First 10 EM

JUNE 24, 2024

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.

Pediatrics 136

Pediatrics 136

ALiEM

JUNE 24, 2024

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).

Administration 114

Administration Hospitals 114

Science Based Medicine

JUNE 24, 2024

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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The Bottom Line

JUNE 24, 2024

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

Outcomes 109

Outcomes Head Injuries 109

Sensible Medicine

JUNE 24, 2024

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.

Shock 94

Shock Hospitals 94

Taming the SRU

JUNE 24, 2024

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.

Advances Cardiac Life Support (ACLS) 89

Advances Cardiac Life Support (ACLS) CPR Burns Resuscitation 89

EMCrit

JUNE 24, 2024

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

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PEMBlog

JUNE 24, 2024

It’s a new wave of information! RSV causes bronchiolitis. OK, so it’s not new. We can make a clinical diagnosis, and X-Rays are not necessary for most children with Bronchiolitis. Lyrics Wheezing and coughing subcostal retractions Nasal secretions suctioning action RSV causes the typical cases Worried looks on parental faces Usual course with typical findings Normal oxygen sats is a silver lining It’s bronchiolitis, diagnosis so easy There’s no need for X-Rays in a baby this wheezy H

Infectious Diseases 52

Infectious Diseases 52

EM Ottawa

JUNE 24, 2024

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

Fractures 52

Fractures Administration 52

Life in the Fast Lane

JUNE 24, 2024

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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Sensible Medicine

JUNE 24, 2024

Prasad, Cifu and Mandrola are back

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Emergency Live

JUNE 24, 2024

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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