Don't Forget the Bubbles
OCTOBER 30, 2023
Read between the lines. No matter where we are or what type of medicine we practice, it is likely that we all were told at one point that we were expected to be lifelong learners. This is important as medical knowledge is constantly evolving. Dr. David Sackett, the father of evidence-based medicine, once said: I The traditional way to stay current is by reading the relevant scientific literature.
RebelEM
OCTOBER 30, 2023
Background: Hemorrhage is the leading cause of trauma related mortality. The initial injury is often complicated by multifactorial coagulopathy that can exacerbate bleeding. Fibrinogen is the precursor to fibrin and a major component of stable clot formation. Fibrinogen and fibrin are often depleted during major trauma as a result of consumption, breakdown, and dilution.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Dr. Smith's ECG Blog
OCTOBER 30, 2023
A 60 yo with 2 previous inferior (RCA) STEMIs, stented, called 911 for one hour of chest pain. He had no h/o heart failure. Here is the first prehospital ECG (time 0, after one hour of pain): I do not see evidence of OMI, and neither did the Queen of Hearts Here is the 2nd prehospital ECG (time 10 minutes, after 70 minutes of pain): No change On arrival, the first ED ECG was recorded 20 minutes after the last one (90 minutes after pain onset): What do you think?
Stop and Think
OCTOBER 30, 2023
Let’s start with a picture: This is the Kaplan-Meier curve, from an RCT, published in JAMA , of an oral medication vs a placebo given to patients after a myocardial infarction (MI). The group on the drug sustained a 36% reduction in the occurrence a major adverse cardiac or brain event vs placebo. Outcomes included cardiac death, MI, emergency coronary revascularization or stroke.
Science Based Medicine
OCTOBER 30, 2023
Antivaxxers don't like it when one of their crappy studies that they somehow managed to sneak into a decent peer-reviewed journal is deservedly retracted, as happened to Mark Skidmore's paper that estimated that 278K people might have died from COVID-19 vaccines. Fortunately for Skidmore and others, there exist fake journals that will launder their study by republishing it so that antivaxxers can continue to claim the work has been published in a "peer-reviewed journal.
ACEP Now
OCTOBER 30, 2023
What does your program offer that residents can’t get anywhere else? We are the first community emergency medicine program in the country. Residents train at an academic Level I trauma center and several freestanding emergency departments (EDs). We offer innovative ultrasound training, which includes nerve blocks in the ED, and annually participate in SAEM Sonograms.
EM Ottawa
OCTOBER 30, 2023
Methodology: 1.5/5 Usefulness: 1.5/5 Loke DE, et al. CJEM. 2022 Mar;24(2):206-213. Question and Methods: Trying to quantify gender disparities in CT turnaround time and ED LOS and determine if intervention in the form of protocolized point-of -care pregnancy testing would eliminate the disparity. Findings: Pre intervention women of childbearing age had 18 min longer CT […] The post Implementation of a standardized pregnancy screening process to address gender disparities in radiology turn-
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
EM Ottawa
OCTOBER 30, 2023
Methodology: 4/5 Usefulness: 3.5/5 Prekker ME et al. N Engl J Med. 2023 Aug 3;389(5):418-429. Question and Methods: Authors aimed to determine if video laryngoscopy improves rates of first pass success compared to direct laryngoscopy. They performed a pragmatic, multicenter, unblinded randomized parallel-group trial. Findings: 85.1% first pass success with video laryngoscopy and 70.8% with direct […] The post Video versus Direct Laryngoscopy for Tracheal Intubation of Critically Ill Ad
Emergency Live
OCTOBER 30, 2023
Rescue Teams Intervene Massively After Collision Between Two Trains in Southeast India A serious train accident sowed death and destruction last night in southeastern India, specifically between the towns of Alamanda and Kantakapalle in the state of Andhra Pradesh. Two trains collided under circumstances yet to be clarified, leaving behind a devastating toll of 13 […] The post India: Train Accident in Andhra Pradesh, Balance Sheet Very Severe appeared first on Emergency Live.
ACEP Now
OCTOBER 30, 2023
A disability is any condition of the body or mind that makes it more difficult for the person with the condition to do certain activities and interact with the world around them. 1 This includes impairments or difficulty with: vision; movement, processing, or thinking and remembering; verbal or non-verbal communication; mental health; hearing; or relationships.
Emergency Live
OCTOBER 30, 2023
San Diego Introduces Regulations for the Safety and Disposal of Lithium Batteries: Pioneering Initiative for Responsible and Safe Use In a bid to address safety concerns and promote responsible disposal practices, San Diego is set to become the first city in the county to introduce comprehensive regulations governing the storage and disposal of lithium-ion batteries. […] The post San Diego regulates lithium-ion batteries appeared first on Emergency Live.
Kings County Downstate EM
OCTOBER 30, 2023
Co-Authors: Esteban Davila, Hemil Chauhan This is part 2 of a 2-part series focusing on BRASH. Part 1 can be found here. Patient Presentation A 70-year-old male with a past medical history of diabetes, hypertension, and chronic kidney disease (baseline creatinine 2-3 mg/dL) is brought in by EMS after being […] The post BRASH Part 2: A BRASH with Death appeared first on County EM.
First 10 EM
OCTOBER 30, 2023
As usual, a random smattering of articles. This group was presented as part of a live podcast recording at Sir Charles Gairdner Hospital in Perth, Australia, where I was honoured to be invited to be the WG Smith visiting lecturer. The guests helped select the papers, which means they are just as random as usual. […] The post Research Roundup (Perth live edition) appeared first on First10EM.
University of Maryland Department of Emergency Med
OCTOBER 30, 2023
IV Fluid Resuscitation IVF administration is one of the most common interventions in the resuscitation of critically ill patients.
EMDocs
OCTOBER 30, 2023
Authors: Saran S. Pillai, MBBS (@sspillai01, EM Resident Physician, University of Kentucky) and Christopher N. Belcher, MD (EM Attending Physician, University of Kentucky, Department of Emergency Medicine) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University School of Medicine); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) “What do you call an IV contrast shortage?
ALiEM
OCTOBER 30, 2023
Dr. Garcia is a freshly minted faculty member at Big Name University Medical Center. She’s excited to have finally finished residency and dive into her career as a full time (and fully paid) attending. After spending her first year acclimating to the new department and achieving board certification, Dr. Garcia finds herself at a bit of a crossroad.
Emergency Medicine Ireland
OCTOBER 30, 2023
Welcome back to the tasty morsels of critical care podcast. Way back in the way back in tasty morsel number 43 we discussed inotropes and vasopressors but there was a noticeable AHD analogue shaped hole in that post that i promised to discuss at a future stage. Well, that time has come and it’s time to run through vasopressin. You probably first encourntered vasopressin when you heard about ADH in medical school.
Sensible Medicine
OCTOBER 30, 2023
Hi all. I thought I could write the Study-of-the-Week on Stop and Think and simply cross post it here. But. Sadly. My Substack skills are lacking. Sorry. Here is the link to my column: It was a fun topic. Stop and Think If only critical appraisal was this good for *all* studies Let’s start with a picture: This is the Kaplan-Meier curve, from an RCT, published in JAMA, of an oral medication vs a placebo given to patients after a myocardial infarction (MI).
PulmCCM
OCTOBER 30, 2023
Professional Medical Societies Call for Elimination of SEP-1 The Infectious Diseases Society of America (IDSA), along with societies for emergency medicine physicians and hospitalists, are again speaking up about the ongoing policy experiment known as the Centers for Medicare and Medicaid Severe Sepsis/Septic Shock Management Bundle (SEP-1). SEP-1 is a reportable ‘quality measure’ that dictates precisely how suspected sepsis patients must be managed in the early phases of illness.
EMergucate
OCTOBER 30, 2023
Answers: Hb = 115 g/L, that is mild anaemia.
ACEP Now
OCTOBER 30, 2023
Like many other countries around the world, emergency medicine has proven to be one of the fastest-growing specialties, including in the United Arab Emirates (UAE). The UAE government’s support took the country to another level and on Aug. 28, 2012, the Emirates Society of Emergency Medicine (ESEM) was established by a group of emergency physicians who recognized the necessity for a unified body dedicated to the advancement of emergency medicine practice and research.
EMergucate
OCTOBER 30, 2023
51 year old man, recently returned from the middle east, presented with shortness of breath. His CXR was normal. His arterial blood gases showed the following: PH = 7.
Expert insights. Personalized for you.
144 
Let's personalize your content