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Fear and Opioids in Academic Medicine

Sensible Medicine

Respect for the standards by which one is judged is adaptive in academic medicine. Cautious professionals, it turns out, try not to burn what they’ve built. The fact that these interactions rattled me is not surprising. I did not gain entry to medical school and attain the rank of professor by rebelling against the powerful.

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SAEM Clinical Images Series: Purple Finger

ALiEM

Many report a burning sensation to the finger. Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. Patients usually present with pain, swelling, tingling, numbness, and ecchymosis.

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For obese kids, the USPSTF recommends diet and exercise; the American Academy of Pediatrics recommends surgery and ozempic

Sensible Medicine

The American Academic of Pediatrics (AAP) proudly told parents to avoid peanuts in kids at high risk of allergy. If the AAP continues in this direction, they will burn through any remaining credibility. They are as close to neutral judges of medical evidence as it gets. JMM Sensible Medicine is a reader-supported publication.

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The Expert Witness re-visits a chest pain Malpractice case using the Queen of Hearts

Dr. Smith's ECG Blog

Click here to sign up for Queen of Hearts Access Case A 58-year-old woman presented to the ED with burning chest pain that started 2-3 hours earlier while sitting on a porch swing. Don't miss his analysis and assessment of the Queen of Hearts AI OMI ECG bot -- that assessment is at the very bottom of the post.

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Residency Spotlight: MetroHealth Emergency Medicine Residency

ACEP Now

Our program pairs training at one of the busiest emergency departments in the country at a nationally recognized county, safety-net, Level I Trauma and Regional Burn Center (MetroHealth) with a world-renowned quaternary academic referral center (Cleveland Clinic). How should potential applicants learn more about your program?

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Grand Rounds Recap 7.31.24

Taming the SRU

to teach you and your learner something new on shift skin adhesives WITH dr. hill Dermabond is a polymer (octyl cyanoacrylate) that can be used to repair lacerations in the Emergency Department faster than sutures, allowing the ED physician to be more efficient.

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TXA in head injuries

Don't Forget the Bubbles

But remember – although the academic debate is great fun, don’t let it delay neuro-protective measures while debating the evidence! It’s unclear if there’s a benefit in children, but the evidence suggests TXA does not cause harm, so the risk of giving it is low. The TIC-TOC trial will give us more answers. Acad Emerg Med.