Mon.Aug 19, 2024

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The Sixth Law Of Trauma

The Trauma Pro

Here’s another one. I’ve seen the clinical problems and poor outcomes that can arise from ignoring it many times over the years. You’ve ordered a CT or a conventional x-ray image. The result comes back in your EMR. You take a quick glance at the summary at the bottom of the report. No abnormal findings are listed. So now, in your own mind and in any sign-outs that you provide, the image is normal.

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Ep 197 Acute Heart Failure Risk Stratification and Disposition

Emergency Medicine Cases

We over-admit low risk acute heart failure patients and under-admit high risk heart failure patients. In this podcast we discuss the diagnostic accuracy of various clinical features, lab tests and imaging modalities for acute heart failure, the 3 validated risk stratification tools and a simple approach to PoCUS for the diagnosis and prognostication of acute heart failure in the ED to improve our diagnostic accuracy and disposition decisions for patients with acute heart failure.

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Sternal Osteomyelitis

Don't Forget the Bubbles

Sione, a young Pacific Islander boy, is brought to the emergency department with a 3-day history of acute onset, progressively worsening central chest pain. He points to his sternum when you ask him where the pain is. and tells you that it is made worse by deep breathing and movement. His sternum is warm to touch and exquisitely tender, inferior to the manubrium.

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ECG Cases 51 – Artifact and Lead Misplacement

Emergency Medicine Cases

ECG artifact and lead reversal can mimic tachy-arrhythmia, infarct or Brugada. Learn how to identify these errors to prevent misdiagnosis on this month's ECG Cases with Dr. Jesse McLaren. The post ECG Cases 51 – Artifact and Lead Misplacement appeared first on Emergency Medicine Cases.

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The Surprising Ability of Medical Therapy in Coronary Heart Disease

Sensible Medicine

This winter I showed the seminal trials comparing coronary artery bypass surgery (CABG) vs medical therapy. These were done in the 1970s and 80s. Two of the big three trials found no mortality benefit from CABG. Most of these patients had normal ventricular function. Along with my colleagues Andrew Foy and Mohammed Ruzieh, we have recently reviewed these trials over at the Cardiology Trials Substack.

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Inhaled Nitric Oxide in ICU

Intensive Blog

Author: Dr Ken Hoffman Peer Reviewer: A/Prof Chris Nickson In this 5 minute video we examine the use of inhaled nitric oxide in ICU, reviewing the administration, mechanism of action, indications and side effects. If you find these videos useful, please hit the like button on Youtube and subscribe to see more! Finally, this video was made possible by an education project grant awarded by The Australian and New Zealand Intensive Care Foundation , a charity dedicated to improving the care of crit

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Revisiting “integrative oncology”: The battle to integrate quackery with oncology continues

Science Based Medicine

Nature Reviews Cancer published a propaganda piece disguised as commentary promoting "integrative oncology," or what I like to call "integrating" quackery with oncology. The post Revisiting “integrative oncology”: The battle to integrate quackery with oncology continues first appeared on Science-Based Medicine.

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NRC Health announces winners of 2024 patient experience and loyalty awards

NRC Health

NRC Health is pleased to announce the recipients of the 2024 Consumer Loyalty Awards and the Excellence in Patient Experience Awards. The post NRC Health announces winners of 2024 patient experience and loyalty awards appeared first on NRC Health.

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Depression and addiction: a new hope with TMS

Emergency Live

Transcranial Magnetic Stimulation is emerging as a treatment for depression and addiction More and more people around the world are struggling with depression, a disease that has a profound impact on their quality of life. Fortunately, scientific research is not standing still and new therapies are constantly emerging, offering new hope to patients.

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Medical Music Mondays: Scabies for the Babies

PEMBlog

Scabies is everywhere! It’s also very treatable with permethrin topically. It’s also important to remember that patients and families feel unclean and stigmatized by this common infection – but they shouldn’t! Also “Scabies for the Babies” will be stuck in your head. I promise… Lyrics [chorus] It’s scabies for the babies Woo hoo We got scabies for the babies Do you?

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Alcohol: a silent threat, especially for the most fragile

Emergency Live

Recent study has revealed that even moderate consumption can be extremely harmful to health Alcohol is often associated with convivial moments and relaxation. However, a recent study has revealed that even moderate consumption can be extremely harmful to health, especially for the most vulnerable people. The study The research, conducted on a large sample of […] The post Alcohol: a silent threat, especially for the most fragile appeared first on Emergency Live.

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Transgluteal Hydrodissection

Ultrasound Gel

In this Bonus Cut author interview, Zack and Mike go off the rails by interviewing the author of a case series describing a fascinating and mysterious procedure - the transgluteal hydrodissection! Guest Gabe Rose gives us the low down of how this nerve block alternative might be the way to go to help a radicu-lous amount of patients. [link] [link] In this Bonus Cut author interview, Zack and Mike go off the rails by interviewing the author of a case series describing a fascinating and mysterious

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A record summer of fires and rescue: fire fighters in action

Emergency Live

Oltre 531.000 interventi dall’inizio dell’anno, in particolare dovuti agli incendi. 27% in più rispetto al 2023 The summer of 2024 proved to be particularly demanding for the Italian fire brigade. The data released by the General Command of the National Fire Brigade speaks for itself: since the beginning of the year, more than 531,000 operations […] The post A record summer of fires and rescue: fire fighters in action appeared first on Emergency Live.

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Tatebe – Physician’s Role as Advocate

University of Maryland CC Project

Dr. Leah Tatebe is an associate professor of surgery at Northwestern University in Chicago. In her talk, she discusses various ways that physicians can become advocates, using examples from her […] Dr. Leah Tatebe is an associate professor of surgery at Northwestern University in Chicago. In her talk, she discusses various ways that physicians can become advocates, using examples from her own work in trauma surgery and critical care.

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44 and 60: key ages of ageing according to new research

Emergency Live

Stanford University: ageing is not linear, but in a burst, with two peaks at 44 and 60 For centuries, we have imagined ageing as a slow decline, an inexorable passage of time that gradually leads us towards old age. But a recent scientific discovery is revolutionizing this concept, offering us a new perspective on our […] The post 44 and 60: key ages of ageing according to new research appeared first on Emergency Live.

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5 Minute Sono – Papilledema

Core Ultrasound

In this video, we demonstrate how to use bedside ultrasound to diagnose papilledema (caused by increased ICP) as well as pseudopapilledema (caused by other things besides an increased ICP). CRAO RD/VD Courses The post 5 Minute Sono – Papilledema first appeared on Core Ultrasound.

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Holidays and digestion: a delicate combination

Emergency Live

On holiday, altered eating habits can upset the balance of the intestinal microbiota During holidays it is easy to run into changes in diet and incorrect diets. These can put a strain on our intestines causing from the common discomfort to the stomach more serious disorders of an infectious, bacterial or viral nature. The microbiota […] The post Holidays and digestion: a delicate combination appeared first on Emergency Live.

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"vegetative" patients may have some awareness

Emergency Live

Patients in vegetative state may be able to think and aware of the surrounding environment For decades, the condition of vegetative patients has been shrouded in mystery. Considered unconscious, trapped in bodies that do not respond, these patients represented a challenge for both medicine and ethics. However, a recent research has upset our understanding, revealing […] The post "vegetative" patients may have some awareness appeared first on Emergency Live.

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Adrenaline nasal spray: the revolution against allergic shock

Emergency Live

FDA approved the first adrenaline-based nasal spray used to treat anaphylactic shock An epochal breakthrough in the management of severe allergic reactions has been announced by the US Food and Drug Administration (FDA). The regulatory body has approved the first adrenaline-based nasal spray, a life-saving drug used to treat anaphylactic shock. Adrenaline: a lifesaver Adrenaline, […] The post Adrenaline nasal spray: the revolution against allergic shock appeared first on Emergency Live.

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Record heat: Dealing with the heat with magnesium

Emergency Live

Magnesium, a mineral essential for our body, plays a fundamental role in periods of intense heat The heat wave that is sweeping Italy has put a strain on our organism. Fatigue, cramps and various ailments are just some of the symptoms associated with prolonged exposure to high temperatures. But how best to deal with this […] The post Record heat: Dealing with the heat with magnesium appeared first on Emergency Live.

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New understanding of celiac disease: the intestinal epithelium, a key player

Emergency Live

The cells of the intestinal epithelium when they come into contact with gluten, activate the immune system Celiac disease, an autoimmune disease affecting about 1% of the world’s population, has always been a challenge for medical research. However, a recent study published in the prestigious journal “Gastroenterology” has brought to light a discovery that could […] The post New understanding of celiac disease: the intestinal epithelium, a key player appeared first on Emergency