Mon.Nov 13, 2023

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The Great Barrington Declaration and “natural herd immunity” versus public health three years later

Science Based Medicine

Over the weekend, Jeffrey Tucker, founder of the Brownstone Institute, crowed about how the Great Barrington Declaration and its recommendation of a "natural herd immunity" approach to the pandemic changed everything three years ago. Unfortunately, as the John Snow Project pointed out last week, the "natural herd immunity" approach has done what could be irreparable damage to public health science and, more importantly, the political and social will to promote public health practices not just fo

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How to Make a Logo using AI

Life in the Fast Lane

Sheralyn Guilleminot and Mike Cadogan How to Make a Logo using AI AI in healthcare: A review of the AI tools Midjourney and DALL•E•3 to create logos and images; their unique features, differences, and the importance of effective instruction (prompting).

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A Major Breakthrough In Obesity Treatment

Sensible Medicine

When the primary investigator showed the main results slide of the SELECT trial here at the American Heart Association meeting, there was applause. I am not sure how I feel about clinicians clapping for positive results, but the fact remains that the SELECT trial is a big deal. In SELECT, the injectable glucagon-like peptide 1 (GLP-1) agonist semaglutide was studied against placebo in more than 17,000 obese or overweight patients who had atherosclerotic disease.

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How Long to Wait for an Ambulance in Addis Ababa?

Emergency Live

Ambulance Response Times in Addis Ababa: Challenges and Solutions in an Urban Context In any urban center, the swift response of emergency services, especially ambulances, is crucial to saving lives. Addis Ababa, the capital city of Ethiopia, is no exception to this need. However, the response times of emergency ambulances in Addis Ababa can be […] The post How Long to Wait for an Ambulance in Addis Ababa?

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Mastering Diagnosis VodCast

First 10 EM

After a recent talk entitled “Mastering Diagnosis”, Casey Parker and I sat down to discuss a few of the key points I was trying to make. Although this might be one of the nerdiest talks I have ever given, based entirely around math, I think it is one of the most important, because we cause […] The post Mastering Diagnosis VodCast appeared first on First10EM.

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MEDICA 2023 and COMPAMED 2023: Innovation and Internationality in the Medical Sector

Emergency Live

Growing interest in major international medical and technology trade fairs: MEDICA and COMPAMED in Düsseldorf MEDICA 2023, the leading international medical trade fair, together with COMPAMED 2023, dedicated to suppliers to the medical-technology industry, marks the beginning of a new era of innovation and international collaboration. From Nov. 13-16, Düsseldorf will become the global epicenter […] The post MEDICA 2023 and COMPAMED 2023: Innovation and Internationality in the Medical Secto

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SAEM Clinical Images Series: More Than Skin Deep

ALiEM

A 57-year-old female college counselor living in the northeastern United States with no PMH presented for evaluation of rash, joint pain, and dyspnea for the past three weeks. The patient first noticed the rash on her upper back, describing it as being itchy. The rash then spread to her face, scalp, and thighs. Two weeks ago, she noticed swelling in her hands and had a gradual onset of dyspnea on exertion.

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The BUCKLED trial

Don't Forget the Bubbles

Should we use ultrasound to diagnose distal forearm fractures in children and adolescents? Distal forearm fractures are common in children and adolescents, but the best method for diagnosing them is still debatable. X-ray (radiography) is the standard imaging technique used in emergency departments. However, ultrasound is gaining popularity due to its portability, affordability, and lack of ionising radiation.

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Top Marine general ‘making excellent progress’ after cardiac arrest

AED Leader

Gen. Eric Smith was hospitalized after a cardiac arrest near his home at Marine Barracks Washington on Sunday 29 October. He had been performing the duties of the top two marines and only sleeping for 5 hours a night prior to the episode. At the time of the cardiac arrest, bystanders called 9-1-1 and started CPR. Their quick action played a vital role in his survival and excellent progress.

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A Safety Solution for Emergency Department Staff and Patients

ACEP Now

Physicians, nurses, and staff in emergency departments (EDs) across the country have encountered workplace violence for years. According to federal labor statistics, the prevalence of workplace violence in health care is increasing (see Figure 1). While staff exposure to this violence varies, literature shows nurses are most frequently exposed, with up to 90 percent having experienced workplace violence in their ED careers. 1,2 In a 2018 study by ACEP, nearly half of emergency physicians polled

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Marathon Runner Suffered Cardiac Arrest, Was Saved by Heart Surgeon Who Saw Him Collapse: ‘What Are the Odds?’

AED Leader

Tuan Pham suffered a cardiac arrest while participating in the 39th Long Beach Half Marathon on Sunday 15 October. Just then, heart surgeon Dr. Ryan Chiu happened to be walking out of a restaurant and saw him collapse. Dr. Chiu started CPR immediately and called Long Beach Memorial to assemble a team for cardiac surgery. It was discovered that Pham had advanced coronary artery disease and the team performed triple bypass surgery.

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Imaging Case of the Week 570 Answer

EMergucate

The frontal chest x-ray shows a dislocated left shoulder.

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ATYPICAL ATRIAL FLUTTER (FROM THE LEFT ATRIUM)

ECG Guru

Why is this atypical atrial flutter from the left atrium?

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Imaging Case of the Week 571 Answer

EMergucate

The knee x-ray shows a Segond fracture with knee effusion.

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PTM Journal Club Recap: Trauma Care

EM Ottawa

Two articles pertaining to the prehospital care of trauma patients were reviewed at this month’s Prehospital and Transport Medicine Journal Club: Bossers et al. (2023) conducted a retrospective trauma registry analysis seeking to determine the relationship between prehospital intubation and mortality in patients with severe TBI. The PATCH-Trauma Investigators and the ANZICS Clinical Trials Group […] The post PTM Journal Club Recap: Trauma Care appeared first on EMOttawa Blog.

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Imaging Case of the Week 572

EMergucate

The chest x-ray is from an elderly patient with septic delirium. What can be noticed?

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Top Marine general ‘making excellent progress’ after cardiac arrest

AED Leader

Gen. Eric Smith was hospitalized after a cardiac arrest near his home at Marine Barracks Washington on Sunday 29 October. He had been performing the duties of the top two marines and only sleeping for 5 hours a night prior to the episode. At the time of the cardiac arrest, bystanders called 9-1-1 and started CPR. Their quick action played a vital role in his survival and excellent progress.

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Comprehensive Care Strategies for Alzheimer’s Disease & Related Disorders

American Medical Compliance

Alzheimer’s disease (AD) and associated dementias (AD/ADRD) are crippling illnesses that mainly affect older persons. They affect thinking, memory, and functioning. Unfortunately, the consequences of these illnesses can be devastating for both the person with AD/ADRD and their families. Additionally, in the United States, AD/ADRD affects as many as 5 million people and nearly 40% of the population aged 85 and older.

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Marathon Runner Suffered Cardiac Arrest, Was Saved by Heart Surgeon Who Saw Him Collapse: ‘What Are the Odds?’

AED Leader

Tuan Pham suffered a cardiac arrest while participating in the 39th Long Beach Half Marathon on Sunday 15 October. Just then, heart surgeon Dr. Ryan Chiu happened to be walking out of a restaurant and saw him collapse. Dr. Chiu started CPR immediately and called Long Beach Memorial to assemble a team for cardiac surgery. It was discovered that Pham had advanced coronary artery disease and the team performed triple bypass surgery.

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It’s Your Call – November 2023

Total Medical ComplianceHIPAA

HIPAA: Who can be fined under the Information Blocking Rule and what are the Office of Inspector General’s (OIG) priorities? Only certain entities are currently subject to an OIG information blocking penalty. They are: Health IT developers of certified health IT Entities offering certified health IT Health information exchanges Health information networks These penalties began on September 1, 2023, and OIG will not be imposing penalties for any blocking conduct that happened prior to that date.

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CT Angiography Head and Neck: Indications and Limitations

EMDocs

Authors: Mary Hamblen, DO (EM Resident Physician, TX); Justin Hacnik, MD (EM Resident Physician, TX); Katherine Spencer, MD (EM Resident Physician, TX); J.D. Cambron, DO (EM Attending Physician, TX) // Reviewed by: Joshua Lowe, MD (EM Attending Physician, USAF); Marina Boushra, MD (EM-CCM Attending, Cleveland Clinic Foundation); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case A 37-year-old male presents to the emergency department with a severe, unrelenting headache that started su

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Navigating Information Blocking: A Comprehensive Practice Guide

Total Medical ComplianceHIPAA

As Electronic Health Record (EHR) companies prepare for potential fines reaching up to $1 million regarding information blocking violations, healthcare practices and hospitals find themselves at the cusp of impending changes. Although no fines have been enforced for practices or hospitals yet, discussions regarding their imposition are actively underway.