Sensible Medicine

FEBRUARY 3, 2025

We are back with a riveting discussion

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EM Literature of Note

FEBRUARY 3, 2025

Its been a long haul for Emergency Medicine Literature of Note and, as AI becomes a greater portion of my professional life, correspondingly, the time shrinks for a long-form Emergency Medicine post. So, in an experiment, Ive created and migrated to a more-modern platform the Medicine Minute Substack. The hope is, with short format thoughts, there can be more-frequent updates and the longer rants can still have either a life here, or in ACEPNow.

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Sepsis Shock Pediatrics Research 61

Sensible Medicine

FEBRUARY 3, 2025

Last week the FDA approved a novel non-opioid pain medication. The drug is called suzetrigine (Journavx). A Google search brings up news releases from Vertex , and news coverage—which are essentially the same and lacking links to the evidence. I aimed to provide readers the evidence for this new drug. This was much more difficult to find. Some things to set out first: I am not a pain specialist; my analysis is one of a Neutral Martian.

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ALiEM

FEBRUARY 3, 2025

A 35-year-old male with no past medical history presented to the Emergency Department with eye redness. Two days prior, the patient reported he was cutting brush with a chainsaw when he felt something spray into his face. After inspecting the area, the patient found the remnants of a dead rattlesnake that unfortunately got in the way of his chainsaw.

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Academics Emergency Department Wellness 60

RebelEM

FEBRUARY 3, 2025

Background: ST-segment elevation myocardial infarction (STEMI) is a critical condition requiring rapid diagnosis and intervention. While ECGs play a central role in detecting STEMI, misinterpretations often occur, leading to unnecessary catheterization or missed diagnoses. With advancements in artificial intelligence (AI), there is potential for machine learning models to assist in more accurate detection of STEMI.

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EKG/ECG Emergency Department Outcomes Hospitals 59

Don't Forget the Bubbles

FEBRUARY 3, 2025

This month, Bubble Wrap has a primary care slant with a takeover from the GP trainee group in Chesterfield. The articles are relevant and interesting for those working in the acute care system. With millions of journal articles published yearly, it is impossible to keep up. The Bubble wrap team scoured the literature, so you don’t have to. With a wide variety of topics, take a few minutes and look at what’s new in paediatrics.

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Sexual Assault Wellness Outcomes Research 59

PEMBlog

FEBRUARY 3, 2025

Maybe this is true for you too, but I always remembered what the X-Ray findings for Slipped Capital Femoral Epiphysis are by imagine a scoop of ice cream falling off a cone. Just search for an image online. You’ll see what I mean. Also this needs Orthopedic intervention within 24 hours. Lyrics [Verse] The ice cream fell off the cone today A year of leg pain, now my left hip gave way Orthopedic surgery is booked for tomorrow Never seen hip X-Rays bring one kid such sorrow [Chorus] I got me

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Taming the SRU

FEBRUARY 3, 2025

Tumor Lysis Syndrome (TLS) is a set of electrolyte derangements that can result from the use of cytotoxic therapies in cancer patients. These can lead to a wide spectrum of emergent complications including but not limited to cardiac dysrhythmias, seizures, and acute renal failure. In this post, we will focus on the risk stratification of these patients, the mechanism of TLS in the context of electrolyte changes, and how to manage the emergent consequences of these derangements ( 1,2).

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Fluid Resuscitation Seizures Dehydration Emergency Department 55

EMDocs

FEBRUARY 3, 2025

Authors: William J. Collins, MD (EM Resident Physician, San Antonio, Texas); Michael J. Yoo, MD (Assistant Professor of EM, San Antonio, Texas) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case A 32-year-old female with a history of systemic lupus erythematosus (SLE) and hypertension (HTN) presents to the emergency department (ED) with a two-week history of increasing fatigue, malaise, joint pain in her hands and knees, and a new rash on her face.

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Stroke EMS Seizures Outcomes 49

Science Based Medicine

FEBRUARY 3, 2025

When you look at Robert F. Kennedy, Jr.'s "Make America Healthy Again" movement, there is a notable echo of an idea once promoted by Oprah Winfrey, namely The Secret, combined with antivax and alt-med tropes. The post MAHA: Echoes of The Secret first appeared on Science-Based Medicine.

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