Sat.Aug 10, 2024

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SGEM#450: Try Again – Andexanet for Factor Xa Inhibitor–Associated Acute Intracerebral Hemorrhage

The Skeptics' Guide to EM

Date: July 29, 2024 Reference: Connolly SJ et al (ANNEXA-I investigators) Andexanet for Factor Xa Inhibitor–Associated Acute Intracerebral Hemorrhage. NEJM May 2024 Guest Skeptic: Dr. Vasisht Srinivasan is an Emergency Medicine physician and neurointensivist at the University of Washington and Harborview Medical Center in Seattle, WA. He is an assistant professor in Emergency Medicine, Neurology, and Neurosurgery at the School of Medicine at the University of Washington.

Stroke 72
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EMCrit 381 – Penetrating Neck Trauma – Get Out of the Zones!

EMCrit

Penetrating Neck Trauma and how to leave the zone EMCrit Project by Scott Weingart, MD FCCM.

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For Fans of Dr Jerry W Jones

ECG Guru

“Jerry W. Jones, MD FACEP FAAEM is pleased to announce the move from LinkedIn to his ECG education website: [link] /. Join him there for his popular twice weekly posts on ECG topics for beginners through advanced and announcements regarding his Masterclasses and book releases.” I want to thank all of you for your interest in my teaching and in electrocardiography.

EKG/ECG 52
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The Needle Vs. The Knife for Spontaneous PTX: A Closer Look at the EXPRED Study

Critical Care Now

Reading Time: 2 minutes Marx T, Joly LM, Parmentier AL, et al. Simple Aspiration versus Drainage for Complete Pneumothorax: A Randomized Noninferiority Trial. Am J Respir Crit Care Med. 2023;207(11):1475-1485. PMID: 36693146 Background The optimal management of primary spontaneous pneumothorax (sPTX) remains a subject of ongoing debate. The British Thoracic Society advocates for the least invasive approach possible, while the American College of Chest Physicians recommends first-line chest tube

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Are DOACs A Contra-indications | Late TNK for LVO Strokes

JournalFeed

The JournalFeed podcast for the week of August 5-9, 2024. Monday Spoon Feed : For acute ischemic stroke patients with recent DOAC ingestion who (1) had their DOAC level measured, (2) had DOAC reversal with idarucizumab, or (3) inadvertently received thrombolytics with DOAC subsequently discovered, there was not evidence of increased significant intracranial hemorrhage associated with off-label thrombolytic therapy.

Stroke 52
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Awake proning prevented intubation and death from Covid-19 pneumonia*

PulmCCM

Prolonged periods in the chest-down (prone) position improve lung ventilation-perfusion matching in patients with acute respiratory distress syndrome (ARDS)—i.e., hypoxemic respiratory failure usually caused by pneumonia.

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Steroid and Allergy

Emergency Medicine Education

I will collect data regarding utility of Steroid in Allergic reaction in this post: Emergency Department Corticosteroid Use for Allergy or Anaphylaxis Is Not Associated With Decreased Relapses ASCIA Guidelines – Acute Management of Anaphylaxis Anaphylaxis—a 2020 practice parameter update, systematic review, and Grading of Recommendations, Assessment, Development and Evaluation (GRADE) analysis Steroid Management of Allergic Reactions and Anaphylaxis in the Emergency Room Do Corticosteroids