Wed.Nov 08, 2023

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Bloodborne Pathogen Exposures Continue in Operating Room Settings

NIOSH Science Blog

Despite legislation and improved technology, data from Massachusetts hospitals show that sharps injuries have increased in the operating room (OR) [1]. These injuries place healthcare workers at risk of exposure to bloodborne pathogens (BBPs). There is an urgent need to renew efforts to protect healthcare workers inside the operating room. The Massachusetts data highlight a gap and the need to establish a national surveillance program that would help hospitals develop further measures to prevent

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The Value of a Patient's Story: ‘Maximizing billing and legal protection’ is a fool's game with a fool's end

Emergency Medicine News

An abstract is unavailable.

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Paediatric Appendicitis

Don't Forget the Bubbles

7-year-old Tilly is brought to your emergency department at 11 p.m. by her father. She has had abdominal pain for two days, and it has now moved to the right side. She is obviously uncomfortable. Abdominal pain in children is common, accounting for over 1 in 20 attendances to paediatric emergency departments [1]. Differentiating between self-limiting and surgical conditions can be particularly challenging in younger patients who often present with non-specific symptoms and signs.

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Decision Rules are Destroying Medicine

Broome Docs

Controversial title… courtesy of Dr Justin Morgenstern. In this podcast Justin tells me about the evidentiary basis for our modern obsession with clinical decision rules and tools. We discuss the reasons that these tools may seem like a great idea, the reality of practice and how we may be able to do better in the future. So if you have ever used a decision tool in the ED – Wells, Ottawa, PECARN, San Francisco, HEART… or any other acronym you need to stop and have a listen to u

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Ozone Therapy

Science Based Medicine

Ozone therapy sits in the border zone between science and pseudoscience. The post Ozone Therapy first appeared on Science-Based Medicine.

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Thrombolysis for Massive PE: Is Less More?: Lower doses appear effective for massive and maybe submassive PEs

Emergency Medicine News

An abstract is unavailable.

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NG tubes - not so benign!

University of Maryland Department of Emergency Med

Think before placing a nasogastric tube! Multiple articles which discussed complications of NGT placement were included in this integrati.

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Steroids for Pneumonia? Here we go again.

University of Maryland Department of Emergency Med

For the folks who have been in practice for a while, you may be aware of the roller-coaster evidence base looking at steroids for pneumonia. On.

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ACMT Toxicology Visual Pearl: Making Rash Decisions

ALiEM

Which of the following best describes the pictured rash occurring 4 weeks after starting minocycline? Anaphylaxis Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) Syndrome Erythema multiforme Serum sickness Stevens-Johnson Syndrome (SJS)/Toxic Epidermal Necrolysis (TEN) Reveal the Answer 2. DRESS Syndrome What is DRESS syndrome? Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) syndrome, also called Drug Induced Hypersensitivity Syndrome (DIHS), is a severe delayed T-cel