Mon.Jun 24, 2024

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The pediatric can’t intubate can’t oxygenate scenario (Use a knife)

First 10 EM

A can’t intubate can’t oxygenate scenario will always be scary, but after years of mental rehearsal and some real world experience, the idea of surgical front of neck access in an adult doesn’t bother me much. (I think that is an important mental space for emergency physicians to find if you want to be able […] The post The pediatric can’t intubate can’t oxygenate scenario (Use a knife) appeared first on First10EM.

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“‘Panel stacking”: John Ioannidis versus a Delphi consensus statement on COVID-19

Science Based Medicine

My former science idol John Ioannidis has published a paper citing a Delphi consensus statement on COVID-19 as evidence that the scientific community is "biased" against his anti-"lockdown" pro-virus views. His descent continues apace. The post “‘Panel stacking”: John Ioannidis versus a Delphi consensus statement on COVID-19 first appeared on Science-Based Medicine.

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HEMOTION – transfusion thresholds in TBI

The Bottom Line

Liberal or Restrictive Transfusion Strategy in Patients with Traumatic Brain Injury Turgeson AF. NEJM June 13 2024; doi:10.

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Therapeutics: Pacing Through Skin and Vein

Taming the SRU

Cardiac Pacing, both transcutaneous and transvenous, is a critical skill of the EM physician but also can be a black box of when to trigger action and escalation, we will cover both below… When to Pace: Bradycardia AHA Bradycardia algorithm - full guidelines at [link] Bradycardia can often be seen in patients following acute myocardial infarction (MI), most commonly in inferior or anterior MIs.

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EMCrit Wee – Adaptive Support Ventilation (ASV)

EMCrit

a unique ventilatory mode unfortunately only available on Hamilton vents EMCrit Project by Scott Weingart, MD FCCM.

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LITFL Update 030

Life in the Fast Lane

Kane Guthrie and Mike Cadogan LITFL Update 030 Update 029. Sending you FOAMed content from around the globe. Latest trends and best articles so that you stay top of your field.

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Skin Health Management in Assisted Living Training

American Medical Compliance

The following Skin Health Management in Assisted Living Training is designed to educate healthcare professionals (HCP) on how to properly manage skin health within assisted living centers. Additionally, the management of skin health is crucial to the proper care of those living within assisted living centers. This course offers valuable insight and practical strategies aimed towards achieving the best and most compassionate care regarding the skin health of the elderly.

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Comparing the efficacy of intravenous morphine versus ibuprofen or the combination of ibuprofen and acetaminophen in patients with closed limb fractures: a randomized clinical trial

EM Ottawa

Methodology: 3.5/5 Usefulness: 2/5 Nasr Isfahani M, et al. BMC Emerg Med. 2024 Jan 25;24(1):15. Question and Methods: This triple blinded RCT of 158 patients with isolated closed limb fractures assessed pain scores at 1-hour following the administration of intravenous acetaminophen, acetaminophen plus ibuprofen, or morphine. Findings: The study findings demonstrate that parenteral ibuprofen in […] The post Comparing the efficacy of intravenous morphine versus ibuprofen or the combination

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Impella RCT aborted, Mammography, Medical School Limitations

Sensible Medicine

Prasad, Cifu and Mandrola are back

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Trick of the Trade: Ultrarapid adenosine push for SVT with a pressure bag

ALiEM

With some things in life, speed is everything. Adenosine is one of those things. With an ultrafast half-life estimated to be between 0.6 to 10 seconds [1], parenterally administered adenosine needs to reach the cells of the AV-node and cardiac pacemaker cells in an expedited fashion to facilitate the termination of supraventricular tachycardias (SVTs).

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The Study of the Week Is A Study That Did Not Happen

Sensible Medicine

This is the first time the study-of-the-week discusses a study that did not happen. The main lessons of the cancelled RECOVER IV trial are hubris and dualities of interest. These lessons are key to understanding medical evidence. Subscribe now Background RECOVER IV was to study a medical device called a micro-axial flow pump. It is a cardiac assist device, which I previously discussed here and here.

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Tragedy in Gaza: bombing near Red Cross headquarters

Emergency Live

Another tragedy in Gaza: Israeli attack near Red Cross headquarters In the past few hours, an Israeli bombing near the Red Cross headquarters in Gaza has resulted in the deaths of at least 25 people. This latest episode of violence is part of the ongoing conflict between Israel and Palestinian armed groups in the Gaza […] The post Tragedy in Gaza: bombing near Red Cross headquarters appeared first on Emergency Live.

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