Mon.Apr 29, 2024

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GCS 8 obviously doesn’t mean intubate (in tox or otherwise)

First 10 EM

Although it made a bit of a splash when published, this article really didn’t interest me. Obviously, GCS 8 doesn’t mean intubate. I didn’t think anyone was simplistic enough to practice medicine based on a jingle. Clearly trajectory matters. If a patient’s GCS hit 8 and they are on a clinical course where you expect […] The post GCS 8 obviously doesn’t mean intubate (in tox or otherwise) appeared first on First10EM.

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Don’t Forget About the IO in the Critically Ill Patient

RebelEM

Critically ill patients requiring resuscitation often present with many challenges including the ability to secure safe, sterile, fast, and reliable intravenous (IV) access. Over the years emergency and critical care physicians have tried many ways to establish IV access in emergencies including the “crash” or “dirty” central line. If you are not familiar with this term, it’s the act of rapidly trying to place a central line (usually femoral), placing the needle for access over strict sterile pr

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Tasty Morsels of Critical Care 079 | Hyponatraemia – management

Emergency Medicine Ireland

Welcome back to the tasty morsels of critical care podcast. Last time i was butchering my way through a diagnostic approach to hyponatraemia, particularly the forms likely to end up in the critical care end of the hospital. This time we’ll take a punt at how you might approach management. In an ideal world of course you would have all of the diagnostic tests back and you’ve been able to make a very solid diagnosis of the cause of hyponatraemia and you would institute a bespoke treatm

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We finally learn from TACT2 what we should have known two decades ago: Chelation therapy doesn’t work for heart disease

Science Based Medicine

At SBM, we've long argued that chelation therapy for heart disease is quackery. An abstract presented recently finally confirmed that. Why did it take so long? The post We finally learn from TACT2 what we should have known two decades ago: Chelation therapy doesn’t work for heart disease first appeared on Science-Based Medicine.

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SVT in infants

Don't Forget the Bubbles

Carly is a 9-month-old who was brought in by her parents because she had been unsettled and not feeding well for a day. At triage, she has a pulse of 277 and is brought straight to resus. What happens in a normal heart? The sino-atrial ( SA ) node is the pacemaker of the heart. It is situated in the right atrium and generates an electrical impulse that conducts through the whole heart and causes it to contract.

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Abuse, Neglect, and Exploitation in Nursing Homes Training

American Medical Compliance

The following Abuse, Neglect, and Exploitation in Nursing Homes Training educates healthcare personnel (HCP) on how to properly recognize and prevent elderly abuse from occurring in nursing homes. The safety and dignity of residents in nursing homes are paramount concerns that require vigilant oversight and dedicated training. Unfortunately, instances of abuse are all too common in these settings, necessitating a robust response to protect some of our most vulnerable citizens.

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Why Every Business Needs an AED: A Lifesaving Investment

AED Leader

In today’s fast-paced world, businesses must prioritize their employees’ and customers’ safety and well-being. One crucial investment that every business should consider is an Automated External Defibrillator (AED). AEDs are portable devices that can be used to deliver an electric shock to the heart in case of sudden cardiac arrest (SCA), a condition that can strike anyone, anywhere, at any time.

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Climate-Resistant and Environmentally Sustainable Practices

American Medical Compliance

The following Climate-Resistant and Environmentally Sustainable Practices in Healthcare Training is designed to educate healthcare providers (HCP) on the risks to health systems and facilities associated with climate change. The impacts of global warming and environmental degradation are increasingly influencing public health. Healthcare providers are on the front lines in treating health effects and mitigating the environmental footprint of their practices.

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Amikacin for Ventilator-Associated Pneumonia (AMIKINHAL trial)

PulmCCM

You don’t hear much about ventilator-associated pneumonia (VAP) anymore. It used to be highly prevalent in U.S. ICUs, and a popular research focus for academics, generating a steady stream of papers. Then, in 2009, the condition disappeared completely. Just kidding! In 2008, the U.S. government proposed adding VAP to its “hospital-acquired conditions” list—the ones that it won’t pay for.

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Cal/OSHA COVID-19 Prevention Non-Emergency Regulations 4.5

American Medical Compliance

The following Cal/OSHA COVID-19 Prevention Non-Emergency Regulations is designed to educate employers and staff with knowledge on the prevention of coronavirus exposure (SARS-CoV-2), a virus that causes COVID-19. The landscape of the COVID-19 pandemic is always evolving, which makes maintaining a safe and healthy workplace a paramount concern. California’s Division of Occupational Safety and Health (Cal/OSHA) has issues regulations to address this concern.

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Simvastatin for Covid-19 Pneumonia (REMAP-CAP trial)

PulmCCM

Simvastatin has anti-inflammatory properties, and while it isn’t an effective treatment for ARDS overall, it may improve outcomes in the subset of people with ARDS due to increased inflammation. Observationally, patients who contracted Covid-19 pneumonia in the Wuhan and Delta eras while taking statins tended to have better outcomes than those not taking statins.

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The Endometriosis Mysteries: Essential Information on This Disruptive Disease

Ziqitza HealthCare Ltd

Endometriosis is a complex condition affecting millions of women globally. Indian women make up 25% of the entire world population suffering from this gynecological condition. This painful condition disrupts the normal routine of a woman’s life. In this condition, the endometrial tissue called the endometrium, which lines the uterus, grows out of the uterus in areas like the fallopian tubes, ovaries, and lining of the pelvic cavity.

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The Definitive Analysis of Observational Studies

Sensible Medicine

The study question is red meat consumption and mortality. The results of this study, though, are not the exciting part. The exciting part is how these scientists went about studying the association between red meat and death. Yes. It’s the Methods ! Allow me an experiment this week. I will write about a fascinating paper. Then I will speak with the author and release our conversation later.

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Comprehending Cardiovascular Disease: Causes, Signs, and Prevention

Ziqitza HealthCare Ltd

Cardiovascular disease, a term used to describe several diseases that affect the heart and blood vessels, is a global health concern. Affecting a majority of the older population and women, cardiovascular disease is the leading cause of death in India. The rate of deaths due to cardiovascular diseases has only skyrocketed over the years. Many places have an ambulance on site to provide quick aid to those in cardiac emergencies.

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