Mon.Sep 02, 2024

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The Ducanto Catheter—It Sucks!

RebelEM

Background: Emergency intubations present a unique set of challenges, particularly when dealing with heavily contaminated airways. Anesthesiologist, Dr. James DuCanto, developed the DuCanto catheter to enhance airway management in these high-stakes situations. The commonly used 14 Fr Yankauer catheter, with its smaller bore, may struggle to clear heavily contaminated airways effectively.

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GLP1a Drugs are Great But Unlikely to Treat COVID-19 Infection

Sensible Medicine

First a review of the main trial then to the new paper in the Journal of the American College of Cardiology. SELECT Trial The SELECT trial was the first to show that the glucagon-like-peptide-1 receptor agonist (GLP1) semaglutide could actually modify cardiovascular disease. The discovery of another disease-modifying agent for heart disease is a breakthrough.

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Seizure in a 30 something

Dr. Smith's ECG Blog

Written by Magnus Nossen — with edits by Grauer. The patient in today’s case is a 30-something female. She has no known previous medical history. Her husband called EMS when the patient experienced new onset seizures accompanied by micturition. The ECG below was recorded by EMS. What is your assessment? ECG #1 Interpretation: ECG #1 shows sinus rhythm at a heart rate of 77 bpm.

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The First10EM monthly wrap-up for summer 2024

First 10 EM

The First10EM monthly (or I guess seasonal this time) 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 […] The post The First10EM monthly wrap-up for summer 2024 appeared first on First10EM.

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LLMs: Fighting Fire with Fire

Science Based Medicine

Using LLM tools to tackle AI-driven science misinformation head-on The post LLMs: Fighting Fire with Fire first appeared on Science-Based Medicine.

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Reader Responds: Current Status of Continuous-Seizure Management

ACEP Now

I appreciate this article , and this is by no means meant to be a personal attack or discrediting the validity of the information contained in the article. I consult for a pharma company and disclose it whenever I speak or write about something related to that work. In this case, the Open Payments website shows that one of the authors has received over 128,000 dollars from Ceribell, a company that makes a POC EEG system.

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233. A can’t-miss neuro emergency!

Board Bombs

There are at least 2 can’t-miss-conditions here on this multiple choice question. The Dog Days of summer ended on Labor Day, so let’s start fall with a scary differential diagnosis of naming that can’t-miss neuro emergency! Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here.

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From the Editor: A Question for You, ACEP Now Readers

ACEP Now

I wanted to respond to Dr. Weiner’s concerns about the recent article on the management of status epilepticus by Drs. Marco and Kozak. I also want to use this opportunity to describe to the readers of ACEP Now the process by which we handle unsolicited submissions to our magazine, which the concept for this particular article originated. When assuming the role of Medical Editor-in-Chief, I instituted a more formal process by which emergency physicians can submit articles and case reports to our

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EKG Post Cardiac arrest

Emergency Medicine Education

The accuracy of EKG diagnosis following cardiac arrest and return of spontaneous circulation (ROSC), particularly when determining the need to activate the Cath lab during the middle of the night, can be highly challenging. Baldi et al. published this study regarding “Association of Timing of Electrocardiogram Acquisition After Return of Spontaneous Circulation With Coronary Angiography Findings in Patients With Out-of-Hospital Cardiac Arrest” They found that performing an EKG 8 minu

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Bubble Wrap Live from DFTB24

Don't Forget the Bubbles

Can’t get enough of Bubble Wrap? This year, four wonderful speakers shared their thoughts on what was important. Here are their recommendations for a little light reading. 1.Neonatal Bubble Wrap from Brian Dunn Seidler AL, Aberoumand M, Hunter KE, Barba A, Libesman S, Williams JG, Shrestha N, Aagerup J, Sotiropoulos JX, Montgomery AA, Gyte GM. Deferred cord clamping, cord milking, and immediate cord clamping at preterm birth: a systematic review and individual participant data meta-analysis.

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IM Epinephrine for Cardiac arrest

Emergency Medicine Education

Resuscitation recently published an article that assessed the association between intramuscular (IM) epinephrine and survival outcomes, including survival to hospital discharge, survival to hospital admission, and functional survival. Although there is ongoing debate regarding the role of epinephrine in cardiac arrest, this study demonstrated that IM epinephrine improved survival.