Science Based Medicine

JULY 1, 2024

Everything old is new once again, as COVID-19 quacks rehash old cancer quack claims that chemotherapy doesn't work in order to sell their preferred cancer quackery. The post Paul Marik: Disparaging chemotherapy in order to sell cancer quackery first appeared on Science-Based Medicine.

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103

First 10 EM

JULY 1, 2024

The First10EM monthly wrap up is a place for me to share updates about the website, about my academic life, and also interesting content, such as books, podcasts, and other FOAMed, that I have encountered in the prior month. Obviously the format means the focus is mostly on content I have found, but I hope […] The post The First10EM monthly wrap-up for June 2024 appeared first on First10EM.

Academics 53

Academics 53

EMergucate

JULY 1, 2024

Question 1: • Hb = 76 (between 7 and 9.9) = moderate anaemia. Normal MCH and MCV so we have normochromic anaemia. • WBC = 1.5 (N = 0.9) = mild leukopenia with moderate neutropenia.

52

52

PEMBlog

JULY 1, 2024

Heat Stroke is a serious medical diagnosis that can be differentiated from other forms of heat illness. If only there were a calypso song to teach you the main findings… Lyrics [Chorus] Hot, So Hot, It’s Heat Stroke Got to cool them down Hot, Hot with heat stroke You must cool them down [verse] Core Temp greater than 40 or 104 Dry hot skin and sweating no more Pinpoint pupils, Trouble breathing Bizarre behavior, confusion or seizing [Chorus] Hot, So Hot, It’s Heat!

Stroke 52

Stroke 52

RebelEM

JULY 1, 2024

Background: Non-invasive positive pressure ventilation (NIPPV) is an effective treatment modality for patients with both hypoxemic or hypercapnic respiratory failure and has been shown to decrease the need for intubation [2]. Continuous positive airway pressure (CPAP) provides a constant positive pressure support throughout the breathing cycle, while bilevel positive airway pressure (BPAP) provides different levels of positive airway pressure during inspiration and expiration.

COPD 113

COPD Emergency Department Outcomes EMS 113

Sensible Medicine

JULY 1, 2024

In days of old, we placed implantable cardioverter–defibrillators (ICD) in patients who survived cardiac arrest. The problem was that survival of out-of-hospital cardiac arrest was terrible. Smart people then designed studies to place ICDs in patients before they had cardiac arrest. We call this primary prevention. You can’t place ICDs in everyone because the device comes with downsides (infection, inappropriate shocks, anxiety and costs, for instance.

Shock 67

Shock Hospitals 67