Science Based Medicine

MAY 27, 2024

I've long argued that antivax beliefs, indeed all science denial, is conspiracy theory. Leave it to The Brownstone Institute's Jeffery Tucker to make my point better for me than I ever could. Of course, Brownstone was always going to "go there." The post The ultimate COVID-19 antivax conspiracy theory, courtesy of The Brownstone Institute and Jeffery Tucker first appeared on Science-Based Medicine.

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Dr. Smith's ECG Blog

MAY 27, 2024

Written by Jesse McLaren, with a very few edits by Smith A 60-year-old presented with chest pain. The ECG did not meet STEMI criteria, and the final cardiology interpretation was “ST and T wave abnormality, consider anterior ischemia”. But are there any other signs of Occlusion MI? There’s only minimal ST elevation in III, which does not meet STEMI criteria of 1mm in two contiguous leads.

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EKG/ECG Documentation/Coding Emergency Department 119

First 10 EM

MAY 27, 2024

We have previously discussed the many pharmaceutical advertisements published by the New England Journal of Medicine, thinly disguised as science, such as the original open label uncontrolled look at andexanet alfa. (Connolly 2019) At that point, I concluded that andexanet alfa should clearly not be used (although our pharmacies didn’t listen and wasted a lot […] The post Andexanet alfa: expensive and harmful?

EMS 111

EMS 111

St. Emlyn

MAY 27, 2024

St.Emlyn's - Emergency Medicine #FOAMed This JC from St Emlyn's looks at a paper from SJTRM and explores the association between first-pass success (FPS) during pre-hospital intubation and 30-day mortality in patients treated by Finnish helicopter emergency medical services (HEMS). The post JC: Is First Pass Success an important outcome in PHEA research?

Research 101

Research Outcomes Hospitals 101

EM Literature of Note

MAY 27, 2024

Hearkening back to my former life as the chair of an Institutional Review Board: you do not promise or imply a potential for benefit to clinical trial participants. Why? Because clinical trials aren’t designed to benefit participants. Participants may be randomized to the “standard of care” arm. The trial drug may not have any improvement in efficacy over the “standard of care” Worse, the trial drug may, in fact, have greater toxicity than the current options.

Outcomes 85

Outcomes 85

AED Leader

MAY 27, 2024

In recent years, there has been a growing recognition of the importance of having automated external defibrillators (AEDs) in schools. These life-saving devices can significantly increase the chances of survival for individuals experiencing sudden cardiac arrest (SCA). However, with so many available options, choosing the right AED for schools can take time and effort.

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Pediatrics CPR Shock Administration 52

Board Bombs

MAY 27, 2024

This podcast is earresistible. Let's chat about this classic, nasty HEENT infection. There are only 3 major key points you need to know for this one so let's crush it. 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; Husain, Ilitfat. 224.

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PulmCCM

MAY 27, 2024

Tranexamic acid Although intracerebral hemorrhages (ICH) account for “only” 20% of the ~20 million strokes worldwide each year, they create a disproportionately large burden of disability and death. About 30-50% of ICH sufferers die within one month, with half of these deaths in the first few days. The majority of survivors are severely disabled.

Stroke 52

Stroke 52

Emergency Medicine Ireland

MAY 27, 2024

Welcome back to the tasty morsels of critical care podcast. We’ve been talking about pulmonary hypertension, last time we had a pretty broad overview with a focus on group 1 or pulmonary arterial hypertension. This time we’re going to go through some management strategies that might keep you between the hedges on a night on call or a fellowship exam viva.

Poisoning 52

Poisoning Wellness Shock 52

PulmCCM

MAY 27, 2024

Uncontrolled hypertension is a major risk factor for both ischemic and hemorrhagic strokes. Over many years, cerebral arteries damaged by hypertension are at greater risk for developing either acute thrombosis with occlusion or loss of integrity with resultant bleeding. Maintaining blood pressure at or near the normal range (again, over long periods) reduces the risk of stroke.

Stroke 52

Stroke Hospitals 52

PEMBlog

MAY 27, 2024

What if a boy band from the year 2000 wrote a song about he management of status asthmaticus and then someone made a video and then posted that video to a Pediatric Emergency Medicine blog. You’d think that would be pretty silly right? Lyrics Difficulty breathing, asthma’s bad tonight albuterol and atrovent Dexamethasone All right! Magnesium infusion Terb and ketamine If you need that bipap It’s the worst you’ve seen [Chorus] Status!

Pediatrics 52

Pediatrics 52

Sensible Medicine

MAY 27, 2024

Memorial Day in the US is one our most important holidays. It is a day to remember and honor those who died in the service of our country. These were mostly young people who gave their life to preserve the American way. Our freedom. Our Bill of Rights. So let’s pause and think about that. Next week, I will have another study to discuss. I wish you all peace.

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Ultrasound Gel

MAY 27, 2024

It's been a while since we talked about Venous Excess Ultrasound, aka VEXUS. There is still a lot of buzz around this concept, but not a lot of honey (honey is evidence in this metaphor). Ross Prager, international friend to POCUS researchers everywhere, joins Mike to discuss what's new and where this is going. [link] It's been a while since we talked about Venous Excess Ultrasound, aka VEXUS.

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Ultrasounds Research 52

Sensible Medicine

MAY 27, 2024

Carbon footprint, Student accommodations & more

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Greater Sydney Area HEMS

MAY 27, 2024

Visit the post for more.

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RebelEM

MAY 27, 2024

Background: The REVERT Randomized Controlled Trial demonstrated the superiority of the modified valsalva maneuver (MVM) over the standard valsalva maneuver (VM) in re-establishing normal sinus rhythm (NSR) in patients with PSVT (Appelboam 2015). MVM exaggerates venous return to the heart and increases vagal outflow by elevating the patient’s legs.

Outcomes 126

Outcomes Research Hospitals Operations 126

Taming the SRU

MAY 27, 2024

Shortness of breath is one of the most common complaints presenting to emergency departments. Although the etiology is varied, in this post we will examine one specific cause – pleural effusions – in addition to management of pleural effusions with the thoracentesis procedure. Overview - what is a pleural effusion and how can i fix it? The pleural cavity is a potential space between the lung and chest wall.

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Emergency Department Ultrasounds Radiology Radiology 80