Sat.Jun 29, 2024

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Journal Feed Weekly Wrap-Up

EMDocs

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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SGEM Xtra: When I’m 64 – Old Fashioned Doctors

The Skeptics' Guide to EM

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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Coming Too Early? | Nebulized Ketamine For Pain

JournalFeed

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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Amino acid infusion for protection from acute kidney injury

PulmCCM

(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 378 – So NSTI – Necrotizing Fasciitis & Life Threatening Soft Tissue Infections

EMCrit

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

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Steroids for severe pulmonary infections: Review

PulmCCM

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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Some doctors & professors claim Biden's debate performance was due to stuttering or cold medication.

Sensible Medicine

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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