Mon.Aug 12, 2024

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The First Law Of Trauma

The Trauma Pro

Let’s get started with the Laws of Trauma! After pursuing any discipline for an extended period, one begins to see the common threads and underlying principles of their area of expertise. I’ve been trying to crystallize these for years, and today I’m going to share one of the most basic laws of trauma care. The First Law of Trauma Any anomaly in your trauma patient is due to trauma, no matter how unlikely it may seem.

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Screening for Cancer Costs Billions - I Doubt it is Worth it

Sensible Medicine

I would like to live a long life. Surely you do as well. You can improve your chances by eating well, exercising, avoiding smoking and too much alcohol. There is also the matter of luck. The question today is whether modern medical screening can improve on those basic lifestyle choices. People believe it can, obviously. The screening industry is a money-making machine.

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The Doc Side of the Loon

ACEP Now

Every once in a while, I get a text from a friend of a meme decrying the inevitability of becoming interested in birds as you age. In a way, it’s true; it came out of nowhere for me. And granted it can seem peculiar to the uninitiated. But now that I have been indoctrinated for a couple of years, it has become much more than a hobby to me. I see it as a healthful exercise, a practice in mindfulness.

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How Google listings are used by alternative cancer clinics to lure in desperate patients

Science Based Medicine

I've long been writing about "alternative cancer clinics" (i.e., quack clinics) that sell false hope in the form of very expensive but ineffective treatments to desperate cancer patients. A recent study demonstrates how they use Google to do this. The post How Google listings are used by alternative cancer clinics to lure in desperate patients first appeared on Science-Based Medicine.

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Is “First do no harm” a “deepity”?

First 10 EM

The concept of a “deepity” was, I believe, coined by Daniel Dennet in his great book “Intuition pumps and other tools for thinking”. He says, “a deepity is a proposition that seems both important and true – and profound – but achieves this effect by being ambiguous. On one reading it is manifestly false, but […] The post Is “First do no harm” a “deepity”?

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Plaintiffs' lawyers can get your social media activity at work

PulmCCM

There was a terrible case in 2019 of a police officer who cracked his neck to relieve some discomfort and dissected his vertebral artery. He immediately felt and looked bad and his coworkers had an ambulance take him to the ED. The initial CT read suggested vertebral artery stenosis but used equivocal language.

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ACEP’s Annual Conference Has Been Re-Imagined

ACEP Now

If you’re looking for deeper, more meaningful connections at conferences, ACEP24 is your best bet. We’ve doubled down on flexibility, unique experiences, and more networking time based on your feedback in surveys and focus groups. Education is always top notch at the world’s largest emergency medicine conference. But this year, even more content on bedside decision-making and courses that range from clinical to practice and lifestyle topics make ACEP24 a can’t-miss opportunity.

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Case Report: What’s Causing Uncontrolled Movements?

ACEP Now

A 61-year-old African American male with history of uncontrolled Type 2 diabetes mellitus, hypertension, anxiety, major depressive disorder, prior Bell’s palsy, and neuropathy, presented for worsening left upper extremity rhythmic movements and frequent falls over the last month. The movements worsened throughout the day, and he would hold his left arm at night to prevent hitting his partner.

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Pertussis alert: infants at risk, urgent vaccination

Emergency Live

An epidemic of pertussis is straining the UK. 10 deaths to date An epidemic of pertussis is taking its toll on the UK, with increasing numbers of cases and, unfortunately, deaths among newborns. The latest victim was a child who died in June, bringing the total to 10 deaths since the outbreak began last November. […] The post Pertussis alert: infants at risk, urgent vaccination appeared first on Emergency Live.

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Medical Music Mondays: At Your Throat Like Strep

PEMBlog

If the Wu Tang clan produced a track about strep throat in children it might sought like this. Also ODB could be “Oropharyngeal Disease Bacteria.” Lyrics I’m at your throat like strep erythema, fever and exudate pain when I swallow It hurts and so can relate swollen lymph nodes in the neck belly pain headache and more stuff can you treat it?

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Covid: new wave in Europe and the return of masks

Emergency Live

The WHO has issued an alert, calling on citizens to take precautions such as wearing masks Covid-19 is back in Europe. Despite hopes of a return to normality, infections are on the rise, mainly due to the spread of new variants of the virus. The World Health Organization (WHO) has issued an alert, urging citizens […] The post Covid: new wave in Europe and the return of masks appeared first on Emergency Live.

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Wellbeing for FY1’s

Mind The Bleep

As you transition from medical school to your first year as an FY1 doctor, it’s important to recognise the challenges you’ll face and prioritize your well-being. The shift from student to doctor is significant, and maintaining your mental and physical health is crucial for both your personal and professional success. Here are some key insights and tips to help you navigate this period effectively.

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New fire fighting equipment in Basilicata to face the emergency

Emergency Live

The Civil Protection has delivered 11 new fire fighting vehicles to the associations of volunteers lucane An important step forward in the fight against forest fires in Basilicata. The regional Civil Protection has delivered today 11 new fire trucks to voluntary associations operating in the area. This is a significant investment, worth over one million […] The post New fire fighting equipment in Basilicata to face the emergency appeared first on Emergency Live.

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5 Minute Sono: HCM and LVOTO (2024)

Core Ultrasound

In this Five Minute Sono, we dive into the critical role of Point of Care Ultrasound (POCUS) in diagnosing Hypertrophic Cardiomyopathy (HCM) and the associated Left Ventricular Outflow Tract Obstruction (LVOTO). VTI RMWA EF Ultrasound Courses The post 5 Minute Sono: HCM and LVOTO (2024) first appeared on Core Ultrasound.

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Erythritol: the sweetener that can increase the risk of heart disease

Emergency Live

Long considered a healthier alternative to sugar, now considered a possible cause of increased risk of blood clots Erythritol, an artificial sweetener found in a wide range of “light” or “sugar-free” foods and beverages, has long been considered a healthier alternative to conventional sugar. However, recent research has shed new light on this compound, suggesting […] The post Erythritol: the sweetener that can increase the risk of heart disease appeared first on Eme

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Yellow Brick Road Leads to the ED

Emergency Medicine News

An abstract is unavailable.

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Mongolia: new programme to tackle cancer mortality rates

Emergency Live

In recent years, a national screening programme has been launched and already reaches 40% of the population In Mongolia, the diagnosis of cancer is often a death sentence. The late diagnosis, combined with the challenges of geography and limited resources, makes the fight against cancer an unequal battle. Despite this, the country is trying to […] The post Mongolia: new programme to tackle cancer mortality rates appeared first on Emergency Live.

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The Apocalypse Will Not Require Insurance

Emergency Medicine News

An abstract is unavailable.

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Mpox: A global alert. A more lethal strain threatens global health

Emergency Live

The World Health Organization has convened an emergency committee to assess the seriousness of the situation A new strain of mpox, more lethal and contagious, is raising alarm in the international health community. Cases of this more aggressive variant of the virus have been confirmed in four African countries, sparking concern among health authorities worldwide. […] The post Mpox: A global alert.

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Managing raised intracranial pressure in severe traumatic brain injury – the basics

Don't Forget the Bubbles

One-liner… Understanding the underpinning principles and management of raised intracranial pressure is essential for reducing the morbidity and mortality of traumatic brain injuries. Seven-year-old Dan was involved in a motor vehicle collision. At the scene, he was vomiting and drowsy with a low Glasgow Coma Score (GCS). The air ambulance service intubated him at the scene and pre-alerted the department before arrival.

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The Lethal Trauma Triad: A Guide for Emergency Workers

Emergency Live

Hypothermia, coagulopathy and acidosis: a major cause of death in traumatized patients The lethal triad of trauma is a lethal combination of three medical conditions – hypothermia, coagulopathy and acidosis – which often develop in chain reaction in severely traumatised patients. This syndrome is one of the main preventable causes of death in traumatised patients, […] The post The Lethal Trauma Triad: A Guide for Emergency Workers appeared first on Emergency Live.

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The PROTECTION Trial – A Randomized Trial of Intravenous Amino Acids for Kidney Protection

RebelEM

Background Information: Acute kidney injury (AKI) is one of the most frequent complications of cardiac surgery and the cause is complex. Renal hypoperfusion from decreased glomerular filtration rate after cardiopulmonary bypass is a major contributor. 1 This in combination with exogenous toxins, endogenous metabolites, oxidative stress, bleeding and reperfusion injury can all lead to the patient ending up on renal replacement therapy postoperatively.

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Case Report: The Not So Normal, Normal EKG

ACEP Now

A 35-year-old male presented to the emergency department complaining of chest pain that started 1.5 hours prior to arrival. The patient had an EKG performed within 10 minutes of arrival while in triage (see Figure 1). In the absence of significant ST elevations, the EKG was signed and the patient was placed back in the queue to await a bed. FIGURE 1: First ED EKG.

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