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A Comprehensive Guide to Surgical Clerking

Mind The Bleep

Your trust will have guidelines on the treatment regimen using chlordiazepoxide/lorazepam and pabrinex.

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SGEM Xtra: This is My Life – Centralization of Rural Emergency Healthcare

The Skeptics' Guide to EM

The pre-specified subgroup analyses showed a decrease in in-hospital or 30-day mortality for myocardial infarction, stroke, aortic aneurysm, and major trauma but not for pneumonia, bowel perforation or hip fractures. This was not the only study to come out of the Danish reconfiguration initiative.

Stroke 56
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An elderly male with acute altered mental status and huge ST Elevation

Dr. Smith's ECG Blog

A man in his 90s with a history of HTN, CKD, COPD, and OSA presented to the emergency department after being found unresponsive at home. CTA head and neck were obtained and showed no evidence of intracranial hemorrhage, large vessel occlusion stroke (what a helpful and apt name for an acute arterial occlusion paradigm, by the way.),

EKG/ECG 117
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Friday Reflection 24: I Would Rather Go Back in Time

Sensible Medicine

There was fatigue, weight loss, nausea, declining kidney function, and a few strokes. He had COPD and depended on home oxygen. SV was a patient who kept me up at night for the better part of 18 months. She was in her late 70’s and she was dying. My work up was extensive including imaging, blood tests, and biopsies.

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Doing statistics can be difficult but understanding them can be fairly simple

Sensible Medicine

A couple of real-life examples A) The main outcome from the 2000 HOPE trial (ramipril versus placebo in higher cardiovascular risk patients) was the risk of heart attacks/strokes (CVD) over 5 years. if the risk of heart attacks/strokes in each group was the same, say, 10%, then the risk ratio, 10%/10% = 1. in favour of ramipril.

Outcomes 119
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Atrial fibrillation? Multifocal Atrial Tachycardia? Don't look at computer read until AFTER you interpret!

Dr. Smith's ECG Blog

This 60-something with h/o COPD and HFrEF (EF 25%) presented with SOB and chest pain. Here is the ECG: What do you think? Computer interpretation is below. Poon et al. sensitivity and 98.9% Many arrhythmias will prove uninterpretable — IF only 1 or a few leads are used. GET a 12-lead! Providers FORGET to “ U se t he O dds”.

EKG/ECG 52
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A Comprehensive Guide to Surgical Clerking

Mind The Bleep

Your trust will have guidelines on the treatment regimen using chlordiazepoxide/lorazepam and pabrinex.