Vulvodynia: what is it?
Emergency Live
JUNE 25, 2023
appeared first on Emergency Live.
The 50-year Failure of American Health Care
Sensible Medicine
SEPTEMBER 19, 2024
Emerging research is shedding light on where we need to turn our attention. We need to pivot our nation’s research priorities to examine our nation’s food supply. The National Institutes of Health has supported some excellent research—I’ve seen it. trillion health care economy. We need a new approach.
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Hustling at Work: What's the difference between a TechBro and a Junior Faculty Member in Medicine
Sensible Medicine
AUGUST 17, 2024
On the one hand, my colleague was critical of these young tech people for burning the midnight oil in pursuit of their startups. The most her research could possibly accomplish is to improve her own career— screening ain’t helping the vulnerable folks. Your research is probably pretty close to pointless.
Soft Coating Cools Wearable Devices
Medagadget
JULY 25, 2023
Scientists at the City University of Hong Kong have developed a coating for wearable technologies that can help to dissipate heat, reducing the chances of skin burns and increasing the life of such devices. The heat may be uncomfortable, may overheat the device itself, and could even cause skin burns.
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For obese kids, the USPSTF recommends diet and exercise; the American Academy of Pediatrics recommends surgery and ozempic
Sensible Medicine
DECEMBER 18, 2023
Here is what the USPSTF says: They call for more research. If the AAP continues in this direction, they will burn through any remaining credibility. I have been critical of the AAP’s endorsement — a topic I discussed here. Now let’s compare the two documents. Let’s take a look at the USPSTF.
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2028 Is language a barrier to inclusion in research in paediatric emergency medicine? A rapid review of PEM research in the UK
Emergency Medicine Journal
NOVEMBER 28, 2023
Evidence suggests that people requiring translation services are often excluded from research, therefore contributing to already existing health inequalities within the country. Data on the exclusion of people requiring translation services in paediatric emergency medicine (PEM) research is scarce. References 1. J Gen Intern Med.
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Photonic Radar Monitors Breathing from a Distance
Medagadget
JULY 25, 2023
Wired or more invasive systems may not be suitable for everyone – for instance, burn patients with damaged skin or infants with a tiny body surface area may not be able to avail of such systems. Camera-based systems have two problems,” said Ben Eggleton, a researcher involved in the study.
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PECARN STELAR Podcast – Episode 2: Food Insecurity
EMDocs
JULY 9, 2024
The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. Acad Pediatr. 2022 Mar;22(2):190-192.
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On Burnout
Don't Forget the Bubbles
SEPTEMBER 11, 2024
I have been a doctor for half of my life, and my journey to burnout has been a 25-year slow burn that began the day I graduated. A group of US researchers surveyed managers and office workers and found that the more often someone said yes to requests for help from their co-workers, the more they felt their internal batteries were drained.
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Toxicology Answer: The Fig Tree
ACEP Now
JUNE 7, 2023
The main symptoms of phytophotodermatitis are burning, itchy erythema, and edema, which usually begin 24 hours after exposure. Post-burn, it can also cause long term hyperpigmentation. Dr. Hack is chief of the division of medical toxicology and vice chair for research at East Carolina University in Greenville, North Carolina.
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Residency Spotlight: MetroHealth Emergency Medicine Residency
ACEP Now
AUGUST 29, 2023
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). What does your program offer that residents can’t get anywhere else?
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Grand Rounds Recap 7.31.24
Taming the SRU
AUGUST 4, 2024
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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Emergency Physician Provides HIV and Hepatitis C Testing, Counseling to Underserved Communities
ACEP Now
DECEMBER 10, 2023
Today Dr. Calderon is known for her research into HIV and Hepatitis C prevention, but she didn’t start off on an academic track. She was 10 years into being an attending physician when she realized that to make an impact on the problems she was seeing in her ED, she would need a better understanding of how to do research. “I
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A Physician's Infertility Story
SheMD
APRIL 26, 2023
I became efficient at work, constantly trying to be better, make good impressions, listened to medical podcasts on my commute, read after work, became involved in research, quality improvement, and more. She also gave a lecture that day and was heading several research projects and committees. I was way past burned out.
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REBEL Cast Ep115 – Phenobarbital vs Lorazepam in Alcohol Withdrawal
RebelEM
MARCH 23, 2023
Buell D, Filewod N, Ailon J, Burns KEA. Filewod N, Hwang S, Turner CJ, Rizvi L, Gray S, Klaiman M, Buell D, Ailon J, Caudarella A, Ginocchio GF, Santos M, Sandhu G, Dewhurst N, Sequeira K, Burns KEA. Phenobarbital Versus Lorazepam for Management of Alcohol Withdrawal Syndrome: A Retrospective Cohort Study. 2021 Feb 11;13(2):e13282.
Autism Spectrum Disorder
Mind The Bleep
DECEMBER 10, 2023
music); they may display features of ASD that are not currently used in diagnostic criteria e.g. perfectionism; and there may be a gender bias inherent in diagnostic instruments (due to research focussing on the male phenotype).
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The Latest in Critical Care, 2/19/24 (Issue #30)
PulmCCM
FEBRUARY 19, 2024
More health care professionals are burned out or disengaged. So SCCM smuggling in a pet policy prescription as “evidence-based,” with outdated, scant, inconclusive research mostly in children, reads to me like activism tinged with an acknowledgement that hospital stays are becoming increasingly dangerous.
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Toxicology Answer: the Lionfish, a Dangerous, Non-Native Invader
ACEP Now
AUGUST 9, 2024
This excruciating pain is described by many victims as a continuous burning, tingling, and numbness. Dr. Hack is chief of the division of medical toxicology and vice chair for research at East Carolina University in Greenville, N.C. 1 Mechanism of Action The pain-producing (algogenic) mechanisms of the lionfish venom are interesting.
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If you had recorded an ECG during chest pain, what would it have shown?
Dr. Smith's ECG Blog
JUNE 28, 2018
Evidence for Wellens as a reperfusion syndrome To my knowledge, there is no research paper demonstrating this. Wellens did not have many serial ECGs to scrutinize. He wouldn't have noticed this. I have found it to be universally true. From my experience, I am confident that if it were formally studied, it would be born out.
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ICU Physiology in 1000 Words: The Pulse
PulmCCM
SEPTEMBER 13, 2021
Circulation research 1980, 46(3):363-372. Taylor KJW, Burns PN, Wells PNT: Clinical Applications of Doppler Ultrasound. Studies in man and in a multibranched model of the human systemic arterial tree. Attinger E: The physics of pulsatile blood flow with particular reference to small vessels.
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Fear and Opioids in Academic Medicine
Sensible Medicine
JUNE 21, 2024
I published research on misuse of prescriptions, and profiled the two-decade torrent of prescriptions. After my colleagues and I began research to understand the post-opioid suicides, another physician – again a paid expert witness in ongoing opioid litigation -- denounced our study in our local paper. It was not).
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Adjunctive Methylene Blue in Septic Shock?
RebelEM
MAY 29, 2023
Most of the research on the use of MB has been in patients with vasoplegia following cardiopulmonary bypass. Our study supports further research regarding MB in larger randomized clinical trials.” MB decreases nitric oxide levels by inhibiting inducible nitric oxide synthase (iNOS) and soluble guanylate cyclase (sGC). 95% CI 15.4
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Grand Rounds 5.8.24
Taming the SRU
MAY 11, 2024
r1 clinical knowledge - r4 capstone - research grand rounds - the art of em - Community corner - PEM Lecture r1 Clinical knowledge: transplant complications WITH dr. gabor Time-sensitive peri-transplant emergencies: Bleeding fistula- stop the bleed. Flood syndrome- start fluids, give antibiotics, consult surgery. Ways to get involved?
The 73rd Bubble Wrap
Don't Forget the Bubbles
JULY 31, 2023
The author reviewed this article after having a burning desire to question where the guidance came from! The researchers delivered premature lambs at 125 days gestation (term being 147 days) and proceeded to intubation and drainage of lung fluid. Despite being 20 years old, this study is one of the driving forces for our guidelines.
Grand Rounds Recap 11.1.23
Taming the SRU
NOVEMBER 4, 2023
Despite research assessing interventions at various points along the coagulation cascade/inflammatory pathways, there remains no consensus for best treatment and treating the underlying cause is recommended Clinical Decision Rules: Head and C spine Imaging WITH Drs. The ISTH tool on MDcalc can be used to assess the presence of overt DIC.
The 90th Bubble wrap DFTB X The Bridge
Don't Forget the Bubbles
MARCH 31, 2025
The Bridge is a Postgraduate Doctor in Training (PGDiT)- led paediatric research forum in Yorkshire and Humber, UK, with the aim of bridging the gap in research access among PGDiT. Some special patients (burns and trauma) were not described in the study. Why does it matter? Why does it matter? Archives of Disease in Childhood.
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59 Ten Commandments for Emergency Professionals; a compendium
Advanced Emergency Nursing from AENJ
DECEMBER 18, 2014
Thieme. Ten commandments of burn management Gupta J L. Ten commandments of burn management. Indian J Burns 2012;20:7-10 Transfusion ten commandments U.K. The Ten Commandments of Wound Management Ernst, A., Herzog, M., & Seidl, R. Head and Neck Trauma: An Interdisciplinary Approach. Memon, A., & Kaliff, J.
Toxicology Answer: The Capsaicin Found in Hot Peppers and Chilis
ACEP Now
APRIL 2, 2024
degress Fahrenheit), caustics (low pH), and voltage—causing a Ca++ and Na+ action potential influx that confers the sensation of pain and burning to the brain. Oral exposure creates a spicy burning sensation (or pungency) in the mouth that can extend to the throat and stomach (and eventually the rectum—“ fire tuchus ”).
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Podcast: Cervical Spine Injuries & Imaging in Children
PEMBlog
JUNE 5, 2024
It was inspired by a hot-off-the-presses publication from the Pediatric Emergency Care Applied Research Network (PECARN) focused on clinical decision rules for cervical spine imaging in children. Leonard JR, Jaffe DM, Kuppermann N, Olsen CS, Leonard JC; Pediatric Emergency Care Applied Research Network (PECARN) Cervical Spine Study Group.
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Vasopressor Nonresponse
Northwestern EM Blog
JANUARY 24, 2022
Those at higher risk of hypocalcemia (vitamin D deficiency, ESRD, hyperparathyroidism, burns, multiple blood transfusions, etc.) Critical Care Research and Practice. Hypocalcemia can be hinted at through history or by hints such as a prolonged QTc on an ECG. may have greater severity of shock with increased mortality.
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Stop the bloodshed!
Advanced Emergency Nursing from AENJ
APRIL 25, 2016
Combat casualty care research: from bench to the battlefield. Or, for you or others, if you become the battlefield and yourselves your own First Responders? Rapaport, Lisa. The Average Bystander Won't Know How to Control Bleeding. Tuesday, April 19th, 2016 4:58pm EDT. Jacobs, L. Langer, G.,& & de Jonge, C. Presentation slides.
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The impact of gun violence and practical tips on firearm safety: A podcast
PEMBlog
APRIL 26, 2023
Quinlan, Michele Burns Ewald, Beth E. Research demonstrates that fewer than half of all gun owners store their firearms safely, and that many children have access to these guns. Research has shown that the safest way to store firearms is to store them locked, unloaded, and separately from ammunition.” Denise Dowd, Robert D.
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Pain Management of Common Chief Complaints in the ED
EMDocs
NOVEMBER 4, 2024
21 Case: A 40-year-old male presents to the ED with a burning epigastric pain that has been worsening over the past week. Pain can be gnawing, aching, burning, and located in the upper abdomen. Neuropathic pain: redefinition and a grading system for clinical and research purposes. Pain can be improved or exacerbated with meals.
Pediatric Pain
Pediatric Emergency Playbook
JANUARY 1, 2017
Researchers are currently working to offer an evidence base to this anecdotal practice. Pediatric burns should be assessed carefully and treated aggressively. Minor burns can be treated topically and with oral medications. Major burns require IN, IM, or IV analgesics with morphine. Emerg Med Australas. Int J Pediatr.
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Mastering Minor Care: Orbital Infections
Taming the SRU
JULY 21, 2023
link] A patient presents with an itchy and burning feeling on their eyelids. saline eyedrops for “burning” or “gritty” feeling of discomfort. licensed under a Creative Commons Attribution 3.0 English: Crusting at the Base of the Lashes Is Shown in This Image of a Patient with Seborrheic Blepharitis. Accessed April 15, 2022.
Normal ACS care, everything by the book! But normal ACS care could be much better. This post explains everything.
Dr. Smith's ECG Blog
MARCH 17, 2025
Written by Willy Frick A man in his 60s with a history of hypertension and 40 pack-year history presented to the ER with 1 day of intermittent, burning substernal chest pain radiating into both arms as well as his back and jaw. Just look at all the research based on this ! Think of all the countless similar patients.
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ACEP Rejects “Excited Delirium”
ACEP Now
APRIL 5, 2024
Antoinette Burns was the twelfth victim, a 14-year-old girl without any evidence of cocaine consumption at all. The role of restraint in fatal excited delirium: a research synthesis and pooled analysis. Charles Wetli of the University of Miami had conducted autopsies that he said, “conclusively showed that they have not been murdered.”
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Bubble Wrap PLUS – August 2024
Don't Forget the Bubbles
AUGUST 4, 2024
We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. The Journal of Pediatrics published an article on education interventions to reduce diagnostic errors in burned or bruised patients suspected of abuse.
Paediatric Keloid Disorder
Don't Forget the Bubbles
APRIL 14, 2025
However, research using more representative skin pigmentation scales, such as the Eumelanin Human Skin Colour Scale , remains limited. This gap in research makes it difficult to fully understand the true prevalence of keloid scarring across different skin tones. Reported prevalence rates vary, with estimates ranging from 4.5%
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Six Urban Myths About Smoke-Free Nicotine
Sensible Medicine
MARCH 4, 2025
Today, I am happy to give space to Brad Rodu, a Professor of Medicine and an endowed chair in Tobacco Harm Reduction Research addressing our misunderstanding of the health effects of nicotine and cigarette substitutes. We have already featured a two - part series by Sally Satel on the topic. The number is unknown but likely to be low.
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EM@3AM: High Priority Fungal Pathogens and Empiric Treatment in the ED
EMDocs
FEBRUARY 8, 2025
WHO fungal priority pathogens list to guide research, development and public health action. Core recommendations for Antifungal stewardship: A statement of the Mycoses Study Group Education and Research Consortium. COPD, cystic fibrosis), HIV/AIDS, cancer, immunosuppressed (i.e. mortality: 42-63% 5 Invasive Candida spp. Paesmans, M.,
Bubble Wrap PLUS – August ’23
Don't Forget the Bubbles
AUGUST 14, 2023
We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. Impact of childhood burns on academic performance: a matched population-based cohort study. Eur J Pediatr. 2023 Jul 12. Leducq S, et al. Eur J Pediatr. 2023 Jul 11.
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Operating Room Protocols Training
American Medical Compliance
MARCH 20, 2025
Research indicates that communication failures contribute to nearly 70% of medical errors. Studies show that pressure of 70 mm Hg for two hours can cause irreversible tissue damage, particularly in areas like the forehead, iliac crests, and bony prominences. Finally, clear communication among the surgical team is essential for patient safety.
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IV fluids in the ED: When do we really need them?
EMDocs
JANUARY 20, 2025
Current status of emergency treatment of chemical eye burns in workplaces. Semler MW, Self WH, Wanderer JP, et al; SMART Investigators and the Pragmatic Critical Care Research Group. Using tap water compared with normal saline for cleansing wounds in adults: a literature review of the evidence. J Wound Care. 2023 Aug 2;32(8):507-512.
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