EMDocs

JUNE 29, 2024

We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: Re-DOSE VF… DSED for Shock-Refractory VF? Spoon Feed This secondary analysis of the DOSE VF trial found that DSED (dual sequence external defibrillation) was the superior strategy for obtaining ROSC and functional n

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Shock Emergency Department Administration Resuscitation 69

The Skeptics' Guide to EM

JUNE 29, 2024

Date: June 29, 2024 Reference: Herbert L. Fred M.D. (1998) Old-Fashioned Doctors, Hospital Practice. This is an SGEM Xtra episode. I was honoured to be invited by Dr. Fernada Bellolio to the Mayo Clinic and present to the Department of Emergency Medicine. They were kind enough to allow me to speak about any topic. I decided to talk about an article Dr.

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Hospitals 70

JournalFeed

JUNE 29, 2024

The JournalFeed podcast for the week of July 24-29, 2024. Tuesday Spoon Feed : In a cohort of febrile infants, the performance of WBC, ANC, and CRP decreased in patients with less than 2 hours of fever; PCT remained similar. Thursday Spoon Feed : Ketamine has been shown to be efficacious in managing acute pain conditions in the emergency department (ED), and this study showed equal efficacy between nebulized and intravenous administration of sub-dissociative ketamine (IV-SDK).

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Administration Emergency Department 52

PulmCCM

JUNE 29, 2024

(Courtesy Wikipedia) Acute kidney injury develops commonly in critically ill patients, and no intervention has ever been shown to prevent it. (Isotonic crystalloid given intravenously to high-risk patients before and during cardiac catheterization probably prevents some contrast nephropathy, although the evidence is less than certain.

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EMCrit

JUNE 29, 2024

Necrotizing Fasciitis and NSTI EMCrit Project by Scott Weingart, MD FCCM.

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PulmCCM

JUNE 29, 2024

Corticosteroids have always had a place in critical care, even if only as salvage therapy under the adage “no one dies in the ICU without getting steroids first.” Evidence was conflicting for many years as to steroids’ potential benefit during critical illness, which patients should receive them, and the optimal dosing.

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Sensible Medicine

JUNE 29, 2024

Like millions of Americans, I watched the presidential debate this week. I discussed it privately with friends, but refrained from public comment. Why? For two reasons. One, I don't think I have anything particularly unique to say that wasn't said by dozens of others. Two, I think doctors should try to be less overtly partisan. After all, every doctor has to take care of patients who vote for both parties.

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