Science Based Medicine

OCTOBER 11, 2023

The New York Times and Ted Kaptchuk feed into more confusion about placebo effects. The post Placebo Effect Revisited first appeared on Science-Based Medicine.

133

133

Don't Forget the Bubbles

OCTOBER 11, 2023

A curious young girl was playing with rare earth magnets and wondered what they would taste like. She has had no abdominal pain or vomiting, and her observations were normal. Imaging confirmed two spherical magnets stuck together in the stomach. When you review her later in the week, they appear to have moved. Abdominal X-ray AP 12 hours post-ingestion Lateral view 12 hours post-ingestion Abdominal X-ray 24 hours later showed no progression of magnets.

Pediatrics 116

Pediatrics Operations Radiology Radiology 116

RebelEM

OCTOBER 11, 2023

Take Home Points: Patients with recent onset atrial fibrillation can safely be cardioverted if they are 1) on anticoagulation 2) Low risk based on CHADS-VASC with onset < 48 hours or 3) High risk based on CHADS-VASC with onset < 12 hours. In anaphylaxis, think, “If A, B or C, give E.” If the patient has compromise to airway, breathing or circulation, they should get immediate epinephrine.

Anaphylaxis 115

Anaphylaxis EMS EKG/ECG Shock 115

Emergency Live

OCTOBER 11, 2023

Magnitude, victims and consequences of three events that shocked the world Of all the disasters that can happen worldwide, we must never forget the tremendous effect an earthquake can have. It comes in two versions, and both can be very dangerous. What definitively decides the severity of these tragedies are the scales, ranging from the […] The post Earthquakes: Three of the most devastating seismic events in history appeared first on Emergency Live.

Shock 105

Shock 105

ECG Guru

OCTOBER 11, 2023

The patient: This ECG was obtained from a 91-year-old woman who was complaining of weakness. Unfortunately, we have no other information. The ECG: This ECG has something for your basic students, and even more for the more advanced learners. The first thing that anyone should notice is the slow rate. The ventricular rate is around 35 bpm, and regular.

EKG/ECG 98

EKG/ECG 98

PEMBlog

OCTOBER 11, 2023

Traumatic bladder rupture is a rare yet serious injury observed in children who have experienced blunt trauma. Signs include lower abdominal pain, ecchymosis across the abdomen, bloody urine, and the presence of free fluid on abdominal imaging following a high-energy impact. The bladder is a hollow organ and therefore is relatively protected when empty, which makes rupture uncommon.

Fractures 98

Fractures Pediatrics 98

Medagadget

OCTOBER 11, 2023

Scientists at the University of Galway in Ireland and MIT have collaborated to create a soft robotic implant that can work to fight fibrotic encapsulation and deliver drugs despite the presence of fibrous scar tissue. The device, which the researchers have termed the FibroSensing Dynamic Soft Reservoir (FSDSR), is designed to reside in the body for extended periods and deliver drugs.

Research 97

Research 97

Medagadget

OCTOBER 11, 2023

Researchers at the University of Washington have developed a technique to make saliva collection for diagnostic purposes a little less disgusting and a little more fun and pleasant. Saliva collection often acts as a less invasive alternative than throat swabs in the detection of a variety of pathogens, such as that causing streptococcal soar throat (strep throat).

Research 95

Research 95

ALiEM

OCTOBER 11, 2023

What is the most common primary cause of death from ingesting the pictured marine animal? Acute liver failure Acute renal failure Coagulopathy and DIC Respiratory failure Status epilepticus [Image from Canstockphoto] Reveal the Answer 4. Respiratory Failure The pufferfish, considered a delicacy in multiple countries, contains tetrodotoxin which causes sodium channel blockade and can lead to muscle paralysis, respiratory failure, and death.

Poisoning 81

Poisoning Burns Wellness Outcomes 81

University of Maryland CC Project

OCTOBER 11, 2023

Matt Siuba, DO, MS is an assistant professor of medicine in the department of critical care medicine at Cleveland Clinic. He is one of the authors of a recent review article on RV therapies in ARDS published in Critical Care. This is the topic of his lecture today. Ganeriwal S, Matt Siuba, DO, MS is an assistant professor of medicine in the department of critical care medicine at Cleveland Clinic.

75

75

EMDocs

OCTOBER 11, 2023

Here’s another case from Medical Malpractice Insights – Learning from Lawsuits , a monthly email newsletter for ED physicians. The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. To opt in to the free subscriber list, click here. Stories of med mal lawsuits can save lives.

Documentation/Coding 69

Documentation/Coding Radiology Radiology Patient Safety 69

University of Maryland Department of Emergency Med

OCTOBER 11, 2023

Background: It is estimated that nearly 6% of U.S. adults and children report having a food allergy.1,2 Epinephrine autoinjector.

63

63

AED Leader

OCTOBER 11, 2023

Turkey, sweet potatoes, cranberry sauce, roasted garlic mashed potatoes, and of course pumpkin pie are foods that come to mind when thinking of a Thanksgiving menu. Some recipes have added sugar, unhealthy fats, or large amounts of salt, which while making them taste delicious, are not the best choice for keeping your heart in good shape. We have gathered some wonderful recipes to use for appetizers, mains, sides, and desserts that are both healthy and enjoyable!

CPR 52

CPR Burns Hospitals Wellness 52

University of Maryland CC Project

OCTOBER 11, 2023

Nick Bosch, MD, MSc is an assistant professor in the pulmonary division at the Boston University School of Medicine. In his lecture, he reviews the results of prior studies of transfusion hemoglobin thresholds during critical illness and discusses the use of regression discontinuity study design to help answer this important. Nick Bosch, MD, MSc is an assistant professor in the pulmonary division at the Boston University School of Medicine.

Blood Transfusions 40

Blood Transfusions Resuscitation 40

AED Leader

OCTOBER 11, 2023

Turkey, sweet potatoes, cranberry sauce, roasted garlic mashed potatoes, and of course pumpkin pie are foods that come to mind when thinking of a Thanksgiving menu. Some recipes have added sugar, unhealthy fats, or large amounts of salt, which while making them taste delicious, are not the best choice for keeping your heart in good shape. We have gathered some wonderful recipes to use for appetizers, mains, sides, and desserts that are both healthy and enjoyable!

CPR 52

CPR Burns Hospitals Wellness 52

University of Maryland CC Project

OCTOBER 11, 2023

Dr. David Roh is an Assistant Professor of Neurology at Columbia University where he is an attending neurointensivist. In this lecture, Dr. Roh reviews the currently implemented diagnostic and treatment approaches for hemorrhage control in intracerebral hemorrhage and discusses novel approaches being investigated. Dr. David Roh is an Assistant Professor of Neurology at Columbia University where he is an attending neurointensivist.

Resuscitation 40

Resuscitation 40

Stop and Think

OCTOBER 11, 2023

People my age remember the hours and days after Sept 11. I was in clinic seeing patients. In the days after, I went through the motions of normal life. But all I could think of was the horror of that day. I am not sure how long it lasted. That is where I am now. I am a parent and grandparent. Thanks to the new subscribers. I will write again about critical appraisal.

40

40