Thu.Jan 09, 2025

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These are the ‘Roids you are looking for – Steroids in the ED

EM Ottawa

In the acute care setting, steroids have various usages and indications, but their usage can often be nuanced. From adrenal crises to septic shock, severe community-acquired pneumonia, and even acute pharyngitis, steroids play a pivotal role in managing a variety of conditions encountered in the Emergency Department (ED). However, their use is far from straightforwardbalancing […] The post These are the ‘Roids you are looking for – Steroids in the ED appeared first on EMOttawa

Shock 111
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Neonatal Resuscitation Algorithms:

SCGH ED

Australian Resuscitation Council (ARC) Flowchart KEMH Neonatal Resuscitation Algorithm: The post Neonatal Resuscitation Algorithms: appeared first on Charlie's ED.

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Clinical Governance Day – Wednesday, 15th January

Greater Sydney Area HEMS

Visit the post for more.

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ASTER – Acetaminophen in Sepsis

The Bottom Line

Acetaminophen for Prevention and Treatment of Organ Dysfunction in Critically Ill Patients With Sepsis Ware. JAMA 2024. doi:10.1001/jama.2024.8772 Clinical Question In critically ill adult patients with sepsis does the administration of acetaminophen compared to placebo increase the number of days alive and free of organ support to day 28?

Sepsis 65
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Mobile Stroke Unit Propaganda Writ Large

EM Literature of Note

This is yet another one of those “Get With The Guidelines” stroke analyses, a retrospective dredge with massive imbalances between groups followed by statistical adjustments capable of turning out whichever result suits an author list with a full, dense printed page of pharma and stroke technology conflicts of interest. In that respect, the study is unremarkable.

Stroke 68
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Syncope, chest pain, and inferior ST Elevation with Reciprocal ST depression in aVL

Dr. Smith's ECG Blog

A 26 year old male presented with syncope and chest pain. Syncope was sudden and without prodrome, and resulted in head trauma with a scalp laceration. Here is his ECG: There is significant ST Elevation in inferior leads, with reciprocal ST depression in aVL. This appears to be an inferior OMI What do you think? Smith : I recognize this as a STEMI mimic.

EKG/ECG 85
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X's Community Notes Are a Model for Public Health Success—Will Meta Actually Follow Suit?

Sensible Medicine

It is my pleasure to introduce this guest column by two of UCSD’s finest: Matthew Allen, a medical student and John Ayers, a professor with expertise in digital health, AI and communication. Dr. Ayers’ team has lead important work in the last year on ChatGPT among other topics. Here they discuss Community Notes— a new feature on X (Twitter) that is not censorship, not fact checking, but a form of crowdsourced clarification.