Thu.Nov 07, 2024

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Intraosseous vs intravenous access: which is better during resuscitation?

PulmCCM

During cardiac arrest, every second matters (at least potentially). For out-of-hospital cardiac arrest in particular, intravenous access can be difficult to establish, delaying the administration of epinephrine and other drugs and possibly worsening outcomes. Intraosseous (IO) devices—inserted by punching a needle loaded on a trocar into the tibia or femur—can be placed more easily than IV catheters, leading to faster injection of epinephrine.

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November 8, 1895

Life in the Fast Lane

Mike Cadogan November 8, 1895 On November 8, 1895 Wilhelm Röntgen, chair of physics at Würzburg, noted an unusual phenomenon, that would change the world of medicine

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Inhalation Injuries: The Answers You’ve Been LUNGing For

EM Ottawa

Inhalational injuries are a critical yet often overlooked aspect of trauma care, with far-reaching consequences in emergency medicine. These injuries can arise from various sources, including thermal injuries from fires, recreational activities such as smoke exposure during camping or outdoor events, and chemical inhalation in both industrial and household settings.

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A Skeptical Take of Semaglutide for Cardiac Protection

Sensible Medicine

When the New England Journal of Medicine published the placebo-controlled SELECT trial of semaglutide in patients with established vascular disease, I had thought cardiology had discovered another disease-modifying drug. SELECT found a statistically significant and clinically meaningful lowering of a composite endpoint with semaglutide. My former partner, who writes under the pseudonym, the Skeptical Cardiologist, has a different take.

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Settling the Cefepime versus Piperacillin-Tazobactam Debate

ACEP Now

If you work in the emergency department, you’re out there in the trenches “suspecting sepsis” on a daily basis. Adhering to guideline recommendations, considered by some hand in hand with “quality,” requires prudent empiric antibiotic coverage. Vancomycin remains the typical straightforward choice for patients in whom methicillin-resistant Staphylococcus aureus coverage is indicated.

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#Oatzempic – The viral oat-based alternative to Ozempic?

Science Based Medicine

Can the Oatzempic diet deliver Ozempic-like weight loss? The post #Oatzempic – The viral oat-based alternative to Ozempic? first appeared on Science-Based Medicine.

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A Potential Solution to America’s Psychiatric Boarding Crisis

ACEP Now

Dr. Elizabeth Wharff was the director of emergency psychiatry at Boston’s Children’s Hospital in the late 1990s when she became concerned about what was, then, a new problem. The emergency department (ED) was frequently overwhelmed by suicidal adolescents who needed inpatient psychiatric treatment but couldn’t be admitted, because the hospital had no free beds.

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How to Best Inspect, Protect, and Dress Wounds in the Emergency Dept.

ACEP Now

This is the second visit in two weeks for an elderly gentleman who is concerned about his legs being red and swollen. During the first visit, he was diagnosed with cellulitis and placed on cephalexin. Today, he notes worsening swelling and a blister forming near his left ankle. The pain makes it difficult for him to ambulate unassisted through his home.

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Sarno, mayor gives up allowance to make city Cardioprotected

Emergency Live

A project realized not only through the allowance I gave up, but thanks to the citizens of Sarnia who wanted me to be mayor of this city by giving me their trust So said Sarno Mayor Francesco Squillante during the presentation of the “Sarno Cardioprotected City” project. With the inauguration of the first defibrillator placed […] The post Sarno, mayor gives up allowance to make city Cardioprotected appeared first on Emergency Live.

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Traumatic Coronary Artery Dissection Diagnosis Tips

ACEP Now

While many of us are familiar with spontaneous coronary artery dissection (SCAD) as a common cause of myocardial ischemia in young people, traumatic coronary artery dissection (TCAD) is a rare, potentially life-threatening diagnosis that is challenging to diagnose and often missed in the emergency department (ED), as the clinical features overlap with more common diagnoses that result from blunt chest trauma. 1 It is important to pick up this diagnosis early, as emergency treatment with percutan

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Funtabulously Frivolous Friday Five 361

Life in the Fast Lane

Mark Corden Funtabulously Frivolous Friday Five 361 Funtabulously Frivolous Friday Five 360 - Just when you thought your brain could unwind, enter the medical trivia of FFFF.

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When Do Pediatric Ventriculoperitoneal Shunts Fail?

ACEP Now

The best questions often stem from the inquisitive learner. As educators, we love—and are always humbled—by those moments when we get to say “I don’t know.” For some of these questions, you may already know the answers. For others, you may never have thought to ask the question. For all, questions, comments, concerns, and critiques are encouraged. Welcome to the Kids Korner.

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AHA and Red Cross Life Support Certifications Should Both Be Accepted

ACEP Now

For decades, only one major organization—the American Heart Association (AHA)—provided standardized training and certifications in Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS). This changed in 2019 when the American Red Cross rolled out a suite of courses that teach the same science and skills in a more learner-centered way.