Tue.Mar 12, 2024

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Dr. Martin Kulldorff, Who Posted Pictures of Guillotines and Promised Herd Immunity Would Arrive 3-6 Months After Lockdowns Ended, Fired for “Clinging to the Truth”.

Science Based Medicine

"Science cannot survive in a society that does not value truth and strive to discover it." The post Dr. Martin Kulldorff, Who Posted Pictures of Guillotines and Promised Herd Immunity Would Arrive 3-6 Months After Lockdowns Ended, Fired for “Clinging to the Truth”. first appeared on Science-Based Medicine.

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Being Comfortable Being Uncomfortable – A Medical Student’s Perspective

Sensible Medicine

On February 8th, Lisa Rosenbaum published an excellent and thought-provoking piece in the New England Journal titled: On Being Well While Doing Well — Distinguishing Necessary from Unnecessary Discomfort in Training. This article, and the accompanying podcast , has stimulated more conversation than a “non-research” article has in years.

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Quick Hit: Elders Risk Assessment

EM Literature of Note

A few words regarding an article highlighted in one of my daily e-mails – a report regarding the Elders Risk Assessment tool (ERA) from the Mayo Clinic. The key to the highlight is the assertion this score can be easily calculated and presented in-context to clinicians during primary care visits, allowing patients with higher scores to be easily identified for preventive interventions.

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Donating blood: an act of generosity that saves lives

Emergency Live

The Importance of Blood Donation and Its Health Benefits The Importance of Blood Donation Blood donation is an altruistic act that can make the difference between life and death for many people. Every day, thousands of individuals worldwide rely on blood donations to receive life-saving medical care. Blood transfusions are crucial for treating patients with […] The post Donating blood: an act of generosity that saves lives appeared first on Emergency Live.

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SQuID Protocol for DKA: Impact on ED Length-of-Stay

Taming the SRU

Griffey RT, Schneider RM, Girardi M, et al. The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics. Acad Emerg Med 2023;30(8):800–8. 10.1111/acem.14685 Clinical Question : What is the impact of a subcutaneous insulin protocol for mild-to-moderate DKA on ED length of stay and ICU admission rates? Background Diabetic ketoacidosis (DKA) is a common and resource-intensive condition contributing to significant morbidity and mortality among patients with

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Hypnosis in the operating room: a new study on its effectiveness

Emergency Live

Addressing Preoperative Anxiety: A Clinical Imperative Approximately 70% of patients experience states of stress and anxiety before, during, and after a surgical procedure. Typically, sedatives, opioids, and anxiolytics can alleviate this discomfort, but they expose the individual to a series of significant consequences. Therefore, reducing the consumption of these drugs limits associated side effects (nausea, […] The post Hypnosis in the operating room: a new study on its effectiveness ap

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Clinical Conundrums: Should I Pretreat Patients with Contrast Allergy Prior to IV Contrast Administration?

RebelEM

Bottom Line Up Top: Pretreatment is ineffective and unnecessary as it does not significantly reduce the risk of serious adverse reactions to contrast. Pretreatment should not delay imaging required for definitive diagnosis. Clinical Scenario: A 65 year-old woman presents with shortness of breath. Her vitals are notable for tachycardia and mild hypoxia, but she is otherwise hemodynamically stable.

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ACEP Advances Boarding Solutions

ACEP Now

Emergency physician-supported solutions to some of the biggest challenges in health care are gaining steam in Washington, D.C. In December, the Department of Health and Human Services (HHS) announced it would convene stakeholders to address boarding concerns through the Agency for Healthcare Research and Quality (AHRQ). ACEP conversations continue with teh AHRQ.

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Know your eyes to fight glaucoma

Emergency Live

Knowing Your Eyes to Combat the Silent Guest: Glaucoma During the World Glaucoma Week (March 10-16, 2024), ZEISS Vision Care, with the contribution of Dr. Spedale, emphasizes the importance of prevention and visual well-being through some tips to not be caught unprepared by this condition. In our country, according to the Italian Institute of Ophthalmology, […] The post Know your eyes to fight glaucoma appeared first on Emergency Live.

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Creative Careers: Ryan Stanton, MD, FACEP

ACEP Now

Ryan Stanton, MD, FACEP, vividly recalls watching his first car race as a child. The sounds, the speed, the energy … there’s nothing like it. Years later, emergency medicine allows him to combine his favorite sport with his life’s work. He got his start treating fans and race teams as a resident managing onsite care centers. Through his involvement with ACEP, he met race medicine luminary Dr.

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The new Fregate-F100 from HYNAERO and R&R Consulting

Emergency Live

A Key Collaboration in the Aerospace Industry A Partnership for Innovation HYNAERO, a Bordeaux-based startup specializing in the design of amphibious aircraft, has formed a strategic partnership with R&R Consulting, a leading company in the aerospace certification sector. The main objective of this collaboration is the development and certification of the new amphibious water bomber […] The post The new Fregate-F100 from HYNAERO and R&R Consulting appeared first on Emergency Live.

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Imaging Case of the Week 586

EMergucate

The following chest x-ray is from an elderly patient post syncope. What can be seen? Answer will be posted later.

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HikMicro: Thermal Innovation in the Service of Security and Rescue

Emergency Live

Advanced Technology for Fire Prevention and Wildlife Monitoring with HikMicro’s Outdoor Line HikMicro, an emerging technology company in the field of thermal imaging, has its roots in the world’s leading video surveillance and integrated security company, Hikvision. Since 2016, HikMicro has channeled its expertise in thermal technology, becoming a key player in creating IoT solutions […] The post HikMicro: Thermal Innovation in the Service of Security and Rescue appeared first

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It’s Your Call – March 2024

Total Medical ComplianceHIPAA

OSHA/Infection Control: What is the appropriate cleaning method for heavy duty utility gloves? It is best to follow the manufacturer’s instructions for use because the methods vary. Here are some variations that you may find: Autoclavable up to 5 times Not autoclavable. Wash with mild soap and water. Hang to dry. HIPAA: We are a small healthcare office, who is best suited to be assigned the role of Compliance Officer?

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The problem of salaries and the flight of nurses

Emergency Live

Health, Nursing Up Report. De Palma: “£1500 per week from the UK, up to €2900 per month from the Netherlands! European countries are upping the ante with their own economic proposals and are targeting Italian nurses, the most specialized figures in the Old Continent.” Italy, with its stagnant nurse salary for almost a decade, paradoxically […] The post The problem of salaries and the flight of nurses appeared first on Emergency Live.

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Introducing Babble Royale the new speaker competition from the American Academy of Pediatrics Section on Emergency Medicine

PEMBlog

New this year at the AAP NCE we will be hosting a brand new session that will highlight the talents of some of the very best educators in PEM. Faculty in the first ten years following training will be eligible to submit their very best presentation in any format on any topic Four finalists will present live at the NCE and compete for the title belt.

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CJEM Visual Abstract – Hypotension and respiratory events related to electrical cardioversion for atrial fibrillation or atrial flutter in the emergency department

Canadian EM

Welcome back to the 2024 CJEM year! In this issue, we collaborated with the CJEM team to present “Hypotension and respiratory events related to electrical cardioversion for atrial fibrillation or atrial flutter in the emergency department” in a visual abstract format​1​. Electrical cardioversion (ECV) is extremely common in the emergency department for paroxysmal atrial rhythms.

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Using intellectual humility to understand the power of data

NRC Health

In the latest episode of Patient No Longer, Hannah Fry touches on the intersection of data, healthcare, and her personal experience with cervical cancer, highlighting the challenges and opportunities of each. The post Using intellectual humility to understand the power of data appeared first on NRC Health.

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ECG of the Week – March 13th 2024

EMergucate

The following ECG was taken from a 36-year-old marathon runner presenting to the ED with acute gastroenteritis.

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Italian Red Cross, Valastro: "Inhumane conditions in Gaza"

Emergency Live

The President of the Italian Red Cross Visits “Food for Gaza” On March 11, 2024, the President of the Italian Red Cross, Rosario Valastro, participated in the “Food for Gaza,” a coordination table established at the initiative of the Minister of Foreign Affairs and International Cooperation, Antonio Tajani. The Italian government aims to promote coordinated […] The post Italian Red Cross, Valastro: "Inhumane conditions in Gaza" appeared first on Emergency Li

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