The Trauma Pro

FEBRUARY 24, 2025

There are two broad categories of things that kill trauma patients. No, Im not talking about violent penetrating injury, falls, car crashes, or any other specific mechanisms. I am referring to the end events (on a macro scale) that take their lives. These two basic killers are: hemorrhage and brain injury. The vast majority of the time, a dying trauma patient has either suffered a catastrophic brain injury, or has ongoing and uncontrolled bleeding.

Operations 147

Operations Shock 147

Science Based Medicine

FEBRUARY 24, 2025

When Robert F. Kennedy Jr. was nominated to be Secretary of Health & Human Services, I called him an "extinction-level threat" to public health. Here's how he will attempt to make vaccines extinct in the US. The post How Robert F. Kennedy Jr. will undermine and ultimately destroy US vaccination programs first appeared on Science-Based Medicine.

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RebelEM

FEBRUARY 24, 2025

Background In 1979, Hiroshi Natori was the first to appreciate the sonographic changes that occur in the inferior vena cava (IVC)s diameter with ventilation in spontaneously breathing patients, mechanically ventilated patients, and those with carcinogenic and tuberculoid cardiac tamponade. 1 They noticed how spontaneously breathing patients had their IVC collapse with inspiration; and ventilated patients had their IVC dilate during positive pressure ventilation.

Ultrasounds 74

Ultrasounds Shock Fluid Resuscitation Resuscitation 74

Don't Forget the Bubbles

FEBRUARY 24, 2025

Two-month-old Isla presents to their local hospital following a prolonged apnoea at home. They had a two-day history of reduced feeding. Their clinical examination is unremarkable: normal heart sounds, palpable femoral pulses bilaterally, and no rashes, bruises, or signs of injury. They have a soft anterior fontanelle and no focal neurology. Because of their worsening respiratory acidosis, they were intubated in the ED, The initial chest-x ray shows a right-sided consolidation, in keeping with b

Pediatrics 59

Pediatrics Outcomes Blood Transfusions Sepsis 59

First 10 EM

FEBRUARY 24, 2025

I have covered calcium channel blockers for atrial fibrillation a number of times. If you are pursuing a rate control approach, calcium channel blockers probably result in more rapid control. Thus, if you are trying to send these patients home, they might be a good choice. However, for long term management, cardiologists seem to prefer […] The post Diltiazem for atrial fibrillation: does calcium pretreatment help?

EMS 66

EMS 66

PulmCCM

FEBRUARY 24, 2025

Although cardiopulmonary resuscitation (CPR) is performed on more than 250,000 people in U.S. hospitals each year, physicians receive no formal guidance or training on how, when, or why it should be made. This results in a wide variation in practice—a quarter of unsuccessful resuscitations are stopped before 15 minutes, while a quarter go longer than 30 minutes.

CPR 52

CPR Hospitals Resuscitation Outcomes 52

American Medical Compliance

FEBRUARY 24, 2025

This Women’s Health and Birth Control Training for Healthcare Personnel equips healthcare providers with essential knowledge on women’s health, covering common health conditions and birth control options. Providers explore various birth control methods, their effectiveness, and best counseling practices. The course debunks myths and misconceptions, ensuring accurate patient education.

Outcomes 52

Outcomes Research Wellness 52

American Medical Compliance

FEBRUARY 24, 2025

This course equips healthcare providers with techniques to improve patient interactions and outcomes. Participants master active listening and communication strategies to understand patient needs and convey empathy. The course addresses cultural, language, and literacy challenges to help providers connect with diverse patients. Honing these skills boosts patient satisfaction, trust, and creates a more inclusive, efficient healthcare environment.

Teamwork 52

Teamwork Outcomes 52

PEMBlog

FEBRUARY 24, 2025

At least 40% of the time when someone faints they have some abnormal movements. These aren’t seizures! Convulsive syncope is what we call it when someone faints and jerks a bit. Lyrics Sunday morn and her heads all light Stayed up late the previous night Takes a step to the bathroom Staggers and then blacks out It was a fainting spell! Then she starts to shake a bit But comes right out of it Was that a seizure that she had?

Seizures 52

Seizures 52

American Medical Compliance

FEBRUARY 24, 2025

Effective project management is essential in healthcare settings, where complex tasks, strict timelines, and high stakes are the norm. Whether you’re overseeing a new initiative or coordinating patient care improvement projects, strong project management skills can make all the difference. In this course, we will explore the key principles of project management tailored specifically for healthcare environments.

Administration 52

Administration Outcomes 52

American Medical Compliance

FEBRUARY 24, 2025

Working in assisted living facilities requires providing compassionate care to individuals with diverse needs, backgrounds, and personalities. Healthcare professionals will inevitably encounter difficult individuals. These challenges often stem from various factors, such as cognitive impairments, mental health issues, or personal circumstances that impact behavior.

Wellness 52

Wellness Outcomes Hospitals 52