Science Based Medicine

NOVEMBER 20, 2023

The BMJ, once a bastion of evidence-based medicine, has become disturbingly susceptible to publishing biased "investigations" that feed antivax narratives. Its latest report on VAERS by Jennifer Block, who in the past has defended Gwyneth Paltrow and Goop and whose history is not one of supporting science, is just another example of this deterioration.

CDC 134

CDC 134

Don't Forget the Bubbles

NOVEMBER 20, 2023

Neck lumps are a common presenting complaint to the paediatric emergency department with many aetiologies, sometimes resulting in a diagnostic conundrum. Thorough history taking and detailed examination can aid in diagnosis. Causes of paediatric neck lumps can be broadly divided into three categories – congenital , inflammatory and neoplastic.

Pediatrics 124

Pediatrics Documentation/Coding Emergency Department Hospitals 124

First 10 EM

NOVEMBER 20, 2023

When caring for pregnant women, I frequently find myself searching for information on radiation risks from diagnostic imaging, to help guide our shared decision making process, so I decided to create a summary in a spot I would always know where to find it. I have ranted in the past about the many problems with […] The post Diagnostic imaging during pregnancy and lactation appeared first on First10EM.

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Life in the Fast Lane

NOVEMBER 20, 2023

Sheralyn Guilleminot and Mike Cadogan What is AI and How Does it Work? We review two important aspects of AI, natural language processing and machine learning, that provide key insights into how AI works.

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Sensible Medicine

NOVEMBER 20, 2023

I received a text message from a colleague last night during dinner that a trial we were part of, called OCEANIC AF , was being terminated early by the data safety monitoring board. This morning, the makers of asundexian had a press release up on its site. This is huge news in cardiology. But it is also worthy of a column here because we at Sensible Medicine are interested in how new therapies are tested.

Stroke 110

Stroke Outcomes Wellness 110

Emergency Live

NOVEMBER 20, 2023

Specialized Solutions for the Safety of Small Passengers During Emergency Transport Transporting children by ambulance requires special care and precautions. In emergency situations, ensuring the safety of young patients is a top priority. This article explores international regulations and technological innovations that help make pediatric ambulance transport safe and effective.

Pediatrics 105

Pediatrics 105

RebelEM

NOVEMBER 20, 2023

Background: Hemmorhage is a major cause of preventable death in trauma patients. Early expeditious definitive hemorrhage control is a major focus in trauma resuscitation. Patients with torso hemorrhage present a clinical conundrum often requiring interventional radiology or surgery, both of which take time to mobilize. Theoretically, the use of REBOA with aortic occlusion should help limit hemorrhage, maintain cerebral/myocardial perfusion, and allow more time for interventional and surgical pro

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Resuscitation Operations Outcomes Hospitals 91

EMDocs

NOVEMBER 20, 2023

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American College of Gastroenterology recently released updated guidelines for managing patients with lower GI bleeding (LGIB). This post will provide the major takeaways for emergency clinicians. Background Acute LGIB results in over 100,000 admissions in the U.S. annually, and the incidence appears to be increasing based on current literature.

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Resuscitation Fluid Resuscitation Hospitals Research 80

Emergency Live

NOVEMBER 20, 2023

Twenty Years of Change: 2003-2023 – A Journey through the History and Evolution of the Red Cross An Exhibition to Celebrate Two Decades of Humanitarian Commitment The Italian Red Cross Florence Committee is celebrating its 20th anniversary with a special event: the historical-documentary exhibition “Twenty Years of Change: 2003-2023.” Scheduled from Nov. 25, the exhibition […] The post Historical Documentary Exhibition of the Italian Red Cross in Florence appeared first o

Pediatrics 102

Pediatrics 102

Ultrasound Gel

NOVEMBER 20, 2023

Bonus Cuts back again! Zack and Mike talk with guest Yale Tung-Chen about the POCUS vibe in Spain and his recently reviewed study on using doppler flow as a measure of right ventricular dysfunction in heart failure. [link] Bonus Cuts back again! Zack and Mike talk with guest Yale Tung-Chen about the POCUS vibe in Spain and his recently reviewed study on using doppler flow as a measure of right ventricular dysfunction in heart failure.

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ECG Guru

NOVEMBER 20, 2023

Let's analyze the ECG. It comes from a pacemaker patient whose pacemaker was briefly switched to VVI at 30 bpm due to a stimulation threshold test. The first 3 beats show a sinus rhythm with a frequency of approx. 40 bpm. This is followed by a premature ventricular contraction (PVC). The P wave of the next sinus node beat lands exactly on the T of the PVC.

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EKG/ECG 52

EM SIM Cases

NOVEMBER 20, 2023

This case comes from Aneesha Thouli and Dr. Brad Stebner. Aneesha Thouli is a 4th-year medical student from the University of British Columbia. Dr Brad Stebner is a staff Emergency physician in Kelowna, BC, Clinical Instructor at UBC and one of our editors at EM Sim Cases. WHY IT MATTERS Classic heat stroke is a potentially deadly diagnosis that effects some of the most vulnerable of our populations.

Stroke 52

Stroke Hyperthermia / Hypothermia EMS EKG/ECG 52

RebelEM

NOVEMBER 20, 2023

A 35-year-old woman presents with 4 days of headache, nasal congestion, ear pain, and mild sore throat. She has been taking an over-the-counter medication for her symptoms, but it doesn’t do anything for her. According to recent FDA news, which medication has she likely been taking? Diphenhydramine Oxymetazoline Phenylephrine Pseudoephedrine FOR THE RIGHT ANSWER CLICK ON THE ROSH REVIEW LOGO BELOW References De Sutter AI, Eriksson L, van Driel ML.

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EMS Administration 52

NRC Health

NOVEMBER 20, 2023

Register now for Human Understanding Beyond | HUB24 in San Diego! We'll go beyond benchmarks, scores, and expectations to bring you novel solutions for humanizing care, empowering your workforce, and restoring Human Understanding between patients and providers. The post Save the date and register now for Human Understanding Beyond | HUB24 in San Diego appeared first on NRC Health.

Pediatrics 52

Pediatrics 52

American Medical Compliance

NOVEMBER 20, 2023

People may go through life events as they become older, such as dealing with a serious illness or losing a loved one, that influence their mental or behavioral health. While a lot of people will cope with these changes in their lives, some may feel depressed, lonely, or socially isolated. Persistent negative emotions have the potential to develop into mental diseases like anxiety and depression.

Psychiatric 52

Psychiatric Research Wellness Outcomes 52

EMergucate

NOVEMBER 20, 2023

Question 1 answer PH = 7.236, that is moderate acidaemia HCO3 = 12.5 mmol/L. So we have metabolic acidosis. Next we need to calculate the compensation and the the anion gap.

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