Mon.Jun 03, 2024

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EMCrit Wee – Controlled Automated Reperfusion of the Whole Body (CARL) ECPR / ECLS Yields Amazing Results

EMCrit

Today, we talk about a paper that showed impressive neurologically intact survival for all-rhythms presenting in cardiac arrest, both OHCA and IHCA. It uses a new set of strategies and technologies called CARL. The Paper Treatment of Refractory Cardiac Arrest by Controlled Reperfusion of the Whole Body: A Multicenter, Prospective Observational Study Supplemental Material […] EMCrit Project by Scott Weingart, MD FCCM.

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Tragedy in Uttar Pradesh: dozens die of heat-related deaths

Emergency Live

India, Devastating Heatwave: Dozens Dead During Elections On June 1st, the final day of voting in the general elections in India, the northern state of Uttar Pradesh became the stage for a tragic mix of democracy and tragedy. With soaring temperatures, 58 people lost their lives due to the heat, including 33 election personnel, showcasing […] The post Tragedy in Uttar Pradesh: dozens die of heat-related deaths appeared first on Emergency Live.

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Yet another example of how “new school” anti-COVID vaccine antivaxxers have become just antivaxxers now

Science Based Medicine

Dr. Pierre Kory and the pseudomous Substacker known as A Midwestern Doctor provide two more examples of how "anti-COVID" antivax has now become just antivax. The post Yet another example of how “new school” anti-COVID vaccine antivaxxers have become just antivaxxers now first appeared on Science-Based Medicine.

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Flooding in Germany: Victims and Damage

Emergency Live

Bavaria Underwater: Devastating Floods Over the weekend, southern Germany was hit by disastrous floods that caused extensive damage and loss of lives. Torrential hailstorms and heavy rains ravaged many communities, killing a firefighter in an accident and drowning two other individuals. Tragedy in Pfaffenhofen an der Ilm A 42-year-old firefighter lost his life in the […] The post Flooding in Germany: Victims and Damage appeared first on Emergency Live.

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Grand Rounds Recap 5.22.24

Taming the SRU

Air care grand rounds - top 10 air care cases of the year - r3 small groups - r4 capstone air care grand rounds: too sick to transport? with Dr. Susan Wilcox Increasing regionalization due to: Growth of specialty centers Increasing development of healthcare systems Hub-and-spoke models Development of ECMO, trauma, transplant, and stroke centers The higher the acuity of the centers, the higher the acuity of the patient that needs to get there.

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Osimertinib: news for the treatment of lung cancer

Emergency Live

Effectiveness of Osimertinib in NSCLC Lung Cancer: A Revolutionary Study Results presented at the recent American Society of Clinical Oncology (ASCO) congress in Chicago have promised better prospects for patients with non-small cell lung cancer. According to the findings of the LAURA study, osimertinib reduces the risk of disease progression or death by 84% among […] The post Osimertinib: news for the treatment of lung cancer appeared first on Emergency Live.

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Research Roundup (June 2024)

First 10 EM

Back again with another month’s worth of interesting, inane, or sometimes important emergency medicine literature. As always, podcast version on BroomeDocs or YouTube. Obviously, GCS 8 doesn’t mean intubate Freund Y, Viglino D, Cachanado M, Cassard C, Montassier E, Douay B, Guenezan J, Le Borgne P, Yordanov Y, Severin A, Roussel M, Daniel M, Marteau […] The post Research Roundup (June 2024) appeared first on First10EM.

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225. The Deadly D's: cerebellar strokes

Board Bombs

You've heard of the 5 D's of dodgeball. Now it's time to recognize the 5 D's of posterior circulations strokes and fast facts to not miss them. Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here. Cite this podcast as: Briggs, Blake. 225. The Deadly D's: cerebellar strokes. June 2nd, 2024.

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10 Essential Features to Look for When Buying an AED

AED Leader

As the demand for Automated External Defibrillators (AEDs) continues to rise, businesses must invest in the correct device to ensure the safety of their employees and customers. With numerous options available in the market, choosing the right AED can be a daunting task. To help you make an informed decision, we have compiled a list of 10 essential features to look for when buying an AED. 1.

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Can acetaminophen improve outcomes in sepsis?

PulmCCM

Acetaminophen (paracetamol): Wikipedia Over the past 30 years, dozens of chemical compounds have been tested as therapies for sepsis. What if all the while, an effective sepsis treatment was hiding in plain sight right there on the PRN medication list? Acetaminophen has been associated with reduced mortality in patients with sepsis in observational studies and appeared to reduce organ dysfunction among patients with sepsis in two randomized trials.

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Fighting Cancer: NHS Trials Personalized Vaccines

Emergency Live

United Kingdom: Trial of Personalized mRNA Vaccines against Cancer The National Health Service (NHS) in the UK has launched a bold initiative involving thousands of cancer patients in the largest trial of personalized vaccines made using mRNA technology, successfully used to develop anti-Covid vaccines. The promise of this initiative is to transform cancer therapy by […] The post Fighting Cancer: NHS Trials Personalized Vaccines appeared first on Emergency Live.

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Medical Music Mondays: Batteries Down the Hatch

PEMBlog

Swallowing button batteries is a dumb idea. It can melt your esophagus and stuff. Endoscopy is the way to remove them. But if you have a long delay there are sucralfate protocols. But just don’t swallow them in the first place. Lyrics If a button battery is swallowed please do not delay The electric charge can melt the mucosal wall all away If it’s stuck in the esophagus and you’ve got a real long wait You can give some temporizing enteral sucralfate But ultimately that kid nee

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Italy tops in Europe for Cancer Survival

Emergency Live

Excellence in Cancer Treatment, But Waiting Times Need Improvement Italy is the undisputed leader in Europe for the number of women surviving cancer: nearly two million women live after a cancer diagnosis, more than in any other country on the continent. This advancement highlights the excellent level of the Italian National Health Service. However, the […] The post Italy tops in Europe for Cancer Survival appeared first on Emergency Live.

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Three Critiques of the DanGer-Shock Trial

Sensible Medicine

This is a first for Sensible Medicine. For the study-of-the-week, we will publish a criticism of the DanGer-Shock trial. Dr. Guillermo Aldama is an interventional cardiologist in a university hospital in Northwestern Spain. He and colleagues sent me sharp critiques of the DanGer-Shock trial, which compared the micro-axial flow pump (brand name Impella) vs standard care in patients who had cardiogenic shock due to myocardial infarction.

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CT Case 063

Life in the Fast Lane

Georgina Beech, Leon Lam, Jennifer Davidson and Parvathy Suresh Kochath CT Case 063 A 86-year-old lady tripped over while walking, landing face first on the ground.

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ETM Online – Tox Course Module 2 is now live!

ETM Course

We are excited to announce the launch today of the second module of the Tox Course at ETM Online. Module 2 contains the following topics: Introduction to recreational drugs Gamma Hydroxybutyrate (GHB) MDMA and LSD White powders Inhalants Cannabinoids Cathinones Vaping and Nicotine Stimulant induced movement disorders This is a fantastic module that covers all of the main recreational substance use presentations to the ED from a high level toxicology perspective, but also from a practical, “

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Protein targets for nutrition in critical illness: Review

PulmCCM

During critical illness, the body loses protein faster than it is replaced, that is, catabolism exceeds anabolism. To obtain substrate for the production of glucose, antibodies, and acute phase reactants, the body mobilizes amino acids from its largest available reserve: skeletal muscle and other lean body mass. This process, beneficial in the short-term, can result in muscle wasting and debilitation over longer periods.