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.
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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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?
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?
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.
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.
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.
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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.
Greater Sydney Area HEMS
MAY 27, 2024
Welcome back to The Sydney HEMS Debrief, now on episode 14! Today, we are joined by Retrieval and Anaesthetic Staff Specialist Dr Jess Devlin, who talks us through one of her most challenging and rewarding cases. Using the case as a springboard, we go on to discuss some of the nuances around, and approaches towards, multi-casualty scenes and consider how to make sense of an overwhelming situation and perform effectively within it.
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.
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.
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.
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!
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.
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.
Sensible Medicine
MAY 27, 2024
Carbon footprint, Student accommodations & more
Greater Sydney Area HEMS
MAY 27, 2024
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