Mon.Nov 04, 2024

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Semaglutide (Wegovy) Is Not a Knee Pain Drug

Sensible Medicine

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 126
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Potassium supplements to reduce arrhythmias in the ICU: Review

PulmCCM

“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.

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Get the “Human-Out-Of-The-Way”

EM Literature of Note

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?

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A Global Review of Advanced Practice Nursing in the Emergency Department

AENJ: Current Issue

As demands in the way of healthcare delivery increase, nurse practitioners have become essential components in optimizing access to healthcare and improving outcomes around the globe. The authors recognize the vital role nurse practitioners play globally and that education, practice, and credentialing differ significantly across countries. Many countries have a wide variation in educational requirements, resulting in a lack of adequate advanced practice nursing training and regulation of practic

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Liberal or restrictive transfusion in brain injury part 2 (The TRAIN trial)

First 10 EM

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.

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The History of Clinical Nurse Specialists in Emergency Care

AENJ: Current Issue

The Clinical Nurse Specialist (CNS) role has been instrumental in advancing nursing practice, healthcare delivery, and patient outcomes across various specialties, particularly in emergency care. This manuscript provides an extensive review of the history of CNSs in emergency settings, exploring the development of the practice model, the challenges encountered, and their impact on patient and organizational outcomes.

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Flu and COVID-19 are worrying again as vaccines lose popularity

Emergency Live

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.

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Medical Music Mondays: Bleeding Tonsil Funk

PEMBlog

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

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What are warts, how to prevent and treat them

Emergency Live

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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Historical Evolution of Emergency Nurse Practitioner Education: A Comprehensive Review

AENJ: Current Issue

This manuscript explores the historical evolution of emergency nurse practitioner (ENP) education from its inception to its current state. It discusses key milestones, innovative leaders, curricular approaches and current program characteristics. The paper concludes with a review of the current state of ENP education, persistent challenges, and future directions.

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7 Ways Certis Makes Wristband Printer Management Simple for Healthcare IT 

PDC Healthcare

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

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The American Academy of Emergency Nurse Practitioners: The First Years

AENJ: Current Issue

In 2014, Dr. Elda Ramirez, alongside Dr. Arlo Weltge and Dr. Kyle Kincaid, founded the American Academy of Emergency Nurse Practitioners (AAENP) to support nurse practitioners working in emergency care. With initial support from 39 dedicated individuals, AAENP was incorporated in Texas and received pro bono management from an association management company.

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7 Ways Certis Makes Wristband Printer Management Simple for Healthcare IT 

PDC Healthcare

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

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Executive Leadership and Entrepreneurship of Emergency Nurse Practitioners: Pioneering Pathways in Emergency Care

AENJ: Current Issue

For more than five decades, emergency nurse practitioners have developed partnerships and led improvements in emergency care delivery. Through these endeavors the quality of patient care has been amplified and access to emergency care has been augmented. Nurse practitioners providing emergency care possess fundamental leadership qualities necessary for leading teams in delivery of exceptional care.

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Pain Management of Common Chief Complaints in the ED

EMDocs

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

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Breaking Barriers and Navigating the Future of Emergency Care: The Role of the Emergency Nurse Practitioner

AENJ: Current Issue

Over the past two decades, the emergency nurse practitioner (ENP) role has significantly enhanced emergency care in the United States. With the increasing complexity of emergency care, ENPs have expanded into nontraditional settings, necessitating regulatory updates to maintain patient safety. The Consensus Model for Advanced Practice Registered Nurse Regulation has influenced ENP practice, yet consistent regulatory recognition is still needed due to the marked evolution in ENP practice.

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RFK Jr. is now an extinction-level threat to federal public health programs and science-based health policy

Science Based Medicine

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.

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The Evolution of the Emergency Nurse Practitioner Role: A Historical Review

AENJ: Current Issue

The history of emergency nurse practitioners (ENPs) is one of evolution and adaptation in response to changing healthcare demands. The role of nurse practitioners (NPs) in emergency departments (EDs) has undergone significant evolution since the 1970s. This historical narrative traces the historical development of ENPs, focusing on their roles, training, and impact on patient care.

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A Tribute to the Founders of the American Academy of Emergency Nurse Practitioners

AENJ: Current Issue

No abstract available

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A Global Review of Advanced Practice Nursing in the Emergency Department

AENJ: Current Issue

No abstract available

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Historical Evolution of Emergency Nurse Practitioner Education: A Comprehensive Review

AENJ: Current Issue

No abstract available

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The Path to Certification for Emergency Nurse Practitioners

AENJ: Current Issue

Certification serves to validate the knowledge, skills, and experience required for clinical practice. Availability of a certification for emergency nurse practitioners (ENPs) has had an arduous path. This article examines the history of ENP certification in the United States, its territories and Canada, and how the certification examination has arrived at its current state.