EM Ottawa

JANUARY 13, 2025

Methodology: 4/5 Usefulness: 4/5 Vallentin MF, et al. N Engl J Med. 2024 Oct 31. doi: 10.1056/NEJMoa2407616. Editorial: The Way to a Patient’s Heart – Vascular Access in Cardiac Arrest Question and Methods: This RCT compared IO vs. IV vascular access in adults with OHCA, using ROSC as a primary outcome. Findings: No significant difference […] The post Intraosseous or Intravenous Vascular Access for Out-of-Hospital Cardiac Arrest appeared first on EMOttawa Blog.

Hospitals 110

Hospitals Outcomes Resuscitation 110

St. Emlyn

JANUARY 13, 2025

St.Emlyn's - Emergency Medicine #FOAMed Explore the variability in maintaining prehospital anaesthesia for trauma patients in this comprehensive summary of a multinational survey. With insights into drug protocols, administration methods, and governance, the article highlights challenges and opportunities for standardisation in prehospital care.

Administration 59

Administration Research Outcomes 59

ALiEM

JANUARY 13, 2025

A 55-year-old female presented with the complaint of my right eye popped out. Symptoms started approximately seven hours prior to arrival and progressive, severe pain eventually prompted her visit to the ED. This happened once 10 years ago, requiring reduction in the ED. The patient denied preceding trauma, rubbing her eyes/eye-lids, or any history of thyroid disease.

Academics 67

Academics Emergency Department 67

ECG Guru

JANUARY 13, 2025

This ECG was sent to me by a friend, I don't know if he did it himself. The question was whether a heart attack can be recognized here. The patient is a 55-year-old man who has typical angina pectoris lasting more than 1 hour. What can you answer?

EKG/ECG 74

EKG/ECG 74

Dr. Smith's ECG Blog

JANUARY 13, 2025

A 50-something male presented to triage with chest pain for one day. An ECG was recorded quickly before any further history or physical exam: What do you think? When I saw this (presented at a conference), I immediately thought it looked like Thype 1 Brugada phenocopy (in other words, Type 1 Brugada ECG pattern ). There is an rSR' in lead V1 without any spike of the R'-wave.

Hyperthermia / Hypothermia 74

Hyperthermia / Hypothermia EKG/ECG Wellness Documentation/Coding 74

PEMBlog

JANUARY 13, 2025

Appendicitis! Rock Opera! McBurney’s point! Epic! Lyrics [Chorus] So Appy to see you Said the Surgeon to the doc Take out that appendix while I’m on the clock [Verse] Pain was vague then moved last night In the quadrant lower right Vomit and some hopping pain A fever now, can you explain? McBurney’s point and rebound Next step is an ultrasound Call the surgeon, call them quick Appendicitis made him sick [Chorus} So Appy to see you Said the Surgeon to the doc Take out that appen

Ultrasounds 52

Ultrasounds 52

PulmCCM

JANUARY 13, 2025

A restrictive approach to red blood cell transfusion (e.g., transfusion to Hb ≥7-8 g/dL) is recommended in most critically ill patients after a mortality benefit was noted in the 1999 TRIC trial. Should patients with acute myocardial infarction, or cardiac disease generally, be transfused to the same hemoglobin targets as other critically ill patients?

Blood Transfusions 52

Blood Transfusions Outcomes 52

Science Based Medicine

JANUARY 13, 2025

Ductal carcinoma in situ is a precursor of breast cancer that is usually treated with surgery, radiation therapy, and estrogen blockade. A new study suggests that watchful waiting might be safe for some women with DCIS. The post Is watchful waiting for ductal carcinoma in situ (DCIS) safe? Preliminary results of the COMET trial first appeared on Science-Based Medicine.

81

81

Don't Forget the Bubbles

JANUARY 13, 2025

One-liner Neonate with persistent cyanosis? Think TAPVD. A 6-hour-old baby is brought to A+E with respiratory distress. On arrival, his oxygen saturations are 78% in the air. The baby was born at home at term. Mum had normal antenatal scans. Following birth the baby cried immediately, however has had increasing work of breathing and poor colour. The A+E team has started the baby on 15 L face mask oxygen, and his saturations are now 85%.

Operations 59

Operations Outcomes Pediatrics Research 59

Mind The Bleep

JANUARY 13, 2025

The FRCOphth (Fellowship of the Royal College of Ophthalmologists) Part 1 exam is a significant milestone for those pursuing a career in ophthalmology. The incentive of doing the exam early is it is worth 3 points if you pass and 1 point for attempting it as per the 2025 ST1 recruitment portfolio. As an FY1/FY2, it might feel daunting to attempt a membership exam, especially in a specialty that generally had limited exposure at medical school.

Burns 52

Burns Outcomes 52