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.

Pediatrics 107

Pediatrics Hospitals EMS 107

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.

Outcomes 97

Outcomes Hospitals Wellness 97

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.

Hospitals 98

Hospitals Leadership 98

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.

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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.

Hospitals 88

Hospitals Leadership 88

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.

COPD 78

COPD Pediatrics Emergency Department Ultrasounds 78

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.

Pediatrics 64

Pediatrics Ultrasounds Academics Wellness 64

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

Hospitals 52

Hospitals Research 52

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.

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52

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?

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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?

Seizures 52

Seizures 52

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.

Blood Transfusions 72

Blood Transfusions Hyperthermia / Hypothermia Shock Pediatrics 72

ACEP Now

OCTOBER 28, 2024

Holy Foley A Rare Case of Iatrogenic Obstruction by Adam Heilmann, MD; Jessica Pelletier, DO; Jennifer Reyes Lin, MD, MPH Our patient is a 33-year-old male with spastic quadriparesis due to cerebral palsy with chronic indwelling suprapubic catheter (SPC) who presented to the emergency department (ED) due to concern for Foley catheter obstruction. The patients’ mother has attempted to flush the SPC multiple times unsuccessfully at home.

Emergency Department 52

Emergency Department EMS Resuscitation Shock 52

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.

CDC 105

CDC 105