Mon.Mar 03, 2025

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The Fifth Law Of Trauma – Pediatric

The Trauma Pro

Here’s my first pediatric-specific law. Any time I give a pediatric talk, I mention it. This one applies to anyone who takes care of children, and is particularly important to EMS / prehospital providers and emergency physicians. On occasion, medics are called to a home to treat a child in extremis, or occasionally in arrest. Similarly, extremely sick children are often brought to the ED by parents or other caregivers.

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Measles is back, and so are all the old antivax tropes about it

Science Based Medicine

Measles is back, and so are all the old antivax tropes about the disease and the vaccine. Unfortunately, there's an antivaxxer in charge. The post Measles is back, and so are all the old antivax tropes about it first appeared on Science-Based Medicine.

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Top Cal/OSHA Violations in Healthcare—And How to Avoid Them 

American Medical Compliance

Healthcare facilities are fast-paced environments where patient care is the top priority. However, ensuring a safe workplace is just as critical. The California Division of Occupational Safety and Health (Cal/OSHA) enforces regulations to protect healthcare workers from hazards, yet many facilities still face violations that lead to fines, legal issues, and, most importantly, employee injuries.

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Duration of Trials vs Duration of Therapy

Sensible Medicine

Co-editor of Sensible Medicine Vinay Prasad and two colleagues published a remarkable study last week regarding the length of antidepressant drug trials vs duration of therapy in the real world. The median trial duration was 8 weeks while real-world use of these drugs is 5 years. Few trials lasted long enough to monitor for withdrawal symptoms or included taper protocols.

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Pulmonary edema, with tachycardia and OMI on the ECG -- what is going on?

Dr. Smith's ECG Blog

This was written by Hans Helseth. A 69 year old woman with a history of hypertension presented to the emergency department by EMS for evaluation of chest pain and shortness of breath. She awoke in the morning with sharp chest pain which worsened throughout the morning. As her pain worsened, so did her dyspnea. She was found by paramedics with an oxygen saturation of 64%, but could not tolerate BiPAP during transport due to claustrophobia.

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The 89th Bubble wrap x Royal Manchester Children’s Hospital

Don't Forget the Bubbles

With millions of journal articles published yearly, it is impossible to keep up. This month, the team from Royal Manchester Childrens ED highlights the diversity of current paediatric literature, ranging from air pollution, wheeze, trauma, surgery, to sadly but inevitably, child death. Royal Manchester Childrens Hospital (RMCH) is a tertiary and major trauma centre in the North-West of England.

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Diagnostics and Therapeutics: Inhalation Injuries

Taming the SRU

Inhalation injury results from tissue damage throughout the respiratory tract after inhalation of smoke, heat, or chemicals. Smoke is most common, but exposure to a wide range of chemicals and other irritants may result in inhalational injury. The emergency physician must recognize inhalation injury, and have an expert understanding of its pathophysiology, management and complications.

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Tasty Morsels of Critical Care 086 | Heparin Induced Thrombocytopaenia

Emergency Medicine Ireland

Welcome back to the tasty morsels of critical care podcast. Following on from the recent post on Heparin, today we’re going to talk about one of its more significant complications – Heparin Induced Thromboyctopaenia or HIT for short. In my notes I had it down as HITTS for hepain induced thrombotic thrombocytopaenia syndrome which I kind of liked as it included the important presence of thrombosis in the context of low platelets.

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The Word “Mental” in Project 2025. (iii)

Maria Yang, MD

Just to formally close out the series on Project 2025 and its intersections with mental health, let me comment on the third instance where “mental” shows up in the document. (The series starts here.) In short, the authors advocate that parents have unconditional and prompt access to all information their children share with schools, including: surveys, about political affiliations or beliefs; mental or psychological issues (emphasis mine); sexual behaviors or attitudes; critical appr