Sensible Medicine

NOVEMBER 4, 2024

Nearly a thousand news outlets covered the recent publication of the positive results of the STEP-9 trial of semaglutide vs placebo for the treatment of knee pain due to osteoarthritis in patients with obesity. Twitter overflowed with positive messages after the New England Journal of Medicine publication. I am not sold on the trial. STEP-9 had many flaws but one fatal flaw.

Outcomes 108

Outcomes Documentation/Coding 108

EM Literature of Note

NOVEMBER 4, 2024

It is clear LLMs have an uncanny ability to find associations between salient features, and to subsequently use those associations to generate accurate probabilistic lists of medical diagnoses. On top of that, it can take those diagnoses and use its same probabilistic functions to mimic the explanations it has seen in its training set. A powerful tool – clearly an asset to patient care?

Research 80

Research 80

First 10 EM

NOVEMBER 4, 2024

It is pretty rare for the phrase “we need more research” to be immediately followed by more research, but that seems to have happened here.v On October 7 I published my post about the HEMOTION trial, looking at transfusion thresholds in traumatic brain injury, and concluding that despite being a statistically negative trial, the results […] The post Liberal or restrictive transfusion in brain injury part 2 (The TRAIN trial) appeared first on First10EM.

Research 60

Research EMS 60

PulmCCM

NOVEMBER 4, 2024

“I can’t prove it was the reason, but we kept everyone’s K over 4 and Mag over 2 and we didn’t have a single code this month.” – my senior resident on an internal medicine rotation, circa 2005 As many as one-fifth of hospitalized patients develop hypokalemia, commonly defined as serum potassium less than 3.5 mEq/L.

Documentation/Coding 59

Documentation/Coding Hospitals 59

Emergency Live

NOVEMBER 4, 2024

Health experts raise the alarm: combination of influenza and COVID-19 could have serious consequences The cold season is approaching and with it the spectrum of influenza and COVID-19 returns. This year, however, the situation could prove particularly complex. Health experts from around the world are warning that the combination of influenza and COVID-19 could trigger […] The post Flu and COVID-19 are worrying again as vaccines lose popularity appeared first on Emergency Live.

Research 52

Research 52

PEMBlog

NOVEMBER 4, 2024

Did you know that post tonsillectomy bleeding occurs approximately 3 to 5% of the time, most often at days 5 to 7 after the surgery? Of course you did. Unstable children with active bleeding may need a trip to the OR. Otherwise ENT can help determine management. Lyrics Nasty strep or OSA Take those tonsils out today Remove adenoids just in case Now there’s blood all over the place Post T&A bleeds frequently now you call ENT If active bleed resuscitate maybe operate on this date If not

Operations 52

Operations Resuscitation 52

Emergency Live

NOVEMBER 4, 2024

Swimming pools, gyms and changing rooms are the main risk environments for HPV contraction Warts are small skin bumps caused by human papillomavirus (HPV) infection. Although they are generally harmless, they can be a source of annoyance and embarrassment. Understanding warts, their causes and available treatments is the first step to getting rid of them […] The post What are warts, how to prevent and treat them appeared first on Emergency Live.

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52

EMDocs

NOVEMBER 4, 2024

Authors: Nikhil B. Bhana, MD (EM Resident Physician, University of Massachusetts/UMass Chan Medical School); Clarence Kong, MD (Pain Fellow, Eastern Virginia Medical School – Virginia Health Sciences at Old Dominion University); Mani Hashemi, MD (EM Attending, HCA Florida Mercy Hospital); S.M. Jafar Mahmood, MD (Pain Medicine Attending, Paincare Medical Practice) // Reviewed by: Jessica Pelletier, DO, MHPE (EM Attending, APD, University of Missouri-Columbia), Marina Boushra, MD (EM-CCM Attending

Emergency Department 67

Emergency Department Fractures Burns EMS 67

PDC Healthcare

NOVEMBER 4, 2024

In today’s fast-paced healthcare environments, having reliable and efficient tools to support patient care is critical. One such tool that is revolutionizing the way hospitals manage patient identification is the Certis® C1-30 Thermal Patient ID Printer. This new printer isn’t just an upgrade in technology—it’s a solution designed with the needs of both clinical staff […] The post 7 Ways Certis Makes Wristband Printer Management Simple for Healthcare IT appeared first on connectID - PDC H

Hospitals 52

Hospitals Patient Safety 52

Science Based Medicine

NOVEMBER 4, 2024

A week ago, Donald Trump said that, if elected, he would let Robert F. Kennedy, Jr. "go wild" on healthcare. RFK Jr. has said that he'd immediately remove fluoride from drinking water, while surrogates say he'd work to prove vaccines unsafe. This is why a Trump Presidency could represent an extinction-level event for science-based federal health policy.

Administration 132

Administration 132