Sensible Medicine

JULY 27, 2024

When a friend makes a mistake, it is your responsibility to let him know. In the words of the Ad Council and the US Department of Transportation, “friends don’t let friends drive drunk.” They also “don’t let friends misinterpret the medical literature because they have been blinded by their priors.” Friends do this even if the results of the paper in question should change nobody’s behavior and if calling them out will invite the wrath of Sensible Medici

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Wellness Hospitals 122

The Skeptics' Guide to EM

JULY 27, 2024

Reference: Knack et al. Early Physician Gestalt Versus Usual Screening Tools for the Prediction of Sepsis in Critically Ill Emergency Patients. Ann Emerg Med 2024 Date: July 25, 2024 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called www.First10EM.com Case: Your hospital is running Morbidity and Mortality (M&M) rounds after a few recent cases in which the diagnosis of sepsis was identified late, and antibiotics were delayed.

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Sepsis Outcomes Documentation/Coding Hospitals 73

ECG Guru

JULY 27, 2024

Why is the pause after the PVCs relatively long? We see a sinus arrhythmia in the rhythm strip. The ventricular extrasystoles penetrate the AV node retrogradely and reset the sinus rhythm, which then restarts.

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PulmCCM

JULY 27, 2024

Emergency laparotomy is performed for life-threatening intra-abdominal processes (so-called “surgical abdomen”), such as perforated viscus or appendicitis, bowel obstruction, or bowel ischemia.

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JournalFeed

JULY 27, 2024

The JournalFeed podcast for the week of July 22-26, 2024. These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. Thursday Spoon Feed : The first direct comparison of the Clinical Institute Withdrawal Assessment-Alcohol Revised (CIWA-Ar) scale to a slightly modified Richmond Agitation and Sedation Scale (mRASS-AW) in a pre-post quality assurance study found mRASS-AW to not compromise length of st

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