Sensible Medicine
NOVEMBER 22, 2024
OK, the title is click bait. Sensible Medicine is a reader-supported publication. I you appreciate our work, consider becoming a free or paid subscriber. I am a great believer in the healthy lifestyle. If Americans lived healthier lives, we would all be in a better place. There would be less obesity, diabetes, and heart disease. We would probably be treating fewer patients for depression, cancer, and addictions.
St. Emlyn
NOVEMBER 22, 2024
St.Emlyn's - Emergency Medicine #FOAMed This retrospective study explores the link between intra-arrest arterial blood pressure (IBP) and return of spontaneous circulation (ROSC) in out-of-hospital cardiac arrest (OHCA). Analysing data from 80 patients attended by the East Anglian Air Ambulance, it found that higher diastolic blood pressure (DBP) during CPR significantly increased the likelihood of ROSC.
Science Based Medicine
NOVEMBER 22, 2024
Had laptop class doctors been willing to listen to doctors who worked on COVID units, they wouldn't have said so many absurd things. The post Laptop Class Doctors Think Doctors Who Treat Patients Are Lazy, Dumb, Cowardly, Sheep first appeared on Science-Based Medicine.
The Bottom Line
NOVEMBER 22, 2024
Quetiapine Versus Haloperidol in the Management of Hyperactive Delirium: Randomized Controlled Trial Zakhary et al. Neurocritical Care; Oct;41(2):550-557. doi:10.1007/s12028-024-01948-w Clinical Question In critically ill patients with delirium, does quetiapine in comparison to haloperidol, reduce the severity of delirium?
PulmCCM
NOVEMBER 22, 2024
ChatGPT crushed 50 academic attendings and residents in a diagnostic reasoning contest. At the end of 2023, 26 attendings and 24 residents (mostly in internal medicine at Stanford, Beth Israel/Harvard, and the University of Virginia) read clinical case vignettes and were randomized to answer them either with conventional resources like decision support tools (e.g., Google search, UpToDate™), or to use ChatGPT-4.
The Bottom Line
NOVEMBER 22, 2024
Long-term effects of flexible visitation in the intensive care unit on family members’ mental health: 12-month results from a randomized clinical trial JMB de Souza et al. Intensive Care Med (2024); 50:1614–1621. DOI: 10.
EMDocs
NOVEMBER 22, 2024
Here’s another case from Medical Malpractice Insights – Learning from Lawsuits , a monthly email newsletter for ED physicians. The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. To opt in to the free subscriber list, click here. Stories of med mal lawsuits can save lives.
Emergency Care Today brings together the best content for emergency care practitioners from the widest variety of industry thought leaders.
ALiEM
NOVEMBER 22, 2024
A 13-month-old, full-term male presented due to intermittent emesis over a 3-week period. He and his parents had COVID one week prior to presentation. He had multiple episodes of non-bloody, non-bilious vomit the day before and the day of presentation. Parents noted he had been listless and unable to tolerate food. The mother was also concerned that he was straining to have bowel movements and that a mass was coming out of his bottom on the ride to the hospital.
American Medical Compliance
NOVEMBER 22, 2024
According to a review by the Center for Bioethics and Health Law , patients who received early palliative care not only experienced significant improvements in their quality of life and mood but also lived 25% longer. This underscores the profound impact that compassionate and proactive care can have. End-of-life care discussions rank among the most sensitive and challenging conversations healthcare providers engage in with patients and their families.
Mind The Bleep
NOVEMBER 22, 2024
Introduction to AI Artificial Intelligence (AI) has changed almost every aspect of modern technology, and it is inevitable that we will soon witness its impact on healthcare. It is therefore vital that healthcare professionals (HCPs) have a basic understanding of how AI works and what impact it will have on our future practice. Ways AI is integrated into healthcare : Medical education and teaching e.g.
EMCrit
NOVEMBER 22, 2024
Experts' guide to the use of the Bougie for Emergency Airway Management EMCrit Project by Scott Weingart, MD FCCM.
Maria Yang, MD
NOVEMBER 22, 2024
The fifth instance of the word “mental” in Project 2025 is on page 518 in the section about the Health Resources and Services Administration (HRSA): Withdraw Ryan White guidance allowing funds to pay for cross-sex transition support. HRSA should withdraw all guidance encouraging Ryan White HIV/AIDS Program service providers to provide controversial “gender transition” procedures or “gender-affirming care,” which cause irreversible physical and mental harm to those who receive them.
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