First 10 EM
OCTOBER 28, 2024
As with everything that comes out of the PECARN group, this is a huge study, and is therefore one that everyone needs to know about. That being said, despite working in two very busy community hospitals with a high percentage of pediatrics visits, c-spine injuries are just not an issue I struggle with. I have […] The post The PECARN c-spine rule could cause a lot of harm appeared first on First10EM.
ALiEM
OCTOBER 28, 2024
A 2-year, 11-month-old female with a history of constipation was brought to the ED by her mother for abdominal pain. The mother noticed that the patient’s abdomen had been enlarging for months. When they visited the pediatrician several months ago, the pediatrician also noticed a mildly enlarged abdomen but the patient was asymptomatic at that time.
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Sensible Medicine
OCTOBER 28, 2024
The study of the week will take a short break. I head to Curitiba Brazil tomorrow for the Brazilian EP society meeting. I have five lectures. I will be back next week. And there will be plenty of studies to choose from because we are entering the fall season of medical meetings. This week, Sensible Medicine features a guest column from Zachary R. Caverley, a Cardiology Physician Assistant working in the Northwest coast of Oregon.
EM Ottawa
OCTOBER 28, 2024
Methodology: 4/5 Usefulness: 4/5 Geraghty LE, et al. N Engl J Med. 2024 May 30;390(20):1885-1894. doi: 10.1056/NEJMoa2402785. Question and Methods: Study aimed to determine if video laryngoscopy improves first-attempt intubation success in neonates compared to direct laryngoscopy through a randomized controlled trial. Findings: 74% first pass success with video laryngoscopy and 45% with direct laryngoscopy […] The post Video versus Direct Laryngoscopy for Urgent Intubation of Newborn Infa
NRC Health
OCTOBER 28, 2024
Addressing workplace violence is an important element of the CMO role at health systems and hospitals, this associate CMO says. The post How CMOs can combat workplace violence appeared first on NRC Health.
Emergency Live
OCTOBER 28, 2024
Cutting-edge robotic technique for removal of thymus tumours introduced The Molinette hospital in Turin has marked a new milestone in thoracic surgery, introducing a cutting-edge robotic technique for the removal of large-scale thymus tumors. This innovative procedure, never before applied in Italy, represents a decisive breakthrough in the treatment of these pathologies, offering patients a […] The post Life-saving surgical innovation: robotics takes the heart appeared first on Emergency
EMergucate
OCTOBER 28, 2024
This VBG was from a young girl with sever gastroenteritis (Vomiting and diarrhoea) for 3 days. PH = 7.52, that is moderate alkalaemia. pCO2 = 21 mmHg. So, we have respiratory alkalosis.
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Emergency Live
OCTOBER 28, 2024
Revocation of the authorisation of obetycholic acid for the treatment of primary biliary cholangitis (CBP) The recent decision by the European Commission to withdraw marketing authorisation for obeticlic acid for the treatment of primary bile cholangitis (PBC) is a blow to thousands of patients with this rare liver disease. The news has raised major concerns […] The post The European Commission revokes the approval of the drug against CBP appeared first on Emergency Live.
Board Bombs
OCTOBER 28, 2024
We are live from Maine while at our podcast retreat (yes that’s a thing). Let’s talk about a classic envenomation. Plus we have a surprise guest join us. Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind at here. Cite this podcast as: Briggs, Blake; Husain, Iltifat. 238. Stabbed at the beach?
PEMBlog
OCTOBER 28, 2024
Night terrors are super scary. And the kid doesn’t even remember them! They’re more like sleep walking than nightmares and parents are often worried that it’s a seizure or something more serious. Lyrics [verse] Woke up late at night flailing and crying Couldn’t wake him up though the parents were trying Oh why the unstoppable fussing and screamin’ Could it be a seizure or possession by a demon?
Taming the SRU
OCTOBER 28, 2024
Pneumomediastinum is defined as the presence of air in the mediastinum after rupture of air-filled structures such as the esophagus or trachea, or small parts of the lung such as alveoli. This can occur spontaneously or after trauma. Pneumomediastinum is often benign and self limited. However, in more serious cases it can require close monitoring and sometimes surgical intervention.
Don't Forget the Bubbles
OCTOBER 28, 2024
Karageorgos S, Ren D, Ranaweera M, et al. Fifteen-minute consultation: a guide to paediatric major haemorrhage Archives of Disease in Childhood – Education and Practice. Published Online First: 24 June 2024. doi: 10.1136/archdischild-2024-327224 Six-year-old Rhaenyra is brought into the emergency department after being hit by a car. On primary survey, she is found to be tachycardic and hypotensive, with bruising over her abdomen.
PulmCCM
OCTOBER 28, 2024
Inflammation is implicated in acute myocardial infarction in at least two ways: Inflamed plaques are more likely to rupture and produce coronary occlusion. A robust and potentially damaging inflammatory response occurs after reperfusion with coronary stenting. It has been estimated that inflammation resulting from the reperfusion injury could produce as much as half of the eventual myocardial damage, significantly contributing to disability and death post-MI.
Science Based Medicine
OCTOBER 28, 2024
In a post on X/Twitter, antivaxxer turned Trump supporter Robert F. Kennedy, Jr. declared MAHA war on the FDA, should Trump be elected. What would this actually mean in practice? The post RFK Jr. declares MAHA war against the FDA first appeared on Science-Based Medicine.
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