RebelEM

OCTOBER 16, 2024

Take Home Points Orogastric lavage may still play an important role in treatment of the overdose patient. Do not perform lavage if the ingestion has limited toxicity at any dose or the ingested dose is unlikely to cause significant toxicity. Strongly consider orogastric lavage in a patient who has taken an overdose of drugs that are particularly toxic, suspected extreme doses associated with high morbidity/mortality and do not have easily available and effective antidotes.

EMS 104

EMS 104

Sensible Medicine

OCTOBER 16, 2024

Dr. Satel is a bit of a regular here on Sensible Medicine. Today she returns to a topic that she wrote about in January 2023 , changing our organ donation laws to increase organ availability. Adam Cifu Sensible Medicine is a reader-supported publication. If you support our work, consider becoming a free or paid subscriber. What if we could solve the organ donor shortage with a simple tax credit?

Operations 103

Operations Research 103

Science Based Medicine

OCTOBER 16, 2024

JAMA Internal Medicine just published an article titled: Acupuncture vs Sham Acupuncture for Chronic Sciatica From Herniated Disk, A Randomized Clinical Trial. In an accompanying editorial comment, Jerard Z. Kneifati-Hayek and Mitchell H. Katz write: “This was a methodologically rigorous study; there were multiple experienced acupuncturists, the comparison group used a well thought-out sham control, and patients were followed up for 1 […] The post Latest Acupuncture Pseudoscience fir

Wellness 99

Wellness 99

Taming the SRU

OCTOBER 16, 2024

research grand rounds - r1 core content: thromboembolic disease in pregnancy - r4 discharge/transfer/treat: hand injuries - ed discharge after trauma - pediatric respiratory emergencies and airway management Research Grand Rounds WITH dr. Freiermuth Peer Review Not common practice until the 1970s Intent was to ensure scientific integrity Equity The Process Read, summarize manuscript, comment on strengths and weaknesses, determine whether article fits with the priorities of the journal Recommend

Airway Management 73

Airway Management Fractures CDC Pediatrics 73

Don't Forget the Bubbles

OCTOBER 16, 2024

You’re embarking on your first paediatric registrar rotation – welcome to this exciting next stage of your career, and congratulations on getting here! This article is not intended to be a set of step-by-step instructions but to give you some ideas to consider and some tips and tricks from first-time registrars who have recently gone through this transition.

Teamwork 52

Teamwork Documentation/Coding Leadership Burns 52

PulmCCM

OCTOBER 16, 2024

Cardiopulmonary bypass (CPB) for cardiac surgery induces ischemic injury throughout the body, but especially in the kidneys. Acute kidney injury occurs in up to a third of patients undergoing CPB. Post-bypass kidney failure is believed to result from ischemia-reperfusion injury, when oxygen supply to a tissue is cut off and then restored. Animal studies have suggested that the body could be prepped or trained to better withstand ischemic-reperfusion injury, by inducing mild ischemia in another t

Outcomes 52

Outcomes Operations Research Hospitals 52