Fri.Dec 27, 2024

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Dr. Marty Makary, What Are You Going To Do If RFK Jr. Demands That Revoke Approval For Vaccines?

Science Based Medicine

The time to start speaking out to defend vaccines from RFK Jr. is now. The post Dr. Marty Makary, What Are You Going To Do If RFK Jr. Demands That Revoke Approval For Vaccines? first appeared on Science-Based Medicine.

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What’s the long term complication rate of IO access?

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed Intraosseous (IO) access is essential in prehospital emergency care when intravenous access is challenging. A Danish retrospective cohort study of over 5,000 patients found fewer than five cases of osteomyelitis, no osteonecrosis or compartment syndrome, and no complications in children. Despite a high mortality rate (60% at 180 days) potentially underestimating long-term risks, the study's robust design supports IO access as a generally safe and effe

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Why the interest in pre-hospital? Why not?!

Mind The Bleep

Im currently in my third year of working in a rural district general hospital Accident and Emergency Department, and one of the things that has struck me most is the use of pre-hospital medicine. Being in an area where it can take an hour and a half to get to the us, as the nearest trauma unit, really puts into perspective the need to have people trained to a level where they can provide immediate aid to people within the Golden Hour.

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EMCrit 391 – Pericardiocentesis and Tamponade Temporization

EMCrit

All things stabilizing tamponade and performing pericardiocentesis EMCrit Project by Scott Weingart, MD FCCM.

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Critical Care 2024 Year in Review (Part 4)

PulmCCM

"Covert consciousness," hyperglycemia guideline update, reviews on midodrine, antipsychotics, steroids, delirium, more

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Tachycardia in cardiology clinic, what is the rhythm?

Dr. Smith's ECG Blog

Submitted anonymously, written by Willy Frick A man in his 70s with a history of remote MI (details unavailable) and prior stent placement presented to cardiology clinic for routine follow up. He complained of days to weeks of palpitations and dyspnea. His clinic ECG is shown. What do you think? In an elderly patient complaining of palpitations, we have an ECG with heart rate 140 bpm.

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Future Fellows Reflect on “The Match”

Sensible Medicine

During my years in medicine, I’ve been privileged to give advice to undergrads, medical students, residents, fellows, and junior faculty as they consider future positions. I have heard myself dispense two pieces of pith again and again: “At some point, you’ll stop going to the ‘best place’ you get into. You just have to decide if this is that point.” “Ten years from now, the program you end up at will seem like it was destined to be your program.”

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Yes, the US should withdraw from the World Health Organization

Sensible Medicine

Last week, Reuters reported that Trump plans on US withdrawal from the World Health Organization as soon as he takes office. Let me be clear: this is a good thing. The WHO repeatedly failed during the covid pandemic. Moreover, these errors are not just in retrospect, there were specific scientific studies that they could have coordinated that they chose not to.

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