Wed.Jan 15, 2025

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Pulse oximeters overestimate O2 saturations in darker-skin patients; FDA acts (again)

PulmCCM

Pulse oximeters for healthcare and consumer use are calibrated on patients with lighter skin. Manufacturers have recognized the devices’ suboptimal performance in darker-skinned patients for decades, but they have faced no serious regulatory or legal pressure to act. In 2013, FDA issued a suggestion that manufacturers test devices on patients “with a range of skin pigmentations.” But the standard was lax: only two darkly pigmented subjects, or 15% of the total pool were needed.

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Robert F. Kennedy Jr. and the Treatment of Drug Addiction

Sensible Medicine

If Robert F. Kennedy Jr. is confirmed as the next secretary of the Department of Health and Human Services, and if he carries out even part of his agenda , he will be a consequential -- and controversial -- cabinet secretary. I am concerned about some of his stances , including his record of objecting to vaccines, but in other areas, starting with addiction, his vision and values could transform lives.

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EMCrit Wee (392.5) – Naughty or Nice? Bad Behavior in Healthcare with Liz Crowe, PhD

EMCrit

More amazing discussion with Liz Crowe EMCrit Project by Scott Weingart, MD FCCM.

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COVID Is Still Here, But Changing

Science Based Medicine

My hospital just reinstituted mask mandates for all staff working with patients. They also advise patients to wear masks while in the hospital, but have not made it a requirement. I still have a stash of N95 masks so it was easy, and all too familiar, for me to comply, but I admit it created an unpleasant flash-back. All things considered, I […] The post COVID Is Still Here, But Changing first appeared on Science-Based Medicine.

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Peds Collab Preview | Elevate patient care through health literacy

NRC Health

Join us in Los Angeles, March 1920, for the 2025 Pediatric Collaborative with Childrens Hospital Los Angeles. Engage with your peers in pediatrics, embrace best practices, and collaborate on strategies to prioritize human-centered care. This years lineup includes many great presentations, including a session that aims to illuminate the importance of health literacy as a foundational element of patient care.

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Normal ECG by many measures. Is it normal?

Dr. Smith's ECG Blog

This was submitted by Hans Helseth, who is applying to med school and who is working as an EKG tech right now. Smith : This patient presented years ago, but came in again while Hans was working. He looked back in time in the patient's chart and saw these ECGs and immediately recognized that they manifested subtle OMI. Also : See Ken Grauer's excellent comments at the bottom.

EKG/ECG 70
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Clinical Conundrum: Should Acute Asthma Exacerbations Be Discharged From the ED With Combination Beta Agonist/Corticosteroid Inhalers?

RebelEM

Author: Steven Orellana DO Bottom Line Up Top: In patients with mild to moderate asthma exacerbations that are stable for discharge home, there is evidence to support discharging patients from the ED with combination Inhaled Corticosteroid/Long-Acting Beta Agonist (ICS-LABA) maintenance therapy. Clinical Scenario: A 21-year-old man with a history of asthma presents with difficulty breathing for the past two days.