and beyond. NYC was hit hard in April 2020, but closing schools was never a policy solution that would help. Sadly, in many places in the US, they remained closed for another 8 months.

Documentation/Coding 145

Documentation/Coding Pediatrics 145

RebelEM

APRIL 17, 2023

An extensive systematic review with more than 30,000 patients found no difference in the odds of treatment failure for patients with PTA managed with medical intervention alone or surgically (Forner 2020). 2020 Nov;163(5):915-922. Epub 2020 Jun 2. 2020, August 18). Otolaryngol Head Neck Surg. PMID: 32482146. Podcast Blog.

Ultrasounds 129

Ultrasounds Radiology Radiology Operations 129

Pediatric EM Morsels

JULY 26, 2024

2020 Feb;75:55-62. Anti-N-methyl-D-aspartate receptor encephalitis with accompanying ovarian teratoma in female patients from East China: Clinical features, treatment, and prognostic outcomes. doi: 10.1016/j.seizure.2019.12.016. 2019.12.016. Epub 2019 Dec 19. PMID: 31874360.

Psychiatric 269

Psychiatric Seizures Outcomes Pediatrics 269

EMCrit

OCTOBER 13, 2023

Most of these guidelines are consistent with the 2020 World Brain Death Project, so […] EMCrit Project by Josh Farkas. Instead of a tweetorial, I'll jot my thoughts here, so they're accessible to everyone. Disclaimer: the following discussion applies only to adult medicine.

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Emergency Live

MAY 23, 2024

In 2020, it was the most common cancer among Italian […] The post Prostate cancer: prevention and health appeared first on Emergency Live. Discover How Daily Choices Can Reduce Prostate Cancer Risk and Improve Men’s Health A Growing Men’s Health Issue Prostate cancer is a significant health problem for men.

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PEMBlog

JUNE 14, 2023

Pediatrics October 2020; 146 (4): e20201174. 2020-1174 AAP-AACAP-CHA Declaration of a National Emergency in Child and Adolescent Mental Health Jennifer A. 2020-030692 Lo CB, Bridge JA, Shi J, Ludwig L, Stanley RM. 2020 Jun;145(6):e20191536. Epub 2020 May 11. McEnany, Olutosin Ojugbele, Julie R. Doherty, Jennifer L.

Psychiatric 98

Psychiatric Emergency Department Pediatrics Best Practices 98

Dr. Smith's ECG Blog

OCTOBER 20, 2024

Figure-1: Reasons for the varied ECG presentation of acute LMain occlusion — excerpted from Dr. Smith’s 8/9/2019 post ( This Table from My Comment in the January 16, 2020 post ). The ST-T wave appearance in lead aVR can be anything when there is acute LMain occlusion.

EKG/ECG 131

EKG/ECG Shock Emergency Department Ambulance Services 131

Emergency Live

DECEMBER 21, 2023

The Fight Against a Disease Affecting Women and Men Worldwide A Global Health Issue Breast cancer remains one of the leading causes of death among women worldwide, with 685,000 recorded deaths in 2020. This disease affects women of all ages after puberty and occurs in every country around the world.

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Pediatric EM Morsels

AUGUST 9, 2024

2019, there were 1,875 and this trend has continued to increase (2,157 case in 2020; 2,855 cases in 2021). doi: 10.1136/bcr-2020-240532. Rates of congenital syphilis are increasing. Foles, 2024 ] In the US, from 2013-2018, cases increased from 362 to 1,306. pallidum invades the bloodstream directly causing spirochetemia in the fetus.

Hyperthermia / Hypothermia 152

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 152

Dr. Smith's ECG Blog

MAY 3, 2024

Determination of the cardiac rhythm in today's case is of more than academic interest — since my initial "quick glance" of ECGs from this woman in her 60s who presented in shock — was that the QRS looked wide with an irregular rhythm that might represent a polymorphic VT.

Shock 130

Shock EKG/ECG Hospitals EMS 130

ALiEM

FEBRUARY 9, 2024

Let’s apply the ESC 2020 0/1 hour pathway [2], with some modifications based on the 2022 ACC guidelines [1]: Figure 1. The first hs-cTn results in the intermediate range on your assay-specific cutoff for the ESC 2020 pathway or high-STEACS pathway. An example is if the patient has a very low value (e.g., J Am Coll Cardiol.

EKG/ECG 110

EKG/ECG Emergency Department Burns Wellness 110

Sensible Medicine

JULY 28, 2023

MJ is a 24-year-old man who presents to his primary care physician on March 16, 2020 with fever, myalgia, and sore throat. March 2020: COVID strips a veteran physician of his invincibility. Early 2020 was scary. July 2020: A reprieve. June and July of 2020 felt like February 2020. Case rates were low.

Hospitals 97

Hospitals PPE Urgent Care Academics 97

Emergency Live

AUGUST 25, 2023

Testing drones for aerial transport of biomedical material: Living Lab at San Raffaele Hospital Innovation in healthcare is taking giant steps forward thanks to the collaboration between the San Raffaele Hospital and EuroUSC Italy in the context of the H2020 European project Flying Forward 2020.

Hospitals 98

Hospitals 98

Ken Grauer, MD

JANUARY 13, 2024

HCM is an "umbrella term" applied to the presence of LVH in the absence of "abnormal cardiac loading conditions" ( Hughes et al — JAHA 9:e015294, 2020 ). . = A bout H CM ( Different Forms of this Entity ): I've excerpted what appears below from My Comment in the December 26, 2023 post in Dr. Smith's ECG Blog.

EKG/ECG 397

EKG/ECG Hospitals 397

RebelEM

MARCH 6, 2024

Dietary Guidelines for Americans, 2020-2025. December 2020. Published 2020 Oct 27. Department of Agriculture and U.S. Department of Health and Human Services. 9th Edition. Available at DietaryGuidelines.gov. Green W, Gao X, Li K, et al. West J Emerg Med. 2020;21(6):219-224. doi:10.5811/westjem.2020.8.47357

Leadership 90

Leadership Hospitals EMS 90

PulmCCM

MAY 11, 2024

According to physician union leaders quoted in news reports, Cedars-Sinai proposed an update to a 2020 contract that amounted to a 10% pay cut, and then broke off negotiations with the group. Anesthesiologists employed by Cedars-Sinai formed a union, representing the latest in a series of unionizations by physicians in the U.S.

Hospitals 98

Hospitals 98

Sensible Medicine

JANUARY 11, 2024

She and the audience reflected on the dark days of 2020. I remember a hike in the mountains of northern New Mexico, summer 2020, on which everyone pulled on a mask when passing each other on the trail. My wife kept a “COVID Journal” after reading a New York Times article in April 2020.

Wellness 107

Wellness 107

Sensible Medicine

MARCH 2, 2024

Yet, from 2020-2022, I was not asked to debate these topics at any university. I was opposed to school closure, masking kids, vaccine mandates, especially for young men in college who already had COVID-19, and took on many other controversial topics.

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EMDocs

NOVEMBER 7, 2023

2020 Mar 30:S1542-3565(20)30426-2. The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines (2020) “Selected patients with uncomplicated diverticulitis can be treated without antibiotics.” 2020 Mar 30:S1542-3565(20)30426-2. 2020 May 7;15(1):32. 2020 Jun;63(6):728-747. World J Emerg Surg.

Sepsis 97

Sepsis Best Practices Hospitals Outcomes 97

Sensible Medicine

OCTOBER 15, 2024

Forced masking sends a false signal to the public that health care facilities are “dangerous” This idea did tremendous harm in the first covid wave in 2020 when many patients with serious symptoms avoided hospitals. Hiding faces is isolating and dehumanizing.

Hospitals 135

Hospitals Wellness 135

Sensible Medicine

OCTOBER 2, 2024

More recently, in 2020, the Federation of State Medical Boards announced that the first “step” of the United States Medical Licensing Exam would no longer generate a report of a numeric score for residency programs. 1 Unless you are visiting one of the medical schools that pulled all those old class photos down in 2020, of course.

Academics 122

Academics Wellness 122

RebelEM

DECEMBER 5, 2023

While the evidence is not strong, those who have been undertreated, experienced delays in treatment, or required multiple injections of epinephrine are more prone to experience a recurrence of symptoms ( Ellis 2007 , Liu 2020 ). Updated Anaphylaxis Guidelines (2020) References Lieberman P. Read More: 1. Biphasic Anaphylactic Reactions.

Anaphylaxis 78

Anaphylaxis Allergic Reactions Emergency Department EMS 78