Sensible Medicine

FEBRUARY 17, 2025

John is sick, so I have big shoes to fill. Today’s study of the week is a cancer trial. I know many of you aren’t cancer doctors, and you are thinking about skipping this essay. Let me assure you: you will learn something. The trial has issues with control arm, skewed randomization (2:1), drop out and endpoints. It is a rollercoaster ride of critical appraisal.

Hospice 103

Hospice Wellness Research 103

The Evolution & Medicine Review

FEBRUARY 17, 2025

By Joe Alcock Many advances in the care of critically ill patients over time have involved intervening less aggressively. A recent perspective by DAmico and colleagues (1) builds on that tradition of less is more. In Protective Hemodynamics: C.L.E.A.R.! the authors urge caution in treating low blood pressure with fluids or vasopressor medications. DAmico, F.

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First 10 EM

FEBRUARY 17, 2025

The decision between mechanical thrombectomy and catheter directed thrombolysis for pulmonary embolism is not one that most emergency physicians are making. Most (like me) probably dont even have access to such therapies, which might be a good thing, as both therapies remain completely unproven. However, I thought I would share the PEERLESS trial as a […] The post PEERLESS: Interventional therapies for pulmonary embolism appeared first on First10EM.

EMS 52

EMS 52

PulmCCM

FEBRUARY 17, 2025

Cardiopulmonary resuscitation (CPR) is performed on more than 250,000 people in U.S. hospitals each year. When a patient is failing to recover spontaneous circulation, the clinician in charge must decide whether and when to cease resuscitation efforts. Moments after he or she says “stop,” the person will be declared legally dead. It’s an awesome and humbling responsibility, the ultimate life-and-death decision.

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CPR Hospitals Resuscitation Documentation/Coding 71

Emergency Medicine Cases

FEBRUARY 17, 2025

On this month's ECG Cases, Dr. Jesse McLaren explains how STEMI criteria can be false positive with large scale QRS and proportional ST elevation, or false negative with low/normal scale QRS and disproportionate ST elevation and hyperacute T waves, and that rules for subtle occlusion using proportionality can help differentiate LBBB with or without Occlusion MI, or LV aneurysm vs anterior STEMI with Q waves.

EKG/ECG 76

EKG/ECG EMS 76

EM Literature of Note

FEBRUARY 17, 2025

Ive taken the opportunity of reboot to try and make smaller, more digestible chunks to highlight what Im reading and to post more often. So, check out: The Journavx Hype Predicting Heart Failure from ECGs Whats the Best Fluid for Pancreatitis? A Nice Win for Radiology AI Where Endovascular Treatment Fails Even the Best Make Terrible Alerts The Future of AI is FUTURE-AI?

Anaphylaxis 57

Anaphylaxis Radiology Radiology Stroke 57

Life in the Fast Lane

FEBRUARY 17, 2025

John Currie Liver Service Transfer / Referral Remember the 3s and EncephalopaTHREE (ph 7.3, INR>3, BSL of 3.

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PEMBlog

FEBRUARY 17, 2025

Cellulitis is like an infection of the icing – if you imagine the skin as a piece of cake that it. Treat with cephalexin – red, hot, swollen, and tender – and sometimes fever and systemic symptoms. I could’ve wrote a song about erysipelas but it doesn’t rhyme with anything. Lyrics Fast spreading and red I hope I’m not dead don’t want to be bacteremic from just my skin red, hot, swollen, and tender skin infection, not a life ender cephalexin is the first

Infectious Diseases 52

Infectious Diseases 52

American Medical Compliance

FEBRUARY 17, 2025

Activities of Daily Living (ADLs) are essential tasks that individuals perform every day to maintain their independence. For healthcare providers, understanding and supporting patients’ ability to perform these tasks is a critical aspect of providing compassionate care. This course is designed to equip healthcare professionals with the knowledge and skills necessary to assess, support, and optimize patients’ ADLs.

Documentation/Coding 52

Documentation/Coding Stroke Wellness 52

Don't Forget the Bubbles

FEBRUARY 17, 2025

Two-liner A look at the evolving concept of venous congestion and the haemodynamic assessment in critically ill children and adults. The literature exploring its nuances continues to grow in adults but remains poorly understood in paediatric populations.[1] Fred is a 3-year-old boy who presents to the emergency department. He was previously healthy and presented with a 3-day history of cough, fevers, low appetite, and decreased energy.

Pediatrics 78

Pediatrics Ultrasounds Shock Resuscitation 78

Science Based Medicine

FEBRUARY 17, 2025

The nightmare has come true. Robert F. Kennedy Jr. has been confirmed as HHS Secretary and didn't wait long to start dismantling federal science and health programs. The White House even formed a "MAHA commission" to draw up a battle plan. The post So it begins: Robert F. Kennedy Jr. is confirmed as HHS Secretary and immediately starts dismantling US federal science infrastructure first appeared on Science-Based Medicine.

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