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Ultrasound in Cardiac Arrest

Mount Sinai EM

Evidence of right heart strain is important but the evidence of fibrinolysis during arrest is mixed with many studies showing no 30-day mortality benefit to lysing during a code. Rapidly intervened-upon cardiac tamponade in PEA during cardiac arrest has significantly higher hospital discharge rates. survival to hospital discharge rate.

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The Broselow-Luten System

Pediatric EM Morsels

He, along with Dr. Bob Luten, a PEM physician in Jacksonville, FL , designed the Broselow-Luten color-coded length-based system to help estimate a child’s weight, and thereby offload the cognitive burden of medication dosing and choice of equipment sizes in pediatric resuscitations. .” Published 2020 Feb 12. Came out in 1986.

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ECG Blog #366 — Diltiazem didn't work.

Ken Grauer, MD

Figure-2: I've color-coded P waves from Figure-1 according to P wave morphology ( See text ). NOTE: For clarity — I've color-coded P waves in the long lead II rhythm strip according to morphology. These cases provide insight to assessment for MAT: The January 5, 2020 post in Dr. Smith’s ECG Blog — for an example of MAT.

EKG/ECG 195
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Doctors and 'experts' who got it wrong during the COVID-19 pandemic

Sensible Medicine

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.

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Rethinking Fluid Resuscitation in Vaso-Occlusive Crisis: Is Lactated Ringer’s the Superior Choice?

RebelEM

There has been ongoing study about the clinical significance of these effects, as well as whether and for whom LR might provide meaningfully better clinical outcomes ( Myburgh 2013 , Self 2018 , Semler 2018 , Self 2020 ). Published 2020 Nov 2. JAMA Netw Open. 2020;3(11):e2024596. PMID: 33196806 Carden MA, Fay ME, Lu X, et al.

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Emergency department staff views of NHS 111 First: qualitative interview study in England

Emergency Medicine Journal

In 2020, 111 First was introduced to triage patients before entry to the ED and to offer direct booking for patients needing ED or urgent care into same-day arrival time slots. Interviews were transcribed verbatim and coded inductively by the primary researcher.

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VACEP Legal Victory Illustrates Why the Prudent Layperson Standard Still Matters

ACEP Now

One of the HCFA letters, written by then Medicaid Director Tim Westmoreland (the Westmoreland Letter) specifically cited that the CPT 9928X codes should be reimbursed under federal PLP unless the Medicaid plan believed there were program integrity issues with the claim.