Thu.Jan 11, 2024

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Best Of EAST 2024 #8: Whole Blood And VTE

The Trauma Pro

The pendulum has swung from the use of whole blood in the early 20th century, to component therapy in the 1960s, and now a gradual move toward incorporating whole blood again. More and more papers are being published, and many trauma centers are looking for ways to integrate whole blood into their massive transfusion protocols. Much of the literature has been dedicated to safety and effectiveness, but little has examined thrombotic complications from its use.

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EMCrit 366 – Should Delayed Sequence Intubation (DSI) become the Standard for Critical Care Intubations?

EMCrit

Should DSI become the new standard? EMCrit Project by Scott Weingart, MD FCCM.

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I Still Can’t be Rational about COVID

Sensible Medicine

A few weeks ago, I went to a poetry reading at my favorite bookstore. I enjoyed the poetry. I was even more interested in the discussion between the author and the audience that followed each poem. The author had written most of the poems during COVID. She and the audience reflected on the dark days of 2020. They talked about this period as a remarkable and unique time in their lives.

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The origins of rescue: prehistoric traces and historical developments

Emergency Live

A Historical Overview of Early Rescue Techniques and Their Evolution Early Traces of Rescue in Prehistory The history of human rescue dates back long before the advent of modern civilization, rooted in the depths of prehistory. Archaeological excavations in various parts of the world have revealed that ancient humans already possessed the knowledge and skills […] The post The origins of rescue: prehistoric traces and historical developments appeared first on Emergency Live.

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Funtabulously Frivolous Friday Five 355

Life in the Fast Lane

Mark Corden and Neil Long Funtabulously Frivolous Friday Five 355 Funtabulously Frivolous Friday Five 355 - Just when you thought your brain could unwind, enter the medical trivia of FFFF.

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The Italian 118: evolution of emergency rescue

Emergency Live

From Birth to Modernization of Emergency Services Introduction The Italian territorial emergency service, known simply as “118,” has revolutionized the management of healthcare emergencies in Italy. Its development and evolution reflect a radical shift in emergency management, from the era of basic ambulances to technological modernization.

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Pegcetacoplan (Syfovre™) for macular degeneration: an update

Science Based Medicine

SBM's guest contributor and ophthalmologist, Dr. DAvid Weinberg, provides an update on the phase 3 trials of pegcetacoplan for macular degeneration. The results are still disappointing. The post Pegcetacoplan (Syfovre™) for macular degeneration: an update first appeared on Science-Based Medicine.

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AHA/NCS Statement on Critical Care Management of Post ROSC Patients

EMDocs

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association (AHA) and Neurocritical Care Society (NCS) released their 2023 Scientific Statement on the critical care management of post ROSC patients. This post covers the key components, with each section starting with the key takeaway followed by the scientific statements.

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Flood Technology Group: Revolutionizing Flood Resilience with Advanced Technologies

Emergency Live

Simon Gilliland Leads the Fight Against Flooding with Innovations in Adaptive Flood Technology Flood Technology Group, a pioneering association in the field of adaptive flood technology, has recently announced the appointment of Simon Gilliland as its first CEO. Gilliland, a Chartered Engineer and member of the Institute of Civil Engineers, brings with him 17 years […] The post Flood Technology Group: Revolutionizing Flood Resilience with Advanced Technologies appeared first on Emergency L

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Igniting Human Understanding: Jon Tanner

NRC Health

You may not immediately see the connection between running ultramarathons in the mountains and leading a product innovation team, but to Jon Tanner, Product Leader, the parallels are obvious. Both involve setting ambitious goals, overcoming obstacles, and finding fulfillment in testing limits. The post Igniting Human Understanding: Jon Tanner appeared first on NRC Health.

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ACEP Leadership Diversity Efforts Continue to Evolve

ACEP Now

Inclusion of diverse perspectives is an important part of the ACEP mission—we recognize the need for both the voices of members and those of patients. The current Board leadership continues to move closer to being reflective of the evolving diversity of the ACEP membership. Board leaders have been intentional in finding strategic ways to get closer to being representative of the membership, including ways to promote interest in a leadership track and entering a pipeline to help diversify the fut

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Understanding Sanction Screening: Safeguarding Healthcare Integrity Under HIPAA

Total Medical ComplianceHIPAA

In the intricate landscape of healthcare, compliance with regulations isn’t just a choice but a necessity. HIPAA stands as a beacon of privacy and security standards within the industry. Among its many components, one crucial element often overlooked yet central is sanction screening. What is Sanction Screening? Sanction screening involves the meticulous examination of individuals and entities involved in healthcare to ensure they’re not excluded from federal or state healthcare prog

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More Hospitals Are Closing. Why?

ACEP Now

The wave of increasing hospital closures and service line cutbacks continues to sweep the United States. A recent article documents 56 additional U.S. hospitals that are closing clinical departments or ending or reducing services. Cited are issues of “shoring up finances,” “staffing shortages,” or “focusing on more in-demand services” as driving forces. 1 This adds to the more than 640 (mostly rural) hospitals that recently failed financial stress tests and are adjudged to be at imminent risk of

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It’s Your Call – January 2024

Total Medical ComplianceHIPAA

HIPAA: What happens if we employ an individual who is found to be on an exclusion list? If you employ an individual who has been sanctioned or excluded by the Office of Inspector General (OIG) from participating in federal health care programs, and that individual provides reimbursable items or services under such programs, you may face Civil Monetary Penalty (CMP) liability.

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Disease and medicine in the Middle Ages: a historical look

Emergency Live

The Evolution of Health and Care in an Era of Great Challenges Introduction The Middle Ages, a period spanning approximately from the 5th to the 15th century, was a time of significant changes and challenges in terms of health and medicine. During this period, Europe witnessed a series of diseases and epidemics that profoundly influenced […] The post Disease and medicine in the Middle Ages: a historical look appeared first on Emergency Live.

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How to make a (good) referral to Ophthalmology – tips and tricks

Mind The Bleep

Ophthalmology has long been the specialty with the most referrals and patient appointments in an outpatient environment, having had over 8.7 million clinic appointments scheduled in 2022-23 across the NHS. 1 The volume of Ophthalmology referrals, both from primary care and from inpatient settings, continues to increase every year and poses a problem for the on call ophthalmologist in terms of triaging each referral.

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Tracheotomy: a life-saving surgery

Emergency Live

Understanding the Procedure, Indications, and Management of Tracheostomy What is Tracheostomy and When is it Performed? Tracheostomy is a surgical procedure that involves creating an opening through the neck into the trachea, allowing for the insertion of a tube to facilitate breathing. The procedure is performed to bypass upper airway obstructions or manage severe respiratory […] The post Tracheotomy: a life-saving surgery appeared first on Emergency Live.

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How to spend a Foundation Year 3 for an Ophthalmology application (and other things you can do in Foundation training)

Mind The Bleep

Ophthalmology training is becoming increasingly competitive every year and is one of the most competitive specialty training programmes in the UK, boasting a competition ratio of 9.91 applications per post in 2023. 1 Therefore, getting a training post can seem like a daunting task, particularly given the demands of the portfolio and MSRA, and even more so if you have decided to apply to Ophthalmology towards the end of medical school or during Foundation Training.

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Hypoglycemia: Recognizing, Preventing and Managing the Risks

Emergency Live

Understanding Hypoglycemia for Effective Management Hypoglycemia is a medical condition characterized by abnormally low levels of glucose in the blood, crucial for brain function and overall energy in the body. This condition can have both short-term and long-term effects on health and requires careful management, especially for individuals with diabetes.

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Hypertensive Retinopathy

Mind The Bleep

Poorly controlled hypertension results in target-organ damage. In the eye, it results in choroidopathy, retinopathy and optic neuropathy. This article will focus on hypertensive retinopathy, a relatively common presentation. The major risk factors for hypertensive retinopathy are the severity and duration of hypertension, and to a lesser extent people of African descent.

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The evolution and use of the scalpel in modern surgery

Emergency Live

An In-depth Look at the Importance of this Essential Surgical Tool History and Development of the Scalpel The scalpel, also known as a lancet or surgical knife, is a sharp surgical instrument used for making incisions during surgeries or anatomical dissections. Its evolution, from the flint and obsidian of the Stone Age to modern materials […] The post The evolution and use of the scalpel in modern surgery appeared first on Emergency Live.

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Emergency care drugs’ chemical stability after eight weeks’ deployment in the prehospital setting – PMC

PHARM

Emergency care drugs’ chemical stability after eight weeks’ deployment in the prehospital setting – PMC — Read on www.ncbi.nlm.nih.

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