Tue.Jun 18, 2024

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Save the Whales, Blind the Children

Science Based Medicine

The Ancient Egyptian Book of the Dead depicts a scene in which a bowel of golden rice is weighed against the feather of truth. The post Save the Whales, Blind the Children first appeared on Science-Based Medicine.

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ECG Cases 50 – STEMI: A Failed Paradigm, Enter Occlusion MI

Emergency Medicine Cases

Dr. Jesse McLaren illustrates the paradigm shift from STEMI to Occlusion MI (OMI) through 9 cases, and drives home the points that if there is STEMI criteria, consider false positives (eg. secondary and proportional to LVH or BER); if there is no STEMI criteria, consider false negatives and look for other signs of occlusion (eg. acute Q waves or loss of R waves, hyperacute T waves, or reciprocal STD/TWI) and if the ECG is nondiagnostic, consider other OMI signs including clinical (refractory isc

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MTP Activation Criteria For Pediatric Patients

The Trauma Pro

Early resuscitation, particularly with blood products in patients with hemorrhage, is literally a lifesaver. As each minute ticks by, survival slowly diminishes. To facilitate this, massive transfusion protocols (MTP) have been designed to rapidly deliver sizable quantities of blood products to the trauma resuscitation bay. One of the recurring issues I see at trauma centers is the lack of a reliable way of activating the MTP.

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Noninvasive Ventilation for Preoxygenation during Emergency Intubation

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed Does the use of non invasive ventilation prior to intubation of critically ill patients improve outcomes? The post Noninvasive Ventilation for Preoxygenation during Emergency Intubation appeared first on St.Emlyn's.

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Airbus presents first H160 delivered to Italy in Trento, Italy

Emergency Live

Airbus Helicopters Introduces the H160: Innovation and Versatility in the Aviation Landscape On June 14, 2024, Airbus Helicopters unveiled the first H160 helicopter delivered in Italy at its headquarters in Trento. The buyer, Air Corporate – the launch customer for the H160 in Italy – further bolsters its fleet with this delivery. This helicopter, the […] The post Airbus presents first H160 delivered to Italy in Trento, Italy appeared first on Emergency Live.

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PulmCrit: PPIs are safe and effective for GI prophylaxis… the end.

EMCrit

REVISE is the latest multicenter RCT on the use of PPIs for GI prophylaxis in critical illness. I would view this as the triquel following SUP-ICU and PEPTIC. In order to understand REVISE in context, let's briefly review SUP-ICU and PEPTIC trials, before discussing REVISE. Part I: SUP-ICU (2018) This was a large multicenter RCT […] EMCrit Project by Josh Farkas.

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Apply Today: ACEP Now Is Recruiting Next Resident Fellow

ACEP Now

ACEP Now is looking for its next resident to join our editorial team. The position is open to any emergency medicine resident physician in an ACGME-accredited program who will be PGY2–4 during the July 2024–July 2025 Resident Fellow term. Responsibilities include: Regularly promote ACEP Now articles via social media, including Twitter and Facebook. Author or curate 4 Resident Voice columns during the 12-month position.

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EM Quick Hits 57 – HIV Diagnosis, Failed Paradigm of STEMI Criteria, Poisoned Patient Airway Management, Spontaneous Bacterial Peritonitis, DIY Investments

Emergency Medicine Cases

In this month's EM Quick Hits podcast: Megan Landes on the importance of diagnosing HIV in the ED, Jesse McLaren on the failed paradigm of STEMI criteria and ECG tips to identify acute coronary occlusion, Anand Swaminathan on evidence for non-invasive airway management in the poisoned patient, Brit Long and Hans Rosenberg on the identification, workup and management of spontaneous bacterial peritonitis, Matt Pointer on the most lucrative side-gig, DIY investing.

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Person-centered care to elevate experience, quality, safety, and equity

NRC Health

Gregory Makoul, PhD MS, Faculty of Medicine, Yale School of Medicine, and Michael Giuliano, MSc, President of Planetree International, will address the power of delivering person-centered care to elevate experience, quality, safety, and equity. The post Person-centered care to elevate experience, quality, safety, and equity appeared first on NRC Health.

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ECG of the Week 19th June 2024

EMergucate

The following ECG is from a 38-year-old type 1 diabetic who has come by ambulance with epigastric pain, dyspnoea and feeling generally unwell. What are the key ECG features?

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Abdominal Imaging: Diaphragm

Life in the Fast Lane

Kyle Cunningham MD and Michael Gibbs MD Abdominal Imaging: Diaphragm Abdominal Imaging: Diaphragm and Diaphragmatic injuries with Kylee Brooks MD, Parker Hambright MD, Alexis Holland MD, and William Lorenz and EMGuidewire

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Imaging Case of the Week 595

EMergucate

The following chest x-ray is from an elderly patient with chest pain & hypotension. What can be seen?

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Acute kidney injury: A Revolution in Prevention

Emergency Live

An Italian Innovation in Acute Kidney Injury Prevention Milan’s San Raffaele Hospital conducted an innovative study, published in the New England Journal of Medicine, which identified a treatment to prevent acute kidney injury (AKI) in patients undergoing cardiopulmonary bypass. The treatment, involving intravenous administration of amino acids, represents a significant breakthrough: AKI is more deadly […] The post Acute kidney injury: A Revolution in Prevention appeared first on Eme

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Ketamine Compared With Morphine for Out-of-Hospital Analgesia for Patients With Traumatic Pain: A Randomized Clinical Trial

EM Ottawa

Methodology: 3/5 Usefulness: 1.5/5 Le Cornec C, e al. JAMA Netw Open. 2024 Jan 2;7(1):e2352844. Question and Methods: This was a multicenter, single-blind, noninferiority RCT, to assess the noninferiority of intravenous ketamine vs intravenous morphine for pain relief in adults with out-of-hospital traumatic pain. Findings: In this RCT including 251 patients, the ketamine group had […] The post Ketamine Compared With Morphine for Out-of-Hospital Analgesia for Patients With Traumatic Pain:

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A Unique Case of SCD

Emergency Medicine News

An abstract is unavailable.

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Apply To Be ACEP Now’s Next Resident Fellow

ACEP Now

ACEP Now is looking for its next resident to join our editorial team. The position is open to any emergency medicine resident physician in an ACGME-accredited program who will be PGY2–4 during the July 2024–July 2025 Resident Fellow term. Applications are due July 15, 2024, for a year-long term that will begin August 15, 2024. Learn more and apply at acepnow.com/article/resident-fellow.

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Attack of the Phantom Scans

Emergency Medicine News

An abstract is unavailable.

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Should women in their 40’s be screened for breast cancer?

Sensible Medicine

I met Dr. Karsten Juhl Jørgensen at Forward’s innovative “4words24” conference in April. I was struck by Karsten’s deep knowledge of the medical literature, critical appraisal skills, and thoughtful approach to decision making. Here is a brief video of him summarizing the talk he gave at the conference. He reached out after the USPSTF published the new breast cancer guidelines.