The Trauma Pro

JUNE 18, 2024

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.

Pediatrics 147

Pediatrics Blood Transfusions Resuscitation Shock 147

Emergency Medicine Cases

JUNE 18, 2024

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

EKG/ECG 115

EKG/ECG EMS 115

Science Based Medicine

JUNE 18, 2024

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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St. Emlyn

JUNE 18, 2024

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.

Outcomes 106

Outcomes Resuscitation 106

Emergency Live

JUNE 18, 2024

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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EMCrit

JUNE 18, 2024

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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ACEP Now

JUNE 18, 2024

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.

Leadership 85

Leadership 85

NRC Health

JUNE 18, 2024

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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EMCrit

JUNE 18, 2024

All the literature goodness for June 2024 EMCrit Project by Scott Weingart, MD FCCM.

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Life in the Fast Lane

JUNE 18, 2024

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

Radiology 52

Radiology Radiology 52

Emergency Live

JUNE 18, 2024

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

Administration 52

Administration Hospitals 52

EM Ottawa

JUNE 18, 2024

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:

Hospitals 52

Hospitals 52

EMergucate

JUNE 18, 2024

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?

EKG/ECG 52

EKG/ECG 52

ACEP Now

JUNE 18, 2024

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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EMergucate

JUNE 18, 2024

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

EMS 52

EMS 52

Emergency Medicine News

JUNE 18, 2024

An abstract is unavailable.

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Sensible Medicine

JUNE 18, 2024

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.

Evidence-Based Practice 135

Evidence-Based Practice Research Wellness 135

Emergency Medicine News

JUNE 18, 2024

An abstract is unavailable.

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