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The Broselow-Luten System

Pediatric EM Morsels

Taking care of a critically ill child can be nerve-racking to say the least, and downright petrifying for those who don’t do it frequently, even if they are well-trained and brilliant clinicians. Good correlation to bed scale weight in trauma patients (Pearson coefficient 0.86), but there was some error in the highest weight category.

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Unproven healthcare will bankrupt America

Sensible Medicine

Multiple myeloma drugs can cost $600,000 per year of treatment, but if MRD is permitted for drug approval, I suspect we will see a deluge of uncertain drugs added to the roster, and the costs per year per patient will swell to a million dollars or more. The patient advocates— whose organizations are often funded by drug companies.

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Three patients with chest pain and “normal” ECGs: which had OMI? Which were normal? And how did the Queen of Hearts perform?

Dr. Smith's ECG Blog

The most recent study found a NPV of 100% of triage ECGs labeled ‘normal’ or ‘otherwise normal’ for final hospital diagnosis of ACS, and concluded that avoiding physician interruption would “alleviate interruptions in workflow and improve patient safety.” It is well known that NOMI usually has a normal ECG or nonspecific ECG.

EKG/ECG 110
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Grand Rounds Recap 2.14.24

Taming the SRU

Early recognition and prompt treatment is key. non-invasive positive pressure ventilation and IV nitroglycerin infusion have been shown to reduce morbidity (intubation rates, ICU admission) & mortality.

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Ethical Issues in Interhospital Transfers of Emergency Department Patients

ACEP Now

Emergency departments (EDs) provide the essential service of evaluating patients with unscheduled, acute, undifferentiated, and decompensated conditions. Consequences of this are well documented and include delayed treatment, exposure to error, increased length of stay, and increased mortality. Academic Emergency Medicine 22.2

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Contrast Media Shortage of 2022 – Lessons Learned

EMDocs

Relative proportions of reported diagnostic indications versus clinical outcomes in a retrospective analysis of all CT imaging in 3 EDs over 1 year at an academic center. Some institutions developed a tier-based system for outpatient imaging as well which was updated in real-time. West J Emerg Med. 2017;18(5):835-845. 2019;70(1):13-22.

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Applying to Infectious Disease: A great and fun career!

Mind The Bleep

Opportunities for Long-Term Patient Continuity : In certain cases, such as with chronic infections like HIV or hepatitis B, ID specialists build ongoing relationships with patients, offering the opportunity for continuity of care and the satisfaction of guiding patients through their treatment journey.