Fri.Feb 14, 2025

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How To Remember Those “Classes of Hemorrhage”

The Trauma Pro

The Advanced Trauma Life Support course lists “classes of hemorrhage”, and various other sources list a similar classification for shock. I’ve not been able to pinpoint where these concepts came from, exactly. But I am sure of one thing: you will be tested on it at some point in your lifetime. Here’s the table used by the ATLS course: The question you will always be asked is: What class of hemorrhage (or what % of blood volume loss) is the first to demonstrate systolic hy

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Open Letter II: President Levin, There Are Now 160 Million Reasons Why You Shouldn’t Have Censored We Want Them Infected Doctors

Science Based Medicine

$160 million is a lot of money, especially when you consider its not just money. It's lost dreams, careers, and discoveries. The post Open Letter II: President Levin, There Are Now 160 Million Reasons Why You Shouldnt Have Censored We Want Them Infected Doctors first appeared on Science-Based Medicine.

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Why are Patients with Diabetes Immunocompromised?

Clinical Correlations

By Daniel Martinez-Krams Peer Reviewed You are rounding on your patients, and your team is discussing a 52-year-old man with HIV who came in with shortness of breath and fever and was found to have pneumonia.

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CICM Second Part Exam Practice SAQs 13022025

Intensive Blog

As prepared by Chris Nickson, here are the practice written questions from a recent CICM Second Part exam practice session at The Alfred ICU, with recommended reading from LITFL.com Critical Care Compendium and other FOAM sources: Q1. A 34-year-old patient presents to the emergency department with a suspected recreational drug overdose and is intubated for a low Glasgow Coma Scale (GCS).

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Healthcare Managers’ Role in Workplace Harassment Prevention

American Medical Compliance

image source: [link] Workplace harassment is a widespread issue, and healthcare is no exception. In healthcare settings, harassment not only impacts employees but also affects patient care and safety. A global survey by ILO-Lloyds Register Foundation-Gallup found that 17.9% of workers have experienced psychological harassment, 8.5% have faced physical harassment, and 6.3% reported experiencing sexual harassment, with women being particularly vulnerable.

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In Honor of the Three Greatest Words in the English Language

Sensible Medicine

Pitchers and catchers. George Vecsey probably said it best. Just say it out loud, the mantra that gets some of us through the winter. Pitchers and catchers, pitchers and catchers. Like NPR republishing Susan Stamberg's cranberry relish recipe or every dance school putting on The Nutcracker each December, I think Sensible Medicine needs a tradition. So here, in honor of the start of spring training, when pitchers and catchers report for duty, a Friday Reflection that I first posted on Feb 17, 202

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A man in his 30s with epigastric pain and chest pressure

Dr. Smith's ECG Blog

Written by Pendell Meyers A man in his 30s presented with acute upper midline abdominal pain and nausea. He described it as radiating into his chest, like "pressure", and "burning". Vitals were within normal limits except bradycardia. Here is his triage ECG: What do you think? Sinus bradycardia, normal QRS. There is STE in several leads including I, aVL, and V2, with STD in II and aVF.

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