Sensible Medicine

SEPTEMBER 30, 2024

JAMA-IM has published an observational study that sought causal effects from stopping blood-pressure-lowering drugs in older adults who were in long-term care. The UCSF-led team asked a specific question: did deprescribing of BP-lowering meds lessen cognitive decline? They didn’t write their question that specifically; instead they wrote that their purpose was to investigate the association of deprescribing antihypertensive medication with changes in cognitive function in nursing home resi

Stroke 116

Stroke Outcomes Hospitals 116

First 10 EM

SEPTEMBER 30, 2024

Some topics come up over and over again, and it may seem somewhat repetitive or wasteful to spend so much time on them, but seeing as so many people are still using outpatient IV antibiotics despite overwhelming evidence that oral antibiotics are just as good, if not better, I will continue to cover papers as […] The post Oral antibiotics are noninferior to IV in pediatric bone and joint infections (obviously) appeared first on First10EM.

Pediatrics 107

Pediatrics EMS 107

Science Based Medicine

SEPTEMBER 30, 2024

[Editor note: Regular readers might—or might not have—noticed last Monday that, for the first time in more years than I can remember, I failed to post anything and didn’t even repost something from the archives or announce my absence. The explanation is unfortunately all too simple. The Sunday before, I spent something like 13 hours in the hall of at the emergency […] The post The NCCIH embraces the quackery that is “functional medicine” first appeared on Science-Based Medicine.

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Emergency Medicine Ireland

SEPTEMBER 30, 2024

Welcome back to the tasty morsels of critical care podcast. Today we look at quite a niche topic, that of chylothorax. We are used to many things in the pleural space, like simple fluid or blood or air but the presence of the myseterious substance chyle is a much more unusual and note worthy event. As a reminder of the basics which I of course knew implicitly and definitely did not have to resort to wikipedia to check… Chyle is largely formed in the small intestine as the gut transports fr

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EMDocs

SEPTEMBER 30, 2024

Welcome to the emDOCs Videocast – please subscribe to our YouTube channel. These videos will cover post summaries, take homes on clinical condition, and EBM/guideline literature updates. Today’s video evaluates inhaled corticosteroids (ICS) for asthma in the ED setting. EBM Updates: Inhaled Corticosteroids for Asthma in the ED Background : Asthma is a common ED issue, with patient presentations ranging from needing a medication refill to severe exacerbation in respiratory failure.

Outcomes 92

Outcomes Academics Documentation/Coding Administration 92

ALiEM

SEPTEMBER 30, 2024

A 23-year-old healthy male presented to the emergency department with left eye pain, soreness, and blurry vision after being hit in the left eye with a Nerf gun bullet two days prior. He had no prior ophthalmologic history and does not wear corrective lenses. Physical Exam Left eye : Visual acuity 20/30. Intraocular Pressure 17. Pupil 3mm, irregular, minimally reactive.

Academics 64

Academics Emergency Department 64

Medical Law

SEPTEMBER 30, 2024

With Thanksgiving approaching, Santa Barbara residents should be aware that the holiday season often brings an increase in traffic, subsequently raising the risk of accidents. Adopting safety measures, coupled with regular vehicle maintenance, can help ensure a safer holiday journey, safeguarding yourself and your loved ones during this festive period.

Wellness 52

Wellness 52

Sensible Medicine

SEPTEMBER 30, 2024

Just a quick note to say that comments are turned back on for today’s and subsequent posts. Yes, we sometimes (strategically) turn off comments. And that’s all I will say about that. JMM Sensible Medicine is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.

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PEMBlog

SEPTEMBER 30, 2024

Cannabis Hyperemesis Syndrome can make habitual smokers miserable! They will got some relief from hot showers – but many need fluids, ondansetron, topical capsaicin, and even Haldol. Lyrics [Chorus] Don’t fear the reefer? Cannabis hyper-emesis syndrome says you do Intractable vomiting, many hot showers What, oh what, will we do? [Verse] You didn’t think this would happen You just decided to smoke Now you’re puking your guts up Is this some sick kind of joke?

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PHARM

SEPTEMBER 30, 2024

Taipan envenomingsouth of the border – Rachel Heap, Aaron Kennedy, William Davies, Theo Tasoulis, Geoffrey K Isbister, 2024 Read on journals.sagepub.com/doi/full/10.

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Pediatric Education

SEPTEMBER 30, 2024

Today is a birthday of sorts. PediatricEducation.org is 20 years old. When we started writing cases in 2004 we never imagined we would be continuing for this long. By the numbers today is the 926th case. In PediatricEducation.org are more than 200 differential diagnoses, 140 images, 6 curriculum maps, and we include every age group, specialty, and symptom.

Pediatrics 40

Pediatrics 40

PHARM

SEPTEMBER 30, 2024

Quality and safety in prehospital airway management – retrospective analysis of 18,000 cases from an air rescue database in Germany – PMC — Read on www.ncbi.nlm.nih.

Airway Management 40

Airway Management 40

St. Emlyn

SEPTEMBER 30, 2024

St.Emlyn's - Emergency Medicine #FOAMed Chest Pain Learning Objectives The student will be able to assess a patient with chest pain to produce a valid differential diagnosis, investigate appropriately, formulate, and implement a management plan. […] The post Chest Pain – MLA Learning Module appeared first on St.Emlyn's.

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Don't Forget the Bubbles

SEPTEMBER 30, 2024

In the UK, as in most developed countries, more patients are presenting to Emergency Departments (EDs) with minor illnesses or injuries. Critically unwell or injured patients are prioritised, whereas those who are felt to be less unwell wait longer for clinical review. Simpson et al. examined 977,907 first-time ED presentations by children aged 0-15 across thirteen acute hospital trusts (between April 2014 and March 2017), trying to figure out how many were non-urgent. 21.4% of these were felt t

Emergency Department 89

Emergency Department Research Pediatrics Hospitals 89