Ken Grauer, MD

MAY 31, 2024

I was sent the ECG in Figure-1 — without the benefit of any history. Is this VT? What is the 1st thing — that YOU would do? Figure-1: I was sent this ECG without any history. Is this VT? MY Thoughts on Today’s CASE: As tempting as it might be to reach for the defibrillator on seeing the ECG shown in Figure-1 — My initial reaction was different. At 1st glance , my impression from seeing ECG #1 — was that the rhythm is very fast and irregular — with a highly variable QRS morphology — and, without

Shock 414

Shock EKG/ECG Seizures 414

The Trauma Pro

MAY 31, 2024

Call me slow. I’ve subconsciously seen those capital letters in drug names for years. But I never really paid attention or thought much about them. For whatever reason, I just now realized that they are EVERYwhere! So I decided to investigate. Technically, they are called tall man letters. Here are some examples: Certain parts of the drug name are capitalized to highlight differences from a drug with similar spelling.

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147

Broome Docs

MAY 31, 2024

Welcome to the June edition of the Journal Club for 2024. Justin and I discuss 7 papers covering a range of topics from securing IVCs in kids to intubating in space and the use of religious sham artifacts in middle-age, French “psychiatry” Yep, it was a strange month on the pod! Enjoy. Articles linked below and podcast available on your favourite player or YouTube over at the First10EM channel.

Airway Management 97

Airway Management Poisoning Pediatrics 97

Science Based Medicine

MAY 31, 2024

"May he be forever riddled with guilt. May he suffer the loss of a loved one in the same manner. May he die alone." The post What’s So “Wonderful!” About an Article That Provoked Hateful Revenge Fantasies Against Frontline Doctors and Public Health Officials? first appeared on Science-Based Medicine.

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First 10 EM

MAY 31, 2024

The First10EM monthly wrap up is a place for me to share updates about the website, about my academic life, and also interesting content, such as books, podcasts, and other FOAMed, that I have encountered in the prior month. Obviously the format means the focus is mostly on content I have found, but I hope […] The post The First10EM monthly wrap-up for May 2024 appeared first on First10EM.

Academics 78

Academics 78

Sensible Medicine

MAY 31, 2024

JD is a 67-year-old man admitted with a community acquired pneumonia and a small parapneumonic effusion. The medical team admits him and performs a diagnostic thoracentesis, the results of which reveal a complicated parapneumonic effusion (pH = 7.11). A thoracic surgery consultation is called for a chest tube to be placed. Sensible Medicine is a reader-supported publication.

Operations 66

Operations Wellness Academics Ultrasounds 66

EM Ottawa

MAY 31, 2024

Methodology: 4/5 Usefulness: 3.5/5 Carson JL, et al. N Engl J Med. 2023 Dec 28;389(26):2446-2456. doi: 10.1056/NEJMoa2307983. Questions and methods: This multicenter, open-label, RCT of 3604 patients with MI with anemia compared 30-day all-cause mortality and recurrent nonfatal MI between liberal vs restrictive transfusion thresholds. Findings: There was no significant difference in 30-day all-cause mortality […] The post Restrictive or Liberal Transfusion Strategy in Myocardial Infarctio

Blood Transfusions 61

Blood Transfusions 61

PulmCCM

MAY 31, 2024

Nutritional Support During Critical Illness This PulmCCM topic review may be periodically updated and expanded as new research is published. Most recent update: May 31 2024. Suggest updates to this article by commenting below or emailing editors@pulmccm.org. During critical illness, catabolism (breakdown of muscle protein, fat and other complex molecules) occurs faster than anabolism (synthesis of these same macromolecules).

Outcomes 52

Outcomes Research 52

The Evolution & Medicine Review

MAY 31, 2024

Molly Fox and the Program Committee have created a fabulous program of over 180 presentations, all now posted on the web. And Gillian Bentley and the Hosting Committee have made all kinds of special arrangements for tourts, events, comfort, pleasure, and good discussions.

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Kings County Downstate EM

MAY 31, 2024

Author: Philippe Ayres, MD Editor: Galina Udod, MD Case: A 33-year-old female presents to an ED after being extracted from a car that was in a front-end collision with a truck. On primary survey, the patient opens her eyes spontaneously and squeezes her hands and moans to command. The patient […] The post Cutting it Close: One Decision, Two Lives appeared first on County EM.

EMS 40

EMS 40