Mon.Feb 10, 2025

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Medical Music Mondays: Welcome to the K-Hole

PEMBlog

Ketamine is an amazing drug for procedural sedation in the Emergency Department. Kids also look wild when they’re on it – some people call that look the “K-Hole.” Imagine a creepy industrial metal song about that… go ahead… I’ll wait. Lyrics Welcome to the K hole Now you’re deep inside Not responding to stimuli But your eyes are open wide We can reduce your fracture straight no pain without a wait side effects include emesis laryngospasm, agitation

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Botulinum Toxin: A tale of medicine, beauty, and danger

Science Based Medicine

When used responsibly botulinum toxin is very safe, but patients should be especially vigilant about cosmetic treatments done outside a medical setting. The post Botulinum Toxin: A tale of medicine, beauty, and danger first appeared on Science-Based Medicine.

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Bronchiolitis

Ultrasound Gel

The GEL Jr crew back with a topical episode on bronchiolitis. When you scan the lungs of these kids what do you see, and more importantly. what does it mean?? [link] [link] The GEL Jr crew back with a topical episode on bronchiolitis. When you scan the lungs of these kids what do you see, and more importantly. what does it mean??

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Potassium 6.2 with narrow QRS: any indication for calcium?

Dr. Smith's ECG Blog

Written by Jesse McLaren An 80 year old patient with diabetes/hypertension/ cirrhosis had a recent increase in candesartan for their hypertension, and was also on spirolactone and nadolol. They presented to a hospital clinic for routine paracentesis, after which they developed nausea and syncope attributed to a vasovagal episode from the procedure. Labs showed a non-hemolyzed potassium of 6.2, normal glucose, and mild acute on chronic renal failure (Creatinine from 140 to 170 umol/L), and the fo

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NICU graduation to PICU

Don't Forget the Bubbles

A new path to explore What is the problem? Survival rates for babies born very pretermbefore 32 weeks of gestationhave improved significantly in recent decades. However, this progress also means that more babies are surviving with serious complications related to preterm birth. In the United Kingdom, neonatal care is routinely funded until babies reach 44 weeks corrected gestational age (CGA).

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emDOCs Podcast – Episode 114: Airway/Intubation Mental Model

EMDocs

Today on the emDOCs cast Brit Long interviews Zachary Aust on a mental model for the airway and intubation. Episode 114: Airway/Intubation Mental Model Model: Airway Meds have been pushed… 60 second timer Breathe: 4 count in, 4 count hold, 4 count out, 4 count hold To control our adrenaline surge Light Gripthe laryngoscope (2 finger grip) To avoid over aggressive tongue control Scissorthe mouth open EVLI Epiglottoscopy Light grip following the curvature of the blade looking for landmarks a

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Evaluating the new "sepsis tests": MeMed BVâ„¢

PulmCCM

There’s no diagnostic test for sepsis, which leads to high rates of overdiagnosis, delayed care from missed cases, and flawed clinical research. Several new blood tests claim to solve the problem of diagnostic imprecision in the early management of suspected sepsis. Several have been FDA-cleared for sale and use in the U.S., and you may soon see them in your emergency department or ICU.

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DOGE vs. the NIH: Say goodbye to the greatest engine of biomedical research ever created

Science Based Medicine

Friday, the Trump administration slashed indirect costs associated with NIH grants. What does this mean, and why could it be so disastrous for biomedical research? The post DOGE vs. the NIH: Say goodbye to the greatest engine of biomedical research ever created first appeared on Science-Based Medicine.

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