Tue.Feb 18, 2025

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Antibiotic Management of Nonperforated Appendicitis is Inferior to Appendectomy

Sensible Medicine

For decades, the treatment of acute appendicitis was appendectomy. Nobody even questioned this treatment approach. The appendix was acutely inflamed, at risk of perforation, it needed to be removed. The idea that there could be a simple, non-surgical management could not have been imagined. But, eventually evidence would accumulate casting doubt on this paradigm.

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It’s the end of the world as I know it. And I feel fine.

Science Based Medicine

Pondering the future of a few infections. As to the image, consider it a metaphor of before and after where Jesus is a stand in for science or public health or whatever you want him to be. Except a promoter of peace and helping the poor. Not in 2025 anyway. See [link] for more. The post Its the end of the world as I know it. And I feel fine. first appeared on Science-Based Medicine.

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Annals ECG of The Month

ACEP Now

Emergency medical services (EMS) were called to the home of a 22-year-old woman after a syncopal episode and seizure-like activity. The patient reported consuming plant needles obtained online in a suicide attempt several hours prior. On EMS arrival, the patient was alert, pulse was fluctuating between 40 and 130 beats/min, and manual systolic blood pressure was 60 mmHg.

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Ep 202 Eating Disorders: Common, Commonly Missed, Mismanaged and Misunderstood

Emergency Medicine Cases

Eating disorders have the highest mortality rate of any psychiatric illness, yet they are frequently missed in the Emergency Department as they can be elusive. Only one in 246 patients who screen positive for an eating disorder at triage have a chief complaint suggesting it. These patients dont always fit the stereotypemany appear healthy, have normal BMI, or present with vague GI, cardiac, or neurological symptoms.

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Neuroimaging Cases 008

Life in the Fast Lane

Michael Gibbs MD Neuroimaging Cases 008 Intraventricular rupture of brain abscess (IVROBA). Second in our Neuroimaging case study series with Teresa Crow, Troy Carnwath, Scott DiMeo, L.

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McSwain’s Rules of Patient Care

The Trauma Pro

It’s been five years since I published my Laws of Trauma, and it’s time to dust them off again. In the meantime, I’ve added a couple of new ones. But before I start publishing them I’d like to take a moment to share “McSwain’s Rules of Patient Care.” I met Norm McSwain when I was junior faculty at the University of Pennsylvania.

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Podcast – Moral Injury with Caroline Leech at Tactical Trauma 24

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed The St Emlyns podcast delves into moral injury in healthcare with Dr. Caroline Leech. Learn how repeated exposure to ethical dilemmas leads to distress and explore strategies to mitigate its impact on clinicians. The post Podcast – Moral Injury with Caroline Leech at Tactical Trauma 24 appeared first on St.Emlyn's.

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Rural EM and Traumatic ICH – An Interview with Ashley Weisman, MD

EB Medicine

In this episode, Sam Ashoo, MD interviews Ashley Weisman, MD about her career in rural emergency medicine, and the February 2025 Emergency Medicine Practice article, Management of Traumatic Intracranial Hemorrhage in the Emergency Department Interview with Dr. Ashley Wiseman Introduction of Dr. Wiseman: Emergency physician specializing in rural ER. Dr.

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ECG Pointers: Pacemakers, Magnets, and Hiding Under the Charge Nurse’s Desk

EMDocs

Authors: Lloyd Tannenbaum, MD (EM Attending Physician, Geisinger Wyoming Valley, PA) // Reviewer: Brit Long, MD (@long_brit) Hello and welcome back to ECG Pointers, a series designed to make you more confident in your ECG interpretations. This week, we feature a post from Dr. Tannenbaums ECG Teaching Cases , a free ECG resource. Please check it out.

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Understanding the Sunshine Act Compliance

American Medical Compliance

The Sunshine Act promotes transparency in the relationship between healthcare providers and the pharmaceutical industry. Therefore, healthcare professionals and organizations must understand Sunshine Act compliance to meet reporting requirements for financial relationships. This course guides you through the essential aspects of the Sunshine Act, including what needs to be reported and how to stay compliant.