PulmCCM
MARCH 17, 2025
Virtually all critically ill patients experience pain, anxiety, sleep disturbance, agitation, or a combination of these bothersome symptoms. Relieving these burdens should be considered a fundamental aspect of caring for the most seriously ill. Sedatives and analgesics can also be overused, slowing patients’ recovery or increasing their likelihood of disability.
First 10 EM
MARCH 17, 2025
I have been doing this for 10 years now. I am not sure what the future holds. I am not sure what First10EM will look like in another 10 years. I am not sure these words will be published (although if you are reading it, I guess we have our answer). This is an exercise […] The post I have been doing this for 10 years appeared first on First10EM.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Sensible Medicine
MARCH 17, 2025
When a doctor does an angiogram during an ST-elevation MI (STEMI), there is a culprit occlusion but often other partial occlusions. The question is: should the doctor stent just the culprit obstruction or all the obstructions? This is a controversial topic in cardiology—not only to sort out the best way to handle STEMI, but more so about how it informs the nature of stable CAD.
PEMBlog
MARCH 17, 2025
There are several things you can do to increase your likelihood of success when performing a lumbar puncture in children. Local anesthesia! Early stylet removal! Needle bevel to the hips! Lyrics [CHORUS] Three LPs and one DJ Spinal tap procedure learn the right way [VERSE] Yo, roll the kid side lying tight Or upright holder if that seems right! Early sty let removal, thats the trick, Steady with the hands, dont move too quick!
Dr. Smith's ECG Blog
MARCH 17, 2025
Written by Willy Frick A man in his 60s with a history of hypertension and 40 pack-year history presented to the ER with 1 day of intermittent, burning substernal chest pain radiating into both arms as well as his back and jaw. It has been stuttering, lasting 10 minutes at a time with associated diaphoresis. His ECG obtained around 8 AM is shown: ECG 1 My guess is most blog readers will make this diagnosis without too much difficulty.
Don't Forget the Bubbles
MARCH 17, 2025
Which first-line treatment protocol is most likely to be successful? Our most commonly used scabicides in the UK are topical Permethrin 5% cream and oral Ivermectin. This is represented in the guidance given by NICE (National Institute of Clinical Excellence) and BSPAD (British Society for Paediatric and Adolescent Dermatology). Despite multiple systematic reviews , there has long been a debate about which of these is best as the first line and in what protocol (e.g., single dose, repeated dose)
NRC Health
MARCH 17, 2025
Healthcare employee burnout poses a significant threat, impacting both staff retention and the quality of patient care. A recent NRC Health webcast explored effective strategies to combat burnout by focusing on fostering trust, granting control, and implementing continuous listening practices within healthcare organizations. The post Enhancing healthcare workforce well-being: Strategies for success appeared first on NRC Health.
Critical Care Now
MARCH 17, 2025
Reading Time: 4 minutes ARDS is a heterogeneous disease process with a complex pathophysiology. A central component of ARDS is hypoxemia and decreased compliance of the lung. While the process that damaged the alveolar units may differ, the management is similar. The following discussion will highlight what tools we have to combat a disease that typically has an in-hospital mortality of near 40%.
Expert insights. Personalized for you.
40 
Let's personalize your content