Mon.Mar 10, 2025

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The Eighth Law Of Trauma

The Trauma Pro

All trauma professionals need to keep up with the current thinking in their field. There are a variety of ways to do this, including lectures, courses, online curricula, meetings, and reading journal articles. The last method requires a bit of skill and patience. Many research papers are dry, long, and hard to read. Quite a few people do not have the patience to wade through them and get lost in all the details.

Research 175
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Coronary Artery Calcium Trial Fails to Impress

Sensible Medicine

The Journal of the American Medical Association published an actual randomized controlled trial for coronary artery calcium (CAC). As a skeptic of this imaging test, I saw the headline and thought: finally, we will learn whether patients who have their chest radiated have better outcomes. Better outcomes, such as fewer heart attacks or strokes, or longer life, is why we interact with healthcare.

Stroke 90
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Noninvasive Ventilation for Preoxygenation during Emergency Intubation

EM Ottawa

Methodology: 4/5 Usefulness: 3.5/5 Gibbs KW, et al. N Engl J Med. 2024 Jun 20;390(23):2165-2177. Question and Methods:The PREOXI trial aimed to determine whether noninvasive ventilation (NIV) via BiPAP reduces hypoxemia compared to standard oxygen masks for preoxygenation in critically ill adults undergoing emergency intubation through a multicenter, randomized controlled trial.

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Staff retention in the ED

Don't Forget the Bubbles

Challenging working conditions in health services, especially in emergency departments (ED), lead to high levels of stress and burnout. This contributes to the staff retention problem recognised by professional associations such as RCEM and ACEM. As well as being a practice and policy priority, there have been repeated calls for research to better understand the problem.

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How long should CPR be performed for non-shockable cardiac arrests in the hospital?

PulmCCM

This is part of a series of articles on the duration of CPR for in-hospital cardiac arrest. An index to all posts in the series can be found here: Introduction 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.

CPR 52
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The Medical Director’s Role in Sexual Assault Nurse Examiner Programs

ACEP Now

You work as the medical director at a suburban, community emergency department (ED). At your monthly meeting with the chief medical officer (CMO) and chief nursing officer (CNO), they inform you of the hospitals plan to start a Sexual Assault Nurse Examiner (SANE) Program. They ask you if you would be willing to serve as the teams medical director. As expected, you have several questions.

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Medical Music Mondays: Measles on the Dance Floor

PEMBlog

Measles is dancing yet again and I think we all know why. With an attack rate of 90%+ if you are not vaccinated you are at risk. Lyrics [Verse] Fevers high, eyes are red, runny nose, stuck in bed. inside cheeks, tiny spots Koplik’s calling all the shots. Rash spreads fast, head to toemeasles, no, dont say it’s so! Too late now, the virus stayscomplications on the way.

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Continual Improvement Focus in Healthcare Training

American Medical Compliance

In the ever-evolving healthcare landscape, maintaining high standards of care therefore requires a commitment to continual improvement. As a result, healthcare professionals must adapt to new technologies, updates, and practices in order to ensure patient outcomes. To support this need, this course is designed to help healthcare workers develop a mindset of continuous learning.

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Find Your Ikigai, a Sense of Meaning in Work

ACEP Now

Satonofuji Hisashi has been a career sumo wrestler since 1996. He is no champion wrestlerin fact, he is far from it. His highest attained rank was in the Makushita division in 2005, the third highest of six sumo divisions. Traditionally, the most elite wrestlers sat in a curtained area at the arenamakushita did not and the name thus translates to below the curtain.

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Misinformed refusal: What antivaxxers really mean when they invoke “informed consent”

Science Based Medicine

Our new Secretary of Health and Human Services wants to change CDC messaging about vaccines to emphasize "informed consent." What he really means is misinformed refusal. The post Misinformed refusal: What antivaxxers really mean when they invoke informed consent first appeared on Science-Based Medicine.

CDC 101
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How to Diagnose and Manage Hypertensive Disorders in Pregnancy

ACEP Now

Youre working the night shift in a rural critical access hospital in the Midwest when a 36-year-old, 31-week primigravida patient with no known prior medical history presents with a mild headache. Initial vitals show a blood pressure (BP) of 170/115 mm Hg, which remains elevated 15 minutes later. You follow the recommended emergency department (ED) lab workup for hypertensive disorders of pregnancy, including urine protein/creatinine ratio, serum creatinine, platelet count, complete blood count,

OB/GYN 52
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ACEP Approves Clinical Policy on Seizures

ACEP Now

On April 17, 2024, the ACEP Board of Directors approved a clinical policy developed by the ACEP Clinical Policies Committee on the management of adult patients presenting to the emergency department with seizures. This clinical policy was published in the July 2024 issue of the Annals of Emergency Medicine , can be found on ACEPs website , and will also be included in the ECRI Guidelines Trust , upon its acceptance.

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Emergency Physicians of the Sandwich Generation Face Unique Challenges

ACEP Now

My good friend and colleague, Dr. Sydney De Angelis, gave a great talk at the American Association of Women Emergency Physicians meeting at ACEP24. The talk was about the sandwich generation and how it affects physicians, particularly female physicians, which inspired me to write this article. For those unfamiliar, the term sandwich generation encompasses people typically in their 30s to 50s, who will most likely be sandwiched between raising their kids and helping support aging parents. 1 Somet

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Texas Hospitals Now Must Ask About Immigration Status

ACEP Now

On August 8, 2024, Greg Abbott, Governor of Texas, issued an executive order directing the Texas Health and Human Services Commission to assess costs to the Texas public hospital system imposed by the federal governments open-border policies. 1 The order directed hospitals to collect information on patients not lawfully present in the United States beginning November 1, 2024.