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Find Your Ikigai, a Sense of Meaning in Work

ACEP Now

A sense of purpose is an integral part of well-being. 9 Furthermore, meaningful work is a cornerstone in the longevity of career academic physicians. Ikigai and subsequent health and wellbeing among Japanese older adults: longitudinal outcome-wide analysis. Ikigai: The Japanese Secret to a Long and Happy Life. 2022;21:100391.

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Fear and Opioids in Academic Medicine

Sensible Medicine

Well,” my friend advised, “if you’re feeling nervous right now, that is because the thing you are about to do might upset people, and that takes courage.” From these reductions, whether they proceeded quickly or slowly, I saw terrible outcomes. Later papers substantiated these warnings.

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Glasgow Coma Scale in Children

Pediatric EM Morsels

Motor Fingernail bed pressure with a pencil first If flexion outcome, then apply painful stimulus to neck or head (trapezius or supraorbital notch) to look for localization Spinal reflex can result in a falsely elevated score if lower extremity pain induced Verbal Orientated- Able to answer all questions. A practical scale. PMID: 4136544.

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Three Academics Speak Out on Bad Medical Studies

Stop and Think

You should first know Dan is one of the smartest and kindest academics I have met. ” Dan also noted that before we invest millions of dollars in well-designed RCTs, it might be wise to do some less costly observational studies first. It’s quite an honor to have legit academics comment on my Substack.

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Fraud, Distortion, and Truth in Science

Sensible Medicine

The episode details examples of academic papers with fraud — the data were fabricated, and there were many tell tale signatures of fraud along the way. Well first consider that most biomedical science is about two things: describing the world and improving it. Most academics create causal conclusions that aren’t true.

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Friday Reflection 41: Sometimes I Just Need to Complain

Sensible Medicine

If I had it all to do again, there is no doubt that I would choose medicine in general and academic general internal medicine in particular, but occasionally we all have a bad week. There were no personal crises or untoward patient outcomes. “Well, this isn’t really the aspect of my specialty that I specialize in.”

Stroke 105
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The ECLS-SHOCK Trial: ECPR in Infarct-Related Cardiogenic Shock

RebelEM

to 1.03) Poor Neurologic Outcome (CPC 3 or 4): 24.8% to 1.03) Poor Neurologic Outcome (CPC 3 or 4): 24.8% to 1.03) Poor Neurologic Outcome (CPC 3 or 4): 24.8% to 1.03) Poor Neurologic Outcome (CPC 3 or 4): 24.8% Control: 53.4% D ECLS: 18.2% Control 8.7% Control 38.0% Control: 49.0% RR 0.98; 95% CI 0.80 to 1.19; p = 0.81

Shock 136