Wed.Oct 18, 2023

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Early and Empirical High-Dose Cryoprecipitate for Hemorrhage After Traumatic Injury

The Bottom Line

In patients with trauma and critical bleeding who require activation of a major haemorrhage protocol, does the empiric administration of 3 pools of cryoprecipitate (6g fibrinogen) within 90 minutes of randomisation (and no more than 3 hours after injury) improve survival, compared to standard care?

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Four patients with chest pain and ‘normal’ ECG: can you trust the computer interpretation?

Dr. Smith's ECG Blog

Written by Jesse McLaren Four patients presented with chest pain. All initial ECGs were labeled ‘normal’ or ‘otherwise normal’ by the computer interpretation, and below are the ECGs with the final cardiology interpretation. If you were working in a busy emergency department, would you like to be interrupted to interpret these ECGs or can these patients safely wait to be seen because of the normal computer interpretation?

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CRYOSTAT-2 @ St Emlyns

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed Big news for the UK this week, with the release of 2 publications in JAMA reflecting novel approaches to the management of the major trauma patient with active haemorrhage. (1,2) … CRYOSTAT-2 @ St Emlyns Read More » The post CRYOSTAT-2 @ St Emlyns appeared first on St.Emlyn's.

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A 20-something woman with cardiac arrest.

Dr. Smith's ECG Blog

The patient is a 20 something female. She is healthy with no known cardiac disease. She was admitted to the neurology department due to headache and vomiting. She was found to have a viral CNS infection. A few days into her hospital stay she developed chest discomfort and the following ECG was recorded. What do you think? Why such large T-waves? Are these hyperacute T-waves?

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The Secret Ambulance: The Innovative Fiat Iveco 55 AF 10

Emergency Live

Fiat Iveco 55 AF 10: the armoured ambulance that hides a secret A Rare Wonder of Italian Engineering The world of emergency vehicles is fascinating and vast, but few are as rare as the Fiat Iveco 55 AF 10, a unique ambulance produced in 1982 by Carrozzeria Boneschi. This car, based on their armoured Iveco […] The post The Secret Ambulance: The Innovative Fiat Iveco 55 AF 10 appeared first on Emergency Live.

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IgG Food Sensitivity Tests Not Valid

Science Based Medicine

IgG testing for food sensitivity has not been validated by scientific evidence - that does not stop CAM practitioners. The post IgG Food Sensitivity Tests Not Valid first appeared on Science-Based Medicine.

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A week dedicated to Civil Protection

Emergency Live

The Final Day of the ‘Civil Protection Week’: A Memorable Experience for the Citizens of Ancona (Italy) Ancona has always had a strong connection with civil protection. This connection was further strengthened thanks to the ‘Civil Protection Week’, which culminated in a well-attended event at the various fire brigade headquarters throughout the province.

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A Note to New Subscribers

Stop and Think

This newsletter received a huge influx of new subscribers. I am not sure why, but it is nice. Thank you. Here is super-short recap of my active work and goals here at Stop and Think: Every Friday I publish a podcast via TheHeart.org called This Week in Cardiology. It’s a 20-30 minute recap of the week’s top stories in cardiology. A partial transcript is here.

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Sudden cardiac death and arrhythmias in athletes

Sensible Medicine

Sudden cardiac death due to ventricular rhythm disturbances are rare but highly public. It’s strange and curious because you don’t expect healthy athletes to suffer serious cardiac issues. Recently three prominent athletes have survived sudden cardiac death. Christian Erikson, a Danish soccer player, Damar Hamlin, an American football player and Bronny James, son of Lebron James.

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PEMPix 2023 Online Case 3: The Only Thing We Have to Fear

PEMBlog

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. This year, in addition to the 10 finalists Maneesha Agarwal will be presenting at the National Conference and Exhibition we will be sharing four cases online in advance of the conference. This is the first of the four cases. This case was submitted by… A four-day-old, full-term, exclusively breastfed male with benign prenatal and antenatal courses, presented with one day of decreased

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196. SSSS…Say it five times fast please

Board Bombs

Another bonus episode as we march into board season! We want to showcase our Rapid Bombs Podcast, plus these quick pearls for a classic skin pathology. Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here. emboardbombs.com/interactive-question-bank/ Cite this podcast as: Briggs, Blake; Husain, Iltifat. 196.

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Clinical Governance Day – Wed 25 Oct 2023

Greater Sydney Area HEMS

Visit the post for more.

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Mortality in Thoracic Trauma

Emergency Medicine Education

Helsloot et al. found in a retrospective analysis that the first several hours of resuscitation in patients with thoracic injuries are absolutely critical. The majority of fatalities occur within the first hour, and a significant portion of deaths occur within the initial six hours following the injury.

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Cefepime vs Piperacillin-Tazobactam

Emergency Medicine Education

in a recent article that published in JAMA, Qiam et al. found among 2,511 patients who received antibiotic treatment, it was determined that treatment with piperacillin-tazobactam did not lead to a higher occurrence of acute kidney injury or mortality. Conversely, treatment with cefepime was associated with an increased risk of neurological dysfunction.

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