First 10 EM

NOVEMBER 11, 2024

In the most recent BroomeDocs podcast, we talk about an attempt to use the IM route to give cardiac arrest victims epinephrine faster. (The podcast and Research Roundups blog post might actually come out next week.) I was skeptical about the outcomes, partly because the evidence that epinephrine helps at all in cardiac arrest is […] The post IV versus IO for cardiac arrest (PARAMEDIC3 and IVIO) appeared first on First10EM.

Research 118

Research Outcomes EMS 118

PulmCCM

NOVEMBER 11, 2024

The DanGer-Shock randomized trial allowed interventional cardiologists to breathe a bit easier, knowing that the Impella device resulted in improved survival 6 months after ST-elevation myocardial infarction with cardiogenic shock: The trial also underscored the high risks associated with the Impella device: Many more patients with Impellas required renal replacement therapy (41.9% vs 26.7%).

Shock 91

Shock Sepsis Outcomes Research 91

Sensible Medicine

NOVEMBER 11, 2024

We learn in high school that the purpose of science is to ask and answer questions about nature--through experiments. Scientists don’t know the results of an experiment beforehand, so, any result, negative or positive, adds knowledge. Medical science should work the same way. Medical scientists would design and conduct experiments to answer important questions, say, whether a drug or surgery, improves an outcome.

Stroke 89

Stroke Outcomes Hospitals Ultrasounds 89

ECG Guru

NOVEMBER 11, 2024

Sometimes you see an ECG and feel overwhelmed at first. This ECG rhythm strip is challenging at first glance. However, if you take a systematic approach to the analysis, it is usually possible to decipher the case.

EKG/ECG 78

EKG/ECG 78

Taming the SRU

NOVEMBER 11, 2024

R1 Core Content: ms - r4 Capstone : ableism - Ultrasound grand rounds : MSK R1 Core content: multiple sclerosis WITH Dr. boggust MS is a demyelinating disease affecting young people, with females more frequently affected MS can present with a variety of neurologic symptoms. Those affecting the limbs, bladder, bowels and eyes are most common. Evaluation is most commonly with MRI of the brain and spinal cord with and without contrast after exclusion of other life-threatening conditions.

Ultrasounds 75

Ultrasounds Dislocations Wellness 75

Don't Forget the Bubbles

NOVEMBER 11, 2024

One-liner… Traumatic brain injury (TBI) is a leading cause of mortality and morbidity in paediatric populations, and fever is associated with worse outcomes. Should we aim to prevent fever, or should we cool patients? A 12-year-old boy presents with a significant head injury following a road traffic accident. At the scene, his lowest GCS was 5 (E1V2M2).

Hyperthermia / Hypothermia 72

Hyperthermia / Hypothermia Outcomes Pediatrics Resuscitation 72

Dr. Smith's ECG Blog

NOVEMBER 11, 2024

Written by Willy Frick A middle aged man presented for elective outpatient surgery. The following ECG was obtained in the preoperative area. What do you think? The ECG shows sinus rhythm with a rate of about 78 and 2:1 AV conduction along with right bundle branch block and left anterior fascicular block. The PR interval on the conducted beats is prolonged, about 220 ms.

EKG/ECG 71

EKG/ECG Wellness Hospitals 71

PEMBlog

NOVEMBER 11, 2024

Hypertrophic pyloric stenosis is such a down home diagnosis. You bring your baby home and then their weight goes down. Also the ultrasound measurements are a muscle wall greater than 3mm thick and a channel length greater than 14mm. 3 and 14 – 3.14, pi. Get it? Did you read this far? Lyrics [verse] Across the room The vomit goes It’s on the wall And my clothes Have a slice of pie – it’s on the menu Projectile emesis – does that offend you?

Ultrasounds 52

Ultrasounds 52

Maria Yang, MD

NOVEMBER 11, 2024

The word “mental” appears 16 times in “Mandate for Leadership: The Conservative Promise”, better known as Project 2025. It first appears in the foreword on page 4, under the first promise to “restore the family as the centerpiece of American life and protect our children”: Today, the American family is in crisis. Forty percent of all children are born to unmarried mothers, including more than 70 percent of black children.

CDC 40

CDC Leadership Research Wellness 40

RebelEM

NOVEMBER 11, 2024

Background: Patients with sepsis are routinely treated with empiric broad-spectrum antibiotics while awaiting source identification, as recommended by the surviving sepsis campaign.2 Vancomycin, in combination with either piperacillin-tazobactam or cefepime, is commonly used for empiric treatment in these cases. Literature comparing the two regimens has largely focused on the adverse effects of each medication, rather than on overall efficacy.

Sepsis 84

Sepsis Outcomes Administration Shock 84

Science Based Medicine

NOVEMBER 11, 2024

Last week, Donald Trump defeated Kamala Harris and will return to the White House in January. What does this mean for science-based federal health policy? Hint: Nothing good. Just like the rest of the government, the worst people are likely to be in charge of health and science policy. The post Donald Trump won. Now what for science-based federal health policy?

Administration 80

Administration 80