Sun.Jul 14, 2024

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JC: Prehospital Partial Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) for Exsanguinating Subdiaphragmatic Hemorrhage

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed Background – What do we already know about REBOA? In 2023, Dr Zaf Qasim reviewed the UK REBOA trial for us on St Emlyn’s (The UK-REBOA trial – Has the […] The post JC: Prehospital Partial Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) for Exsanguinating Subdiaphragmatic Hemorrhage appeared first on St.Emlyn's.

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Thinking in probabilities: eCPR edition

Critical Care Now

Reading Time: 3 minutes Extracorporeal cardiopulmonary resuscitation (eCPR) has been somewhat of a controversial topic in the intensive care community over the years, with observational and randomized controlled trials (RCTs) swinging the pendulum of scientific consensus back and forth from “hugely beneficial” to “expensive, without significant benefit”.

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Which of these, if either, is OMI? Which of these underwent emergent angiography and PCI? Which should have?

Dr. Smith's ECG Blog

Sent by anonymous, written by Pendell Meyers Case 1: A man in his 50s presented with acute chest pain. Normal vital signs. Here is his ECG at triage: What do you think? Here's what Version 1 QOH thinks: It is diagnostic of acute LAD OMI, with the precordial swirl pattern. See this post if you dont know that pattern yet: Precordial Swirl -- 20 cases of Swirl or Look-Alikes Here was a repeat ECG done within 20 minutes (still with ongoing pain): It still looks like active OMI to me, but perhaps sli

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"Toxic" quizzing: Is the attending mean or is the resident sensitive?

Sensible Medicine

Recently, I read an article on “toxic” quizzing. It’s was about attendings asking trainees questions in a mean way. Does it happen? Yes, of course. When I was a medical student, there was only one drug approved for HER-2 positive breast cancer. It was traztuzumab (this was before lapatinib). A breast surgeon, known for pimping, asked me about it in the OR.

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How Common Is Intracranial Extension of Dermoid Cysts?

Pediatric Education

Patient Presentation A 24-month-old male came to clinic for his health supervision visit. He was overall well but his father noted that he had a “bump” on the side of his forehead. He had noted it sometime in the past couple of months and it hadn’t grown appreciably or had changed in any significant way. It was not bothering the patient.

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229. How to deliver a baby in 10 steps

Board Bombs

Let's cover how to deliver a baby in the ED- no really, you're doing it. OB/GYN is not there. Maybe they're on their way, maybe they're not and then you REALLY have bad luck. Either way, you're up. It's time to shine. We promise Nature takes care of most of this… until it doesn't and then you have to save the day. Want to experience the greatest in board studying?

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Lab case 448 Interpretation

EMergucate

Question 1: We should consider ascending cholangitis in any patient with fever and features of obstructive jaundice till prove otherwise.

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Heritage Covid Commission Wants China Accountable… What About Trump?

Science Based Medicine

The Heritage Foundation’s COVID-19 Commission Calls for Chinese “Accountability” for US Pandemic Damage The post Heritage Covid Commission Wants China Accountable… What About Trump? first appeared on Science-Based Medicine.

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