Sun.Dec 31, 2023

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The First10EM monthly wrap-up for December 2023

First 10 EM

This is the first edition of a new, recurrent post format. The First10EM monthly wrap up is a place for me to share updates about the website, about my academic life, and also interesting content, such as books, podcasts, and other FOAMed, that I have encountered in the prior month. It is sort of my […] The post The First10EM monthly wrap-up for December 2023 appeared first on First10EM.

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Top 10 emDOCs Posts of 2023

EMDocs

Authors: Brit Long, MD ( @long_brit – EM Attending Physician, San Antonio, TX); Manpreet Singh, MD ( @MPrizzleER – Assistant Professor of Emergency Medicine / Department of Emergency Medicine – Harbor-UCLA Medical Center); and Alex Koyfman, MD ( @EMHighAK – EM Attending Physician, UT Southwestern Medical Center / Parkland Memorial Hospital) Thank you for everything you do and the great year!

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Why Are Women Leaving EM?: Female EPs who left the specialty were more than 12 years younger than male EPs who left

Emergency Medicine News

An abstract is unavailable.

EMS 132
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Luton’s Tom Lockyer thanks ‘heroes’ who saved his life after cardiac arrest

AED Leader

On 16 December 2023, soccer captain Tom Lockyer suffered a cardiac arrest and collapsed during a match at Vitality Stadium in Bournemouth. He received CPR, was fitted with an implantable cardioverter defibrillator in the hospital, and was discharged after five days. Lockyer credits the “heroic actions of the players, staff, doctors, and paramedics” with saving his life and urges people to learn cardiopulmonary resuscitation.

CPR 52
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The Back Stories of the Opioid Crisis: What excuse did medicine have for forgetting that opioids are highly addictive?

Emergency Medicine News

An abstract is unavailable.

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Luton’s Tom Lockyer thanks ‘heroes’ who saved his life after cardiac arrest

AED Leader

On 16 December 2023, soccer captain Tom Lockyer suffered a cardiac arrest and collapsed during a match at Vitality Stadium in Bournemouth. He received CPR, was fitted with an implantable cardioverter defibrillator in the hospital, and was discharged after five days. Lockyer credits the “heroic actions of the players, staff, doctors, and paramedics” with saving his life and urges people to learn cardiopulmonary resuscitation.

CPR 52
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A New Burnout for the New Year: Were the lost holidays, birthdays, and school events missed for emergency medicine worth it?

Emergency Medicine News

An abstract is unavailable.

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More Trending

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Preparing for your First Renal SHO On-Call

Mind The Bleep

Introduction So you’ve finally got your rota for your hotly anticipated renal rotation… and your first shift is out of hours. But worry not, for this guide will help you to prepare for that dreaded on-call. While medical on-calls are usually a medium-to-high, consistent workload, the renal on-call is typically either quite calm or really busy. Your patients are either stable or very, very sick!

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Admin: ‘EPs are Replaceable Widgets’: An administrator who was told dedicated doctors would leave without change said, ‘We'll hire new ones.’

Emergency Medicine News

An abstract is unavailable.

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Elmer – Perils in Prognostication

University of Maryland CC Project

Jonathan Elmer, MD, MS is an associate professor of emergency medicine, critical care medicine, and neurology at the University of Pittsburgh Medical Center. He received his Batchelor’s degree in biochemistry from Swarthmore and his medical degree from Mount Sinai School of Medicine. He completed his residency in emergency medicine at. Jonathan Elmer, MD, MS is an associate professor of emergency medicine, critical care medicine, and neurology at the University of Pittsburgh Medical Center.

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Early Paracentesis Makes Sense for Patients with Cirrhosis and Ascites: Some patients with SBP are asymptomatic or only present with encephalopathy or AKI

Emergency Medicine News

An abstract is unavailable.

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Ethics: Crisis Standards of Care Simulation

AENJ: Current Issue

Ethical dilemmas exist with decision-making regarding resource allocations, such as critical care, ventilators and other critical equipment, and pharmaceuticals during pandemics. Triage artificial intelligence (AI) algorithms based on prognostication tools exist to guide these decisions; however, implicit bias may affect the decision-making process leading to deviation from the algorithm recommendations.

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Kruser – The Role of Language

University of Maryland CC Project

Jacqueline Kruser, MD MS is an assistant professor of medicine in the Division of Allergy, Pulmonary & Critical Care at the University of Wisconsin. In her lecture today, she talks about the role of the language in the intensive care unit, using examples of specific phrases such as “goals of. Jacqueline Kruser, MD MS is an assistant professor of medicine in the Division of Allergy, Pulmonary & Critical Care at the University of Wisconsin.

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Managing Diabetes Mellitus in the Emergency Department

AENJ: Current Issue

Diabetes mellitus (DM) is a chronic medical condition that continues to increase in prevalence. Complications of DM, including diabetic ketoacidosis and hyperglycemic hyperosmolar state, often present in the emergency department requiring emergent management. Prompt assessment, diagnosis, evaluation of laboratory values, treatment, monitoring, and strict follow-up education are essential to the successful management of this complex disease.

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Four Things to Hate about the AHA Poison Resuscitation Guidelines: The recommendations are vague, make incorrect statements about atropine, and misuse references

Emergency Medicine News

An abstract is unavailable.

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Assessment of the Diagnostic Accuracy and Reliability of the HEART Score Calculated by Ambulance Nurses Versus Emergency Physicians

AENJ: Current Issue

Chest pain is a common complaint for consultation of emergency medical services worldwide. Currently, ambulance nurses (AN) base their decision to transport a patient to the hospital on their own professional experience. The HEART score could improve prehospital risk stratification and patient treatment. The aim of this study is to investigate the interrater reliability and predictive accuracy of the HEART score between AN and emergency physicians (EP).

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Bringing Gout Care into the Modern Age: The CONTACT trial established naproxen as a front-runner against colchicine for acute management

Emergency Medicine News

An abstract is unavailable.

69
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Finger Thoracostomy for Tension Pneumothorax

AENJ: Current Issue

One of the injuries associated with chest trauma is pneumothorax, a condition where air accumulates between the parietal and visceral pleura in the chest leading to collapse of the lung due to pressure. Left untreated, a tension pneumothorax may develop leading to cardiovascular collapse. This article reviews the development of a tension pneumothorax, discusses the clinical recognition of the diagnosis, and outlines the procedure for performing a finger (or simple) thoracostomy.

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Board Certification is Now the Norm: More EPs are getting board certified earlier in their careers, but it doesn't mean they're happier

Emergency Medicine News

An abstract is unavailable.

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Odontoid/Dens Fractures

AENJ: Current Issue

Odontoid fractures remain the most common C2 fracture and of those individuals older than 65 years. The type of optimal management remains in question given comorbidities, risk of nonunion, and limitations in mobility when surgical fusion is the treatment selected. These fractures are of particular importance, given the high incident of morbidity and mortality following an odontoid fracture.

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Pediatric Cardiac Standstill Tough to Diagnose, Even with Ultrasound: It is difficult to know when to end resuscitation, but an US showing lack of cardiac motion may help

Emergency Medicine News

An abstract is unavailable.

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It's Not a Spider Bite—It's MRSA!

AENJ: Current Issue

Although there is an increased awareness of community-acquired methicillin-resistant Staphylococcus aureus (MRSA), there remains a bias of the public and health-care workers to blame spiders as a cause of skin and soft tissue infection when there is no valid incriminated evidence for this assumption. MRSA is a formidable infection and remains a threat to human health.

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Let's Play ‘Decipher the Dictation’: Speech-to-text software can lead to confusing—and hilarious—results

Emergency Medicine News

An abstract is unavailable.

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Priapism in a Young Adult With Sickle Cell Disease

AENJ: Current Issue

This article presents a case study focusing on priapism in a patient with sickle cell disease, with repeated emergency department (ED) visits and hospitalizations. The patient was successfully identified and treated by the ED nurse practitioner (NP) with aspiration of the corpus cavernosum. Priapism is a persistent penile erection that continues for an extended time.

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Letter to the Editor: Consultants Who Don't Want to Treat Patients

Emergency Medicine News

An abstract is unavailable.

52
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Acute Hyperkalemia Management in the Emergency Department

AENJ: Current Issue

Acute hyperkalemia is characterized by high concentrations of potassium in the blood that can potentially lead to life-threatening arrhythmias that require emergent treatment. Therapy involves the utilization of a constellation of different agents, all targeting different goals of care. The first, and most important step in the treatment of severe hyperkalemia with electrocardiographic (ECG) changes, is to stabilize the myocardium with calcium in order to resolve or mitigate the development of a

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UpToDate

Emergency Medicine News

An abstract is unavailable.

52
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An Evidence-Based Algorithm of Management of Heatstroke in the Emergency Department

AENJ: Current Issue

Annual rates of heat illness and heat-related deaths have been increasing across the United States as more regions of the country have been experiencing heat waves of extreme ambient temperatures of prolonged durations. According to the Centers for Disease Control and Prevention, heat illnesses have become the leading cause of weather-related deaths.

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Technology & Inventions

Emergency Medicine News

An abstract is unavailable.

52
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Guest Editorial: Emergency Nurse Practitioner Scope and Standards of Practice

AENJ: Current Issue

An abstract is unavailable.

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Managing Severe Beta Blocker and Calcium Channel Blocker Toxicity

Emergency Medicine News

An abstract is unavailable.

52
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Finger Thoracostomy for Tension Pneumothorax

AENJ: Current Issue

No abstract available

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Reversing Anticoagulants in the ED: Not all agents are available in every ED, which must decide how to manage bleeding complications

Emergency Medicine News

An abstract is unavailable.

52
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Acute Hyperkalemia Management in the Emergency Department

AENJ: Current Issue

No abstract available

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Simplifying Peritonsillar Abscesses: Forgoing CT and I&D may not be the wrong answer for peritonsillar cellulitis and abscess

Emergency Medicine News

An abstract is unavailable.

52
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Occupational Stress of Pediatric Emergency Nurses in Greece During the COVID-19 Pandemic

AENJ: Current Issue

During the COVID-19 pandemic, numerous studies have shown the high prevalence of occupational stress (OS) of health workers, affecting the quality of health care provided. To date, there is no study regarding OS of emergency care pediatric nurses working in Greece. This study aimed to examine the pediatric nurses' OS working in tertiary public hospitals in Greece.

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Symptoms: Abdominal Distension, Facial Swelling

Emergency Medicine News

An abstract is unavailable.

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