Ken Grauer, MD
JUNE 22, 2024
The ECG in Figure-1 — was obtained from a middle-aged woman with positional tachycardia and diaphoresis with change of position from suprine to sitting. Although CP ( C hest P ain ) was not a prominent symptom — ACS ( A cute C oronary S yndrome ) was suspected from the chest lead T wave inversion seen on this ECG. QUESTIONS: How would YOU interpret the ECG in Figure-1 ?
Science Based Medicine
JUNE 22, 2024
This essay stems from concerns about two editorials published in The New York Times recently. We felt that they were problematic in that the past is viewed through a blurred prism to produce revisionist history. The post Why is The New York Times now promoting an anti-science agenda? first appeared on Science-Based Medicine.
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EMDocs
JUNE 22, 2024
Authors: Kyle Smiley, MD (EM Resident Physician, San Antonio, TX) and Brit Long, MD (@long_brit, EM Attending Physician) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital); Sophia Görgens, MD (EM Physician, Northwell, NY); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited review of clinical basics.
PulmCCM
JUNE 22, 2024
When it comes to red blood cell transfusion during critical illness, less is more, generally speaking. Because transfusion can be harmful, current practice is to usually restrict it in the ICU to patients with hemoglobin less than 7 g/dL. Some patients, though (e.g.
JournalFeed
JUNE 22, 2024
The JournalFeed podcast for the week of June 17-21, 2024. These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. Thursday Spoon Feed: This bias-adjusted meta-analysis of randomized controlled trials (RCT) finds a one-month mortality benefit in trauma patients receiving tranexamic acid (TXA) during initial emergency management.
The Skeptics' Guide to EM
JUNE 22, 2024
Reference: Peters MJ, et al. Conservative versus liberal oxygenation targets in critically ill children (Oxy-picu): a UK multicentre, open, parallel-group, randomised clinical trial. Lancet. December 2023 Guest Skeptic: Dr. Anireddy Reddy is a pediatric intensive care attending physician in the Department of Anesthesiology and Critical Care Medicine at Children’s Hospital of Philadelphia.
PulmCCM
JUNE 22, 2024
Ulcerations of the gastrointestinal tract (so-called stress ulcers) occur asymptomatically in as many as 75% of critically ill patients. Clinically significant bleeding from stress ulcers occurs much less commonly, in 1-3% of critically ill patients—which is far more often than in general hospitalized patients (~0.3%).
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