Science Based Medicine

JANUARY 31, 2025

Defenders of Dr. Vinay Prasad fake a concern about tone to intimidate critics and create a safe space for his misinformation. The post Defenders of Dr. Vinay Prasads Vulgar, Vengeful Vitriol Have No Right to Sanctimoniously Scold Anyone About Decorum first appeared on Science-Based Medicine.

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The Evolution & Medicine Review

JANUARY 31, 2025

Carrera, S. C., Godoy, I., Gault, C. M., Mensing, A., Damm, J., Perry, S. E., & Beehner, J. C. (2025). Stress responsiveness in a wild primate predicts survival across an extreme El Nio drought. Science Advances, 11(4), eadq5020.

Research 52

Research 52

Thinking Critical Care

JANUARY 31, 2025

It was so great to meet, hang out and talk ECPR with Paris’ SAMU ECPR leader Lionel Lamhaut last month in Montreal, a city we are actively trying to bring pre-hospital ECPR to, thanks to the relentless work of Lawrence Leroux. In the meantime, we are super excited to host the North American Premiere of Lionel’s famous pre-hospital ECMO course and open the registration for a two day, small-group affair with hands on workshops, lectures and discussions with ECPR experts.

Hospitals 52

Hospitals CPR Ultrasounds 52

The Trauma Pro

JANUARY 31, 2025

There is a presumption that more education and attainment of more advanced skills lead to greater expertise in just about any field. The same argument holds true for prehospital provider training. Training to be an ALS provider (advanced EMT or paramedic) should add extra value in patient care over and above BLS training (emergency medical responder or EMT).

Emergency Medical Responders 127

Emergency Medical Responders Documentation/Coding EMS Hospitals 127

Sensible Medicine

JANUARY 31, 2025

About ten years ago, I decided that I didn’t want to hear about race in the chief complaint of clinical presentations. 1 Instead of “The patient is a 35-year-old African American male with cough, fever, and sputum production;” I wanted “The patient is a 35-year-old man with cough, fever, and sputum production.” Sensible Medicine is a reader-supported publication.

Outcomes 67

Outcomes 67

ALiEM

JANUARY 31, 2025

A 60-year-old African American female without a past medical history presented to the emergency department with a complaint of a “hard, yellowish brown, growth” on her right upper abdomen. The patient reported that it had been present and slowly enlarging over a two-year period and was now causing pain when it “snags on clothing” Additional Images Physical Exam Skin : 9.5 cm, firm, curved, exophytic, keratotic, tumor protruding from the right upper abdominal wall.

Academics 64

Academics Emergency Department Research 64

American Medical Compliance

JANUARY 31, 2025

According to the World Health Organization , 1 in 6 adults aged 60 and older has experienced some form of abuse in community settings. This alarming statistic underscores the urgent need for stronger safeguards in long-term care facilities, where vulnerable elderly residents rely on healthcare providers for their well-being. Unfortunately, despite regulations and oversight, nursing home neglect remains a critical issue, often leading to devastating consequences such as malnutrition, infections,

Teamwork 59

Teamwork Dehydration Leadership Best Practices 59

Taming the SRU

JANUARY 31, 2025

Mastering minor care: LBp - Qikt - Taming the sru - R1 core content Mastering minor care: Low back pain WITH Dr. Lang Red flags for low back pain include: Fever IVDU Diabetes LE weakness Incontinence Anticoagulation Spinal Epidural Abscess (SEA) WBC elevated in ESR >20 in 100% CRP- similar Management of musculoskeletal back pain Bed rest vs normal activity Cochrane review 2010 Moderate quality evidence in favor of resuming normal activity Low quality in favor of those with sciatica Steroids

Documentation/Coding 54

Documentation/Coding Infectious Diseases Resuscitation Administration 54

Dr. Smith's ECG Blog

JANUARY 31, 2025

Written by Magnus Nossen The ECG below was obtained from 50-something male with a history of hypertension and tobacco use. The patient contacted the ambulance service after he experienced sudden onset chest pain and diaphoresis that had started 20 minutes prior. The ECG below ECG was recorded on the scene. What is the cause of the ECG changes here? How will you manage this patient?

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EKG/ECG Ambulance Services Outcomes Wellness 83